Department of Community Health, Service Center for Maternal-Child Health Care and Birth Control of Xinwu District, Wuxi, 214028, Jiangsu, China.
Department of General Surgery, Liyang People's Hospital, Changzhou, 213300, Jiangsu, China.
Reprod Health. 2024 Sep 2;21(1):127. doi: 10.1186/s12978-024-01869-z.
Previous studies indicated that excessive engagement in digital devices could lead to negative psychological impacts in general population. We aimed to determine the association of electronic screen exposure with depression among women in early pregnancy.
A cross-sectional study was conducted from June 2021 to June 2022. A total of 665 women in early pregnancy were recruited and the information included socio-demographic characteristics, screen exposure and Patient Health Questionnaire - 9 depression scale.
Among the women in early pregnancy, the total daily smartphone viewing time was the longest (median [P25-P75], 5 [3-6] hours/day) in the three types of electronic screen exposure. The total daily smartphone viewing time (P = 0.015, OR[95%CI] = 1.09[1.11-1.18]), smartphone (P = 0.016, OR[95%CI] = 1.24[1.04-1.47]) and television viewing time (P = 0.006, OR[95%CI] = 1.35[1.09-1.67]) before nocturnal sleep were significantly associated with depression among women in early pregnancy. The thresholds calculated by receiver operator characteristic curves were 7.5 h/day, 1.5 h/day and 1.5 h/day, respectively. In addition, women with higher scores of smartphone addiction were more susceptible to depression (P<0.001, OR[95%CI] = 1.11[1.07-1.16]). The top three smartphone usages in women with depression were watching videos (22.0%), listening to music (20.9%) and playing games (16.7%).
In conclusion, electronic screen exposure, including screen viewing time, smartphone addiction and problematic smartphone use was associated with depression among women in early pregnancy. Further studies are warranted to verify the conclusions.
先前的研究表明，过度使用数字设备可能会对一般人群的心理健康产生负面影响。我们旨在确定电子屏幕暴露与早期孕妇抑郁之间的关系。
这是一项 2021 年 6 月至 2022 年 6 月进行的横断面研究。共招募了 665 名早期孕妇，信息包括社会人口统计学特征、屏幕暴露和患者健康问卷-9 抑郁量表。
在早期孕妇中，三种电子屏幕暴露中，智能手机的总日观看时间最长（中位数[P25-P75]，5[3-6]小时/天）。总日智能手机观看时间（P=0.015，OR[95%CI] = 1.09[1.11-1.18]）、睡前智能手机（P=0.016，OR[95%CI] = 1.24[1.04-1.47]）和电视观看时间（P=0.006，OR[95%CI] = 1.35[1.09-1.67]）与早期孕妇的抑郁显著相关。通过接受者操作特征曲线计算的阈值分别为 7.5 小时/天、1.5 小时/天和 1.5 小时/天。此外，智能手机成瘾程度较高的女性更容易患抑郁症（P<0.001，OR[95%CI] = 1.11[1.07-1.16]）。患有抑郁症的女性中，使用智能手机的前三种方式是观看视频（22.0%）、听音乐（20.9%）和玩游戏（16.7%）。
总之，电子屏幕暴露，包括屏幕观看时间、智能手机成瘾和有问题的智能手机使用，与早期孕妇的抑郁有关。需要进一步的研究来验证这些结论。
