Screen time is associated with depression and anxiety in Canadian youth.

OBJECTIVE This study examined the relationships between screen time and symptoms of depression and anxiety in a large community sample of Canadian youth. METHOD Participants were 2482 English-speaking grade 7 to 12 students. Cross-sectional data collected between 2006 and 2010 as part of the Research on Eating and Adolescent Lifestyles (REAL) study were used. Mental health status was assessed using the Children's Depression Inventory and the Multidimensional Anxiety Scale for Children-10. Screen time (hours/day of TV, video games, and computer) was assessed using the Leisure-Time Sedentary Activities questionnaire. RESULTS Linear multiple regressions indicated that after controlling for age, sex, ethnicity, parental education, geographic area, physical activity, and BMI, duration of screen time was associated with severity of depression (β=0.23, p<0.001) and anxiety (β=0.07, p<0.01). Video game playing (β=0.13, p<.001) and computer use (β=0.17, p<0.001) but not TV viewing were associated with more severe depressive symptoms. Video game playing (β=0.11, p<0.001) was associated with severity of anxiety. CONCLUSION Screen time may represent a risk factor or marker of anxiety and depression in adolescents. Future research is needed to determine if reducing screen time aids the prevention and treatment of these psychiatric disorders in youth.

[1]  J. Shaw,et al.  Objectively Measured Sedentary Time, Physical Activity, and Metabolic Risk , 2007, Diabetes Care.

[2]  J. Parker,et al.  Test-retest reliability of the Multidimensional Anxiety Scale for Children. , 1999, Journal of anxiety disorders.

[3]  Hygiea Casiano,et al.  Media use and health outcomes in adolescents: findings from a nationally representative survey. , 2012, Journal of the Canadian Academy of Child and Adolescent Psychiatry = Journal de l'Academie canadienne de psychiatrie de l'enfant et de l'adolescent.

[4]  J. Bulck.  Television viewing, computer game playing, and Internet use and self-reported time to bed and time out of bed in secondary-school children. , 2004 .

[5]  D. de Leo,et al.  Anxiety disorders and suicidal behaviour: an update , 2008, Current opinion in psychiatry.

[6]  M. Tiggemann,et al.  The role of body objectification in disordered eating and depressed mood. , 2004, The British journal of clinical psychology.

[7]  J. Garber,et al.  Prospective Relations Between Organized Activity Participation and Psychopathology During Adolescence , 2007, Journal of abnormal child psychology.

[8]  N. Day,et al.  Television viewing and low participation in vigorous recreation are independently associated with obesity and markers of cardiovascular disease risk: EPIC-Norfolk population-based study , 2003, European Journal of Clinical Nutrition.

[9]  R. Shephard,et al.  A simple method to assess exercise behavior in the community. , 1969, Canadian journal of applied sport sciences. Journal canadien des sciences appliquees au sport.

[10]  L. Wichstrøm,et al.  Role of physical and sedentary activities in the development of depressive symptoms in early adolescence , 2011, Social Psychiatry and Psychiatric Epidemiology.

[11]  A. Hicks,et al.  Canadian sedentary behaviour guidelines for children and youth. , 2011, Applied physiology, nutrition, and metabolism = Physiologie appliquee, nutrition et metabolisme.

[12]  A. Ströhle.  Physical activity, exercise, depression and anxiety disorders , 2009, Journal of Neural Transmission.

[13]  A. Osman,et al.  Further Evidence of the Reliability and Validity of the Multidimensional Anxiety , 2009 .

[14]  S. Bowman.  Television-Viewing Characteristics of Adults: Correlations to Eating Practices and Overweight and Health Status , 2006, Preventing chronic disease.

[15]  Giuseppe Riva,et al.  Internalization of sociocultural standards of beauty and disordered eating behaviours: The role of body surveillance, shame and social anxiety , 2014 .

[16]  A. Crouter,et al.  Free- time activities in middle childhood: links with adjustment in early adolescence. , 2001, Child development.

[17]  S. Marshall,et al.  Relationships between media use, body fatness and physical activity in children and youth: a meta-analysis , 2004, International Journal of Obesity.

[18]  Robin M. Kowalski,et al.  Psychological, physical, and academic correlates of cyberbullying and traditional bullying. , 2013, The Journal of adolescent health : official publication of the Society for Adolescent Medicine.

[19]  Physical activity, sedentary behavior, and depressive symptoms among adolescents. , 2011 .

[20]  Chih-Chien Wang,et al.  Physical Interpersonal Relationships and Social Anxiety among Online Game Players , 2005, Cyberpsychology Behav. Soc. Netw..

[21]  U. Ekelund,et al.  Physical activity and clustered cardiovascular risk in children: a cross-sectional study (The European Youth Heart Study) , 2006, The Lancet.

[22]  I. Janssen,et al.  Volume, patterns, and types of sedentary behavior and cardio-metabolic health in children and adolescents: a cross-sectional study , 2011, BMC public health.

[23]  M. Flament,et al.  Body dissatisfaction, dietary restraint, depression, and weight status in adolescents. , 2010, The Journal of school health.

[24]  A. Herring,et al.  Correlates of US adult physical activity and sedentary behavior patterns. , 2016, Journal of science and medicine in sport.

[25]  V. Patel.  Why adolescent depression is a global health priority and what we should do about it. , 2013, The Journal of adolescent health : official publication of the Society for Adolescent Medicine.

[26]  T. Strine,et al.  Emotional and Behavioral Difficulties and Impairments in Everyday Functioning Among Children With a History of Attention-Deficit/Hyperactivity Disorder , 2006, Preventing chronic disease.

