key: cord-355944-8q4s1kf9
authors: Dixit, Ayushi; Marthoenis, Marthoenis; Arafat, S.M. Yasir; Sharma, Pawan; Kar, Sujita Kumar
title: Binge watching behavior during COVID 19 pandemic: A cross-sectional, cross-national online survey
date: 2020-05-13
journal: Psychiatry Res
DOI: 10.1016/j.psychres.2020.113089
sha: 
doc_id: 355944
cord_uid: 8q4s1kf9

nan

To the Editor, During the COVID-19 lockdown phase, people experience anxiety and emotional break down (1) . As people face days of isolation at home, this creates an ideal condition to engage in online activities and watching television. As recreation sources are limited at home settings and internet/television are easily accessible, readily available and of course affordable; it may result in binge-watching. People with binge-watching behavior often watch multiple episodes in a single go (2) . Considering this fact, the tele-industry is spending on making web-series that compel people for binge-watching and to promote this behavior often all the episodes of a particular season of web-series are released simultaneously (2) . In the current situation of COVID-19 pandemic with a global lockdown state, as people have little to do, there seems to be an increase in bingewatching. To the best of our knowledge, no study studied binge-watching behavior during pandemics and their short-term as well as long-term effects. This study aimed to determine the binge-watching pattern of television, internet resources during this COVID-19 lockdown in South East Asian countries. This is a descriptive study with a cross-sectional design. It was conducted in the general population of four Southeast Asian countries (Bangladesh, India, Indonesia & Nepal).

An online survey was conducted on the general population using the Google form, who understand English. The study questionnaire contained 26 items. Participants age 18 years and more, consenting to participate in the study and able to understand English were included in the study. The data were analyzed in terms of percentages, mean, standard deviation and proportions. Also, country-wise comparison done.

A total of 551 individuals who participated in the survey, of two, were excluded because of not meeting the age criteria and one excluded due to incomplete data. The final analysis was done in a sample of 548 participants. A total of 548 adults (age ≥18years) sample was analyzed, out of which 61.3 % of participants were from India, 22.3 % from Nepal, 10.2 % from Bangladesh and 6.2 % from Indonesia. The mean age of the sample was 32.62 (±10.29), 60% were males, 44% were graduates (44.3 %), 40.5% postgraduates, most of them belonged to the nuclear family (74.6 %) and are presently living with family (81.2%), and 53.3% had been working from home ( Table 1 ).The previous history and pattern of viewing TV/ online videos indicate that most of the population watched frequently but for a shorter duration (38.7%) and the average time for binge-watching was 1-3 hours (68.8 %). During the lockdown period, 73.7 % agreed to a considerable increase in binge-watching with an increase in an average time of 3-5 hours (17.3 %) and 5+ hours (11.5 %) of binge-watching. The major platform used for viewing has been you-tube (52.7 %) and the major content watched has been news (69.2 %). The frequency of binge-watching has been daily for 27.6% of participants.

Interference caused due to binge-watching indicates that sometimes 39.1 % of participants experienced sleep disturbance, 32.3 % of participants sometimes missed work and 28.1% of participants reported sometimes having a conflict with others due to binge-watching. A total of 27.6 % reported that they have tried controlling their binge-watching but have failed to do so. The assessment of insight about bingewatching indicates that 30.3% of participants sometimes feel that they are getting addicted as well as 43.2% of the participants report that they try controlling their bingewatching behavior and 29% fear that binge-watching will interfere in their future work.

Regarding the consequence of binge-watching, 69.5 % of participants report that bingewatching is bad for them although 46.7% of the participants were unaware of the concept of binge-watching. Most of the participants (52.6 %) report the major psychological motivation for binge-watching as to pass time and escape boredom, 25%

use it for relieving stress as well as 15.7 % use it for overcoming loneliness. On the other hand, 30.8 % of the population report that they watch TV/ online videos to keep themselves updated.

As the sources of entertainment and social interaction got limited during this pandemic, globally, people directed themselves to the readily available modes of entertainment in their home settings. It has been reported in recent day electronic and printed media that there is an increase in viewership of television and internet over the past few months, globally. During the lockdown period although more than half the participants (53.3 %) were found to be working from home yet most of them agreed that their TV/ internet usage has increased (73.7 %) considerably daily (27.6 %). This might indicate the use of binge-watching as a coping mechanism. It is considered an unhealthy coping mechanism as people tend to substitute the live unacceptable experiences with fantasy and imagination generating web-series and television shows (3). The psychological motivation found for binge-watching has been to pass time and escape boredom (52.6 %), relieve stress (25 %), overcome loneliness (15.7%). It leads to the immediate gratification of needs. The constant availability of content for binge-watching helps in the gratification of needs whenever and wherever one wants, resulting in an imbalance between the short-term pleasures and the potential costs of media exposure (4). It is too early to say whether binge-watching will result in behavioral addiction or not. However, existing evidence supports the association of binge-watching with mood disturbances, sleep disturbances, fatiguability and impairment in self-regulation (5). This study revealed that binge-watching sometimes causes significant interference in sleep (39.1 %), disturbs in completion of work (32.3 %) as well as causes conflict with others (28.1 %) (Table 1) .

Further, research is required to establish a cause-effect relationship. But, as per the existing evidence, limiting the binging behavior may be beneficial for people and may prevent the development of lifestyle-related disorders too. This study is an attempt to understand the possible cyber-psychopathologies during COVID 19 pandemic. There is a need to look for the long-term effect of binge-watching in the general population, which will give a better insight into understanding the pathological aspects of bingewatching behavior. 

The emotional impact of Coronavirus 2019-nCoV (new Coronavirus disease)

Binge-watching: A matter of concern?

Stress, appraisal, and coping