What is the Role of Computer Game Addiction in the Sleep Disturbance Risk Among Children of COVID Lock Down? A Cross-sectional Study
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Original Article
P: 91-97
June 2023

What is the Role of Computer Game Addiction in the Sleep Disturbance Risk Among Children of COVID Lock Down? A Cross-sectional Study

J Turk Sleep Med 2023;10(2):91-97
1. Edirne İl Sağlık Müdürlüğü, Merkez Toplum Sağlığı Merkezi, Edirne, Türkiye
2. Sağlık Bilimleri Üniversitesi, Gaziosmanpaşa Eğitim ve Araştırma Hastanesi, Aile Hekimliği Kliniği, İstanbul, Türkiye
3. Sağlık Bilimleri Üniversitesi, Gaziosmanpaşa Eğitim ve Araştırma Hastanesi, Çocuk Sağlığı ve Hastalıkları Kliniği, İstanbul, Türkiye
No information available.
No information available
Received Date: 20.05.2022
Accepted Date: 10.10.2022
Publish Date: 29.05.2023
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ABSTRACT

Objective:

In this study, it was aimed to examine the risk of sleep disturbance in children and its relationship with computer game addiction during the Coronavirus disease-2019 lock down.

Materials and Methods:

In our cross-sectional observational study, 343 children and their mothers who applied family medicine clinics of a tertiary hospital between 1 October 2020 and 1 January 2021 were included. A structured questionnaire including the socio-demographic data of the mother and the child, and the Children’s Sleep Disturbance Scale and the Children’s Computer Game Addiction Scale were applied.

Results:

One-hundred sixty-five (48.1%) girls and 178 (51.9%) boys aged 8-12 years and their mothers participated in the study. The risk of sleep disturbance was observed at a rate of 74.1% (n=254) and it was strongly correlated with computer game addiction (p<0.001, r=0.787). Game addiction scores of boys (58.66±16.68) and primary school children (60.37±16.41) were higher than game addiction of girls (52.91±17.57), and of secondary school children (55.06±17.39) (p=0.023, p=0.040, respectively). Computer game addiction score (61.89±14.77) of children with sleep disturbance risk was significantly higher (p<0.001) than children without sleep disturbance risk (38.79±11.84). Among the children with a risk of sleep disturbance, the proportion of time spent on the computer compared to the pre-pandemic period (70.1%), the proportion of going late to bed-time (70.0%), and the proportion of being own computer or tablet (71.7%) were found to be higher than the proportions in children (48.3%, 58.4%, 37.1%, respectively) without sleep disturbance (p<0.001, p=0.004, p<0.001, respectively). The level of computer game addiction was significantly increased in children who spent less time with their mothers (58.68±16.97) and less time for games (58.05±18.11) compared to other children (p=0.002). In the logistic regression analysis, it was shown that the game addiction score was 1.128 times higher in children with sleep disturbance risk [Odds ratio=1.128 (1.094-1.162; p<0.001)].

Conclusion:

Our study showed that three of four children had a risk of sleep disorders during the pandemic period and were associated with an increased level of computer game addiction and drew attention to the importance of the time spent with the mother.

