Research Article
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Dijital dünyanın uykuya etkisi: Okul çağındaki çocuklarda problemli medya kullanımı ve uyku sorunları

Year 2025, Volume: 6 Issue: 1, 21 - 26, 30.04.2025
https://doi.org/10.61534/anatoljhr.1608756

Abstract

Amaç: Bu çalışma, okul çağındaki çocuklarda problemli medya kullanımı ile uyku bozuklukları arasındaki ilişkiyi incelemektedir.
Yöntem: Ocak-Haziran 2024 tarihleri arasında tanımlayıcı tipte yürütülen çalışmaya, bir üniversite hastanesinin çocuk polikliniklerini ziyaret eden çocukların 326 ebeveyni katılmıştır. Araştırma verilerinin toplanmasında Tanıtıcı Bilgi Formu, Çocuklarda Ekran Bağımlılığı Ölçeği Ebeveyn Formu (Problemli Medya Kullanım Ölçeği) ve Çocuklarda Uyku Bozukluğu Ölçeği kullanılmıştır.
Bulgular: Sonuçlar annelerin hem uyku bozuklukları hem de problemli medya kullanımı açısından babalara kıyasla daha yüksek puanlar bildirdiğini göstermiştir (p < 0.05). Gelir, ebeveyn istihdamı, aile yapısı veya eğitim düzeyi açısından anlamlı bir fark bulunamamıştır. Ancak kentsel alanlarda yaşayan çocukların medya kullanım puanları kırsal alanlardakilere göre daha yüksek olarak bulunmuştur (p < 0.001). Uyku bozuklukları ile medya kullanımı arasında pozitif, zayıf bir korelasyon bulunmuştur (r = 0.384, p < 0.001). Problemli medya kullanımı ise anormal uyku durumunu %81.6 oranında artırmaktadır (OR = 1.816, p < 0.05).
Sonuçlar: Bulgular, çocukların medya kullanımının yönetilmesinin uyku bozukluklarını hafifletmeye yardımcı olabileceğini düşündürmektedir. Hemşireler, çocuklarda uyku bozuklukları ve problemli medya kullanımı konusunda aileleri eğiterek, sağlıklı uyku alışkanlıkları kazandırmak, ekran süresini yönetmek ve gerektiğinde multidisipliner destek sunarak çocukların sağlıklı gelişimlerini destekleyebilirler.

