Warrent Alpert Medical School of Brown University, Dept. of Psychiatry and Human Behavior, USA; Rhode Island Hospital, USA.
Massachusetts General Hospital, USA; Harvard Medical School, Department of Psychiatry, USA.
J Psychiatr Res. 2021 Dec;144:296-303. doi: 10.1016/j.jpsychires.2021.10.014. Epub 2021 Oct 19.
Sleep disruption among adolescents represents a major public health concern, and social media use may play an important role in affecting sleep and subsequent mental health. While prior studies of youth sleep and mental health have often focused on social media use frequency and duration, adolescents' emotional experiences related to social media have been underexplored, particularly among clinically acute populations. This study offers a preliminary investigation of associations among negative emotional experiences using social media, sleep disturbance, and clinical symptom severity in a sample of psychiatrically hospitalized youth. A sample of 243 adolescents (M = 15.34) completed self-report measures at a single time point. Measures assessed social media use, including frequency and duration, subjective experiences of use, and emotional responses to use, as well as sleep disturbance and clinical symptom severity, including suicidal ideation, internalizing symptoms, and attention problems. Results revealed that more frequent negative emotional responses to social media use were linked to greater sleep disturbance and higher clinical symptom severity. Furthermore, sleep disturbance mediated the relation between negative emotional responses to social media and clinical symptom severity. While gender differences were revealed in characteristics of social media use, sleep disturbance, and clinical outcomes, the associations among these constructs did not vary across gender groups. Overall, these findings highlight sleep disturbance as a potential mechanism through which negative emotional experiences on social media may impact clinical symptoms in psychiatrically vulnerable youth.
青少年的睡眠中断是一个主要的公共卫生问题，社交媒体的使用可能在影响睡眠和随后的心理健康方面起着重要作用。虽然先前关于青少年睡眠和心理健康的研究通常集中在社交媒体的使用频率和时长上，但青少年与社交媒体相关的情绪体验却鲜有涉及，尤其是在临床急性人群中。本研究初步调查了精神病住院青少年样本中社交媒体使用的负面情绪体验、睡眠障碍和临床症状严重程度之间的关联。一个由 243 名青少年（M=15.34）组成的样本在一个时间点完成了自我报告的测量。测量包括社交媒体的使用频率和时长、使用的主观体验以及对使用的情绪反应，以及睡眠障碍和临床症状严重程度，包括自杀意念、内化症状和注意力问题。结果表明，对社交媒体使用的更频繁的负面情绪反应与更大的睡眠障碍和更高的临床症状严重程度有关。此外，睡眠障碍中介了社交媒体使用的负面情绪反应与临床症状严重程度之间的关系。虽然在社交媒体使用、睡眠障碍和临床结果方面存在性别差异，但这些结构之间的关联在性别群体中并不不同。总的来说，这些发现强调了睡眠障碍是社交媒体上的负面情绪体验可能影响精神脆弱青少年临床症状的潜在机制。
