Evidence map›Paper›PMID 40267918›Full record

ArticlePloS one2025

The relationship between screen time, screen content for children aged 1-3, and the risk of ADHD in preschools.

Jian-Bo Wu, Yanni Yang, Qiang Zhou, Jiemin Li, Wei-Kang Yang, Xiaona Yin, Shuang-Yan Qiu, Jingyu Zhang, Minghui Meng, Yawei Guo and 2 more

Erratum issuedAbstract read
In one paragraph

Article in PloS one, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

  1. Review
  2. Article
  3. Article
  4. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

12 authors.

Jian-Bo WuDepartment of Clinical Psychology, Shenzhen Longhua Maternity and Child Healthcare Hospital, Shenzhen, China.
Yanni YangShenZhen PingShan XinHe Experimental School, Shenzhen, China.
Qiang ZhouDepartment of Clinical Psychology, Shenzhen Longhua Maternity and Child Healthcare Hospital, Shenzhen, China.
Jiemin LiDepartment of Clinical Psychology, Shenzhen Longhua Maternity and Child Healthcare Hospital, Shenzhen, China.
Wei-Kang YangDepartment of Clinical Psychology, Shenzhen Longhua Maternity and Child Healthcare Hospital, Shenzhen, China.
Xiaona YinDepartment of Clinical Psychology, Shenzhen Longhua Maternity and Child Healthcare Hospital, Shenzhen, China.
Shuang-Yan QiuDepartment of Clinical Psychology, Shenzhen Longhua Maternity and Child Healthcare Hospital, Shenzhen, China.
Jingyu ZhangDepartment of Clinical Psychology, Shenzhen Longhua Maternity and Child Healthcare Hospital, Shenzhen, China.
Minghui MengShenzhen Longhua District Longlan School affiliated Xintang kindergarten, Shenzhen, China.
Yawei GuoSchool of Public Health, Sun Yat-sen University, Guangzhou, China.
Jian-Hui ChenGuangdong Second Traditional Chinese Medicine Hospital, Guangzhou, China.
Zhaodi ChenDepartment of health education and promotion, Shenzhen Longhua Maternity and Child Healthcare Hospital, Shenzhen, China.ORCID 0009-0003-3982-6512

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThis study investigates the relationship between screen time, screen content, and the risk of Attention Deficit Hyperactivity Disorder (ADHD) using data from a large sample. Specifically, it examines how different types of screen content (such as educational videos, cartoon videos, and interactive videos) are associated with the risk of ADHD. The aim is to offer a scientific foundation for the rational management of children's screen time and screen content.

methodsWe collected data through a questionnaire survey involving a study population of 41,494 children from Longhua District, Shenzhen City, China. The questionnaire recorded the daily screen time and the type of content viewed by the children at ages 1-3 years and assessed their risk of ADHD using the Strengths and Difficulties Questionnaire (SDQ) at ages 4-6 years. Hierarchical logistic regression analysis, controlling for confounding factors, was employed to explore the associations between screen time, screen content, and ADHD risk.

resultsIn the total sample, 6.7% of the participants had screen time exceeding 60 minutes per day, with educational videos predominant type (63.4%). 16.5% of the participants were identified as being at risk for ADHD. Statistically significant positive associations with ADHD were observed across all categories of screen time (P<0.001). Moreover, as screen time increased, the risk of ADHD also rose (OR1~60 mins/d=1.627, 95%CI=1.460~1.813; OR61~120 mins/d=2.838, 95%CI=2.469~3.261; OR>120 mins/d=3.687, 95%CI=2.835~4.796). Significant positive associations with ADHD were observed across all categories of screen time in the educational videos and cartoon videos. For the educational videos group, the odds ratios were as follows: OR1-60 mins/day=1.683 (95% CI=1.481-1.913), OR61-120 mins/day=3.193 (95% CI=2.658-3.835), and OR>120 mins/day=3.070 (95% CI=2.017-4.673). For the cartoon videos group, the odds ratios were: OR1-60 mins/day=1.603 (95% CI=1.290-1.991), OR61-120 mins/day=2.758 (95% CI=2.156-3.529), and OR>120 mins/day=4.097 (95% CI=2.760-6.081). However, no significant associations with ADHD risk were found for any category of screen time in the interactive videos group (OR1~60 mins/d=0.744, 95%CI=0.361~1.534; OR61~120 mins/d=0.680, 95%CI=0.296~1.560; OR>120 mins/d=1.678, 95%CI=0.593~4.748).

conclusionIncreased screen time is associated with a higher risk of ADHD, particularly for educational and cartoon videos, while interactive videos show no significant link. To mitigate this risk, parents and educators should implement strategies such as setting time limits, encouraging breaks, and promoting alternative activities. Future research should focus on longitudinal studies and intervention trials to further explore and address this relationship.

Indexed as

Attention Deficit Disorder with HyperactivityScreen TimeChildChild, PreschoolChinaFemaleHumansInfantMaleRisk FactorsSurveys and Questionnaires

Identifiers

PMID40267918
PMCPMC12017831

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.