[HN Gopher] Less screen time and more sleep critical for prevent...
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       Less screen time and more sleep critical for preventing depression
        
       Author : rustoo
       Score  : 355 points
       Date   : 2020-11-13 13:36 UTC (9 hours ago)
        
 (HTM) web link (www.westernsydney.edu.au)
 (TXT) w3m dump (www.westernsydney.edu.au)
        
       | metalrain wrote:
       | Makes perfect sense. When you eat, sleep and exercise well your
       | body and mind gets better.
       | 
       | You can always ask if more screen time causes more depression or
       | more depression causes more screen time.
        
       | sabujp wrote:
       | sleep deprivation also leads to irratibility, you just become a
       | shitty human
        
       | eikenberry wrote:
       | I made it as far as this quote (which is from the paper) "higher
       | frequency of alcohol consumption was surprisingly associated",
       | which then opened the question as to whether the researchers had
       | pre-determined their results and fit the data to them.
       | Researchers expressing surprise at the results in a study I take
       | as a sign of bias.
        
       | theuri wrote:
       | For anyone interested in this thread - "The Upward Spiral" is a
       | related book worth reading, that dives into both the neuroscience
       | of depression and practical steps to work one's way out of it.
       | https://www.amazon.com/Upward-Spiral-Neuroscience-Reverse-De...
        
       | nippoo wrote:
       | I honestly think (for me, at least) the implied causation is the
       | wrong way round here. When I'm feeling sad, I tend to be
       | unmotivated and liable to spend more time / all day on my phone.
       | When I'm feeling great, I'm generally motivated to go outside /
       | do DIY / read / have a lot less screen time. I initially spent
       | lots of effort trying to reduce my screen time (parental
       | controls, etc) before realising that it was probably an
       | indicator, not a cause!
        
         | ytwySXpMbS wrote:
         | This is my exact problem with all these studies. I thought
         | "people who don't care about themselves eat unhealthily" was a
         | bit of a no-brainer. I started a clinical psychology course on
         | EdX recently and the first exercise was Common Advice. They
         | went on the say the only useful common advice to give to a
         | depressed person is to tell them to go for a run, as that was
         | the only correlation supported by evidence. A RUN! That's so
         | unhelpful that it's actually a common joke between the
         | depressed people that I've met. If you can't get out of bed,
         | you aren't going to be able to go for a run.
         | 
         | Similarly, if you ruminate on horrible things every time you
         | stop and think, you're going to want to go on your phone late
         | into the night until you're so tired you can go straight to
         | sleep. If you don't even know if life is worth living, it's
         | quite hard to avoid eating that bag of chips. I thought these
         | were obvious, but perhaps it's not to people who've never
         | experienced depression. Perhaps the reductionist view, as
         | unhelpful as it is, plays into it too.
        
           | bityard wrote:
           | Well it's not totally crazy. I suffer from mild chronic
           | depression and I have noticed that doing my morning exercise
           | routine makes it much more likely that my mood will be decent
           | throughout the day than if I wake up and decide I just don't
           | feel like exercising that day.
           | 
           | I have also experimented on myself to see whether 30 minutes
           | of exercise improved my mood in the middle of the day. Not
           | totally surprisingly, it _usually_ did. Not always, but
           | usually. It never once had a negative impact.
           | 
           | The main problem is one of motivation/willpower. Telling a
           | depressed person that they should exercise to feel better
           | seems like solid advice on the surface of it, because it
           | stands a high chance of both being true and actually working,
           | BUT they are not in a place to usefully implement the advice.
           | The brain gets in the way and overrides what we see as
           | "common sense." The same way you can't tell an alcoholic to
           | have a nice big steak instead of a beer for dinner. The
           | person usually even knows the "right" thing to do, they are
           | just literally unable to take the right action in the moment.
        
           | rconti wrote:
           | Well, it works both ways. You may not be able to bring
           | yourself to go for that run 9 of 10 times. And maybe on the
           | 10th time, you could actually do it, but you say "well,
           | what's the point, I'd never stick with it". One of the most
           | powerful things for me is doing the right thing. Even if it's
           | just once. It's amazing how small steps can turn into habits.
        
         | Florin_Andrei wrote:
         | You're highlighting the feedback mechanism that this disease
         | uses to maintain itself. The spiral of doom.
         | 
         | Any attempt to break it is beneficial, though it may feel like
         | the opposite is happening.
        
           | bgroat wrote:
           | I remember once explaining to a friend that depression wasn't
           | really "feeling sad all the time"
           | 
           | It was more like "Emotional AIDS" - it's not that the
           | depression made me sad, it just took away all my emotional
           | immunity/resilience
        
             | colecut wrote:
             | No idea why this would be downvoted.
             | 
             | I lost my only sibling to an overdose last year.
             | 
             | I lost the mother of my child to cancer in February.
             | 
             | Three days later, my current gf was diagnosed with cancer.
             | 
             | Even when I'm not sad, I'm definitely highly irritable,
             | easily overwhelmed, lack patience...
        
         | rjkennedy98 wrote:
         | > When I'm feeling sad, I tend to be unmotivated and liable to
         | spend more time / all day on my phone.
         | 
         | Switch "on my phone" with "drinking alcohol" and that's
         | literally how all alcoholics think.
        
           | exolymph wrote:
           | Uh, that doesn't mean it isn't true. Alcoholics don't drink
           | for no reason. (Source: had to quit drinking because of the
           | problems it was causing for my life.)
        
             | pmiller2 wrote:
             | Of course not. Nobody does things for "no reason." It's
             | more that sometimes we don't understand the motivation.
             | With alcoholics (and drug addicts in general), my guess as
             | to the reason is that it feels good, or otherwise does
             | something for them. I've been told one's first time doing
             | heroin or smoking crack is pure heaven. People who quit
             | generally do so because it causes secondary problems for
             | them. And, that makes sense to me, because why quit
             | something that feels good, but doesn't cause any other
             | problems?
             | 
             | Most of this is pure speculation and extrapolation from my
             | own experience. I had a short period of time when I was
             | drinking excessively to deal with work stress. Once I
             | noticed, I was able to stop, because I knew it would cause
             | me problems later on. Luckily, I never suffered any health
             | effects or legal issues from it, mostly because it was only
             | about a 2-3 week period when I would drink every day after
             | work.
        
