The associations between screen time and mental health in adolescents: a systematic review
BMC Psychology volume 11, Article number: 127 (2023)
Adolescents have extensive use of screens and, they have common complains related to mental health. Here a systematic review was done to understand the association between screen time and adolescent’s mental health.
This review was conducted in compliance with Preferred Reporting Items for Systematic Reviews and Meta-Analyses – PRISMA. An update search was performed in January 2023 with the following keywords: “screen time,“ “adolescent,“ and “mental health” on PubMed, PsycINFO and Scopus databases.
50 articles were included, most have found associations between screen exposure and mental health in adolescents. The most used device by adolescents was the smartphone and the use on weekdays was associated with diminished mental well-being. Social media use was negatively associated with mental well-being and, in girls, associated at higher risk for depression.
Excessive screen time in adolescents seems associated with mental health problems. Given the profusion and disparity of the results, additional studies are needed to clarify elements such as the screen content or the interaction of adolescents with different screen devices.
Systematic review registration:
Adolescence represents a phase of increased risk for the emergence of mental health problems [1, 2]. According to the 2021 update of the World Health Organization (WHO) , it is estimated that 14% of young people between 10 and 19 years old have mental health problems, which represents, globally, 13% of all diseases that affect this population. Depression, anxiety, and behavioral disorders are among the leading causes of illness and disability in adolescents, and suicide is already the fourth leading cause of death among 15–19-year-olds .
The current generation of teenagers is growing up immersed in a world saturated with electronic media, they did not know the times before the internet and for this reason, they are called “digital natives” . Media use of screen-based electronic devices is extensive, including television (TV) programs watching and using computers, tablets, and smartphones. In the last 10 years, the use of mobile Internet devices has increased exponentially, becoming part of everyday life .
The increased use of screens has been noticeable and amplified in the COVID-19 pandemic due to isolation and restrictions on other leisure activities . The American Academy of Pediatrics (AAP) recommends that children over age five through adolescence be exposed to less than 2 h of screen time (ST) per day. However, a large percentage of adolescents already exceed this recommendation . In general, these media-related activities occupy about 6 to 9 h of a young American’s day, excluding housework and schoolwork [2, 4].
Adolescents are particularly susceptible to the opportunities and risks of new technologies . The development of socio-affective brain circuits can increase sensitivity to social information, impulsiveness toward rewards, as well as a preoccupation with peer evaluation . The growing suggestion that excessive screen time is related to recent increases in mental health problems among young people has been the focus of research [9,10,11]. However, reviews of this nature were either restricted to children  or included several age groups [10,11,12]. In addition, the specific focus on a given symptom [9, 12], or the concern with providing recommendations and strategies , reinforces the need for a more detailed investigation of this relationship among adolescents.
Results from previous reviews are mixed [13,14,15,16]. In the general population, research done during COVID-19 pandemic has found most evidence indicating negative effects of long screen time on mental health (MH) . Among children, an association was found between screen time and internalizing and externalizing behavior problems . In adolescents, the association between social media use and psychological well-being was negative but very small . Together, adolescent children and young adults showed a small to very small association between screen time and depressive symptoms, varying between different devices and uses . Furthermore, methodological issues such as cross-sectional design, sampling and measurements can weaken the evidence [17, 18].
Accumulated evidence indicates that screen time may be associated with aspects of the adolescent’s mental health. However, the direction of these associations is not yet clear, the literature still lacks comprehensive and detailed research. With this in mind, this review aims to contribute to the understanding of the effects that exposure to screens can promote on a wide range of the mental health aspects of adolescents, which were previously researched such as flourishing (synonymous with a high level of mental well-being), life satisfaction, self-efficacy, self -concept Physical, psychosocial difficulties, conduct problems, hyperactivity/inattention and pro-social behavior, symptoms of internalization and externalization, positive mental health, and mental well-being. In addition, this review included the various screen-based devices most used by this population. The goal was to raise evidence that could increase knowledge about the interactions that adolescents set with screens, which may have potential additive increase in exposure time and effect on the mental health of this population.
This review was conducted in compliance with Preferred Reporting Items for Systematic Reviews and Meta-Analyses – PRISMA  and was registered at PROSPERO, under number CRD42022302817. A search was performed on 12/27/2021 with the following question: Is there any association between screen time and mental health in adolescents? For this, the following keywords were used: “screen time,” “adolescent,” and “mental health,” combined with the operator AND on databases PubMed, PsycINFO, and Scopus. An additional search was performed to update the research on 01/18/2023, using the same strategy and the same databases, totaling six more studies included. Table 1 presents the search strategies (Additional file 1: Table 1). The adopted strategy tried to increase the sensitivity of the searches, expanding the range of outcomes with the umbrella term mental health, and searching in all or any fields of the articles. In accordance with the PICO strategy, the study population will be composed of individuals in the adolescence phase and the intervention will be represented by exposure to screens. As outcomes, any aspects related to mental health will be considered, including measures related to mental well-being, like life satisfaction, and the control groups may be absent from the observational studies included. With the volume of data captured, considering previous reviews, the addition of records from the reference lists of the included articles was not considered.
Inclusion criteria: (1) articles that directly assessed associations between screen time [i.e., the amount of time spent using a device with a screen such as a smartphone, computer or video game console (active screen, screens that allow motor interaction and responsivity), or television (TV) and videos (passives screens), for entertainment or educational use] and mental health, that is, (mood, internalization or externalization problems, sleep disorders, aspects related to mental well-being such as satisfaction with life, self-esteem and self-efficacy, among others), with at least one variable evaluated; (2) studies that measured mental health outcomes through validated scales/instruments; (3) studies with adolescents, average age between 12 and 18 years; (4) articles in English, published in the last 10 years. Exclusion criteria: (1) studies carried out with adolescents diagnosed with problematic internet use, (2) sample composed of adolescents already diagnosed with mental health problems or being followed up in mental health/psychiatry outpatient clinics, (3) research that used screen-based devices to aid functionality and (4) case reports and case series.
The screening procedure was performed in pairs, including an initial independent search. After duplicate records were deleted, the titles and abstracts of each study were screened according to the inclusion and exclusion criteria. The articles eligible for full reading were selected and the two authors discussed the results and reached a consensus on articles to be included in the review. Any disagreements were resolved by consensus with the third author.
The following data were extracted according to a standard form that included: first author, date, country of publication, study design, sample characteristics and study objectives, mental health assessment, measures of screen time exposure, and main associations found. The allocation of records in the form followed the year of publication, starting with more recent studies.
