Family factors related to adolescent screen media use and mental health outcomes: A systematic review and recommendation for practices.

Autor: Liu X; Department of Family and Community Health, University of Pennsylvania School of Nursing, Philadelphia, Pennsylvania, USA., Liu J; Department of Family and Community Health, University of Pennsylvania School of Nursing, Philadelphia, Pennsylvania, USA., Flores DD; Department of Family and Community Health, University of Pennsylvania School of Nursing, Philadelphia, Pennsylvania, USA., McDonald CC; Department of Family and Community Health, University of Pennsylvania School of Nursing, Philadelphia, Pennsylvania, USA.; Penn Injury Science Center, University of Pennsylvania, Philadelphia, Pennsylvania, USA.; Center for Injury Research Prevention at the Children's Hospital of Philadelphia, Philadelphia, Pennsylvania, USA.
Jazyk: angličtina
Zdroj: Journal of adolescence [J Adolesc] 2024 Oct; Vol. 96 (7), pp. 1401-1427. Date of Electronic Publication: 2024 Jun 25.
DOI: 10.1002/jad.12367
Abstrakt: Introduction: Screen media serves an essential role in adolescents' lives, posing growth opportunities and mental health challenges. Family plays a crucial role in mitigating these challenges. This systematic review offers a comprehensive analysis of the family factors related to adolescent screen media use and mental health.
Methods: A systematic search was conducted in PubMed, CINAHL, PsycINFO, Scopus, and Embase, adhering to Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines using the following inclusion criteria: English, peer-reviewed, observational design, and published since 2013; adolescent samples aged 10-17 years; and examining screen media use, family factors, and internalizing problems. The role of family factors as predictors, moderators, and mediators was also examined.
Results: Of the 3587 records, 32 met the inclusion criteria. These studies, primarily cross-sectional, presented a global perspective of 14 countries. A heterogeneous range of family factors, screen media use, and mental health outcomes were examined, revealing significant associations between elevated screen media use and internalizing problems. Positive family processes and democratic media-specific parenting mitigate such association. A few studies underscored family socioeconomic status (SES), noting elevated screen media use and mental health risks among adolescents in families of low SES.
Conclusions: Accumulating evidence supports the important role of positive family contexts in fostering balanced screen media use and mental health in adolescents, accentuating the need for professional screening and education to promote positive screen media use among adolescents and families. Further research requires refinement in measurement and methodology to better capture the intricate relationship between family dynamics, screen media use, and adolescent mental health.
(© 2024 The Author(s). Journal of Adolescence published by Wiley Periodicals LLC on behalf of Foundation for Professionals in Services to Adolescents.)
Databáze: MEDLINE
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