           | kylecazar wrote:
           | Ehh -- I'd just reconsider the 'literally all' part. There
           | are alcoholics who just chase the feeling for itself -- a
           | quick fix for sad thoughts, but not for all. It's a
           | complicated disease, but some with issues crave booze
           | regardless of how they're doing mentally. At least in my
           | somewhat limited experience.
        
         | john_moscow wrote:
         | Anecdotal, but a few observations that work for myself:
         | 
         | * Lack of sleep lowers my energy and creative function. I no
         | longer have energy to try new things, or to think out-of-the-
         | box. The brain enters "survival mode" of just following the
         | routine to make it to the end of day. If I let this accumulate
         | over multiple days, the overall motivation and happiness starts
         | dropping exponentially. This makes sense, since a lot of my
         | happiness comes from envisioning goals and achieving them,
         | which I cannot do if I don't sleep enough.
         | 
         | * If I get more than 1 night of bad sleep, I usually try to
         | squeeze in a strenuous hike or just go cycling around the
         | neighborhood. At least 1-2 hours, ideally 4-5. It increases the
         | physical tiredness and makes it easier to fall asleep. It also
         | fills in the short-term memory buffer with random stuff, that
         | seems to have a positive correlation with subsequent sleep
         | quality.
         | 
         | * Screen time generally depends on what you are doing. Routine
         | work or clickbait browsing is bad because it doesn't make you
         | tired and doesn't give enough short-term impressions. Playing
         | games can give impressions, but they also raise excitement,
         | that makes it harder to fall asleep. What works for me is to
         | read for 30-60 minutes just before bedtime. Classic books, sci-
         | fi, anything that is not exciting, but involves imagining what
         | I just read about. After I'm done reading, I make a conscious
         | effort to NOT think about work/plans/stressful topics. Thinking
         | about what I just read usually works pretty well.
         | 
         | * You need to be very careful with alcohol. Moderate amount
         | (say, 1-2 beers) makes it easier to fall asleep, but there's a
         | high chance of waking up after 2-3 hours once it wears off. It
         | also seems to recalibrate the nervous system, making it harder
         | to fall asleep without drinking. So if you are having sleep
         | problems, completely cutting of any booze for about a week
         | shows wonderful results, despite the initial setback.
        
           | rconti wrote:
           | With alcohol, your REM sleep is suppressed, and resting heart
           | rate is quite a bit higher.
           | 
           | I watch my sleep cycles on my Garmin (and also track their
           | 'body battery' thing, which I think is based on stress which
           | is based on heart rate variability). If I have "some" drinks
           | (eg, more than just 1 or 2 small ones), I can easily see how
           | RHR is high and my recovery doesn't even BEGIN until say 3am.
           | When you start tracking and watching those stats every day,
           | you can see how different you feel when you get a good
           | night's sleep. Vs an alcohol-aided-but-not-drunk-not-hungover
           | sleep.
        
       | varispeed wrote:
       | Isn't that addressing the effect of someone's depression? It's a
       | bit like saying you have a headache because you take painkillers.
       | If person is unhappy "screen time" is just a coping mechanism. If
       | you take it away, then the person will find something else to
       | numb their worries. You need to have an honest talk with yourself
       | or a therapist to get to the bottom why you feel this way and
       | then see how you can address it. These "rule of thumb" things are
       | akin to "why don't you just smile?" or "stop worrying" and don't
       | help.
        
         | blix wrote:
         | Cause and coping mechanism are not mutually exclusive.
        
           | varispeed wrote:
           | Yes, you can get into a feedback loop, but that needs to be
           | talked about, not just outright dismissed.
        
             | blix wrote:
             | I don't feel it's dismissive at all. Yeah "rules of thumb"
             | and correlational studies are imperfect, but I think they
             | are better than nothing.
             | 
             | It's usually easier to break out of a feedback loop once
             | you recognize that you are in one.
        
       | fulafel wrote:
       | What are the options for voice based interaction with software?
       | 
       | Eg it might be cool to have audio based Ingress style AR/reality
       | games, that would involve narration and speech recognition. Do
       | they exist? (edit: apparently yes -
       | https://www.prnewswire.com/news-releases/playcrafting-and-bo... -
       | but also no: https://www.digitaltrends.com/home-theater/bose-
       | ends-audio-a...)
        
       | mmaunder wrote:
       | I think sleep is critical for mental health and simply glancing
       | at your bright cellphone screen during the night is an act of
       | self sabotage. Even on the low setting with blue light filter on.
       | It is still spectacularly bright compared to what our bodies have
       | gotten used to over the past several millennia.
        
       | dpeck wrote:
       | Not all screen time is the same and it's far beyond time for us
       | to stop equivocating Facebook/Instagram and other social media
       | nastiness with all the positive things that can be done on a
       | screen.
       | 
       | It confuses people, and as we stare down another quarantine and a
       | long cold winter telling people to spend less time with what
       | could be their only contact to the outside world can be actively
       | harmful.
        
         | yepthatsreality wrote:
         | Agreed computers are tools for productivity and entertainment.
         | You should set yourself up for success and utilize your
         | machine/time accordingly. These are the first steps to exiting
         | the screen time nightmare one may find themselves in.
        
         | nkozyra wrote:
         | I just read the abstracts of one of the studies[1] and it's
         | really including TV and general computer time, not necessarily
         | social media time.
         | 
         | It also references a study that seems to focus more on computer
         | time and "information" overload (at least from the
         | abstract).[2]
         | 
         | I think it's a mistake to assume that sedentary screen time is
         | not impactful so long as you're avoiding social media.
         | 
         | [1]
         | https://bmcmedicine.biomedcentral.com/articles/10.1186/s1291...
         | 
         | [2] https://pubmed.ncbi.nlm.nih.gov/31059635/
        
           | godelski wrote:
           | I think there are big questions on what screen time actual is
           | though. Isn't general computer time essentially social media?
           | At least for most people? Most people also aren't watching
           | documentaries on TV or doing things that exercise the brain.
           | All admit I didn't read your sources but I'm assuming reading
           | books isn't detrimental so it's probably not the sedentary
           | nature of the activity (I could be completely off). I do
           | think that since these days we use computers so much that it
           | does warrant breaking down the activity.
           | 
           | Does anyone have a study that does do this comparison?
        