References

  • Ağadayı, E., Çelik, N., & Başer, D. A. (2020). Turkish validity and reliability of the Sleep Disturbance Scale for Children. Journal of Turkish Sleep Medicine, 7(2), 65-72. https://doi.org/10.4274/jtsm.galenos.2020.98598
  • Alam, M., Abbas, K., Sharf, Y., & Khan, S. (2024). Impacts of blue light exposure from electronic devices on circadian rhythm and sleep disruption in adolescent and young adult students. Chronobiology in Medicine, 6, 10-14. https://doi.org/10.33069/cim.2024.0004
  • Ali, H. R. (2024). Excessive screen-based media use and its relation to sleep pattern of school age children. Trends in Nursing Health Care Journal, 8(1), 86-104. https://doi.org/10.21608/tnhcj.2024.251014.1040
  • Baloğlu, M., Şahin, R., & Arpaci, I. (2020). A review of recent research in problematic internet use: Gender and cultural differences. Current Opinion in Psychology, 36, 124-129. https://doi.org/10.1016/j.copsyc.2020.05.008
  • Bhatia, R. (2023). Impact of increasing media use on mental health of children and adolescents. Current Opinion in Psychiatry, 36(6), 449-454. https://doi.org/10.1097/YCO.0000000000000897
  • Bruni, O., Ottaviano, S., Guidetti, V., Romoli, M., Innocenzi, M., Cortesi, F., & Giannotti, F. (1996). The Sleep Disturbance Scale for Children (SDSC) construct ion and validation of an instrument to evaluate sleep disturbances in childhood and adolescence. Journal of Sleep Research, 5(4), 251-261. https://doi.org/10.1111/j.1365-2869.1996.00251.x
  • Diaconu, G.-A., Iordăchel, C. M., Coca, C., Feraru, N., Gheorghevici, C., Zisu, D., Emilia, Ș., Burdușel, B., Popa, A., & Munteanu, I. (2023). Blue light and its effects on sleep. Pneumologia, 72(1), 39-43. https://doi.org/10.2478/pneum-2024-0006
  • Domoff, S. E., Harrison, K., Gearhardt, A. N., Gentile, D. A., Lumeng, J. C., & Miller, A. L. (2019). Development and validation of the Problematic Media Use Measure: A parent report measure of screen media “addiction” in children. Psychology of Popular Media Culture, 8(1), 2. https://psycnet.apa.org/doi/10.1037/ppm0000163
  • Dutil, C., Podinic, I., Sadler, C. M., da Costa, B. G., Janssen, I., Ross-White, A., Saunders, T. J., Tomasone, J. R., & Chaput, J. P. (2022). Sleep timing and health indicators in children and adolescents: A systematic review. Health Promotion Chronic Disease Prevention in Canada: Research, Policy Practice, 42(4), 150. https://doi.org/10.24095/hpcdp.42.4.04
  • Furuncu, C., & Öztürk, E. (2020). Validity and reliability study of Turkish version of problematic media use measure: Aparent report measure of screen addiction in children. Journal of Early Childhood Studies, 4(3), 535-566. https://doi.org/10.24130/eccd-jecs.1967202043237
  • Haarika, V., Tumati, K. R., & Ramisetty, U. M. (2024). The impact of screen time on sleep patterns in school-aged children: A cross-sectional analysis. Cureus, 16(2). https://doi.org/10.7759/cureus.55229
  • Hisler, G., Twenge, J. M., & Krizan, Z. (2020). Associations between screen time and short sleep duration among adolescents varies by media type: evidence from a cohort study. Sleep Medicine, 66, 92-102. https://doi.org/10.1016/j.sleep.2019.08.007.
  • Khan, A., Thomas, G., Karatela, S., Morawska, A., & Werner‐Seidler, A. (2024). Intense and problematic social media use and sleep difficulties of adolescents in 40 countries. Journal of Adolescence, 96(5), 1116-1125. https://doi.org/10.1002/jad.12321
  • Kokka, I., Mourikis, I., Nicolaides, N. C., Darviri, C., Chrousos, G. P., Kanaka-Gantenbein, C., & Bacopoulou, F. (2021). Exploring the effects of problematic internet use on adolescent sleep: A systematic review. International Journal of Environmental Research Public Health, 18(2), 760. https://doi.org/10.3390/ijerph18020760
  • Lissak, G. (2018). Adverse physiological and psychological effects of screen time on children and adolescents: Literature review and case study. Environmental Research, 164, 149-157. https://doi.org/10.1016/j.envres.2018.01.015
  • Lund, L., Sølvhøj, I. N., Danielsen, D., & Andersen, S. (2021). Electronic media use and sleep in children and adolescents in western countries: A systematic review. BMC Public Health, 21, 1-14. https://doi.org/10.1186/s12889-021-11640-9
  • Nakshine, V. S., Thute, P., Khatib, M. N., & Sarkar, B. (2022). Increased screen time as a cause of declining physical, psychological health, and sleep patterns: a literary review. Cureus, 14(10).
  • Paulus, F. W., Joas, J., Friedmann, A., Fuschlberger, T., Möhler, E., & Mall, V. (2024). Familial context influences media usage in 0-to 4-year old children. Frontiers in Public Health, 11, 1256287. https://doi.org/10.3389/fpubh.2023.1256287
  • Poulain, T., Hilbert, C., Grundmann, A., & Kiess, W. (2024). Associations between media use at bedtime and sleep: A cross-sectional analysis on differences between girls and boys. Frontiers in Psychology, 15, 1290935.
  • Priftis, N., & Panagiotakos, D. (2023). Screen time and its health consequences in children and adolescents. Children, 10(10), 1665. https://doi.org/10.3390/children10101665
  • Rega, V., Gioia, F., & Boursier, V. (2023). Problematic media use among children up to the age of 10: A systematic literature review. International Journal of Environmental Research, 20(10), 5854. https://doi.org/10.3390/ijerph20105854
  • Reid Chassiakos, Y. L., Radesky, J., Christakis, D., Moreno, M. A., Cross, C., Hill, D., Ameenuddin, N., Hutchinson, J., Levine, A., & Boyd, R. (2016). Children and adolescents and digital media. Pediatrics in Review, 138(5). https://doi.org/10.1542/peds.2016-2593
  • Staples, A. D., Hoyniak, C., McQuillan, M. E., Molfese, V., & Bates, J. E. (2021). Screen use before bedtime: Consequences for nighttime sleep in young children. Infant Behavior and Development, 62, 101522. https://doi.org/10.1016/j.infbeh.2020.101522.
  • Tomaz, S. A., Hinkley, T., Jones, R. A., Watson, E. D., Twine, R., Kahn, K., Norris, S.A., & Draper, C. E. (2020). Screen time and sleep of rural and urban South African preschool children. International Journal of Environmental Research Public Health, 17(15), 5449. https://doi.org/10.3390/ijerph17155449
  • Yamamoto, M., Mezawa, H., Sakurai, K., & Mori, C. (2022). Association between media use and bedtime delays in young children: an adjunct study of the Japan environment and children’s study. International Journal of Environmental Research Public Health, 19(15), 9464. https://doi.org/10.3390/ijerph19159464

