Adolescents, Volume 5, Issue 4 (December 2025) – 6 articles

Adolescents’ increasing screen time has been linked to poor sleep quality, which may, in turn, affect their academic performance. This study aimed to examine screen time patterns among Jordanian adolescents and assess their associations with sleep quality and academic achievement. A descriptive correlational study was conducted among 477 students aged 12–14 years from four randomly selected schools in northern Jordan. Participants completed the validated Questionnaire for Screen Time of Adolescents (QueST) and the Adolescent Sleep–Wake Scale–Short Version (ASWS-S), while academic performance was assessed using GPA from school records. Results showed that average screen time was 9.13 h per day. Weekend screen time emerged as a significant negative predictor of sleep quality (β = −0.27, p = 0.016). Gender and school type were also significant predictors. Adolescents with screen devices in their bedrooms and those with chronic medical conditions reported higher screen time. Although total screen time did not significantly predict academic achievement, it showed a moderate negative correlation with sleep quality (r = −0.18, p < 0.01). These findings suggest that excessive screen use, particularly on weekends, may impair sleep quality among adolescents. Interventions targeting screen habits could help enhance sleep and potentially benefit academic performance. Full article

Cannabidiol (CBD) is a chemical produced by the cannabis plant that acts as an allosteric modulator of cannabinoid receptors resulting in non-competitive receptor antagonism in the central nervous system. This mechanism of action leads to anti-convulsant, anti-anxiety, and analgesic properties with minimal psycho-activity, which has led to significant interest in the use of CBD as a medication. Legislation around cannabis has changed in recent years, with many states permitting the use of CBD-based products as “medication” without approval from the Federal Drug Administration. This has led to a proliferation of products with associated marketing claims that are often unsubstantiated. This review summarizes the evidence for cannabidiol as a medical treatment, focusing on epilepsy, mental health, behavioral and substance use disorders occurring in pediatric and adolescent populations for which information is available. CBD preparations have been approved by the FDA to treat epilepsy in childhood; no other indications currently exist, and the literature remains inconclusive. Few adverse effects related to CBD use have been reported. However, endogenous cannabinoids play an important role in guiding brain development, and the long-term impact of modulating the endocannabinoid system during periods of brain growth during childhood and adolescence is unknown. While there is excitement about the potential for the development of CBD medications, currently, there is very limited information about the long-term safety of CBD, especially in children and adolescents, and caution is recommended regarding the use of unregulated, unapproved CBD preparations that are currently available over the counter. Full article

Compared to studies in school settings, little attention has been paid to bullying in the child protection system (PS), even though these children, adolescents, and youth are one of the most vulnerable groups, with the highest prevalence of bullying. This study aims to analyze, according to gender and nationality, the perception of adolescents and youth in the Spanish PS of the bullying and gender-based bullying situations that take place in their protection facility, as well as their response to these situations and the relationship with the training they received in gender equality, sexual diversity and bullying. Two hundred forty-nine adolescents and youth from 58 centers/facilities of the PS in Spain, with an average age of 16.38 years, participated. Of these, 37.3% had Spanish nationality. A correlational study was conducted using a cross-sectional random sample survey. It was found that 30.9% of the participants identify bullying situations, which reached 34.9% for LGBTIQ-phobic bullying and 37.7% for sexist bullying. Girls identify situations of both bullying and sexist bullying more, and girls and both male and female Spanish adolescents and youth attribute greater severity to these problems and respond more positively in favor of the victims. Those who have received more training in gender equality, sexual diversity, and bullying support bully victims more significantly. According to our current knowledge, this study addresses for the first time the phenomenon of bullying and gender-based bullying in the context of the PS from a perspective of gender, nationality, and the formative dimension. It also highlights the need for mandatory training in gender-equality and sexual diversity for adolescents/youth and educational professionals of the PS, as well as the creation of specific anti-bullying protocols with an inclusive approach. Full article

This study investigated the validity of a new observational procedure for assessing mother–father–adolescent conflict interactions. Addressing key gaps in the field, this procedure moves beyond mother–adolescent dyads and self-report questionnaires by offering a standardized, observational family-level approach. The procedure combines the Lausanne Trilogue Play—Conflict Discussion Task (LTP–CDT) with a coding system, the Family Conflict and Alliance Assessment Scales with Adolescents (FCAAS). In a sample of 82 two-parent families with adolescents aged 10 to 13, the FCAAS demonstrated excellent inter-rater reliability and good validity. Confirmatory factor analysis supported a theoretically grounded two-factor structure. Criterion and construct validity were confirmed via self-reports of marital satisfaction and coparenting, respectively. Ecological validity was supported by family members’ self-reports. This tool offers promising research and clinical applications and may be extended to diverse populations to assess known-group validity. Full article

While loneliness is a known correlate of social withdrawal, the underlying mechanisms, particularly within college student populations, remain inadequately understood. This study addresses this gap by investigating the mediating role of internet addiction and the moderating role of sex in the relationship between loneliness and social withdrawal. A cross-sectional survey was conducted with 1978 Chinese college students. Analyses were performed using SEM (AMOS) and the PROCESS for SPSS to test a moderated mediation model. Results confirmed a significant positive association between loneliness and social withdrawal. Internet addiction was found to significantly mediate this relationship, explaining 50.7% of the total effect. Moreover, sex moderated the indirect pathway, suggesting that the strength of the mediating effect varied by sex. These findings provide empirical support for the Evolutionary Theory of Loneliness by elucidating the psychological processes linking loneliness to social withdrawal within a collectivist cultural context. The study also offers practical implications for developing targeted mental health interventions to reduce social withdrawal and promote social participation among college students. Full article

Musculoskeletal injuries are a growing concern among adolescent athletes, with significant physical and psychological consequences. This integrative literature review aimed to analyze the risk factors associated with musculoskeletal injuries in adolescents engaged in sports and to explore the role of nursing interventions in their prevention. A systematic search was conducted across four databases and one gray literature source, including studies published between 2014 and 2024. Three descriptive studies were included, with evidence levels ranging from 3 to 4, according to the Joanna Briggs Institute classification. The main findings highlight that risk factors for musculoskeletal injuries include excessive training loads, inadequate sports technique, lack of professional supervision, improper use of equipment, and failure to recognize early signs of discomfort. Preventive nursing interventions were shown to be effective, particularly those focused on health education, proprioceptive training, and continuous monitoring. Multidisciplinary collaboration between nurses, coaches, and other health professionals emerged as a key strategy in creating safe sporting environments. Despite limitations such as the scarcity of studies on nursing-specific interventions in diverse sports contexts, this review supports the potential of structured, evidence-based nursing actions to reduce musculoskeletal injuries incidence, promote safer sports practices, and enhance adolescent athletes’ health outcomes. Full article