What this is
- This research investigates how various digital technology factors influence sleep problems using .
- A large sample of 9443 Chinese adults was analyzed to reveal complex interconnections among technology use and sleep issues.
- The study identifies key factors, particularly , that contribute significantly to sleep disruption.
Essence
- shows the strongest direct association with sleep problems among various technology-related factors. The study suggests that addressing both physiological and psychological pathways is essential for effective interventions.
Key takeaways
- has the strongest direct edge weight with sleep problems (r = 0.31). This finding underscores the critical role of light in disrupting sleep, indicating that interventions targeting blue light could be effective.
- also has a strong association with sleep problems (r = 0.26). This suggests that disruptions in natural sleep-wake cycles significantly contribute to sleep issues.
- Other factors like online gaming addiction, social media anxiety, and digital information overload serve as intermediaries in the network. Their moderate centrality indicates they play a role in linking technology use to sleep problems.
Caveats
- The cross-sectional design limits causal inferences about the relationships between technology use and sleep problems. Longitudinal studies are needed to clarify these dynamics.
- Self-reported measures may introduce bias, affecting the validity of the findings. Future research should incorporate objective assessments of technology use and sleep.
- The exclusion of individuals with diagnosed sleep disorders may limit the generalizability of the findings to clinical populations, necessitating further investigation in those groups.
Definitions
- blue light exposure: Light emitted from digital screens that can suppress melatonin production and delay sleep onset.
- circadian rhythm disturbance: Disruption of the natural sleep-wake cycle, often caused by irregular sleep patterns or environmental factors.
- network analysis: A method that examines the relationships among multiple variables to understand their interconnected effects.
AI simplified
Background
The pervasive integration of digital technology into daily life has fundamentally altered human sleep patterns, presenting an unprecedented challenge to public health. Recent epidemiological data indicate that sleep problems now affect over 45% of adults in technologically advanced societies, with prevalence rates showing a concerning upward trend [1]. This increase parallels the dramatic rise in digital technology use, with average daily screen time exceeding 8 h in many populations, which has been associated with increased sleep disturbances and circadian disruption [2]. The convergence of these trends raises critical questions about how different aspects of digital technology use collectively influence sleep health in the modern era.
The relationship between technology use and sleep problems has been extensively studied from various perspectives, drawing on theoretical frameworks from chronobiology, cognitive psychology, and behavioral medicine. Chronobiological research has demonstrated that evening exposure to blue light from digital devices can suppress melatonin production and delay sleep onset by up to 3 h [2, 3]. This effect is mediated through intrinsically photosensitive retinal ganglion cells (ipRGCs) that project to the suprachiasmatic nucleus, the master circadian pacemaker [4]. Psychological studies have revealed that social media use and digital communication can create states of cognitive and emotional arousal that persist well beyond actual device use, interfering with the psychological windâdown process necessary for sleep initiation [5, 6]. Behavioral research has documented how technology use can disrupt sleep through delayed bedtimes, irregular sleep schedules, and suboptimal preâsleep routines including device use in bed, bright screen exposure, and engagement with stimulating content [7].
Despite this extensive research, our understanding of technologyâinduced sleep disruption remains fragmented and incomplete. Current models often fail to capture the complex, interconnected nature of modern digital behavior and its impact on sleep. For instance, while the direct effects of blue light exposure on circadian rhythms are wellâestablished through physiological mechanisms, this pathway likely interacts with psychological factors such as social media anxiety and digital information overload through both shared variance and unique contributions that current unifactorial models cannot adequately explain [8].
Several critical gaps in the literature warrant attention. First, most studies examine isolated relationships between specific technological behaviors and sleep outcomes, overlooking potential interaction effects and indirect pathways that cannot be captured by simple bivariate models or traditional regression approaches [9].
Second, the role of psychological mechanisms in mediating technologyâsleep relationships remains poorly understood. While research has identified associations between digital technology use and various psychological statesâsuch as social media anxiety, information overload, and virtual social pressureâhow these psychological factors collectively influence sleep problems through interconnected pathways requires deeper investigation [10]. Recent theoretical work suggests that psychological arousal may play a crucial role in translating digital behavior into sleep disruption through multiple mechanisms, including preâsleep cognitive hyperarousal, emotional dysregulation, and disrupted relaxation processes [11].
