Quantity, Content, and Context Matter: Associations Among Social Technology Use and Sleep Habits in Early Adolescents

Tracked and self-reported nighttime smartphone use, general health, and healthcare utilization: results from the SmartSleep Study

STUDY OBJECTIVES

Nighttime smartphone use is an increasing public health concern. We investigated whether nighttime smartphone use is associated with general health and primary healthcare utilization.

METHODS

Four thousand five hundred and twenty individuals (age 35.6 ± 9.7 years, 35% male) provided self-reported information on smartphone use frequency, symptoms of depression, and general health (one-item perceived health and cross-symptom composite score). A subset of the study sample (n = 3221) tracked their nighttime smartphone use. Primary healthcare utilization, i.e. the number of weeks in which at least one service from the patient's general practitioner (GP) was billed in 2020, was extracted from Danish population registries. Statistical analysis comprised logistic and multiple linear regression, controlling for sociodemographics.

RESULTS

Three hundred and nineteen individuals (7%) reported using their smartphone almost every night or more. More frequent self-reported nighttime smartphone use was associated with poor general health across all measures. Using the smartphone almost every night or more was associated with 2.8 [95% CI: 1.9, 4.1] fold higher odds of reporting poor health and with an average of 1.4 [95% CI: 0.7, 2.1] additional GP utilizations per year compared to no use. Associations were also found for the cross-symptom composite score across all symptoms. Further adjustment for symptoms of depression attenuated some associations. Smartphone use towards the end of the sleep period (sleep-offset use) was associated with poorer self-reported general health, but not with healthcare utilization.

CONCLUSIONS

Nighttime smartphone use frequency is associated with poor general health and healthcare utilization. Further studies should investigate the underlying causal structure and nighttime smartphone use as a transdiagnostic intervention target.

Daily links between objective smartphone use and sleep among adolescents

INTRODUCTION

Concerns abound on how digital technology such as smartphone use may impair adolescent sleep. Although these linkages are supported in cross-sectional studies, research involving intensive longitudinal assessments and objective measures has called into question the robustness of associations.

METHODS

In this study, a sample of ethnically diverse U.S. adolescents (N = 71; Mage = 16.49; 56% girls) wore Fitbit devices and submitted screenshots of their smartphone screen time, pickups, and notifications over a 14-day period in 2021. The Fitbits recorded nightly sleep quality and sleep onset. Adolescents also completed daily diaries reporting the previous night's sleep onset time and sleep quality.

RESULTS

On days when adolescents engaged in greater nighttime screen time and, to some extent, pickups relative to their own average, they also had poorer sleep outcomes that night. Greater screen time was associated with later self-reported and Fitbit-recorded sleep onset and poorer self-reported sleep quality. Greater pickups was associated with later self-reported and Fitbit-recorded sleep onset. Smartphone use during the day did not relate to sleep outcomes, indicating the importance of distinguishing nighttime from daytime use.

CONCLUSIONS

Parents and clinicians should help adolescents develop healthy digital skills to avoid exacerbating sleep problems that are known to occur during this developmental period.

When and what: A longitudinal study on the role of screen time and activities in adolescent sleep

OBJECTIVES

Previous research has highlighted a link between electronic media use and sleep outcomes, but the nuanced impacts of screen use at different time of day and activities on adolescent sleep are underexplored.

METHODS

831 participants underwent online assessment three times with interval of three months regarding their screen time and activities at specific times of the day, daytime sleepiness was assessed with the Epworth Sleepiness Scale, and sleep outcomes were assessed with the Pittsburgh Sleep Quality Index and Insomnia Severity Index. The associations between time spent on various screen activities, and sleep outcomes were examined respectively after controlling for inter-individual differences using the Random Intercept Cross-Lagged Panel Model models and LMMs.

RESULTS

The RI_CLPM model revealed that both electronic screen time during daytime and after lights off in the evening in Wave1 negatively predicted the sleep quality in Wave2; the nighttime screen time before lights off in Wave1 significantly negatively predicted the seventy of insomnia in Wave2. Whereas no cross-lag and predictive effects of sleep outcomes on screen time were revealed. Moreover, daytime screen exposure, including T.V. watching and social media use, and nighttime music listening were negatively associated with sleep quality. Conversely, nighttime screen time of shopping and working/studying positively influenced sleep quality. Additionally, daytime screen time of T.V. viewing was positively associated with increased insomnia severity, whereas nighttime work/study-related screen time negatively affected insomnia severity. Nighttime screen time of music listening negatively predicted daytime sleepiness.

