EFFECTS OF SCREEN TIME AND ADAPTIVE FUCNTIONS OF MUSIC LISTENING ON ANXIETY AND DEPRESSSION AMONG UNDERGRADUATE MEDICAL AND DENTAL STUDENTS OF PESHAWAR. Principal Investigator: Marwan Khan, Co Investigator: Muhammad Daniyal Zaman. Peshawar Medical College Peshawar, Pakistan. Introduction There are growing concerns about the impact of digital technologies on children's emotional well-being, particularly regarding fear, anxiety, and depression. The mental health categories of anxiety and depression will be discussed together because there is significant symptom overlap and comorbidity. An increase in time spent on screen-based technologies has been suggested to underlie recent increases in mental health problems among young people. studies indicating positive associations between music engagement and quality of life, reduced depression or anxiety symptoms, and less frequent substance use. However, many earlier investigations were limited by small populations and methodological limitations, and it has also been suggested that aspects of music engagement may even be associated with worse mental health outcomes. Methodology Results • Sample Size:248 Students. • Study design: Crosssectionalstudy • Sampling technique: convenient sampling technique. • Duration: March -May 2022. • Study population: 1st to final year medical and dental studentsof PMC & PDC. • Ethical approval: ERC Peshawar Medical College. • Scales: Hospital Anxiety & Depression Scale, Adaptive Functions of Music Listening& Screen time Questionnaire. • Data Analysis: Pearson correlation, Chi square test, Cronbach alpha reliability, SPSS v.25. Students’ participants: 500. The mean age (n=248) was 21.67 ±1.6 years. Age range of 17 to 26 years, majority of female students (n=160, 64.5%). Majority of the students have abnormal level of anxiety (n=100, 40.3%) and only one third of the students have depression (n=65, 26.2%) respectively. More than half of the students have better adaptive functioning of music listening (n=135, 54.4%). Cronbach’s alpha reliability HADS: 0.795, AFML: 0.972. Chi-square test showed that those who are more anxious have better and significant adaptive functioning of music listening as compared to others (p=0.01) (fig 1), whereas no significant difference was found between the depression subtypes among better and poor adaptive functioning of music listening (p>0.05) respectively (fig 2). Pearson correlation results showed a significant positive correlation between HADS total score, its subtypes anxiety and depression with Adaptive functioning of music listening (p<0.05) respectively (fig 3). Majority of the students didn’t use TV and TV connected devices on weekdays (n=189, 195, 76.2%, 78.6%), similarly less than half of the students didn’t use laptops during weekdays (n=121, 48.8%), however majority of the students did use smart phones for more than 4 hours in weekdays (n=141, 57%) respectively. Conclusion Aims & Objectives The Adaptive Functions of Music Listening Scale is a measure suited for outcomes-based research on music listening functions. • To find out the effects of screen time & adaptive functions of music listening on anxiety and depression among undergraduate medical and dental students of Peshawar. • To correlate the subtypes of HADS (anxiety and depression) with adaptive functioning of music listening among undergraduate medical and dental students of Peshawar. PEARSON CORELATION Measures AFML HADS AFML .167** Fig 1 showing chi square test of AFML with AnxietyRecode Anxiety Depression subtype of subtype of HADS HADS HADS (.012) .133* (.036) References • Hoge E, Bickham D, Cantor J. Digital Media, Anxiety, and Depression in Children. Pediatrics. 2017 Nov;140(Suppl 2):S76-S80. doi: 10.1542/peds.2016-1758G. PMID: 29093037. • Tang S, Werner-Seidler A, Torok M, Mackinnon AJ, Christensen H. The relationship between screen time and mental health in young people: A systematic review of longitudinal studies. ClinPsychol Rev. 2021 Jun;86:102021. doi: 10.1016/j.cpr.2021.102021. Epub 2021 Mar 20. PMID: 33798997. 1 (.000) .159* of HADS We are immensely grateful to Dr. Mifrah Rauf Sethi for her help in supervising this research. 1 Anxiety Subtype of Depression Subtype HADS Acknowledgements • Gustavson DE, Coleman PL, Iversen JR, Maes HH, Gordon RL, Lense MD. Mental .883** (.000) .872** (.000) Fig 3 Showing Pearson Corelation health and music engagement: review, framework, and guidelines for future studies. Transl Psychiatry. 2021 Jun 22;11(1):370. doi: 10.1038/s41398-021-01483-8. PMID: 1 .540** (.000) 34226495; PMCID: PMC8257764. • Wesseldijk LW, Ullén F, Mosing MA. The effects of playing music on mental health 1 Fig 2 Showing chi square test of AFML with DepressionRecode outcomes. Sci Rep. 2019 Aug 30;9(1):12606. doi: 10.1038/s41598-019-49099-9. PMID: 31471550; PMCID: PMC6717192.