Impact of Social Media Use on Sleep Patterns among Adolescents: A Cross-Sectional Study
Keywords:
Adolescents, Bedtime, PSQI, Sleep Quality, Social Media Use, TikTokAbstract
OBJECTIVE: To assess the impact of social media use (SMU) on sleep patterns among adolescents.
METHODOLOGY: This analytical cross-sectional study was conducted at the Armed Forces Institute of Mental Health in Rawalpindi from March to September 2024. A total of 380 adolescents aged 10–19 years were selected using a nonprobability consecutive sampling technique after applying inclusion and exclusion criteria. Sociodemographic data and the Pittsburgh Sleep Quality Index (PSQI) were employed to assess SMU and sleep quality at bedtime. Poor sleep quality was indicated by a PSQI global score of > 5.
RESULTS: Of the participants, 60% reported using social media, with TikTok being the most frequently used platform (17.4%). The prevalence of poor quality of sleep among participants was 44.2%. Adolescents who used social media for extended hours, particularly in the evening or at night, had significantly higher PSQI scores (p < 0.001). A strong association was found between bedtime social media use and poor sleep quality. Among adolescents with poor sleep quality, 88.1% were social media users compared to 11.9% non-users (p < 0.001).
CONCLUSION: This study demonstrates a significant association between SMU patterns and adolescent sleep quality. These findings suggest that increased exposure to social media, especially during critical hours preceding sleep, may adversely affect sleep latency, duration, efficiency, and overall sleep quality.
References
1. Reportal D. Global social media statistics. Pribavljeno. 2023; 10(3).
2. Kemp S. Digital 2024: Pakistan 2024. Available from: https://datareportal.com/reports/digital-2024-pakistan.
3. Buda G, Lukoševi?i?t? J, Šal?i?nait? L, Šmigelskas K. Possible effects of social media use on adolescent health behaviors and perceptions. Psychol Rep. 2021; 124(3): 1031-48. doi: 10.1177/0033294120922481.
4. Charmaraman L, Richer AM, Ben-Joseph EP, Klerman EB. Quantity, content, and context matter: Associations among social technology use and sleep habits in early adolescents. J Adolesc Health. 2021; 69(1): 162-5. doi: 10.1016/j.jadohealth.2020.09.035.
5. Li TM, Chan NY, Li C-T, Chen J, Chan JW, Liu Y et al. The associations of electronic media use with sleep and circadian problems, social, emotional and behavioral difficulties in adolescents. Front Psychiatry. 2022; 13: 892583. doi: 10.3389/fpsyt.2022.892583.
6. Khan A, Reyad MAH, Edwards E, Horwood S. Associations between adolescent sleep difficulties and active versus passive screen time across 38 countries. J Affect Disord. 2023; 320: 298-304. doi: 10.1016/j.jad.2022.09.137.
7. Brautsch LA, Lund L, Andersen MM, Jennum PJ, Folker AP, Andersen S. Digital media use and sleep in late adolescence and young adulthood: A systematic review. Sleep Med Rev. 2023; 68: 101742. doi: 10.1016/j.smrv.2022.101742.
8. 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. doi: 10.2147/NSS.S253375.
9. Hamilton JL, Chand S, Reinhardt L, Ladouceur CD, Silk JS, Moreno M et al. Social media use predicts later sleep timing and greater sleep variability: An ecological momentary assessment study of youth at high and low familial risk for depression. J Adolesc. 2020; 83: 122-30. doi: 10.1016/j.adolescence.2020.07.009.
10. Das?Friebel A, Lenneis A, Realo A, Sanborn A, Tang NK, Wolke D et al. Bedtime social media use, sleep, and affective well-being in young adults: An experience sampling study. J Child Psychol Psychiatry. 2020; 61(10): 1138-49. doi: 10.1111/jcpp.13326.
11. Kolhar M, Kazi RNA, Alameen A. Effect of social media use on learning, social interactions, and sleep duration among university students. Saudi J Biol Sci. 2021; 28(4): 2216-22. doi: 10.1016/j.sjbs.2021.01.010.
12. El Abiddine FZ, Aljaberi MA, Gadelrab HF, Lin C-Y, Muhammed A. Mediated effects of insomnia in the association between problematic social media use and subjective well-being among university students during COVID-19 pandemic. Sleep Epidemiol. 2022; 2: 100030. doi: 10.1016/j.sleepe.2022.100030.
13. Ittefaq M, Seo H, Abwao M, Baines A. Social media use for health, cultural characteristics, and demographics: A survey of Pakistani millennials. Digit Health. 2022; 8: 20552076221089454. doi: 10.1177/20552076221089454.
14. Ça?lar S, Kesgin MT, Ak B. Adolescents’ Sleep Habits, Internet Use and Changing Sleep-Wake Schedule. Süleyman Demirel Üniversitesi Sa?l?k Bilimleri Dergisi. 2019; 10(2): 120-8.
