{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,27]],"date-time":"2026-10-27T04:54:52Z","timestamp":1793076892946,"version":"4.5.0"},"reference-count":61,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,3,6]],"date-time":"2026-03-06T00:00:00Z","timestamp":1772755200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,3,6]],"date-time":"2026-03-06T00:00:00Z","timestamp":1772755200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"DOI":"10.13039\/501100000024","name":"Canadian Institutes of Health Research","doi-asserted-by":"publisher","award":["165597"],"award-info":[{"award-number":["165597"]}],"id":[{"id":"10.13039\/501100000024","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100022764","name":"Rossy Foundation","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100022764","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Can J Psychiatry"],"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Mental health concerns are common among undergraduates and have been linked to lifestyle factors. This study examined the relationship between recreational screen time at university entry and mental health over the academic year, and the potential moderating role of self-esteem.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Data from the longitudinal Queen's U-Flourish Survey (2021\/2022) included measures of screen time unrelated to academic work (leisure and social) and validated screening measures for anxiety (GAD-7), depression (PHQ-9), insomnia (SCI-8), disordered eating (SCOFF), and low well-being (SWEMWBS). Multivariable log-binomial regression was used to examine associations between screen time and mental health.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      At entry to university, a higher proportion of males (n\u2009=\u2009394) than females (n\u2009=\u20091,135) reported averaging 4\u2009+\u2009 hours\/day of leisure screen time (57.4% vs. 45.3%,\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      \u2009&lt;\u20090.001), while a greater proportion of females reported 4\u2009+\u2009 hours of social screen time (32.2% vs. 25.2%,\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      \u2009=\u20090.01). Higher screen time was associated with increased risk of clinically significant levels of symptoms and reduced well-being at school entry, with greater effects for leisure compared to social screen time. Students reporting 7\u20139 and 10\u2009+\u2009 hours\/day of leisure screen time were more likely to screen positive for anxiety (by 20% and 39%), depression (39%; 47%), insomnia (22%; 55%), and low well-being (45%; 68%) compared to students averaging \u22643 hours\/day. Effects were comparable between males and females, except greater leisure screen time was associated with increased risk of disordered eating among females only. Associations between screen time and screening positive at the end of the academic year were largely attenuated. Leisure screen time \u22653 hours\/day was most strongly associated with anxiety and depression among students with higher self-esteem.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Recreational screen time \u22653 hours\/day is common among first-year undergraduates and associated with higher levels of anxiety and depressive symptoms and lower well-being. It should be considered in campus mental health promotion and prevention efforts.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/07067437261428821","type":"journal-article","created":{"date-parts":[[2026,3,11]],"date-time":"2026-03-11T18:01:37Z","timestamp":1773252097000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Recreational Screen Time at University Entry and Mental Health and Well-Being Over First Year: U-Flourish Student Well-Being Research: Temps d\u2019\u00e9cran \u00e0 des fins de divertissement au moment de l\u2019entr\u00e9e \u00e0 l\u2019universit\u00e9, sant\u00e9 mentale et bien-\u00eatre au cours de la premi\u00e8re ann\u00e9e : programme de recherche U-Flourish sur le bien-\u00eatre des \u00e9tudiants"],"prefix":"10.1177","author":[{"ORCID":"https:\/\/orcid.org\/0009-0006-0500-6796","authenticated-orcid":false,"given":"Simran","family":"Brar","sequence":"first","affiliation":[{"name":"Queen's University"},{"name":"Department of Psychology, McGill University, Montreal, QC, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nathan","family":"King","sequence":"additional","affiliation":[{"name":"Queen's University"},{"name":"Department of Psychiatry, Queen's University, Kingston, ON, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0005-6318-5043","authenticated-orcid":false,"given":"Anna","family":"Park","sequence":"additional","affiliation":[{"name":"Queen's University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kristen","family":"Kyone","sequence":"additional","affiliation":[{"name":"Queen's University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Emily","family":"Dephoure","sequence":"additional","affiliation":[{"name":"Queen's University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daniel","family":"Rivera","sequence":"additional","affiliation":[{"name":"Queen's University"},{"name":"Centre for Neuroscience Studies, Queen's University, Kingston, ON, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Adeleine","family":"Lyon","sequence":"additional","affiliation":[{"name":"Centre for Neuroscience Studies, Queen's University, Kingston, ON, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5895-075X","authenticated-orcid":false,"given":"Anne","family":"Duffy","sequence":"additional","affiliation":[{"name":"Queen's University"},{"name":"Department of Psychiatry, Queen's University, Kingston, ON, Canada"},{"name":"Department of Psychiatry, Oxford University, Oxford, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,3,6]]},"reference":[{"key":"e_1_3_3_2_2","doi-asserted-by":"publisher","DOI":"10.1080\/0309877X.2021.1905154"},{"key":"e_1_3_3_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/S2215-0366(19)30275-5"},{"key":"e_1_3_3_4_2","doi-asserted-by":"publisher","DOI":"10.1111\/eip.12939"},{"key":"e_1_3_3_5_2","doi-asserted-by":"publisher","DOI":"10.1111\/jcpp.13606"},{"key":"e_1_3_3_6_2","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2021-050187"},{"key":"e_1_3_3_7_2","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0247999"},{"key":"e_1_3_3_8_2","doi-asserted-by":"publisher","DOI":"10.1177\/07067437221094549"},{"key":"e_1_3_3_9_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jad.2017.07.044"},{"key":"e_1_3_3_10_2","doi-asserted-by":"publisher","DOI":"10.1192\/bjo.2020.24"},{"key":"e_1_3_3_11_2","doi-asserted-by":"publisher","DOI":"10.1038\/s41598-023-33584-3"},{"key":"e_1_3_3_12_2","doi-asserted-by":"publisher","DOI":"10.1080\/1067828X.2017.1420507"},{"key":"e_1_3_3_13_2","doi-asserted-by":"publisher","DOI":"10.1080\/07448481.2021.1942006"},{"key":"e_1_3_3_14_2","doi-asserted-by":"publisher","DOI":"10.1080\/14635240.2023.2248091"},{"key":"e_1_3_3_15_2","unstructured":"Government of Canada SC. 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