Screen time and extracurricular activities as risk and protective factors for mental health in adolescence: A population-level study
Abstract
This study examines adolescents' (N = 28,712; 49% female; M age = 12.25, SD age = 0.51) recreational screen time and participation in extracurricular activities during after-school hours in association to indicators of positive (optimism, satisfaction with life) and negative (anxiety, depressive symptoms) mental health and wellbeing. Data were drawn from a population-level study with the Middle Years Development Instrument (MDI) with grade 7 students in British Columbia (BC), Canada. The research was implemented in public school districts between 2014 and 2018. We found that adolescents who participated in extracurricular activities (e.g., sports, arts programs, community programs) were significantly less likely to engage in recreational screen-based activities (e.g., watching programs, browsing the internet, playing computer games) for 2 or more hours after school. Findings from Multilevel Structural Equation Modeling analyses showed that extracurricular participation was associated with higher levels of satisfaction with life and optimism, and lower levels of anxiety and depressive symptoms. In contrast, longer screen time (≥2 h/day) was associated with lower levels of satisfaction with life and optimism, and higher levels of anxiety and depressive symptoms; shorter screen time (<2 h/day) was associated with favorable mental health and wellbeing. For screen time, the effect was moderated by gender; the association between longer screen time and poorer mental health and wellbeing was significantly more pronounced for girls than boys. For both boys and girls, mental health and wellbeing were most favorable if they participated in extracurricular activities and reported less than 2 h of recreational screen time per day.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
An adult figure other than a parent (such as a teacher, coach, etc.) or engagement with community activities can serve as informal sources of mental health help-seeking and as positive elements, respectively, in young people's lives, which may help them cope with mental health difficulties.
“For example, research shows that an adult figure other than a parent (such as a teacher, coach, etc.) or engagement with community activities can serve as informal sources of mental health help-seeking and as positive elements, respectively, in young people’s lives, which may help them cope with mental health difficulties [55,56].”
From Exploring the Impact of COVID-19 on Mental Health Outcomes in Children and Adolescents: A Systematic Review (2020) · cites this paper as [56]
Cites
Principles and Practice of Structural Equation Modeling
Tabri, N., & Elliott, C. M. (2012) · Canadian Graduate Journal of Sociology and Criminology · doi:10.15353/cgjsc.v1i1.3787 · Cited by 39,065 · see citing works
(1998) · Cited by 36,049 · see citing works
Schafer, J. L. (1999) · Statistical Methods in Medical Research · doi:10.1177/096228029900800102 · Cited by 3,949 · see citing works
Eime, R. M., Young, J. A., Harvey, J. T., Charity, M. J., & Payne, W. R. (2013) · International Journal of Behavioral Nutrition and Physical Activity · doi:10.1186/1479-5868-10-98 · Cited by 2,366 · see citing works
Twenge, J. M., Joiner, T. E., Rogers, M. L., & Martin, G. N. (2018) · Clinical Psychological Science · doi:10.1177/2167702617723376 · Cited by 1,705 · see citing works
Twenge, J. M., & Campbell, W. K. (2018) · Preventive Medicine Reports · doi:10.1016/j.pmedr.2018.10.003 · Cited by 1,304 · see citing works
Przybylski, A. K., & Weinstein, N. (2017) · Psychological Science · doi:10.1177/0956797616678438 · Cited by 890 · see citing works
Twenge, J. M., Martin, G. N., & Campbell, W. K. (2018) · Emotion · doi:10.1037/emo0000403 · Cited by 750 · see citing works
Hoare, E., Milton, K., Foster, C., & Allender, S. (2016) · International Journal of Behavioral Nutrition and Physical Activity · doi:10.1186/s12966-016-0432-4 · Cited by 616 · see citing works
Ybarra, M. L. (2004) · CyberPsychology & Behavior · doi:10.1089/109493104323024500 · Cited by 425 · see citing works
Screen time is associated with depression and anxiety in Canadian youth
Maras, D., Flament, M. F., Murray, M., Buchholz, A., Henderson, K. A., Obeid, N., & Goldfield, G. S. (2015) · Preventive Medicine · doi:10.1016/j.ypmed.2015.01.029 · Cited by 406 · see citing works
