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How digital media use and academic stress jointly relate to adolescent psychological distress: a response surface analysis of competing risks

Year: 2026

Type: article

Abstract: Short video addiction and academic burnout are prevalent risk factors for adolescent psychological distress, but their joint effects are poorly understood. This study used response surface analysis with 1647 Chinese adolescents (Mage = 15.2 years, 51.5% boys). Polynomial regression tested cumulative risk, synergy, and asymmetry. Multigroup analyses compared left‑behind (17.4%) and non‑left‑behind adolescents. The congruence line slope was positive (a₁ = 0.732, p < .001), indicating higher distress when both risks were high. Positive curvature (a₂ = 0.029, p = .001) supported synergy. The incongruence slope was negative (a₃ = − 0.386, p < .001), revealing that high burnout with low addiction (predicted mean = 35.5) was associated with greater distress than the reverse pattern (predicted mean = 23.4). The curvature along the incongruence line was also significant (a₄ = 0.041, p < .001). Findings were comparable across left‑behind and non‑left‑behind subgroups (exploratory analysis, p = .283). Short video addiction and academic burnout are synergistically associated with adolescent distress (R 2 = .201). Academic burnout is more distressing when risks diverge. Integrated interventions addressing both domains are warranted.

Source: BMC Public Health

DOI: 10.1186/s12889-026-29052-y

Authors: Qing Wang, Huaqiang Liu, Zhensong Lan

Institutions: Jiangxi University of Finance and Economics, Yibin University, Guangxi Medical University

Language: English

Topic: Impact of Technology on Adolescents

Subfield: Sociology and Political Science

Field: Social Sciences

Domain: Social Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $3,290