Araştırma Makalesi
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The Shadow of the Digital World in Early Adolescence: Effects on Eye Health and Sleep

Yıl 2026, Cilt: 8 Sayı: 1 , 1 - 7 , 27.04.2026
https://doi.org/10.54061/jphn.1714799
https://izlik.org/JA87HY97SH

Öz

Objective: This research aims to examine the effects of digital device use on eye health and sleep problems in children in early adolescence.
Methods: The cross-sectional study was conducted with 579 students studying in two secondary schools in Izmir. Data were collected using the “Student Health Form” developed by the researchers through face-to-face interviews. Descriptive data were shown as numbers, percentages, mean and standard deviation. The difference between categorical variables was evaluated with the Chi-Square test, and the significance level was accepted as p<,05.
Results: It was determined that 75% of the adolescents had a smartphone and 46,6% used digital screens before going to sleep. The average sleep duration was determined as 7,66±1,16 on school days. As screen time increased, problems such as dry eyes, eye pain, difficulty falling asleep, and feeling sleepy at school increased significantly (p<,05).
Conclusion: The findings show that the use of digital devices negatively affects the eye health and sleep quality of adolescents. Education and preventive strategies are recommended for the use of digital devices for healthy sleep and eye health.

Kaynakça

  • Barry, C. T., Sidoti, C. L., Briggs, S. M., Reiter, S. R., & Lindsey, R. A. (2017). Adolescent social media use and mental health from adolescent and parent perspectives. Journal of Adolescence, 61, 1–11. https://doi.org/10.1016/j.adolescence.2017.08.005
  • Bruni, O., Sette, S., Fontanesi, L., Baiocco, R., Laghi, F., & Baumgartner, E. (2015). Technology use and sleep quality in preadolescence and adolescence. Journal of Clinical Sleep Medicine, 11(12), 1433–1441.http://dx.doi.org/10.5664/jcsm.5282
  • Carter, B., Rees, P., Hale, L., Bhattacharjee, D., & Paradkar, M. S. (2016). Association between portable screen-based media device access or use and sleep outcomes: A systematic review and meta-analysis. JAMA Pediatrics, 170(12), 1202–1208. https://doi.org/10.1001/jamapediatrics.2016.2341
  • Chang, A. M., Aeschbach, D., Duffy, J. F., & Czeisler, C. A. (2015). Evening use of light-emitting eReaders negatively affects sleep, circadian timing, and next-morning alertness. Proceedings of the National Academy of Sciences, 112(4), 1232–1237. https://doi.org/10.1073/pnas.1418490112
  • Conklin, A. I., Yao, C. A., & Richardson, C. G. (2019). Chronic insufficient sleep and depressive symptoms: A prospective study of adolescents. Sleep Health, 5(6), 596–602. https://doi.org/10.1016/j.sleh.2019.08.007
  • Dewald, J. F., Meijer, A. M., Oort, F. J., Kerkhof, G. A., & Bögels, S. M. (2010). The influence of sleep quality, sleep duration and sleepiness on school performance in children and adolescents: A meta-analytic review. Sleep Medicine Reviews, 14(3), 179–189. https://doi.org/10.1016/j.smrv.2009.10.004
  • Do, K.Y.; Lee, K.S. Relationship between Problematic Internet Use, Sleep Problems, and Oral Health in Korean Adolescents: A National Survey. Int. J. Environ. Res. Public Health 2018, 15, 1870