Physical activity and sedentary behaviours in youth: issues and controversies
Biddle, S., Gorely, T., Marshall, S. J., Murdey, I. D., & Cameron, N. (2004) · The Journal of the Royal Society for the Promotion of Health · doi:10.1177/146642400312400110 · Cited by 359 · see citing works
Van Droogenbroeck, F., Spruyt, B., & Keppens, G. (2018) · BMC Psychiatry · doi:10.1186/s12888-018-1591-4 · Cited by 353 · see citing works
LeBlanc, A. G., Katzmarzyk, P. T., Barreira, T. V., Broyles, S. T., Chaput, J.-P., Church, T. S., Fogelholm, M., Harrington, D. M., Hu, G., Kuriyan, R., et al. (2015) · PLOS ONE · doi:10.1371/journal.pone.0129622 · Cited by 335 · see citing works
Suchert, V., Hanewinkel, R., & Isensee, B. (2015) · Preventive Medicine · doi:10.1016/j.ypmed.2015.03.026 · Cited by 329 · see citing works
Darling, N. E. (2005) · Journal of Youth and Adolescence · doi:10.1007/s10964-005-7266-8 · Cited by 316 · see citing works
Fredricks, J. A., & Eccles, J. S. (2008) · Journal of Youth and Adolescence · doi:10.1007/s10964-008-9309-4 · Cited by 304 · see citing works
Wang, X., Li, Y., & Fan, H. (2019) · BMC Public Health · doi:10.1186/s12889-019-7904-9 · Cited by 299 · see citing works
Schaefer, D. R., Simpkins, S. D., Vest, A. E., & Price, C. D. (2011) · Developmental Psychology · doi:10.1037/a0024091 · Cited by 275 · see citing works
Iannotti, R. J., Kogan, M. D., Janssen, I., & Boyce, W. F. (2009) · Journal of Adolescent Health · doi:10.1016/j.jadohealth.2008.10.142 · Cited by 260 · see citing works
Children's Organized Activities
Vandell, D. L., Larson, R. W., Mahoney, J. L., & Watts, T. W. (2015) · Wiley eBooks · doi:10.1002/9781118963418.childpsy408 · Cited by 236 · see citing works
Bélair, M., Kohen, D., Kingsbury, M. K., & Colman, I. (2018) · BMJ Open · doi:10.1136/bmjopen-2017-021119 · Cited by 217 · see citing works
Extracurricular Participation and Academic Outcomes: Testing the Over-Scheduling Hypothesis
Fredricks, J. A. (2011) · Journal of Youth and Adolescence · doi:10.1007/s10964-011-9704-0 · Cited by 216 · see citing works
Screen time, physical activity and mental health among urban adolescents in China
Cao, H., Qian, Q., Weng, T., Yuan, C., Sun, Y., Wang, H., & Tao, F. (2011) · Preventive Medicine · doi:10.1016/j.ypmed.2011.09.002 · Cited by 211 · see citing works
Profiles and portfolios of adolescent school‐based extracurricular activity participation
Feldman, A. F., & Matjasko, J. L. (2007) · Journal of Adolescence · doi:10.1016/j.adolescence.2006.03.004 · Cited by 178 · see citing works
Fredricks, J. A., & Simpkins, S. D. (2011) · Child Development Perspectives · doi:10.1111/j.1750-8606.2011.00206.x · Cited by 168 · see citing works
Oberle, E., Ji, X. R., Guhn, M., Schonert-Reichl, K. A., & Gadermann, A. (2019) · Journal of Youth and Adolescence · doi:10.1007/s10964-019-01110-2 · Cited by 146 · see citing works
Self-citationLongitudinal associations between changes in screen-time and mental health outcomes in adolescents
Babic, M. J., Smith, J. J., Morgan, P. J., Eather, N., Plotnikoff, R. C., & Lubans, D. R. (2017) · Mental Health and Physical Activity · doi:10.1016/j.mhpa.2017.04.001 · Cited by 137 · see citing works
When children play, they feel better: organized activity participation and health in adolescents
Baďura, P., Gecková, A. M., Sigmundová, D., van Dijk, J. P., & Reijneveld, S. A. (2015) · BMC Public Health · doi:10.1186/s12889-015-2427-5 · Cited by 132 · see citing works
Physical activity, screen time and self-rated health and mental health in Canadian adolescents
Herman, K. M., Hopman, W. M., & Sabiston, C. M. (2015) · Preventive Medicine · doi:10.1016/j.ypmed.2015.01.030 · Cited by 127 · see citing works
Schonert-Reichl, K. A., Guhn, M., Gadermann, A. M., Hymel, S., Sweiss, L., & Hertzman, C. (2013) · Social Indicators Research · doi:10.1007/s11205-012-0149-y · Cited by 121 · see citing works
Self-citationExploring Pathways From Television Viewing to Academic Achievement in School Age Children
Shin, N. (2004) · The Journal of Genetic Psychology · doi:10.3200/gntp.165.4.367-382 · Cited by 112 · see citing works
Clinical and Personality Correlates of MMO Gaming
Cole, S. H., & Hooley, J. M. (2013) · Social Science Computer Review · doi:10.1177/0894439312475280 · Cited by 106 · see citing works
Lifestyle Behavior and Mental Health in Early Adolescence
