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| {{mergefrom|Electronic media and sleep|discuss=Talk:Screen_time#Merger proposal|date=February 2019}}
| | Screen Time |
| {{Other uses|Screen time (disambiguation)}}
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| {{See also|Digital media use and mental health|Gaming disorder|Mobile phone overuse}}
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| '''Screen time''' is the amount of time spent using a device with a [[Display device|screen]] such as a [[smartphone]], [[computer]], [[television]], or [[video game console]]. The concept is under significant research with related concepts in [[digital media use and mental health]]. | | '''Screen time''' refers to the amount of time an individual spends using devices with screens such as televisions, computers, smartphones, and tablets. It is a significant topic in [[public health]] and [[pediatrics]] due to its impact on [[physical health]], [[mental health]], and [[developmental outcomes]]. |
| [[File:Screen time.jpg|thumb|People using phones whilst walking]] | |
| == Mental health relationships ==
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| A systematic review of reviews published in 2019 concluded that evidence, although of mainly low to moderate quality, showed an association of [[screen time]] with a variety of health problems including "[[adiposity]], unhealthy diet, depressive symptoms and quality of life". They also concluded that moderate use of digital media may have benefits for young people in terms of social integration, with a curvilinear relationship found with both depressive symptoms and overall wellbeing.<ref name=":15" /> A 2017 United Kingdom large scale study of this "Goldilocks hypothesis"{{em dash}}of avoiding both too much and too little digital media use<ref>{{cite journal | vauthors = Przybylski AK, Weinstein N | title = A Large-Scale Test of the Goldilocks Hypothesis | journal = Psychological Science | volume = 28 | issue = 2 | pages = 204–215 | date = February 2017 | pmid = 28085574 | doi = 10.1177/0956797616678438 | url = http://orca.cf.ac.uk/99720/1/0956797616678438.pdf }}</ref>{{em dash}}was described as the "best quality" evidence to date by experts and NGOs reporting to a 2018 UK parliamentary committee. That study concluded that modest digital media use may have little adverse affects, and even some positive associations in terms of well-being.<ref name=":13">{{cite web|url=https://publications.parliament.uk/pa/cm201719/cmselect/cmsctech/822/822.pdf|title=Impact of social media and screen-use on young people's health | date=2019-01-31|website=House of Commons Science and Technology Committee | access-date=2019-05-12}}</ref>
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| == History ==
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| According to author [[Jordan Shapiro]], the term "screen time," originally referring to the amount of time a movie actor appeared onscreen, first garnered a negative connotation in a 1991 article in [[Mother Jones Magazine]], when journalist [[Tom Engelhardt]] used it to imply that children-as-consumers, watching advertisements for toys and breakfast cereal, were now the stars of the show<ref>{{cite book |last1=Shapiro |first1=Jordan |title=The New Childhood: Raising Kids to Thrive in a Connected World |date=2018 |publisher=Little, Brown Spark |location=New York |isbn=978-0-316-43724-0 |pages=88–90 |url=https://www.littlebrownspark.com/titles/jordan-shapiro/the-new-childhood/9780316437257/}}</ref>. Recently, the term screen time has been used in a negative context.
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| The phenomenon itself has existed since the technology has been available to the general public. The installation of [[television]] by Americans was more rapid over the 1950s than any other information and communication technology to come before.<ref name=":1">{{Cite book|title=John D. and Catherine T. MacArthur Foundation Reports on Digital Media and Learning : Digital Youth with Disabilities|last=Alper|first=Meryl|publisher=The MIT Press|year=2014|isbn=|location=Cambridge, US|pages=19–20|quote=|via=www.ebrary.com}}</ref> With the increase in the technological advances, the use of devices consisting of screens, such as TV, computers, laptops and cell phones, increased resulting in the increase in screen time. In the late 1990s, adolescents spent an average of 1.5 to 2.5 hours per day watching television.<ref name=":2">{{cite journal |last1=Anderson |first1=D. R. |last2=Huston |first2=A. C. |last3=Schmitt |first3=K. L. |last4=Linebarger |first4=D. L. |last5=Wright |first5=J. C. |title=Early childhood television viewing and adolescent behavior: the recontact study |journal=Monographs of the Society for Research in Child Development |date=2001 |volume=66 |issue=1 |pages=I–VIII, 1–147 |url=http://psycnet.apa.org/record/2002-13671-001 |accessdate=8 February 2019 |ref=harv |publisher=Blackwell |location=Boston, MA |issn=0037-976X|doi=10.1111/1540-5834.00121 }}. pp. 25, 133</ref> Similar averages are present across nations in North-American, European and Asian high-income countries.<ref name=":2" />
| | ==Definition== |
| | Screen time encompasses any time spent in front of a screen, whether for [[entertainment]], [[education]], or [[work]]. It is often categorized into different types, such as: |
| | * '''Passive screen time''': Watching television or videos without interaction. |
| | * '''Interactive screen time''': Engaging with video games or educational software. |
| | * '''Social screen time''': Using social media platforms or video calls. |
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| Some experts have suggested that excessive screen time is harmful especially if the content is violent. Others disagree. Many attempts have been made to reduce or control screen time. In the 1970s the “television-free” movement emerged with an appeal to reduce the screen time.<ref name=":1" /> The [[Children's Television Act|Children’s Television Act]] (1990) provide the children with more educational programming and the [[Telecommunications Act of 1996|Telecommunication Act of 1996]] grant parents a way to control the television content.<ref name=":2" /> Both of the Acts put restrictions on how the screen time is used.