  • Galván, A. (2020). The teenage brain: Sensitivity to rewards. Current Directions in Psychological Science, 29(1), 19–24. https://doi.org/10.1177/0963721419888770
  • Gradisar, M., Wolfson, A. R., Harvey, A. G., Hale, L., Rosenberg, R., & Czeisler, C. A. (2020). The impact of technology use on sleep quality and sleep disorders in adolescents. Sleep Health, 6(2), 145–155. https://doi.org/10.1016/j.sleh.2019.12.003
  • Hale, L., & Guan, S. (2015). Screen time and sleep among school-aged children and adolescents: A systematic literature review. Sleep Medicine Reviews, 21, 50–58. https://doi.org/10.1016/j.smrv.2014.07.007
  • Haylı, Ç. M. ve Demir Kösem, D. (2023). Ergenlerde Uyku ve Uyku Alışkanlıklarının Değerlendirilmesi. Türk Uyku Tıbbı Dergisi, 10(1), 9-16. https://doi.org/10.4274/jtsm.galenos.2022.70783
  • Hysing, M., Pallesen, S., Stormark, K. M., Jakobsen, R., Lundervold, A. J., & Sivertsen, B. (2015). Sleep and use of electronic devices in adolescence: Results from a large population-based study. BMJ Open, 5(1), e006748. https://doi.org/10.1136/bmjopen-2014-006748
  • Lee, J., Park, S. H., & Han, H. S. (2019). Effect of smartphone use on eye health among school-aged children: A cross-sectional study. BMC Ophthalmology, 19(1), 1-8. https://doi.org/10.1186/s12886-019-1177-2
  • Lewien, C., Genuneit, J., Meigen, C., Kiess, W., & Poulain, T. (2021). Sleep-related difficulties in healthy children and adolescents. BMC pediatrics, 21(1), 82.
  • Liu, X., Zhu, M., Zhang, R., Zhang, J., Zhang, C., Liu, P., ... & Chen, W. (2021). Screen time and health issues in children and adolescents: A systematic review and meta-analysis. BMJ Open, 11(9), e049172. https://doi.org/10.1136/bmjopen-2021-049172
  • Minges, K. E., & Redeker, N. S. (2016). Delayed school start times and adolescent sleep: A systematic review. Sleep Health, 2(4), 282–289. https://doi.org/10.1016/j.sleh.2016.06.002
  • Mohamed, S. F., Thomas, E., & Nayak, A. (2019). Effect of mobile phone usage on ocular health among students. International Journal of Community Medicine and Public Health, 6(11), 4704–4708. https://doi.org/10.18203/2394-6040.ijcmph20194577
  • Mohan A, Sen P, Shah C, Jain E, Jain S. Prevalence and risk factor assessment of digital eye strain among children using online e-learning during the COVID-19 pandemic: Digital eye strain among kids (DESK study-1). Indian J Ophthalmol. 2021;69(1):140–4. doi: 10.4103/ijo.IJO_2535_20 ; PubMed Central PMCID: PMC7926141
  • Nagata, J. M., Cortez, C. A., Cattle, C. J., Ganson, K. T., Iyer, P., Bibbins-Domingo, K., & Baker, F. C. (2022). Screen time use and sleep quality among adolescents during the COVID-19 pandemic. JAMA Pediatrics, 176(6), 630–637. https://doi.org/10.1001/jamapediatrics.2022.0021
  • Orzech, K. M., Grandner, M. A., Roane, B. M., & Carskadon, M. A. (2016). Digital media use in the 2 hours before bedtime is associated with sleep variables in university students. Computers in Human Behavior, 55, 43–50. https://doi.org/10.1016/j.chb.2015.08.049
