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Pazarcikci F. Risk factors for technology addiction in young children ages 2-5 years. J Pediatr Nurs 2024; 78:e141-e147. [PMID: 38969584 DOI: 10.1016/j.pedn.2024.06.029] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/12/2024] [Revised: 06/24/2024] [Accepted: 06/30/2024] [Indexed: 07/07/2024]
Abstract
PURPOSE This study was conducted to determine the factors predictive of technology addiction in young children (aged 2-5 years). The study examined the effects of digital parenting awareness, parental stress, family demographic characteristics and parents' technology use habits on technology addiction in young children. DESIGN AND METHODS This cross-sectional study was conducted between October 2023 and February 2024 with 401 volunteer parents of children aged 2-5 years in a province in the Western Mediterranean region of Turkey. Data were collected using the Technology Addiction Scale for Ages 2-5, the Digital Parental Awareness Scale, and the Parental Stress Scale. RESULTS Digital parenting awareness, negative modeling and digital neglect, and parental stress positively and directly affect technology addiction in young children (β1 = 0.166, β2 = 0.443, β3 = 0.087, all p < 0.05). Additionally, parental gender (β = 0.095), parental marital status (β = 0.092), and household income (β = 0.088) were significant predictors of technology addiction in young children (p < 0.05). The level of technology addiction is significantly higher in children who use devices without parental controls (Z = -6.187, p < 0.001). CONCLUSIONS Low digital parenting awareness, high parental stress, male caregivers, low household income and single-parent families in digital tools increase the risk of technology addiction in young children (2-5 years). Multidisciplinary, family-oriented intervention programs, incorporating consideration of parental risk factors, should be developed to prevent and reduce technology addiction in this group.
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Affiliation(s)
- Fahriye Pazarcikci
- Isparta University of Applied Sciences, Department of Medical Services and Techniques, Isparta, Turkey.
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Xiao B, Zhao H, Hein-Salvi C, Parent N, Shapka JD. Examining Self-Regulation and Problematic Smartphone Use in Canadian Adolescents: A Parallel Latent Growth Modeling Approach. J Youth Adolesc 2024:10.1007/s10964-024-02071-x. [PMID: 39180706 DOI: 10.1007/s10964-024-02071-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/09/2024] [Accepted: 08/09/2024] [Indexed: 08/26/2024]
Abstract
Despite extensive research on the prevalence and mental health implications of problematic smartphone use in adolescents, the cognitive mechanisms underpinning its development, such as self-regulation, remain underexplored. This study aims to fill this research gap by investigating the developmental trajectories of self-regulation and problematic smartphone use among Canadian adolescents. Participants (N = 1303; 614 girls; Mage = 14.60 years, SD = 1.16 years) attended one of five public high schools in Southern British Columbia. Adolescents self-reported their self-regulation skills, as well as problematic smartphone use annually for three years. In line with developmental expectations, results indicated that both self-regulation and problematic smartphone use increased across the three years. Parallel latent growth models revealed significant intercept and positive slope differences for self-regulation and problematic smartphone use, showing that higher initial self-regulation predicted lower initial problematic smartphone use, and vice versa. Girls exhibited higher initial levels of problematic smartphone use, but gender differences in developmental trajectories were not observed. These findings emphasize the importance of early self-regulation skills in preventing the escalation of problematic smartphone use in adolescents, providing evidence-based insights for developing targeted interventions.
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Affiliation(s)
- Bowen Xiao
- Department of Educational and Counselling Psychology, and Special Education, The University of British Columbia, Vancouver, BC, Canada.
