The Independent and Cumulative Effects of Screen Exposure on Suicidal Ideation in Chinese Adolescents with Depressive Symptoms

被引：0

作者：

Xie, Xinran ^{[1
]}

Zhao, Xiangyu ^{[1
]}

Zhuo, Feng ^{[1
]}

Li, Jingya ^{[2
]}

Song, Dandan ^{[3
]}

Yang, Ying ^{[2
]}

Kong, Linghua ^{[1
]}

机构：

[1] Shandong Univ, Cheeloo Coll Med, Sch Nursing & Rehabil, 44 Wenhuaxi Rd, Jinan 250012, Shandong, Peoples R China

[2] Shandong Univ, Shandong Mental Hlth Ctr, Dept Child & Adolescent Mental Behav, Jinan, Shandong, Peoples R China

[3] Qingdao Univ, Shandong Prov Maternal & Child Hlth Care Hosp, Ctr Med Genet & Prenatal Diag, Key Lab Birth Defect Prevent & Genet Med,Shandong, Jinan 250014, Shandong, Peoples R China

来源：

JOURNAL OF PEDIATRIC HEALTH CARE | 2025年 / 39卷 / 02期

关键词：

Adolescent; depressive disorder; screen time; risk factors; SELF-INJURY; CHILDRENS DEPRESSION; DIGITAL MEDIA; SLEEP; INVENTORY; BEHAVIOR; RISK; TIME; CHILDHOOD; COVID-19;

D O I：

10.1016/j.pedhc.2024.09.009

中图分类号：

R19 [保健组织与事业（卫生事业管理）];

学科分类号：

摘要：

Introduction: This study aims to examine the independent and cumulative effects of unhealthy screen exposure on suicidal ideation (SI) in Chinese adolescents with depressive symptoms. Method: A total of 350 adolescents (33.7% males; ages 10-19) completed the Screen Exposure Questionnaire, the Children's Depression Inventory, and the Ottawa Self-Injury Scale. Binary logistic regression analysis models were used to analyze the independent risk effect of screen exposure on SI. A cumulative risk model for screen exposure to SI in adolescents was constructed using restricted cubic splines. Results: Adolescents who experienced excessive screen time and frequency, mealtime exposure, bedtime exposure, and early screen exposure were significantly associated with the occurrence of SI, and the risk increased nonlinearly with the number of exposures (Pnonlinear = .03). Discussion: Efforts should be made to reduce adolescents' screen exposure to prevent SI. J Pediatr Health Care. (2025) 39, 206-216

引用

页码：206 / 216

页数：11

共 70 条

[1] Smartphones, social media use and youth mental health [J].

Abi-Jaoude, Elia ;

Naylor, Karline Treurnicht ;

Pignatiello, Antonio .

CANADIAN MEDICAL ASSOCIATION JOURNAL, 2020, 192 (06) :E136-E141

[2] Associations between children's diet quality and watching television during meal or snack consumption: A systematic review [J].

Avery, Amanda ;

Anderson, Catherine ;

McCullough, Fiona .

MATERNAL AND CHILD NUTRITION, 2017, 13 (04)

[3] Association between insufficient sleep and suicidal ideation among adolescents [J].

Baiden, Philip ;

Tadeo, Savarra K. ;

Tonui, Betty C. ;

Seastrunk, Jaylon D. ;

Boateng, Godfred O. .

PSYCHIATRY RESEARCH, 2020, 287

[4] Prevention of internalizing disorders and suicide via adolescent sleep interventions [J].

Blake, Matthew J. ;

Allen, Nicholas B. .

CURRENT OPINION IN PSYCHOLOGY, 2020, 34 :37-42

[5] Association of Screen Time and Depression in Adolescence [J].

Boers, Elroy ;

Afzali, Mohammad H. ;

Newton, Nicola ;

Conrod, Patricia .

JAMA PEDIATRICS, 2019, 173 (09) :853-859

[6] Perceived functions and importance of digital media use and adolescent depression and suicidal ideation [J].

Boyd, Simone Imani ;

Moore, Adia ;

Moghaddas, Serena ;

Hamilton, Jessica L. .

JOURNAL OF ADOLESCENCE, 2024, 96 (05) :1001-1011

[7] Online learning and COVID-19: a meta-synthesis analysis [J].

Camargo, Cristina Pires ;

Tempski, Patricia Zen ;

Busnardo, Fabio Freitas ;

Martins, Milton de Arruda ;

Gemperli, Rolf .

CLINICS, 2020, 75

[8] Evening use of light-emitting eReaders negatively affects sleep, circadian timing, and next-morning alertness [J].

Chang, Anne-Marie ;

Aeschbach, Daniel ;

Duffy, Jeanne F. ;

Czeisler, Charles A. .

PROCEEDINGS OF THE NATIONAL ACADEMY OF SCIENCES OF THE UNITED STATES OF AMERICA, 2015, 112 (04) :1232-1237

[9] Association between screen time and cumulating school, behavior, and mental health difficulties in early adolescents: A population-based study [J].

Chau, Kenora ;

Bhattacherjee, Ashis ;

Senapati, Amrites ;

Guillemin, Francis ;

Chau, Nearkasen .

PSYCHIATRY RESEARCH, 2022, 310

[10] Screen time and suicidal behaviors among US children 9-11 years old: A prospective cohort study [J].

Chu, Jonathan ;

Ganson, Kyle T. ;

Baker, Fiona C. ;

Testa, Alexander ;

Jackson, Dylan B. ;

Murray, Stuart B. ;

Nagata, Jason M. .

PREVENTIVE MEDICINE, 2023, 169

← 1 2 3 4 5 6 7 →