  • Paruthi, S., Brooks, L. J., D'Ambrosio, C., Hall, W. A., Kotagal, S., Lloyd, R. M., ... & Wise, M. S. (2016). Consensus statement of the American Academy of Sleep Medicine on the recommended amount of sleep for healthy children: Methodology and discussion. Journal of Clinical Sleep Medicine, 12(11), 1549–1561. https://doi.org/10.5664/jcsm.6288
  • Paulus, F. W., Joas, J., Gerstner, I., Kühn, A., Wenning, M., Gehrke, T., ... & Möhler, E. (2022). Problematic internet use among adolescents 18 months after the onset of the COVID-19 pandemic. Children, 9(11), 1724.
  • Richardson, C., Magson, N., Fardouly, J., Oar, E., Johnco, C., & Rapee, R. (2021). A longitudinal investigation of sleep and technology use in early adolescence: Does parental control of technology use protect adolescent sleep? Sleep Medicine, 84, 368-379. https://doi.org/10.1016/j.sleep.2021.06.003
  • Schmidt, S. C., Anedda, B., Burchartz, A., Eichsteller, A., Kolb, S., Nigg, C., Niessner, C., Oriwol, D., Worth, A., & Woll, A. (2020). Physical activity and screen time of children and adolescents before and during the COVID-19 lockdown in Germany: A natural experiment. Scientific Reports, 10(1), 1-12. https://doi.org/10.1038/s41598-020-78438-4
  • Scott, H., Biello, S. M., & Woods, H. C. (2020). Social media use and adolescent sleep patterns: Cross-sectional findings from the UK Millennium Cohort Study. BMJ Open, 9(9), e031161. https://doi.org/10.1136/bmjopen-2019-031161
  • Simsek, E., & Tekgül, O. (2019). Ergenlerde sosyal medya kullanımının uyku kalitesine etkisi. Kocaeli Medical Journal, 8(3), 277–282. https://doi.org/10.5505/ktd.2019.28039
  • Şambel Aykutlu, M., Aykutlu, H. C., Özveren, M., & Garip, R. (2024). Digital media use and its effects on digital eye strain and sleep quality in adolescents: A new emerging epidemic?. PloS one, 19(12), e0314390. https://doi.org/10.1371/journal.pone.0314390
  • Tremblay, M. S., LeBlanc, A. G., Janssen, I., Kho, M. E., Hicks, A., Murumets, K., ... & Duggan, M. (2016). Canadian sedentary behaviour guidelines for children and youth. Applied Physiology, Nutrition, and Metabolism, 36(1), 59–64. https://doi.org/10.1139/H11-061
  • Tuncay, B., & Göger, B. (2022). Ergenlerde Dijital Oyun Bağımlılığı ve Uyku Kalitesi Arasındaki İlişkinin İncelenmesi. Journal of Turkish Sleep Medicine, 9, 79-84.
  • Tuncay, M., & Göger, B. (2022). Ergenlerde internet bağımlılığı ile sosyal kaygı düzeyi arasındaki ilişkinin incelenmesi. Sosyal Bilimler Araştırma Dergisi, 11(1), 23–36.
  • Twenge, J. M., Krizan, Z., & Hisler, G. (2017). Decreases in self-reported sleep duration among U.S. adolescents 2009–2015 and association with new media screen time. Sleep Medicine, 39, 47–53. https://doi.org/10.1016/j.sleep.2017.08.013
  • Twenge, J. M., Martin, G. N., & Spitzberg, B. H. (2018). Trends in U.S. adolescents' media use, 1976–2016: The rise of digital media, the decline of TV, and the (near) demise of print. Psychology of Popular Media Culture, 8(4), 329–345. https://doi.org/10.1037/ppm0000203
  • Woods, H. C., & Scott, H. (2016). #Sleepyteens: Social media use in adolescence is associated with poor sleep quality, anxiety, depression and low self-esteem. Journal of Adolescence, 51, 41–49. https://doi.org/10.1016/j.adolescence.2016.05.008