| | - Haoyu Zhao
- Department of Educational and Counselling Psychology, and Special Education, The University of British Columbia, Vancouver, BC, Canada
| | - Claire Hein-Salvi
- Department of Educational and Counselling Psychology, and Special Education, The University of British Columbia, Vancouver, BC, Canada
| | - Natasha Parent
- Department of Educational and Counselling Psychology, and Special Education, The University of British Columbia, Vancouver, BC, Canada
| | - Jennifer D Shapka
- Department of Educational and Counselling Psychology, and Special Education, The University of British Columbia, Vancouver, BC, Canada
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Farnia V, Ahmadi Jouybari T, Salemi S, Moradinazar M, Khosravi Shadmani F, Rahami B, Alikhani M, Bahadorinia S, Mohammadi Majd T. The prevalence of alcohol consumption and its related factors in adolescents: Findings from Global School-based Student Health Survey. PLoS One 2024; 19:e0297225. [PMID: 38558070 PMCID: PMC10984532 DOI: 10.1371/journal.pone.0297225] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/19/2023] [Accepted: 12/29/2023] [Indexed: 04/04/2024] Open
Abstract
BACKGROUND Alcohol consumption has become very common among adolescents in recent years and its prevalence varies in different countries. This study aimed to investigate the prevalence of alcohol consumption and related factors in adolescents aged 11 to 16 years. METHODS This descriptive cross-sectional study was performed on 288385 adolescents (girls, 53.9% of total) aged 11 to 16 years. In the present study, the GSHS data (2003-2018) available to public on the websites of the US Centers for Disease Control and Prevention (CDC) and WHO was used. To investigate the factors affecting alcohol consumption, univariate and multivariate logistics models with 95% confidence limits were used. RESULTS The overall prevalence of alcohol consumption in adolescents was 25.2%, which was 28.3% and 22.4% in boys and girls, respectively. Among the surveyed countries, the highest prevalence was in Seychelles (57.9%) and the lowest in Tajikistan (0.7). Multivariate analysis showed that the Age for 16 and more than 16 years old (OR = 3.08,95%CI: 2.54-3.74), truancy for more than 10 days (OR = 1.24, 95%CI: 1.08-1.43), loneliness at sometimes of the times (OR = 1.04, 95%CI: 1.01-1.07), insomnia at most of the times (OR = 1.85, 95%CI: 1.70-2.01), daily activity (OR = 1.03, 95%CI: 1.00-1.07), bullied for 1-9 Days in a month (OR = 1.24, 95%CI: 1.09-1.40), cigarette (OR = 4.01, 95%CI: 3.86-4.17), used marijuana for more than 10 days in a month (OR = 5.58, 95%CI: 4.59-7.78), had sex (OR = 2.76, 95%CI: 2.68-2.84), and suicide plan (OR = 1.48, 95%CI: 1.42-1.54) were important factors affecting drinking alcohol. (Table 4). In this study, the sensitivity, specificity, positive predictive value, and negative predictive value were 42.79%, 93.96%, 70.80%, and 82.75. CONCLUSIONS According to the results of the present study, the prevalence of alcohol consumption among teenagers was high. Therefore, it is suggested that demographic, family, and psychological factors should be taken into consideration in health programs for the prevention and treatment of alcohol consumption in adolescents.
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Affiliation(s)
- Vahid Farnia
- Substance Abuse Prevention Research Center, Health Institute, Kermanshah University of Medical Sciences, Kermanshah, Iran
| | - Touraj Ahmadi Jouybari
- Substance Abuse Prevention Research Center, Health Institute, Kermanshah University of Medical Sciences, Kermanshah, Iran
| | - Safora Salemi
- Substance Abuse Prevention Research Center, Health Institute, Kermanshah University of Medical Sciences, Kermanshah, Iran
| | - Mehdi Moradinazar
- Substance Abuse Prevention Research Center, Health Institute, Kermanshah University of Medical Sciences, Kermanshah, Iran
| | - Fatemeh Khosravi Shadmani
- Research Center for Environmental Determinants of Health (RCEDH), Health Institute, Kermanshah University of Medical Sciences, Kermanshah, Iran
| | - Bahareh Rahami
- Substance Abuse Prevention Research Center, Health Institute, Kermanshah University of Medical Sciences, Kermanshah, Iran
| | - Mostafa Alikhani
- Substance Abuse Prevention Research Center, Health Institute, Kermanshah University of Medical Sciences, Kermanshah, Iran
| | - Shahab Bahadorinia
- Substance Abuse Prevention Research Center, Health Institute, Kermanshah University of Medical Sciences, Kermanshah, Iran
| | - Tahereh Mohammadi Majd
- Department of Biostatistics, School of Health, Kermanshah University of Medical Sciences, Kermanshah, Iran
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Sørensen SO, Gejl AK, Pedersen J, Rasmussen MG, Olesen LG, Kristensen PL, Grøntved A. Recreational screen media use among Danish children aged 6-11 years: influence of parental screen media habits and attitudes. Scand J Public Health 2023; 51:1173-1181. [PMID: 35708326 DOI: 10.1177/14034948221103463] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