Keywords: Child, computer game addiction, sleep, sleep-wake disorders

References

1
Owens J. Classification and epidemiology of childhood sleep disorders. Prim Care 2008;35:533-46.
2
Carter KA, Hathaway NE, Lettieri CF. Common sleep disorders in children. Am Fam Physician 2014;89:368-77.
3
Fadzil A. Factors Affecting the Quality of Sleep in Children. Children (Basel) 2021;8:122.
4
Rafique N, Al-Asoom LI, Alsunni AA, Saudagar FN, Almulhim L, Alkaltham G. Effects of Mobile Use on Subjective Sleep Quality. Nat Sci Sleep 2020;12:357-64.
5
Altena E, Baglioni C, Espie CA, Ellis J, Gavriloff D, Holzinger B, Schlarb A, Frase L, Jernelöv S, Riemann D. Dealing with sleep problems during home confinement due to the COVID-19 outbreak: Practical recommendations from a task force of the European CBT-I Academy. J Sleep Res 2020;29:e13052.
6
Liu Z, Tang H, Jin Q, Wang G, Yang Z, Chen H, Yan H, Rao W, Owens J. Sleep of preschoolers during the coronavirus disease 2019 (COVID-19) outbreak. J Sleep Res 2021;30:e13142.
7
Wang G, Zhang Y, Zhao J, Zhang J, Jiang F. Mitigate the effects of home confinement on children during the COVID-19 outbreak. Lancet 2020;395:945-7.
8
Lissak G. Adverse physiological and psychological effects of screen time on children and adolescents: Literature review and case study. Environ Res 2018;164:149-57.
9
Donati MA, Guido CA, De Meo G, Spalice A, Sanson F, Beccari C, Primi C. Gaming among Children and Adolescents during the COVID-19 Lockdown: The Role of Parents in Time Spent on Video Games and Gaming Disorder Symptoms. Int J Environ Res Public Health 2021;18:6642.
10
Horzum MB, Ayas T, Çakır Balta Ö. Çocuklar İçin Bilgisayar Oyun Bağimliliği Ölçeği. Türk Psikolojik Danışma ve Rehberlik Dergisi. 2008;30:76-88.
11
Bruni O, Ottaviano S, Guidetti V, Romoli M, Innocenzi M, Cortesi F, Giannotti F. The Sleep Disturbance Scale for Children (SDSC). Construction and validation of an instrument to evaluate sleep disturbances in childhood and adolescence. J Sleep Res 1996;5:251-61.
12
Ağadayı E, Çelik N, Ayhan Başer D. Çocuklar İçin Uyku Bozukluğu Ölçeğinin Türkçe Geçerlik ve Güvenirlik Çalışması. Journal of Turkish Sleep Medicine 2020;2:65-72.
13
Dağ YS, Yayan YÖ, Yayan EH. Çocukların Bilgisayar Oyun Bağımlılıkları: Kronotip Uyku. J Turk Sleep Med 2022;9:73-8.
14
Saffari M, Gholamrezaei A, Saneian H, Attari A, Bruni O. Linguistic validation of the sleep disturbance scale for children (SDSC) in Iranian children with Persian language. Sleep Med 2014;15:998-1001.
15
Bruni O, Malorgio E, Doria M, Finotti E, Spruyt K, Melegari MG, Villa MP, Ferri R. Changes in sleep patterns and disturbances in children and adolescents in Italy during the Covid-19 outbreak. Sleep Med 2022;91:166-74.
16
Mihara S, Higuchi S. Cross-sectional and longitudinal epidemiological studies of Internet gaming disorder: A systematic review of the literature. Psychiatry Clin Neurosci 2017;71:425-44.
17
Ferreira FM, Bambini BB, Tonsig GK, Fonseca L, Picon FA, Pan PM, Salum GA, Jackowski A, Miguel EC, Rohde LA, Bressan RA, Gadelha A. Predictors of gaming disorder in children and adolescents: a school-based study. Braz J Psychiatry 2021;43:289-92.
18
Göldağ B. Lise öğrencilerinin dijital oyun bağımlılık düzeylerinin demografik özelliklerine göre incelenmesi. Van Yüzüncü Yıl Üniversitesi Eğitim Fakültesi Dergisi 2018;15:1287-315.
19
Keser H, Esgi N. An analysis of self-perceptions of elementary school students in terms of computer game addiction. Procedia - Social and Behavioral Sciences 2012;46:247-51.
20
Touitou Y, Touitou D, Reinberg A. Disruption of adolescents' circadian clock: The vicious circle of media use, exposure to light at night, sleep loss and risk behaviors. J Physiol Paris 2016;110:467-79.
21
Higuchi S, Motohashi Y, Liu Y, Maeda A. Effects of playing a computer game using a bright display on presleep physiological variables, sleep latency, slow wave sleep and REM sleep. J Sleep Res 2005;14:267-73.
22
Çelik S, Ulusoy B. Bilgisayar Oyunlarinin Ortaokul Öğrencilerinin Sosyal Yaşamina Etkisi. The Journal of Social Science 2019;3:46-60.
23
Alimoradi Z, Lin CY, Broström A, Bülow PH, Bajalan Z, Griffiths MD, Ohayon MM, Pakpour AH. Internet addiction and sleep problems: A systematic review and meta-analysis. Sleep Med Rev 2019;47:51-61.
24
İnci FH, Koştu N, Özen Çınar İ, Korkmaz Aslan G, Kartal A. İlkokul Çağı Çocuklarında Uyku Alışkanlıkları ve Etkileyen Faktörler. J Turk Sleep Med 2020;7:91-5.
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