The term self-reported was used to indicate that screen time was the time spent on screen-based activities, reported by the participant in response to a question. When the study applied a validated instrument or performed an objective measurement of screen time, it was indicated in the form.
The methodological quality of the studies was assessed using the Newcastle-Ottawa Scale, based on criteria related to selection and comparability between cohorts and related to study outcomes. The methodological quality of the cross-sectional studies was performed using the adapted Newcastle Ottawa for cross-sectional studies . The evaluation was performed in pairs, by four reviewers and discrepancies were resolved by consensus with a fifth reviewer. The maximum score (9 points) represents high methodological quality .
In the first search carried out on 12/27/2021, 1,309 records were identified in the database through the search strategy. Four hundred and forty-two duplicates were removed and 867 articles were screened by title and abstract. After screening, 763 reports were excluded because they did not meet pre-established criteria. Thus, 104 articles were reviewed, of which 44 were included in this review. These 44 articles were added to the most recent search, carried out on 01/18/2023, totaling 50 articles reviewed in this study. Both selection processes are described in detail in two PRISMA Flowcharts (Additional File 2: Figures 1 and 2).
Of the 50 studies, published between 2011 and 2023, 38 were cross-sectional and 12 longitudinal, with a total of 1,900,447 adolescents. Table 2 (Additional file 1: Table 2) presents the distribution of this sample.
Data extracted from the included studies are summarized in Table 1.
Participants’ ages ranged from 10 to 21 years, mean 14,85 standard deviation 1,14. Some studies presented data on the age of participants based on school grade [22, 34, 38]. In the pooled sample, there was a greater participation of girls, however, one study did not provide this data , and there was a study that evaluated only girls . Of the studies that reported sample demographic data, the socioeconomic status was mostly medium and predominantly white ethnicity.
Screen time and mental health assessments
The measurements taken for both screen time and mental health were very heterogeneous. Most of the time, screen time was self-reported and aspects such as flourishing and resilience were considered in the mental health assessment. The data are described in detail in (Additional file 3).
Associations between screen time and mental health
Most studies have observed associations between screen time and adolescent mental health. Only a few studies found no unfavorable associations between screen time and overall mental health, or any of its aspects [22, 26, 27, 29, 38, 42, 48, 56, 57, 60, 66, 67]. For the studies that found significant associations, most of the time, the findings were from just one survey, or congruent among a few studies, which did not allow performing a statistical analysis of the associations. A small number of studies showed an effect size from medium to large [35, 57, 65] or large [22, 25, 35, 60]. Most made sizes were small [23, 26, 29, 30, 33, 34, 37, 41, 51, 53, 55, 56, 59, 61, 63, 64, 66, 68,69,70,71], or medium [27, 28, 39, 40, 43, 45, 47,48,49, 57, 58].
Types, contents, and usage habits of screens
According to a study, with a robust sample of adolescents in the United Kingdom, the screen activities with the highest levels of engagement were social media, games and TV/video . Watching TV was positively associated with mood and anxiety disorders , impaired mental well-being , i.e., the more TV time, the higher scores for mood and anxiety disorders and greater impairment in mental well-being, and inversely associated with self-esteem and life satisfaction  and psychological well-being for girls . Whereas in other studies, TV was negatively associated with anxiety , positively with mental well-being  and lower prevalence of depression . Furthermore, one study  did not find associations between watching TV and depressive symptoms, and another  also found no associations with mental health.
While Kim et al. (2020)  did not find associations of active screen use with mood and anxiety disorders, and McAllister et al. (2021)  between mental health and gaming, other studies did. A relationship was observed between computer use (such as for internet, email, and games) with impairment of mental well-being , psychological well-being  and an increase in depressive symptoms [61, 65]. Video games alone were associated with more severe anxiety symptoms . And 6 h or more of video gaming was positively associated with anxiety symptoms in boys . Higher levels of computer use showed stronger association with depressive symptoms . And online gaming (among high school girls) was associated with a higher prevalence of depression . The studies do not specify the modality online or not of video gaming.
The smartphone was the device that adolescents report more time using, according to Przybylski & Weinstein (2017) . A recent study observed that telephone use showed a stronger association with depressive symptoms among the girls , while in another study it represented impairment of mental well-being only on weekdays . More time spent on new types of screen behavior, including social media, was associated with a higher prevalence of depression in one study . Social media use also had a median negative association with well-being in another study . Among girls, the positive association of mental health problems with social media and internet use was greater than for games and TV in the study by Twenge et al. (2021) . In McAllister et al. (2021) , media use negatively impacted mental health, but was not significantly associated with self-harm or depression among boys.
Among adolescents with high recreational ST, about a quarter reported depressive symptoms in one study . Girls who reported ≥ 5 h of ST on weekdays or weekends had higher anxiety scores compared to those who reported up to 2 h, even controlling for moderate to vigorous physical activity (MVPA), in a recent survey . Time studying online was positively associated with anxiety in one study , but was not associated with mood disturbances in another , and in the latter, other ST uses were associated with mood disturbance .
Different mental health outcomes including well-being
Young people who met screen time recommendations were about 2.6 times more likely to have good psychosocial health outcomes compared to those who did not in one study . Higher flourishing scores were associated with meeting ST guidelines of less than 2 h daily in one study . One study found that high ST (with < 8 h of sleep) was negatively associated with self-esteem, resilience, and flourishing .
The study by Gireesh et al. (2018)  also addressed well-being, finding greater screen time, and suffering from bullying associated with decreased well-being in both sexes, with the strongest association in girls. Playing electronic games was inversely associated with psychological well-being for adolescents of both sexes. Watching television was also inversely associated with psychological well-being in girls in one study .
The association between the use of digital technology and adolescent well-being is negative, but small, representing less than 0.1% of the observed variability in well-being, according to the study by Orben and Przybylski (2019) . Watching TV only on the weekend showed a median positive association with well-being. Social media use had a median negative association with well-being . In a previous study, Przybylski et al. (2017) , observed a relationship with impaired mental well-being and watching movies/TV, playing games and using the computer throughout the week. As for smartphone use, this relationship was observed only on weekdays.
Types, contents, and usage habits of screens
Social media use was significantly correlated with depressive symptoms among girls but not among boys, moreover, all suicide-related outcomes were correlated with electronic device use in Twenge et al. (2018) . In the study by Coyne et al. (2020) , the increase in time spent on social media was not associated with an increase in mental health problems, when adolescents were examined at the individual level. In a recent study, more time spent in structured media activities, such as watching television, decreased levels of inattention and anxiety .