Third, existing research often treats technology use as a static construct, failing to account for the dynamic and multifaceted nature of modern digital behavior. Ecological momentary assessment studies indicate that different patterns of technology use may have distinct impacts on sleep, with factors such as timing, content type, and social context all potentially moderating the relationship [12]. Understanding these nuanced relationships requires more sophisticated analytical approaches that can capture the complex interplay between multiple technological factors while accounting for their shared and unique contributions.
Network analysis offers a promising framework for addressing these limitations. Rooted in graph theory and complex systems science, this approach conceptualizes psychological phenomena as systems of interacting components, allowing examination of how multiple factors simultaneously influence each other while controlling for all other variables in the network [13]. Unlike traditional regression approaches that assume predictors are independent, network analysis explicitly models the interdependencies among variables, providing a more ecologically valid representation of how multiple factors coexist and interact. In the context of technologyâinduced sleep disruption, network analysis can identify central symptoms that might serve as optimal intervention targets, map indirect pathways through which technological factors affect sleep, detect potential feedback loops between variables, and quantify the overall connectivity of the system [14].
Recent applications of network analysis in psychological and health research have yielded important insights into the structure of various phenomena. Studies examining anxiety disorders, depression, and behavioral addictions have demonstrated the utility of network approaches in understanding complex psychological systems and identifying intervention targets [15, 16]. For example, research by Abaas et al. [6] demonstrated the interconnected nature of psychological symptoms related to social media use, showing that female participants exhibited higher levels of anxiety and depression, illustrating how networkâbased approaches can reveal the complex relationships among technology use, psychological symptoms, and health outcomes. However, network analysis remains underutilized in understanding technologyâinduced sleep disruption, despite the inherently interconnected nature of digital behavior and sleep problems.
The present study employs network analysis to examine how different aspects of digital technology use collectively influence sleep problems in a large sample of Chinese adults. Drawing on recent theoretical and empirical work, we conceptualize the relationship between digital technology use and sleep problems as a network system comprising proximal factors that directly impact sleep physiology, intermediate factors that bridge distal behaviors and sleep outcomes, and distal factors that represent broader patterns of digital engagement. This differentiation allows us to investigate not only which factors most strongly associate with sleep problems but also the structural properties of the technologyâsleep network and the pathways through which effects may operate.
Based on theoretical frameworks from chronobiology, cognitive science, and digital behavior research, we propose three hypotheses:Blue light exposure will demonstrate the strongest direct edge weight with sleep problems in the network, reflecting its established physiological impact on circadian regulation and melatonin suppression.Screen time, bedtime device use, electronic device dependence, virtual social pressure, and workâlife digital integration will demonstrate weaker direct associations with sleep problems but stronger indirect pathways through intermediate variables, reflecting their role as distal factors.Online gaming addiction, digital information overload, social media anxiety, and circadian rhythm disturbance will demonstrate moderate centrality indices, indicating their potential role as bridge symptoms connecting distal factors to sleep outcomes.
Methods
Participants and Sampling Procedure
Data were collected from 9443 Chinese adults (54.3% female) aged 18â65 years (M = 28.4, SD = 8.7) through the Credamo platform between September 2023 and January 2024. Participants were recruited using stratified random sampling to ensure demographic representativeness. The stratification variables included age group (18â25, 26â35, 36â45, 46â55, 56â65 years) and geographical region (Eastern, Central, Western, and Northeastern China), with quotas set to approximate the population distribution according to the most recent national census data. Within each stratum, participants were randomly selected from the Credamo panel, which comprises over 2.6 million registered users across China.
The sample size was determined a priori based on recommendations for stable network estimation in psychological research. Following guidelines established by Epskamp et al. [17], we employed Monte Carlo simulations to estimate the minimum sample size required to detect edges with adequate power (â„ 0.80) and precision (correlation stability coefficient â„ 0.25). Based on these simulations, which assumed a sparse network with approximately 50â60 edges and medium effect sizes, a minimum sample of 500 participants was required. However, to ensure robust estimation of centrality indices and to enable subgroup analyses, we targeted a substantially larger sample. The final sample of 9443 participants provides excellent statistical power and stable network estimates.
