The DOI matches its Crossref record; 53 of the 55 references it cites were found in a registry or an index.
Association Between Screen Time and Children’s Performance on a Developmental Screening Test
Open accessAbstract
Importance: Excessive screen time is associated with delays in development; however, it is unclear if greater screen time predicts lower performance scores on developmental screening tests or if children with poor developmental performance receive added screen time as a way to modulate challenging behavior. Objective: To assess the directional association between screen time and child development in a population of mothers and children. Design, Setting, and Participants: This longitudinal cohort study used a 3-wave, cross-lagged panel model in 2441 mothers and children in Calgary, Alberta, Canada, drawn from the All Our Families study. Data were available when children were aged 24, 36, and 60 months. Data were collected between October 20, 2011, and October 6, 2016. Statistical analyses were conducted from July 31 to November 15, 2018. Exposures: Media. Main Outcomes and Measures: At age 24, 36, and 60 months, children's screen-time behavior (total hours per week) and developmental outcomes (Ages and Stages Questionnaire, Third Edition) were assessed via maternal report. Results: Of the 2441 children included in the analysis, 1227 (50.2%) were boys. A random-intercepts, cross-lagged panel model revealed that higher levels of screen time at 24 and 36 months were significantly associated with poorer performance on developmental screening tests at 36 months (β, -0.06; 95% CI, -0.10 to -0.01) and 60 months (β, -0.08; 95% CI, -0.13 to -0.02), respectively. These within-person (time-varying) associations statistically controlled for between-person (stable) differences. Conclusions and Relevance: The results of this study support the directional association between screen time and child development. Recommendations include encouraging family media plans, as well as managing screen time, to offset the potential consequences of excess use.
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“Specifically, digital media duration at age 2 and 3 was directionally associated with poorer achievement of developmental milestones at ages 3 and 5, respectively.90”
From Digital Ecosystems, Children, and Adolescents: Technical Report (2026) · cites this paper as [90]
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“In terms of longitudinal studies testing bidirectional effects, one study found associations between quantity of digital media duration and children’s achievement of developmental milestones at ages 2, 3, and 5 years.90”
From Digital Ecosystems, Children, and Adolescents: Technical Report (2026) · cites this paper as [90]
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“Excessive screen time was found to be associated with problems in meeting developmental milestones for motor skills, spatio-temporal abilities, problem solving and language acquisition [7].”
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“Additionally, education should be created to focus more on enriched environments promoting spatio-temporal learning and higher order analytic abilities, which both contribute to minimizing the risk of developing ADRD [7,106].”
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Cites
The CES-D Scale: A Self-Report Depression Scale for Research in the General Population
Radloff, L. S. (1977) · Applied Psychological Measurement · doi:10.1177/014662167700100306 · Cited by 53,267
The Ecology of Human Development: Experiments by Nature and Design
Bronfenbrenner, U. (1979) · Harvard University Press eBooks · doi:10.4159/9780674028845 · Cited by 26,084
The ecology of human development : experiments by nature and design
Bronfenbrenner, U. (1979) · Cited by 12,580
Missing data analysis: making it work in the real world
Graham, J. W. (2009) · Annual Review of Psychology · doi:10.1146/annurev.psych.58.110405.085530 · Cited by 6,163
(2023) · doi:10.1126/science · Cited by 6,063
(1996) · Institutional Research Information System University of Turin (University of Turin) · doi:10.1111/j · Cited by 5,486
Stanovich, K. E. (1986) · Reading Research Quarterly · doi:10.1598/rrq.21.4.1 · Cited by 5,222
A critique of the cross-lagged panel model
Hamaker, E. L., Kuiper, R. M., & Grasman, R. P. P. P. (2015) · Psychological Methods · doi:10.1037/a0038889 · Cited by 4,005
Skill formation and the economics of investing in disadvantaged children
Heckman, J. J. (2006) · Science · doi:10.1126/science.1128898 · Cited by 3,559
Hoff, E. (2003) · Child Development · doi:10.1111/1467-8624.00612 · Cited by 2,346
Research works printed but not linked: 5
- Squires, 2003, ASQ-3 Users’ Guide
- NLSCY, 1995, Overview of Survey Instruments for 1994-1995
- Muthén, 2012, Mplus Statistical Modeling Software: Release 7.0
- Masten, 1985, Risk, Vulnerability, and Protective Factors in Developmental Psychopathology: Advances in Clinical Child Psychology, 1
- American Academy of Pediatrics. American Academy of Pediatrics announces new recommendations for children’s media use. http://www.aap.org/en-us/about-the-aap/aap-press-room/Pages/American-Academy-of-Pediatrics-Announces-New-Recommendations-for-Childrens-Media-Use.aspx. Published October 21, 2016. Accessed August 30, 2018.
Cited by
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Charan, G. S., Kumar, R., Yadav, S., Dular, S. K., Shokeen, J., Palawat, M. S., Kalia, R., & Jha, P. (2026) · The Egyptian Journal of Neurology Psychiatry and Neurosurgery · doi:10.1186/s41983-026-01261-7
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Gomes, M. I. F., Lousada, M., Valente, A. R., Belém, P., & de Figueiredo, D. M. P. (2026) · Logopedics Phoniatrics Vocology · doi:10.1080/14015439.2026.2738226
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Metadata
- Authors
- Madigan, S., Browne, D., Racine, N., Mori, C., & Tough, S.
- Affiliations
- University of Calgary (CA)
- University of Waterloo (CA)
- Alberta Children's Hospital Research Institute (CA)
- Corresponding author
- Madigan, Sheri
- Venue
- JAMA Pediatrics
- Publisher
- American Medical Association (AMA)
- Published
- 2019-03-01
- Volume
- 173
- Issue
- 3
- Pages
- 244
- ISSN
- 1072-4710 (ISSN-L)
- 2168-6203
- PMC
- PMC6439882
- OpenAlex
- W2911956244
- Cited by
- 734
- References
- 55
- Citations by year
- 2026: 130 · 2025: 99 · 2024: 116 · 2023: 134 · 2022: 84 · 2021: 84 · 2020: 53 · 2019: 33
- FWCI
- 171.46
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Archives of Pediatrics and Adolescent Medicine (publishedVersion)
- Europe PMC (PubMed Central) (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Alberta Children's Hospital Foundation
- Topics
- Social Sciences › Education › Child Development and Digital Technology
- Social Sciences › Psychology › Clinical Psychology › Child and Adolescent Psychosocial and Emotional Development
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Physical Activity and Health
- Keywords
- screen time, child development, developmental screening, Ages and Stages Questionnaire, toddlers, preschool children, developmental delay, maternal report
- MeSH terms
- Screen Time, Child Behavior, Child Development, Child, Preschool, Follow-Up Studies, Humans, Infant, Parent-Child Relations, Prospective Studies, Surveys and Questionnaires, Parenting, Sedentary Behavior
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