AIMS Little is known about the influence of parents' screen media habits and attitudes towards screen media on children's screen use. We investigated associations of parental screen use, their smartphone addiction and screen media attitudes, with children's recreational screen use. METHODS This study was based on a population-based cross-sectional survey sent between May 2019 and November 2020 to a random sample of 6820 Danish parent-child dyads who answered questions regarding their screen media habits. Children were 6-11 years of age and had to reside with the parent. Multivariable adjusted regression analyses were conducted (in October 2021) separately for screen media use on weekdays and weekend days. RESULTS The analyses included 5437 parents (41.0 years, 67.6% girls) and 5437 children (8.9 years, 48.2% girls). The adjusted relative odds of excessive amounts of screen use of children (>3 hours/weekday and >4 hours/weekend day) was 5.8 (95% confidence interval (CI) 4.6; 7.3) on weekdays and 7.2 (95% CI 5.9; 8.8) on weekend days comparing the fourth and first quartile of parental screen use. Children of parents in the fourth quartile of parental screen use had 2.1 (95% CI 1.7; 2.5) and 2.5 (95% CI 2.2; 3.0) greater odds of screen use before bedtime on all week and weekend days, respectively. Children of parents who had a positive attitude towards their child's screen use or were at high risk of smartphone addiction had significantly higher screen use and more frequent problematic screen use. CONCLUSIONS Parent's screen media habits and attitudes were strongly associated with their children's recreational screen use.
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Affiliation(s)
- Sarah Overgaard Sørensen
- Department of Sports Science and Clinical Biomechanics Research Unit for Exercise Epidemiology, University of Southern Denmark, Odense, Denmark
| | - Anne Kær Gejl
- Department of Sports Science and Clinical Biomechanics Research Unit for Exercise Epidemiology, University of Southern Denmark, Odense, Denmark
| | - Jesper Pedersen
- Department of Sports Science and Clinical Biomechanics Research Unit for Exercise Epidemiology, University of Southern Denmark, Odense, Denmark
| | - Martin Gillies Rasmussen
- Department of Sports Science and Clinical Biomechanics Research Unit for Exercise Epidemiology, University of Southern Denmark, Odense, Denmark
| | - Line Grønholt Olesen
- Department of Sports Science and Clinical Biomechanics Research Unit for Exercise Epidemiology, University of Southern Denmark, Odense, Denmark
| | - Peter Lund Kristensen
- Department of Sports Science and Clinical Biomechanics Research Unit for Exercise Epidemiology, University of Southern Denmark, Odense, Denmark
| | - Anders Grøntved
- Department of Sports Science and Clinical Biomechanics Research Unit for Exercise Epidemiology, University of Southern Denmark, Odense, Denmark
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Veldman S, Altenburg T, Chinapaw M, Gubbels J. Correlates of screen time in the early years (0-5 years): A systematic review. Prev Med Rep 2023; 33:102214. [PMID: 37223568 PMCID: PMC10201873 DOI: 10.1016/j.pmedr.2023.102214] [Citation(s) in RCA: 5] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/20/2022] [Revised: 04/03/2023] [Accepted: 04/17/2023] [Indexed: 05/25/2023] Open
Abstract
The majority of young children engage in high levels of screen time. To inform future interventions, knowledge on correlates of screen time is important. This review expands on previous work by focusing on the entire early childhood range, and including a broad focus regarding types of correlates and screens. A literature search (PubMed, Embase, PsycINFO, SPORTDiscus) was performed from 2000 up to October 2021. Included studies (cross-sectional and prospective) examined associations between a potential correlate and screen time (duration or frequency) in typically developing, apparently healthy children aged 0-5 years. Methodological quality was assessed by two independent researchers. Fifty-two of 6,614 studies were included. Two studies had high methodological quality. We found moderate evidence for a positive association between an electronic device in the bedroom, parental screen time, having a TV on at home, descriptive norms and screen time, and a negative association between sleep duration, household features, high value on physical activity, monitoring screen time, being in childcare, parental self-efficacy and screen time. We found no evidence for an association for child sex, body mass index, physical activity, temperament, number of siblings, being a first-born, neighborhood-related factors, socio-economic indicators, and parental marital status, physical activity, weight status, depression, wellbeing, sex, age and positive outcome expectations. The evidence for other investigated correlates was inconsistent or insufficient. Despite the evidence for moderate associations, we were unable to draw strong conclusions. More high-quality research is needed to identify correlates of screen time in early childhood.
