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Updated: Dec 28, 2025

Psychophysiological Assessment of the Effectiveness of Emotion Regulation Strategies in Childhood
Published on: February 11, 2017
[Correlation between screen-watching time and emotional problems as well as combination effect of outdoor time among
1Department of Maternal, Child and Adolescent Health, School of Public Health, Anhui Medical University, Hefei 230032, China; Key Laboratory of Population Health Across Life Cycle, Ministry of Education, Hefei 230032, China; Key Laboratory of Study on Abnormal Gametes and Reproductive Tract, National Health Commission, Hefei 230032, China; Anhui Provincial Key Laboratory of Population Health and Aristogenics, Hefei 230032, China.
Insights
Excessive screen time in preschool children is linked to emotional problems. Limiting screen time and increasing outdoor activities can help mitigate these issues.
Area of Science:
- Child Psychology
- Developmental Pediatrics
- Public Health
Background:
- Preschool children exhibit high rates of emotional symptoms.
- Screen-watching time and outdoor activity levels are key environmental factors influencing child development.
Purpose of the Study:
- To investigate the association between screen-watching time, outdoor time, and emotional problems in preschool children.
- To analyze the combined effects of screen-watching and outdoor time on preschooler emotional well-being.
Main Methods:
- A cross-sectional study involving 27,200 preschool children aged 3-6 years across multiple cities.
- Data collected via questionnaires on screen-watching, outdoor time, and demographics; emotional problems assessed using the Strengths and Difficulties Questionnaire (SDQ).
- Binary logistic regression analysis was employed to determine correlations, adjusting for confounding variables.
Main Results:
- The prevalence of emotional symptoms was 17.9%.
- Excessive screen-watching time (>1 hour/day) was reported by 62.4% of children, and insufficient outdoor time (<2 hours/day) by 65.7%.
- Screen-watching time (OR=1.15) and outdoor time (OR=1.08) were independently associated with emotional symptoms, with a stronger combined effect observed.
Conclusions:
- Excessive screen-watching time is common among preschool children and positively associated with emotional problems.
- The combined impact of screen-watching and outdoor time on emotional symptoms is significant, highlighting the importance of balancing these activities.
Abstract:
Objective: To evaluate the positive correlation between excessive screen-watching time, combined effect of screen-watching and outdoor time and the emotional problems in preschool children. Methods: A total of 27 200 preschool children aged 3-6 years in 109 kindergartens in 11 cities in Jiangsu, Hubei, Anhui participated in the study. Information on both screen-watching and outdoor time and social-demographic characteristics was collected through the Questionnaire on the healthy Development of Preschool Children. Emotional problems of these children were accessed by using the Strengths and Difficulties Questionnaire (SDQ). Correlation intensity between excessive screen time and emotional problems (suspicious or abnormal) in preschool children, and the combined effects of screen-watching and outdoor time were analyzed by binary logistic regression model. Results: The overall detected rate of emotional symptoms in preschool children was 17.9% (4 868/27 200). Rates showed in preschool children would include: with screen-watching time>1 h/d as 62.4% (16 983/27 200) and with outdoor time<2 h/d as 65.7% (17 873/27 200). After adjusting for confounding factors as gender, age, place of residence, family economic status, BMI, parents' age and education level, data showed that the screen-watching time was positive correlated with emotional symptoms (OR=1.15, 95%CI: 1.08-1.24) while the outdoor time was positive correlated with emotional symptoms (OR=1.08, 95%CI: 1.01-1.16). Strong correlation between the combination of screen-watching and outdoor time and the existing emotional problems among preschool children was seen. Conclusions: Excessive screen-watching time was prevalent among preschool children. Screen-watching time was positively associated with the existing emotional problems while the combined effect of screen-watching time and outdoor time was stronger.
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