         | SonicSoul wrote:
         | you're commenting on a study with what sounds like an opinion
         | that feels right to you. maybe it's not just about social media
         | vs "positive" activities. some of it may be related to screen
         | addiction and inability to focus due to externals stimuli. any
         | unhealthy habit _could_ have a configuration where its not as
         | unhealthy to some people, but it doesn 't mean the study is
         | "confusing people"
        
           | noxToken wrote:
           | This will remain opinion until we can get longitudinal
           | studies that account for this. Current pediatric
           | recommendations are basically no screen time for small
           | children even though there are apps specifically for
           | educational enrichment. It may be that all screen time is
           | bad. Until the educational and informational parts are
           | accounted for, all we can do is speculate.
        
           | johnfn wrote:
           | The study considered "screen time" as an unvariegated
           | whole[1]. That _is_ confusing. Screen time is not a singular
           | activity - there 's an infinite diversity of things that you
           | can do on a screen - some great for your health, other very
           | poor.
           | 
           | It'd be like a study came out saying "food proven to make
           | Americans overweight" because, on average, people eat junk
           | food. Strictly speaking that is true, but it's not _useful_
           | information.
           | 
           | [1]: Alright, it considered "non-work screen time" as an
           | unvariegated whole - but my point still stands here.
        
         | porknubbins wrote:
         | I guess that as screens become ubiquitous lumping everything
         | into "screen time" will become increasingly meaningless. I
         | imagine that in medieval times illiterate tribes who came
         | across writing would see it as a kind of technology and be
         | surprised how much "paper time" scribes or monks spend, without
         | regard for the content of the information or the actual task
         | being accomplished.
        
         | sneak wrote:
         | I think a lot of people perhaps underestimate the value of an
         | iPad that's not signed in to _anything_ , and is just loaded
         | chock full of epubs (and perhaps offline maps). You don't even
         | need to turn on the Wi-Fi.
         | 
         | Computers can be simple tools for reading and study, if you
         | want them to be, and make deliberate choices to that end.
         | 
         | The last few months I've spent a lot of time consciously re-
         | engineering my screen time into what I want it to be and do,
         | not what is easiest or most convenient. Getting off of most
         | mainstream social media has helped tremendously, as it's truly
         | insidious how engineered it is to seem like the most important,
         | engaging thing in the world.
         | 
         | I'm doing much better now that I'm not exposed to strangers
         | screaming about nonsense for a few hours each day.
        
           | laurent92 wrote:
           | > Getting off social media
           | 
           | Can anyone who lives alone at home, get rid of social media?
           | I have lost contact with my parents, I'm single, I do have
           | 20-50 friends in my city but not enough to feel loved during
           | lockdown anyway. I know social media and movies are a poor
           | man's affection, but I removed that, I'd be madman #10000th.
           | I'd also argue most studies don't check whether it's not the
           | lack of affection/social fabric which causes addiction to
           | social media and other problems.
        
             | sneak wrote:
             | You can have direct internet contact with your friends
             | without social media. Send emails, have chat conversations,
             | make video calls, the lot of it. It's real, and not
             | filtered and sorted to benefit advertisers.
        
           | blisterpeanuts wrote:
           | >>> I'm doing much better now that I'm not exposed to
           | strangers screaming about nonsense for a few hours each day.
           | 
           | When you put it that way... :)
           | 
           | I agree and I've mostly switched to a bedside Kindle after
           | hours.
        
           | aaaxyz wrote:
           | If you're spending a lot of time reading, I'd suggest getting
           | something work an e-ink display. It's much easier on the eyes
        
             | sneak wrote:
             | I significantly prefer backlighting for reading. To me, an
             | iPad is way better than a printed book. For some reason,
             | light-emitting is easier for my eyes.
        
               | bosie wrote:
               | How about a ebook reader that has a light built in? I
               | also dislike reading printed books due to the lighting
               | issues but much prefer a kindle oasis over my ipad.
        
       | ppod wrote:
       | A couple of interesting things about the journey from the press
       | release to the story: the press release says "associated with",
       | but the summary says "impacts on", and the headline says
       | "critical for preventing"! Also, they pick "screen time and
       | sleep" from among five factors, the others were less tobacco
       | smoking, more physical exercise and more (yes) alcohol.
       | 
       | I don't have a problem with causal claims from these kinds of
       | methods in principle, if the regression is well done with good
       | controls. But I'm not at all convinced that they can isolate
       | self-reported sedentary screen time reliably from self-reported
       | physical activity.
       | 
       | https://bmcmedicine.biomedcentral.com/track/pdf/10.1186/s129...
        
       | deevolution wrote:
       | Anecdotely, I can confirm that most of the time that I read
       | hackernews comments I tend to get depressed.
        
       | arduinomancer wrote:
       | > critical for preventing depression
       | 
       | How did they make the jump from "people with high frequency of
       | depressed moods have more screen time" to "less screen time is
       | critical for preventing depression"?
       | 
       | Its possible that is true but claiming this based on the study is
       | like saying "less lying in your bed all day is critical for
       | preventing depression"
        
       | sudo_rm wrote:
       | Lately I have been doing my best to limit my "optional" screen
       | time (optional meaning anything that is not for work and school).
       | I fingered though Cal Newport's "Digital minimalism" [1] about a
       | month and a half ago and decided to try out the 30 days tech fast
       | in the book. The idea is to use this time to reset your
       | relationship with tech and to really figure out what you value
       | and what you are trying to accomplish with your tech habits. If
       | other people are like me and struggle with compulsiveness with
       | using the internet and computers, I recommend giving it a shot.
       | 
       | [1] https://www.samuelthomasdavies.com/book-
       | summaries/business/d...
        
