Center for Health Sciences, SRI International.
Division of Adolescent and Young Adult Medicine, Department of Pediatrics, University of California, San Francisco.
Health Psychol. 2023 Dec;42(12):894-903. doi: 10.1037/hea0001251. Epub 2023 Mar 27.
During the COVID-19 pandemic, adolescents and families have turned to online activities and social platforms more than ever to maintain well-being, connect remotely with friends and family, and online schooling. However, excessive screen use can have negative effects on health (e.g., sleep). This study examined changes in sleep habits and recreational screen time (social media, video gaming), and their relationship, before and across the first year of the pandemic in adolescents in the Adolescent Brain Cognitive Development (ABCD) Study.
Mixed-effect models were used to examine associations between self-reported sleep and screen time using longitudinal data of 5,027 adolescents in the ABCD Study, assessed before the pandemic (10-13 years) and across six time points between May 2020 and March 2021 (pandemic).
Time in bed varied, being higher during May-August 2020 relative to pre-pandemic, partially related to the school summer break, before declining in October 2020 to levels lower than pre-pandemic. Screen time steeply increased and remained high across all pandemic time points relative to pre-pandemic. Higher social media use and video gaming were associated with shorter time in bed, later bedtimes, and longer sleep onset latency.
Sleep behavior and screen time changed during the pandemic in early adolescents. More screen time was associated with poorer sleep behavior, before and during the pandemic. While recreational screen usage is an integral component of adolescent's activities, especially during the pandemic, excessive use can have negative effects on essential health behaviors, highlighting the need to promote balanced screen usage. (PsycInfo Database Record (c) 2023 APA, all rights reserved).
在 COVID-19 大流行期间,青少年及其家庭比以往任何时候都更多地转向在线活动和社交平台来维持健康,与朋友和家人远程联系,以及进行在线学校教育。然而,过度使用屏幕会对健康产生负面影响(例如,睡眠)。本研究在青少年大脑认知发展研究(ABCD 研究)中,检查了大流行前后青少年睡眠习惯和娱乐性屏幕时间(社交媒体、视频游戏)的变化及其之间的关系。
使用 ABCD 研究中 5027 名青少年的纵向数据,采用混合效应模型来检查自我报告的睡眠和屏幕时间之间的关联,这些数据在大流行之前(10-13 岁)和 2020 年 5 月至 2021 年 3 月期间的六个时间点进行了评估(大流行期间)。
卧床时间存在差异,2020 年 5 月至 8 月期间相对高于大流行前,部分原因与学校暑假有关,然后在 2020 年 10 月下降到低于大流行前的水平。屏幕时间在所有大流行时间点急剧增加并保持高位,相对大流行前。更高的社交媒体使用和视频游戏与卧床时间更短、就寝时间更晚和入睡潜伏期更长有关。
在青少年早期,大流行期间睡眠行为和屏幕时间发生了变化。在大流行之前和期间,更多的屏幕时间与更差的睡眠行为有关。虽然娱乐性屏幕使用是青少年活动的一个组成部分,尤其是在大流行期间,但过度使用会对基本健康行为产生负面影响,这突出表明需要促进平衡的屏幕使用。