[27]  D. Pine,et al.  Adolescent depressive symptoms as predictors of adult depression: moodiness or mood disorder? , 1999, The American journal of psychiatry.

[28]  A. Erkanli,et al.  The developmental epidemiology of anxiety disorders: phenomenology, prevalence, and comorbidity. , 2005, Child and adolescent psychiatric clinics of North America.

[29]  W. Strawbridge,et al.  Prospective association between obesity and depression: evidence from the Alameda County Study , 2003, International Journal of Obesity.

[30]  V. Rideout,et al.  Generation M2: Media in the Lives of 8- to 18-Year-Olds , 2010 .

[31]  M. Trivedi,et al.  Physical activity dose-response effects on outcomes of depression and anxiety. , 2001, Medicine and science in sports and exercise.

[32]  A. Okely,et al.  Screen time and metabolic risk factors among adolescents. , 2010, Archives of pediatrics & adolescent medicine.

[33]  T. Olds,et al.  Electronic media use and adolescent health and well-being: cross-sectional community study. , 2009, Academic pediatrics.

[34]  Karen Martin,et al.  Electronic Overload: The Impact of Excessive Screen Use on Child and Adolescent Health and Wellbeing , 2011 .

[35]  B. Fredrickson,et al.  Objectification Theory: Toward Understanding Women's Lived Experiences and Mental Health Risks , 1997 .

[36]  G A Colditz,et al.  Television viewing as a cause of increasing obesity among children in the United States, 1986-1990. , 1996, Archives of pediatrics & adolescent medicine.

[37]  M. Tremblay,et al.  Video Game Playing Is Independently Associated with Blood Pressure and Lipids in Overweight and Obese Adolescents , 2011, PloS one.

[38]  Ilse de Bourdeaudhuij,et al.  Sedentary patterns and media availability in European adolescents: The HELENA study. , 2010, Preventive medicine.

[39]  P. Gordon-Larsen,et al.  Physical Activity and Sedentary Behavior Patterns Are Associated With Selected Adolescent Health Risk Behaviors , 2006, Pediatrics.

[40]  R. Kessler,et al.  Short screening scales to monitor population prevalences and trends in non-specific psychological distress , 2002, Psychological Medicine.

[41]  J. Hooley,et al.  Clinical and Personality Correlates of MMO Gaming , 2013 .

[42]  J. Parker,et al.  The Multidimensional Anxiety Scale for Children (MASC): factor structure, reliability, and validity. , 1997, Journal of the American Academy of Child and Adolescent Psychiatry.

[43]  D I Boomsma,et al.  Regular exercise, anxiety, depression and personality: a population-based study. , 2006, Preventive medicine.

[44]  K. Merikangas,et al.  Epidemiology of Mood and Anxiety Disorders in Children and Adolescents , 2003 .

[45]  E. Scharfe,et al.  Associations Between Attachment Representations and Health Behaviors in Late Adolescence , 2001, Journal of health psychology.

[46]  Rosalina Richards,et al.  Adolescent screen time and attachment to parents and peers. , 2010, Archives of pediatrics & adolescent medicine.

[47]  M. Pratt,et al.  Relationship of physical activity and television watching with body weight and level of fatness among children: results from the Third National Health and Nutrition Examination Survey. , 1998, JAMA.

[48]  Christine McCauley Ohannessian,et al.  Media Use and Adolescent Psychological Adjustment: An Examination of Gender Differences , 2009, Journal of child and family studies.

[49]  Larry D. Rosen,et al.  Media and technology use predicts ill-being among children, preteens and teenagers independent of the negative health impacts of exercise and eating habits , 2014, Comput. Hum. Behav..

[50]  E. Costello,et al.  The Developmental Epidemiology of Anxiety Disorders: Phenomenology, Prevalence, and Comorbidity , 2005 .

[51]  Megan A. Moreno,et al.  Children, Adolescents, and the Media , 2013, Pediatrics.

[52]  Dale Peeples,et al.  Sadness, suicide, and their association with video game and internet overuse among teens: results from the youth risk behavior survey 2007 and 2009. , 2011, Suicide & life-threatening behavior.

[53]  M. Flament,et al.  Physical activity and psychological adjustment in adolescents. , 2011, Journal of physical activity & health.

[54]  Michael J Fine,et al.  Association between media use in adolescence and depression in young adulthood: a longitudinal study. , 2009, Archives of general psychiatry.

[55]  M. Hamilton,et al.  Exercise Physiology versus Inactivity Physiology: An Essential Concept for Understanding Lipoprotein Lipase Regulation , 2004, Exercise and sport sciences reviews.

[56]  Ying Sun,et al.  Screen time, physical activity and mental health among urban adolescents in China. , 2011, Preventive medicine.

[57]  Jan Van den Bulck,et al.  Television viewing, computer game playing, and Internet use and self-reported time to bed and time out of bed in secondary-school children. , 2004, Sleep.

[58]  L. Epstein,et al.  Treatment of pediatric obesity. , 1998, Pediatrics.

[59]  F. Zitman,et al.  Longitudinal Relationship of Depressive and Anxiety Symptoms With Dyslipidemia and Abdominal Obesity , 2013, Psychosomatic medicine.

[60]  George C Patton,et al.  Physical activity, leisure-time screen use and depression among children and young adolescents. , 2014, Journal of science and medicine in sport.

[61]  C. D’Arcy,et al.  A systematic review of depressed mood and anxiety by SES in youth aged 10-15 years. , 2008, Canadian journal of public health = Revue canadienne de sante publique.