Sleep Disturbance Mediates the Relationship between Problematic Technology Use and Psychotic-Like Experiences: A Large CrossSectional Study in 87,302 Chinese Adolescents-Journal of Psychiatry and Brain Science-CSCIED科技核心评价数据库-手机版

Sleep Disturbance Mediates the Relationship between Problematic Technology Use and Psychotic-Like Experiences: A Large CrossSectional Study in 87,302 Chinese Adolescents

Sleep Disturbance Mediates the Relationship between Problematic Technology Use and Psychotic-Like Experiences: A Large CrossSectional Study in 87,302 Chinese Adolescents

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DOI	10.20900/jpbs.20240004
刊名	Journal of Psychiatry and Brain Science JPBS
年，卷(期)	2024, 9(3)
作者	Aijun Liao,Pu Peng,Youguo Tan,Jingguang Li,Zhangming Chen,Linlin Zhao,Zhenmei Zhang,Jiaqi Chen,Xiaogang Chen*,
作者单位	1 Department of Psychiatry, National Clinical Research Center for Mental Disorders, and National Center for Mental Disorders, The Second Xiangya Hospital of Central South University, Changsha 410011, Hunan, China; 2 Department of Psychiatry, Sir Run Run Shaw Hospital, School of Medicine, Zhejiang University, Hangzhou 310016, Zhejiang, China; 3 Department of Psychiatry, Zigong Mental Health Center, Zigong Institute of Brain Science, The Zigong Affiliated Hospital of Southwest Medical University, Zigong 643020, Sichuan, China
Abstract	Background: This study of 87,302 Chinese adolescents aimed to test: (1) theassociation of psychotic-like experiences (PLEs) with sleep disturbance and three different subtypes of problematic technology use (PTU), including problematic social media use (PSMU), problematic smartphone use (PSU), and internet gaming disorder (IGD); and (2) whether sleep disturbance mediated the relationship between PTU and PLEs.Method: 16-item Prodromal Questionnaire, Smartphone-Application Based Addiction Scale, the Bergen Social Media Addiction Scale, the Internet Gaming Disorder Scale-Short Form, Pittsburgh Sleep Quality Index, and Strength and Difficulties Questionnaires were employed.Results: (1) The prevalence of clinically relevant PLEs, IGD, PSMU, PSU, and sleep disturbance was 18.1%, 2.4%, 1.5%, 17.2%, and 26%, respectively. (2) PSU, PSMU, and IGD displayed comparable levels of association with PLEs (r = 0.37–0.41) and sleep disturbance (r = 0.42–0.47); (3) Sleep disturbance acted as a partial mediator between PTU and PLEs, mediating 51.8% of the effect of PSU, 49.2% of the effect of PSMU, and 44.1% of the effects of the IGD on PLEs.Conclusion: PTUs are closely associated with sleep disturbance and PLEs. The results call for formal assessments for sleep disturbance and PLEs among adolescents with PTU. Furthermore, targeting sleep disturbanceholds great promise for the prevention and treatment of PLEs among adolescents, particularly those with PTUs.
KeyWord	psychotic-like experience; problematic smartphone use; problematic social media use; internet gaming disorder; sleep disturbance
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1. Wang D, Chen H, Chen Z, Liu W, Wu L, Chen Y, et al. Current psychotic-like experiences among adolescents in China: Identifying risk and protective factors. Schizophr Res. 2022;244:111-7. 2. Wang D, Zhou L, Chen C, Sun M. Psychotic-like experiences during COVID-19 lockdown among adolescents: Prevalence, risk and protective factors. Schizophr Res. 2023;252:309-16. 3. Wang D, Chen H, Chen Z, Yang Z, Zhou X, Tu N, et al. Resilience buffers the association between sleep disturbance and psychotic-like experiences in adolescents. Schizophr Res. 2022;244:118-25. 4. Fekih-Romdhane F, Pandi-Perumal SR, Conus P, Krebs MO, Cheour M, Seeman MV, et al. Prevalence and risk factors of self-reported psychotic experiences among high school and college students: A systematic review, meta-analysis, and meta-regression. Acta Psychiatr Scand. 2022;146(6):492-514. 