         | offtop5 wrote:
         | Thanks.
         | 
         | Just ordered this book. I had to recently delete my Reddit
         | account as I found myself getting drawn into needless
         | arguments.
         | 
         | Don't get me wrong, occasionally I would have fun learning new
         | things, but like all other social media it turns into angry
         | people yelling.
         | 
         | Aside from Reddit I have been Social Media / Online Dating free
         | for just under 2 years.
         | 
         | It's amazing how much mental energy I would waste on this
         | stuff. No judgement to people who enjoy social media, but it
         | cutting it boosted my emotional health by leaps and bounds.
         | 
         | More time for making music !
        
       | mrweasel wrote:
       | That could help explain why it seems like 50% of users on Reddit
       | and Imgur suffer from depression. They're (partly) depressed
       | because they spend to much time the media where they write about
       | being depressed.
        
         | waterhouse wrote:
         | The causality could also go the other way. The most visible
         | users will be those who post a lot. And those who are depressed
         | because their life sucks and they don't have much valuable
         | stuff to do, or those who aren't doing much valuable stuff
         | because their depression makes it too hard, are likely to have
         | a lot of time during which posting on the site seems like the
         | best available activity.
         | 
         | It seems really difficult to separate causality here. Which is
         | something that disappoints me about the article. The string
         | "caus" does not occur on the webpage; three of the four bullet
         | points say "associated", and the only bullet point that uses a
         | causative-sounding phrase ("were protective of") sounds like it
         | may be used to mean another _statistical association_ rather
         | than an _established causation_. Clicking through to the study,
         | it seems to be 100% based on association of results that they
         | got via surveys.
        
           | slx26 wrote:
           | Yes, the title is very misleading. It's very important to
           | educate people about this.
        
       | Hendrikto wrote:
       | Neither this article nor the research paper support the claim
       | from the headline. A correlation was found, no causation afaict.
        
       | softwaredoug wrote:
       | My iPhone X died recently, and I put my SIM card into an old
       | iPhone 5. It's been great for limiting screentime. It has limited
       | storage, so I can only put the most essential things on it. I can
       | get spotify for podcasts, tethering, google auth for 2FA, and
       | basic texting/phone/facetime functionality. It does basic web
       | browsing, but rather slowly. Haven't needed much more than this.
       | 
       | The main thing I miss is the ability to take lots of
       | photos/videos of the kids....
        
       | dkersten wrote:
       | I love how a lot of commenters are redefining "screen time" to
       | suit their opinions or otherwise rationalise their screen time,
       | rather than taking the study as is. I mean, sure, perhaps
       | different types of screen time have different impact and this
       | requires further study, but using anecdotes and opinions isn't
       | that.
        
         | bananabiscuit wrote:
         | Isn't it pretty obvious not all screen time is the same? If it
         | was then you could do these studies with people staring at
         | simple glowing white rectangles and get identical results.
        
           | ravitation wrote:
           | It certainly seems very likely that what you're doing with
           | said screen matters quite a bit, but this is also an
           | extremely complex thing to try to study. Not only can the net
           | result (i.e. a hypothetical positive or negative result) of a
           | given activity change based on the individual instance of
           | that activity, but it can also change based on the person
           | doing that activity (whose mindset could also change
           | depending on the instance, which could effect the net result
           | of a given instance of a given activity).
           | 
           | The point is, while it might be "pretty obvious that not all
           | screen time is the same," it would also not be that
           | surprising if screen time was still negatively related to the
           | average number of common screen activities over a certain
           | amount of time (which is what you would expect from a study
           | like this).
           | 
           | I'll of course hedge my statement, by saying that the Hacker
           | News community is likely not a representative sample when it
           | comes to common screen activities relative to the general
           | population.
        
           | say0nara wrote:
           | No, it's not obvious at all.
        
           | dkersten wrote:
           | My comment wasn't meant to agree or disagree with these
           | statements, just to comment on how I find it interesting that
           | people are making assumptions or defining screen time to suit
           | their own opinions.
           | 
           | As for whether its obvious: maybe, but there are many cases
           | where something seems obvious (certainly to laypeople in the
           | subject) but that are actually flat out wrong.
           | 
           | So, as someone who hasn't studied these things, I say, yes,
           | it seems obvious, but just because I think its obvious,
           | doesn't necessarily mean its true.
        
             | philosopher1234 wrote:
             | we can only think things when a double blind study of 100
             | people on average think them. we are all excatly the mean
             | of N>100 other people, and anyone who believes otherwise is
             | mistaken.
        
           | glogla wrote:
           | Yeah, screen time "doomscrolling", screen time "playing
           | online board game with friends", screen time "reading a book"
           | and screen time "watching a movie" are pretty different
           | screen times.
        
             | metamet wrote:
             | But they're all... screens. And you're spending your time
             | looking at them, regardless of what's on them and how you
             | interact with it.
             | 
             | I do agree that they are different. But they're still
             | screens.
        
               | bananabiscuit wrote:
               | Right, so just because this study doesn't bother to
               | differentiate between different things people can do with
               | screens, you are saying it's all the same?
        
               | falcolas wrote:
               | Insufficient information to make a reasonable conclusion,
               | I'm guessing.
               | 
               | It could very be related to what's on the screen, but it
               | might not. Insufficient data. Screens are very new in
               | relation to the development of human physiology, so I
               | don't think we can assume that screens themselves _are
               | not_ a cause.
        
           | lumberjack wrote:
           | To me it is not obvious. What causation do you think is at
           | play here? A lot of commenters seem to think it is some kind
           | of emotional mechanism, mentioning things like social media
           | and such. But it might just be a physical mechanism, like
           | being too sedentary, or eye fatigue.
        
             | waterhouse wrote:
             | How about something like e-ink? That's a screen, but in
             | terms of optical properties I believe it should resemble
             | paper.
        
               | lumberjack wrote:
               | I never tried e-ink for prolonged times, but I always
               | found the contrast to be a bit lacking, which is
               | something that contributes to eye fatigue. Last I used
               | such devices was over 5 years ago though, so maybe
               | technology has improved now.
        
