The Somatic Triad: Influence of Screen Time, Postural Load, and Breathing Pattern Dysfunction on Psychological Distress in University Students- A cross-sectional Study.

Authors

  • Avani Pal Professor & HOD (Activities), Jayantrao College of Physiotherapy, Tilak Maharashtra Vidhyapeeth University (TMV), Maharashtra Author

DOI:

https://doi.org/10.29070/w8bknw97

Keywords:

Screen time, Postural load, Breathing pattern dysfunction, psychological distress, University students

Abstract

Background:Psychological distress among university students has increased significantly and is commonly addressed through cognitive or pharmacological approaches. However, the modern academic environment involves prolonged screen use, which contributes to increased postural load and breathing pattern dysfunction. These physiological changes may influence psychological distress but remain underexplored within student mental health frameworks.

Objective: Psychological distress among university students has increased significantly and is commonly addressed through cognitive or pharmacological approaches. However, the modern academic environment involves prolonged screen use, which contributes to increased postural load and breathing pattern dysfunction. These physiological changes may influence psychological distress but remain underexplored within student mental health frameworks.

Methods:A total of 150 university students aged 18–30 years were included in this cross-sectional correlational study. Screen time was assessed using self-reported daily duration. Postural load was evaluated using the Rapid Upper Limb Assessment (RULA). Breathing pattern dysfunction was assessed using the Nijmegen Questionnaire. Psychological distress was measured using the Depression Anxiety Stress Scale (DASS-21). Data were analyzed using correlation and multiple regression analysis.

Outcome Measures: Screen time (hours/day), postural load (RULA score), breathing pattern dysfunction (Nijmegen score), and psychological distress (DASS-21 scores) were assessed using standardized tools.

Results:The study demonstrated that increased screen time was significantly associated with higher postural load and breathing dysfunction. Postural load and Nijmegen scores showed stronger positive correlations with depression, anxiety, and stress compared to screen time. Regression analysis revealed that somatic variables significantly predicted psychological distress and accounted for a substantial proportion of variance.

Conclusion:The findings suggest that screen time influences psychological distress through its impact on posture and breathing. Addressing these somatic factors through ergonomic correction and breathing interventions may enhance current approaches to student mental health.

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Published

2026-06-01