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Affiliation(s)
- S.L.C. Veldman
- Department of Public and Occupational Health, Amsterdam UMC, Vrije Universiteit Amsterdam, Amsterdam Public Health Research Institute, Amsterdam, The Netherlands
- Mulier Institute, Utrecht, The Netherlands
| | - T.M. Altenburg
- Department of Public and Occupational Health, Amsterdam UMC, Vrije Universiteit Amsterdam, Amsterdam Public Health Research Institute, Amsterdam, The Netherlands
| | - M.J.M. Chinapaw
- Department of Public and Occupational Health, Amsterdam UMC, Vrije Universiteit Amsterdam, Amsterdam Public Health Research Institute, Amsterdam, The Netherlands
| | - J.S. Gubbels
- Department of Health Promotion, NUTRIM School of Nutrition and Translational Research in Metabolism, Maastricht University, Maastricht, The Netherlands
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Wang C, Qian H, Li H, Wu D. The status quo, contributors, consequences and models of digital overuse/problematic use in preschoolers: A scoping review. Front Psychol 2023; 14:1049102. [PMID: 36874856 PMCID: PMC9980908 DOI: 10.3389/fpsyg.2023.1049102] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/08/2022] [Accepted: 02/01/2023] [Indexed: 02/18/2023] Open
Abstract
Digital devices play a critical role in preschoolers' learning and development. Despite the evidence that digital devices use may facilitate preschoolers' learning and development, their overuse/problematic use has become a global concern as the popularity and widespread use of digital devices. This scoping review aims to synthesize the empirical evidence to identify the status quo, influential factors, developmental outcomes, and models of overuse/problematic use in preschoolers. This search has identified 36 studies published in international peer-reviewed journals during 2001-2021, converging into four common topics: the current situation, the influential factors, the consequences, and the models. First, the average percentages of overuse and problematic use across the studies collected in this research were 48.34%, and 26.83%, separately. Second, two influential factors were identified: (1) children's characteristics and (2) parental and family factors. Third, early digital overuse/problematic use was found to have a negative impact on the following domains: (1) physical health, (2) psychosocial health, (3) problematic behaviors, and (4) cognitive development; Fourth, most relevant studies adopted general linear models, while few of them adopted experimental designs. Finally, the implications for future studies and practical improvements are also addressed.
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Affiliation(s)
- Chenggong Wang
- College of Science and Technology, Ningbo University, Ningbo, Zhejiang, China
| | - Haoyue Qian
- Shanghai Institute of Early Childhood Education, Shanghai Normal University, Shanghai, China
| | - Hui Li
- Shanghai Institute of Early Childhood Education, Shanghai Normal University, Shanghai, China.,Macquarie School of Education, Macquarie University, Sydney, NSW, Australia
| | - Dandan Wu
- Department of Early Childhood Education, Faculty of Education and Human Development, The Education University of Hong Kong, Hong Kong, Hong Kong SAR, China
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Lee S, Kim S, Yang S, Shin Y. Effects of Frequent Smartphone Use on Sleep Problems in Children under 7 Years of Age in Korea: A 4-Year Longitudinal Study. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:10252. [PMID: 36011886 PMCID: PMC9408342 DOI: 10.3390/ijerph191610252] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 06/27/2022] [Revised: 08/06/2022] [Accepted: 08/13/2022] [Indexed: 06/15/2023]
Abstract
The use of electronic screen devices has a negative effect on sleep. The purpose of this study is to longitudinally examine the effects of various screen use on sleep problems in children under 7 years of age. A total of 314 caregivers of children aged 4−7 years from three cities in Korea were recruited and responded to a self-administered questionnaire from 2017 to 2020. As a result of the analysis of the mixed model designed as a two-leveled structure, the use frequency of smartphones significantly predicted children’s sleep problems (β = 0.328, p < 0.001) compared to that of TV, PC, and tablet PC. In addition, the frequency of smartphone screen use showed a weak but significant correlation with bedtime resistance (r = 0.067, p = 0.009), sleep duration (r = 0.089, p <0.001), nighttime awakening (r = 0.066, p = 0.010), and daytime sleepiness (r = 0.102, p < 0.001). The results of this study suggest that screen time education in Korea should focus on smartphones above all else.