Erken Ergenlikte Dijital Dünyanın Gölgesi: Göz Sağlığı ve Uyku Üzerindeki Etkileri

Yıl 2026, Cilt: 8 Sayı: 1 , 1 - 7 , 27.04.2026
https://doi.org/10.54061/jphn.1714799
https://izlik.org/JA87HY97SH

Öz

Amaç: Bu araştırma, erken ergenlik dönemindeki çocuklarda ergenlerin dijital cihaz kullanımının, göz sağlığı ve uyku sorunlarına etkisini incelemeyi amaçlamaktadır.
Yöntem: Tanımlayıcı tipte yürütülen araştırma, İzmir’deki iki ortaokulda öğrenim gören 579 öğrenciyle gerçekleştirilmiştir. Veriler, araştırmacılar tarafından geliştirilen “Öğrenci Sağlık Formu” kullanılarak yüz yüze görüşme yöntemiyle toplanmıştır. Tanımlayıcı veriler sayı, yüzde, ortalama ve standart sapma ile gösterilmiştir. Kategorik değişkenler arasındaki farklılık Chi-Square testi ile değerlendirilmiş olup, anlamlılık düzeyi p<,05 olarak kabul edilmiştir.
Bulgular: Ergenlerin %75'inin akıllı telefon sahibi olduğu ve %46,6’sının uyumadan önce dijital ekran kullandığı saptanmıştır. Uyku süreleri okul günlerinde ortalama 7,66±1,16 olarak belirlenmiştir. Ekran süreleri arttıkça göz kuruluğu, göz ağrısı, uykuya dalmada güçlük ve okulda uykulu hissetme gibi sorunlar anlamlı olarak artmıştır (p<,05).
Sonuç: Elde edilen bulgular, dijital cihaz kullanımının ergenlerin göz sağlığını ve uyku kalitesini olumsuz etkilediğini göstermektedir. Sağlıklı uyku ve göz sağlığı için dijital cihaz kullanımına yönelik eğitim ve önleyici stratejiler önerilmektedir.

Etik Beyan

Bu çalışma Ege Üniversitesi Bilimsel Araştırma ve Yayın Etiği Kurulu etik kurulu tarafından onaylanmıştır (30/10/2024 tarihli; 2617 nolu karar)

Destekleyen Kurum

Yok ( x ) Bu araştırma, kamu, ticari veya kar amacı gütmeyen sektörlerdeki herhangi bir fon kuruluşundan bir hibe almamıştır.

