Chau Kénora, Bhattacherjee Ashis, Senapati Amrites, Guillemin Francis, Chau Nearkasen
Faculty of Medicine, Department of General Medicine, University of Lorraine, Vandoeuvre-lès-Nancy F-54500, France; INSERM, Center d'Investigations Cliniques Plurithématique, Université de Lorraine and CHU de Nancy, 1433, UMR 1116, Vandoeuvre-lès-Nancy, France.
Department of Mining Engineering, Indian Institute of Technology, Kharagpur, India.
Psychiatry Res. 2022 Apr;310:114467. doi: 10.1016/j.psychres.2022.114467. Epub 2022 Feb 22.
Early adolescents may daily spend excessive screen-time (with television viewing, computer/console gaming, discussion forums/chatting online, internet surfing, doing homework, and electronic mails) while its association with cumulating several school-behavior-mental-health difficulties (SBMDs) (poor-academic-performance, being obese, alcohol/tobacco/cannabis/other-illicit-drugs use, suffered violence, sexual abuse, perpetrated violence, poor social support, depressive symptoms, and suicide attempt) is poorly addressed. We investigated this association among 1559 middle-school adolescents from north-eastern France (mean age 13.5 ± 1.3). They completed a questionnaire including socioeconomic features, daily screen-time for various screen-based activities (coded 1=<2/2=2-4/3=≥5 h; daily-total-screen-time level DSA was defined as their sum and categorized into 4 levels: 6-7/8-9/10-12/≥13), various SBMDs and the time of their onset during the life course (their cumulated number SBMD was categorized into 5 levels: 0/1/2/3-4/≥5). Logistic regression modeling showed that the DSA was strongly associated with all SBMDs (gender-age-adjusted odds ratio reaching 8.28, p < 0.001) and SBMD (gender-age-adjusted relative risk reaching 11.60, p < 0.001, pseudo R = 0.039). These associations remained strongly significant when controlling for socioeconomic adversities (contributions 20-38%). The proportion of subjects without each SBMD steadily decreased with age according to DSA levels. These findings help to understand the impacts of high DSA on SBMDs in early adolescents and identify at-risk adolescents for prevention and care.
青少年早期可能每天花费过多时间在屏幕上（包括看电视、玩电脑/游戏机、参与论坛/在线聊天、上网冲浪、做作业和收发电子邮件），而其与多种学校行为心理健康问题（SBMDs）（学业成绩差、肥胖、酗酒/吸烟/吸食大麻/使用其他非法药物、遭受暴力、性虐待、实施暴力、社会支持不足、抑郁症状和自杀未遂）的关联却很少得到研究。我们对来自法国东北部的1559名中学生（平均年龄13.5±1.3岁）进行了此项关联研究。他们完成了一份问卷，内容包括社会经济特征、各类基于屏幕活动的每日屏幕使用时间（编码为1 = <2小时/2 = 2 - 4小时/3 = ≥5小时；每日总屏幕使用时间水平DSA定义为各项之和，并分为4个等级：6 - 7/8 - 9/10 - 12/≥13）、各种SBMDs及其在生命历程中的发病时间（其累积的SBMD数量分为5个等级：0/1/2/3 - 4/≥5）。逻辑回归模型显示，DSA与所有SBMDs密切相关（性别年龄调整后的优势比达到8.28，p < 0.001）以及SBMD（性别年龄调整后的相对风险达到11.60，p < 0.001，伪R = 0.039）。在控制社会经济逆境因素（贡献率20 - 38%）后，这些关联仍然非常显著。根据DSA水平，未出现每种SBMD的受试者比例随年龄稳步下降。这些发现有助于理解高DSA对青少年早期SBMDs的影响，并识别出有风险的青少年以便进行预防和护理。
