Cohort study2021

Bidirectional associations between screen time and children's externalizing and internalizing behaviors

Neville RD, Neville RD, McArthur BA, Eirich R, Lakes KD, Madigan S

Journal of child psychology and psychiatry, and allied disciplines · 63 citations

How it was studied

Design
Cohort study (indexed by PubMed)
Studied in
People
Main outcome
Health markers and function

Who paid for it

Funding
Independent funding
University or hospital
Irish Research eLibrary

Based on 1 listed funder(s).

Publication

Published
2021-05-04 · J Child Psychol Psychiatry · vol. 62 · issue 12 · pp. 1475–1484
Publisher
Wiley
Cited
119 citations · more than 100% of similar papers · 32.1× the field average
Impact
Top 10% most cited in its field
References
42 works
Access
Open access (hybrid journal) · CC-BY-NC-ND
Research areas
Child Development and Digital Technology · Impact of Technology on Adolescents · Literacy, Media, and Education
Keywords
screen time, children, externalizing problems, internalizing problems, bidirectional relationship, behavioral dysregulation, preschool children, child development, longitudinal trajectories
MeSH
humans, longitudinal studies, prospective studies, child, child, preschool, problem behavior, screen time, white people

5 authors

From IE, CA, US

  • Ross D. Neville · correspondingUniversity College Dublin
  • Brae Anne McArthurUniversity of Calgary; Alberta Children's Hospital Research Institute
  • Rachel EirichUniversity of Calgary; Alberta Children's Hospital Research Institute
  • Kimberley D. LakesUniversity of California, Riverside
  • Sheri L. MadiganUniversity of Calgary; Alberta Children's Hospital Research Institute

Abstract

Background

While it has been purported that excessive screen time can lead to behavioral problems, it has also been suggested that children with behavioral dysregulation receive more access to screens to manage problematic behavior. In this study, both temporally stable and longitudinal associations between screen time and externalizing and internalizing behaviors across childhood are examined to directly address this issue of directionality.

Methods

Data are from a prospective cohort of 10,172 Irish children, collected between 2010 and 2018 when children were ages 3, 5, 7, and 9. Children's screen time (hours/day) and externalizing and internalizing behaviors (Strengths and Difficulties Questionnaire) were assessed via caregiver report. Random-intercepts cross-lagged panel models were used to estimate longitudinal bidirectional associations while controlling for temporally stable (i.e., 'time-invariant' or 'trait-like') differences between children.

Results

Temporally stable differences between children were observed for both screen time and behavior problems. Longitudinal trajectories for screen time lacked stability; however, and externalizing and internalizing behaviors stabilized increasingly during later childhood. Greater externalizing and internalizing behaviors at age 3 were directionally associated with increased screen time at age 5. Greater screen time at ages 3 and 5 was directionally associated with increased internalizing behaviors at ages 5 and 7, respectively. More screen time at age 7 was directionally associated with fewer internalizing behaviors at age 9. Screen time was not associated with later externalizing behaviors.

Conclusions

Bidirectional associations between screen time and internalizing behaviors were observed for preschoolers. Directional associations between screen time and internalizing difficulties were observed across childhood. These findings can inform screen use guidelines and family media planning at different ages and stages of development.

Abstract via Europe PMC. Copyright remains with the authors or publisher (CC BY-NC-ND).

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