Anxiety-Depressive Syndrome and Binge-Watching Among Young Adults

Online Binge-Watching Among Chinese College Students: Implications for Loneliness, Anxiety, and Depression

Purpose

This study aimed to investigate binge-watching behavior and addiction among a sample of 446 Chinese college students and assess its consequences for mental health, with a particular focus on feelings of loneliness, anxiety, and depression.

Participants and Methods

We conducted an online survey to gather data, examining participants' binge-watching habits and preferred platforms. We also utilized regression analysis to assess the impact of binge-watching addiction on mental health, exploring the associations between binge-watching addiction and feelings of loneliness, anxiety, and depression.

Results

Our findings revealed that the Chinese college students in our study typically defined binge-watching sessions as lasting approximately 7.22 hours, with an average of 10.83 episodes. Regarding the self-assessment of binge-watching, the average duration of participants was 5.76 hours, and the average number of episodes was 7.42. Tencent Video, iQIYI, and Bilibili emerged as the dominant platforms for binge-watching among the respondents. Regression analysis demonstrated a significant link between binge-watching addiction and mental health, with positive associations observed between binge-watching addiction and increased feelings of loneliness, anxiety, and depression.

Conclusion

The results of this study reinforce previous findings regarding the detrimental effects of excessive media consumption on mental well-being. Moreover, they provide valuable insights into the global prevalence of binge-watching and its impact on the psychological health of young adults in the digital age, emphasizing the need for proactive measures to address this issue.

Pre-sleep arousal induced by suspenseful series and cliffhangers have only minor effects on sleep: A sleep laboratory study

Pre-sleep arousal impairs sleep. Therefore, watching suspenseful TV series before sleep is not recommended as they increase arousal. In particular, the consumption of multiple episodes of the same suspenseful TV series in one sitting - termed binge-watching - could lead to large increases in physiological arousal delaying sleep onset. Furthermore, abrupt endings during critical scenes - termed cliffhangers - result in unfinished story lines, which further increase cognitive arousal and could negatively impact sleep architecture and the number of awakenings. However, the effects of binge-watching and cliffhangers on objective sleep parameters are still unknown. Here we tested in a controlled sleep-laboratory setting whether pre-sleep arousal induced by watching 3-4 episodes of a suspenseful TV series has negative effects on sleep in 50 healthy young participants (39 females, mean age = 22.62 ± 2.60 (SD)). Watching a neutral TV series served as a control condition, according to a within-subject design. In one group of participants, the suspenseful TV series ended with a cliffhanger. In the other group, the same TV series ended where no ongoing action was interrupted. Pre-sleep arousal was measured both subjectively with the self-reported level of stress and objectively with the mean heart rate and cortisol level. As expected, suspenseful TV series induced higher cognitive and physiological pre-sleep arousal than neutral control TV series, with highest values for TV series with cliffhangers. In spite of the high pre-sleep arousal, participants fell asleep faster after watching the suspenseful compared with the neutral TV series (F_(1,48) = 4.89, p = 0.032, η² = 0.09). Sleep architecture and the number of awakenings remained unaffected. However, in the first two sleep cycles, heart rate was still higher after watching suspenseful TV series (F_(1,48) = 6.76, p = 0.012, η² = 0.12). And only after cliffhangers, objective sleep quality - measured as the ratio between slow-wave and beta activity during sleep - was lower than in the other conditions (interaction effect, F_(1,48) = 5.05, p = 0.029, η² = 0.10). Our results speak against large impairments of pre-sleep watching of multiple episodes of suspenseful TV series and cliffhangers on sleep quality and architecture. However, unfinished narratives might induce more subtle changes in oscillatory power during sleep, possibly reflecting ongoing cognitive processing during sleep.