Loewen, O. K., Maximova, K., Ekwaru, J. P., Faught, E. L., Asbridge, M., Öhinmaa, A., & Veugelers, P. J. (2019) · PEDIATRICS · doi:10.1542/peds.2018-3307 · Cited by 105 · see citing works
Activity Involvement as an Ecological Asset: Profiles of Participation and Youth Outcomes
Agans, J. P., Champine, R. B., DeSouza, L. M., Mueller, M. K., Johnson, S. K., & Lerner, R. M. (2014) · Journal of Youth and Adolescence · doi:10.1007/s10964-014-0091-1 · Cited by 104 · see citing works
Shulruf, B. (2010) · International Review of Education · doi:10.1007/s11159-010-9180-x · Cited by 96 · see citing works
Reducing Recreational Sedentary Screen Time
Buchanan, L. R., Rooks-Peck, C. R., Finnie, R. K. C., Wethington, H. R., Jacob, V., Fulton, J. E., Johnson, D. B., Kahwati, L. C., PRATT, C. A., Ramı́rez, G., et al. (2016) · American Journal of Preventive Medicine · doi:10.1016/j.amepre.2015.09.030 · Cited by 95 · see citing works
Mason, M. J., Schmidt, C. D., Abraham, A., Walker, L. R., & Tercyak, K. P. (2009) · Journal of Clinical Psychology in Medical Settings · doi:10.1007/s10880-009-9169-4 · Cited by 88 · see citing works
Lewis, A., Sae-Koew, J. H., Toumbourou, J., & Rowland, B. (2020) · Journal of Affective Disorders · doi:10.1016/j.jad.2019.09.027 · Cited by 79 · see citing works
Physical Activity and Screen Time Sedentary Behaviors in College Students
Fountaine, C. J., Liguori, G. A., Mozumdar, A., & Schuna, J. M. (2011) · International journal of exercise science · doi:10.70252/iuhk4065 · Cited by 78 · see citing works
Forneris, T., Camiré, M., & Williamson, R. (2014) · Applied Developmental Science · doi:10.1080/10888691.2014.980580 · Cited by 69 · see citing works
McCabe, K. O., Modecki, K. L., & Barber, B. L. (2016) · Journal of Youth and Adolescence · doi:10.1007/s10964-016-0454-x · Cited by 63 · see citing works
Im, M. H., Hughes, J. N., Cao, Q., & Kwok, O. (2016) · American Educational Research Journal · doi:10.3102/0002831216667479 · Cited by 55 · see citing works
When and How Does Participating in an Organized After-School Activity Matter?
Simpkins, S. D. (2015) · Applied Developmental Science · doi:10.1080/10888691.2015.1056344 · Cited by 46 · see citing works
Measuring social-emotional development in middle childhood: The Middle Years Development Instrument
Thomson, K., Oberle, E., Gadermann, A., Guhn, M., Rowcliffe, P., & Schonert-Reichl, K. A. (2017) · Journal of Applied Developmental Psychology · doi:10.1016/j.appdev.2017.03.005 · Cited by 40 · see citing works
Self-citationDeutsch, N. L., Blyth, D. A., Kelley, J., Tolan, P. H., & Lerner, R. M. (2017) · SpringerBriefs in psychology · doi:10.1007/978-3-319-59132-2_4 · Cited by 40 · see citing works
Gregory, T. A., Engelhardt, D., Lewkowicz, A., Luddy, S., Guhn, M., Gadermann, A., Schonert-Reichl, K. A., & Brinkman, S. A. (2018) · Child Indicators Research · doi:10.1007/s12187-018-9562-3 · Cited by 40 · see citing works
Self-citationSnellman, K., Silva, J. M., & Putnam, R. D. (2015) · Cited by 31 · see citing works
Association Between Media Use in Adolescence and Depression in Young Adulthood: A Longitudinal Study
Primack, B. A., Swanier, B., Georgiopoulos, A. M., Land, S. R., & Fine, M. J. (2009) · Archives of General Psychiatry · doi:10.1001/archgenpsychiatry.2008.532 · Cited by 30 · see citing works
Can Extracurricular Activities Reduce Adolescent Race/Ethnic Friendship Segregation?
Schaefer, D. R., Simpkins, S. D., & Ettekal, A. V. (2018) · Frontiers in sociology and social research · doi:10.1007/978-3-319-71544-5_15 · Cited by 24 · see citing works
Monitoring Preadolescents’ Well-being: Italian Validation of the Middle Years Development Instrument
Castelli, L., Marcionetti, J., Crescentini, A., & Sciaroni, L. (2017) · Child Indicators Research · doi:10.1007/s12187-017-9459-6 · Cited by 10 · see citing works
After-School Programs to Promote Positive Youth Development
(2017) · SpringerBriefs in psychology · doi:10.1007/978-3-319-59132-2 · Cited by 7 · see citing works
Flagged first, then by citations
Cited by
Sorted by citations
Nearchou, F., Flinn, C., Niland, R., Subramaniam, S. S., & Hennessy, E. (2020) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph17228479 · Cited by 577 · see citing works
Pandya, A., & Lodha, P. (2021) · Frontiers in Human Dynamics · doi:10.3389/fhumd.2021.684137 · Cited by 371 · see citing works
