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Sleep traits, screen use, and emotional and behavioral problems: A short-term longitudinal cross-lagged panel network
Lijie Li1, Xuanni Lu1, Guiyu Jiang1
1Department of Maternal and Children Health, Department of Medical Statistics and Epidemiology, School of Public Health, Sun Yat-sen University, 74 Zhongshan Rd 2, Guangzhou 510080, China.
Addictive Behaviors
|June 2, 2026
Summary
Emotional symptoms and hyperactivity are central to adolescent sleep, screen time, and behavior issues. Sleep problems like daytime dysfunction and sleep disturbance may precede problematic screen use, offering intervention targets.
Area of Science:
- Adolescent psychology
- Sleep science
- Behavioral health
Background:
- Longitudinal associations between sleep, screen time, and adolescent emotional and behavioral problems (EBPs) are not well understood.
- Traditional methods struggle to capture the dynamic, symptom-level relationships.
Purpose of the Study:
- To investigate the directional, short-term longitudinal associations between multidimensional sleep traits, screen time, and EBPs in adolescents.
- To identify core and bridging symptoms within a network model.
Main Methods:
- A longitudinal study of 4,800 Chinese adolescents (mean age 15.84 years) with 6-month follow-up.
- Utilized a cross-lagged panel network (CLPN) model to analyze temporal dynamics.
- Employed centrality analyses (OEI, IEI, BEI) to identify key symptoms.
Main Results:
- Emotional symptoms (ES) and hyperactivity (HA) were central nodes with high temporal stability.
- Daytime dysfunction (DDF) and sleep disturbance (SDT) bridged sleep traits to subsequent ES and HA.
- Bidirectional associations were found between HA and video gaming.
Conclusions:
- ES and HA are central in the network linking sleep, screen use, and EBPs.
- Sleep problems (DDF, SDT) are key bridging symptoms that may precede maladaptive screen use.
- Findings suggest targets for early intervention to disrupt self-reinforcing cycles of adolescent EBPs.
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