<p>The post-COVID-19 surge in screen time, averaging 7.5&#xa0;h daily among Iranian adolescents (Rideout et al. in Common Sense census: Media use by tweens and teens, 2023. Common Sense Media. <a href="https://www.commonsensemedia.org/research/common-sense-census-media-use-by-tweens-and-teens-2023">https://www.commonsensemedia.org/research/common-sense-census-media-use-by-tweens-and-teens-2023</a>, 2023), has been linked to disrupted family dynamics and strained cohesion in urban households amid rapid digitalization (McDaniel and Radesky in Child Dev. 89:100–109, 2018; Ebadi and Azadarmaki in Iran Stud 51:751–768. <a href="https://doi.org/10.1080/00210862.2018.1467266">https://doi.org/10.1080/00210862.2018.1467266</a>, 2018). This study explores the systemic impact of excessive screen use and evaluates Digital Balance Family Therapy (DBFT), a novel intervention. Data from 75 urban families (<i>N</i> = 225) in Tehran and Isfahan, collected from July 2024 to February 2025, included the Family Assessment Device (FAD), Kessler Psychological Distress Scale (K10), screen time logs, and interviews. Baseline data for the DBFT group (<i>n</i> = 20) revealed moderate dysfunction (FAD: M = 2.40, SD = 0.60), distress (K10: M = 18.50, SD = 4.30), and screen time averaging 7.80&#xa0;h/day (SD = 1.20). A 12-week DBFT pilot reduced FAD to M = 1.90 (SD = 0.50, <i>p</i> &lt; .01, η² = 0.17), K10 to M = 14.20 (SD = 3.70, <i>p</i> &lt; .05, η² = 0.10), and screen time to M = 5.60 (SD = 1.00, <i>p</i> &lt; .01). Qualitative insights highlighted digital overload, mitigated by DBFT’s culturally sensitive tools like boundary-setting and offline rituals. DBFT offers therapists practical strategies to enhance family resilience in Iran’s digital landscape, addressing post-pandemic challenges effectively.</p>

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Navigating Digital Disconnection: A Quasi-Experimental Evaluation of Systemic Family Therapy for Excessive Screen time in Iranian Families Post-Pandemic

  • Mohaddeseh Alimoradi Otaghvar,
  • Kianoush Zahrakar

摘要

The post-COVID-19 surge in screen time, averaging 7.5 h daily among Iranian adolescents (Rideout et al. in Common Sense census: Media use by tweens and teens, 2023. Common Sense Media. https://www.commonsensemedia.org/research/common-sense-census-media-use-by-tweens-and-teens-2023, 2023), has been linked to disrupted family dynamics and strained cohesion in urban households amid rapid digitalization (McDaniel and Radesky in Child Dev. 89:100–109, 2018; Ebadi and Azadarmaki in Iran Stud 51:751–768. https://doi.org/10.1080/00210862.2018.1467266, 2018). This study explores the systemic impact of excessive screen use and evaluates Digital Balance Family Therapy (DBFT), a novel intervention. Data from 75 urban families (N = 225) in Tehran and Isfahan, collected from July 2024 to February 2025, included the Family Assessment Device (FAD), Kessler Psychological Distress Scale (K10), screen time logs, and interviews. Baseline data for the DBFT group (n = 20) revealed moderate dysfunction (FAD: M = 2.40, SD = 0.60), distress (K10: M = 18.50, SD = 4.30), and screen time averaging 7.80 h/day (SD = 1.20). A 12-week DBFT pilot reduced FAD to M = 1.90 (SD = 0.50, p < .01, η² = 0.17), K10 to M = 14.20 (SD = 3.70, p < .05, η² = 0.10), and screen time to M = 5.60 (SD = 1.00, p < .01). Qualitative insights highlighted digital overload, mitigated by DBFT’s culturally sensitive tools like boundary-setting and offline rituals. DBFT offers therapists practical strategies to enhance family resilience in Iran’s digital landscape, addressing post-pandemic challenges effectively.