Inclusion criteria required regular use of digital devices (>â2âh daily) and proficiency in reading Chinese. Exclusion criteria included: (1) diagnosed sleep disorders (e.g., obstructive sleep apnea, restless leg syndrome, narcolepsy) in the past month, as such conditions represent distinct clinical entities with established pathophysiology that may confound the examination of technologyârelated sleep disruption; (2) current shift work or rotating work schedules, which independently disrupt circadian rhythms through mechanisms unrelated to technology use; (3) transâmeridian travel crossing three or more time zones in the past month, which can induce jet lag and temporary circadian misalignment; and (4) current use of medications known to affect sleep architecture (e.g., sedativeâhypnotics, stimulants, certain antidepressants). These exclusion criteria were implemented to isolate the effects of technologyârelated factors on sleep problems while minimizing confounding from established medical conditions and environmental factors with independent effects on sleep.
Measures
All measures underwent rigorous translation and backâtranslation following established guidelines [18]. For scales originally developed in English, the forward translation was conducted by two bilingual researchers independently, followed by reconciliation and backâtranslation by a third researcher blind to the original version. Discrepancies were resolved through discussion with content experts. Responses used 5âpoint Likert scales (1 = strongly disagree to 5 = strongly agree) unless otherwise specified.
The Screen Time Scale () ST
This 8âitem scale assesses daily duration and patterns of digital device use across various contexts (work, leisure, social). The scale was adapted from validated measures of technology use [19] and demonstrated good internal consistency (McDonald's Ï = 0.89) and 2âweek testâretest reliability (r = 0.85). Sample items included âI spend more time using digital devices than intendedâ and âMy screen time interferes with daily activities.â
The BeforeâBed Electronic Device Use Scale () BED
This 6âitem scale measures technology use patterns specifically during the 2âh window before sleep (Ï = 0.85). Items assessed behaviors such as device use while in bed, immediate preâsleep technology engagement, and the types of activities performed. The scale showed strong convergent validity with 7âday diary measures of evening technology use (r = 0.78).
The Electronic Device Dependency Scale () EDD
This 9âitem scale evaluates psychological dependence on digital devices (Ï = 0.91). Based on behavioral addiction criteria from the DSMâ5, the scale assessed symptoms such as loss of control over use, withdrawal symptoms when unable to use devices, tolerance, and continued use despite negative consequences. The scale has been validated against clinical assessments of problematic technology use [20].
The Social Media Anxiety Scale () SMA
This 10âitem scale measures anxiety specifically related to social media use (Ï = 0.92). Items assessed concerns about missing updates (fear of missing out), compulsive checking behavior, social comparison anxiety, and anxiety about online selfâpresentation. The scale demonstrated good discriminant validity from general anxiety measures (r = 0.45 with the GADâ7), indicating that it captures a distinct construct.
The Digital Information Overload Scale () DIO
This 8âitem scale assesses perceived overwhelm from digital information sources (Ï = 0.88). Items measured difficulty managing the flow of digital information, cognitive overload symptoms, and associated stress responses. The scale was adapted from established measures of information overload [21] and has been validated in Chinese populations [22].
The Virtual Social Pressure Scale () VSP
This 8âitem scale evaluates perceived pressure from digital social interactions (Ï = 0.86). Items assessed feelings of obligation to maintain an online presence, pressure to respond quickly to digital communications, and anxiety about social expectations in virtual environments.
The Blue Light Exposure Scale () BLE
This 5âitem scale measures exposure to deviceâemitted blue light (Ï = 0.83), focusing on evening exposure patterns, device brightness settings, and use of blue light filtering features. The scale demonstrated significant correlations (r = 0.62) with objective measures of evening light exposure obtained through light sensors worn by a validation subsample (n = 120), supporting its criterion validity [23].
The Circadian Rhythm Disruption Scale () CRD
This 7âitem scale assesses disruption of sleepâwake patterns (Ï = 0.87). Items evaluated irregularity in sleep timing, social jetlag (difference between weekday and weekend sleep schedules), and misalignment between preferred and actual sleep schedules. The scale was developed based on established circadian measures [24] and correlated significantly with actigraphyâderived measures of sleep regularity in validation studies.
The Online Gaming Addiction Scale () OGA
This 10âitem scale measures problematic gaming behavior (Ï = 0.93), including items assessing loss of time control, gaming interference with sleep and daily activities, and continued gaming despite negative consequences. The scale was based on the Internet Gaming Disorder criteria [25] and has been validated in Chinese populations.
