This study was done to determine a relationship between in-bed electronic social media (ESM) use and clinical outcomes such as insomnia, daytime sleepiness, short sleep duration, anxiety, and depression. A case-control, analytical design was utilized among 245 regular employees of Ateneo de Zamboanga University. A 48-item, self-administered survey questionnaire was given to the respondents selected through stratified random sampling. The results showed that the majority of the respondents (53.5%) are high in-bed ESM users (mean in-bed ESM score: 13 hours/week). The prevalence of the outcomes among high in-bed ESM users are: insomnia 65.3%, daytime sleepiness 61.6%, short sleep duration 54.8%, anxiety 72.7%, and depression 65.4%. Among the 5 clinical outcomes, univariate logistic regression showed that daytime sleepiness (OR: 1.74, CI: 1.03-2.95, p 0.036) has a positive relationship with ESM use in bed. Participants with daytime sleepiness have 1.74 times more likelihood of high use of ESM in bed compared to participants who do not experience daytime sleepiness. On the other hand, depression (OR: 1.87, CI: 0.28-1.02, p 0.052) showed no significant relationship among participants with high in-bed ESM use. Moreover, anxiety (OR: 2.62, CI: 1.14-5.96, p 0.017), although shows a significant relationship with high in-bed ESM use, poses an invalid result since it did not reach the needed number of cases. Insomnia (OR: 1.84, CI: 0.96-3.56, p 0.064) and short sleep duration (OR: 1.21, CI: 0.51-1.58, p 0.710), both show no significant relationship with high in-bed ESM use, but also pose a question on its validity due to the lack of number of cases (for insomnia) and controls (for short sleep duration). In conclusion, daytime sleepiness has a significant relationship with high use of ESM at bedtime while anxiety shows a trend towards a significant relationship. Depression, on the other hand showed no significant relationship with high in-bed ESM use.

Keyword: In-bed electronic social media use Prevalence of insomnia, daytime sleepiness, sleep duration, anxiety and depression Employees