Relationship between binge watching and cognitive functioning among university students in Lahore, Pakistan - Rawal Medical Journal

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Original Article

         Relationship between binge watching and cognitive functioning
                 among university students in Lahore, Pakistan
                                     Uzma Ilyas, Aisha Sitwat Qureshi
                   Centre for Clinical Psychology, University of the Punjab, Lahore, Pakistan
 Objective: To explore the trends of executive            binge-watching (number of episodes) negatively
 functioning (attention shifting, working memory,         correlates with the subscales of executive
 task inhibition and others) and its relationship with    functioning such as response inhibition, working
 binge watching among university students.                memory, emotional control, task inhibition,
 Methodology: This correlational research was             sustained attention, planning, organization, time
 carried out in private and public universities of        management, flexibility, metacognition, goal
 Lahore from January to November 2019. A total of         directed and stress tolerance. There was significant
 400 students filled questionnaires to assess binge       but negative relationship between subscales of
 watching motivation and executive functioning.           binge watching and executive functioning.
 The final forms sorted for analysis comprised of         Conclusion: The subscales of binge watching
 376 adults from different universities. The age          including engagement, relaxation, pass time,
 range of the sample was 20-24 years. The                 hedonism, companion and social had inverse
 respondents were approached through purposive            relationship with subscales of Executive
 sampling to assess relationship of binge watching        Functioning. Findings of the present study can
 and executive functioning. The standardized              prove helpful for future researchers to focus on
 scales of Binge Watching Motivation Scale (BWM)          several repercussions of screen time and binging
 and the Executive Functioning Questionnaire              watching on psychological and neurological
 were used for current research.                          function of brain. (Rawal Med J 202;45:702-706).
 Results: Findings of Pearson Product Moment              Keywords: Binge watching, executive
 Correlation showed that the amount of time spent         functioning, sustained attention.

INTRODUCTION                                              watching successive episodes of a series or season in
                                                                    6
The personal possession of laptops, mobiles and           a setting.
tablets have made watching television convenient          The longitudinal researches on adults identified
than ever. It is easy to watch an episode of a            inactive lifestyles had adverse effects on health
television show, season or movie as per time              along with that high levels of television
availability and mood. Watching multiple episodes         consumption during early adulthood is associated
in one setting has become a norm. Binge watching is       worse cognitive functioning including poorer
a present-day phenomenon, ripe for investigation          executive control along with slower processing
and gaining immense popularity lately. Annalect           speed in midlife.7 Executive functions (EF) are
defined binge watching as "watching of same show,         important to adults daily lives. While defined in
different in a sitting of three hours, or longer".1       many ways, the most common definition of EF is a
Pittman and Sheehan illustrated binge watching as         number of cognitive capabilities that work in a
"watching of more than two episodes of the same           coordinated manner to assist people in the
                            2
show in a single sitting". Binge watching refers to       purposeful, and structured processing of
watching a series or a season of a single program/        experiences, feelings, thoughts and actions.8 It may
                                                      3
Netflix in one sitting for several consecutive hours.     be more appropriate to characterize EF as "the
The Oxford definition of binge watching describes it      conductor and the conductor" of the orchestra of our
as watching numerous episodes of television series        perceptions, feelings, thoughts and actions.9
                      5
in rapid succession. Binge watching, according to         Executive functions constitute of complex cognitive
the most agreed upon conceptualiza-tion, is               processes that are essential for decision making, such

702                                                       Rawal Medical Journal: Vol. 45. No. 3, July-Sept. 2020
Relationship between binge watching and cognitive functioning among university students

as the development and implementation of goal-               inhibition, working memory, emotional control,
directed behaviors, the maintenance of attention and         task initiation, sustained attention, planning/
behavior, the monitoring of progress and the flexible        prioritization, organization, time management,
modification of behavior in response to changing             flexibility, met-cognition, goal directed persistence,
            10
demands. Binge watching leads not only to                    stress tolerance, each consisting of three items.
anticipated regret but also inhibits the undermining         Statistical Analysis: The data were analyzed for
                                                 11
of targets is an outcome of binge-watching. In the           reliability statistics using Cronbach's alpha
context of binge-watching, it is often believed that         technique using SPSS version 22. The assumptions
binge watching reflects an unhealthy division of time        of normality were analyzed using Q-Q plots for
in leisure and responsibilities.12 All other duties, tasks   normality. The relationship among scales and
and social connections, such as washing and                  subscales of binge watching and executive
dressing, have been abandoned during binge-                  functioning was computed through Pearson Product
            13
watching Physiological studies suggest that                  Moment Correlation.
inactive habits such as staying in door, engaged in
activities required lesser physical activity such as         RESULTS
watching television affect metabolic function in an          Out of 376 students, 34.6% were 21 years old and
aversive manner by increasing blood pressure as well         59.8% of students were day scholars. Female
as lipid and glucose levels.14                               students were 76% and 54% students got 5 to 6
Online streaming and binge watching is a new                 hours for sleeping (Table 1). All subscales of binge
behavioral phenomena. Previous literature on binge           watching motivation had moderate reliability. Some
watching focused on its frequency along with effect          of the subscales of EF had low reliability. Total
of this sedentary behavior on physical health the            binge watching motivation and total EF had good
correlation of physical activity and sedentary               reliability (Table 2).
activities with cognitive function may also be
bidirectional.15 The aim of this study was to explore        Table 1. Demographic Characteristics of the participants
                                                             (N=376).
the relationship of consecutive watching/streaming
behavior on cognitive and executive abilities among
Pakistani students.

METHODOLOGY
This study was carried out in private and public
universities of Lahore from January to November
2019. The sample of 376 students was selected using
non-probability purposive sampling technique.
Demographic form, Binge TV watching motivation
     16
scale and executive skills questionnaire for adults
were used.17
Binge TV watching motivation scale consisted of 25
items which has been further divided into 6
subscales including: engagement, relaxation, pass
time, hedonism, companion and social comprising
of 6 items, 5 items, 6 items, 3 items, 2 items and 3
items respectively. All items have been measured on
7 points Likert scale ranging from strongly agrees to
strongly disagree. The executive skills
questionnaire consisted of 36 items in total with
further division of 12 variables including: response

703                                                          Rawal Medical Journal: Vol. 45. No. 3, July-Sept. 2020
Relationship between binge watching and cognitive functioning among university students

Table 2. Psychometrics properties of binge watching     The correlation analysis for binge watching
motivation and executive functioning (N=376)            motivation and executive functioning revealed a
                                                        significant positive relationship with their
                                                        subscales. The significant negative relationship was
                                                        found between subscales of binge watching
                                                        motivation and executive functioning (response
                                                        inhibition, working memory, emotional control,
                                                        task inhibition, sustained attention, planning,
                                                        organization, time management, flexibility,
                                                        metacognition, goal directed and stress tolerance)
                                                        showing in (Table 3).

                                                        DISCUSSION
                                                        The findings of the research showed that binge
                                                        watching negatively correlated with EF. A previous
                                                        research concluded that heavy media users are more
                                                        vulnerable to interference while performing on
                                                        educational activities and this habit serve as a
                                                        distraction with detrimental effects on students'
                                                        performance.18 Another study showed that binge
                                                        watching is a common media practice amongst

704                                                      Rawal Medical Journal: Vol. 45. No. 3, July-Sept. 2020
Relationship between binge watching and cognitive functioning among university students

university students.19 There is a negative correlation                 2.    Merrill Jr K, Rubenking B. Go Long or Go Often:
between watching television and grade point                                  Influences on Binge Watching Frequency and Duration
                                                                             among College Students. Soc Sci. 2019;8(1):10.
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social connections, such as washing, dressing,                         5.    Saikia K, Bhattacharyya T, Bhuyan S, Bordoloi B,
putting off other tasks and poor time management                             Durgia B, Ahmed F. Local recurrences after curettage
along with procrastinating reported by students                              and cementing in long bone giant cell tumor. J. Health
engaged in binge watching.
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been of central interest for researchers from both                           Viewing in Low-Income Mexican Americans. J Dev
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psychological and biological perspective.                                    Behav Pediatr. 2016;37(6):465-74.
The I-PACE model describes the processes involved                      7.    Hoang TD, Reis J, Zhu N, Jacobs DR, Launer LJ,
in the development and maintenance of the                                    Whitmer RA, et al. Effect of early adult patterns of
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both predisposing variables representing core                          8.    Rocke K, Hays P, Edwards D, Berg C. Development of a
characteristics of the person (P), affective and                             Performance Assessment of Executive Function: The
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                                                                       9.    McCloskey G, Gilmartin C, Stanco B. Interventions for
binge watch (E). According to this model the binge                           students with executive skills and executive functions
watcher are vulnerable to potential harm of                                  difficulties. Essentials of planning, selecting, and
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CONCLUSION                                                             11.   Walton-Pattison E, Dombrowski SU, Presseau J. 'Just
The data set suggest that students are spending great                        one more episode': Frequency and theoretical correlates
deal of time watching online content and it is                               of television binge watching. J. Health Psychol. 2018;
inversely related with cognitive functioning.                                23(1):17-24.
                                                                       12.   Horvath J, Horton A, Lodge J, Hattie J. The impact of
Author Contributions:                                                        binge watching on memory and perceived
Conception and design: Uzma Ilyas                                            c o m p r e h e n s i o n . F i r s t M o n d a y. 2 0 1 7 ; 2 2 ( 9 ) .
Collection and assembly of data: Uzma Ilyas                                  doi.org/10.5210/fm.v22i9.7729
Analysis and interpretation of the data: Uzma Ilyas                    13.   Jenner M. Is this TVIV? On Netflix, TVIII and binge-
Drafting of the article: Uzma Ilyas
Critical revision of the article for important intellectual content:
                                                                             watching. New Media Soc. 2014;18(2):257-73.
Aisha Sitwat                                                           14.   Pereira SM, Ki M, Power C. Sedentary behavior and
Statistical expertise: Aisha Sitwat                                          biomarkers for cardiovascular disease and diabetes in
Final approval and guarantor of the article: Uzma Ilyas                      mid-life: the role of television-viewing and sitting at
Corresponding author email: ozma.ilyas@gmail.com,
uzma.ilyas@ucp.edu.pk
                                                                             work. PloS one. 2012 Feb 9;7(2):e31132.
Conflict of Interest: None declared                                    15.   Hoang TD, Reis J, Zhu N, Jacobs DR, Launer LJ,
Rec. Date: Jan 6, 2020 Revision Rec. Date: June 8, 2020 Accept               Whitmer RA, et al K. Effect of early adult patterns of
Date: Jun 24, 2020                                                           physical activity and television viewing on midlife
                                                                             cognitive function. JAMA psychiatry. 2016;73(1):73-9.
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