The WorkâLife Digital Integration Scale () WLDI
This 7âitem scale evaluates the extent of workârelated technology use outside normal working hours (Ï = 0.84), particularly focusing on evening workârelated digital behavior, expectations of availability, and boundary management between work and personal digital use.
The Sleep Problems Scale () SP
This 12âitem scale assesses various aspects of sleep disruption (Ï = 0.94). Based on the Pittsburgh Sleep Quality Index (PSQI) [26] and the Insomnia Severity Index (ISI) [27], the scale evaluated difficulties with sleep initiation, sleep maintenance, early morning awakening, and perceived sleep quality. The scale demonstrated strong correlations with PSQI global scores (r = 0.82) and with objective sleep measures (sleep efficiency, r = â0.58; wake after sleep onset, r = 0.54) obtained through actigraphy in a validation subsample.
Procedure and Data Quality
Participants completed the online survey through the Credamo platform. The survey took approximately 20â25âmin to complete. Data quality was ensured through multiple mechanisms: (1) three attention check items distributed throughout the survey (e.g., âPlease select âAgreeâ for this itemâ); (2) response time monitoring with exclusion of responses completed in less than 8âmin (indicating inattentive responding); (3) consistency checks for logically related items; and (4) exclusion of responses with excessive missing data (>â10% of items). These quality control procedures resulted in the exclusion of 847 responses (8.2% of initial completions), yielding the final sample of 9443 participants.
Statistical Analysis
Network analysis was conducted using R software (version 4.2.3) with the qgraph [28], bootnet [17], and mgm [29] packages. A regularized partial correlation network was estimated using the graphical LASSO (least absolute shrinkage and selection operator) method combined with the Extended Bayesian Information Criterion (EBIC) for model selection. This approach produces a sparse network where edges represent unique associations between variables after controlling for all other variables in the networkâa critical advantage over simple correlation matrices that conflate direct and indirect relationships.
In this model, known as the Gaussian Graphical Model (GGM), nodes represent observed variables (composite scores from each scale), while edges denote partial correlations between two nodes after accounting for all other nodes in the network. This statistical property is crucial for interpretation: edge weights reflect the unique association between two variables that cannot be explained by any other variable in the network. Positive associations are indicated by green edges, and negative associations by red edges, with edge thickness reflecting the strength of partial correlations.
To assess node importance, we calculated three centrality indices using the centralityPlot function from qgraph [28]: (1) Strength centrality, defined as the sum of absolute edge weights connected to a node, indicating the node's overall connectivity; (2) Betweenness centrality, reflecting the number of times a node lies on the shortest path between two other nodes, indicating its potential as a bridge; and (3) Closeness centrality, calculated as the inverse of the average shortest path length from a node to all other nodes, indicating how quickly changes in one node might spread to others.
Given the relative nature of centrality metrics, we additionally employed the mgm package to estimate node predictability (R2), which quantifies the proportion of variance in each node explained by its neighboring nodes [29]. Unlike centrality indices, predictability provides an absolute measure of interconnectedness that is comparable across studies and indicates how much of each node's variance is accounted for by the network structure.
Network stability and accuracy were evaluated using a caseâdropping bootstrap procedure with 1000 iterations [17]. This procedure estimates the correlation stability (CS) coefficient, which indicates the maximum proportion of cases that can be dropped while maintaining a correlation of 0.7 between the original centrality indices and those from the bootstrap samples. A CS coefficient above 0.25 is considered acceptable, and above 0.5 is considered good. Edge weight accuracy was assessed through 95% confidence intervals derived from nonparametric bootstrapping.
Results
Network Structure and Edge Weights
Figure 1 presents the EBICglasso network model estimation for Sleep Problems (SP), comprising 11 nodes. Across the entire network, 53 out of 55 possible edges (96.4%) were nonzero, indicating a highly connected network structure. The strongest positive edge weight in the network was observed between Electronic Device Dependence (EDD) and Online Gaming Addiction (OGA) (r = 0.41, p < 0.001), while the strongest negative edge weight was between Social Media Anxiety (SMA) and Online Gaming Addiction (OGA) (r = â0.19, p < 0.001).
