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Article: Associations of Electronic Device Use Before and After Sleep With Psychological Distress Among Chinese Adults in Hong Kong: Cross-Sectional Study

TitleAssociations of Electronic Device Use Before and After Sleep With Psychological Distress Among Chinese Adults in Hong Kong: Cross-Sectional Study
Authors
Keywordsaddictive behavior
anxiety
computers
depression
devices
Issue Date2020
PublisherJMIR Publications. The Journal's web site is located at http://mental.jmir.org/
Citation
JMIR Mental Health, 2020, v. 7 n. 6, p. article no. e15403 How to Cite?
AbstractBackground: Hong Kong has a high rate of electronic device (e-device; computer, smartphone, and tablet) use. However, little is known about the associations of the duration of e-device use before and after sleep with psychological symptoms. Objective: This study aimed to investigate the associations of the duration of e-device use before and after sleep with psychological distress. Methods: A probability-based telephone survey was conducted on 3162 Hong Kong adults (54.6% female; mean age 47.4 years, SD 18.3 years) in 2016. Multivariate linear and Poisson regressions were used to calculate adjusted regression coefficients (aBs) and prevalence ratios (aPRs) of anxiety and depressive symptoms (measured by Patient Health Questionnaire-4) for the duration from waking to the first e-device use (≥61, 31-60, 6-30, and ≤5 minutes) and the duration of e-device use before sleeping (≤5, 6-30, 31-60, and ≥61 minutes). Results: The first e-device use in ≤5 (vs ≥61) minutes after waking was associated with anxiety (aB 0.35, 95% CI 0.24-0.46; aPR 1.74, 95% CI 1.34-2.25) and depressive symptoms (aB 0.27, 95% CI 0.18-0.37; aPR 1.84, 95% CI 1.33-2.54). Using e-devices for ≥61 (vs ≤5) minutes before sleeping was also associated with anxiety (aB 0.17, 95% CI 0.04-0.31; aPR 1.32, 95% CI 1.01-1.73) and depressive symptoms (aB 0.17, 95% CI 0.05-0.28; aPR 1.47, 95% CI 1.07-2.02). E-device use both ≤5 minutes after waking and for ≥61 minutes before sleeping was strongly associated with anxiety (aB 0.68, 95% CI 0.47-0.90; aPR 2.64, 95% CI 1.90-3.67) and depressive symptoms (aB 0.55, 95% CI 0.36-0.74; aPR 2.56, 95% CI 1.69-3.88). Conclusions: E-device use immediately (≤5 minutes) after waking and use for a long duration (≥61 minutes) before sleeping were associated with anxiety and depressive symptoms among Chinese adults in Hong Kong
Persistent Identifierhttp://hdl.handle.net/10722/284745
ISSN
2019 Impact Factor: 3.535
PubMed Central ID
ISI Accession Number ID

 

DC FieldValueLanguage
dc.contributor.authorLee, JJJ-
dc.contributor.authorWang, MP-
dc.contributor.authorLuk, TT-
dc.contributor.authorGUO, N-
dc.contributor.authorChan, SSC-
dc.contributor.authorLam, TH-
dc.date.accessioned2020-08-07T09:02:03Z-
dc.date.available2020-08-07T09:02:03Z-
dc.date.issued2020-
dc.identifier.citationJMIR Mental Health, 2020, v. 7 n. 6, p. article no. e15403-
dc.identifier.issn2368-7959-
dc.identifier.urihttp://hdl.handle.net/10722/284745-
dc.description.abstractBackground: Hong Kong has a high rate of electronic device (e-device; computer, smartphone, and tablet) use. However, little is known about the associations of the duration of e-device use before and after sleep with psychological symptoms. Objective: This study aimed to investigate the associations of the duration of e-device use before and after sleep with psychological distress. Methods: A probability-based telephone survey was conducted on 3162 Hong Kong adults (54.6% female; mean age 47.4 years, SD 18.3 years) in 2016. Multivariate linear and Poisson regressions were used to calculate adjusted regression coefficients (aBs) and prevalence ratios (aPRs) of anxiety and depressive symptoms (measured by Patient Health Questionnaire-4) for the duration from waking to the first e-device use (≥61, 31-60, 6-30, and ≤5 minutes) and the duration of e-device use before sleeping (≤5, 6-30, 31-60, and ≥61 minutes). Results: The first e-device use in ≤5 (vs ≥61) minutes after waking was associated with anxiety (aB 0.35, 95% CI 0.24-0.46; aPR 1.74, 95% CI 1.34-2.25) and depressive symptoms (aB 0.27, 95% CI 0.18-0.37; aPR 1.84, 95% CI 1.33-2.54). Using e-devices for ≥61 (vs ≤5) minutes before sleeping was also associated with anxiety (aB 0.17, 95% CI 0.04-0.31; aPR 1.32, 95% CI 1.01-1.73) and depressive symptoms (aB 0.17, 95% CI 0.05-0.28; aPR 1.47, 95% CI 1.07-2.02). E-device use both ≤5 minutes after waking and for ≥61 minutes before sleeping was strongly associated with anxiety (aB 0.68, 95% CI 0.47-0.90; aPR 2.64, 95% CI 1.90-3.67) and depressive symptoms (aB 0.55, 95% CI 0.36-0.74; aPR 2.56, 95% CI 1.69-3.88). Conclusions: E-device use immediately (≤5 minutes) after waking and use for a long duration (≥61 minutes) before sleeping were associated with anxiety and depressive symptoms among Chinese adults in Hong Kong-
dc.languageeng-
dc.publisherJMIR Publications. The Journal's web site is located at http://mental.jmir.org/-
dc.relation.ispartofJMIR Mental Health-
dc.rightsJMIR Mental Health. Copyright © JMIR Publications.-
dc.rightsThis work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.-
dc.subjectaddictive behavior-
dc.subjectanxiety-
dc.subjectcomputers-
dc.subjectdepression-
dc.subjectdevices-
dc.titleAssociations of Electronic Device Use Before and After Sleep With Psychological Distress Among Chinese Adults in Hong Kong: Cross-Sectional Study-
dc.typeArticle-
dc.identifier.emailLee, JJJ: leejay@hku.hk-
dc.identifier.emailWang, MP: mpwang@hku.hk-
dc.identifier.emailLuk, TT: lukkevin@hku.hk-
dc.identifier.emailChan, SSC: scsophia@hku.hk-
dc.identifier.emailLam, TH: hrmrlth@hkucc.hku.hk-
dc.identifier.authorityLee, JJJ=rp02239-
dc.identifier.authorityWang, MP=rp01863-
dc.identifier.authorityChan, SSC=rp00423-
dc.identifier.authorityLam, TH=rp00326-
dc.description.naturepublished_or_final_version-
dc.identifier.doi10.2196/15403-
dc.identifier.pmid32525489-
dc.identifier.pmcidPMC7317625-
dc.identifier.hkuros311571-
dc.identifier.volume7-
dc.identifier.issue6-
dc.identifier.spagearticle no. e15403-
dc.identifier.epagearticle no. e15403-
dc.identifier.isiWOS:000539571900001-
dc.publisher.placeCanada-

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