Family factors related to adolescent screen media use and mental health outcomes: A systematic review and recommendation for practices

IF 3 2区心理学 Q2 PSYCHOLOGY, DEVELOPMENTAL Journal of Adolescence Pub Date : 2024-06-25 DOI:10.1002/jad.12367

Xiaoxuan Liu, Jianghong Liu, Dalmacio D. Flores, Catherine C. McDonald

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Abstract

Introduction

Screen media serves an essential role in adolescents' lives, posing growth opportunities and mental health challenges. Family plays a crucial role in mitigating these challenges. This systematic review offers a comprehensive analysis of the family factors related to adolescent screen media use and mental health.

Methods

A systematic search was conducted in PubMed, CINAHL, PsycINFO, Scopus, and Embase, adhering to Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines using the following inclusion criteria: English, peer-reviewed, observational design, and published since 2013; adolescent samples aged 10–17 years; and examining screen media use, family factors, and internalizing problems. The role of family factors as predictors, moderators, and mediators was also examined.

Results

Of the 3587 records, 32 met the inclusion criteria. These studies, primarily cross-sectional, presented a global perspective of 14 countries. A heterogeneous range of family factors, screen media use, and mental health outcomes were examined, revealing significant associations between elevated screen media use and internalizing problems. Positive family processes and democratic media-specific parenting mitigate such association. A few studies underscored family socioeconomic status (SES), noting elevated screen media use and mental health risks among adolescents in families of low SES.

Conclusions

Accumulating evidence supports the important role of positive family contexts in fostering balanced screen media use and mental health in adolescents, accentuating the need for professional screening and education to promote positive screen media use among adolescents and families. Further research requires refinement in measurement and methodology to better capture the intricate relationship between family dynamics, screen media use, and adolescent mental health.

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与青少年使用屏幕媒体和心理健康结果有关的家庭因素：系统回顾与实践建议。

简介屏幕媒体在青少年的生活中扮演着至关重要的角色，既提供了成长机会，也带来了心理健康方面的挑战。家庭在缓解这些挑战方面起着至关重要的作用。本系统综述全面分析了与青少年使用屏幕媒体和心理健康有关的家庭因素：方法：根据《系统综述和元分析首选报告项目》（Preferred Reporting Items for Systematic Reviews and Meta-Analyses）指南，采用以下纳入标准，在 PubMed、CINAHL、PsycINFO、Scopus 和 Embase 中进行了系统检索：英语、同行评审、观察性设计、2013 年以来发表、10-17 岁青少年样本、研究屏幕媒体使用、家庭因素和内化问题。此外，还研究了家庭因素作为预测因子、调节因子和中介因子的作用：在 3587 条记录中，有 32 条符合纳入标准。这些研究主要是横断面研究，从全球视角对 14 个国家进行了研究。研究考察了一系列不同的家庭因素、屏幕媒体使用情况和心理健康结果，发现屏幕媒体使用率上升与内化问题之间存在显著关联。积极的家庭进程和针对媒体的民主养育方式减轻了这种关联。一些研究强调了家庭的社会经济地位（SES），指出在社会经济地位较低的家庭中，青少年使用屏幕媒体和心理健康风险较高：越来越多的证据表明，积极的家庭环境在促进青少年平衡使用屏幕媒体和心理健康方面发挥着重要作用，这也强调了专业筛查和教育的必要性，以促进青少年和家庭积极使用屏幕媒体。进一步的研究需要改进测量和方法，以更好地捕捉家庭动态、屏幕媒体使用和青少年心理健康之间错综复杂的关系。

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来源期刊

Journal of Adolescence PSYCHOLOGY, DEVELOPMENTAL-

CiteScore

6.40

自引率

2.60%

发文量

123

期刊介绍： The Journal of Adolescence is an international, broad based, cross-disciplinary journal that addresses issues of professional and academic importance concerning development between puberty and the attainment of adult status within society. It provides a forum for all who are concerned with the nature of adolescence, whether involved in teaching, research, guidance, counseling, treatment, or other services. The aim of the journal is to encourage research and foster good practice through publishing both empirical and clinical studies as well as integrative reviews and theoretical advances.