COVID-19 and Education Disruption in Ontario: Emerging Evidence on Impacts
Gallagher‐Mackay, K., Srivastava, P., Underwood, K., Dhuey, E., McCready, L. T., Born, K. B., Maltsev, A., Perkhun, A., Steiner, R., Barrett, K. A., et al. (2021) · doi:10.47326/ocsat.2021.02.34.1.0 · Cited by 124 · see citing works
A Nudge-Based Intervention to Reduce Problematic Smartphone Use: Randomised Controlled Trial
Olson, J. A., Sandra, D. A., Chmoulevitch, D., Raz, A., & Veissière, S. P. L. (2022) · International Journal of Mental Health and Addiction · doi:10.1007/s11469-022-00826-w · Cited by 99 · see citing works
Screen time in children and youth during the pandemic: A systematic review and meta-analysis
Choi, E. J., King, G. K. C., & Duerden, E. G. (2023) · Global Pediatrics · doi:10.1016/j.gpeds.2023.100080 · Cited by 76 · see citing works
Anderson, T., Valiauga, R., Tallo, C., Hong, C. B., Manoranjithan, S., Domingo, C. N., Paudel, M., Untaroiu, A., Barr, S., & Goldhaber, K. (2024) · Journal of Child and Adolescent Psychiatric Nursing · doi:10.1111/jcap.70009 · Cited by 104 · see citing works
Bosch, R., Pagerols, M., Prat, R., Español‐Martín, G., Rivas, C., Dolz, M., Haro, J. M., Ramos‐Quiroga, J. A., Ribasés, M., & Casas, M. (2022) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph19074120 · Cited by 47 · see citing works
Changes in psychosocial functioning among urban, school-age children during the COVID-19 pandemic
Spencer, A. E., Oblath, R., Dayal, R. R., Loubeau, J. K., Lejeune, J., Sikov, J., Savage, M., Posse, C., Jain, S., Zolli, N., et al. (2021) · Child and Adolescent Psychiatry and Mental Health · doi:10.1186/s13034-021-00419-w · Cited by 46 · see citing works
School educational models and child mental health among K-12 students: a scoping review
Yu, T., Xu, J., Jiang, Y.-N., Hua, H., Zhou, Y.-L., & Guo, X. (2022) · Child and Adolescent Psychiatry and Mental Health · doi:10.1186/s13034-022-00469-8 · Cited by 38 · see citing works
The Association between Video Game Time and Adolescent Mental Health: Evidence from Rural China
Li, L., Abbey, C., Wang, H., Zhu, A., Shao, T., Dai, D., Jin, S., & Rozelle, S. (2022) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph192214815 · Cited by 33 · see citing works
Associations between screen time and internalizing disorder diagnoses among 9- to 10-year-olds
Roberston, L., Twenge, J. M., Joiner, T. E., & Cummins, K. M. (2022) · Journal of Affective Disorders · doi:10.1016/j.jad.2022.05.071 · Cited by 37 · see citing works
LaForge-MacKenzie, K., Cost, K. T., Tsujimoto, K. C., Crosbie, J., Charach, A., Anagnostou, E. A., Birken, C. S., Monga, S., Kelley, E. A., Burton, C. L., et al. (2022) · Frontiers in Sports and Active Living · doi:10.3389/fspor.2022.936041 · Cited by 37 · see citing works
The Role of Self-Esteem in the Academic Performance of Rural Students in China
Yu, W., Qian, Y., Abbey, C., Wang, H., Rozelle, S., Stoffel, L. A., & Dai, D. (2022) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph192013317 · Cited by 47 · see citing works
Belošević, M., & Ferić, M. (2022) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph19020877 · Cited by 34 · see citing works
Chung, S., & Lee, H. (2022) · Current Addiction Reports · doi:10.1007/s40429-022-00458-z · Cited by 33 · see citing works
Gao, Y., Yu, Q., Schuch, F. B., Herold, F., Hossain, M. M., Ludyga, S., Gerber, M., Mullen, S. P., Yeung, A., Kramer, A. F., et al. (2024) · Journal of Affective Disorders · doi:10.1016/j.jad.2024.01.017 · Cited by 31 · see citing works
Adolescent screen time: associations with school stress and school satisfaction across 38 countries
Khan, A., Lee, E., & Horwood, S. (2022) · European Journal of Pediatrics · doi:10.1007/s00431-022-04420-z · Cited by 29 · see citing works
Luo, L., Zeng, X., Cao, Y., Hu, Y., Wen, S., Tang, K., Ding, L., Wang, X., & Song, N. (2023) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph20043167 · Cited by 25 · see citing works
Wang, H., Abbey, C., Kennedy, T., Feng, E., Li, R. G., Liu, F., Zhu, A., Shen, S. T., Wadhavkar, P., Rozelle, S., et al. (2023) · Risk Management and Healthcare Policy · doi:10.2147/rmhp.s384997 · Cited by 25 · see citing works
More Than a Headache: Lived Experience of Migraine in Youth
Canfora, M., Pallotto, I. K., Davis, J. K., Farley, S., Khayata, M. J., Hornik, C. P. V., Reeve, B. B., Rikhi, A., Gelfand, A. A., Szperka, C. L., et al. (2023) · Pediatric Neurology · doi:10.1016/j.pediatrneurol.2023.05.019 · Cited by 24 · see citing works