CONCLUSIONS

The current findings contributed to the existing literature suggesting that the effects of electronic screen time on sleep depended on both the time of day and type of screen activities.

A bidirectional model of sleep and technology use: A theoretical review of How much, for whom, and which mechanisms

The link between technology and sleep is more complex than originally thought. In this updated theoretical review, we propose a new model informed by the growing body of evidence in the area over the past 10 years. The main theoretical change is the addition of bi-directional links between the use of technology and sleep problems. We begin by reviewing the evidence to date for the originally proposed mechanisms of bright light, arousal, nighttime sleep disruptions, and sleep displacement. Then, in support of the new direction of effect (sleep problems preceding technology use), we propose two new mechanisms: technology before sleep might be used as a time filler and/or as an emotional regulation strategy to facilitate the sleep-onset process. Finally, we present potential moderators of the association between technology and sleep, in recognition of protective and vulnerability factors that may mitigate or exacerbate the effects of technology on sleep and vice versa. The goal of this theoretical review is to update the field, guide future public health messages, and to prompt new research into how much technology and sleep affect each other, for whom it may be problematic, and which mechanisms may explain their association.

The Impact of Social Media Use on Sleep and Mental Health in Youth: a Scoping Review

PURPOSE OF REVIEW

Social media use (SMU) and other internet-based technologies are ubiquitous in today's interconnected society, with young people being among the commonest users. Previous literature tends to support that SMU is associated with poor sleep and mental health issues in youth, despite some conflicting findings. In this scoping review, we summarized relevant studies published within the past 3 years, highlighted the impacts of SMU on sleep and mental health in youth, while also examined the possible underlying mechanisms involved. Future direction and intervention on rational use of SMU was discussed.

RECENT FINDINGS

Both cross-sectional and longitudinal cohort studies demonstrated the negative impacts of SMU on sleep and mental health, with preliminary evidence indicating potential benefits especially during the COVID period at which social restriction was common. However, the limited longitudinal research has hindered the establishment of directionality and causality in the association among SMU, sleep, and mental health. Recent studies have made advances with a more comprehensive understanding of the impact of SMU on sleep and mental health in youth, which is of public health importance and will contribute to improving sleep and mental health outcomes while promoting rational and beneficial SMU. Future research should include the implementation of cohort studies with representative samples to investigate the directionality and causality of the complex relationships among SMU, sleep, and mental health; the use of validated questionnaires and objective measurements; and the design of randomized controlled interventional trials to reduce overall and problematic SMU that will ultimately enhance sleep and mental health outcomes in youth.

Longitudinal Associations Between Pet Relationship Quality and Socio-Emotional Functioning in Early Adolescence

Adolescence is a key developmental period for socio-emotional skills, and companion animal relationships may be one potential source of emotional support and resilience during this time. This study used longitudinal data from 940 pet-owning adolescents, collected over four time points, from youth in the Northeastern United States. We assessed whether pet relationship quality (indexed by relationship satisfaction, companionship, and emotional disclosure) predicted trajectories of loneliness, social anxiety, and depression. Results indicated that high satisfaction with a pet relationship was associated with more favorable trajectories, but companionship (i.e., regarding frequency of interacting with the pet) was not related significantly to socio-emotional functioning. High levels of disclosure to a pet were linked with less favorable trajectories for loneliness and depression, but not related to social anxiety. These results suggest that a pet relationship can, in some cases, be associated positively with socio-emotional development, but that there is significant complexity in these associations. Families, educators, and practitioners should take a nuanced approach to understanding individual adolescent-pet relationships as a contextual asset for specific youth.

Boarding versus day-students: A mixed-methods analysis of sleep and its relationship with psychological distress

BACKGROUND

Boarding students face unique challenges when entering school, including: adapting to a novel environment, where they are separated from family, friends and culture, for up to 40 weeks per year. A particular challenge is sleep. A further challenge is coping with the demands of boarding with its potential impact on psychological well-being.