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Affiliation(s)
- Sangha Lee
- Department of Psychiatry, Ajou University School of Medicine, Suwon 16500, Korea
| | - Sungju Kim
- Department of Psychiatry, Ajou University School of Medicine, Suwon 16500, Korea
| | - Sujin Yang
- Gwangju Smile Center for Crime Victims, Gwangju 61480, Korea
| | - Yunmi Shin
- Department of Psychiatry, Ajou University School of Medicine, Suwon 16500, Korea
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The Association between Mothers’ Smartphone Dependency and Preschoolers’ Problem Behavior and Emotional Intelligence. Healthcare (Basel) 2022; 10:healthcare10020185. [PMID: 35206800 PMCID: PMC8871821 DOI: 10.3390/healthcare10020185] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/04/2021] [Revised: 01/11/2022] [Accepted: 01/13/2022] [Indexed: 12/23/2022] Open
Abstract
This study aimed to identify the level of mothers’ smartphone dependency and determine its correlation with preschoolers’ problem behavior and emotional intelligence. From 1 November to 30 December 2020, 141 mothers of preschool children (aged three to six years) were recruited to complete questionnaires that assessed their smartphone dependency and their child’s problem behavior and emotional intelligence. The result revealed that the younger the mother and the higher the perception of boredom in daily living, the higher was the level of her smartphone dependency. Maternal smartphone dependency was also significantly correlated with the aggression, oppositional, and emotional instability subscales of the tool assessing children’s problem behavior. To prevent problem behaviors among preschoolers, strategies to reduce mothers’ smartphone dependency are needed.
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Yoo HJ. Evolution of Digital Natives and the New Role of Research. Soa Chongsonyon Chongsin Uihak 2021; 32:127-128. [PMID: 34671184 PMCID: PMC8499039 DOI: 10.5765/jkacap.210029] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/11/2022] Open
Affiliation(s)
- Hee Jeong Yoo
- Department of Psychiatry, Seoul National University College of Medicine, Seoul National University Bundang Hospital, Seongnam, Korea
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Problematic internet use in children according to maternal depression trajectories: A population-based cohort study with 9-year follow-up. J Psychiatr Res 2021; 141:364-369. [PMID: 34304042 DOI: 10.1016/j.jpsychires.2021.07.025] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/31/2020] [Revised: 06/15/2021] [Accepted: 07/13/2021] [Indexed: 11/22/2022]
Abstract
OBJECTIVES We investigated the association between maternal depression trajectories from pregnancy until 2 years postpartum, and problematic internet use in children at nine years of age. METHODS A total of 1132 mother-child pairs from the Panel Korea Study for Children were used. Maternal depression was assessed repeatedly using the Kessler scale (K-scale) (during pregnancy, and at 6, 12, and 24 months of age). Problematic internet use was assessed in children 9 years old using the K-scale. The children's behavioral problems were assessed using the Child Behavior Checklist at nine years old. Latent profile analysis was used to identify the group trajectories of maternal depression. We compared the severity of problematic internet use of the children according to the maternal depression trajectories. We also identified behavioral problems in children with problematic internet use in each maternal depression trajectory. RESULTS Trajectory analysis identified three group trajectories of maternal depression: no symptoms (n = 478), mild symptoms (n = 534), and moderate symptoms (n = 120). The mild and moderate maternal depression trajectory groups were more associated with high-risk internet use in 9-year-old children compared to the non-depressed group. In children with high-risk internet use, more severe behavioral problems were reported when their mothers had depression. CONCLUSION Maternal depression up to two years after childbirth affected problematic internet use in middle childhood.
