The impact of Sleep Time-Related Information and Communication Technology (STRICT) on sleep patterns and daytime functioning in American adolescents.
This cross-sectional study explored the extent and impact of mobile device-based Sleep Time-Related Information and Communication Technology (STRICT) use among American adolescents (N = 3139, 49.3% female, mean age = 13.3 years). Nearly 62% used STRICT after bedtime, 56.7% texted/tweeted/messaged in bed, and 20.8% awoke to texts. STRICT use was associated with insomnia, daytime sleepiness, eveningness, academic underperformance, later bedtimes and shorter sleep duration. Moderation analysis demonstrated that the association between STRICT use and insomnia increased with age, the association between STRICT use and daytime sleepiness decreased with age, and the association between STRICT use and shorter sleep duration decreased with age and was stronger in girls. Insomnia and daytime sleepiness partially mediated the relationship between STRICT use and academic underperformance. Our results illustrate the adverse interactions between adolescent STRICT use and sleep, with deleterious effects on daytime functioning. These worrisome findings suggest that placing reasonable limitations on adolescent STRICT use may be appropriate.
['Polos|Peter G|PG|', 'Bhat|Sushanth|S|', 'Gupta|Divya|D|', "O'Malley|Richard J|RJ|", 'DeBari|Vincent A|VA|', 'Upadhyay|Hinesh|H|', 'Chaudhry|Saqib|S|', 'Nimma|Anitha|A|', 'Pinto-Zipp|Genevieve|G|', 'Chokroverty|Sudhansu|S|']
D000293:Adolescent D000367:Age Factors D040421:Cell Phone D003430:Cross-Sectional Studies D005221:Fatigue D005260:Female D006801:Humans D008297:Male D009515:New Jersey D012737:Sex Factors D012890:Sleep D007319:Sleep Initiation and Maintenance Disorders D061108:Social Media D060145:Text Messaging D013997:Time Factors
Sleep STRICT Adolescents Texting Mobile phones Smartphones