AIMS

To explore how boarders' sleep differs from that of their day-student peers, and how this relates to psychological well-being.

SAMPLE AND METHODS

309 students (59 boarding students and 250 day-students, at one Adelaide school) completed the School Sleep Habits Survey, Depression-Anxiety-Stress-Scale-21 (DASS-21), and Flourishing Scale. Boarding students additionally completed the Utrecht Homesickness Scale. Thirteen boarding students described experiences of sleeping in boarding through focus groups.

RESULTS

Boarding students, compared to day-students reported 40 minutes more sleep per weeknight (p < .001), with earlier sleep onset (p = .026), and later wake-up (p = .008) times. No significant differences were observed between boarding' and day-students' DASS-21 scores. Hierarchical regression revealed longer total weekday sleep time predicted higher psychological well-being in both boarding and day-students. Additionally, in boarding students, low homesickness-loneliness and homesickness-ruminations further predicted psychological well-being. Thematic analysis of boarding students' focus group responses revealed that night-time routine, and restricting technology use at night facilitated sleep.

CONCLUSIONS

This study supports - in both boarding and day-students - the importance of sleep for adolescent well-being. Sleep hygiene can play an important role in boarding student sleep, especially: regular night-time routine and restricting technology use at night. Finally, these findings suggest that poor sleep and homesickness have an adverse effect on boarding student psychological well-being. This study highlights the importance of strategies which promote sleep hygiene and minimize homesickness, in boarding school students.

Effects of Social Anxiety and Subjective Well-Being on Problematic Mobile Social Media Use in First-Year University Students: The Mediating Role of Self-Esteem

Background: Problematic mobile social media use may impact college students' physical and mental health. This study aimed to elucidate the impact of social anxiety and subjective well-being on problematic mobile social media use and the mediating role of self-esteem in this relationship. Methods: A total of 387 first-year university students (39.8% females, 60.2% males; mean age = 18.74 years) were enrolled in this study and completed self-report measures of social anxiety, subjective well-being, self-esteem and problematic mobile social media use. A structural equation model was constructed and tested by AMOS 23.0 software. Results: (1) Social anxiety not only had a direct effect on problematic mobile social media use, but also had an indirect effect on problematic mobile social media use via self-esteem. (2) Subjective well-being was positively and significantly associated with self-esteem, as well as problematic mobile social media use. (3) Self-esteem played a suppressing role between subjective well-being and problematic mobile social media use. Conclusions: It is necessary to help college students reduce their social anxiety and increase their subjective happiness through appropriate ways, as this plays an important role in increasing self-esteem and reducing their problematic mobile social media use.

The Use of Social Networking Sites and Its Impact on Adolescents' Emotional Well-Being: a Scoping Review

Purpose of Review

The rapid development of social networking sites (SNSs) has affected adolescents' well-being with great impact on social experience. In this scoping review, we aimed to map out what is known from the most recent literature about adolescents' emotional well-being and the role of emotional regulation skills in preventing problematic SNS use. We used the Arksey and O'Malley methodological framework, and we based the study selection procedure on the PRISMA process. Then, we selected 52 English and peer-reviewed papers from PubMed, MEDLINE, PsycARTICLES, PsycINFO, Psychology and Behavioral Sciences Collection, Wiley Online Library, and Web of Science.

Recent Findings

We found both positive and negative effects of SNS use on adolescents' emotions with online self-presentation and social comparison as key mechanisms to explain differences in subjective well-being. The risk of developing problematic use of SNSs is influenced by time spent on SNSs, active or passive use, and adolescents' social and emotional skills.

Summary

This review suggested the importance of emotional experiences and social support in both in-person and online interactions. Future research is needed to provide the basis for a better forthcoming classification of problematic SNS use.

The role of parents, other adults, peers and informal learning communities in shaping positive social media use in adolesent girls

Purpose

This study aims to introduce the concept of communities of social media practice where more experienced users provide guidance to female novice users, enacting a form of legitimate peripheral participation to "onboard" newcomers.

Design/methodology/approach

Through surveys with 968 early adolescents (average age was 13), the authors quantitatively explored sources and types of guidance for young social media users, popularity of conversation themes related to this guidance and how these conversations are associated with positive social media engagement. The authors qualitatively documented a case study of how a summer workshop of 17 students promotes positive social media use through a community of practice.