5. Wu Z, Liu Z, Zou Z, Wang F, Zhu M, Zhang W, et al. Changes of psychotic-like experiences and their association with anxiety/depression among young adolescents before COVID-19 and after the lockdown in China. Schizophr Res. 2021;237:40-6. 6. Isaksson J, Vadlin S, Olofsdotter S, Åslund C, Nilsson KW. Psychotic-like experiences during early adolescence predict symptoms of depression, anxiety, and conduct problems three years later: A community-based study. Schizophr Res. 2020;215:190-6. 7. Nishida A, Sasaki T, Nishimura Y, Tanii H, Hara N, Inoue K, et al. Psychotic-like experiences are associated with suicidal feelings and deliberate self-harm behaviors in adolescents aged 12–15 years. Acta Psychiatr Scand. 2010;121(4):301-7. 8. Karcher NR, O’Hare K, Jay SY, Grattan R. Strengthening associations between psychotic like experiences and suicidal ideation and behavior across middle childhood and early adolescence. Psychol Med. 2022;21;1-9. 9. Jay SY, Schiffman J, Grattan R, O’Hare K, Klaunig M, DeVylder J, et al. A Deeper Dive into the Relation Between Psychotic-like Experiences and Suicidal Ideation and Behaviors in Children Across the United States. Schizophr Bull. 2022;48(6):1241-51. 10. Fisher HL, Caspi A, Poulton R, Meier MH, Houts R, Harrington H, et al. Specificity of childhood psychotic symptoms for predicting schizophrenia by 38 years of age: a birth cohort study. Psychol Med. 2013;43(10):2077-86. 11. Lee JY, Ban D, Kim SY, Kim JM, Shin IS, Yoon JS, et al. Negative Life Events and Problematic Internet Use as Factors Associated with Psychotic-Like Experiences in Adolescents. Front Psychiatry. 2019;10:369. 12. McMahon EM, Corcoran P, Keeley H, Clarke M, Coughlan H, Wasserman D, et al. Risk and protective factors for psychotic experiences in adolescence: a population-based study. Psychol Med. 2021;51(7):1220-8. 13. Huang PC, Chen JS, Potenza MN, Griffiths MD, Pakpour AH, Chen JK, et al. Temporal associations between physical activity and three types of problematic use of the internet: A six-month longitudinal study. J Behav Addict. 2022;11(4):1055-67. 14. Meng SQ, Cheng JL, Li YY, Yang XQ, Zheng JW, Chang XW, et al. Global prevalence of digital addiction in general population: A systematic review and meta-analysis. Clin Psychol Rev. 2022;92:102128. 15. Mendhekar DN, Andrade C. Emergence of psychotic symptoms during Internet withdrawal. Psychiatry Clin Neurosci. 2012;66(2):163. 16. Tzang RF, Chang CH, Chang YC. Adolescent’s psychotic-like symptoms associated with Internet addiction. Psychiatry Clin Neurosci. 2015;69(6):384. 17. Mittal VA, Dean DJ, Pelletier A. Internet addiction, Reality Substitution, and Longitudinal Changes in Psychotic-like Experiences in Young Adults. Early Interv Psychiatry. 2013;7(3):261-9. 18. Fekih-Romdhane F, Malaeb D, Loch AA, Farah N, Stambouli M, Cheour M, et al. Problematic Smartphone Use Mediates the Pathway from Suicidal Ideation to Positive Psychotic Experiences: A Large Cross-Sectional, Population-Based Study. Int J Ment Health Addict. 2023;1-18. doi: 10.1007/s11469-023-01028-8 19. Fekih-Romdhane F, Sassi H, Cheour M. The relationship between social media addiction and psychotic-like experiences in a large nonclinical student sample. Psychosis. 2021;13(4):349-60. 20. Massaro D, Nitzburg G, Dinzeo T. Schizotypy as a predictor for problematic technology use in emerging adults. Curr Psychol. 2023;42(15):13020-9. 21. Fekih-Romdhane F, Jahrami H, Away R, Trabelsi K, Pandi-Perumal SR, Seeman MV, et al. The relationship between technology addictions and schizotypal traits: mediating roles of depression, anxiety, and stress. BMC Psychiatry. 2023;23(1):67. 22. Fekih-Romdhane F, Away R, Jahrami H, Cheour M. Internet addiction is associated with psychological distress in highly schizotypal students. Early Interv Psychiatry. 2023;17(7):681-91. 23. Truzoli R, Osborne LA, Romano M, Reed P. The relationship between schizotypal personality and internet addiction in university students. Comput Hum Behav. 2016;63:19-24. 