An 11-year study found that increased TV viewing and Personal Computer (PC) use was predictive of conduct problems, hyperactivity, and inattention in girls . There was a small positive association between computer use at age 16 and anxiety and depression two years later in one study . Boy computer instrumental users had lower depression scores and fewer internalizing behavior problems than “e-gamers” in one study .
Different mental health outcomes including well-being
In the study by Babic et al. (2017) , decrease in total recreational screen ST was negatively associated with physical self-concept and psychological well-being, and there was a positive association between television/DVD use and psychological difficulties. CP time positively predicted emotional symptoms in one study . Girl instrumental computer users had higher self-efficacy compared to female computer e-gamers in one study .
In a recent study, increased time spent on social media was the only screen media activity significantly associated with worse mental health . In another more recent study, the theoretical replacement of 60 min of television or social media use by team sports at age 14 years was associated with a reduction in emotional symptom scores at age 17 years, respectively .
Quality assessment of studies
The summary of the methodological evaluation of the articles included in this review are presented in Table 4, according to the items of the Newcastle-Ottawa scale for observational studies, (Additional file 4: Table 4). The quality assessment of the cross-sectional studies was carried out by adapting the Newcastle Ottawa for cross-sectional studies. Most studies had high methodological quality, with a total score above 6. Recurrent problems among studies were the lack of a group not exposed to screens, generating comparability only between factors such as gender, in addition to the lack of objective measurement of screen time.
Although screen-based activities bring many benefits, such as communication and entertainment, most of the results of this study indicate that excessive exposure to screens is associated with effects on the mental condition of adolescents. Of the 50 studies reviewed, only 12 found no unfavorable associations between screen time and overall mental health, or any of its aspects [22, 26, 27, 29, 38, 42, 48, 56, 57, 60, 66, 67]. It is also important to consider that some studies in this review were carried out during the COVID-19 pandemic and with social distancing, screen time may not significantly negatively interfere with well-being, since it is the only way to if you remain socially connected .
Screens and mental health: do device and content matter?
The current review is consistent with other reviews that concluded that the type, use and content of the screen influences the relationship between mental health problems and ST [11, 13, 72]. It seems that the impairment of mental health in adolescents is closely related to the purpose of screen use and not just the exposure time. For example, online study or non-recreational use of screens [38, 60] does not seem associated with mental health. Currently, there is a suggestion that the term “screen time” is no longer a useful construct , since the devices and the social character of the media must be evaluated separately, the nature of the content may be more relevant for mental health than the amount of time teenagers are exposed to screens [74,75,76]. In fact, in this review, watching TV did not show a significant relationship with depressive symptoms [26, 61], self-esteem  or mental health , in some cross-sectional studies, it even decreased levels of inattention and anxiety longitudinally . It was also observed in the literature that, over time, the relationship between screen time and depressive symptoms varied between different screen uses, with stronger relationships observed with cell phones and computer/internet, new forms of technology .
A very popular activity among teenagers is the use of social media such as Facebook, Instagram, and Twitter . Here, social media use was associated with poor mental health and impaired mental well-being [24, 26, 27, 37, 48, 59]. Our results involving social media agree with previously published reviews [15, 18]. In fact, excessive use of social media can lead to the development of fear of missing out (FoMO). FoMO is defined by the fear that other people will have pleasurable experiences while the individual is away, felt as a need for constant contact with members of the social network . It is true that in adolescence internalizing symptoms happens frequently  and here these symptoms were the most common. Thus, the association between social media use and internalizing symptoms may be complex. Social media can worsen depression and anxiety , however, adolescents having depression and anxiety symptoms may lean on technology to alleviate those feelings too. In this sense, our results and other revised longitudinal data agreed, that a stronger relationship was observed between greater exposure to screens and a subsequent increase in the depression score .
Regarding games, the results were mixed, in McAllister et al. (2021)  associations with mental health were not significant for boys and girls. Boers et al. (2019)  also did not find a significant association between the time spent playing video games with depression, these authors consider that video game players are not socially isolated, they play with friends, physically or online, which it has social and emotional benefits . However, few studies had already observed a significant association between playing video games and worse mental health in adolescents [82, 83].
In this review, non-recreational computer use for girls was associated with greater self-efficacy, while boys had lower depression scores and internalizing behaviors than those who used their computers only as a game console (“e-gamers”) . The authors suggest that adolescents were acquiring more computer skills, which had already been associated with improved mental well-being in a previous study . In this sense, our data are confirmed in studies over time in which depression did not increase at the intrapersonal level [75, 76].
Smartphone and social media use has been associated with depression [23, 24, 26, 27] and internalizing symptoms . Twenge in 2017  already raised the concern on whether smartphones were “destroying a generation”. Odgers (2018) , however, concluded that this would be a misinterpretation of reality, as most adolescents are doing well in the digital age and that US and European numbers show academic improvement, a decrease in violence, abuse of alcohol, smoking, and teenage pregnancy [3, 86]. Smartphone studies can have limitations, such as an often underestimate smartphone use, leading to low correlations between self-reported screen time data and data collected through the device app itself [87, 88]. Considering screen time simply by counting frequency and duration may limit understanding of an adolescent’s relationship with the smartphone and the consequences on mental well-being . It would be important to obtain detailed information about the goals and how the adolescent uses their device .
Screens and mental health: mediators and confounding factors
In one study, significant associations between anxiety and depression appeared when screen time was combined with shorter sleep duration . It is not yet established whether the act of looking at the screen interrupts sleep or whether the media content is responsible. Light-emitting diode (LED) screens on computers and phones emit a slow wave, blue light, which can interfere with the circadian rhythms that regulate sleep. Exposure to LED versus non-LED screens produces changes in melatonin levels and sleep quality, and this exposure decreases cognitive performance . Sleep disturbances may also be related to excessive use of technological devices at night . Sleep disorders is an umbrella term, according to the International Classification of Diseases 11th Revision (ICD-11), they belong to an overlapping area between mental health and neurological disorders, and according to WHO they are part of common mental health disorders [93,94,95]. Sleep disorders are often associated with depression and anxiety and often co-occur [94, 96, 97] or even antecede the disorders diagnosis. Currently, young people interact on social networks, sending messages and selfies, sometimes all night, a characteristic behavior that gave rise to the term “Vamping”. This term relates to tech-addicted teens who already have a disrupted circadian rhythm and who are at greater risk of declining school performance and loss of self-control . In fact, in another study of this review , self-esteem, resilience and flourishing were negatively associated with ST in those adolescents who slept less than eight hours a night.
