Poor Sleep Quality Mediated the Effect of Facebook Addiction on Depression among Adolescent in Taiwan：A Nine-Month Follow up

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Title:	Poor Sleep Quality Mediated the Effect of Facebook Addiction on Depression among Adolescent in Taiwan：A Nine-Month Follow up
Authors:	HSU, HAN
Contributors:	心理學系
Keywords:	adolescents;Depression;sleep quality;Facebook addiction;Taiwan
Date:	2018-02-09
Issue Date:	2018-02-09 07:59:37 (UTC+0)
Publisher:	ASIA
Abstract:	Background The poor sleep quality, Facebook addiction and depression are highly prevalent among adolescents worldwide. It is interesting to investigate the pathways among poor sleep quality, Facebook addiction and depression in adolescent students. Previous research revealed that Facebook addiction was associated with depression, and there was a high correlation between poor sleep quality and depression. In recent years, two cross-sectional studies found the two mediation pathways, one study indicated that internet addiction was a mediator between poor sleep quality and depression, and another study showed poor sleep quality was a mediator between internet addiction and depression. Therefore, the pathways among poor sleep quality, Facebook addiction and depression remained controversial. Consequently, the aim of this study was to illuminate the role of poor sleep quality and Facebook addiction on depression among junior high students in a longitudinal design. Hypotheses After controlling for gender and other confounding variable, the study hypotheses were as follows: (1) T2 poor sleep quality would be a mediator between T1 Facebook addiction and T3 depression. (2) T2 Facebook addiction would be a mediator between T1 poor sleep quality and T3 depression. Methods This study was conducted by a three-wave longitudinal study designed in 613 adolescents in grades 7 and 8. All participants were invited to join this study after gaining parents and student informed consent. They completed the Chinese version of the Pittsburgh Sleep Quality Index (PSQI), Facebook Addiction Scale (FAS), and the Chinese version of the Symptoms Check List-90R (SCL-90-R). Data analysis was performed by using SPSS version 22.0, and the PROCESS was used to exam the hypothesized model. Results Two main results were identified. First, after controlling for baseline levels of depression and gender, the effect of T1 Facebook addiction on T3 depression was significant, which was fully mediated by T2 poor sleep quality. Second, T1 poor sleep quality could not predict T3 depression mediated through T2 Facebook addiction. Discussion These ﬁndings from the current study suggest that poor sleep quality is probably an important factor in explaining the development of depression in adolescents with Facebook addiction. Further study may examine whether educational intervention to reduce Facebook use and maintain healthy sleep habits will help to improve adolescent depression. Keywords: Facebook addiction, sleep quality, Depression, adolescents, Taiwan Background The poor sleep quality, Facebook addiction and depression are highly prevalent among adolescents worldwide. It is interesting to investigate the pathways among poor sleep quality, Facebook addiction and depression in adolescent students. Previous research revealed that Facebook addiction was associated with depression, and there was a high correlation between poor sleep quality and depression. In recent years, two cross-sectional studies found the two mediation pathways, one study indicated that internet addiction was a mediator between poor sleep quality and depression, and another study showed poor sleep quality was a mediator between internet addiction and depression. Therefore, the pathways among poor sleep quality, Facebook addiction and depression remained controversial. Consequently, the aim of this study was to illuminate the role of poor sleep quality and Facebook addiction on depression among junior high students in a longitudinal design. Hypotheses After controlling for gender and other confounding variable, the study hypotheses were as follows: (1) T2 poor sleep quality would be a mediator between T1 Facebook addiction and T3 depression. (2) T2 Facebook addiction would be a mediator between T1 poor sleep quality and T3 depression. Methods This study was conducted by a three-wave longitudinal study designed in 613 adolescents in grades 7 and 8. All participants were invited to join this study after gaining parents and student informed consent. They completed the Chinese version of the Pittsburgh Sleep Quality Index (PSQI), Facebook Addiction Scale (FAS), and the Chinese version of the Symptoms Check List-90R (SCL-90-R). Data analysis was performed by using SPSS version 22.0, and the PROCESS was used to exam the hypothesized model. Results Two main results were identified. First, after controlling for baseline levels of depression and gender, the effect of T1 Facebook addiction on T3 depression was significant, which was fully mediated by T2 poor sleep quality. Second, T1 poor sleep quality could not predict T3 depression mediated through T2 Facebook addiction. Discussion These ﬁndings from the current study suggest that poor sleep quality is probably an important factor in explaining the development of depression in adolescents with Facebook addiction. Further study may examine whether educational intervention to reduce Facebook use and maintain healthy sleep habits will help to improve adolescent depression. Keywords: Facebook addiction, sleep quality, Depression, adolescents, Taiwan
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