Mental Distress Among Youths in Low-Income Urban Areas in South America
Gómez–Restrepo, C., Diez‐Canseco, F., Brusco, L. I., Acosta, M. P. J., Olivar, N., Carbonetti, F. L., Hidalgo-Padilla, L., Toyama, M., Uribe-Restrepo, J. M., Malagón, N. R., et al. (2025) · JAMA Network Open · doi:10.1001/jamanetworkopen.2025.0122 · Cited by 24 · see citing works
Li, C.-K., Zhang, X., & Cheng, X.-C. (2022) · Current Psychology · doi:10.1007/s12144-022-03204-w · Cited by 24 · see citing works
田村, 典., & Okamura, K. (2023) · Sleep Health · doi:10.1016/j.sleh.2023.06.005 · Cited by 24 · see citing works
The Impact of the COVID-19 Pandemic on Adolescents: An Opportunity to Build Resilient Systems
Nadeem, E., & Meter, A. V. (2023) · American Journal of Health Promotion · doi:10.1177/08901171221140641d · Cited by 21 · see citing works
Gender stereotypes and belonging across high school girls’ social groups: beyond the STEM classroom
Barth, J. M., Masters, S. L., & Parker, J. G. (2022) · Social Psychology of Education · doi:10.1007/s11218-021-09683-2 · Cited by 22 · see citing works
田村, 典., & Okamura, K. (2023) · Journal of Sleep Research · doi:10.1111/jsr.14042 · Cited by 23 · see citing works
Murphy, J., Patte, K. A., Sullivan, P., & Leatherdale, S. T. (2021) · Journal of Clinical Sport Psychology · doi:10.1123/jcsp.2020-0048 · Cited by 19 · see citing works
Charite, J. L., Macinko, J. A., Hedrick, R., Santoro, M., & Dudovitz, R. (2023) · Academic Pediatrics · doi:10.1016/j.acap.2023.01.001 · Cited by 16 · see citing works
Gansner, M., Nisenson, M., Lin, V., Carson, N. J., & Torous, J. B. (2022) · Child Psychiatry & Human Development · doi:10.1007/s10578-022-01313-y · Cited by 15 · see citing works
Otsuka, Y., Itani, O., Nakajima, S., Kaneko, Y., Suzuki, M., & Kaneita, Y. (2023) · Sleep Medicine · doi:10.1016/j.sleep.2023.07.030 · Cited by 14 · see citing works
Loneliness and screen time usage over a year
MacDonald, K. B., Patte, K. A., Leatherdale, S. T., & Schermer, J. A. (2022) · Journal of Adolescence · doi:10.1002/jad.12024 · Cited by 16 · see citing works
Uddin, H., & Hasan, M. K. (2023) · European Journal of Pediatrics · doi:10.1007/s00431-023-04898-1 · Cited by 17 · see citing works
Shoshani, A., Kor, A., & Bar, S. (2024) · European Child & Adolescent Psychiatry · doi:10.1007/s00787-024-02454-2 · Cited by 17 · see citing works
Wanka, F., Vogel, M., Grafe, N., Aßmann, M., Kieß, W., & Poulain, T. (2025) · Pediatric Research · doi:10.1038/s41390-025-03866-9 · Cited by 13 · see citing works
Pan, Y., Zhou, D., & Shek, D. T. L. (2022) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph19074231 · Cited by 13 · see citing works
Walter, N., & Pyżalski, J. (2022) · Lecture notes in educational technology · doi:10.1007/978-981-19-1738-7_2 · Cited by 13 · see citing works
Khan, A., Ahmed, K. R., & Lee, E. (2023) · Sports Medicine and Health Science · doi:10.1016/j.smhs.2023.10.003 · Cited by 13 · see citing works
Liang, Y., Ke, Y., & Liu, Y. (2024) · PLoS ONE · doi:10.1371/journal.pone.0304693 · Cited by 11 · see citing works
Yu, W., Abbey, C., Qian, Y., Wang, H., Rozelle, S., & Singh, M. K. (2022) · Healthcare · doi:10.3390/healthcare10091642 · Cited by 11 · see citing works
Co-curricular activities and subjective well-being among university students
Hossan, M. R., Khan, M. H. A., & Hasan, M. T. (2021) · SN Social Sciences · doi:10.1007/s43545-021-00214-6 · Cited by 11 · see citing works
Stahlmann, K., Lissner, L., Bogl, L. H., Mehlig, K., Kaprio, J. A., Kłosowska, J., Moreno, L. A., Veidebaum, T., Solea, A., Molnár, D., et al. (2022) · Pediatric Obesity · doi:10.1111/ijpo.12963 · Cited by 11 · see citing works
Saat, N. Z. M., Hanawi, S. A., Chew, N. H. H., Ahmad, M., Fauzi, N. F. M., Kadar, M., Yahya, H. M., Warif, N. M. A., & Daud, M. K. M. (2023) · Healthcare · doi:10.3390/healthcare11091260 · Cited by 11 · see citing works
Oberle, E., Fan, S., Molyneux, T. M., Ji, X. R., & BRUSSONI, M. J. (2025) · BMC Public Health · doi:10.1186/s12889-025-21857-7 · Cited by 11 · see citing works
Self-citationScreen Time and Health of Children and Adolescents
Mukhametzyanov, I. S. (2021) · International Conference on Technology Enhanced Learning in Higher Education (TELE) · doi:10.1109/tele52840.2021.9482573 · Cited by 11 · see citing works
Exploring factors associated with student wellbeing in the United Arab Emirates: PISA 2018
