Association between Screen Viewing Duration and Sleep Duration, Sleep Quality, and Excessive Daytime Sleepiness among Adolescents in Hong Kong

Abstract

Screen viewing is considered to have adverse impacts on the sleep of adolescents. Although there has been a considerable amount of research on the association between screen viewing and sleep, most studies have focused on specific types of screen viewing devices such as televisions and computers. The present study investigated the duration with which currently prevalent screen viewing devices (including televisions, personal computers, mobile phones, and portable video devices) are viewed in relation to sleep duration, sleep quality, and daytime sleepiness among Hong Kong adolescents (N = 762). Television and computer viewing remain prevalent, but were not correlated with sleep variables. Mobile phone viewing was correlated with all sleep variables, while portable video device viewing was shown to be correlated only with daytime sleepiness. The results demonstrated a trend of increase in the prevalence and types of screen viewing and their effects on the sleep patterns of adolescents.

The impact of Sleep Time‐Related Information and Communication Technology (STRICT) on sleep patterns and daytime functioning in American adolescents

“…The relationships between mood, sleep and STRICT is likely complex and multidirectional, (Adams & Kisler, 2013;Thom ee, H€ arenstam, & Hagberg, 2011) and future studies should explore it in greater detail. The low effect sizes for most of our statistical analyses, while comparable to those published in similar studies (Lemola et al, 2015;Mak et al, 2014;Shochat et al, 2010), nevertheless suggest that, as in any study of the interactions between subjective . a 1 ¼ relationship between STRICT use and insomnia; b 1 ¼ relationship between insomnia and academic performance; a 2 ¼ relationship between STRICT use and daytime sleepiness; b 2 ¼ relationship between daytime sleepiness and academic performance; c ¼ direct pathway (association between STRICT use and academic performance); c 1 ¼ indirect pathway (association between STRICT use and academic performance when the mediators are added to the model).…”

Association Between Portable Screen-Based Media Device Access or Use and Sleep Outcomes

“…Included studies were conducted in: Europe (n=7) (11, 25, 26, 28, 31, 33, 36); North America (n=4) (3, 23, 24, 29); Asia (n=3) (22, 34, 35); and Australasia (n=3) (27, 30, 32), for a comparison of the included study characteristics see Supplementary Table 2. Six studies assessed the association between media device and sleep during weekday periods only (11, 22, 24, 25, 28, 31, 34).…”

Sleep problems in excessive technology use among adolescent: a systemic review and meta-analysis

“…4), including poor sleep quality Arora et al, 2012;Bruni et al, 2015;Hysing et al, 2015;Lemola et al, 2014;Liu et al, 2017;Mak et al, 2014;Sami et al, 2018;Hawi et al, 2018), early awakenings (Arora et al, 2014;Fatih et al, 2013;Choi et al, 2009;Shochat et al, 2010), difficulty falling asleep (Arora et al, 2014;Fatih et al, 2013;Choi et al, 2009;Shochat et al, 2010), night awakenings (Arora et al, 2014;Fatih et al, 2013;Choi et al, 2009), less sleep quantity ( Van den Bulck, 2004;Nuutinen et al, 2014;Park, 2014;Park & Lee, 2017;Punama-ki et al, 2006;Shochat et al, 2010;Kim et al, 2018) and insomnia (Cheung & Wong, 2011;Tan et al, 2016;Tamura et al, 2017). Three subgroups were classified by country.…”

“…There were data from 22 studies Arora et al, 2012;Arora et al, 2014;Bruni et al, 2015;Fatih et al, 2013;Cheung & Wong, 2011;Choi et al, 2009;Hysing et al, 2015;Van den Bulck, 2004;Lemola et al, 2014;Liu et al, 2017;Mak et al, 2014;Nuutinen et al, 2014;Park, 2014;Park & Lee, 2017;Punama-ki et al, 2006;Shochat et al, 2010;Tan et al, 2016;Sami et al, 2018;Tamura et al, 2017;Hawi et al, 2018;Kim et al, 2018) that investigated association between the technology use and sleep problems (Fig. 4), including poor sleep quality Arora et al, 2012;Bruni et al, 2015;Hysing et al, 2015;Lemola et al, 2014;Liu et al, 2017;Mak et al, 2014;Sami et al, 2018;Hawi et al, 2018), early awakenings (Arora et al, 2014;Fatih et al, 2013;Choi et al, 2009;Shochat et al, 2010), difficulty falling asleep (Arora et al, 2014;Fatih et al, 2013;Choi et al, 2009;Shochat et al, 2010), night awakenings (Arora et al, 2014;Fatih et al, 2013;…”

“…Included studies were conducted in Europe (n = 9) (Arora et al, 2012;Arora et al, 2013;Arora et al, 2014;Bruni et al, 2015;Hysing et al, 2015;Van den Bulck, 2004;Lemola et al, 2014;Nuutinen et al, 2014;Punama-ki et al, 2006), East Asia (n = 10) Cheung & Wong, 2011;Choi et al, 2009;Liu et al, 2017;Mak et al, 2014;Park, 2014;Park & Lee, 2017;Tan et al, 2016;Tamura et al, 2017;Kim et al, 2018), and West Asia (n = 4) (Fatih et al, 2013;Shochat et al, 2010;Sami et al, 2018;Hawi et al, 2018). Eight studies assessed the sleep duration of ETU and no excessive technology use (Arora et al, 2013;Arora et al, 2014;Fatih et al, 2013;Cheung & Wong, 2011;Choi et al, 2009;Lemola et al, 2014;Shochat et al, 2010;Hawi et al, 2018).…”