In addition to sleep, physical activity may also protect against the potentially harmful effect of interacting with social media in some adolescents . From the records reviewed, some studies noted that replacing screen time with physical activity showed a positive effect on associations with mental health [24, 33, 34]. Insufficient physical activity and high ST was associated with increased psychosocial difficulties . In fact, a review that investigated moderating variables of associations between ST and depression in youth found that physical activity can influence the magnitude of these associations .
Increased screen time was significantly associated with aspects of mental health. Few studies showed an effect size from medium to large [35, 57, 65] or large (21,24,34,60). However, most studies observe small effect sizes [23, 26, 29, 30, 33, 34, 37, 41, 51, 53, 55, 56, 59, 61, 63, 64, 66, 68,69,70,71], or medium [27, 28, 39, 40, 43, 45, 47,48,49, 57, 58]. Our findings are agreed with previous literature about the predominant small effect size, in addition to the large heterogeneity of the studies [9, 99].
The results of this review suggest that interaction with screen-based devices may underlie the impairment of adolescent mental health over the last decade. However, other studies also agree that establishing causality and directionality can be difficult [17, 48, 73, 90]. While research is still being conducted, care must be taken in interpreting data on the positive and negative effects of adolescents’ interaction with digital technologies. However, even with possible benefits, it may not be healthy to suppress the other activities that our nature is qualified for, underutilizing our other senses, and looking at screens for most of the day.
This study contributes with data on the various mental health outcomes of adolescents, including aspects of positive mental health, in addition to considering exposure to all types of screens most used by this population. This review found some evidence for the current research question, we highlight here that watching TV for 2 to 4 h on school days was negatively associated with anxiety and self-esteem. The most time spent by adolescents was with the smartphone and use during the week was associated with diminished mental well-being. Screen exposure time was most positively associated with problems in teens’ mental well-being. Social media use had a median negative association with mental well-being in adolescents and an increased risk of depression in girls. Furthermore, “screen time” may no longer be appropriate for investigations of the effects of exposure to screen-based devices and related mental health outcomes in adolescents. Most of the reviewed studies provided total measures of time spent in front of screens, however, the nature of the content offered on each device, as well as the interaction of adolescents with this content, is still unclear.
More detailed studies will be needed, seeking to understand the motivations of adolescents to engage with screen devices. Studies that consider issues related to the environment of adolescents may also help to clarify the varied emotional responses to screen stimuli. Longitudinal studies that pay attention to factors such as sleep, physical activity and socioeconomic status will also be important to establish mediators of associations between interaction with screens and mental health in this population.
The current review has some limitations, which may impact the generalizability of the results. The first refers to the diversity and fragility of the methods applied in the data collection of the included studies. Self-reported screen time may provide inaccurate data due to adolescents’ recall difficulties. Studies focusing on sedentary behavior that included screen time in this category may provide even coarser measures of this variable. The lack of measurement of adolescents’ interaction time with each type of device and type of content leads to a superficial assessment of the associations between screen time and adolescents’ mental well-being, especially considering the emotional particularities of this phase. The wide variety of instruments to assess mental health outcomes can also be a factor that makes it difficult to standardize results. The second limitation is related to studies that analyzed data from previous research. These studies, in addition to addressing many variables not reviewed in the present study, used old data with a reality different from that observed today. In addition, of the articles reviewed, only one study from Brazil and five from Australia represented the global south, it is necessary to increase diversity. And finally, as adolescents’ interactions with screens and their contents can vary depending on when they occur and for what purpose the screens are being used, the associations between screen time and mental health depend on intensity and context, such as the day of screen use in a week, for the purpose of use and whether the use is recreational or for study.
All data generated or analyzed during this study are included in this published article.
American Academy of Pediatrics
Adolescent Brain and Cognitive Development
Attention Deficit Hyperactivity Disorder
Adjusted Odds Ratio
Adolescents’ Sedentary Activities Questionnaire
Child Behavior Checklist
Connor-Davidson Resilience Scale-10
Childhood Depression Inventory
Center for Epidemiological Studies Depression Scale
10-Item Center for Epidemiologic Studies Depression Scale Revised-10
Children of the Center for Epidemiological Studies
Common Mental Disorders
- DSM IV:
Diagnostic and Statistical Manual of Mental Disorders - Fourth Edition
Self-Regulatory Depression Scale for Children
Digital Versatile Disk
Fear of Missing Out
General Anxiety Disorder-7
Group Factor Analysis
General Health Questionnaire
6-item Kessler Psychological Distress Scale
Multimedia Activity Recall for Children and Adolescents
Multidimensional Anxiety Scale for Children
Millennium Cohort Study
Moderate to Vigorous Physical Activity
Adolescent Physical Activity Questionnaire - Sedentary Behavior Subscale
Patient Health Questionnaire-9
Population, Intervention, Comparation and Outcome
Mood States Profile
Preferred Reporting Items for Systematic Reviews and Meta-Analyses
Substance Abuse and Mental Health Services Administration
Specification Curve Analysis
Screen for Child Anxiety Related Emotional Disturbances
Strengths and Difficulties Questionnaires
Screen Media Activity
Short Form of the Mood and Feelings Questionnaire
Screen-Based Sedentary Behavior
Time Use Diary
(University of California, Los Angeles) Loneliness Scale
Universidade Federal de Minas Gerais (Federal University of Minas Gerais)
United States of America
Warwick-Edinburgh Mental Well-Being Scale
World Health Organization
- WISC-III UK:
Wechsler Intelligence Scale for Children
Youth Risk Behavior Surveillance System
Youth Risk and Behavior Survey
Fusar-Poli P, Solmi M, Brondino N, Davies C, Chae C, Politi P et al. Transdiagnostic psychiatry: a systematic review. 2019.
Nesi J. Understanding the Impact of Social Media on Youth Mental Health. Nc Med. 2020;81(2):116–21. Available from: https://www.ncmedicaljournal.com/content/81/2/116?utm_source=TrendMD&utm_medium=cpc&utm_campaign=North_Carolina_Medical_Journal_TrendMD_0.
World Health Organization. Adolescent mental health. 2021. Accessed 02 Feb 2022. Available from: https://www.who.int/newsroom/fact-sheets/detail/adolescent-mental-health.
Crone EA, Konijn EA. Media use and brain development during adolescence. Nat Commun. 2018;9(588). Available from: https://cyberball.
Qiu Y, Xie YJ, Chen L, Wang SL, Yang H, Huang Z et al. Electronic Media Device Usage and Its Associations With BMI and Obesity in a Rapidly Developing City in South China. Front Public Heal. 2021;8(551613). Available from: www.frontiersin.org.
