Research Article

The Mediating Role of Sleep Quality in the Relationship Between Video Game Addiction and Cyberbullying Among Adolescents

Volume: 10 Number: 4 December 20, 2025
TR EN

The Mediating Role of Sleep Quality in the Relationship Between Video Game Addiction and Cyberbullying Among Adolescents

Abstract

Objective: This study aimed to examine the mediating role of sleep quality in the relationship between digital game addiction and cyberbullying behaviours among adolescents. Materials and Methods: The study employed a cross-sectional and correlational design and was carried out between May 1 and June 20, 2025. A total of 504 adolescents aged between 15 and 18 and residing in an eastern province of Türkiye participated in the study. Data collection tools included the Socio-Demographic Information Form, Digital Game Addiction Scale, Pittsburgh Sleep Quality Index (PSQI), and the Cyberbullying Inventory-II. Statistical analysis was conducted using descriptive statistics, Pearson correlation tests, and Structural Equation Modeling via path analysis. Results: Digital game addiction showed statistically significant positive correlations with sleep quality scores, cyberbullying, and cyber victimization (p<0.001). Path analysis revealed that digital game addiction was a significant predictor of both sleep quality and cyberbullying behaviors. Sleep quality demonstrated a significant mediating effect in the pathway between digital game addiction and cyber victimization (β=0.055; p=0.015), but no significant mediation was found regarding cyberbullying (β=–0.017; p=0.697). Conclusions: Adolescents with higher levels of digital game addiction may experience poorer sleep quality, which in turn can elevate their risk of cyber victimization. The findings suggest that sleep quality partially mediates the connection between digital game addiction and cyberbullying. These outcomes underline the importance of implementing educational strategies that address both digital media use and sleep hygiene to help prevent cyberbullying among youth.

Keywords

Ethical Statement

This research received ethical clearance from the Harran University Human and Social Sciences Ethics Committee (Date: 16.04.2025, decision no: E-76244175-900-438978). Prior to participation, informed consent was obtained from parents, and written assent was collected from the adolescent participants. All individuals involved were informed about the voluntary nature of participation, data confidentiality, and anonymity. No financial or material incentives were offered. The study was conducted in line with the ethical principles outlined in the Declaration of Helsinki. Additionally, institutional permission was granted by the Directorate of National Education (Permission No: MEB.TT.2025.026552).

References

  1. Castiglione-Fontanellaz CEG, Schaufler S, Wild S, Hamann C, Kaess M, Tarokh L. Sleep regularity in healthy adolescents: associations with sleep duration, sleep quality, and mental health. J Sleep Res. 2023;32:e13865. doi:10.1111/jsr.13865
  2. Paruthi S, Brooks LJ, D’Ambrosio C, et al. Recommended amount of sleep for pediatric populations: a consensus statement of the American Academy of sleep medicine. J Clin Sleep Med. 2016;12:785–786. doi:10.5664/jcsm.5866
  3. Arrona-Palacios A, Díaz-Morales JF, Adan A. Sleep habits and circadian preferences in school-aged children attending a Mexican double-shift school system. Sleep Med. 2021;81:116–119. doi:10.1016/j.sleep.2021.02.016
  4. Alanko D. The health effects of video games in children and adolescents. Pediatr Rev. 2023;44:23–32. doi:10.1542/pir.2022-005666
  5. American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders DSM-5. 5th ed. Washington DC: American Psychiatric Publishing; 2013.
  6. Lérida-Ayala V, Aguilar-Parra JM, Collado-Soler R, Alférez-Pastor M, Fernandez-Campoy JM, Luque-de la Rosa A. Internet and video games: Causes of behavioral disorders in children and teenagers. Children. 2022;10(1):86. doi:10.3390/children10010086
  7. Grani I, Lobel A, Engels RC. The benefits of playing video games. American Psychologist. 2014;69(1):66. doi:10.1037/a0034857
  8. Demetrovics Z, Király O. Internet/gaming addiction is more than heavy use over time: Commentary on Baggio and colleagues. Addiction. 2016;111(3):523-524. doi:10.1111/add.13244

Details

Primary Language

English

Subjects

Pediatric Health and Illnesses Nursing

Journal Section

Research Article

Publication Date

December 20, 2025

Submission Date

July 5, 2025

Acceptance Date

October 9, 2025

Published in Issue

Year 2025 Volume: 10 Number: 4

AMA
1.Karakaya Suzan Ö, Düken ME. The Mediating Role of Sleep Quality in the Relationship Between Video Game Addiction and Cyberbullying Among Adolescents. OTJHS. 2025;10(4):360-367. doi:10.26453/otjhs.1735531

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