{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,15]],"date-time":"2026-04-15T19:28:00Z","timestamp":1776281280564,"version":"3.50.1"},"reference-count":57,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2021,3,24]],"date-time":"2021-03-24T00:00:00Z","timestamp":1616544000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["acamh.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Child Adoles Ment Health"],"published-print":{"date-parts":[[2022,5]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>This study examines the relationship between sleep duration, depression, and engagement in a novel cyber behavior, digital self\u2010harm, among adolescents.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Method<\/jats:title>\n                    <jats:p>\n                      Logistic regression analyses were conducted using cross\u2010sectional data from the 2019 Florida Youth Substance Abuse Survey (\n                      <jats:italic>N<\/jats:italic>\n                      \u2009=\u20099,819; 48% male; avg. grade level\u2009=\u20099th grade [\n                      <jats:italic>SD<\/jats:italic>\n                      \u2009=\u20091.9]) to analyze the association between sleep duration and digital self\u2010harm. A Karlson\u2013Holm\u2013Breen (KHB) analysis was used to assess whether depressive symptoms attenuate this association.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Bivariate results indicated that longer sleep duration was associated with lower incidence of digital self\u2010harm. Multivariate results showed that sleep duration was inversely associated with engaging in digital self\u2010harm, net of all covariates. Depressive symptoms attenuated the influence of sleep duration on digital self\u2010harm by 50.72%.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Both insufficient sleep and depressive symptoms were associated with engagement in digital self\u2010harm among adolescents. Prospective research is needed, however, to confirm this pathway. Practitioners and clinicians should consider discussing digital self\u2010harm with adolescents and parents, especially if adolescents are experiencing poor sleep and depressive symptoms.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/camh.12457","type":"journal-article","created":{"date-parts":[[2021,3,24]],"date-time":"2021-03-24T22:13:56Z","timestamp":1616624036000},"page":"103-110","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":29,"title":["Sleep duration, depressive symptoms, and digital self\u2010harm among adolescents"],"prefix":"10.1111","volume":"27","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3843-9559","authenticated-orcid":false,"given":"Daniel C.","family":"Semenza","sequence":"first","affiliation":[{"name":"Department of Sociology, Anthropology, and Criminal Justice Rutgers University  Camden NJ USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ryan C.","family":"Meldrum","sequence":"additional","affiliation":[{"name":"Department of Criminology and Criminal Justice Florida International University  Miami FL USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alexander","family":"Testa","sequence":"additional","affiliation":[{"name":"Department of Criminology and Criminal Justice University of Texas at San Antonio  San Antonio TX USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dylan B.","family":"Jackson","sequence":"additional","affiliation":[{"name":"Department of Population, Family, and Reproductive Health Bloomberg School of Public Health Johns Hopkins University  Baltimore MD 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