Chen Q, Dai W, Li G, Ma N. The impact of screen time changes on anxiety during the COVID-19 pandemic: sleep and physical activity as mediators. Sleep Biol Rhythms. 2022; Available from: https://doi.org/10.1007/s41105-022-00398-1.
Ramirez ER, Norman GJ, Rosenberg DE, Kerr J, Saelens BE, Durant N et al. Adolescent screen time and rules to limit screen time in the home. J Adolesc Heal. 2011;48(4):379–85. Available from: http://www.drjamessallis.sdsu.edu/measures.html.
Giedd JN. Adolescent brain and the natural allure of digital media. Dialogues Clin Neurosci. 2020;22(2):127–33. Available from: https://www.tandfonline.com/action/journalInformation?journalCode=tdcn20.
Eirich R, McArthur BA, Anhorn C, McGuinness C, Christakis DA, Madigan S. Association of Screen Time With Internalizing and Externalizing Behavior Problems in Children 12 Years or Younger: A Systematic Review and Meta-analysis. JAMA Psychiatry. 2022;79(5):393–405. Available from: https://doi.org/10.1001/jamapsychiatry.2022.0155.
Pandya A, Lodha P. Social connectedness, excessive screen time during COVID-19 and mental health: a review of current evidence. Frontiers in Human Dynamics. 2021;3. Available from: https://www.frontiersin.org/articles/https://doi.org/10.3389/fhumd.2021.684137.
Tang S, Werner-Seidler A, Torok M, Mackinnon AJ, Christensen H. The relationship between screen time and mental health in young people: A systematic review of longitudinal studies. Clinical psychology review. 2021;86:102021. Available from: https://doi.org/10.1016/j.cpr.2021.10202.
McCrae N, Gettings S, Purssell E. Social Media and Depressive Symptoms in Childhood and Adolescence: A Systematic Review. Adolescent Res Rev 2. 2017:315–330. Available from: https://doi.org/10.1007/s40894-017-0053-4.
Valkenburg PM, Meier A, Beyens I. Social media use and its impact on adolescent mental health: An umbrella review of the evidence. Current Opinion in Psychology. 2022;44:58–68. Available from: https://doi.org/10.1016/j.copsyc.2021.08.017.
Kross E, Verduyn P, Sheppes G, Costello CK, Jonides J, Ybarra O. Social Media and Well-Being: Pitfalls, Progress, and Next Steps. Trends in cognitive sciences. 2021;25(1):55–66. Available from: https://doi.org/10.1016/j.tics.2020.10.005.
Schønning V, Hjetland GJ, Aarø LE, Skogen JC. Social Media Use and Mental Health and Well-Being Among Adolescents - A Scoping Review. Frontiers in psychology. 2020;11: 1949. Available from: https://doi.org/10.3389/fpsyg.2020.01949.
Seabrook EM, Kern ML, Rickard NS. Social Networking Sites, Depression, and Anxiety: A Systematic Review. JMIR mental health. 2016;3(4):e50. Available from: https://doi.org/10.2196/mental.5842.
Orben A. Teenagers, screens and social media: a narrative review of reviews and key studies. Social psychiatry and psychiatric epidemiology. 2020;55(4):407–414. Available from: https://doi.org/10.1007/s00127-019-01825-4.
Keles B, McCrae N, Grealish A. A systematic review: the influence of social media on depression, anxiety and psychological distress in adolescents. International Journal of Adolescence and Youth. 2020;25(1):79–93. Available from: https://doi.org/10.1080/02673843.2019.1590851.
Page MJ, McKenzie JE, Bossuyt PM, Boutron I, Hoffmann TC, Mulrow CD et al. The PRISMA 2020 statement: an updated guideline for reporting systematic reviews. BMJ. 2021;372(71). Available from: https://doi.org/10.1136/bmj.n71.
Herzog R, Álvarez-Pasquin MJ, Díaz C, Barrio JL, Estrada JM, Gil A. Are healthcare workers’ intentions to vaccinate related to their knowledge, beliefs and attitudes? a systematic review. BMC Public Health. 2013;13:154. Accessed 23 Feb 2023. Available from: https://doi.org/10.1186/1471-2458-13-154.
Wells GA, Shea B, O’Connell D, Peterson J, Welch V, Losos M, Tugwell P. The Newcastle-Ottawa Scale (NOS) for assessing the quality of nonrandomised studies in meta-analyses. Ottawa Hospital Research Institute. 2021. Accessed 20 Jan 2023: http://www.ohri.ca/programs/clinical_epidemiology/oxford.asp accessed on 01/15/2023.
Chen S, Clark CCT, Ren Z. Different types of screen-based sedentary time and anxiety in adolescents: Video games may be more important. Frontiers in public health. 2022;10:918234. Available from: https://doi.org/10.3389/fpubh.2022.918234.
Forte C, O’Sullivan D, McDowell CP, Hallgren M, Woods CB, Herring MP. Associations between screen-time, physical activity and depressive symptoms differ based on gender and screen-time mode. European child & adolescent psychiatry, 2022. Available from: https://doi.org/10.1007/s00787-022-02080-w.
Kandola A, Del Pozo Cruz B, Hayes JF, Owen N, Dunstan DW, Hallgren M. Impact on adolescent mental health of replacing screen-use with exercise: A prospective cohort study. Journal of affective disorders. 2022;301:240–247. Available from: https://doi.org/10.1016/j.jad.2021.12.064.
Kjellenberg K, Ekblom O, Ahlen J, Helgadóttir B, Nyberg G. Cross-sectional associations between physical activity pattern, sports participation, screen time and mental health in Swedish adolescents. BMJ open. 202; 12(8):e061929. Available from: https://doi.org/10.1136/bmjopen-2022-061929.
Kidokoro T, Shikano A, Tanaka R, Tanabe K, Imai N, Noi S. Different Types of Screen Behavior and Depression in Children and Adolescents. Frontiers in pediatrics. 2022;9:822603. Available from: https://doi.org/10.3389/fped.2021.822603.
Marciano L, Viswanath K, Morese R, Camerini AL. Screen time and adolescents’ mental health before and after the COVID-19 lockdown in Switzerland: A natural experiment. Frontiers in psychiatry. 2022;13:981881. Available from: https://doi.org/10.3389/fpsyt.2022.981881.