| | ==Health Implications== |
| | Excessive screen time has been associated with various health issues, including: |
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| Currently, most child development specialists tend to recommend "coviewing," the practice of watching or consuming media with others, or as a family<ref name="TakeuchiStevens">{{cite web |last1=Takeuchi |first1=Lori |last2=Stevens |first2=Reed |title=The New Coviewing: Desigining learning through Joint Media Engagement |url=https://www.joanganzcooneycenter.org/wp-content/uploads/2011/12/jgc_coviewing_desktop.pdf |website=Joan Ganz Cooney Center |publisher=Joan Ganz Cooney Center |accessdate=2 February 2019}}</ref>. Research dating back to the 1970s, which looked at [[Sesame Street]], found that "children who watched most frequently learned the most and this held true across age, sex, geographical location, socioeconomic status, mental age, and viewing location"<ref>{{cite web |last1=Ball |first1=Samuel |last2=Bogatz |first2=Gerry Ann |title=A Summary of the Major Findings in "The First Year of Sesame Street: An Evaluation" |url=https://eric.ed.gov/?id=ED122799 |website=eric.ed.gov |publisher=Ed.gov, Institute of Education Sciences |accessdate=2 February 2019}}</ref>. Most experts stipulate that parents and caregivers should watch with their children in order to mitigate the possibility of negative media effects and increase the likelihood that children will learn from the media they consume. In 2011, the Joan Ganz Cooney Center at Sesame Workshop proposed updating the term "coviewing" to include new digital, interactive kinds of screen media; in a major report, they proposed the new term: "Joint Media Engagement"<ref name="TakeuchiStevens"/>.
| | ===Physical Health=== |
| | * '''Obesity''': Prolonged screen time is linked to [[sedentary behavior]], which can contribute to [[weight gain]] and [[obesity]] in both children and adults. |
| | * '''Sleep disturbances''': Exposure to [[blue light]] from screens can interfere with [[circadian rhythms]] and reduce [[sleep quality]]. |
| | * '''Vision problems''': Extended screen use can lead to [[digital eye strain]], characterized by [[dry eyes]], [[headaches]], and [[blurred vision]]. |
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| == Screen time and children == | | ===Mental Health=== |
| | * '''Anxiety and depression''': High screen time, particularly on social media, has been correlated with increased levels of [[anxiety]] and [[depression]] in adolescents. |
| | * '''Attention problems''': Excessive use of screens, especially in young children, may contribute to [[attention deficit hyperactivity disorder]] (ADHD) symptoms. |
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| [[File:Kindergarten iPad.jpg|thumb|A child using a tablet]] | | ==Developmental Impact== |
| How much screen time a child receives may depend on [[socioeconomic status]] and race. Research in the United States states that [[African Americans|African-American]] (69%) and [[Hispanic]] (68%) children have rates of a television in the bedroom that are twice as high compared to white children (28%).<ref>{{cite web |last1=Rideout |first1=V. |title=Zero to eight: Children's media use in America |url=https://www.commonsensemedia.org/research/zero-to-eight-childrens-media-use-in-america |website=www.commonsensemedia.org |publisher=Commonsense Media |accessdate=8 February 2019 |ref=harv |location=San Francisco, CA |page=26 |date=2011}}. Further analysis of original data published by Commonsense Media was conducted on October 4, 2012 by Melissa Saphir and Vicky Rideout at the request of this publication, page 26.</ref>
| | Screen time can affect [[cognitive development]] and [[social skills]] in children. Key concerns include: |
| | * '''Language development''': Excessive screen time, especially before age 2, can delay [[language acquisition]] and [[communication skills]]. |
| | * '''Social interaction''': Overuse of screens can reduce face-to-face interactions, impacting [[empathy]] and [[social competence]]. |