           | blix wrote:
           | If you somehow managed to convince a group of people to stare
           | at a glowing white rectangle for 10 hours day, I would be
           | pretty surprised if you couldn't notice any mental health
           | effects.
        
             | Sunspark wrote:
             | After reviewing all the porn on the internet, I am no
             | longer able to sustain an erection.
        
             | bananabiscuit wrote:
             | True, but I argue that those mental health effects would be
             | different than other kinds of screen time :)
        
               | blix wrote:
               | Probably, but the effects of different types of screen
               | time would likely be more similar to each other than
               | going for a walk in the woods.
        
         | balfirevic wrote:
         | Since it is an observational study, any talk of screen time
         | causing/worsening depression (or abstaining from screen time
         | helping it) is going to be speculation anyway.
        
         | dcolkitt wrote:
         | That's a fair point, but remember that the map is not the
         | territory.
         | 
         | We've come up with the semantic concept of "screen time" that
         | bundles together a lot of disparate activities, because it
         | seems intuitively and linguistically compelling. But imagine an
         | alternate universe where the equivalent term "screen time" also
         | included origami for some reason. The study would reach almost
         | exactly the same conclusions, because such a small fraction of
         | people engage in origami relative to binge TV watching. That
         | doesn't mean that origami is actually as unhealthy as binge TV
         | watching. The map is not the territory.
        
         | mattlutze wrote:
         | The researchers appear to have tried to look at Sedentary
         | Screen Time, but had to correlate passive TV watching and non-
         | work computer use as those were the questions from the data
         | bank they sampled.
         | 
         | https://bmcmedicine.biomedcentral.com/articles/10.1186/s1291...
        
         | PragmaticPulp wrote:
         | People are very resistant to the idea that something they enjoy
         | could be bad for them. Instead, they tend to rationalize their
         | own use as good while looking for ways to conclude that others'
         | use is bad.
         | 
         | The same thing happens with social media. It's fascinating to
         | watch people bash social media on their chosen social media
         | platform, under the assumption that social media is some other
         | website that they don't use. That's why Reddit and Twitter full
         | of people bragging they've deleted Facebook, for example. It's
         | also interesting to watch the mental gymnastics people use to
         | claim that the Hacker News comment section is somehow not
         | social media for vague reasons (pseudonymous, moderated,
         | technical niche, not mainstream enough) while ignoring the fact
         | that we're all here posting content and up/downvoting it like
         | the other social media platforms.
        
         | technofiend wrote:
         | In my humble opinion passive consumption of media is entirely
         | different from engaging in a creative process. Perhaps it's
         | just projection on my part but surfing the web for hours
         | reading Reddit, Hacker News and YouTube is entirely different
         | than banging out some new chapters for your NaNoWriMo novel,
         | updating a blog or making a github commit.
        
           | dkersten wrote:
           | I actually agree. My point was just that our opinions are
           | just that: opinions. We did not actually study it in a
           | controlled scientific way.
        
           | mattlutze wrote:
           | The researchers attempted to control for this:
           | 
           | "Sedentary screen time Sedentary screen time is calculated in
           | hours per week, adding together the participants' answers to
           | the questions 'In a typical DAY, how many hours do you spend
           | watching TV?' (FC: 1070) and 'In a typical DAY, how many
           | hours do you spend using a computer? (not including time
           | using a computer at work)' (FC: 1080)."
           | 
           | https://bmcmedicine.biomedcentral.com/articles/10.1186/s1291.
           | ..
        
             | jjk166 wrote:
             | That seems like a terrible control. Plenty of people do
             | non-constructive things on computers at work (I'm doing so
             | right now) and lots of people are productive at home.
        
             | johnfn wrote:
             | I don't understand how this controls for GP's concerns.
             | You'd need something much more precise, like "how many
             | hours per week do you spend using the computer in an active
             | creative pursuit such as writing, drawing etc."
        
             | technofiend wrote:
             | >and 'In a typical DAY, how many hours do you spend using a
             | computer? (not including time using a computer at work)'
             | 
             | Sure, that's at least an attempt. However would you
             | characterize spending time on a personal project work?
             | That's why I called out my specific examples of side jobs
             | and hobby projects.
             | 
             | I'm not rejecting the findings _In particular, maintaining
             | optimal sleep and lessening screen time (which is often an
             | issue in youth), while having adequate physical activity
             | and good dietary quality, may reduce the symptoms of
             | depression,"_ of lessening screen time in favor of more
             | constructive activity like exercise. I 'm suggesting
             | there's probably room here for a deeper dive into the kind
             | and quality of screen time, because even bucketing it into
             | just work vs everything else is arguably too broad. I
             | believe some kinds of screen time are constructive.
        
               | dash2 wrote:
               | That's interesting, but have you got evidence for your
               | belief? Are you sure the wish is not father to the
               | thought here?
        
               | jjk166 wrote:
               | The onus is on those making the initial claim that they
               | have properly accounted for error and that their
               | interpretation of the evidence is the most reasonable.
               | Questioning if a potential error has been accounted for
               | or if another interpretation has been considered is
               | important.
        
               | technofiend wrote:
               | Well clearly not, any more than I have evidence to the
               | contrary. I did my best to qualify my statements that
               | it's just one person's opinion. Sorry if that's not
               | obvious.
        
               | tahira0509 wrote:
               | Interesting
        
           | npsimons wrote:
           | > In my humble opinion passive consumption of media is
           | entirely different from engaging in a creative process.
           | Perhaps it's just projection on my part but surfing the web
           | for hours reading Reddit, Hacker News and YouTube is entirely
           | different than banging out some new chapters for your
           | NaNoWriMo novel, updating a blog or making a github commit.
           | 
           | I will second this so hard, as it is my experience as well.
           | Just staring slackjawed, mindlessly scrolling for hours on
           | end, is a noticeable difference from writing code. I wish
           | there were studies on these differences.
        