Khan A, Lee EY, Rosenbaum S, Khan SR, Tremblay MS. Dose-dependent and joint associations between screen time, physical activity, and mental wellbeing in adolescents: an international observational study. Lancet Child Adolesc Heal. 2021;5(10):729–38. Available from: https://doi.org/10.1016/S2352-4642(21)00200-5.
McAllister C, Hisler GC, Blake AB, Twenge JM, Farley E, Hamilton JL. Associations Between Adolescent Depression and Self-Harm Behaviors and Screen Media Use in a Nationally Representative Time-Diary Study. Res Child Adolesc Psychopathol. 2021;49(12):1623–34. Available from: https://doi.org/10.1007/s10802-021-00832-x.
Sampasa-Kanyinga H, Chaput JP, Goldfield GS, Janssen I, Wang JL, Hamilton HA, et al. The canadian 24-Hour Movement Guidelines and psychological distress among adolescents. Can J Psychiatry. 2021;66(7):624–33.
Ren Z, Xin Y, Wang Z, Liu D, Ho RCM, Ho CSH. What Factors Are Most Closely Associated With Mood Disorders in Adolescents During the COVID-19 Pandemic? A Cross-Sectional Study Based on 1,771 Adolescents in Shandong Province, China. Front Psychiatry. 2021;12(728278). Available from: www.frontiersin.org.
Brown DMY, Kwan MY, Arbour-Nicitopoulos KP, Cairney J. Identifying patterns of movement behaviours in relation to depressive symptoms during adolescence: A latent profile analysis approach. Prev Med (Baltim). 2021 Feb 1;143.
Brown DMY, Kwan MYW. Movement Behaviors and Mental Wellbeing: A Cross-Sectional Isotemporal Substitution Analysis of Canadian Adolescents. Front Behav Neurosci. 2021;15.
Gilchrist JD, Battista K, Patte KA, Faulkner G, Carson V, Leatherdale ST. Effects of reallocating physical activity, sedentary behaviors, and sleep on mental health in adolescents. Ment Health Phys Act. 2021;20. Available from: https://doi.org/10.1016/j.mhpa.2020.100380.
Khan A, Burton NW. Electronic games, television and psychological wellbeing of adolescents: Mediating role of sleep and physical activity. Int J Environ Res Public Health. 2021;18(8877):1–12. Available from: https://doi.org/10.3390/ijerph18168877.
Nigg CR, Wunsch K, Nigg C, Niessner C, Jekauc D, Schmidt SCE et al. Are Physical Activity, Screen Time, and Mental Health Related during Childhood, Preadolescence, and Adolescence? 11-Year Results from the German Motorik-Modul Longitudinal Study. Am J Epidemiol. 2021;190(2):220–9. Available from: https://academic.oup.com/aje/article/190/2/220/5901581.
Twenge JM, Farley E. Not all screen time is created equal: associations with mental health vary by activity and gender. Soc Psychiatry Psychiatr Epidemiol. 2021;56(2):207–17. Available from: https://doi.org/10.1007/s00127-020-01906-9.
Xiao S, Yan Z, Zhao L, Physical, Activity. Screen time, and Mood Disturbance among Chinese Adolescents during COVID-19. J Psychosoc Nurs Ment Health Serv. 2021;59(4):14–20.
Bang F, Roberts KC, Chaput JP, Goldfield GS, Prince SA. Physical activity, screen time and sleep duration: combined associations with psychosocial health among canadian children and youth. Heal Rep. 2020;31(5):9–16.
Barthorpe A, Winstone L, Mars B, Moran P. Is social media screen time really associated with poor adolescent mental health? A time use diary study. J Affect Disord. 2020;274:864–70. Available from: https://doi.org/10.1016/j.jad.2020.05.106.
Cao R, Gao T, Hu Y, Qin Z, Ren H, Liang L et al. Clustering of lifestyle factors and the relationship with depressive symptoms among adolescents in Northeastern China. J Affect Disord. 2020;274:704–10. Available from: https://doi.org/10.1016/j.jad.2020.05.064.
Coyne SM, Rogers AA, Zurcher JD, Stockdale L, Booth M. Does time spent using social media impact mental health? An eight year longitudinal study. Comput Human Behav. 2020;104. Available from: https://doi.org/10.1016/j.chb.2019.106160.
Faria FR, Neves Miranda VP, Howe CA, Sasaki JE, dos Santos Amorim PR. Behavioral classes related to physical activity and sedentary behavior on the evaluation of health and mental outcomes among Brazilian adolescents. PLoS One. 2020;15(6). Available from: https://doi.org/10.1371/journal.pone.0234374.
Faulkner G, Weatherson K, Patte K, Qian W, Leatherdale ST. Are one-year changes in adherence to the 24-hour movement guidelines associated with flourishing among Canadian youth? Prev Med (Baltim). 2020;139.
Kim S, Favotto L, Halladay J, Wang L, Boyle MH, Georgiades K. Differential associations between passive and active forms of screen time and adolescent mood and anxiety disorders. Soc Psychiatry Psychiatr Epidemiol. 2020;55(11):1469–78. Available from: https://doi.org/10.1007/s00127-020-01833-9.
Weatherson K, Gierc M, Patte K, Qian W, Leatherdale S, Faulkner G. Complete mental health status and associations with physical activity, screen time, and sleep in youth. Ment Health Phys Act. 2020;19. Available from: https://doi.org/10.1016/j.mhpa.2020.100354.
Zhang F, Yin X, Bi C, Ji L, Wu H, Li Y et al. Psychological symptoms are associated with screen and exercise time: a cross-sectional study of Chinese adolescents. BMC Public Health. 2020;20(1695):1–12. Available from: https://bmcpublichealth.biomedcentral.com/articles/https://doi.org/10.1186/s12889-020-09819-7.
Orben A, Przybylski AK. The association between adolescent well-being and digital technology use. Nat Hum Behav. 2019;3(2):173–82. Available from: https://doi.org/10.1038/s41562-018-0506-1.
Liu J, Liu CX, Wu T, Liu BP, Jia CX, Liu X. Prolonged mobile phone use is associated with depressive symptoms in chinese adolescents. J Affect Disord. 2019;259:128–34. https://doi.org/10.1016/j.jad.2019.08.017.
Liu M, Zhang J, Hu E, Yang H, Cheng C, Yao S. Combined patterns of physical activity and screen-related sedentary behavior among chinese adolescents and their correlations with depression, anxiety and self-injurious behaviors. Psychol Res Behav Manag. 2019;12:1041–50. Available from: https://doi.org/10.2147/PRBM.S220075.
