Exploring the Association of Screen Time and Physical Activity with Mental Health among University Students in Peshawar
Physical and Mental Well-being among University Students
Keywords:
Anxiety, Depression, COVID-19, Exercise, Screen TimeAbstract
Background: The COVID-19 lockdown restricted movement and increased screen time, potentially affecting mental health. This study aimed to determine the association between screen time and physical activity with mental health in university students of Peshawar, Pakistan.
Methodology: This cross-sectional survey enrolled 232 students using the convenience sampling method and were asked to fill out the questionnaires on screen time, physical activity levels (IPAQ) and mental health (DASS-2). The impact of screen time and physical activity levels on mental health was analyzed using frequencies and contingency tables (cross-tabs).
Results: Among the participants, 37.90% reported experiencing depression, 40.90% anxiety, and 37.10% stress. Notably, 76% of those with mild anxiety exhibited low screen time. Furthermore, 46.7% of participants with mild stress engaged in high physical activity, and 52.6% of those with moderate stress had moderate physical activity. No significant correlations were found between depression, screen time, and physical activity.
Conclusion: Significant correlations were observed between stress and physical activity, as well as anxiety and screen time. These findings underscore the importance of considering both screen time and physical activity in addressing mental health concerns among students.
References
Srivastav AK, Sharma N, Samuel AJ. Impact of Coronavirus disease-19 (COVID-19) lockdown on physical activity and energy expenditure among physiotherapy professionals and students using web-based open E-survey sent through WhatsApp, Facebook and Instagram messengers. Clinical Epidemiology and Global Health. 2021;9:78-84.
Sultana A, Tasnim S, Hossain MM, Bhattacharya S, Purohit N. Digital screen time during the COVID-19 pandemic: A public health concern. F1000Research. 2021;10(81):81.
Sañudo B, Fennell C, Sánchez-Oliver AJ. Objectively-assessed physical activity, sedentary behavior, smartphone use, and sleep patterns pre-and during-COVID-19 quarantine in young adults from Spain. Sustainability. 2020;12(15):5890.
Bjarnadóttir GE. Trends in Screen Time and Mental Health among Icelandic Children and Adolecents: University of Agder; 2021.
Wang X, Li Y, Fan H. The associations between screen time-based sedentary behavior and depression: a systematic review and meta-analysis. BMC public health. 2019;19(1):1-9.
Nagata JM, Magid HSA, Gabriel KP. Screen time for children and adolescents during the COVID‐19 pandemic. Obesity (Silver Spring, Md). 2020.
Niedzwiedz CL, Green MJ, Benzeval M, Campbell D, Craig P, Demou E, et al. Mental health and health behaviours before and during the initial phase of the COVID-19 lockdown: longitudinal analyses of the UK Household Longitudinal Study. J Epidemiol Community Health. 2021;75(3):224-31.
Chi X, Becker B, Yu Q, Willeit P, Jiao C, Huang L, et al. Prevalence and psychosocial correlates of mental health outcomes among Chinese college students during the coronavirus disease (COVID-19) pandemic. Frontiers in psychiatry. 2020;11:803.
Colley RC, Bushnik T, Langlois K. Exercise and screen time during the COVID-19 pandemic. Health Rep. 2020;31(6):3-11.
Grujičić M, Ilić M, Novaković B, Vrkatić A, Lozanov-Crvenković Z. Prevalence and Associated Factors of Physical Activity among Medical Students from the Western Balkans. International Journal of Environmental Research and Public Health. 2022;19(13):7691.
He F, Li Y, Hu Z, Zhang H. Association of domain-specific physical activity with depressive symptoms: A population-based study. European Psychiatry. 2023;66(1):e5.
Islam MA, Barna SD, Raihan H, Khan MNA, Hossain MT. Depression and anxiety among university students during the COVID-19 pandemic in Bangladesh: A web-based cross-sectional survey. PloS one. 2020;15(8):e0238162.
Shahidi SH, Hassani F. Physical activity during COVID-19 quarantine. Acta Paediatrica (Oslo, Norway: 1992). 2020.
Meyer J, McDowell C, Lansing J, Brower C, Smith L, Tully M, et al. Changes in physical activity and sedentary behavior in response to COVID-19 and their associations with mental health in 3052 US adults. International journal of environmental research and public health. 2020;17(18):6469.
Tang S, Werner-Seidler A, Torok M, Mackinnon AJ, Christensen H. The relationship between screen time and mental health in young people: A systematic review of longitudinal studies. Clinical psychology review. 2021;86:102021.