Kaynakça

  • Barry, C. T., Sidoti, C. L., Briggs, S. M., Reiter, S. R., & Lindsey, R. A. (2017). Adolescent social media use and mental health from adolescent and parent perspectives. Journal of Adolescence, 61, 1–11. https://doi.org/10.1016/j.adolescence.2017.08.005
  • Bruni, O., Sette, S., Fontanesi, L., Baiocco, R., Laghi, F., & Baumgartner, E. (2015). Technology use and sleep quality in preadolescence and adolescence. Journal of Clinical Sleep Medicine, 11(12), 1433–1441.http://dx.doi.org/10.5664/jcsm.5282
  • Carter, B., Rees, P., Hale, L., Bhattacharjee, D., & Paradkar, M. S. (2016). Association between portable screen-based media device access or use and sleep outcomes: A systematic review and meta-analysis. JAMA Pediatrics, 170(12), 1202–1208. https://doi.org/10.1001/jamapediatrics.2016.2341
  • Chang, A. M., Aeschbach, D., Duffy, J. F., & Czeisler, C. A. (2015). Evening use of light-emitting eReaders negatively affects sleep, circadian timing, and next-morning alertness. Proceedings of the National Academy of Sciences, 112(4), 1232–1237. https://doi.org/10.1073/pnas.1418490112
  • Conklin, A. I., Yao, C. A., & Richardson, C. G. (2019). Chronic insufficient sleep and depressive symptoms: A prospective study of adolescents. Sleep Health, 5(6), 596–602. https://doi.org/10.1016/j.sleh.2019.08.007
  • Dewald, J. F., Meijer, A. M., Oort, F. J., Kerkhof, G. A., & Bögels, S. M. (2010). The influence of sleep quality, sleep duration and sleepiness on school performance in children and adolescents: A meta-analytic review. Sleep Medicine Reviews, 14(3), 179–189. https://doi.org/10.1016/j.smrv.2009.10.004
  • Do, K.Y.; Lee, K.S. Relationship between Problematic Internet Use, Sleep Problems, and Oral Health in Korean Adolescents: A National Survey. Int. J. Environ. Res. Public Health 2018, 15, 1870
  • Galván, A. (2020). The teenage brain: Sensitivity to rewards. Current Directions in Psychological Science, 29(1), 19–24. https://doi.org/10.1177/0963721419888770
  • Gradisar, M., Wolfson, A. R., Harvey, A. G., Hale, L., Rosenberg, R., & Czeisler, C. A. (2020). The impact of technology use on sleep quality and sleep disorders in adolescents. Sleep Health, 6(2), 145–155. https://doi.org/10.1016/j.sleh.2019.12.003
  • Hale, L., & Guan, S. (2015). Screen time and sleep among school-aged children and adolescents: A systematic literature review. Sleep Medicine Reviews, 21, 50–58. https://doi.org/10.1016/j.smrv.2014.07.007
  • Haylı, Ç. M. ve Demir Kösem, D. (2023). Ergenlerde Uyku ve Uyku Alışkanlıklarının Değerlendirilmesi. Türk Uyku Tıbbı Dergisi, 10(1), 9-16. https://doi.org/10.4274/jtsm.galenos.2022.70783
  • Hysing, M., Pallesen, S., Stormark, K. M., Jakobsen, R., Lundervold, A. J., & Sivertsen, B. (2015). Sleep and use of electronic devices in adolescence: Results from a large population-based study. BMJ Open, 5(1), e006748. https://doi.org/10.1136/bmjopen-2014-006748
  • Lee, J., Park, S. H., & Han, H. S. (2019). Effect of smartphone use on eye health among school-aged children: A cross-sectional study. BMC Ophthalmology, 19(1), 1-8. https://doi.org/10.1186/s12886-019-1177-2
  • Lewien, C., Genuneit, J., Meigen, C., Kiess, W., & Poulain, T. (2021). Sleep-related difficulties in healthy children and adolescents. BMC pediatrics, 21(1), 82.
  • Liu, X., Zhu, M., Zhang, R., Zhang, J., Zhang, C., Liu, P., ... & Chen, W. (2021). Screen time and health issues in children and adolescents: A systematic review and meta-analysis. BMJ Open, 11(9), e049172. https://doi.org/10.1136/bmjopen-2021-049172
  • Minges, K. E., & Redeker, N. S. (2016). Delayed school start times and adolescent sleep: A systematic review. Sleep Health, 2(4), 282–289. https://doi.org/10.1016/j.sleh.2016.06.002
  • Mohamed, S. F., Thomas, E., & Nayak, A. (2019). Effect of mobile phone usage on ocular health among students. International Journal of Community Medicine and Public Health, 6(11), 4704–4708. https://doi.org/10.18203/2394-6040.ijcmph20194577
  • Mohan A, Sen P, Shah C, Jain E, Jain S. Prevalence and risk factor assessment of digital eye strain among children using online e-learning during the COVID-19 pandemic: Digital eye strain among kids (DESK study-1). Indian J Ophthalmol. 2021;69(1):140–4. doi: 10.4103/ijo.IJO_2535_20 ; PubMed Central PMCID: PMC7926141