Marquez, J., Lambert, L., & Khanna, D. (2024) · Journal of Research in International Education · doi:10.1177/14752409241243011 · Cited by 9 · see citing works
Visier‐Alfonso, M. E., López‐Gil, J. F., Mesas, A. E., Jiménez‐López, E., Cekrezi, S., & Martínez‐Vizcaíno, V. (2024) · Cyberpsychology Behavior and Social Networking · doi:10.1089/cyber.2024.0064 · Cited by 9 · see citing works
Role of Prefrontal Cortex Circuitry in Maintaining Social Homeostasis
Lee, S., & Williams, Z. M. (2024) · Biological Psychiatry · doi:10.1016/j.biopsych.2024.07.007 · Cited by 9 · see citing works
Impact of screen and social media use on mental health
Eddy, L. S., Patón, A. H., Buratti, M. A. F., Álvarez‐Pitti, J., Salmerón-Ruiz, M. A., Hernández, P. J. R., & Real‐López, M. (2025) · Anales de Pediatría (English Edition) · doi:10.1016/j.anpede.2025.503909 · Cited by 13 · see citing works
Risk and protective factors associated with depression among adolescents
Adabla, S., & Nabors, L. (2022) · Current Psychology · doi:10.1007/s12144-022-04075-x · Cited by 8 · see citing works
Impacto de las pantallas y las redes sociales en la salud mental
Eddy, L. S., Patón, A. H., Buratti, M. A. F., Álvarez‐Pitti, J., Salmerón-Ruiz, M. A., Hernández, P. J. R., & Real‐López, M. (2025) · Anales de Pediatría · doi:10.1016/j.anpedi.2025.503909 · Cited by 13 · see citing works
Clayborne, Z. M., Capaldi, C. A., & Mehra, V. M. (2025) · BMC Public Health · doi:10.1186/s12889-025-22874-2 · Cited by 7 · see citing works
Li, F., Li, L., Du, X., & Wang, X. (2024) · Frontiers in Public Health · doi:10.3389/fpubh.2024.1456219 · Cited by 11 · see citing works
Yourell, J., Koskela-Staples, N. C., Doty, J. L., & Fedele, D. A. (2022) · Journal of Pediatric Psychology · doi:10.1093/jpepsy/jsac061 · Cited by 6 · see citing works
Zheng, H., Xiang, Z., & Yang, W. (2025) · Frontiers in Public Health · doi:10.3389/fpubh.2025.1621980 · Cited by 10 · see citing works
Feng, S., Liu, R., Jung, Y., Barry, A. E., & Park, J. (2024) · Journal of Community & Applied Social Psychology · doi:10.1002/casp.2874 · Cited by 5 · see citing works
Gómez-Baya, D., Sarmento, H., Nicoletti, J. A., & García-Moro, F. J. (2022) · European Journal of Investigation in Health, Psychology and Education · doi:10.3390/ejihpe12080075 · Cited by 6 · see citing works
Shigematsu, R., Katoh, S., Suzuki, K., Nakata, Y., & Sasai, H. (2022) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph19148662 · Cited by 5 · see citing works
Rozi, N. A., Percaya, A. P., & Turnip, S. S. (2023) · Child Indicators Research · doi:10.1007/s12187-023-10067-5 · Cited by 6 · see citing works
Gadget Use and Eye Fatigue on Students During COVID-19 Pandemic
Sinurat, B., Siahaan, P. B. C., Manalu, P., Hartono, H., & Sinaga, G. (2022) · Jurnal kesehatan komunitas (Journal of community health) · doi:10.25311/keskom.vol8.iss2.1188 · Cited by 4 · see citing works
Cheng, Z., Aikeremu, A., Gao, Y., Zhang, Z., Paoli, A. G. D., Cunha, P. M., Taylor, A., Herold, F., & Zou, L. (2024) · International Journal of Mental Health Promotion · doi:10.32604/ijmhp.2024.055351 · Cited by 4 · see citing works
Impact Potpourri: A Multimethod Survey Study on Youth Substance Use During COVID-19
Hawke, L. D., Sheikhan, N. Y., Oates, S., Daley, M., Dixon, M., & Henderson, J. L. (2022) · The Canadian Journal of Addiction · doi:10.1097/cxa.0000000000000158 · Cited by 4 · see citing works
Henke, R. M. (2023) · American Journal of Health Promotion · doi:10.1177/08901171221140641 · Cited by 6 · see citing works
Gómez–Restrepo, C., Diez‐Canseco, F., Brusco, L. I., Acosta, M. P. J., Olivar, N., Carbonetti, F. L., Hidalgo-Padilla, L., Toyama, M., Uribe-Restrepo, J. M., Malagón, N. R., et al. (2023) · SSRN Electronic Journal · doi:10.2139/ssrn.4671831 · Cited by 4 · see citing works
Adolescent extracurricular activities and perception of risk of harm from binge drinking
Szapary, C. L., Meyer, J., Fernandes, C.-S. F., Pendergrass, T. M., Fiellin, L. E., & Aneni, K. (2025) · PLOS mental health. · doi:10.1371/journal.pmen.0000278 · Cited by 3 · see citing works
Brna, M. L., Sweeney, E. A., Walker, G. A., Armento, A. M., & Howell, D. R. (2025) · Clinical Journal of Sport Medicine · doi:10.1097/jsm.0000000000001362 · Cited by 3 · see citing works
Lv, Y., & Lu, Y. (2025) · Complementary Therapies in Clinical Practice · doi:10.1016/j.ctcp.2025.102005 · Cited by 3 · see citing works