24. Chang KC, Chang YH, Yen CF, Chen JS, Chen PJ, Lin CY, et al. A longitudinal study of the effects of problematic smartphone use on social functioning among people with schizophrenia: Mediating roles for sleep quality and self-stigma. J Behav Addict. 2022;11(2):567-76. 25. Amendola S, Cerutti R, Presaghi F. Symptoms of Prolonged Social Withdrawal, Problematic Internet Use, and Psychotic-Like Experiences in Emerging Adulthood: A Moderation Model. Clin Neuropsychiatry. 2023;20(1):29-38. 26. Fekih-Romdhane F, Lamloum E, Loch AA, Cherif W, Cheour M, Hallit S. The relationship between internet gaming disorder and psychotic experiences: cyberbullying and insomnia severity as mediators. BMC Psychiatry. 2023;23:857. 27. Staines L, Healy C, Coughlan H, Clarke M, Kelleher I, Cotter D, et al. Psychotic experiences in the general population, a review; definition, risk factors, outcomes and interventions. Psychol Med. 2022;52(15):1-12. 28. Byeon G, Jo SJ, Park JI, Jeong H, Lee HK, Yim HW. Risk factors and outcomes of internet gaming disorder identified in Korean prospective adolescent cohort study. J Behav Addict. 2022;11(4):1035-43. 29. Zhou R, Foo JC, Yamaguchi S, Nishida A, Ogawa S, Usami S, et al. The longitudinal relationship between sleep length and psychotic-like experiences in adolescents. Psychiatry Res. 2022;317:114893. 30. Wang D, Ma Z, Scherffius A, Liu W, Bu L, Sun M, et al. Sleep disturbance is predictive of psychotic-like experiences among adolescents: A two-wave longitudinal survey. Sleep Med. 2023;101:296-304. 31. Guo L, Luo M, Wang WX, Huang GL, Xu Y, Gao X, et al. Association between problematic Internet use, sleep disturbance, and suicidal behavior in Chinese adolescents. J Behav Addict. 2018;7(4):965-75. 32. Ma JQ, Sheng L. Internet use time and mental health among rural adolescents in China: A longitudinal study. J Affect Disord. 2023;337:18-26. 33. Zhou M, Zhu W, Sun X, Huang L. Internet addiction and child physical and mental health: Evidence from panel dataset in China. J Affect Disord. 2022;309:52-62. 34. Li JB, Lau JTF, Mo PKH, Su XF, Tang J, Qin ZG, et al. Insomnia partially mediated the association between problematic Internet use and depression among secondary school students in China. J Behav Addict. 2017;6(4):554-63. 35. de Jong Y, Boon AE, Gouw D, van der Gaag M, Mulder CL. Improving screening methods for psychosis in an adolescent help-seeking population using the Child Behavior Checklist (CBCL) and the Youth Self Report (YSR) versus the Prodromal Questionnaire -16 items version (PQ-16). Child Adolesc Psychiatry Ment Health. 2022;16(1):25. 36. Howie C, Hanna D, Shannon C, Davidson G, Mulholland C. The Structure of the Prodromal Questionnaire-16 (PQ-16): Exploratory and confirmatory factor analyses in a general non-help-seeking population sample. Early Interv Psychiatry. 2022;16(3):239-46. 37. Chen F, Wang L, Heeramun-Aubeeluck A, Wang J, Shi J, Yuan J, et al. Identification and characterization of college students with Attenuated Psychosis Syndrome in China. Psychiat Res. 2014;216(3):346-50. 38. Chen F, Wang L, Wang J, Heeramun-Aubeeluck A, Yuan J, Zhao X. Applicability of the Chinese version of the 16-item Prodromal Questionnaire (CPQ-16) for identifying attenuated psychosis syndrome in a college population. Early Interv Psychiatry. 2016;10(4):308-15. 39. Tsai PS, Wang SY, Wang MY, Su CT, Yang TT, Huang CJ, et al. Psychometric evaluation of the Chinese version of the Pittsburgh Sleep Quality Index (CPSQI) in primary insomnia and control subjects. Qual Life Res. 2005;14(8):1943-52. 40. Leung H, Pakpour AH, Strong C, Lin YC, Tsai MC, Griffiths MD, et al. Measurement invariance across young adults from Hong Kong and Taiwan among three internet-related addiction scales: Bergen Social Media Addiction Scale (BSMAS), Smartphone Application-Based Addiction Scale (SABAS), and Internet Gaming Disorder Scale-Short Form (IGDS-SF9) (Study Part A). Addict Behav. 2020;101:105969. 41. Luo T, Qin L, Cheng L, Wang S, Zhu Z, Xu J, et al. Determination the cut-off point for the Bergen social media addiction (BSMAS): Diagnostic contribution of the six criteria of the components model of addiction for social media disorder. J Behav Addict. 