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| Some studies suggest that too much screen time can affect a child's health, potentially leading to sedentary behaviors,<ref>{{Cite journal|last=Lioret|first=S.|last2=Dargent-Molina|first2=P.|last3=Forhan|first3=A.|last4=Carles|first4=S.|last5=Botton|first5=J.|last6=Lauzon-Guillain|first6=B. de|last7=Charles|first7=M.-A.|last8=Heude|first8=B.|last9=Saldanha-Gomes|first9=C.|date=January 2017|title=Prospective associations between energy balance-related behaviors at 2 years of age and subsequent adiposity: the EDEN mother–child cohort|journal=International Journal of Obesity|volume=41|issue=1|pages=38–45|doi=10.1038/ijo.2016.138|pmid=27528250|issn=1476-5497}}</ref> sleep disturbances, and more. One study found that children may consume an extra 167 calories per day for every hour of television viewing.<ref name=wiecha>{{cite journal|doi=10.1001/archpedi.160.4.436|pmid=16585491|title=When Children Eat What They Watch|journal=Archives of Pediatrics & Adolescent Medicine|volume=160|issue=4|pages=436–42|year=2006|last1=Wiecha|first1=Jean L.|last2=Peterson|first2=Karen E.|last3=Ludwig|first3=David S.|last4=Kim|first4=Juhee|last5=Sobol|first5=Arthur|last6=Gortmaker|first6=Steven L.}}</ref> The same study also suggests that children want to eat what they view on the television screen.<ref name=wiecha /> Many studies suggest that screen time may cause children to eat absentmindedly, and therefore, some researchers argue that it is linked to (but not necessarily the cause of) an increase in obesity.<ref>{{Cite journal|pmid=17135621|year=2006|last1=Taveras|first1=E. M.|title=The association of television and video viewing with fast food intake by preschool-age children|journal=Obesity|volume=14|issue=11|pages=2034–41|last2=Sandora|first2=T. J.|last3=Shih|first3=M. C.|last4=Ross-Degnan|first4=D|last5=Goldmann|first5=D. A.|last6=Gillman|first6=M. W.|doi=10.1038/oby.2006.238}}</ref>
| | ==Guidelines== |
| | Health organizations provide guidelines to help manage screen time: |
| | * '''American Academy of Pediatrics (AAP)''': Recommends no screen time for children under 18 months, except for video chatting. For children aged 2 to 5, screen time should be limited to one hour per day of high-quality programming. |
| | * '''World Health Organization (WHO)''': Suggests limiting screen time to one hour per day for children aged 2 to 4 years. |
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| The study of increased screen time in children is fairly new<ref name=":0">{{Cite journal|pmid=25612409|year=2014|last1=Moffat|first1=P|title=Screen time. How much is healthy for children?|journal=Community Practitioner : The Journal of the Community Practitioners' & Health Visitors' Association|volume=87|issue=11|pages=16–8}}</ref> and researchers have not been able to observe effects long enough to make a solid conclusion on potential positive and/or negative consequences. However, aside from its effects on health, the [[American Academy of Pediatrics]] have identified other potential risks that can come with excessive screen time. They include "exposure to inaccurate, inappropriate, or unsafe content and contacts; and compromised privacy and confidentiality."<ref>{{Cite journal|author=Council on Communications And Media |date=2016-10-21 |title=Media Use in School-Aged Children and Adolescents |url=http://pediatrics.aappublications.org/content/early/2016/10/19/peds.2016-2592 |journal=Pediatrics |volume=138 |issue=5 |doi=10.1542/peds.2016-2592 |issn=0031-4005 |pmid=27940794}}</ref> Nevertheless, the [[American Academy of Pediatrics]] updated their recommendations on children's media use in 2016. The new (current) guidelines acknowledge "the ubiquitous role of media in children's lives" and are less restrictive than the previous ones: “What’s most important is that parents be their child’s ‘media mentor.’ That means teaching them how to use it as a tool to create, connect and learn.”<ref>{{cite web |last1=American Academy of Pediatrics |title=American Academy of Pediatrics Announces New Recommendations for Children's Media Use |url=https://www.aap.org/en-us/about-the-aap/aap-press-room/Pages/American-Academy-of-Pediatrics-Announces-New-Recommendations-for-Childrens-Media-Use.aspx |website=American Academy of Pediatrics |publisher=American Academy of Pediatrics |accessdate=2 February 2019}}</ref>
