sh.sePublications
Change search
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • harvard-anglia-ruskin-university
  • apa-old-doi-prefix.csl
  • sodertorns-hogskola-harvard.csl
  • sodertorns-hogskola-oxford.csl
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf
Adolescents' screen time displaces multiple sleep pathways and elevates depressive symptoms over twelve months
Karolinska Institutet, Sweden; Stockholm Health Care Services, Sweden.ORCID iD: 0000-0002-6248-6945
Södertörn University, School of Social Sciences, Psychology. Karolinska Institutet, Sweden; Stockholm Health Care Services, Sweden.ORCID iD: 0000-0003-2059-0514
Karolinska Institutet, Sweden; Stockholm Health Care Services, Sweden.ORCID iD: 0000-0002-2461-351X
Karolinska Institutet, Sweden; Stockholm Health Care Services, Sweden.ORCID iD: 0000-0001-6922-0675
Show others and affiliations
2025 (English)In: PLOS Global Public Health, E-ISSN 2767-3375, Vol. 5, no 4, article id e0004262Article in journal (Refereed) Published
Abstract [en]

Recently the Swedish Public Health Agency published recommendations of a maximum of two-to-three hours of daily leisure screen time for adolescents aged 13-18, partly to promote better sleep (2024-Sep-02). Biologically and socially, adolescence is characterized by belated sleep times, and depressive effects of screen time can arise through sleep displacements. Theorized links between screen time, sleep, and depression, merited examination of four sleep mediators to determine their relative importance and determine which of them mediate future depression. Hypotheses were preregistered. Three-wave psychometric health data were collected from healthy Swedish students (N = 4810; 51% Boys; ages 12-16; N = 55 schools; n = 20 of 26 Stockholm municipalities). Multiple imputation bias-corrected missing data. Gender-wise Structural Equation Modelling tested four sleep facets as competing mediators (quality, duration, chronotype, social jetlag). The primary model result included the three first mediators to achieve acceptable fit indices (RMSEA = 0.02; SRMR = 0.03; CFI = 0.95; TLI = 0.94). Screen time deteriorated sleep within three months and effect sizes varied between mediators (Beta weights ranged: 0.14-0.30) but less between genders. Among boys, screen time at baseline had a direct adverse effect on depression after twelve months (Beta = 0.02; p <0.038). Among girls, the depressive effect was mediated through sleep quality, duration, and chronotype (57, 38, 45% mediation). Social jetlag remained non-significant. This study supports a modernized 'screen-sleep-displacement theory'. It empirically demonstrates that screen-sleep displacements impact several aspects of sleep simultaneously. Displacements led to elevated depressive symptoms among girls but not boys. Boys may be more prone to externalizing symptoms due to sleep loss. Results could mirror potentially beneficial public health effects of national screen time recommendations.

Place, publisher, year, edition, pages
Public Library of Science (PLoS), 2025. Vol. 5, no 4, article id e0004262
Keywords [en]
recommendations, association, duration, behavior, children, quality, youth
National Category
Epidemiology Applied Psychology
Identifiers
URN: urn:nbn:se:sh:diva-56979DOI: 10.1371/journal.pgph.0004262ISI: 001463142900004PubMedID: 40173157Scopus ID: 2-s2.0-105002181155OAI: oai:DiVA.org:sh-56979DiVA, id: diva2:1955017
Available from: 2025-04-28 Created: 2025-04-28 Last updated: 2025-05-07Bibliographically approved

Open Access in DiVA

No full text in DiVA

Other links

Publisher's full textPubMedScopusPMC Full text

Authority records

Alvarsson, Jesper

Search in DiVA

By author/editor
Hökby, SebastianAlvarsson, JesperWesterlund, JoakimCarli, VladimirHadlaczky, Gergö
By organisation
Psychology
In the same journal
PLOS Global Public Health
EpidemiologyApplied Psychology

Search outside of DiVA

GoogleGoogle Scholar

doi
pubmed
urn-nbn

Altmetric score

doi
pubmed
urn-nbn
Total: 10 hits
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • harvard-anglia-ruskin-university
  • apa-old-doi-prefix.csl
  • sodertorns-hogskola-harvard.csl
  • sodertorns-hogskola-oxford.csl
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf