The Relationship Among Screen Use, Sleep, and Emotional/Behavioral Difficulties in Preschool Children with Neurodevelopmental Disorders

Lin, Jeffrey S.; Magiati, Iliana; Chiong, Shi Hui Rachel; Singhal, Shubham; Riard, Natasha; Ng, Isabel Hui-Xuan; Müller‐Riemenschneider, Falk; Wong, Chui Mae

doi:10.1097/dbp.0000000000000683

Cited by 30 publications

(27 citation statements)

References 29 publications

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“…Another study explained the relationships between inactivity, ST, and psychosocial di culties as bidirectional [56]. In addition, children who suffered from neurodevelopmental disorders had more di culties disengaging from screen devices, which could exacerbate emotional/behavioral di culties [57]. Similarly, our ndings support the conclusion that high ST has adverse effects on the EBHPs of children and adolescents [58].…”

Section: Discussionsupporting

confidence: 80%

Association of Overall Screen Time and Outdoor Activity with Emotional and Behavioral Health Problems

Tao

Zhang

et al. 2020

Preprint

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BackgroundPsychological problems among children and adolescents have become a public health issue. This study aimed to investigate associations between screen time (ST), outdoor activity (OA), and emotional and behavioral health problems (EBHPs) among South Chinese children and adolescents.MethodsA total of 30,188 boys and girls from 14 elementary and junior high schools on six streets in Shenzhen were included in this study. EBHPs were measured with the strengths and difficulties questionnaire; OA and ST data were obtained through self-reporting. Descriptive analyses, chi-square tests, and logistic regressions were performed using SPSS 23.0.ResultsIn our study, 42.4% students had insufficient OA, 24.2% students had excessive ST, the abnormal prevalence of emotional symptoms, conduct problems, peer problems, hyperactivity problems, prosocial behavior, and total difficulties scales were 18.5%, 6.9%, 6.4%, 13.1%, 10.7% and 8.8%. There were significant associations between ST/OA, independent and addictive interaction, and EBHPs among children and adolescents. Participants with high exposure to ST were more likely to have EBHPs than those with low exposure; participants with low exposure to OA were also more likely to have EBHPs than those with high exposure. The interactive associations of ST and OA on EBHPs were stronger than those of ST or OA individually.ConclusionsOur results show positive associations between ST, OA, and EBHPs. They indicate that interventions should be considered for decreasing ST and increasing OA in children and adolescents.

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Section: Discussionsupporting

confidence: 80%

Association of Overall Screen Time and Outdoor Activity with Emotional and Behavioral Health Problems

Tao

Zhang

et al. 2020

Preprint

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“…10 Screen exposure is significantly associated with SPs, and it has been demonstrated that SPs serve as a liaison between screen use and behavioral problems. 9,33 Therefore, the approach to this situation is very important in children with DDs, who have a higher risk for screen use, trouble to "let go", and light sensitivity. 9 In our population, the total number of sleep hours was between the 2 nd and 10 th percentiles 4,10,13 a n d i n t h e l o w e s t r a n g e o f t h e v a l u e s recommended by the American Association of Sleep Medicine.…”

Section: Discussionmentioning

confidence: 99%

“…9,33 Therefore, the approach to this situation is very important in children with DDs, who have a higher risk for screen use, trouble to "let go", and light sensitivity. 9 In our population, the total number of sleep hours was between the 2 nd and 10 th percentiles 4,10,13 a n d i n t h e l o w e s t r a n g e o f t h e v a l u e s recommended by the American Association of Sleep Medicine. 34 Our study is consistent with the bibliography in terms of the significant association between SPs and co-sleeping, but it is difficult to establish the trend of such association.…”

