ArticleEuropean child & adolescent psychiatry2017
The relationship between screen time, nighttime sleep duration, and behavioural problems in preschool children in China.
Article in European child & adolescent psychiatry, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 66 papers, 6 of them syntheses that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
66 citing papers in PubMed, 6 syntheses or guidelines pooled it, 160 citations in OpenAlex.
- The association between screen exposure and autism spectrum disorder in children: meta-analysis.Reviews on environmental health · 2025Pooled it
- Evaluation of the association between excessive screen use, sleep patterns and behavioral and cognitive aspects in preschool population. A systematic review.European child & adolescent psychiatry · 2024Pooled it
- Screen Time and Autism Spectrum Disorder: A Systematic Review and Meta-Analysis.JAMA network open · 2023Pooled it
- Association of Screen Time With Internalizing and Externalizing Behavior Problems in Children 12 Years or Younger: A Systematic Review and Meta-analysis.JAMA psychiatry · 2022Pooled it
- Measurement of screen time among young children aged 0-6 years: A systematic review.Obesity reviews : an official journal of the International Association for the Study of Obesity · 2021Pooled it
- The Relationships between Screen Use and Health Indicators among Infants, Toddlers, and Preschoolers: A Meta-Analysis and Systematic Review.International journal of environmental research and public health · 2020Pooled it
- Stop and Play Digital Health Education Intervention for Reducing Excessive Screen Time Among Preschoolers From Low Socioeconomic Families: Cluster Randomized Controlled Trial.Journal of medical Internet research · 2023Trial
- Impact of screen time on white matter integrity and neurodevelopment in children with autism spectrum disorder: a diffusional kurtosis imaging mediation analysis.European child & adolescent psychiatry · 2026Article
- The Effects of Family-Based Programs on Preschool Children's Screen Time: A Systematic Review.Children (Basel, Switzerland) · 2026Review
- Sleep duration moderates association between screen time and emotional and behavioural problems in young children.World journal of pediatrics : WJP · 2025Article
- Trajectories of Physical Activity and Screen Media Use in Toddlers and Related Parenting Practices: Child and Mother Physical Activity Study (CAMPAS).Research square · 2025Article
- Maternal depression and its association with sleep problems and emotional and behavioral problems in preschool children.Sleep and biological rhythms · 2025Article
- Article
- Excessive screen time and problem behaviours among school-age children in Fujian, China: a cross-sectional study.BMC public health · 2025Article
- Parenting Practices and Well-Being and Health Behaviors Among Young Asian American Children.JAMA network open · 2025Article
- Consumption patterns and eating behaviors of schoolchildren associated with mental health problems: a Brazilian nationwide study.PloS one · 2025Article
- Digital screen exposure and emotional symptoms in preschool children: mediation by parent-child relationship and moderation by peer relationships.Frontiers in psychology · 2025Article
- The relationship between screen time, screen content for children aged 1-3, and the risk of ADHD in preschools.PloS one · 2025Article
- Screen time and childhood attention deficit hyperactivity disorder: a meta-analysis.Reviews on environmental health · 2024Review
- The Correlation Between Screen Time and the Probability of Developing Autism Spectrum Disorder.Cureus · 2024Article
6 more citing papers are in PubMed but not listed here.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
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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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.