The network model comprises 11 nodes representing technology use factors and sleep problems. Each node is labeled with its abbreviation: SP = Sleep Problems; ST = Screen Time; BED = Beforeâbed Electronic Device Use; EDD = Electronic Device Dependency; SMA = Social Media Anxiety; DIO = Digital Information Overload; VSP = Virtual Social Pressure; BLE = Blue Light Exposure; CRD = Circadian Rhythm Disruption; OGA = Online Gaming Addiction; WLDI = WorkâLife Digital Integration. Green edges indicate positive partial correlations, while red edges indicate negative partial correlations. Edge thickness reflects the magnitude of partial correlations (edge weights). The colored ring surrounding each node represents node predictability (R2), indicating the proportion of variance explained by neighboring nodes.
Among all nonzero edges connected to the SP node, the strongest positive edge weights were with Blue Light Exposure (BLE) (r = 0.31, p < 0.001) and Circadian Rhythm Disturbance (CRD) (r = 0.26, p < 0.001), followed by Social Media Anxiety (SMA) (r = 0.20, p < 0.001), Electronic Device Dependence (EDD) (r = 0.12, p < 0.001), and Online Gaming Addiction (OGA) (r = 0.12, p < 0.001). Weaker positive edge weights were found between SP and Virtual Social Pressure (VSP) (r = 0.09, p < 0.001), WorkâLife Digital Integration (WLDI) (r = 0.09, p < 0.001), Bedtime Electronic Device Use (BED) (r = 0.05, p = 0.002), and Screen Time (ST) (r = 0.03, p = 0.041). Digital Information Overload (DIO) showed a small negative edge weight with SP (r = â0.07, p < 0.001).

Sleep problems network EBICglasso model with predictability indicators.
Comparison of Correlation and Partial Correlation Matrices
A systematic comparison between the zeroâorder correlation matrix and the partial correlation (edge weight) matrix revealed substantial attenuation of associations when controlling for other network variables (see Table 1). For example, the zeroâorder correlation between Screen Time (ST) and Sleep Problems (SP) was r = 0.42, whereas the corresponding edge weight in the network was r = 0.03âa reduction of 93%. Similarly, Bedtime Electronic Device Use (BED) showed a zeroâorder correlation of r = 0.38 with SP but an edge weight of only r = 0.05 (87% reduction). In contrast, Blue Light Exposure (BLE) showed a zeroâorder correlation of r = 0.52 with SP and maintained a substantial edge weight of r = 0.31 (40% reduction). This pattern indicates that much of the variance shared between distal technology factors (ST, BED) and sleep problems is explained by other variables in the network, particularly intermediate factors like CRD and BLE. The relatively preserved edge weight for BLE suggests that its association with SP reflects a more direct relationship that is not fully accounted for by other network variables.
| Variable | Predictability ()R2 | Betweenness | Closeness | Strength |
|---|---|---|---|---|
| Screen Time (ST) | 0.67 | â0.67 | â0.66 | â0.96 |
| Bedtime Electronic Device Use (BED) | 0.57 | â0.95 | â1.58 | â2.00 |
| Social Media Anxiety (SMA) | 0.63 | 0.46 | 1.33 | 0.69 |
| Digital Information Overload (DIO) | 0.63 | 0.18 | â0.15 | 0.15 |
| Circadian Rhythm Disturbance (CRD) | 0.66 | â0.95 | â0.27 | 0.05 |
| Electronic Device Dependence (EDD) | 0.67 | â0.10 | 0.11 | â0.08 |
| Blue Light Exposure (BLE) | 0.7 | 1.88 | 0.31 | 0.91 |
| Virtual Social Pressure (VSP) | 0.59 | â0.67 | 0.08 | 0.34 |
| WorkâLife Digital Integration (WLDI) | 0.64 | â0.95 | â1.26 | â1.06 |
| Online Gaming Addiction (OGA) | 0.61 | 0.18 | 0.22 | 1.52 |
| Sleep Problems (SP) | 0.74 | 1.6 | 1.86 | 0.46 |
Regarding Blue Light Exposure and Circadian Rhythm Disturbance
The edge weight between BLE and CRD was moderate (r = 0.18, p < 0.001), which may appear counterintuitive given the established physiological pathway through which blue light affects circadian rhythms. These findings warrant explanation. First, the network model estimates partial correlations controlling for all other variables, and the shared variance between BLE and CRD is partly explained by their mutual associations with other network nodes (particularly BED and EDD). Second, the BLE scale primarily captured behavioral patterns of light exposure (timing, brightness settings), while the CRD scale assessed subjective experiences of circadian misalignment; these represent different levels of the causal pathway. Third, individual differences in circadian photosensitivity may introduce heterogeneity in the BLEâCRD relationship. Nevertheless, both BLE and CRD showed strong direct associations with SP, consistent with their complementary roles in technologyârelated sleep disruption.