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Effect of Maternal Factors on Problematic Smartphone Use among Elementary School Children. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:ijerph18179182. [PMID: 34501780 PMCID: PMC8430842 DOI: 10.3390/ijerph18179182] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 08/02/2021] [Revised: 08/27/2021] [Accepted: 08/28/2021] [Indexed: 11/17/2022]
Abstract
Mothers play a key role in ensuring their children’s healthy life. This study aimed to identify the maternal factors affecting problematic smartphone use in children. We adopted a cross-sectional descriptive design using structured questionnaires. Participants were fourth to sixth grade elementary school students in Korea (n = 184). The following maternal factors were evaluated: maternal mediation, children’s perception of mothers’ smartphone use, mother–child communication, and parenting style. Data regarding maternal factors’ effect on problematic smartphone use were analyzed by computing descriptive statistics and logistic regression analysis using SPSS Win 27.0. The results show that the maternal factors that influenced problematic smartphone use in children were maternal control over smartphone usage (odds ratio (OR) = 5.10, 95% confidence interval (CI): 1.33–19.60), smartphone usage time for social network service (OR = 1.52, 95% CI: 1.10–2.01), and problematic mother–child communication (OR = 1.07, 95% CI: 1.00–1.14). Therefore, to promote appropriate smartphone use among school children, it is necessary to develop an intervention comprising maternal supervision of their children’s smartphones, guidance provision for social network service usage, and strategies for the reinforcement of positive mother–child communication.
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Kim SJ, Lee S, Han H, Jung J, Yang SJ, Shin Y. Parental Mental Health and Children's Behaviors and Media Usage during COVID-19-Related School Closures. J Korean Med Sci 2021; 36:e184. [PMID: 34184439 PMCID: PMC8239422 DOI: 10.3346/jkms.2021.36.e184] [Citation(s) in RCA: 14] [Impact Index Per Article: 4.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/27/2020] [Accepted: 06/15/2021] [Indexed: 12/11/2022] Open
Abstract
BACKGROUND Coronavirus disease 2019 (COVID-19) is different from previous disasters in that it continues to the present and has affected all aspects of family life. During epidemics, psychosocial support is not less important than infection control. During COVID-19-related school closures, prolonged partial closures of schools could have detrimental social and health consequences for children and may increase the burden on the family. Based on a community sample in Korea, this study identified parental concerns, children's media usage, other various factors and examined whether parental stress level or depression were positively associated with problem behaviors, media exposure, and sleep problems of the primary school children during school closure under COVID-19. METHODS Participants were 217 parents residing in Suwon, South Korea, who had primary school children and responded to a web-based questionnaire on parental concerns from school closure under COVID-19, subjective stress, depression, whether having received mental health services, and family characteristics; children's sleep patterns, problem behaviors, media usage during the online-only class period, and changes in activity level following the pandemic. RESULTS During school closure, children gained body weight, spent less time in physical activities and more in media usage. Besides online learning content (97.2%), YouTube was highly used content (87.6%), and games followed (78.3%). Parental subjective stress index was highly associated with parental depression (Pearson correlation 0.439, P < 0.001), children's sleep problems (0.283, P < 0.001), tablet time (0.171, P = 0.012) and behavior problems (0.413, P < 0.001). Parental depression was associated with children's sleep problems (0.355, P < 0.001), TV time (0.153, P = 0.024), tablet time (0.159, P = 0.019), and behavior problems (0.524, P < 0.001). Parents who previously received mental services seemed to be more concerned about the problems their children already have getting worse because of COVID-19 than the disease itself. Children's sleep problem was associated with tablet (0.172, P = 0.011) and smartphone time (0.298, P < 0.001), but not its frequency. CONCLUSION During COVID-19-related school closures, many parents and children had various difficulties relating to mental health. Ongoing monitoring of mental health of high-risk groups and multiple support systems may need to be expanded to cover those parents having difficulty in caring for their children.
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Affiliation(s)
- Seong Ju Kim
- Department of Psychiatry, Ajou University School of Medicine, Suwon, Korea
| | - Sangha Lee
- Department of Psychiatry, Ajou University School of Medicine, Suwon, Korea
| | - Hyojin Han
- Department of Psychiatry, Ajou University School of Medicine, Suwon, Korea
| | - Jaeoh Jung
- Department of Psychiatry, Ajou University School of Medicine, Suwon, Korea
| | - Su Jin Yang
- Institute of Future Convergence, Yonsei University, Seoul, Korea
| | - Yunmi Shin
- Department of Psychiatry, Ajou University School of Medicine, Suwon, Korea.
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