         | SippinLean wrote:
         | It was specifically "sedentary screen time" defined as the
         | total "hours per week, adding together the participants'
         | answers to the questions:
         | 
         | 1. "In a typical DAY, how many hours do you spend watching TV?"
         | and
         | 
         | 2. "In a typical DAY, how many hours do you spend using a
         | computer? (not including time using a computer at work)"
        
       | sradman wrote:
       | The paper _Multiple lifestyle factors and depressed mood: a
       | cross-sectional and longitudinal analysis of the UK Biobank (N =
       | 84,860)_ [1]. The study compares questionnaire results of healthy
       | controls (HC) to people with a history of major depressive
       | disorder (MDD):
       | 
       | > Cross-sectional analysis of 84,860 participants showed that in
       | both MDD and HCs, physical activity, healthy diet, and optimal
       | sleep duration were associated with less frequency of depressed
       | mood (all p < 0.001; ORs 0.62 to 0.94), whereas screen time and
       | also tobacco smoking were associated with higher frequency of
       | depressed mood (both p < 0.0001; ORs 1.09 to 1.36).
       | 
       | This is correlation; it does not measure whether lifestyle
       | interventions improve depressed mood.
       | 
       | [1]
       | https://bmcmedicine.biomedcentral.com/articles/10.1186/s1291...
        
         | rand_r wrote:
         | Good point. We should ban correlational studies like these.
         | Science is littered with these types of after-the-fact surveys
         | that explain nothing and provide no real information. The lack
         | of a mechanistic understanding of cause and effect in systems
         | produces hot air, as we've seen in Psychology and other soft
         | fields.
        
           | sradman wrote:
           | I was not trying to diminish the study; correlation with
           | N=84K participants is useful.
        
         | throwaway3178 wrote:
         | I've been suicidally depressed my whole life. I currently self
         | medicate with reddit, youtube, etc. If I let my mind wander for
         | just a minute the thoughts come flooding in.
         | 
         | I also find it very difficult to go to sleep because it
         | involves turning off my distractions and being alone with my
         | own mind. I think the title should be changed.
         | 
         | I felt this way long before tech entered my life; as a child I
         | used books for this purpose.
        
           | mmaunder wrote:
           | Try yoga. The three week yoga retreat that the Beachbody app
           | has is great to learn it without going to a class. I simply
           | repeat the final week's flow. It may teach you how to still
           | your mind by using the distraction of body movement to
           | achieve a meditative state. This may allow you to ultimately
           | meditate without the need for yoga. In other words, this may
           | be a path for you to be alone with your mind without needing
           | distraction. Best of luck.
        
           | prewett wrote:
           | I strongly recommend finding a good counselor or something
           | along those lines for the flooding-thoughts. Self-medicating
           | will help you survive, but it will not enable you to thrive.
           | I've been doing what is effectively group counseling for the
           | past couple of years and I've slowly learned to identify what
           | the pain is that is driving my behaviors (it sounds like you
           | might already be there), and from there, identifying the
           | needs that are getting unmet. In my case, it's a desire for
           | what St. Augustine describes as "home", a place where you are
           | welcomed, or more broadly speaking, "community" (as opposed
           | to a collection of friends which is what I have). I still
           | have no idea how to get that, but I am making concrete
           | changes to my life to at least randomly walk that direction.
        
       | sjg007 wrote:
       | Is the screen time thing about blue light? I mean I sleep way
       | better and feel way better when I am camping away from artificial
       | lights. In that respect I think artificial lighting causes
       | depression and lack of sleep.
        
       | Paianni wrote:
       | I'm pretty close to selling off all my smartphones for this
       | reason, it's the only way I can remove the temptation.
        
       | IAmNotAFix wrote:
       | Was this controlled for social interaction? For young people
       | screens are just the standard fallback when you have nobody to
       | hang out with (although surely not the healthiest one).
        
       | kqr wrote:
       | Is this "just" another observational study? (I.e. subject to all
       | manner of confounding factors that affect the multitude of
       | similar studies that already exist.)
        
       | colechristensen wrote:
       | Yet another bullshit headline.
       | 
       | They correlated less screen time with less depression, they did
       | not demonstrate that taking action to reduce screen time resulted
       | in reduced depression, much less indicating it to be "critical".
        
       | frankenst1 wrote:
       | "lessening screentime may reduce the symptoms of depression"
       | 
       | Can anybody explain how they could possibly distinguish these two
       | scenarios:
       | 
       | - A) Depressed people watch more TV/screen.
       | 
       | - B) Watching more TV makes people depressed.
       | 
       | I would expect both to be true to varying degree (maybe A even
       | more so than B), yet they seem to expect B to be the dominant
       | causation.
        
       | sangli wrote:
       | Anectodal of course, but I can tell from my own experience that
       | sleep cures so many things for me. Also lack of sleep causes many
       | ailments in me.
       | 
       | I am definitely sad and angry when I don't get enough sleep, on
       | top of not having enough energy. If I have a headache, taking a
       | nap or sleeping longer always fixes it for me. If I have aches in
       | my thighs and calves, taking a nap or going to bed early and
       | catching 8+ hours of sleep fixes it right up.
        
       | bfors wrote:
       | One small thing that has really helped me mitigate the downsides
       | of screen time is keeping my phone out of my bedroom. It charges
       | at my desk. No more laying in bed scrolling before or after I
       | wake up. I sleep better and feel better.
        
       | brianmcc wrote:
       | I intuitively agree that optimal sleep and exercise and diet and
       | screen time probably make a difference to wellbeing, but am I
       | alone in thinking that trying to determine a "link" between these
       | things is lazy, easy, obvious and just wholly inadequate?
       | 
       | We want to know, definitively, what are _causes_ and _effects_. I
       | appreciate that 's hard. But why waste so much time and money
       | just trying to establish "links" which are fundamentally just
       | correlations.
       | 
       | It's like admitting causation is hard, just aim instead for
       | correlation - and call it quits after getting some headlines and
       | maybe more funding...
        
