Mohd Saat Nur Zakiah, Hanawi Siti Aishah, Hanafiah Hazlenah, Ahmad Mahadir, Farah Nor M F, Abdul Rahman Nur Ain Atikah
Biomedical Science Program, Faculty of Health Sciences, Centre for Community Health Studies (ReaCH), Universiti Kebangsaan Malaysia, Kuala Lumpur, Malaysia.
SOFTAM, Faculty of Information Science and Technology, Universiti Kebangsaan Malaysia, Bangi, Malaysia.
Front Public Health. 2024 Nov 29;12:1459952. doi: 10.3389/fpubh.2024.1459952. eCollection 2024.
In the current digital age, people's use of electronic devices has significantly increased screen time, which may have an impact on different aspects of their lives. Adolescents today are exposed to excessive screen time, which may affect their sleep and contribute to anxiety and depression. The purpose of this study is to examine the relationship between screen time with sleep quality, anxiety and depression, among adolescents in Klang Valley, Malaysia.
This study is a cross-sectional study information was gathered from among 353 secondary school students in the Klang Valley using a questionnaire. The instrument that was used in this study was Pittsburgh Sleep Quality Index (PSQI) Malay version, screen-based media usage (SCREENS-Q) and Hopkins Symptom Check List-25 (HSCL-25) Malay version. The sampling method was stratified and convenience sampling method. The analysis study used the Smart Partial least squares (PLS) method to analyze the data.
Using the Smart PLS technique, we examined the relationship between these variables and identified revealed that screen time has a direct, positive, and significant impact on anxiety level (Mean = 0.134, = 0.123, < 0.01) and depression levels (Mean = 0.202, = 0.194, < 0.01). Moreover, screen time has a low effect on sleep quality (Mean = 0.128, = 0.117, < 0.05). However, the mediating factor, sleep quality, was not significant in the indirect effect of screen time with anxiety (Mean = 0.047, = 0.040, > 0.05) and depression (Mean = 0.044, = 0.043, < 0.05).
This study highlights the importance of understanding the association between screen use, sleep quality, anxiety and depression. Notably, excessive screen time appears to be associated with poorer sleep quality, ultimately increasing anxiety and depression. Understanding the effects of excessive screen time on sleep and well-being may have a substantial impact on public health policies and interventions. Enacting policies that promote better screen habits and sleep hygiene could improve people's overall quality of life and well-being in the digital age. However, more longitudinal research is needed to confirm the causality of these relationships and investigate potential intervention strategies.
在当今数字时代，人们对电子设备的使用显著增加了屏幕使用时间，这可能会对他们生活的各个方面产生影响。如今的青少年面临着过多的屏幕使用时间，这可能会影响他们的睡眠，并导致焦虑和抑郁。本研究的目的是探讨马来西亚巴生谷地区青少年的屏幕使用时间与睡眠质量、焦虑和抑郁之间的关系。
本研究为横断面研究，通过问卷调查收集了巴生谷地区353名中学生的信息。本研究使用的工具包括匹兹堡睡眠质量指数（PSQI）马来语版本、基于屏幕的媒体使用情况（SCREENS-Q）和霍普金斯症状清单-25（HSCL-25）马来语版本。抽样方法为分层便利抽样法。分析研究采用Smart偏最小二乘法（PLS）对数据进行分析。
使用Smart PLS技术，我们研究了这些变量之间的关系，发现屏幕使用时间对焦虑水平（均值=0.134，T值=0.123，p<0.01）和抑郁水平（均值=0.202，T值=0.194，p<0.01）有直接、正向且显著的影响。此外，屏幕使用时间对睡眠质量有较低的影响（均值=0.128，T值=0.117，p<0.05）。然而，中介因素睡眠质量在屏幕使用时间与焦虑（均值=0.047，T值=0.040，p>0.05）和抑郁（均值=0.044，T值=0.043，p<0.05）的间接效应中并不显著。
本研究强调了理解屏幕使用、睡眠质量、焦虑和抑郁之间关联的重要性。值得注意的是，过多的屏幕使用时间似乎与较差的睡眠质量相关，最终会增加焦虑和抑郁。了解过多屏幕使用时间对睡眠和幸福感的影响可能会对公共卫生政策和干预措施产生重大影响。制定促进更好的屏幕使用习惯和睡眠卫生的政策可以提高人们在数字时代的整体生活质量和幸福感。然而，需要更多的纵向研究来证实这些关系的因果性，并研究潜在的干预策略。