| | ==Management Strategies== |
| | To mitigate the negative effects of screen time, consider the following strategies: |
| | * '''Set limits''': Establish clear rules about the amount of screen time allowed each day. |
| | * '''Encourage physical activity''': Balance screen time with [[physical exercise]] and [[outdoor play]]. |
| | * '''Promote educational content''': Choose high-quality, age-appropriate educational programs and apps. |
| | * '''Model behavior''': Parents and caregivers should model healthy screen habits. |
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| In January 2019, the United Kingdom's [[Royal College of Pediatrics and Child Health]] issued a guide for clinicians and parents, explaining that there is "essentially no evidence to support" the idea that screen time is directly toxic to health. They did acknowledge that there is some evidence that screen-based activities may displace or supplant other positive activities, leading to an 'opportunity cost' in terms of other beneficial activities.<ref>{{cite web |last1=Royal College of Pediatrics and Child Health |title=The health impacts of screen time: a guide for clinicians and parents |url=https://www.rcpch.ac.uk/resources/health-impacts-screen-time-guide-clinicians-parents |website=Royal College of Pediatrics and Child Health |publisher=Royal College of Pediatrics and Child Health |accessdate=21 January 2019}}</ref>
| | ==Conclusion== |
| | While screen time is an integral part of modern life, it is important to balance it with other activities to ensure [[holistic development]] and [[well-being]]. |
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| Additionally, digital literacies have been found to contribute to a child's operational skills, knowledge and increased understanding of the world.<ref name=sharkins>{{cite journal |last1=Sharkins |first1=Kimberly A. |last2=Newton |first2=Allison B. |last3=Albaiz |first3=Najla Essa A. |last4=Ernest |first4=James |title=Preschool Children's Exposure to Media, Technology, and Screen Time: Perspectives of Caregivers from Three Early Childcare Settings |journal=Early Childhood Education Journal |date=2016 |volume=44 |issue=1 |page=438}}</ref> A child is also able to develop their communication and creativity in the classroom. In fact, young children tend to use the same natural instincts with technology than they would with a brand new toy.<ref name=sharkins />
| | {{Medical-stub}} |
| | | [[Category:Health]] |
| === Screen time and sleep disturbances ===
| | [[Category:Technology]] |
| With the increased amount of technology in the home comes an increase of certain specific health effects due to the fact that the accumulated amount of daily screen time in children ages 8 to 18 grew from five hours to eight hours from 1996 to 2016.<ref name=":02">{{Cite journal|pmid=26890562|pmc=4851593|year=2016|last1=Parent|first1=J|title=Youth Screen Time and Behavioral Health Problems: The Role of Sleep Duration and Disturbances|journal=Journal of Developmental & Behavioral Pediatrics|volume=37|issue=4|pages=277–84|last2=Sanders|first2=W|last3=Forehand|first3=R|doi=10.1097/DBP.0000000000000272}}</ref> Some of the health effects that can be brought about with increased screen time are lack of sleep due to late bedtimes, arousal from media sources which leads the inability to sleep, daytime tiredness, trouble internalizing and/or externalizing problems according to the study done by Justin Parent.<ref name=":02" /> Some research suggests that the light from electronic screens can affect the circadian rhythm of children and disrupt alertness. These same studies found that for young children ages 3–7, the amount of sleep disturbances greatly increases after six hours of screen time, and for children 8-12 the amount of sleep disturbances greatly increased after the 10-hour mark. After four or six hours of daily screen time, sleep duration drops for adolescents.
