屏幕时间轨迹与抑郁和焦虑共病之间的关系。

IF 3.7 2区 医学 Q1 PSYCHOLOGY, CLINICAL Addictive behaviors Pub Date : 2025-01-11 DOI:10.1016/j.addbeh.2025.108260
Jie Zhang , Xinyi Feng , Qin Zhang , Di Wu , Wenhe Wang , Shudan Liu , Qin Liu
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引用次数: 0

摘要

抑郁和焦虑常常在青少年中并存。青少年的屏幕时间随着时间的推移而变化。本研究从纵向角度探讨屏幕时间轨迹与抑郁、焦虑共病之间的关系。数据来自2014年在中国重庆建立的一项正在进行的前瞻性青春期队列研究,共有838名参与者(52.03%为女性;第一波平均年龄为8.62岁,SD = 1.15),随访时间为2014 - 2020年。有关屏幕时间的问题每六个月进行一次。使用潜在类别增长分析确定屏幕时间的轨迹。使用儿童抑郁量表(CDI)和儿童焦虑相关障碍筛查量表(SCARED)来测量抑郁和焦虑。潜在特征分析用于确定抑郁和焦虑共病的亚型。采用Logistic回归探讨屏幕时间轨迹与抑郁、焦虑共病的关系。三种不同的屏幕时间轨迹:低组(68.26%)持续低屏幕时间,高组(26.37%)持续高屏幕时间,增加组(5.37%)以屏幕时间增加为特征。抑郁和焦虑共病的四种亚型被拟合(“高共病”、“低共病”、“低抑郁症状”和“无症状”)。增加组和高组与“低合并症”和“低抑郁症状”相关。增加组更可能是男孩和女孩的“高合并症”。然而,高组仅在女孩中与“高合并症”相关。本研究结果可为未来的研究提供参考,并提供可能的干预目标。
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The association between screen time trajectories and the comorbidity of depression and anxiety
Depression and anxiety are often comorbid among adolescents. Adolescent screen time changes over time. This study investigates the association between screen time trajectories and the comorbidity of depression and anxiety from a longitudinal perspective. The data were collected from an ongoing prospective puberty cohort which was established in 2014 from Chongqing, China. 838 participants (52.03 % female; wave 1 mean age = 8.62, SD = 1.15) were followed up from 2014 to 2020. Questions about screen time were administered every six months. Trajectories of screen time were identified using latent class growth analysis. Children’s Depression Inventory (CDI) and Screen for Child Anxiety Related Disorders (SCARED) were used to measure depression and anxiety. Latent profile analysis was used to identify the subtypes of comorbidity of depression and anxiety. Logistic regression was used to explore the association between screen time trajectory and the comorbidity of depression and anxiety. Three distinct trajectories of screen time were identified: Group Low (68.26 %) had consistently low screen time, Group High (26.37 %) had high screen time and Group Increasing (5.37 %) was characterized by an increasing screen time. Four subtypes of the comorbidity of depression and anxiety were fitted (“High comorbidity”, “Low comorbidity”, “Low depression symptoms” and “No symptoms”). Group Increasing and Group High were associated with “Low comorbidity” and “Low depression symptoms”. Group Increasing was more likely to be the “high comorbidity” both boys and girls. However, Group High was associated with “high comorbidity” only in girls. The results of this study may inform future research and provide possible intervention targets.
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来源期刊
Addictive behaviors
Addictive behaviors 医学-药物滥用
CiteScore
8.40
自引率
4.50%
发文量
283
审稿时长
46 days
期刊介绍: Addictive Behaviors is an international peer-reviewed journal publishing high quality human research on addictive behaviors and disorders since 1975. The journal accepts submissions of full-length papers and short communications on substance-related addictions such as the abuse of alcohol, drugs and nicotine, and behavioral addictions involving gambling and technology. We primarily publish behavioral and psychosocial research but our articles span the fields of psychology, sociology, psychiatry, epidemiology, social policy, medicine, pharmacology and neuroscience. While theoretical orientations are diverse, the emphasis of the journal is primarily empirical. That is, sound experimental design combined with valid, reliable assessment and evaluation procedures are a requisite for acceptance. However, innovative and empirically oriented case studies that might encourage new lines of inquiry are accepted as well. Studies that clearly contribute to current knowledge of etiology, prevention, social policy or treatment are given priority. Scholarly commentaries on topical issues, systematic reviews, and mini reviews are encouraged. We especially welcome multimedia papers that incorporate video or audio components to better display methodology or findings. Studies can also be submitted to Addictive Behaviors? companion title, the open access journal Addictive Behaviors Reports, which has a particular interest in ''non-traditional'', innovative and empirically-oriented research such as negative/null data papers, replication studies, case reports on novel treatments, and cross-cultural research.
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