Evidence map›Paper›PMID 41920581›Full record

ReviewJMIR pediatrics and parenting2026

Screen Time, Child Depression, and Anxiety During the COVID-19 Pandemic: Systematic Review and Meta-Analysis.

Marissa Yoshizawa, Jennifer Rafeedie, Jasmyn J Tang, Bryan T Lei, Ramon Durazo-Arvizu, Danny Azucar, Sharon Hudson, Sheela Rao, Karen Kay Imagawa, Alexis Deavenport-Saman

Abstract readReview
In one paragraph

Review in JMIR pediatrics and parenting, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Marissa YoshizawaDepartment of Pediatrics, Children's Hospital Los Angeles, 4650 Sunset Blvd MS53, Los Angeles, CA, 90027, United States, 1 323 361 5734, 1 323 361 1383.ORCID http://orcid.org/0009-0004-6575-5954
Jennifer RafeedieDepartment of Pediatrics, Children's Hospital Los Angeles, 4650 Sunset Blvd MS53, Los Angeles, CA, 90027, United States, 1 323 361 5734, 1 323 361 1383.ORCID http://orcid.org/0000-0002-3700-3550
Jasmyn J TangDivision of General Internal Medicine and Health Services, David Geffen School of Medicine, University of California Los Angeles, Los Angeles, CA, United States.ORCID http://orcid.org/0009-0001-8737-0447
Bryan T LeiDepartment of Pediatrics, The Saban Research Institute, Children's Hospital Los Angeles, Los Angeles, CA, United States.ORCID http://orcid.org/0009-0005-1591-968X
Ramon Durazo-ArvizuDepartment of Pediatrics, The Saban Research Institute, Children's Hospital Los Angeles, Los Angeles, CA, United States.ORCID http://orcid.org/0000-0001-6563-7107
Danny AzucarDepartment of Pediatrics, Children's Hospital Los Angeles, 4650 Sunset Blvd MS53, Los Angeles, CA, 90027, United States, 1 323 361 5734, 1 323 361 1383.ORCID http://orcid.org/0000-0001-6091-7441
Sharon HudsonAltaMed Institute for Health Equity, Los Angeles, CA, United States.ORCID http://orcid.org/0000-0002-5955-7327
Sheela RaoDepartment of Pediatrics, Children's Hospital Los Angeles, 4650 Sunset Blvd MS53, Los Angeles, CA, 90027, United States, 1 323 361 5734, 1 323 361 1383.ORCID http://orcid.org/0000-0002-4535-2259
Karen Kay ImagawaDepartment of Pediatrics, Children's Hospital Los Angeles, 4650 Sunset Blvd MS53, Los Angeles, CA, 90027, United States, 1 323 361 5734, 1 323 361 1383.ORCID http://orcid.org/0000-0001-5460-5708
Alexis Deavenport-SamanDepartment of Pediatrics, Children's Hospital Los Angeles, 4650 Sunset Blvd MS53, Los Angeles, CA, 90027, United States, 1 323 361 5734, 1 323 361 1383.ORCID http://orcid.org/0000-0002-8715-7531

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: In response to the COVID-19 pandemic, governments around the world enforced stay-at-home orders and social distancing guidelines that amplified the use of screen time among pediatric populations. Excessive screen time may negatively impact mental health by increasing depression and anxiety. Objective: The first aim was to conduct a systematic review of articles examining screen time and mental health outcomes among children and adolescents during the COVID-19 pandemic from 2020 to 2023. The second aim was to determine the combined effect sizes for the associations of screen time and depression and/or anxiety among children and adolescents during the COVID-19 pandemic from 2020 to 2023 and whether gender or age influenced outcomes. Methods: Bibliographic databases were searched including MEDLINE (Ovid), Embase (Elsevier), Cochrane Library (Wiley), CINAHL Complete (EBSCO), and PsycINFO (EBSCO). There were a total of 6462 nonduplicate studies that were screened. Study inclusion criteria included children ages 0 to <18 years, the effects of screen time on children during the COVID-19 pandemic, screen time and depression and/or anxiety, articles written in English, and articles, including quantitative and qualitative studies, published between 2020 and 2023. A total of 452 articles underwent full-text review with 23 articles meeting criteria for final article extraction. Results: A total of 23 studies totaling 29,581 children and adolescents were included in the study. Results showed that most studies reported a positive association between screen time and depression and/or anxiety (r=0.175, 95% CI 0.124-0.226, P<.001 and r=0.157, 95% CI 0.0994-0.214, P<.001, respectively) during COVID-19. Meta-regression revealed that screen time measured in problematic use of electronic devices had a 0.15 higher correlation with anxiety compared to screen time measured in duration of electronic device use. Conclusions: During the COVID-19 pandemic, children and adolescents with higher levels of screen time had increased depression and/or anxiety. Findings suggest the need for ongoing parent, professional, and self-monitoring of youth screen behaviors and habits as well as activities that promote social connectedness during global or national health emergencies.

Indexed as

adolescentsanxietychildrenCOVID-19 pandemicdepressionmental healthscreen time

Identifiers

PMID41920581
PMCPMC13041624

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.