Trial reportPloS one2019
Screen-time is associated with inattention problems in preschoolers: Results from the CHILD birth cohort study.
Trial report in PloS one, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05428085 (The Relationship Between the Digital Media Usage With Impulsivity and Attention Deficit in Children With Early Intervention), which is not on this map. Cited by 106 papers, 5 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.
The Relationship Between the Digital Media Usage With Impulsivity and Attention Deficit in Children With Early Intervention
Who cites it
106 citing papers in PubMed, 5 syntheses or guidelines pooled it.
- Exploring the perception of parents on children's screentime: a systematic review and meta-synthesis of qualitative studies.Pediatric research · 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
- Interventions for Reducing Screen Time of Preschoolers: A Systematic Review of Randomized Controlled Trials.Journal of primary care & community healthPooled it
- Barriers to Reducing Children's Screen Time and Associated Factors Among Mothers of Under-Five Children in Woliso City Administration, Oromia Ethiopia: Community-Based Cross-Sectional Study.JMIR pediatrics and parenting · 2026Article
- Toddler Screen Time: Longitudinal Associations with Autism and ADHD Symptoms and Developmental Outcomes.Child psychiatry and human development · 2026Article
- Associations Between Early Screen Exposure and Neurocognitive Outcomes in Children Aged 2-5 Years: A Systematic Review.Healthcare (Basel, Switzerland) · 2026Review
- Excessive screen time and its associated factors among under-5 children in Woliso City Administration, Central Ethiopia: a community-based cross-sectional study.BMJ paediatrics open · 2026Article
- Screen time is differentially related to visual selective attention and visual feature processing across middle childhood.Research square · 2026Article
- Aggressive behaviour during a standardized play observation in 3 to 6-year-old children with and without refugee experience: an observational study.Child and adolescent psychiatry and mental health · 2026Article
- Screen time in preschool-aged children and attention deficit hyperactivity disorder-related behaviors: A literature review.World journal of clinical pediatrics · 2026Review
- Ultraprocessed Food Consumption and Behavioral Outcomes in Canadian Children.JAMA network open · 2026Article
- The Association Between Parental Phubbing and Preschoolers' Excessive Electronic Media Use: The Chain Mediating Role of Parent-Child Attachment and Self-Control.Behavioral sciences (Basel, Switzerland) · 2026Article
- A longitudinal study of parent-child relationship and behavioral problems in children aged 3 to 6: the mediating role of screen time.Frontiers in psychology · 2026Article
- Passive and active screen time relate differently to attention in preschool children.Frontiers in psychology · 2026Review
- Post-traumatic stress disorder in German youth: representative claims data pre- vs. intra-COVID-19-pandemic.European journal of psychotraumatology · 2025Article
- Association of screen time with attention-deficit/hyperactivity disorder symptoms and their development: the mediating role of brain structure.Translational psychiatry · 2025Article
- Performance on an attention test is positively related to reading but negatively related to watching TV and playing video games in children.BMC pediatrics · 2025Observational
- The Interplay of Family Dynamics, Lifestyle, and ADHD: A Case-Control Study on Sociodemographic Risk Factors.Brain and behavior · 2025Article
46 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
16 authors.
Funding
Abstract
backgroundPre-school children spend an average of two-hours daily using screens. We examined associations between screen-time on pre-school behavior using data from the Canadian Healthy Infant Longitudinal Development (CHILD) study.
methodsCHILD participant parents completed the Child Behavior Checklist (CBCL) at five-years of age. Parents reported their child's total screen-time including gaming and mobile devices. Screen-time was categorized using the recommended threshold of two-hours/day for five-years or one-hour/day for three-years. Multiple linear regression examined associations between screen-time and externalizing behavior (e.g. inattention and aggression). Multiple logistic regression identified characteristics of children at risk for clinically significant externalizing problems (CBCL T-score≥65).
resultsScreen-time was available for over 95% of children (2,322/2,427) with CBCL data. Mean screen-time was 1·4 hours/day (95%CI 1·4, 1·5) at five-years and 1·5 hours/day (95%CI: 1·5, 1·6) at three-years. Compared to children with less than 30-minutes/day screen-time, those watching more than two-hours/day (13·7%) had a 2·2-point increase in externalizing T-score (95%CI: 0·9, 3·5, p≤0·001); a five-fold increased odd for reporting clinically significant externalizing problems (95%CI: 1·0, 25·0, p = 0·05); and were 5·9 times more likely to report clinically significant inattention problems (95%CI: 1·6, 21·5, p = 0·01). Children with a DSM-5 ADHD T-score above the 65 clinical cut-off were considered to have significant ADHD type symptoms (n = 24). Children with more than 2-hours of screen-time/day had a 7·7-fold increased risk of meeting criteria for ADHD (95%CI: 1·6, 38·1, p = 0·01). There was no significant association between screen-time and aggressive behaviors (p>0.05).
conclusionIncreased screen-time in pre-school is associated with worse inattention problems.
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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.