Node Predictability
As Table 1 shows, the predictability of node SP was R2 = 0.735, indicating that 73.5% of the variance in Sleep Problems could be explained by its neighboring nodes in the network. This high predictability demonstrates that the network structure effectively captures the factors contributing to sleep problems. The mean node predictability across all nodes was R2 = 0.65 (range: 0.57â0.74), suggesting that, on average, 65% of the variance in each node could be explained by its network neighborsâindicating a wellâconnected and interdependent network structure.
Centrality Analyses
Figure 2 and Table 1 display the centrality indices for each node. The node with the highest strength centrality was Online Gaming Addiction (OGA) (z = 1.52), followed by Blue Light Exposure (BLE) (z = 0.91), indicating that these nodes have the strongest overall connections within the network. The node with the highest betweenness centrality was Blue Light Exposure (BLE) (z = 1.88), followed by Sleep Problems (SP) (z = 1.60), suggesting that these nodes serve as critical bridges through which other variables in the network are interconnected. The node with the highest closeness centrality was Sleep Problems (SP) (z = 1.86), indicating that changes in this node would propagate most rapidly to other variables in the network.
Centrality indices are presented as standardized zâscores (xâaxis), with higher values indicating greater centrality. The yâaxis lists all 11 network nodes. Strength centrality reflects the sum of absolute edge weights connected to each node. Betweenness centrality indicates how often a node lies on the shortest path between other nodes. Closeness centrality represents the inverse of average shortest path length to all other nodes. Node abbreviations are defined in Figure 1 legend.
The bootstrap analysis indicated good stability of the network estimates. The correlation stability coefficient (CSâcoefficient) for strength centrality was 0.67, for betweenness centrality was 0.44, and for closeness centrality was 0.52, all exceeding the recommended threshold of 0.25 and indicating that the centrality estimates are sufficiently stable for interpretation [17].

Centrality measures (strength, betweenness, and closeness) for sleep problems network nodes.
Hypothesis Testing Summary
The results provided support for all three hypotheses. Consistent with H1, Blue Light Exposure demonstrated the strongest direct edge weight with Sleep Problems (r = 0.31), supporting its role as the primary proximal factor. Consistent with H2, Screen Time, Bedtime Electronic Device Use, Electronic Device Dependence, Virtual Social Pressure, and WorkâLife Digital Integration showed substantially weaker direct edge weights with SP (r range: 0.03â0.12) compared to their zeroâorder correlations, indicating that their associations with sleep problems are largely mediated through other network variables. Consistent with H3, Online Gaming Addiction, Digital Information Overload, Social Media Anxiety, and Circadian Rhythm Disturbance showed moderate centrality indices and served as intermediate nodes connecting distal technology factors to sleep problems.
Discussion
This study employed network analysis to examine the complex relationships among digital technology use factors and sleep problems in a large sample of Chinese adults. The network approach revealed that technologyârelated sleep disruption operates through an interconnected system of physiological, psychological, and behavioral factors, with 73.5% of the variance in sleep problems explained by network neighbors. These findings advance theoretical understanding of technologyâinduced sleep disruption and provide empirical guidance for intervention development.
Blue Light Exposure as a Proximal Factor
Consistent with our first hypothesis, Blue Light Exposure exhibited the strongest direct edge weight with Sleep Problems and demonstrated high centrality across all three indices. This finding aligns with established chronobiological research demonstrating that evening blue light exposure suppresses melatonin secretion through activation of intrinsically photosensitive retinal ganglion cells. Because melatonin serves as the primary physiological signal for sleep initiation, its suppression delays the onset of sleepiness and prolongs sleep latency, ultimately leading to delayed sleep onset and reduced sleep efficiency [2, 3, 30]. The high betweenness centrality of BLE indicates that it serves as a critical bridge in the network, through which effects of other technology use factors may be channeled.
