Evidence map›Paper›PMID 41991511›Full record

ArticleTranslational psychiatry2026

Physical-Digital and social-nonsocial extracurricular engagement: differential effects on brain development and psychological outcomes in children.

Xiaohan Tian, Ruoxin Yang, Jing Lou, Yuqing Sun, Meng Wang, Qi Wang, Wenkun Lei, Ang Li, Zhanjun Zhang, Bing Liu

Abstract read
In one paragraph

Article in Translational psychiatry, 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.

Xiaohan Tian *State Key Laboratory of Cognitive Neuroscience and Learning, Beijing Normal University, Beijing, 100091, China.ORCID http://orcid.org/0009-0000-8972-9428
Ruoxin Yang *State Key Laboratory of Cognitive Neuroscience and Learning, Beijing Normal University, Beijing, 100091, China.ORCID http://orcid.org/0009-0006-0478-8677
Jing LouState Key Laboratory of Cognitive Neuroscience and Learning, Beijing Normal University, Beijing, 100091, China.
Yuqing SunState Key Laboratory of Cognitive Neuroscience and Learning, Beijing Normal University, Beijing, 100091, China.
Meng WangState Key Laboratory of Cognitive Neuroscience and Learning, Beijing Normal University, Beijing, 100091, China.
Qi WangBrainnetome Center and National Laboratory of Pattern Recognition, Institute of Automation, Chinese Academy of Sciences, Beijing, 100190, China.
Wenkun LeiState Key Laboratory of Cognitive Neuroscience and Learning, Beijing Normal University, Beijing, 100091, China.
Ang LiState Key Laboratory of Cognitive Science and Mental Health, Institute of Biophysics, Chinese Academy of Sciences, Beijing, 100101, China.ORCID http://orcid.org/0000-0002-2309-9811
Zhanjun ZhangState Key Laboratory of Cognitive Neuroscience and Learning, Beijing Normal University, Beijing, 100091, China.ORCID http://orcid.org/0000-0001-7266-4218
Bing LiuState Key Laboratory of Cognitive Neuroscience and Learning, Beijing Normal University, Beijing, 100091, China. bing.liu@bnu.edu.cn.ORCID http://orcid.org/0000-0003-2029-5187

Funding

Beijing Nova Program 20230484425National Natural Science Foundation of China (National Science Foundation of China) 82372049National Natural Science Foundation of China (National Science Foundation of China) 82425024
6 · The paper itself

Abstract

Extracurricular activities shape children's development, yet how the interaction between their modality (digital/physical) and social context (social/non-social) impact mental health and neurodevelopment remains unclear. This study examined these relationships and their bidirectionality, as well as mediation by brain structural changes. Using baseline and one-year follow-up data from 8230 children in the Adolescent Brain Cognitive Development Study, we analyzed self-reported screen time for six digital activities (three social, three non-social), caregiver-reported participation in 28 extracurricular activities (11 social, 17 non-social), mental health via the Child Behavior Checklist and Kiddie Schedule for Affective Disorders and Schizophrenia, and gray matter volume using T1-weighted MRI. Distinct interaction patterns between modality and social context emerged. Physical-social activities were linked to fewer psychiatric symptoms, particularly withdrawn/depressed behaviors, and increased frontoparietal gray matter. In contrast, digital non-social activities were associated with higher psychiatric risk, especially rule-breaking behaviors, and reduced temporal gray matter. Physical non-social and digital-social activities demonstrated mixed effects on developmental measures. Longitudinal analyses revealed bidirectional activity-mental health associations, with brain volume changes mediating 3.7-5.0% of these relationships. These findings highlight the interactive role of activity modality and social context in children's development and provide neurobiological evidence informing guidelines for beneficial developmental outcomes.

Indexed as

BrainChild BehaviorChild DevelopmentScreen TimeSocial BehaviorAdolescentChildDigital MediaFemaleGray MatterHumansMagnetic Resonance ImagingMaleNeurodevelopment

Identifiers

PMID41991511
PMCPMC13216275

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Registered trials

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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.