Paulus MP, Squeglia LM, Bagot K, Jacobus J, Kuplicki R, Breslin FJ et al. Screen media activity and brain structure in youth: Evidence for diverse structural correlation networks from the ABCD study. Neuroimage. 2019;185:140–53. Available from: https://ndar.nih.gov/study.html?id=500.
Perrino T, Brincks A, Lee TK, Quintana K, Prado G. Screen-based sedentary behaviors and internalizing symptoms across time among U.S. hispanic adolescents. J Adolesc. 2019;72:91–100.
Hrafnkelsdottir SM, Brychta RJ, Rognvaldsdottir V, Gestsdottir S, Chen KY, Johannsson E et al. Less screen time and more frequent vigorous physical activity is associated with lower risk of reporting negative mental health symptoms among Icelandic adolescents. PLoS One. 2018;13(4). Available from: https://doi.org/10.1371/journal.pone.0196286.
Gireesh A, Das S, Viner RM. Impact of health behaviours and deprivation on well-being in a national sample of English young people. BMJ Paediatr Open. 2018;2. Available from: https://doi.org/10.1136/bmjpo-2018-000335.
Khan A, Uddin R, Burton NW. Insufficient physical activity in combination with high screen time is associated with adolescents’ psychosocial difficulties. Int Health. 2018;10(4):246–51. Available from: https://academic.oup.com/inthealth/article/10/4/246/4951440.
Twenge JM, Joiner TE, Rogers ML, Martin GN. Increases in depressive symptoms, suicide-related outcomes, and suicide rates among U.S. adolescents after 2010 and links to increased new media screen time. Clin Psychol Sci. 2018;6(1):3–17.
Yan H, Zhang R, Oniffrey TM, Chen G, Wang Y, Wu Y et al. Associations among screen time and unhealthy behaviors, academic performance, and well-being in Chinese adolescents. Int J Environ Res Public Health. 2017;14(6). Available from: www.mdpi.com/journal/ijerph.
Khan A, Burton NW. Is physical inactivity associated with depressive symptoms among adolescents with high screen time? Evidence from a developing country. Ment Health Phys Act. 2017;12:94–9. Available from: https://doi.org/10.1016/j.mhpa.2017.03.001.
Przybylski AK, Weinstein N. A large-scale test of the Goldilocks hypothesis: quantifying the relations between digital-screen use and the Mental Well-Being of Adolescents. Psychol Sci. 2017;28(2):204–15. Available from: www.psychologicalscience.org/PS.
Babic MJ, Smith JJ, Morgan PJ, Eather N, Plotnikoff RC, Lubans DR. Longitudinal associations between changes in screen-time and mental health outcomes in adolescents. Ment Health Phys Act. 2017;12:124–31. Available from: https://doi.org/10.1016/j.mhpa.2017.04.001.
Goldfield GS, Murray M, Maras D, Wilson AL, Phillips P, Kenny GP, et al. Screen time is associated with depressive symptomatology among obese adolescents: a HEARTY study. Eur J Pediatr. 2016;175(7):909–19.
Gunnell KE, Flament MF, Buchholz A, Henderson KA, Obeid N, Schubert N et al. Examining the bidirectional relationship between physical activity, screen time, and symptoms of anxiety and depression over time during adolescence. Prev Med (Baltim). 2016;88:147–52. Available from: https://doi.org/10.1016/j.ypmed.2016.04.002.
Hayward J, Jacka FN, Skouteris H, Millar L, Strugnell C, Swinburn BA et al. Lifestyle factors and adolescent depressive symptomatology: Associations and effect sizes of diet, physical activity and sedentary behaviour. Aust N Z J Psychiatry. 2016;50(11):1064–73. Available from: https://pubmed.ncbi.nlm.nih.gov/27738232/.
Trinh L, Wong B, Faulkner GE. The independent and interactive associations of screen time and physical activity on mental health, school connectedness and academic achievement among a population-based sample of youth. J Can Acad Child Adolesc Psychiatry. 2015;24(1):17–24.
Maras D, Flament MF, Murray M, Buchholz A, Henderson KA, Obeid N, et al. Screen time is associated with depression and anxiety in canadian youth. Prev Med (Baltim). 2015;73:133–8.
Suchert V, Hanewinkel R, Isensee B, Hansen J, Johannsen M, Krieger C, et al. Sedentary behavior, depressed affect, and indicators of mental well-being in adolescence: does the screen only matter for girls? J Adolesc. 2015;42:50–8.
Nihill GFJ, Lubans DR, Plotnikoff RC. Associations between sedentary behavior and self-esteem in adolescent girls from schools in low-income communities. Ment Health Phys Act. 2013;6:30–5. Available from: https://doi.org/10.1016/j.mhpa.2012.02.003.
Straker L, Smith A, Hands B, Olds T, Abbott R. Screen-based media use clusters are related to other activity behaviours and health indicators in adolescents. BMC Public Health. 2013 Dec 13;13(1174):1–12. Available from: https://bmcpublichealth.biomedcentral.com/articles/https://doi.org/10.1186/1471-2458-13-1174.
Arbour-Nicitopoulos KP, Faulkner GE, Irving HM. Multiple health-risk behaviour and psychological distress in adolescence. J Can Acad Child Adolesc Psychiatry. 2012;21(3):171–8.
Cao H, Qian Q, Weng T, Yuan C, Sun Y, Wang H, et al. Screen time, physical activity and mental health among urban adolescents in China. Prev Med (Baltim). 2011;53(4–5):316.
Khouja JN, Munafò MR, Tilling K, Wiles NJ, Joinson C, Etchells PJ et al. Is screen time associated with anxiety or depression in young people? Results from a UK birth cohort 11 Medical and Health Sciences 1117 Public Health and Health Services. BMC Public Health. 2019;19(82):1–11. Available from: https://bmcpublichealth.biomedcentral.com/articles/https://doi.org/10.1186/s12889-018-6321-9.
Zink J, Belcher BR, Imm K, Leventhal AM. The relationship between screen-based sedentary behaviors and symptoms of depression and anxiety in youth: a systematic review of moderating variables. BMC Public Health. 2020;20(1):1–37.
Odgers CL, Jensen MR. Annual Research Review: adolescent mental health in the digital age: facts, fears, and future directions. J Child Psychol Psychiatry Allied Discip. 2020;61(3):336–48.
Hollis C, Sampson S, Simons L, Davies EB, Churchill R, Betton V, et al. Identifying research priorities for digital technology in mental health care: results of the James Lind Alliance Priority setting Partnership. The Lancet Psychiatry. 2018;5(10):845–54.