Parents Rate Problematic Video Streaming in Adolescents: Conceptualization and External Assessment of a New Clinical Phenomenon Based on the ICD-11 Criteria of Gaming Disorder

In recent years, video streaming (VS) increased substantially. Adolescents are at significant risk of presenting problematic VS patterns associated with a spectrum of mental-health difficulties. Because VS platforms rely on similar mechanisms as digital games, the ICD-11 criteria for Gaming Disorder (GD) have been successfully implemented to measure Streaming Disorder (StrD) in adolescents. For proper diagnoses, external rating scales are urgently required in addition to self-reports. The Streaming Disorder Scale for Parents (STREDIS-P) was created and validated in a representative sample of n = 891 adolescent-parent dyads. Mental health problems were assessed with standardized instruments. Confirmatory factor analysis was conducted to examine the underlying factor structure. Cutoff scores were determined using ROC analysis. Accordance between parental and adolescents' self-ratings was calculated. Consistent with the results of previous validation studies for screening instruments assessing similar phenomena based on ICD-11-GD criteria, two factors, cognitive-behavioral symptoms and negative consequences, were confirmed. STREDIS-P demonstrated good to excellent internal consistency, criterion validity, and discriminatory power. Accordance with adolescents' self-ratings was moderate. STREDIS-P is the first screening tool for assessing StrD in adolescents by parental ratings. It is highly relevant for conceptualizing a new phenomenon in clinical routine and academic research.

Personality and Behavioral Inhibition/Activation Systems in Behavioral Addiction: Analysis of Binge-Watching

Binge-watching (BW) refers to a pattern of watching TV series characterized by the consecutive viewing of three or more episodes in one sitting. Although there is some evidence about its effects on mental health, little is known about predictive variables which may affect negative occurrences of BW, such as problematic and addictive behavior. This study aimed to assess the unique contribution of personality traits (i.e., neuroticism, extraversion, agreeableness, openness, and conscientiousness) to binge-watching, while also considering the role of two motivational systems: the behavioral inhibition system and the behavioral activation system. Cross-sectional data from 790 respondents were collected using standardized questionnaires evaluating: BW, personality traits, and the behavioral inhibition/activation system. The possible predictive roles of these variables were tested via hierarchical linear regression models. Our results underline a predictive high-risk role of neuroticism and the behavioral inhibition system and a protective role of conscientiousness in the continuum of BW from a leisure activity to a problematic one.

Negative Affect and Problematic Binge-Watching: The Mediating Role of Unconstructive Ruminative Thinking Style

The practice of binge-watching (i.e., watching multiple episodes of TV series in one session) has become increasingly prevalent, but comprehending its nature and potential underlying factors has been challenging. In particular, problematic binge-watching remains ill-defined and conceptualized, being regarded either as an addictive behaviour or a maladaptive emotion regulation strategy. Following a process-based approach, in the current study we explored the latter conceptualization, by investigating the potential mediating role of an unconstructive ruminative thinking style between negative affect and problematic binge-watching. To this end, TV series viewers completed an online survey assessing socio-demographic variables, TV series viewing habits, binge-watching motives and engagement, ruminative thinking styles and affect. Based on their answers, participants were allocated to one of the following three groups: non-binge-watchers (n = 59), trouble-free binge-watchers (n = 85), or problematic binge-watchers (n = 162). Group comparisons and mediation analyses were conducted to explore the underlying role of unconstructive rumination in problematic binge-watching. Results showed that, apart from the pattern of TV series watching, trouble-free binge-watchers shared little to no similarity with problematic binge-watchers, therefore supporting the need to differentiate these two behaviours. Moreover, mediation analyses revealed that an unconstructive ruminative thinking style partially mediated the relationship between negative affect and coping/escapism and that it fully accounted for the relationship between negative affect and binge-watching derived positive emotions in problematic binge-watchers. These findings thus add to the notion that problematic binge-watching might serve as a way to bolster a maladaptive emotion regulation strategy, implying that unconstructive rumination acts as a mediating process in this context.