Section: Discussionmentioning

confidence: 99%

Sleep problems in a sample of children with developmental disorders, before and during the COVID-19 pandemic

et al. 2021

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Sleep problems (SPs) are common, especially among children with developmental disorders (DDs), and affect their functioning and quality of family life. Pediatricians play a major role in their management. Objective. To define the frequency and types of SPs in a sample of children with DDs, determine the proportion of pediatricians who addressed such difficulties, assess the effects of sleep hygiene (SH), and describe the impact of the COVID-19 pandemic on sleep. Population and methods. This was a quasiexperiment. SPs were diagnosed based on parents' concerns and/or clinical criteria. SH strategies were provided and their effect was assessed as per parents' reports and the Children's Sleep Habits Questionnaire in Spanish (CSHQ-S) before and after the strategies. During the COVID-19 pandemic, the SP outcome measure and SH-related outcome measures were measured again. Results. A total of 161 children were included. The frequency of SPs was 55 %; 80 % improved with SH. Eighty-three percent of children had a primary pediatrician; of these, 45 % had consulted about sleep. During the COVID-19 pandemic, SPs increased and SH outcome measures changed. Conclusion.Approximately half of children with DDs have SPs; and the problem was only addressed by 45 % of pediatricians. SH was beneficial for most children, so pediatricians' role seems critical. During the COVID-19 pandemic, SPs increased, probably as a result of its environmental impact on children with DDs.

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“…[2][3][4][5] It has been confirmed by accumulating studies that short sleep duration and sleep disturbance have negative impacts upon a range of aspects including metabolic balance, neurobehavioral function, and mental health. [2][3][4][5][6][7] To date, a large number of factors have been reported affect children's sleep. However, almost all studies focused on children's own environmental exposure, lifestyle factors, and health condition, such as family members' interaction, sleep environment, physical activity, obesity, etc.…”

Section: Introductionmentioning

confidence: 99%

<p>Children’s Sleep May Depend on Maternal Sleep Duration During Pregnancy: A Retrospective Study</p>

Lyu

Chen

et al. 2020

NSS

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Background: Animal studies suggested that maternal sleep during pregnancy was associated with sleep pattern in offspring; however, it has not been clear in human populations. Aim: Our study discusses the relationships of maternal sleep duration with sleep characteristics in their offspring through an epidemiological study. Methods: A retrospective cross-sectional study including 6236 mother-child dyads was conducted in 31 preschools in May 2019, in Shanghai, China. Information regarding maternal sleep duration in three trimesters of pregnancy was collected retrospectively. Children's current sleep characteristics were evaluated through the Children's Sleep Habits Questionnaire (CSHQ). Linear regressions and logistic regression models were applied to estimate β and adjusted odds ratios with 95% confidence intervals (95% CI). Results: Maternal sleep duration was positively associated with childhood sleep duration, which was shown in the first (β=0.113), second (β=0.131), and third trimesters (β=0.088). Meanwhile, insufficient maternal sleep duration could increase the risk of children's short sleep duration (first trimester: AOR=1.25; second trimester: AOR=1.33; third trimester: AOR=1.33). Maternal sleep duration was also associated with childhood CSHQ score: β= −0.308, −0.392, and −0.300 for the first, second, and third trimesters, respectively. Similarly, insufficient maternal sleep duration could predict childhood sleep disturbance as AOR=1.28 in the second trimester and AOR=1.26 in the third trimester. Conclusion: Our findings established a relationship between maternal sleep during pregnancy and their children's sleep pattern through a population-based epidemiology study. Poor childhood sleep was found when their mother experienced less sleep duration during pregnancy, especially in the second and third trimesters.

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The Relationship Among Screen Use, Sleep, and Emotional/Behavioral Difficulties in Preschool Children with Neurodevelopmental Disorders

Cited by 30 publications

References 29 publications

Association of Overall Screen Time and Outdoor Activity with Emotional and Behavioral Health Problems

Association of Overall Screen Time and Outdoor Activity with Emotional and Behavioral Health Problems

Sleep problems in a sample of children with developmental disorders, before and during the COVID-19 pandemic

<p>Children’s Sleep May Depend on Maternal Sleep Duration During Pregnancy: A Retrospective Study</p>

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