         | sp3000 wrote:
         | Here is a cause and effect: Optimal neurotransmitter function
         | highly depends on sleep quality and quantity (and you can
         | further the connection to movement and nutrition as well). Sub-
         | optimal neurotransmitter function can lead to sub-clinical or
         | clinical depression.
         | 
         | "Studies have shown that NREM sleep is important for turning
         | off the norepinephrine, serotonin and histamine
         | neurotransmitters, which in turn allows their receptors to
         | "rest" and regain sensitivity [13]. This allows norepinephrine,
         | serotonin and histamine to be more effective at naturally
         | produced levels."
         | 
         | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4651462/
        
       | baron_harkonnen wrote:
       | It's not entirely clear to me from reading the points in this
       | article and skimming the paper that they are able to control the
       | direction of causality for this. That is the question as to
       | whether or not "healthy" activity prevents depression or if
       | depression causes us to reduce our healthy activity (and increase
       | our unhealthy ones).
       | 
       | The pandemic has been a great experiment in this and has me
       | starting to think that many of these studies might have the
       | causal arrow wrong. I absolutely spent less time on the screen,
       | ran more often, drank much less and slept better immediately
       | before the pandemic.
       | 
       | Running as an example became much harder to do emotionally after
       | the a few months of the stress induced by the pandemic. The lack
       | of other runners out there seemed to confirm that other people
       | were also feeling this impact.
       | 
       | I spend more time glued to the screen "doom scrolling" and you
       | can bet my drinking is up as well.
       | 
       | But it's certainly not like all of these behaviors happened and
       | then stress set in (in this case I wouldn't say "depressed" as
       | much as "stressed", ironically I'm probably the least depressed
       | that I've been in years).
       | 
       | It seems to me much more likely that compulsive behaviors in
       | general, and in this case especially the example of screen time
       | are produced by the depression rather than it's causes.
       | 
       | Certainly there is the possibility of positive feed backs:
       | depression causes excessive drinking which unchecked can clearly
       | lead to more depression. Same goes for screen time, sleep etc.
        
         | wpietri wrote:
         | Yeah, in my personal experience causality is not easily
         | discernable. I definitely believe that for me a very regular
         | sleep schedule helps my mood. But as you say, it's not a
         | straightforward relationship. Bad sleep triggers bad mood when
         | triggers bad coping behaviors that can disrupt my sleep, making
         | it worse. Same thing for what I'm eating, exercise levels,
         | amount of time invested in rewarding activities, how clean the
         | house is, and I'm sure other things. It's a big causal snarl.
         | 
         | That said, I do think focusing on good sleep is one of the most
         | effective things I can do to manage my mood, so if people are
         | going to have a too-simple understanding of things, "more sleep
         | critical for preventing depression" is probably a pretty good
         | one.
        
         | robotresearcher wrote:
         | From the article:
         | 
         | "A higher frequency of alcohol consumption was surprisingly
         | associated with reduced frequency of depressed mood in people
         | with depression. This may potentially be due to the self-
         | medicating use of alcohol by those with depression to manage
         | their mood."
         | 
         | So they explicitly consider your point for alcohol consumption.
         | But they don't seem to consider it for sleep, screen time, or
         | exercise.
         | 
         | To complicate things, I find alcohol negatively impacts sleep
         | and exercise, so the hypothesed self-medication with booze
         | could score multiple hits.
        
       | achandlerwhite wrote:
       | I don't know. I feel like screen time is a misnomer. From my
       | anecdata less social media more sleep is the key. If my screen
       | time is reading a kindle or learning programming I doubt the
       | impact is so bad. Of course anything taken to an extreme...
        
         | steve_adams_86 wrote:
         | This is what something like a kindle shines. That isn't such a
         | bad form of screen time. Other devices are dangerous for me
         | because, well, here I am on HN rather than preparing for my
         | day. If I picked up my kindle instead I wouldn't be on HN.
        
           | bigredhdl wrote:
           | Does anyone have experience where newer kindles or other
           | e-readers keep them awake less than other ones? I have a 1st
           | generation kindle paperwhite, but I still feel like the front
           | light on it keeps me from getting sleepy versus just reading
           | a physical book.
        
         | baxtr wrote:
         | This and endless reloads of news sites
        
       | brudgers wrote:
       | Depression is not a lifestyle choice. Our eating, exercise,
       | sleep, etc. are habits developed over a lifetime. Chronic health
       | issues, sexual abuse, traumatic death of a loved one, and bad
       | luck are what to avoid. And of course some formulations of brain
       | chemistry.
       | 
       | Casting depression as a lifestyle issue is a step backward.
       | Mental health is already stigmatized far too much. Depression is
       | not a moral failing of will power. It's a response to adversity.
       | A way profound unhappiness manifests.
       | 
       | Kale, a peloton, and deleting Facebook won't change the past.
        
         | W4ldi wrote:
         | Depression does not have to be moral failing of will power, but
         | it definitely can be cured by moral success of will power.
        
         | johnfn wrote:
         | I think this is a little too one-sided. Yes, there is a group
         | of people who have depression due to factors outside of their
         | control, and we should all be cognizant of that. But that
         | doesn't mean that literally every person who's depressed falls
         | into that group. There's another group of people who are
         | depressed due to factors at least somewhat within their
         | control.
        
           | brudgers wrote:
           | The assertion that people suffering depression can be divided
           | into those suffering due to factors beyond their control and
           | those suffering by choice is not supported by the article.
           | People with a mental illness often are able to manage their
           | symptoms. But the symptoms are not the cause of their mental
           | illness. A schizophrenic is not schizophrenic because they
           | choose not to take a prescribed medication that mitigates the
           | visible symptoms of schizophrenia.
           | 
           | An unhealthy lifestyle is a common symptom of depression.
           | Lots of screen time, poor diet, low quality sleep, and
           | inertia are factors in clinical diagnosis of depression. They
           | are things that might lead a person to decide someone might
           | be depressed.
        
         | W4ldi wrote:
         | The more I think about this comment, the more it just seems so
         | wrong. Yes, depression is not always caused by lifestyle, but
         | it definitely can be. What you are saying just sounds like an
         | excuse for taking the easy path. If trying to change your
         | lifestyle to fix your mental health is a bad thing, what is
         | your counter suggestion? Taking pills that make you addicted,
         | not solve the problem and make everything worse if you stop
         | taking them?
         | 
         | I know there are cases, where medication is inevitable and is
         | the only option. But this is a minority. The vast majority of
         | mental health issues we have today, are caused by lack of
         | virtue and values, choice of diet, sleep and lack of social
         | interactions.
        