The effect of the digital world on sleep: Problematic media use and sleep disturbances in school age children

Year 2025, Volume: 6 Issue: 1, 21 - 26, 30.04.2025
https://doi.org/10.61534/anatoljhr.1608756

Abstract

Aim: This study examines the relation between problematic media use and sleep disturbances in school age children.
Method: The descriptive study was conducted between January and June 2024, with participation from 326 parents of children who visited the pediatric outpatient clinics of a university hospital. Data were obtained through the Introductory Information Form, Parent Form of Screen Addiction Scale in Children (Problematic Media Use Scale), and the Sleep Disturbance Scale in Children.
Results: Findings indicated that mothers reported significantly higher scores for both sleep disturbances and problematic media use compared to fathers (p < 0.05). No significant differences were observed based on income, parental employment, family structure, or educational level. However, children residing in urban areas had higher media use scores than those in rural areas (p < 0.001). A weak but positive correlation was identified between sleep disturbances and media use (r = 0.384, p < 0.001). Problematic media use was associated with an 81.6% increase in abnormal sleep status (OR = 1.816, p < 0.05).
Conclusion: The results suggest that regulating children’s media use may help mitigate sleep disturbances. Nurses have an important role in supporting children’s healthy development by educating families on sleep disturbances and problematic media use, promoting healthy sleep habits, managing screen time, and providing multidisciplinary support when necessary.