2021;10(2):281-90. 42. Peng P, Chen Z, Ren S, Liu Y, He R, Liang Y, et al. Determination of the cutoff point for Smartphone Application-Based Addiction Scale for adolescents: a latent profile analysis. BMC Psychiatry. 2023;23(1):675. 43. Peng P, Liao Y. Six addiction components of problematic social media use in relation to depression, anxiety, and stress symptoms: a latent profile analysis and network analysis. BMC Psychiatry. 2023;23(1):321. 44. Qin L, Cheng L, Hu M, Liu Q, Tong J, Hao W, et al. Clarification of the Cut-off Score for Nine-Item Internet Gaming Disorder Scale-Short Form (IGDS9-SF) in a Chinese Context. Front Psychiatry. 2020;11:470. 45. Liu SK, Chien YL, Shang CY, Lin CH, Liu YC, Gau SSF. Psychometric properties of the Chinese version of Strength and Difficulties Questionnaire. Compr Psychiat. 2013;54(6):720-30. 46. Du Y, Kou J, Coghill D. The validity, reliability and normative scores of the parent, teacher and self report versions of the Strengths and Difficulties Questionnaire in China. Child Adolesc Psychiatry Ment Health. 2008;2(1):8. 47. Peng P, Wang Q, Ren H, Zhou Y, Hao Y, Chen S, et al. Association between thyroid hormones and comorbid psychotic symptoms in patients with first-episode and drug-naïve major depressive disorder. Psychiat Res. 2023;320:115052. 48. Cudo A, Zabielska-Mendyk E. Cognitive functions in Internet addiction—a review. Psychiatr Pol. 2019;53(1):61-79. 49. Stanković M, Nešić M, Čičević S, Shi Z. Association of smartphone use with depression, anxiety, stress, sleep quality, and internet addiction. Empirical evidence from a smartphone application. Pers Indiv Differ. 2021;168:110342. 50. Stanković M, Nešić M. Association of internet addiction with depression, anxiety, stress, and the quality of sleep: Mediation analysis approach in Serbian medical students. Curr Res Behav Sci. 2022;3:100071. 51. Fineberg NA, Menchón JM, Hall N, Dell'Osso B, Brand M, Potenza MN, et al. Advances in problematic usage of the internet research—A narrative review by experts from the European network for problematic usage of the internet. Compr Psychiat. 2022;118:152346. 52. Kokka I, Mourikis I, Nicolaides NC, Darviri C, Chrousos GP, Kanaka-Gantenbein C, et al. Exploring the Effects of Problematic Internet Use on Adolescent Sleep: A Systematic Review. Int J Environ Res Public Health. 2021;18(2):760. 53. Wong HY, Mo HY, Potenza MN, Chan MNM, Lau WM, Chui TK, et al. Relationships between Severity of Internet Gaming Disorder, Severity of Problematic Social Media Use, Sleep Quality and Psychological Distress. Int J Environ Res Public Health. 2020;17(6):1879. 54. Reeve S, Sheaves B, Freeman D. The role of sleep dysfunction in the occurrence of delusions and hallucinations: A systematic review. Clin Psychol Rev. 2015;42:96-115. 55. Tu Z, He J, Li Y, Wang Z, Wang C, Tian J, et al. Can restricting while-in-bed smartphone use improve sleep quality via decreasing pre-sleep cognitive arousal among Chinese undergraduates with problematic smartphone use? Longitudinal mediation analysis using parallel process latent growth curve modeling. Addict Behav. 2023;147:107825. 56. van den Eijnden RJJM, Geurts SM, Ter Bogt TFM, van der Rijst VG, Koning IM. Social Media Use and Adolescents’ Sleep: A Longitudinal Study on the Protective Role of Parental Rules Regarding Internet Use before Sleep. Int J Environ Res Public Health. 2021;18(3):1346.

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Aijun Liao,Pu Peng,Youguo Tan,Jingguang Li,Zhangming Chen,Linlin Zhao,Zhenmei Zhang,Jiaqi Chen,Xiaogang Chen*. Sleep Disturbance Mediates the Relationship between Problematic Technology Use and Psychotic-Like Experiences: A Large CrossSectional Study in 87,302 Chinese Adolescents, Journal of Psychiatry and Brain Science. 2024; 9; (3). https://doi.org/10.20900/jpbs.20240004.

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