Is change in mental distress among adolescents predicted by sedentary behaviour or screen time? Results from the longitudinal population study The Tromsø Study: Fit Futures
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OBJECTIVE: There is growing interest in the relationship between sedentary behaviour and mental distress among adolescents, but the majority of studies to date have relied on self-reported measures with poor validity. Consequently, current knowledge may be affected by various biases. The aim of this study was to investigate the cross-sectional and longitudinal association between (1) objectively measured sedentary time and (2) self-reported screen time with mental distress among adolescents participating in The Tromsø Study: Fit Futures, in order to see if the association is dependent on mode of measurement of sedentary behaviour. DESIGN: Prospective study. SETTING: Sample drawn from upper secondary school students (mean age 16.3 years at baseline) from two municipalities in Northern Norway participating in The Tromsø Study: Fit Futures 1 and 2. PARTICIPANTS: 686 adolescents (54.5% female), with complete self-reported and accelerometer data after multiple imputation. PRIMARY OUTCOME MEASURES: Mental distress assessed via the Hopkins Symptom Checklist-10 (HSCL-10). RESULTS: Minutes in sedentary behaviour measured by accelerometer showed no significant relationship with mental distress in neither crude, partly adjusted nor multiple adjusted hierarchic linear regression analyses. Self-reported screen time was positively associated with mental distress in all analyses (multiple adjusted, B=0.038, p=0.008, 95% CI 0.010 to 0.066). However, the effect was small. CONCLUSIONS: Self-reported screen time was associated with slightly elevated mental distress 2 years later, whereas objectively measured minutes in sedentary behaviour was not, indicating a discrepancy in the results depending on measurement methods.
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Total screen time at baseline had a small, positive association with change in internalising symptoms from baseline to follow-up.
“A third study found that total screen time at baseline had a small, positive association with change in internalising symptoms from baseline to follow-up (Opdal et al., 2020).”
From The relationship between screen time and mental health in young people: A systematic review of longitudinal studies (2021) · cites this paper as Opdal et al., 2020
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Tang, S., Werner-Seidler, A., Torok, M., Mackinnon, A. J., & Christensen, H. (2021) · Clinical Psychology Review · doi:10.1016/j.cpr.2021.102021 · Cited by 284 · see citing works
- Authors
- Opdal, I. M., Morseth, B., Handegård, B.-H., Lillevoll, K. R., Nilsen, W., Nielsen, C., Furberg, A.-S., Rosenbaum, S., & Rognmo, K.
- Affiliations
- UiT The Arctic University of Norway (NO)
- OsloMet – Oslo Metropolitan University (NO)
- Norwegian Institute of Public Health (NO)
- University Hospital of North Norway (NO)
- Black Dog Institute (AU)
- Corresponding author
- Opdal, Ida Marie
- ORCID
- Venue
- BMJ Open
- Publisher
- BMJ
- Published
- 2020-02
- Volume
- 10
- Issue
- 2
- Pages
- e035549
- ISSN
- 2044-6055 (ISSN-L)
- PMC
- PMC7045274
- OpenAlex
- W3006071760
- Cited by
- 20
- References
- 66
- Citations by year
- 2026: 2 · 2025: 7 · 2024: 1 · 2023: 3 · 2022: 3 · 2021: 3 · 2020: 1
- FWCI
- 1.50
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- BMJ Open (publishedVersion, cc-by-nc)
- PubMed Central (publishedVersion, cc-by-nc)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- NORA - Norwegian Open Research Archives (submittedVersion, other-oa)
- HighWire Press Open Archive (submittedVersion)
- Funders
- Helse Nord RHF (HNF1360-17)
- Topics
- Health Sciences › Medicine › Physiology › Physical Activity and Health
- Social Sciences › Sociology and Political Science › Impact of Technology on Adolescents
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and related disorders
- Keywords
- sedentary behavior, screen time, psychological distress, adolescents, accelerometer-measured sedentary time, measurement discrepancy, high school students, longitudinal prediction
- MeSH terms
- Screen Time, Adolescent, Mental Disorders, Cross-Sectional Studies, Female, Humans, Longitudinal Studies, Male, Norway, Risk Factors, Stress, Psychological, Health Behavior, Sedentary Behavior
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