Findings

Although early adolescent girls reported that they more frequently talked to their parents about a wider range of social media topics, same-age peers and younger family members (e.g., siblings, cousins) were also frequent sources. Surprisingly, the authors also found that the source most strongly associated with positive social media use was the peer group. This case study of an intentional community of practice demonstrated how peers go from "peripheral" to "centered" in socializing each other for more positive social media use.

Originality/value

Unlike most prior scholarship on mediating social technology use, this study focuses on a critical developmental period (e.g. early adolescents), sources of guidance other than exclusively parents, explore the specific conversation topics that offer guidance and document an informal community of practice for girls that provides the training ground for peers and adult facilitators to codesign more positive social media spaces.

Associations Between Adolescents' Daily Digital Technology Use and Sleep

PURPOSE

Although studies have found associations between greater digital technology use and poorer sleep health among adolescents, these studies typically rely on self-reported sleep and cross-sectional designs. This study applied an ecological momentary assessment design to examine how adolescents' daily digital technology use relates to self-reported sleep and wearable-recorded sleep duration.

METHODS

A socioeconomically and ethnically diverse sample of 388 adolescents completed daily surveys of their digital technology use (i.e., messages sent, time for academics, time for leisure) and sleep for 2 weeks. Sleep duration was recorded through wearable devices among a subsample of 254 adolescents for an average of 3.4 days.

RESULTS

Adolescents who reported spending more time using digital technology for nonacademic purposes than their peers reported both shorter self-reported sleep duration and later bedtime (between-person associations). Adolescents who sent more messages than their peers also had shorter sleep duration as recorded by wearable devices. In contrast, few associations were observed when comparisons were made within-individuals with adolescents used as their own controls.

CONCLUSIONS

Consistent with prior research, adolescents who reported greater nonacademic daily digital technology use relative to their peers exhibited worse sleep outcomes as measured via self-reports and wearable devices. However, associations with sleep outcomes were weak and inconsistent when adolescents were used as their own controls. Future research should continue to explore between- and within-person associations between digital technology use and sleep to understand potential key differences.

Associations of early social media initiation on digital behaviors and the moderating role of limiting use

Little is known about the effects of social media initiation on digital behaviors from middle childhood to early adolescence, a critical developmental period marked by peer influence and inaugural access to mobile devices. Participants from middle schools in the Northeast U.S. (N=773; 11-15 years, Mean = 12.6) completed a cross-sectional survey about social media initiation, digital behaviors, and parental restrictions on digital use. Descriptive results demonstrated that overall early adolescents more frequently engaged in positive digital behaviors compared to negative ones. Results from structural equation models showed that initiating social media platforms, namely Instagram or Snapchat, in later childhood (10 years or younger) was significantly associated with problematic digital behavior outcomes compared to either tween (11-12) and/or teen (13+) initiation, including having online friends or joining social media sites parents would disapprove of, more problematic digital technology behaviors, more unsympathetic online behaviors, and greater likelihood of online harassment and sexual harassment victimization. Additionally, there is evidence to show that childhood initiators demonstrated a greater tendency to engage in supportive or civically-engaged online community behaviors compared to older initiator counterparts. Parental restriction of mobile phone use and a less frequent checking of social media ameliorated some of the negative effects.

Examining Early Adolescent Positive and Negative Social Technology Behaviors and Well-being During the COVID-19 Pandemic

Public concerns of how frequently adolescents used screens during the pandemic shutdowns fueled the need to research whether these behaviors were conducive or detrimental to their wellbeing. The aims of this longitudinal survey study of 586 middle school students in the Northeast U.S. were to examine (a) changes in positive and negative social technology behaviors prior to the coronavirus disease (COVID-19) pandemic (fall 2019) compared to during the pandemic (fall 2020) including any differences by subgroups and (b) whether changes in social technology behaviors were associated with wellbeing outcomes and any moderating factors. We found that during this time period, there were significant increases in frequency of checking social media, social technology use before bedtime, and problematic internet use. Students also experienced significant increases in social anxiety, loneliness, and depressive symptoms, but also increased strategies of coping when stressed. By following our preregistered analytical plan, each research aim was addressed within a multilevel modeling framework with time nested within students. We found extremely small effects of social technology behaviors associated with wellbeing, such as online support seeking being related to strategies when coping with stress. Though we found statistically significant effects, none of the findings met our effect size criteria (i.e., effect of ≥.05). Overall, we did not find any strong support that the changes in wellbeing that adolescents experienced during the COVID-19 social distancing was meaningfully related to their social technology use, which is counter to the popular assumption that adolescent wellbeing is intricately tied to their social technology use.

