Sleep Disturbance Mediates the Relationship between Problematic Technology Use and Psychotic-Like Experiences: A Large Cross-Sectional Study in 87,302 Chinese Adolescents

Aijun Liao, Pu Peng, Youguo Tan, Jingguang Li, Zhangming Chen, Linlin Zhao, Zhenmei Zhang, Jiaqi Chen, Xiaogang Chen
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Abstract

Background : This study of 87,302 Chinese adolescents aimed to test: (1) the association of psychotic-like experiences (PLEs) with sleep disturbance and three different subtypes of problematic technology use (PTU), including problematic social media use (PSMU), problematic smartphone use (PSU), and internet gaming disorder (IGD); and (2) whether sleep disturbance mediated the relationship between PTU and PLEs. Method : 16-item Prodromal Questionnaire, Smartphone-Application Based Addiction Scale, the Bergen Social Media Addiction Scale, the Internet Gaming Disorder Scale-Short Form, Pittsburgh Sleep Quality Index, and Strength and Difficulties Questionnaires were employed. Results : (1) The prevalence of clinically relevant PLEs, IGD, PSMU, PSU, and sleep disturbance was 18.1%, 2.4%, 1.5%, 17.2%, and 26%, respectively. (2) PSU, PSMU, and IGD displayed comparable levels of association with PLEs
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睡眠障碍可调节问题性技术使用与类精神病体验之间的关系:一项针对 87,302 名中国青少年的大型横断面研究
背景:这项针对87302名中国青少年的研究旨在检验:(1)类精神病体验(PLEs)与睡眠障碍以及三种不同亚型的问题性技术使用(PTU)(包括问题性社交媒体使用(PSMU)、问题性智能手机使用(PSU)和网络游戏障碍(IGD))之间的关联;(2)睡眠障碍是否对PTU和PLEs之间的关系起中介作用。方法:采用 16 项前驱症状问卷、智能手机应用成瘾量表、卑尔根社交媒体成瘾量表、网络游戏障碍量表-简表、匹兹堡睡眠质量指数以及强度和难度问卷。结果:(1)临床相关的 PLEs、IGD、PSMU、PSU 和睡眠障碍的发生率分别为 18.1%、2.4%、1.5%、17.2% 和 26%。(2)PSU、PSMU 和 IGD 与 PLEs 的相关程度相当
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