| | [[Category:Child development]] |
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| Some research suggests that screen time close to bedtime prevents children from getting adequate sleep. Research suggests that social media and internet use, 30 minutes before bed, is associated with disturbances in sleep patterns of children.<ref>{{cite journal|last1=Levenson |first1=J.C. |last2=Shensa |first2=A. |last3=Sidani |first3=J.E. |last4=Colditz |first4=J.B. |last5=Primack |first5=B.A. |title=Social media use before bed and sleep disturbance among young adults in the United States: A nationally representative study |journal=Sleep |date=2017 |volume=40 |issue=9 |pages=1–7 |doi=10.1093/sleep/zsx113 |pmid=28934521}}</ref> Use within two hours of bedtime is associated with less total sleep and a later bedtime as well.<ref>{{cite journal|last1=Orzech |first1=K.M. |last2=Grandner |first2=M.A. |last3=Roane |first3=B.M. |last4=Carskadon |first4=M.A. |title=Digital media use in the 2 h before bedtime is associated with sleep variables in university students |journal=Computers in Human Behavior |date=2016 |volume=55 |issue=A |pages=43–50 |doi=10.1016/j.chb.2015.08.049 |pmid=28163362 |pmc=5279707}}</ref>
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| === Screen time and development ===
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| A January 2019 study of 2,441 children in Canada found that compared to children exposed to relatively low levels of screen time, children exposed to higher levels of screen time at ages of 24 and 36 months correlated to low scores on developmental tests at ages of 36 and 60 months, respectively. The authors did not observe the reverse correlation, that low scores were associated with increased screen time, suggesting that extensive screen time might distract from “high-quality caregiver-child interactions" and therefore, may correlate with the impairment of optimal development of children.<ref>{{Cite journal|date=2019-01-28|title=Children glued to screens show delays in key skills|url=http://www.nature.com/articles/d41586-019-00306-7|journal=Nature|volume=566|issue=7742|pages=11|doi=10.1038/d41586-019-00306-7|pmid=30723337}}</ref><ref name="MadiganBrowne2019">{{Cite journal|last=Tough|first=Suzanne|last2=Mori|first2=Camille|last3=Racine|first3=Nicole|last4=Browne|first4=Dillon|last5=Madigan|first5=Sheri|date=2019-01-28|title=Association Between Screen Time and Children's Performance on a Developmental Screening Test|url=https://jamanetwork.com/journals/jamapediatrics/fullarticle/2722666|journal=JAMA Pediatrics|volume=173|issue=3|pages=244|doi=10.1001/jamapediatrics.2018.5056|pmid=30688984}}</ref> The study's effects size was extremely small and the "Limitations" section acknowledged the problem with a "unidimensional focus on screen time," recognizing that all screen time is not created equal and that further research needs to differentiate the type of screen media in which children are engaged.<ref name="MadiganBrowne2019"/> In media interviews related to the study, the authors conceded that the data used to measure the effects of screen time on young children is problematic because it can't keep up with the pace of rapid technological innovations.<ref>{{cite web|last1=Ruiz |first1=Rebecca |title=Screen time can affect kids, but the data is hard to measure. Here's why. |url=https://mashable.com/article/how-much-screen-time-is-too-much/#qXXr3X2ivPqc |website=Mashable |accessdate=2 February 2019}}</ref>
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| == Internet and screen time ==
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| The use of the [[Internet]] expanded in the 1990s. This caused the increase in the usage of devices that could access the internet and the increase in screen time. In 2001, an average user spent 83 minutes online.<ref name=":3">{{Cite web|url=http://www.pewinternet.org/2014/03/11/world-wide-web-timeline/|title=World Wide Web Timeline|date=2014-03-11|website=Pew Research Center: Internet, Science & Tech|access-date=2016-12-09}}</ref>
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| == References ==
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| {{Reflist}}
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| [[Category:Digital media use and mental health]] | |
| [[Category:Lifestyles]] | |
| [[Category:Obesity]] | |
| [[Category:Medical terminology]]
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| {{Digital media use and mental health}}
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Screen Time
Screen time refers to the amount of time an individual spends using devices with screens such as televisions, computers, smartphones, and tablets. It is a significant topic in public health and pediatrics due to its impact on physical health, mental health, and developmental outcomes.
Definition
Screen time encompasses any time spent in front of a screen, whether for entertainment, education, or work. It is often categorized into different types, such as:
- Passive screen time: Watching television or videos without interaction.
- Interactive screen time: Engaging with video games or educational software.
- Social screen time: Using social media platforms or video calls.
Health Implications
Excessive screen time has been associated with various health issues, including:
Physical Health
Mental Health
- Anxiety and depression: High screen time, particularly on social media, has been correlated with increased levels of anxiety and depression in adolescents.
- Attention problems: Excessive use of screens, especially in young children, may contribute to attention deficit hyperactivity disorder (ADHD) symptoms.
Developmental Impact
Screen time can affect cognitive development and social skills in children. Key concerns include:
Guidelines
Health organizations provide guidelines to help manage screen time:
- American Academy of Pediatrics (AAP): Recommends no screen time for children under 18 months, except for video chatting. For children aged 2 to 5, screen time should be limited to one hour per day of high-quality programming.
- World Health Organization (WHO): Suggests limiting screen time to one hour per day for children aged 2 to 4 years.
Management Strategies
To mitigate the negative effects of screen time, consider the following strategies:
- Set limits: Establish clear rules about the amount of screen time allowed each day.
- Encourage physical activity: Balance screen time with physical exercise and outdoor play.
- Promote educational content: Choose high-quality, age-appropriate educational programs and apps.
- Model behavior: Parents and caregivers should model healthy screen habits.
Conclusion
While screen time is an integral part of modern life, it is important to balance it with other activities to ensure holistic development and well-being.
