屏幕时间和自闭症谱系障碍:系统性审查和元分析
Yaakov Ophir1,2, Hananel Rosenberg3, Refael Tikochinski4
1Department of Education, Ariel University, Ariel, Israel.
JAMA network open
|December 8, 2023
概括
过多的屏幕时间和自闭症谱系障碍 (ASD) 之间的联系并没有得到当前研究的强烈支持. 考虑到出版偏见后,这种关联变得微不足道,这表明需要更多的研究.
科学领域:
- 神经发育障碍 神经发育障碍
- 行为科学 行为科学
背景情况:
- 人们越来越担心过多的屏幕时间与自闭症谱系障碍 (ASD) 的发展有关.
- 现有的研究对这种关联提出了混合和未定量的发现.
研究的目的:
- 进行系统性审查和元分析,检查屏幕时间与自闭症谱系障碍 (ASD) 之间的关联.
主要方法:
- 系统搜索PubMed,PsycNET和ProQuest论文和论文全球数据库,截至2023年5月1日.
- 根据PRISMA指南进行的46项研究 (562,131名参与者) 的元分析和元回归.
- 使用GRADE进行质量评估,并通过Egger的z-test进行出版偏差测试.
主要成果:
- 最初的元分析显示出一个积极的关联 (日志OR,0.54),但出版偏差修正使其无意义 (日志OR,0.22).
- 在儿童的一般屏幕使用中发现了积极的关联 (日志 OR,0.98).
- 观察到社交媒体使用和ASD的负相关性 (日志OR,-1.24).
结论:
- 目前的证据不足以支持屏幕使用与ASD之间的联系.
- 混合的发现,小效果大小和出版偏差需要进一步调查.
- 患有自闭症的儿童可能会使用屏幕来应对社会挑战.
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