„Streaming trap – the occurrence of the phenomenom of binge-watching and the mean world syndrome: a narrative review”

Introduction: With the increase in popularity of VOD (Video on Demand) platforms, there has been an increase in binge-watching and associated processes, which may influence the development of ‘mean world syndrome’. The aim of this study is to analyse current knowledge of the above phenomena and their interrelationships.

Material and methods: A narrative review of the available literature was conducted by searching PubMed and Google Scholar databases using the following keywords: binge-watching, mean world syndrome, fear of missing out (FOMO), speed-watching from 2000 to 2021

Results: The most important motivations for the development of binge-watching are social aspects, fear of missing out (FOMO), hedonistic needs and escape from reality. The process is exacerbated by depressive-anxiety disorders, loneliness, pathological overeating and neglect of responsibilities. To save time, viewers often practice speed-watching. A positive correlation has been shown between the severity of binge-watching and mean-world syndrome in viewers who watch series such as: House of Cards, The Unbreakable Kimmy Schmidt, Marco Polo, Bloodline and Daredevil, as well as the frequency of watching horror films and viewers’ belief that they are more likely to die. In contrast, no relationship was shown with fear for safety in one’s home. People, who watch reality shows with a competitive scenario, perceive the world to be more hypocritical and manipulated.

Conclusions:Compulsive viewing of violent programmes co-occurs with the phenomena of FOMO and speed-watching and can exacerbate the perception of the world as a dangerous place. In the era of the COVID-19 pandemic, both phenomena have increased, affecting the functioning of society.

Binge-Watching and Mental Health Problems: A Systematic Review and Meta-Analysis

BACKGROUND

Binge-watching, the viewing of online videos or streamed content, may be associated with different types of mental health problems. The present study aimed to investigate the associations between binge-watching and five mental health concerns including depression, loneliness, sleep problems, anxiety, and stress.

METHODS

Academic databases of PubMed, Scopus, Web of Science, ProQuest, PsycINFO, and Psych Articles were systematically searched through February of 2022. The Newcastle-Ottawa Scale was used to assess the methodological quality. A meta-analysis was performed on Fisher's z values as effect sizes, using a random effect model. Publication bias, small study effect, and moderators in this association were assessed.

RESULTS

Binge-watching was significantly associated with the five types of mental health concerns with the most robust correlations found with stress (0.32) and anxiety (0.25). Stronger associations between binge-watching and two types of mental health problems (depression and sleep problems) were found during the COVID-19 pandemic than before the pandemic. Moreover, stronger associations between binge-watching and two types of mental health problems (stress and sleep problems) were found in developing countries than in developed countries.

CONCLUSIONS

The associations between binge-watching and mental health concerns were significant and positive. Programs and interventions to reduce binge-watching should be considered and tested.

Applying ICD-11 criteria of Gaming Disorder to identify problematic video streaming in adolescents: Conceptualization of a new clinical phenomenon

Background and aims

Internet video streaming (VS) has become a popular leisure activity among the majority of adolescents, especially under the COVID-19 pandemic. Research on binge watching patterns in adults suggests an addictive potential of VS. To date, no unified conceptualization on problematic VS and no standardized assessment tools for adolescents exist even though they might be especially vulnerable.

Methods

STREDIS-A is based on the ICD-11 criteria of gaming disorder. It was validated in a representative sample of 959 dyads of 10- to 17-year old adolescents with frequent VS and a respective parent using standardized questionnaires on Internet addiction, depressive and anxiety symptoms, insomnia, loneliness, and academic performance in an online survey. Item structure was investigated by factorial analyses. Cutoffs were estimated and latent profile analysis was performed.

Results

The two-factorial structure of STREDIS-A describes cognitive-behavioral symptoms and negative consequences of VS. Internal consistency and criterion validity were good to excellent. It could excellently discriminate between affected and non-affected adolescents.

Discussion and conclusions

The present study makes a significant contribution to the conceptualization of a new phenomenon. It provides the very first tool to assess streaming disorder in adolescents for clinical and research settings. Clinical validation is highly warranted.