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Purpose To date, little is known about underlying psychophysiological contributions to the impact of media content and overall screen time on adolescent psychological functioning. In the present study we examine respiratory sinus arrhythmia (RSA) as a moderator of the link between specific types of media content use, overall media exposure, and the development of internalizing and aggressive symptoms in youth. Methods A sample of 374 adolescents (mean age = 15) reported on their media use, internalizing behavior, and aggressive behavior at time 1 (2011) and 1-year follow-up (2012). RSA reactivity was gathered during a challenging laboratory task. Path analyses were conducted to test the hypothesized three-way interaction model between media use, media content, and RSA reactivity, separately for internalizing and aggressive problems. Results Significant interactions were found for aggressive, but not prosocial, media content. For aggressive content, youth exhibiting RSA withdrawal reported significantly greater internalizing and aggressive symptoms when exposed to higher amounts of screen time and aggressive content. Conclusions These findings suggest that profiles of heightened RSA withdrawal may place adolescents at greater risk to the negative impact of violent media, whereas prosocial media content may not significantly impact youth development of psychopathology. Implications for the role of psychophysiology in our understanding of media effects are discussed.

Pathologic video game use (PVGU) has been associated with a host of negative psychological, physical, and social outcomes during adolescence; however, little research has examined physiological predictors of such use. The purpose of the study was to examine physiological predictors of the development of PVGU across adolescence.The article involves a 1-year longitudinal study across midadolescence. Participants were 374 adolescents and their parents from a large metropolitan area in the Northwest United States. PVGU was assessed via questionnaire, as were a number of control variables. A number of physiological indicators including respiratory sinus arrhythmia (RSA) and galvanic skin conductance (indices of parasympathetic and sympathetic nervous system activity, respectively) were measured during baseline, a cognitively stimulating task (Rubik's cube), and a family problem-solving task.Less RSA withdrawal to a cognitively simulating task was related to greater pathologic video game symptoms, but less RSA withdrawal to a family problem-solving task was associated with the presence of pathologic video game symptoms (p.05). For girls only, galvanic skin conductance activation during the family problem solving was related to greater pathologic video game symptoms (p.01).These findings suggest that adolescents who do not find cognitive tasks stimulating physiologically have a greater severity of PVGU. Additionally, adolescents who show physiological signs of stress in a family task were more likely to have PVGU symptoms and only girls have more severe PVGU levels. This study is the first to show that physiological indicators predict PVGU over time in adolescence and has important implications regarding the prevention and treatment of PVGU in adolescence.