           | kayodelycaon wrote:
           | The vast majority of mental health issues is caused by a lack
           | of virtue?
           | 
           | Sure. General issues, maybe. Actual clinical diagnoses?
           | Absolutely not. Yet you decide to paint both with the same
           | brush. there are 3+ million _diagnosed_ bipolar people in the
           | US. Clinal depression, anxiety, and ADHD rates are higher.
           | This is not a mere "minority". There are significant numbers
           | of people with chronic mental health problems.
           | 
           | The attitude people have towards mental health is horrible.
           | The first assumption is always that the person with the issue
           | is at fault and it's up to them to convince any given person
           | they meet that person's bar for not being at fault for their
           | problems. Even if you meet that bar, they still treat you
           | like shit.
        
           | brudgers wrote:
           | An alternative which has shown substantial empirical success
           | is clinical treatment with a qualified psychotherapist
           | experienced in the treatment of depression through the
           | application of clinical treatment in a clinical setting. Such
           | treatment may or may not involve the use of pharmaceutical
           | and/or alternative medicines and/or medical and alternative
           | treatments.
           | 
           | Incidentally, this is the context from which the study draws
           | validity and makes rational sense to conduct. Without the
           | clinical context depression is not a medical diagnosis.
        
       | ummonk wrote:
       | Longitudinal study is better, but still, the causation likely
       | goes both ways. Decreased sleep, worse diet, and more screentime
       | are all things that happen due to getting increasingly depressed.
       | They also drive depression (at least decreased sleep and worse
       | diet do, and screentime likely does to the extent it is a proxy
       | for lack of sunlight and human interaction).
        
       | disease wrote:
       | Does this mean recording music on a Tascam cassette recorder is
       | better for me than doing the same on Ableton?
       | 
       | Not trying to be snotty here, just wondering if it makes sense to
       | categorize different kinds of screen time.
        
       | theodric wrote:
       | So you're saying depression is incurable? Fuck!
        
       | deepstack wrote:
       | More sleep time is critical for preventing depression period. It
       | is not rocket science. Everyone can tell from their own person
       | experience.
       | 
       | Now it could be sometime when one is depressed one can't sleep.
       | However, sleep pretty much helps every many things.
        
         | bserge wrote:
         | But not too much. I used to sleep 10-12 hours during depressive
         | episodes when I had nothing important to do, it just makes
         | things worse.
         | 
         | Over 7-8 hours of sleep just makes me tired and sleepy the
         | whole day (paradoxical, yeah).
         | 
         | Forcing a limit helps a lot more.
        
           | brianmcc wrote:
           | The article seems to agree with you - it presents optimal
           | sleep as important, 7 - 9 hours.
        
           | the_only_law wrote:
           | Yeah I either sleep 0-5 hours or 12+, rarely in between.
           | Interestingly I usually feel better with the former (for a
           | few hours before the microsleeps hit, at least). When i sleep
           | late, I normally wake up with a bad headache, sore, really
           | bad brain fog, etc.
        
         | deepstack wrote:
         | this is the reason why I think tech company ought to let
         | employee sleep whenever they want as long as they want at work
         | (not at meetings of course, although that is tempting
         | sometimes), as long as they get their work done on time.
        
           | duopixel wrote:
           | When I work for myself, I nap at the slightest sensation of
           | drowsiness. I'm not productive nor efficient while sleepy.
           | Yet I've wasted so many hours in mindless stupor for my
           | employers (especially after lunch) because napping on the
           | clock is taboo.
        
           | behnamoh wrote:
           | I can't tell you how many times I wished there were "sleep
           | rooms" in our university to wind down in afternoons and get
           | refreshed for more study and work.
           | 
           | They should at least offer them for PhD students who spend
           | most their life in office.
        
       | DoreenMichele wrote:
       | It starts off with this extremely neutral and reasonable
       | statement that says nothing about causation:
       | 
       |  _Screen time and tobacco smoking were also significantly
       | associated with higher frequency of depressed mood._
       | 
       | And then goes on to say "We need to limit screen time" which is a
       | baseless conclusion.
       | 
       | Smoking is known to mediate depression because of what it does to
       | brain chemistry. One medication that gets prescribed to treat
       | depression has such a strong track record of causing people to
       | stop smoking as a side effect that it now gets prescribed for
       | that purpose.
       | 
       | I will agree with commenters here objecting to the framing that
       | "You need to reduce screen time as a means to treat depression."
       | That assumption is unwarranted and not nuanced.
       | 
       | Screen time likely goes up when you are tired and sick. Being
       | tired and sick can help foster depression.
       | 
       | The solution in a case like that is not "You need less screen
       | time." It's "You need to get well and better rested."
       | 
       | When I'm sick and tired, I spend all my time on the computer
       | and/or playing games on my phone to keep myself occupied so I
       | don't go nuts. Taking away my screen time at such times would be
       | a net harm (yes, I know this for a fact).
       | 
       | Granted, I have at times had to make judgment calls about _how_ I
       | spend that time to make sure it 's constructive and not a bad
       | habit.
        
       | baron816 wrote:
       | I'd really like to see Apple/Google or others try to turn screen
       | time into a sort of currency.
       | 
       | A child does some chores? They get 30 minutes of scene time added
       | to their bank account. They keep some screen time unused and they
       | earn interest on that time they can cash out later. Their sibling
       | has a birthday? Let them transfer some time as a gift.
       | 
       | Limit screen time and build some financial literacy and delayed
       | gratification at the same time.
        
         | bingerman wrote:
         | I prefer managing my childrens' screen time myself rather than
         | delegating yet another thing to some cold institution or those
         | outright evil companies. Thankfully in my case they are usually
         | more interested in real three dimensional things so there is
         | very little to manage.
         | 
         | In my opinion screen time is like the worst reward for your
         | child. Screens should be treated like inherently evil tools
         | that can be of value if used with awareness.
        
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