青少年使用TikTok与焦虑、抑郁和嗜睡之间的关联：希腊的一项横断面研究。
Association Between TikTok Use and Anxiety, Depression, and Sleepiness Among Adolescents: A Cross-Sectional Study in Greece.
作者信息
Bilali Angeliki, Katsiroumpa Aglaia, Koutelekos Ioannis, Dafogianni Chrysoula, Gallos Parisis, Moisoglou Ioannis, Galanis Petros
机构信息
P&A Kyriakou Children's General Hospital, National and Kapodistrian University of Athens, 11527 Athens, Greece.
Clinical Epidemiology Laboratory, Faculty of Nursing, National and Kapodistrian University of Athens, 11527 Athens, Greece.
出版信息
Pediatr Rep. 2025 Mar 11;17(2):34. doi: 10.3390/pediatric17020034.
INTRODUCTION
TikTok use is increasing, especially among children and adolescents. However, the negative effects of TikTok use have not been sufficiently investigated.
AIM
To examine the association between TikTok use and anxiety, depression, and sleepiness in adolescents.
METHODS
We conducted a web-based cross-sectional study in Greece. We employed a convenience sample of 219 adolescents in Greece. All participants had a TikTok account. We used the TikTok Addiction Scale (TTAS) to measure TikTok use and the Patient Health Questionnaire-4 (PHQ-4) to measure anxiety and depression. We constructed multivariable regression models, and we performed a stratified analysis according to gender.
RESULTS
The mean age was 18.5 years (standard deviation: 0.5, range: 18 to 19). In our sample, 81.3% were girls and 18.7% were boys. Mean daily TikTok usage and TTAS scores were statistically higher for girls than for boys. Our multivariable linear regression analysis was adjusted for age and showed that problematic TikTok use was associated with higher levels of anxiety and depression symptoms in both genders. In particular, we found a positive association between mood modification and anxiety score (beta = 0.404, -value = 0.006). Moreover, we found a positive association between conflict and depression score (beta = 0.472, -value < 0.001). Additionally, we found that the impact of TikTok on anxiety and depression was greater among boys than girls. We also found that problematic TikTok use was associated with increased sleepiness in both genders (mood modification: beta = 0.655, -value < 0.001; conflict: beta = 0.674, -value < 0.001).
CONCLUSIONS
Our findings showed a positive association between TikTok use and anxiety, depression, and sleepiness. Early identification of problematic TikTok users is essential to promote their mental health and well-being. Healthcare professionals should be alert to recognize symptoms of problematic TikTok use.
引言
TikTok的使用正在增加，尤其是在儿童和青少年中。然而，TikTok使用的负面影响尚未得到充分研究。
目的
研究青少年使用TikTok与焦虑、抑郁和嗜睡之间的关联。
方法
我们在希腊进行了一项基于网络的横断面研究。我们采用了希腊219名青少年的便利样本。所有参与者都有TikTok账户。我们使用TikTok成瘾量表（TTAS）来衡量TikTok的使用情况，并使用患者健康问卷-4（PHQ-4）来衡量焦虑和抑郁。我们构建了多变量回归模型，并根据性别进行了分层分析。
结果
平均年龄为18.5岁（标准差：0.5，范围：18至19岁）。在我们的样本中，81.3%为女孩，18.7%为男孩。女孩的平均每日TikTok使用量和TTAS得分在统计学上高于男孩。我们的多变量线性回归分析对年龄进行了调整，结果显示，有问题的TikTok使用与男女两性较高水平的焦虑和抑郁症状相关。具体而言，我们发现情绪调节与焦虑得分之间存在正相关（β = 0.404，P值 = 0.006）。此外，我们发现冲突与抑郁得分之间存在正相关（β = 0.472，P值 < 0.001）。此外，我们发现TikTok对男孩的焦虑和抑郁的影响大于女孩。我们还发现，有问题的TikTok使用与男女两性的嗜睡增加有关（情绪调节：β = 0.655，P值 < 0.001；冲突：β = 0.674，P值 < 0.001）。
结论
我们的研究结果表明，TikTok使用与焦虑、抑郁和嗜睡之间存在正相关。早期识别有问题的TikTok用户对于促进他们的心理健康和幸福至关重要。医疗保健专业人员应警惕识别有问题的TikTok使用症状。
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