The strong direct association between Blue Light Exposure and Sleep Problems, even after controlling for all other network variables, suggests that lightâbased interventions may be particularly effective for technologyârelated sleep disruption. Practical strategies include the use of blue light filtering software, hardwareâbased blue light reduction features, and behavioral recommendations to limit screen exposure during the evening hours [31]. The network structure also suggests that reducing blue light exposure may have downstream effects on other network nodes through its bridging role.
Intermediate Factors: Psychological and Behavioral Bridges
The network analysis revealed that Online Gaming Addiction, Digital Information Overload, Social Media Anxiety, and Circadian Rhythm Disturbance function as intermediate factors with direct pathways to Sleep Problems and connections to more distal technology use variables. This finding supports our third hypothesis and provides insight into the mechanisms through which broader patterns of digital behavior translate into sleep disruption.
The significant negative partial correlation between Online Gaming Addiction and Social Media Anxiety (r = â0.19) suggests a potential compensatory relationshipâindividuals with high gaming engagement may use gaming as a coping mechanism to manage or escape from social anxiety [32]. This interpretation is consistent with research showing that immersive gaming activities can provide temporary relief from realâworld stressors and social pressures. However, gaming addiction independently contributes to sleep problems through mechanisms including preâsleep cognitive arousal, time displacement, and disrupted sleep schedules [33].
The positive association between Digital Information Overload and Circadian Rhythm Disturbance (r = 0.21, p < 0.001) highlights the cognitive pathway through which excessive digital information consumption affects sleep. Information overload may maintain cognitive activation during evening hours, interfering with the natural windâdown process necessary for sleep initiation [34]. This preâsleep hyperarousal state characterized by racing thoughts, difficulty disengaging from information streams, and heightened alertness represents a key mechanism through which psychological factors mediate the technologyâsleep relationship.
Social Media Anxiety showed a moderate direct edge weight with Sleep Problems (r = 0.20), indicating that anxiety specifically related to social media use contributes to sleep disruption beyond its associations with other network variables. This effect likely operates through psychological mechanisms including rumination about social interactions, anticipatory anxiety about missing updates, and social comparison processes that elevate emotional arousal before sleep [6, 35]. Importantly, this psychological pathway is distinct from the physiological pathway of light exposureâwhile light affects sleep through melatonin suppression and circadian signaling, social media anxiety affects sleep through emotional and cognitive arousal mechanisms that impair the psychological windâdown necessary for sleep initiation.
Distal Factors: Indirect Pathways to Sleep Problems
Supporting our second hypothesis, Screen Time, Bedtime Electronic Device Use, Electronic Device Dependence, Virtual Social Pressure, and WorkâLife Digital Integration demonstrated substantially weaker direct edge weights with Sleep Problems compared to their zeroâorder correlations. This pattern indicates that these factors influence sleep primarily through indirect pathways mediated by intermediate variables.
The dramatic attenuation of the Screen TimeâSleep Problems association (from r = 0.42 to r = 0.03) illustrates a key insight from network analysis: much of what appears to be a direct effect of total screen time on sleep is actually mediated through specific aspects of technology use, particularly Blue Light Exposure and Circadian Rhythm Disturbance. Notably, our Screen Time measure assessed general daily device use across all contexts rather than eveningâspecific use, which may explain its weak direct association with sleep problemsâthe sleepâdisruptive effects of screen time appear to operate primarily through eveningâspecific behaviors captured by other variables in the network (BED, BLE). This finding has important implications for intervention design, suggesting that general recommendations to âreduce screen timeâ may be less effective than targeted interventions addressing specific mediating mechanisms, particularly those involving evening technology use.
Electronic Device Dependence showed moderate direct and indirect effects on sleep problems, consistent with research linking technology addiction to sleep disruption through multiple pathways including time displacement, preâsleep arousal, and disrupted routines [36]. Virtual Social Pressure and WorkâLife Digital Integration contribute to sleep problems through their effects on evening technology use patterns, psychological arousal, and boundary management between work and rest periods [37].
Theoretical and Practical Implications
The network approach employed in this study advances theoretical understanding of technologyâinduced sleep disruption by revealing the interconnected structure of contributing factors. Rather than conceptualizing technology effects on sleep as a set of independent risk factors, the network model suggests a complex system in which physiological mechanisms (blue light, circadian disruption), psychological factors (anxiety, information overload), and behavioral patterns (gaming, device dependence) mutually influence each other and collectively determine sleep outcomes.
