Association of Screen Time With Internalizing and Externalizing Behavior Problems in Children 12 Years or Younger: A Systematic Review and Meta-analysis
Eirich R, McArthur BA, Anhorn C, McGuinness C, Christakis DA, Madigan S
JAMA psychiatry · 156 citas
Etiquetas de revisión
Financiación no declaradaDatos neutrales que nuestra revisión registró sobre cómo se hizo este estudio. Describen el método, nunca si nos gusta el resultado.
Cómo se estudió
- Diseño
- Metaanálisis (indexado por PubMed)
- Estudiado en
- Personas
- Resultado principal
- Marcadores de salud y funcionamiento
Quién lo pagó
- Financiación
- Financiación no declarada
Publicación
- Publicado
- 2022-03-16 · JAMA Psychiatry · vol. 79 · número 5 · pág. 393
- Editorial
- American Medical Association
- Citado
- 296 citas · más que el 100% de estudios similares · 122.2× el promedio de su campo
- Impacto
- Entre el 10 % más citado de su campo
- Referencias
- 151 trabajos
- Acceso
- Acceso abierto (copia en repositorio)
- Áreas de investigación
- Child Development and Digital Technology · Impact of Technology on Adolescents · Autism Spectrum Disorder Research
- Palabras clave
- screen time, children, internalizing problems, externalizing problems, television, video games, ADHD symptoms, depression, anxiety, aggression, child mental health, socioeconomic status, informant differences, effect size heterogeneity, digital media use, child behavior problems, child development
- MeSH
- humans, anxiety, child, female, male, pandemics, problem behavior, screen time, covid-19
6 autores
- Rachel Eirich🇨🇦University of Calgary; Alberta Children's Hospital Research Institute
- Brae Anne McArthur🇨🇦University of Calgary; Alberta Children's Hospital Research Institute
- Ciana Anhorn🇨🇦University of Calgary
- Claire McGuinness🇨🇦University of Calgary
- Dimitri Christakis🇺🇸Seattle Children's Hospital; University of Washington; Seattle Children's Research Institute
- Sheri L. Madigan🇨🇦 · autor de correspondenciaUniversity of Calgary; Alberta Children's Hospital Research Institute
Resumen
El texto original del estudio, en el idioma en que se publicó.
Importance
Currently, there is a lack of consensus in the literature on the association between screen time (eg, television, video games) and children's behavior problems.
Objective
To assess the association between the duration of screen time and externalizing and internalizing behavior problems among children 12 years or younger.
Data sources
For this systematic review and meta-analysis, MEDLINE, Embase, and PsycINFO databases were searched for articles published from January 1960 to May 2021. Reference lists were manually searched for additional studies.
Study selection
Included studies measured screen time (ie, duration) and externalizing or internalizing behavior problems in children 12 years or younger, were observational or experimental (with baseline data), were available in English, and had data that could be transformed into an effect size. Studies conducted during the COVID-19 pandemic were excluded. Of 25 196 nonduplicate articles identified and screened for inclusion, 595 met the selection criteria.
Data extraction and synthesis
The study followed the Preferred Reporting Items for Systematic Reviews and Meta-analyses (PRISMA) reporting guideline. Extracted variables were child age, sex, and socioeconomic status; informants and measurement type for screen time and behavior problems; study publication year; and study design and quality. Data were extracted by 2 independent coders and were pooled using a random-effects model.
Main outcomes and measures
The primary outcome was the association of screen time duration with externalizing (eg, aggression, attention deficit/hyperactivity disorder symptoms) and internalizing (eg, depression, anxiety) behaviors or diagnoses.
Results
Of the 595 full-text articles assessed for eligibility, 87 studies met all inclusion criteria, comprising 98 independent samples and 159 425 participants (mean [SD] age, 6.07 [2.89] years; 83 246 [51.30%] male). Increased duration of screen time had a small but significant correlation with more externalizing problems (90 samples; r, 0.11; 95% CI, 0.10-0.12) and internalizing problems (43 samples; r, 0.07; 95% CI, 0.05-0.08) in children. Several methodological moderators explained between-study heterogeneity. There was evidence of significant between study heterogeneity (I2 = 87.80).
Conclusions and relevance
This systematic review and meta-analysis found small but significant correlations between screen time and children's behavior problems. Methodological differences across studies likely contributed to the mixed findings in the literature.
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