Abstract:
Background: Prevalence of screen addiction among secondary school children is a significant 
problem which affects various psychological issues. Identifying the extent and associated 
psychological problems is crucial in order to develop effective policies and take actions. 
Objectives: To study the prevalence of screen addiction and its psychological impact on 
secondary-level school children in Galle educational division 
Methods: A descriptive cross-sectional study was conducted among 419 school children in the 
age of 12-16 years from selected schools within Galle educational division, using stratified 
multistage cluster sampling method. A pre-tested, self-administered questionnaire was used to 
assess prevalence, screen addictive behavior, and psychological problems. Screen addiction was 
defined as using screens for more than 2 hours. Depression, anxiety, and stress levels were 
evaluated using Depression Anxiety Stress Scale - Youth 21. Data analysis performed using SPSS 
version 25.0, and the association between screen addiction and psychological problems were 
determined using Chi-squared test. 
Results: In the sample, majority were Sinhalese (81.1%), while 18.9% were Muslims. Among 
them, 56.6% were male. The prevalence of screen addiction was 39.6%. The study found that 
computers (3.6%), laptops/tablets (4.8%), smartphones (20.6%) and television (25. 5%) as the 
frequently used screen devices. In screen addictive behavior, majority (45.1%) agreed with the 
statement “Even if I don’t get any message, I check the screen of my mobile device” while 10.2% 
agreed with “I often use screen devices soon after wake up (while staying in the bed)”. 
Additionally, 27.7% had an urge to use any of the screen devices. Findings of the study reveals 
that among screen addicted participants, 23.4 % were severely depressed, 18% were severely 
anxious, and 19.8 % were severely stressed. Study demonstrated a significant association 
(p<0.005) between screen addiction and depression, anxiety, stress among secondary school 
children.  
Conclusion: Screen addiction is prevalent among secondary-level school children in Galle 
district, leading to psychological health problems. Awareness, intervention, and balanced screen 
usage are crucial for promoting well-being and further research is needed to confirm findings and 
enhance preventive measures for screen addiction. 
Keywords: Psychological impact, Screen addiction, Secondary-level school children, Sri Lanka