For clinical practice and public health intervention, these findings suggest several priorities. First, interventions targeting Blue Light Exposure through technological solutions (filtering software, device settings) or behavioral recommendations (screenâfree periods before bed) may be particularly effective given its strong direct association with sleep problems and its bridging role in the network. Second, addressing intermediate factors such as Social Media Anxiety and Digital Information Overload through cognitiveâbehavioral techniques may help interrupt the psychological pathways through which technology use affects sleep. Third, the finding that general screen time shows minimal direct effects on sleep after controlling for specific mechanisms suggests that interventions should focus on modifying specific aspects of technology use rather than advocating for blanket reductions in technology engagement.
Limitations and Future Directions
Several limitations warrant consideration. First, the crossâsectional design precludes causal inference about the direction of relationships. While network analysis reveals the conditional independence structure among variables, it cannot distinguish between causal effects, reverse causality, or reciprocal relationships. Longitudinal network analyses employing timeâseries data would enable examination of temporal dynamics and more confident causal inference [38].
Second, all measures were selfâreported, which may introduce recall bias and social desirability effects. While we employed validated scales with demonstrated psychometric properties, future research should incorporate objective measures of technology use (e.g., smartphone tracking data, blue light sensors) and sleep (e.g., actigraphy, polysomnography) to strengthen the validity of findings [39].
Third, our sample comprised general population adults recruited through an online platform, which may limit generalizability to clinical populations or individuals without internet access. The exclusion of individuals with diagnosed sleep disorders, while methodologically appropriate for examining technologyâspecific effects, means our findings may not generalize to clinical samples. Future research should examine whether the network structure differs in populations with established sleep pathology.
Fourth, the network analysis approach, while providing valuable insights into the structure of relationships among variables, does not capture potential nonlinear effects or threshold phenomena that may characterize technologyâsleep relationships. Future research employing machine learning approaches may complement network analysis by identifying nonlinear patterns and interaction effects.
Fifth, while our analysis focused on technology use as a predictor of sleep problems, the relationship may be bidirectional. Individuals with preâexisting sleep difficulties may engage in increased digital behavior as a coping mechanism or due to an inability to fall asleep. This reverse causality cannot be ruled out in our crossâsectional design and warrants investigation through longitudinal studies that can disentangle the temporal sequence of technology use and sleep disturbances.
Conclusions
This study employed network analysis to examine the complex relationships among digital technology use factors and sleep problems. The findings demonstrate that Blue Light Exposure occupies a central position in the network, showing the strongest direct association with Sleep Problems and serving as a critical bridge connecting other technology factors to sleep outcomes. Intermediate factors including Circadian Rhythm Disturbance, Social Media Anxiety, Online Gaming Addiction, and Digital Information Overload bridge the relationship between distal technology use patterns (Screen Time, Device Dependence, Virtual Social Pressure) and sleep problems.
These findings suggest that technologyâinduced sleep disruption is a multidimensional phenomenon requiring comprehensive approaches that address physiological mechanisms (light exposure, circadian regulation), psychological factors (anxiety, cognitive overload), and behavioral patterns (device use habits, boundary management). The identification of Blue Light Exposure as a central intervention target, combined with the recognition of multiple indirect pathways through which technology affects sleep, provides empirical guidance for developing effective, targeted interventions to address sleep problems in the digital age.
Author Contributions
H.G. and L.X. contributed to the data acquisition and drafted the manuscript. C.T. contributed to the data acquisition. L.X. and C.T. contributed to the study design and revised the manuscript. All authors contributed to the article and approved the submitted version.
Funding
This research was supported by the Medical and Health Research Projects of Health Commission of Zhejiang Province (2025KY402).
Ethics Statement
The study has been reviewed and approved by the Ethics Committee of Shaoxing Second Hospital (2024031). The committee verified that all methods used in this study were carried out in line with the 1964 Helsinki declaration and its subsequent revisions or similar ethical standards, as well as the ethical requirements of the institutional research committee.
Consent
Informed consent has been obtained from all subjects involved in this study.
Conflicts of Interest
The authors declare no conflicts of interest.