  • Nagata, J. M., Cortez, C. A., Cattle, C. J., Ganson, K. T., Iyer, P., Bibbins-Domingo, K., & Baker, F. C. (2022). Screen time use and sleep quality among adolescents during the COVID-19 pandemic. JAMA Pediatrics, 176(6), 630–637. https://doi.org/10.1001/jamapediatrics.2022.0021
  • Orzech, K. M., Grandner, M. A., Roane, B. M., & Carskadon, M. A. (2016). Digital media use in the 2 hours before bedtime is associated with sleep variables in university students. Computers in Human Behavior, 55, 43–50. https://doi.org/10.1016/j.chb.2015.08.049
  • Paruthi, S., Brooks, L. J., D'Ambrosio, C., Hall, W. A., Kotagal, S., Lloyd, R. M., ... & Wise, M. S. (2016). Consensus statement of the American Academy of Sleep Medicine on the recommended amount of sleep for healthy children: Methodology and discussion. Journal of Clinical Sleep Medicine, 12(11), 1549–1561. https://doi.org/10.5664/jcsm.6288
  • Paulus, F. W., Joas, J., Gerstner, I., Kühn, A., Wenning, M., Gehrke, T., ... & Möhler, E. (2022). Problematic internet use among adolescents 18 months after the onset of the COVID-19 pandemic. Children, 9(11), 1724.
  • Richardson, C., Magson, N., Fardouly, J., Oar, E., Johnco, C., & Rapee, R. (2021). A longitudinal investigation of sleep and technology use in early adolescence: Does parental control of technology use protect adolescent sleep? Sleep Medicine, 84, 368-379. https://doi.org/10.1016/j.sleep.2021.06.003
  • Schmidt, S. C., Anedda, B., Burchartz, A., Eichsteller, A., Kolb, S., Nigg, C., Niessner, C., Oriwol, D., Worth, A., & Woll, A. (2020). Physical activity and screen time of children and adolescents before and during the COVID-19 lockdown in Germany: A natural experiment. Scientific Reports, 10(1), 1-12. https://doi.org/10.1038/s41598-020-78438-4
  • Scott, H., Biello, S. M., & Woods, H. C. (2020). Social media use and adolescent sleep patterns: Cross-sectional findings from the UK Millennium Cohort Study. BMJ Open, 9(9), e031161. https://doi.org/10.1136/bmjopen-2019-031161
  • Simsek, E., & Tekgül, O. (2019). Ergenlerde sosyal medya kullanımının uyku kalitesine etkisi. Kocaeli Medical Journal, 8(3), 277–282. https://doi.org/10.5505/ktd.2019.28039
  • Şambel Aykutlu, M., Aykutlu, H. C., Özveren, M., & Garip, R. (2024). Digital media use and its effects on digital eye strain and sleep quality in adolescents: A new emerging epidemic?. PloS one, 19(12), e0314390. https://doi.org/10.1371/journal.pone.0314390
  • Tremblay, M. S., LeBlanc, A. G., Janssen, I., Kho, M. E., Hicks, A., Murumets, K., ... & Duggan, M. (2016). Canadian sedentary behaviour guidelines for children and youth. Applied Physiology, Nutrition, and Metabolism, 36(1), 59–64. https://doi.org/10.1139/H11-061
  • Tuncay, B., & Göger, B. (2022). Ergenlerde Dijital Oyun Bağımlılığı ve Uyku Kalitesi Arasındaki İlişkinin İncelenmesi. Journal of Turkish Sleep Medicine, 9, 79-84.
  • Tuncay, M., & Göger, B. (2022). Ergenlerde internet bağımlılığı ile sosyal kaygı düzeyi arasındaki ilişkinin incelenmesi. Sosyal Bilimler Araştırma Dergisi, 11(1), 23–36.
  • Twenge, J. M., Krizan, Z., & Hisler, G. (2017). Decreases in self-reported sleep duration among U.S. adolescents 2009–2015 and association with new media screen time. Sleep Medicine, 39, 47–53. https://doi.org/10.1016/j.sleep.2017.08.013
  • Twenge, J. M., Martin, G. N., & Spitzberg, B. H. (2018). Trends in U.S. adolescents' media use, 1976–2016: The rise of digital media, the decline of TV, and the (near) demise of print. Psychology of Popular Media Culture, 8(4), 329–345. https://doi.org/10.1037/ppm0000203
  • Woods, H. C., & Scott, H. (2016). #Sleepyteens: Social media use in adolescence is associated with poor sleep quality, anxiety, depression and low self-esteem. Journal of Adolescence, 51, 41–49. https://doi.org/10.1016/j.adolescence.2016.05.008
Toplam 33 adet kaynakça vardır.

Ayrıntılar

Birincil Dil Türkçe
Konular Toplum Çocuk Sağlığı, Halk Sağlığı Hemşireliği
Bölüm Araştırma Makalesi
Yazarlar

Esin Ateş 0000-0003-0668-3423

Ebru Konal 0000-0002-3276-3323

Gönderilme Tarihi 4 Haziran 2025
Kabul Tarihi 3 Nisan 2026
Yayımlanma Tarihi 27 Nisan 2026
DOI https://doi.org/10.54061/jphn.1714799
IZ https://izlik.org/JA87HY97SH
Yayımlandığı Sayı Yıl 2026 Cilt: 8 Sayı: 1

Kaynak Göster

APA Ateş, E., & Konal, E. (2026). Erken Ergenlikte Dijital Dünyanın Gölgesi: Göz Sağlığı ve Uyku Üzerindeki Etkileri. Halk Sağlığı Hemşireliği Dergisi, 8(1), 1-7. https://doi.org/10.54061/jphn.1714799