Zhao, M., Rutland, A., & Psychogiou, L. (2025) · Journal of Leisure Research · doi:10.1080/00222216.2025.2536496 · Cited by 5 · see citing works
Owais, S., Ospina, M. B., Ford, C., Hill, T., Savoy, C. D., & Lieshout, R. J. V. (2023) · The Canadian Journal of Psychiatry · doi:10.1177/07067437231223333 · Cited by 3 · see citing works
Shakurun, N., Hinz, T., Adeyinka, D. A., & Muhajarine, N. (2025) · Children · doi:10.3390/children12010079 · Cited by 3 · see citing works
Interactive Effects of Neighborhood Safety and Screen Time on Adolescent Internalizing Symptoms
Gresham, B., McManus, B., & Stavrinos, D. (2021) · Journal of Developmental & Behavioral Pediatrics · doi:10.1097/dbp.0000000000000959 · Cited by 3 · see citing works
What’s trending? An in vivo examination of smartphone usage among student-athletes
DesClouds, P., Durand‐Bush, N., Bel, M. J. D., Laamarti, F., Young, B. W., & Saddik, A. E. (2022) · Journal for the Study of Sports and Athletes in Education · doi:10.1080/19357397.2022.2084325 · Cited by 5 · see citing works
Knifsend, C. A., & Juvonen, J. (2022) · Journal of Youth and Adolescence · doi:10.1007/s10964-022-01695-1 · Cited by 3 · see citing works
Albanese, C. M., Oberle, E., Sutherland, J. M., Janus, M., Schonert-Reichl, K. A., Georgiades, K., Guhn, M., Gagné, M. H., & Gadermann, A. (2022) · Preventive Medicine Reports · doi:10.1016/j.pmedr.2022.102052 · Cited by 3 · see citing works
Self-citationKim, S., Munten, S., Kolla, N. J., & Thege, B. K. (2024) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2024.1248963 · Cited by 3 · see citing works
Sabourin, C., Turgeon, S., Martin, L., Rathwell, S., Bruner, M. W., Cairney, J., & Camiré, M. (2022) · Journal of Clinical Sport Psychology · doi:10.1123/jcsp.2021-0101 · Cited by 3 · see citing works
Loneliness with Problematic Internet Use Among College Students
Maulida, V. L., & Kusumaningrum, F. A. (2023) · Advances in Social Science, Education and Humanities Research/Advances in social science, education and humanities research · doi:10.2991/978-2-38476-046-6_37 · Cited by 4 · see citing works
McAuley, K. (2025) · Journal of Family Issues · doi:10.1177/0192513x251322110 · Cited by 2 · see citing works
Kang, C., Liu, J., & Chen, X. (2025) · BMC Psychology · doi:10.1186/s40359-025-02957-w · Cited by 2 · see citing works
The trade-offs of metaverse value creation. Real-Time-Delphi-based scenario analysis by 2040
Hajdas, M., Radomska, J., Szpulak, A., & Kawa, A. (2025) · Technology in Society · doi:10.1016/j.techsoc.2025.103028 · Cited by 2 · see citing works
Menon, R. B., Menon, P. B., Avadhani, V. D., Priyadarshini, K., Subha, M. V., & Chennelleri, H. U. (2025) · Quality & Quantity · doi:10.1007/s11135-025-02341-1 · Cited by 2 · see citing works
School education prevents AI dependency to promote mental health among college students
Guo, Y., & Liu, X. (2025) · Journal of Affective Disorders · doi:10.1016/j.jad.2025.120185 · Cited by 2 · see citing works
Postpandemic After-School Activities Among Youths in Australia
Zhou, M., Maher, C. A., Brinkman, S. A., Cools, J., & Dumuid, D. (2025) · JAMA Network Open · doi:10.1001/jamanetworkopen.2025.43637 · Cited by 2 · see citing works
O USO DE ELETRÔNICOS POR PRÉ-ESCOLARES E SEUS EFEITOS NO DESENVOLVIMENTO NEUROPSICOMOTOR
dos Reis, L. N., Sorensen, G. C., Saran, G. N., Pirola, I. M., Moffa, T. I. P. D. S., Balthazar, T. C. C., & Marini, D. C. (2024) · Brazilian Journal of Implantology and Health Sciences · doi:10.36557/2674-8169.2024v6n3p1179-1195 · Cited by 2 · see citing works
How Recognized Addiction Models and Our Relationships with Digital Media Intersect
Grant, D. A. (2024) · Springer eBooks · doi:10.1007/978-3-031-56537-3_12 · Cited by 2 · see citing works
Yang, Y., Law, M. A., & Vaghri, Z. (2024) · PLoS ONE · doi:10.1371/journal.pone.0301008 · Cited by 2 · see citing works
Tsujimoto, K. C., Anagnostou, E. A., Birken, C. S., Charach, A., Cost, K. T., Kelley, E. A., Monga, S., Nicolson, R., Georgiades, S., Lee, N., et al. (2024) · Research on Child and Adolescent Psychopathology · doi:10.1007/s10802-024-01252-3 · Cited by 2 · see citing works
Belošević, M., & Ferić, M. (2022) · Croatian Journal of Education - Hrvatski časopis za odgoj i obrazovanje · doi:10.15516/cje.v24i2.4486 · Cited by 2 · see citing works
Online addictions are real: What are technology educators doing about it?
