Șipoș Roxana, Văidean Tudor, Răpciuc Andreea-Marlena, Poetar Costina-Ruxandra, Predescu Elena
Department of Neuroscience, Psychiatry and Pediatric Psychiatry, "Iuliu Hatieganu" University of Medicine and Pharmacy, 57 Republicii Street, 400489 Cluj-Napoca, Romania.
Department of Clinical Psychology and Psychotherapy, Faculty of Psychology and Educational Sciences, Babeş-Bolyai University, 37 Republicii Street, 400015 Cluj-Napoca, Romania.
J Clin Med. 2024 Dec 7;13(23):7461. doi: 10.3390/jcm13237461.
The relationship between screen time and mental health among adolescents, particularly those identified as "digital natives", has become increasingly pertinent, especially in the context of heightened digital engagement during the COVID-19 pandemic. This study aims to examine the associations between digital engagement patterns, ADHD severity, and anxiety symptoms in adolescents aged 11-18. A cross-sectional observational study was conducted with a sample of 97 adolescents diagnosed with ADHD. Participants completed validated questionnaires assessing daily digital activities and anxiety symptoms while caregivers provided additional contextual information. Data were analyzed using Random Forest regression to identify relationships between screen time, ADHD severity, and anxiety symptoms. The findings indicate an average screen time of 6.6 h on weekdays and 8.1 h on weekends, with social media emerging as the primary activity, particularly among female participants. Notable gender differences were identified, with family dynamics influencing digital engagement; family disputes had a more significant impact on girls than boys. Furthermore, specific anxiety traits, i.e., physical symptoms and harm avoidance, significantly predicted time spent on social media across all genders considered in the study, while others, namely social anxiety and separation anxiety, were less valuable. This study highlights the complex interplay between screen time, ADHD, and anxiety symptoms in adolescents. These findings underscore the importance of tailored interventions that address the nuanced relationships between digital engagement and mental health in this population, warranting further research to develop effective management strategies.
青少年，尤其是那些被视为“数字原住民”的群体，其屏幕使用时间与心理健康之间的关系变得越来越重要，特别是在新冠疫情期间数字参与度提高的背景下。本研究旨在探讨11至18岁青少年的数字参与模式、注意力缺陷多动障碍（ADHD）严重程度与焦虑症状之间的关联。对97名被诊断患有ADHD的青少年进行了一项横断面观察研究。参与者完成了经过验证的问卷，评估日常数字活动和焦虑症状，同时照顾者提供了额外的背景信息。使用随机森林回归分析数据，以确定屏幕使用时间、ADHD严重程度和焦虑症状之间的关系。研究结果表明，工作日的平均屏幕使用时间为6.6小时，周末为8.1小时，社交媒体成为主要活动，尤其是在女性参与者中。研究发现了显著的性别差异，家庭动态影响数字参与；家庭纠纷对女孩的影响比对男孩的影响更大。此外，特定的焦虑特质，即身体症状和避免伤害，在研究中考虑的所有性别中都显著预测了在社交媒体上花费的时间，而其他特质，即社交焦虑和分离焦虑，则不太重要。这项研究突出了青少年屏幕使用时间、ADHD和焦虑症状之间复杂的相互作用。这些发现强调了针对性干预措施的重要性，这些措施应解决该人群中数字参与和心理健康之间的细微关系，有必要进行进一步研究以制定有效的管理策略。
