Nagata Jason M, Lee Christopher M, Hur Jacqueline O, Baker Fiona C
Department of Pediatrics, University of California, San Francisco, San Francisco.
Center for Health Sciences, SRI International, Menlo Park, California, USA.
Curr Opin Pediatr. 2025 Aug 1;37(4):357-364. doi: 10.1097/MOP.0000000000001462. Epub 2025 Apr 1.
To review recent literature based on Adolescent Brain and Cognitive Development (ABCD) Study data of over 11 000 participants about screen time and social media use in early adolescence, including epidemiology, trends, and associations with mental and physical health outcomes.
Time spent on screens and social media has risen among early adolescents (aged 9-15 years), and these increasing trends have been more pronounced since the COVID-19 pandemic. Both cross-sectional and 1-2-year follow-up data show that higher screen use, particularly social media, video games, video chat, videos, and texting, is associated with a range of mental health symptoms, including depression, anxiety, eating disorders, obsessive-compulsive disorder, attention-deficit/hyperactivity, and disruptive behavior disorders, although effect sizes vary. Screen time is also associated with sleep problems and various cardiometabolic risk factors. Parents' own screen use and restriction of bedroom and mealtime screen use are associated with lower early adolescent screen time and problematic use.
Analyses of current ABCD Study data reveal increasing use of screens and social media across early adolescence, with sociodemographic disparities in screen use as well as numerous associations between screens and adverse mental and physical health effects.
基于青少年大脑与认知发展(ABCD)研究中超过11000名参与者的数据,回顾近期关于青春期早期屏幕使用时间和社交媒体使用情况的文献,包括流行病学、趋势以及与身心健康结果的关联。
青春期早期(9至15岁)青少年花在屏幕和社交媒体上的时间有所增加,自新冠疫情以来,这些增长趋势更为明显。横断面研究数据和1至2年的随访数据均显示,较高的屏幕使用时间,尤其是社交媒体、电子游戏、视频聊天、视频和短信的使用,与一系列心理健康症状相关,包括抑郁、焦虑、饮食失调、强迫症、注意力缺陷多动障碍和破坏性行为障碍,尽管效应大小各不相同。屏幕使用时间还与睡眠问题和各种心血管代谢风险因素有关。父母自身的屏幕使用情况以及对青少年卧室和用餐时间屏幕使用的限制,与青少年较低的屏幕使用时间和问题使用情况相关。
对当前ABCD研究数据的分析表明,青春期早期屏幕和社交媒体的使用呈增加趋势,屏幕使用存在社会人口学差异,且屏幕使用与不良身心健康影响之间存在诸多关联。