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The relationship between screen time, nighttime sleep duration, and behavioural problems in preschool children in
Xiaoyan Wu1,2, Shuman Tao1, Erigene Rutayisire1
1Department of Maternal, Child and Adolescent Health, School of Public Health, Anhui Medical University, 81 Meishan Road, Hefei, 230032, Anhui, China.
Insights
Preschool children spending more than 2 hours daily on screens or sleeping less than 9.15 hours are more likely to have behavioral problems. This includes issues like hyperactivity and autism spectrum disorder symptoms.
Area of Science:
- Child Psychology
- Public Health
Background:
- Screen time (ST) and sleep duration are critical factors in preschooler development.
- Behavioral problems in early childhood can have long-term implications.
Purpose of the Study:
- To investigate the associations between screen time, nighttime sleep duration, and behavioral problems in Chinese preschoolers.
- To identify risks associated with excessive screen time and insufficient sleep.
Main Methods:
- A large-scale study involving 8900 children aged 3-6 years across multiple cities in China.
- Parent-reported questionnaires assessed screen time and sleep duration.
- Behavioral problems were evaluated using the Strengths and Difficulties Questionnaire (SDQ) and Clancy Autism Behaviour Scale (CABS).
Main Results:
- Children with ST ≥2 hours/day or sleep duration <9.15 hours/day showed significantly higher scores on SDQ and CABS.
- Excessive screen time was linked to increased risks of total difficulties, emotional symptoms, conduct problems, hyperactivity, peer problems, and autism symptoms.
- Insufficient sleep duration also correlated with increased behavioral problems, excluding emotional symptoms.
Conclusions:
- Higher screen time and shorter sleep duration are significant risk factors for behavioral problems in preschool children.
- Findings highlight the importance of managing screen time and ensuring adequate sleep for healthy child development.
- Results provide insights for prevention and intervention strategies targeting psychosocial issues in early childhood.
Abstract:
The purpose of this study was to evaluate the relationships between screen time (ST), nighttime sleep duration, and behavioural problems in a sample of preschool children in China. A sample of 8900 children aged 3-6 years was enrolled from 35 kindergartens, in four cities, in two provinces, in China to evaluate the relationships between ST, nighttime sleep duration, and behavioural problems. Children's ST and nighttime sleep duration were assessed by questionnaires completed by parents or guardians. Behavioural problems were assessed using the Strengths and Difficulties Questionnaire (SDQ), and the Clancy Autism Behaviour Scale (CABS). Multivariate analysis was used to assess the associations between ST, nighttime sleep duration, and behavioural problems. The total SDQ and CABS scores were higher in children with ST ≥2 h/day and sleep duration <9.15 h/day (a P < 0.001 for all). After adjusting for potential confounders, children with ST ≥2 h/day had a significantly increased risk of having total difficulties, emotional symptoms, conduct problems, hyperactivity, peer problems, and prosocial problems, as well as behavioural symptoms of autism spectrum disorder. Similar results were found in children with sleep duration <9.15 h/day. No significantly increased risk of emotional symptoms was observed for short sleep duration. Preschool children with more ST and short nighttime sleep duration were significantly more likely to have behavioural problems. These results may contribute to a better understanding of prevention and intervention for psychosocial problems in children.
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