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computer use and stress, sleep disturbances, and symptoms of depression among young adults – a prospective cohort study使用电脑和压力、睡眠障碍和抑郁症状之间的年轻人u2014u2014一个前瞻性队列研究
Thomée et al. BMC Psychiatry 2012, 12:176
/1471-244X/12/176
RESEARCH ARTICLE Open Access
Computer use and stress, sleep disturbances,
and symptoms of depression among young
adults – a prospective cohort study
Sara Thomée1*, Annika Härenstam2 and Mats Hagberg1
Abstract
Background: We have previously studied prospective associations between computer use and mental health
symptoms in a selected young adult population. The purpose of this study was to investigate if high computer use
is a prospective risk factor for developing mental health symptoms in a population-based sample of young adults.
Methods: The study group was a cohort of young adults (n = 4163), 20–24 years old, who responded to a
questionnaire at baseline and 1-year follow-up. Exposure variables included time spent on computer use (CU) in
general, email/chat use, computer gaming, CU without breaks, and CU at night causing lost sleep. Mental health
outcomes included perceived stress, sleep disturbances, symptoms of depression, and reduced performance due to
stress, depressed mood, or tiredness. Prevalence ratios (PRs) were calculated for prospective associations between
exposure variables at baseline and mental health outcomes (new cases) at 1-year follow-up for the men and
women separately.
Results: Both high and medium computer use compared to low computer use at baseline were associated with
sleep disturbances in the men at follow-up. High email/chat use was negatively associated with perceived stress,
but positively associated with reported sleep disturbances for the men. For the women, high email/chat use was
(positively) associated with several mental health outcomes, while medium computer gaming was associated with
symptoms of depression, and CU without breaks with most mental health outcomes. CU causing lost sleep was
associated with mental h
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