Brailovskaia J, Cosci F, Mansueto G, Miragall M, Herrero R, Baños RM, et al. The association between depression symptoms, psychological burden caused by Covid-19 and physical activity: An investigation in Germany, Italy, Russia, and Spain. Psychiatry Research. 2021;295:113596.
Joseph KL, Dagfinrud H, Christie A, Hagen KB, Tveter AT. Criterion validity of The International Physical Activity Questionnaire-Short Form (IPAQ-SF) for use in clinical practice in patients with osteoarthritis. BMC musculoskeletal disorders. 2021;22:1-9.
Montagni I, Guichard E, Kurth T. Association of screen time with self-perceived attention problems and hyperactivity levels in French students: a cross-sectional study. BMJ Open. 2016;6(2):e009089.
Meh K, Jurak G, Sorić M, Rocha P, Sember V. Validity and reliability of IPAQ-SF and GPAQ for assessing sedentary behaviour in adults in the European Union: A systematic review and meta-analysis. International journal of environmental research and public health. 2021;18(9):4602.
Kakemam E, Navvabi E, Albelbeisi AH, Saeedikia F, Rouhi A, Majidi S. Psychometric properties of the Persian version of Depression Anxiety Stress Scale-21 Items (DASS-21) in a sample of health professionals: a cross-sectional study. BMC Health Services Research. 2022;22(1):111.
Boers E, Afzali MH, Newton N, Conrod P. Association of screen time and depression in adolescence. JAMA pediatrics. 2019;173(9):853-9.
Yadav A, Yadav K, Punjabi P, Sankhla M, Shukla J. Analysing the Effect of Lockdown on Physical Activity, Screen Time, and Emotional Wellbeing Among Young Medical Students of India During the COVID-19 Pandemic. Journal of Medical Education. 2022;21(1).
Zou Z, Xiang J, Wang H, Wen Q, Luo X. Association of screen time-based sedentary behavior and the risk of depression in children and adolescents: Dose-response meta-analysis. Archives of Clinical Psychiatry (São Paulo). 2022;48:235-44.
Magson NR, Freeman JY, Rapee RM, Richardson CE, Oar EL, Fardouly J. Risk and protective factors for prospective changes in adolescent mental health during the COVID-19 pandemic. Journal of youth and adolescence. 2021;50:44-57.
Gu J. Physical activity and depression in adolescents: evidence from China family panel studies. Behavioral Sciences. 2022;12(3):71.
Maugeri G, Musumeci G. Adapted physical activity to ensure the physical and psychological well-being of COVID-19 patients. Journal of Functional Morphology and Kinesiology. 2021;6(1):13.
Zhang Y, Wu X, Tao S, Li S, Ma L, Yu Y, et al. Associations between screen time, physical activity, and depressive symptoms during the 2019 coronavirus disease (COVID-19) outbreak among Chinese college students. Environmental Health and Preventive Medicine. 2021;26:1-12.
Khouja JN, Munafò MR, Tilling K, Wiles NJ, Joinson C, Etchells PJ, et al. Is screen time associated with anxiety or depression in young people? Results from a UK birth cohort. BMC public health. 2019;19(1):1-11.
Reigal RE, Páez-Maldonado JA, Pastrana-Brincones JL, Morillo-Baro JP, Hernández-Mendo A, Morales-Sánchez V. Physical activity is related to mood states, anxiety state and self-rated health in COVID-19 lockdown. Sustainability. 2021;13(10):5444.
Kim S-Y, Jeon S-W, Lee MY, Shin D-W, Lim W-J, Shin Y-C, et al. The association between physical activity and anxiety symptoms for general adult populations: An analysis of the dose-response relationship. Psychiatry investigation. 2020;17(1):29.
Khalili-Mahani N, Smyrnova A, Kakinami L. To each stress its own screen: a cross-sectional survey of the patterns of stress and various screen uses in relation to self-admitted screen addiction. Journal of medical Internet research. 2019;21(4):e11485.
Raj U, Fatima A. Stress in Students after Lockdown Due to COVID-19 Thereat and the Effects of Attending Online Classes. Available at SSRN 3584220. 2020.
Vella SA, Aidman E, Teychenne M, Smith JJ, Swann C, Rosenbaum S, et al. Optimising the effects of physical activity on mental health and wellbeing: A joint consensus statement from Sports Medicine Australia and the Australian Psychological Society. Journal of science and medicine in sport. 2023;26(2):132-9.
Ge Y, Xin S, Luan D, Zou Z, Bai X, Liu M, et al. Independent and combined associations between screen time and physical activity and perceived stress among college students. Addictive behaviors. 2020;103:106224.
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