在黑暗中使用屏幕与抑郁症状之间的联系:中国青少年的纵向研究
Shuangxiao Qu1, Fengyun Zhang1, Xuelai Wang1
1Division of Child and Adolescent Health, Shanghai Municipal Center for Disease Control and Prevention, Shanghai, China.
Frontiers in psychiatry
|September 5, 2025
概括
在黑暗中使用屏幕与青少年的抑郁症状增加有关. 这种夜间的数字行为, 尤其是长时间看电视或睡眠不足, 增加了心理健康问题的风险.
科学领域:
- 青少年的健康
- 心理健康研究
- 数字媒体的影响
背景情况:
- 尤其是在黑暗中使用屏幕是青少年普遍的行为.
- 之前的研究表明屏幕时间与心理健康之间存在联系, 但在黑暗中使用屏幕的具体影响需要进一步调查.
研究的目的:
- 研究中国青少年在黑暗中使用屏幕与抑郁症状之间的关联.
- 评估夜间屏幕使用与过度屏幕使用和睡眠不足对青少年心理健康的复合影响.
主要方法:
- 来自上海的3659名中国青少年 (平均年龄14.41岁) 参与了为期2年的研究 (2020-2022年).
- 通过自我报告问卷和后续评估收集了关于屏幕使用习惯 (包括在黑暗中使用) 和抑郁症状 (通过流行病学中心规模评估) 的数据.
- 用通用估计方程分析在黑暗中使用屏幕与抑郁症状之间的关系.
主要成果:
- 抑郁症状的发病率在基线时为23. 59%,在随访期间,15. 76%的症状进展为严重症状.
- 在黑暗中使用屏幕的青少年出现抑郁症状的可能性显著增加 (OR = 1.89) 和严重的抑郁症状 (OR = 1.89).
- 在黑暗中使用屏幕与过多的屏幕时间 (> 2 小时/天) 或睡眠不足的结合表明抑郁症状的风险最高.
结论:
- 在黑暗环境中使用屏幕是青少年抑郁症状的独立危险因素.
- 过多的屏幕时间和睡眠不足加剧了夜间屏幕对青少年心理健康的负面影响.
- 公共卫生战略应应对夜间的数字行为, 以减轻青少年抑郁症的风险.
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