15. Carter B, Rees P, Hale L, Bhattacharjee D, Paradkar MS. Association Between Portable Screen-Based Media Device Access or Use and Sleep Outcomes: A Systematic Review and Meta-analysis. JAMA Pediatr. 2016; 170(12): 1202-8. doi: 10.1001/jamapediatrics.2016.2341.
16. Backhaus J, Junghanns K, Broocks A, Riemann D, Hohagen F. Test-retest reliability and validity of the Pittsburgh Sleep Quality Index in primary insomnia. J Psychosom Res. 2002; 53(3): 737-40. doi: 10.1016/s0022-3999(02)00330-6.
17. Lund HG, Reider BD, Whiting AB, Prichard JR. Sleep patterns and predictors of disturbed sleep in a large population of college students. J Adolesc Health. 2010; 46(2): 124-32. doi: 10.1016/j.jadohealth.2009.06.016.
18. Tetik NG, ?en GK. Impact of adolescents' sleeping problems and habits on the quality of their sleep. J Turkish Sleep Med. 2021; 2: 118-25.
19. Hashmi AM, Khawaja IS, Butt Z, Umair M, Naqvi SH, Ul-Haq J. The Pittsburgh sleep quality index: validation of the Urdu translation. J Coll Physicians Surg Pak. 2014; 24(2): 123-6.
20. Farrah HA, Tahir M. Assessing the impacts of social networking sites among Pakistani youth. Pak J Soc Res. 2021; 3(4): 272-80.
21. Boniel-Nissim M, Tynjälä J, Gobi?a I, Furstova J, van den Eijnden RJ, Marino C et al. Adolescent use of social media and associations with sleep patterns across 18 European and North American countries. Sleep Health. 2023; 9(3): 314-21. doi: 10.1016/j.sleh.2023.01.005.
22. Pirdehghan A, Khezmeh E, Panahi S. Social media use and sleep disturbance among adolescents: A cross-sectional study. Iran J Psychiatry. 2021; 16(2): 137. doi: 10.18502/ijps.v16i2.5814.
23. Naing L, Hassen S, Sharbini S, Murang ZR, Teo N, Tahir ZM. The relationship between the use of screen-based devices and self-reported sleep quality in adolescents aged 13–19 years in Brunei. BMC Public Health. 2024; 24(1): 3270. doi: 10.1186/s12889-024-20453-5.
24. Al-Garni AM, Alamri HS, Asiri WMA, Abudasser AM, Alawashiz AS, Badawi FA et al. Social Media Use and Sleep Quality Among Secondary School Students in Aseer Region: A Cross-Sectional Study. Int J Gen Med. 2024; 2024(17): 3093-106. doi: 10.2147/IJGM.S464457.
25. Kortesoja L, Vainikainen M-P, Hotulainen R, Merikanto I. Late-night digital media use in relation to chronotype, sleep and tiredness on school days in adolescence. J Youth Adolesc. 2023; 52(2): 419-33. doi: 10.1007/s10964-022-01703-4.
26. Thounaojam M. Effect of bedtime social media use on quality of sleep among adolescents in selected schools and pre-university colleges, Bangalore. Int J Res Med Sci. 2024; 12(11): 4071-6.
27. Khan A, Thomas G, Karatela S, Morawska A, Werner?Seidler A. Intense and problematic social media use and sleep difficulties of adolescents in 40 countries. J Adolesc. 2024; 96(5): 1116-25. doi: 10.1002/jad.12321.
28. Varghese NE, Santoro E, Lugo A, Madrid-Valero JJ, Ghislandi S, Torbica A et al. The role of technology and social media use in sleep-onset difficulties among Italian adolescents: cross-sectional study. J Med Internet Res. 2021; 23(1): e20319.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2026 Journal of Liaquat University of Medical & Health Sciences

This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
Submission of a manuscript to the journal implies that all authors have read and agreed to the content of the undertaking form or the Terms and Conditions.
When an article is accepted for publication, the author(s) retain the copyright and are required to grant the publisher the right of first publication and other non-exclusive publishing rights to JLUMHS.
Articles published in the Journal of Liaquat University of Medical & health sciences are open access articles under a Creative Commons Attribution-Noncommercial - Share Alike 4.0 License. This license permits use, distribution and reproduction in any medium; provided the original work is properly cited and initial publication in this journal. This is in accordance with the BOAI definition of open access. In addition to that users are allowed to remix, tweak and build upon the work non-commercially as long as appropriate credit is given and the new creations are licensed under the identical terms. Or, in certain cases it can be stated that all articles and content there in are published under creative commons license unless stated otherwise.

















