@article{ref1,
title="Sleep duration, depressive symptoms, and digital self-harm among adolescents",
journal="Child and adolescent mental health",
year="2021",
author="Semenza, Daniel C. and Meldrum, Ryan C. and Testa, Alexander and Jackson, Dylan B.",
volume="ePub",
number="ePub",
pages="ePub-ePub",
abstract="BACKGROUND: This study examines the relationship between sleep duration, depression, and engagement in a novel cyber behavior, digital self-harm, among adolescents. <br><br>METHOD: Logistic regression analyses were conducted using cross-sectional data from the 2019 Florida Youth Substance Abuse Survey (N = 9,819; 48% male; avg. grade level = 9th grade [SD = 1.9]) to analyze the association between sleep duration and digital self-harm. A Karlson-Holm-Breen (KHB) analysis was used to assess whether depressive symptoms attenuate this association. <br><br>RESULTS: Bivariate results indicated that longer sleep duration was associated with lower incidence of digital self-harm. Multivariate results showed that sleep duration was inversely associated with engaging in digital self-harm, net of all covariates. Depressive symptoms attenuated the influence of sleep duration on digital self-harm by 50.72%. <br><br>CONCLUSIONS: Both insufficient sleep and depressive symptoms were associated with engagement in digital self-harm among adolescents. Prospective research is needed, however, to confirm this pathway. Practitioners and clinicians should consider discussing digital self-harm with adolescents and parents, especially if adolescents are experiencing poor sleep and depressive symptoms.<p /> <p>Language: en</p>",
language="en",
issn="1475-357X",
doi="10.1111/camh.12457",
url="http://dx.doi.org/10.1111/camh.12457"
}