Social Media Friends From Afterschool are Associated With Positive Youth Development in Digital Settings

Positive youth development has been extensively documented in contexts such as the family, school, and afterschool. Emerging theory and research indicate that digital contexts such as social media may also be venues through which young people develop skills and attributes associated with the 5 Cs model of positive youth development and thriving. This research attempted to understand if and how middle school youth's in-person and online networks connect, and if they do connect, do these connections relate to engaging in beliefs and behaviors associated with PYD. Results suggest that in this sample, middle school youth include peers from afterschool in their online networks, and those who have friends from afterschool and school engaged in PYD- related social media behaviors at higher rates than those who were not connected to in-person networks. No association was found between the amount of time spent in after-school contexts and any of the positive or problematic social media outcomes in this study. Implications for youth development professionals considering the influence of social media on youth, and next steps for research on after-school activities and social media use of middle school youth are discussed.

Prototyping for Social Wellbeing with Early Social Media Users: Belonging, Experimentation, and Self-Care

Many 10-14 year olds are at the early stages of using social media, habits they develop on popular platforms can have lasting effects on their socio-emotional wellbeing. We led a remote innovation workshop with 23 middle schoolers on digital wellbeing, identity exploration, and computational concepts related to social computing. This workshop was a unique opportunity to reflect on emergent habits, discuss them with peers, and imagine oneself as an ICT innovator. Resulting themes related to participants' social wellbeing online included a) sense of belonging to communities of interest, friends, and family, b) self-care and social support strategies involving managing risks, control, and empathy, and c) experimentation while building self-confidence and bravely exploring audience reactions. Participants iteratively designed and tested a sandbox social network website, resulting in Social Sketch. Reflecting on our study, we describe the process for conceptualizing Social Sketch, and challenges in social media innovation with teenagers.

Companion Animal Relationships and Adolescent Loneliness during COVID-19

Simple Summary

This study assessed the relationship between pet ownership, pet attachment, loneliness, and coping with stress before and during the COVID-19 pandemic. Contrary to our hypotheses, results did not support the presence of a buffering effect of pet ownership on loneliness, with pet ownership predicting increases in loneliness from pre-pandemic to during the pandemic. Dog owners showed lower levels of loneliness prior to the pandemic as well as higher levels of attachment, suggesting possible species-level differences in these relationships. Pet owners also reported spending time with their pet as a highly used strategy for coping with stress, suggesting that future research should explore the role of pets in coping with stress and social isolation during the pandemic. These results indicate that the relationship between pet ownership and adolescent loneliness during the pandemic is complex and warrants further research.

Abstract

The pandemic associated with the emergence of the novel coronavirus (COVID-19) is an unprecedented historical event with the potential to significantly impact adolescent loneliness. This study aimed to explore the role of companion animals and attachment to pets in the context of the pandemic. We used longitudinal quantitative survey data collected prior to and during the pandemic to assess the role of pets in predicting adolescent loneliness. Pet ownership was not a significant predictor of loneliness before the pandemic, but did predict higher levels of loneliness during COVID-19 as well as higher increases in loneliness from before to during the pandemic. Dog ownership predicted lower levels of loneliness prior to, but not during the pandemic, and dog owners were significantly more attached to their pets than non-dog pet owners. Adolescents with pets reported spending more time with their pets during the pandemic, and frequently reported pet interactions as a strategy for coping with stress. Overall, the results from this study did not support the presence of a buffering effect of companion animals on loneliness for adolescents and indicate complexity in the relationships between pet ownership, attachment, loneliness, and coping with stress. These results suggest a need for additional research further assessing how features of the relationship such as species and relationship quality might contribute to adolescent mental health outcomes.