References

  • Ağadayı, E., Çelik, N., & Başer, D. A. (2020). Turkish validity and reliability of the Sleep Disturbance Scale for Children. Journal of Turkish Sleep Medicine, 7(2), 65-72. https://doi.org/10.4274/jtsm.galenos.2020.98598
  • Alam, M., Abbas, K., Sharf, Y., & Khan, S. (2024). Impacts of blue light exposure from electronic devices on circadian rhythm and sleep disruption in adolescent and young adult students. Chronobiology in Medicine, 6, 10-14. https://doi.org/10.33069/cim.2024.0004
  • Ali, H. R. (2024). Excessive screen-based media use and its relation to sleep pattern of school age children. Trends in Nursing Health Care Journal, 8(1), 86-104. https://doi.org/10.21608/tnhcj.2024.251014.1040
  • Baloğlu, M., Şahin, R., & Arpaci, I. (2020). A review of recent research in problematic internet use: Gender and cultural differences. Current Opinion in Psychology, 36, 124-129. https://doi.org/10.1016/j.copsyc.2020.05.008
  • Bhatia, R. (2023). Impact of increasing media use on mental health of children and adolescents. Current Opinion in Psychiatry, 36(6), 449-454. https://doi.org/10.1097/YCO.0000000000000897
  • Bruni, O., Ottaviano, S., Guidetti, V., Romoli, M., Innocenzi, M., Cortesi, F., & Giannotti, F. (1996). The Sleep Disturbance Scale for Children (SDSC) construct ion and validation of an instrument to evaluate sleep disturbances in childhood and adolescence. Journal of Sleep Research, 5(4), 251-261. https://doi.org/10.1111/j.1365-2869.1996.00251.x
  • Diaconu, G.-A., Iordăchel, C. M., Coca, C., Feraru, N., Gheorghevici, C., Zisu, D., Emilia, Ș., Burdușel, B., Popa, A., & Munteanu, I. (2023). Blue light and its effects on sleep. Pneumologia, 72(1), 39-43. https://doi.org/10.2478/pneum-2024-0006
  • Domoff, S. E., Harrison, K., Gearhardt, A. N., Gentile, D. A., Lumeng, J. C., & Miller, A. L. (2019). Development and validation of the Problematic Media Use Measure: A parent report measure of screen media “addiction” in children. Psychology of Popular Media Culture, 8(1), 2. https://psycnet.apa.org/doi/10.1037/ppm0000163
  • Dutil, C., Podinic, I., Sadler, C. M., da Costa, B. G., Janssen, I., Ross-White, A., Saunders, T. J., Tomasone, J. R., & Chaput, J. P. (2022). Sleep timing and health indicators in children and adolescents: A systematic review. Health Promotion Chronic Disease Prevention in Canada: Research, Policy Practice, 42(4), 150. https://doi.org/10.24095/hpcdp.42.4.04
  • Furuncu, C., & Öztürk, E. (2020). Validity and reliability study of Turkish version of problematic media use measure: Aparent report measure of screen addiction in children. Journal of Early Childhood Studies, 4(3), 535-566. https://doi.org/10.24130/eccd-jecs.1967202043237
  • Haarika, V., Tumati, K. R., & Ramisetty, U. M. (2024). The impact of screen time on sleep patterns in school-aged children: A cross-sectional analysis. Cureus, 16(2). https://doi.org/10.7759/cureus.55229
  • Hisler, G., Twenge, J. M., & Krizan, Z. (2020). Associations between screen time and short sleep duration among adolescents varies by media type: evidence from a cohort study. Sleep Medicine, 66, 92-102. https://doi.org/10.1016/j.sleep.2019.08.007.
  • Khan, A., Thomas, G., Karatela, S., Morawska, A., & Werner‐Seidler, A. (2024). Intense and problematic social media use and sleep difficulties of adolescents in 40 countries. Journal of Adolescence, 96(5), 1116-1125. https://doi.org/10.1002/jad.12321
  • Kokka, I., Mourikis, I., Nicolaides, N. C., Darviri, C., Chrousos, G. P., Kanaka-Gantenbein, C., & Bacopoulou, F. (2021). Exploring the effects of problematic internet use on adolescent sleep: A systematic review. International Journal of Environmental Research Public Health, 18(2), 760. https://doi.org/10.3390/ijerph18020760
  • Lissak, G. (2018). Adverse physiological and psychological effects of screen time on children and adolescents: Literature review and case study. Environmental Research, 164, 149-157. https://doi.org/10.1016/j.envres.2018.01.015
  • Lund, L., Sølvhøj, I. N., Danielsen, D., & Andersen, S. (2021). Electronic media use and sleep in children and adolescents in western countries: A systematic review. BMC Public Health, 21, 1-14. https://doi.org/10.1186/s12889-021-11640-9
  • Nakshine, V. S., Thute, P., Khatib, M. N., & Sarkar, B. (2022). Increased screen time as a cause of declining physical, psychological health, and sleep patterns: a literary review. Cureus, 14(10).
  • Paulus, F. W., Joas, J., Friedmann, A., Fuschlberger, T., Möhler, E., & Mall, V. (2024). Familial context influences media usage in 0-to 4-year old children. Frontiers in Public Health, 11, 1256287. https://doi.org/10.3389/fpubh.2023.1256287
  • Poulain, T., Hilbert, C., Grundmann, A., & Kiess, W. (2024). Associations between media use at bedtime and sleep: A cross-sectional analysis on differences between girls and boys. Frontiers in Psychology, 15, 1290935.
  • Priftis, N., & Panagiotakos, D. (2023). Screen time and its health consequences in children and adolescents. Children, 10(10), 1665. https://doi.org/10.3390/children10101665
  • Rega, V., Gioia, F., & Boursier, V. (2023). Problematic media use among children up to the age of 10: A systematic literature review. International Journal of Environmental Research, 20(10), 5854. https://doi.org/10.3390/ijerph20105854
  • Reid Chassiakos, Y. L., Radesky, J., Christakis, D., Moreno, M. A., Cross, C., Hill, D., Ameenuddin, N., Hutchinson, J., Levine, A., & Boyd, R. (2016). Children and adolescents and digital media. Pediatrics in Review, 138(5). https://doi.org/10.1542/peds.2016-2593
  • Staples, A. D., Hoyniak, C., McQuillan, M. E., Molfese, V., & Bates, J. E. (2021). Screen use before bedtime: Consequences for nighttime sleep in young children. Infant Behavior and Development, 62, 101522. https://doi.org/10.1016/j.infbeh.2020.101522.
  • Tomaz, S. A., Hinkley, T., Jones, R. A., Watson, E. D., Twine, R., Kahn, K., Norris, S.A., & Draper, C. E. (2020). Screen time and sleep of rural and urban South African preschool children. International Journal of Environmental Research Public Health, 17(15), 5449. https://doi.org/10.3390/ijerph17155449
  • Yamamoto, M., Mezawa, H., Sakurai, K., & Mori, C. (2022). Association between media use and bedtime delays in young children: an adjunct study of the Japan environment and children’s study. International Journal of Environmental Research Public Health, 19(15), 9464. https://doi.org/10.3390/ijerph19159464
There are 25 citations in total.

Details

Primary Language English
Subjects Child and Adolescent Psychiatry, Pediatric Health and Illnesses Nursing
Journal Section Research Articles
Authors

Özlem Selime Merter 0000-0001-7892-1342

Zeynep Kisecik Şengül 0000-0001-7471-9606

Kübra Akay 0009-0004-5954-0391

Publication Date April 30, 2025
Submission Date December 28, 2024
Acceptance Date April 16, 2025
Published in Issue Year 2025 Volume: 6 Issue: 1

Cite

APA Merter, Ö. S., Kisecik Şengül, Z., & Akay, K. (2025). The effect of the digital world on sleep: Problematic media use and sleep disturbances in school age children. Anatolian Journal of Health Research, 6(1), 21-26. https://doi.org/10.61534/anatoljhr.1608756

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