Lee, K. M., Kostrykina, S., & Washbrooke, S. (2023) · Australasian Journal of Technology Education · doi:10.15663/ajte.v9.i0.101 · Cited by 3 · see citing works
The contribution of community service during the transition to adulthood to health in adulthood
Wray‐Lake, L., Dunn, D., Freund, V. A., & Kloska, D. D. (2024) · Journal of Research on Adolescence · doi:10.1111/jora.12922 · Cited by 3 · see citing works
Chul-Min, K., Huang, Y.-H., Zhou, T., Kim, M.-J., & Youn, H.-S. (2024) · Healthcare · doi:10.3390/healthcare12070763 · Cited by 2 · see citing works
Hoyle, J., Warren‐Findlow, J., Wallace, L., Laditka, J. N., & Laditka, S. B. (2024) · Disability and health journal · doi:10.1016/j.dhjo.2024.101671 · Cited by 1 · see citing works
Tal‐Saban, M., Zaguri‐Vittenberg, S., & Ivzori, Y. (2024) · Canadian Journal of Occupational Therapy · doi:10.1177/00084174241272010 · Cited by 1 · see citing works
Impact of screen time on the mental health of adolescents in Bangladesh
Parves, M. M., Tanveer, S. K. M., Hossain, M. A., Naser, A. Z. M., Rahman, M. M., Alam, M. R., Akter, T., & Ahmed, E. (2024) · International Journal of Community Medicine and Public Health · doi:10.18203/2394-6040.ijcmph20242536 · Cited by 1 · see citing works
Game Faces: How Digital Play Affects the Psychological Landscape of Youth
Lager, K. S., & Corso, G. (2025) · Cureus · doi:10.7759/cureus.77497 · Cited by 1 · see citing works
Yang, X., Zhang, D.-Q., & Liu, Y. (2025) · PLoS ONE · doi:10.1371/journal.pone.0318735 · Cited by 1 · see citing works
Charite, J. L., Santoro, M., Flores, C., Hurtado, A., Lum, M., Castellon‐Lopez, Y., & Dudovitz, R. (2025) · Maternal and Child Health Journal · doi:10.1007/s10995-025-04179-3 · Cited by 1 · see citing works
Imai, S., Close, A., Jones, T., & Jones, K. T. (2025) · Healthcare · doi:10.3390/healthcare13222833 · Cited by 1 · see citing works
Pham, T. T., Dong, T. Y., Do, T. T., Nguyen, T. N., Ngo, G. T. H., & Nguyen, L. C. (2025) · Current Psychology · doi:10.1007/s12144-025-08894-6 · Cited by 1 · see citing works
Kuerban, A., & Shi, L. (2026) · Academic Pediatrics · doi:10.1016/j.acap.2026.103227 · Cited by 1 · see citing works
Guan, D., Wang, J., Yang, Q., & Qiao, Z. (2026) · Mental health and physical activity · doi:10.1016/j.mhpa.2026.100766 · Cited by 1 · see citing works
- Authors
- Oberle, E., Ji, X. R., Kerai, S., Guhn, M., Schonert-Reichl, K. A., & Gadermann, A. M.
- Affiliations
- University of British Columbia (CA)
- Corresponding author
- Oberle, Eva
- ORCID
- Venue
- Preventive Medicine
- Publisher
- Elsevier BV
- Published
- 2020-12
- Volume
- 141
- Pages
- 106291
- ISSN
- 0091-7435 (ISSN-L)
- OpenAlex
- W3093399866
- Cited by
- 149
- References
- 52
- Citations by year
- 2026: 14 · 2025: 34 · 2024: 30 · 2023: 25 · 2022: 36 · 2021: 9 · 2020: 1
- FWCI
- 24.19
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Preventive Medicine (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Social Sciences and Humanities Research Council of Canada
- Topics
- Social Sciences › Safety Research › Youth Development and Social Support
- Social Sciences › Sociology and Political Science › Impact of Technology on Adolescents
- Health Sciences › Medicine › Physiology › Physical Activity and Health
- Keywords
- recreational screen time, extracurricular activities, adolescent mental health, anxiety, depressive symptoms, optimism, life satisfaction, well-being, gender differences, junior high school students, after-school activities
- MeSH terms
- Screen Time, Adolescent, British Columbia, Child, Female, Humans, Infant, Male, Mental Health, Sports, Protective Factors
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review