Adhikari B. Use of screen media and mental health: Effects on adolescents and pre-adolescents. J Nepal Med Assoc. 2021;59(241):962–4. Available from: https://books.google.com.np/.
Boers E, Afzali MH, Newton N, Conrod P. Association of Screen Time and Depression in Adolescence. JAMA Pediatrics. 2019;173(9):853–9. Available from: https://jamanetwork.com/.
Yang S-Y, Wang Y-C, Lee Y-C, Lin Y-L, Hsieh P-L, Lin P-H. Does Smartphone Addiction, Social Media Addiction, and/or Internet Game Addiction Affect Adolescents’ Interpersonal Interactions? Healthcare. 2022;10(5):1–14. Available from: https://doi.org/10.3390/healthcare10050963.
Amran MS, Jamaluddin KA. Adolescent Screen Time Associated with Risk Factor of Fear of Missing Out during Pandemic COVID-19. Cyberpsychology, Behav Soc Netw. 2022;25(6):398–403. Available from: https://doi.org/10.1089/cyber.2021.0308.
Kocsis RN. Book review: Diagnostic and statistical manual of mental disorders: Fifth edition (DSM-5). Int J Offender Ther Comp Criminol. 2013;57(12):1546–8. Available from: https://doi.org/10.1177/0306624X13511040.
Rutter LA, Thompson HM, Howard J, Riley TN, De Jesús-Romero RD, Lorenzo-Luaces L. Social media use, physical activity, and internalizing symptoms in adolescence: Cross-sectional analysis. JMIR Ment Heal. 2021;8(9). Available from: https://mental.jmir.org/2021/9/e26134.
Granic I, Lobel A, Engels RCME. The benefits of playing video games. Am Psychol. 2014;69(1):66–78.
Ferguson CJ. Do angry birds make for angry children? A Meta-analysis of video game influences on children’s and adolescents’ aggression, Mental Health, Prosocial Behavior, and academic performance. Perspect Psychol Sci. 2015;10(5):646–66.
Li L, Abbey C, Wang H, Zhu A, Shao T, Dai D, Jin S, Rozelle S. The Association between Video Game Time and Adolescent Mental Health: Evidence from Rural China. International journal of environmental research and public health. 2022;19(22):14815. Available from: https://doi.org/10.3390/ijerph192214815.
Wilfong JD. Computer anxiety and anger: the impact of computer use, computer experience, and self-efficacy beliefs. Comput Hum Behav. 2006;22(6):1001–11.
Twenge JM. Have Smartphones destroyed a generation? The Atlantic. (2017). Accessed 15 June 2022. Available from: https://www.theatlantic.com/magazine/archive/2017/09/has-the-smartphone-destroyed-a-generation/534198/.
Odgers C. Smartphones are bad for some teens, not all. Nature. 2018;554(7693):432–434. Available from: https://doi.org/10.1038/d41586-018-02109-8.
Ellis DA. Are smartphones really that bad? Improving the psychological measurement of technology-related behaviors. Comput Human Behav. 2019;97:60–6. Available from: https://doi.org/10.1016/j.chb.2019.03.006.
Ellis DA, Davidson BI, Shaw H, Geyer K. Do smartphone usage scales predict behavior? Int J Hum Comput Stud. 2019;130:86–92. Available from: https://doi.org/10.1016/j.ijhcs.2019.05.004.
Granic I, Morita H, Scholten H. Beyond Screen Time: Identity Development in the Digital Age. Psychol Inq. 2020;31(3):195–223. Available from: https://www.tandfonline.com/action/journalInformation?journalCode=hpli20.
Griffioen N, Scholten H, Lichtwarck-Aschoff A, van Rooij M, Granic I. Everyone does it differently: A window into emerging adults’ smartphone use. Humanit Soc Sci Commun. 2021;8(177). Available from: https://doi.org/10.1057/s41599-021-00863-1.
Cajochen C, Frey S, Anders D, Späti J, Bues M, Pross A et al. Evening exposure to a light-emitting diodes (LED)-backlit computer screen affects circadian physiology and cognitive performance. J Appl Physiol. 2011;110(5):1432–8. Available from: https://doi.org/10.1152/japplphysiol.00165.2011.
Salzano G, Passanisi S, Pira F, Sorrenti L, La Monica G, Pajno GB et al. Quarantine due to the COVID-19 pandemic from the perspective of adolescents: the crucial role of technology. Ital J Pediatr. 2021;47(1). Available from: https://doi.org/10.1186/s13052-021-00997-7.
World Health Organization. ICD-11: International Classification of Diseases (11th Revision). 2019. Accessed 25 February 2023. Available from: https://icd.who.int/en.
World Health Organization. Depression and Other Common Mental Disorders: Global Health Estimates. 2017. Accessed 25 Feb 2023. Available from: https://apps.who.int/iris/handle/10665/254610.
World Health Organization. Technical Meeting on Sleep and Health. 2004. Accessed 25 Feb 2023. Available from: https://www.euro.who.int/__data/assets/pdf_file/0008/114101/E84683.pdf.
Marvaldi M, Mallet J, Dubertret C, Moro MR, Guessoum SB. Anxiety, depression, trauma-related, and sleep disorders among healthcare workers during the COVID-19 pandemic: a systematic review and meta-analysis. Neurosci Biobehavioral Reviews. 2021;126:252–64.
Robinson T, Condell J, Ramsey E, Leavey G. Self-Management of Subclinical Common Mental Health Disorders (Anxiety, Depression and Sleep Disorders) Using Wearable Devices. International journal of environmental research and public health. 2023;20(3):2636. Available from: https://doi.org/10.3390/ijerph20032636.
Uhls YT, Ellison NB, Subrahmanyam K. Benefits and costs of social media in adolescence. Pediatrics. 2017;140(2):67–70. Available from: /pediatrics/article/140/Supplement_2/S67/34168/Benefits-and-Costs-of-Social-Media-in-Adolescence.
Wu X, Tao S, Zhang S, Zhang Y, Chen K, Yang Y, Hao J, Tao F. Impact of screen time on mental health problems progression in youth: a 1-year follow-up study. BMJ open. 2016;6(11):e011533. Available from: https://doi.org/10.1136/bmjopen-2016-011533.
Ethics approval and consent to participate
Consent for publication
The authors report no conflict of interest.
Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
About this article
Cite this article
Santos, R.M.S., Mendes, C.G., Sen Bressani, G. et al. The associations between screen time and mental health in adolescents: a systematic review. BMC Psychol 11, 127 (2023). https://doi.org/10.1186/s40359-023-01166-7