“…Two meta-analyses of the effect of e-device time on young adolescent's sleep have been conducted [25,64]. The potential mechanisms in troubled sleep may include psychological stimulation [23], poor sleep quality, and insomnia [65][66][67][68]; reduction of sleep duration among adolescents can cause gaming disorder [18,69], which may further lead to impact school performance [70]. These associations do not provide evidence on the causative direction between these variables and often concern confounding factors, including socioeconomic grouping and adverse related behaviors [11].…”