Screen Time and Autism Spectrum Disorder: A Comprehensive Systematic Review of Risk, Usage, and Addiction
Abstract
The relationship between autism spectrum disorder (ASD) and screen time (ST) has been extensively studied; but the evidence remains inconsistent, and a comprehensive quantitative synthesis of this association is lacking. This study aims to provide a robust quantitative assessment of the relationship between ASD and ST by consolidating and analyzing available evidence to offer a more precise understanding of this complex association. This systematic review followed PRISMA 2020 statement, and applied a quality assessment tool for quantitative studies to identity best available evidence. A comprehensive search was conducted in PubMed, Web of Science, Embase, and Scopus, covering literature published from January 1, 2006 to June 12, 2024. In total, 30 studies involving 356,666 participants met the inclusion criteria. The findings revealed a significant association between screen exposure in preschool children and the development of ASD, with a longer duration of screen exposure correlating with an increased likelihood of being diagnosed with autism. Furthermore, autistic people tend to have longer daily screen use and are at a higher risk of screen addiction compared to non-autistic individuals. These findings emphasize the importance of limiting ST for preschoolers and autistic people. However, the level of evidence supporting these conclusions is very low. Future studies should focus on controlling for confounding factors, using more objective measures, and further investigate…
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Increased screen time is associated with altered neural development, particularly in areas governing social cognition.
“Additionally, Yuan et al. (2024) conducted a comprehensive systematic review, highlighting that increased screen time is associated with altered neural development, particularly in areas governing social cognition.”
From The Impact of Social Media & Technology on Child and Adolescent Mental Health (2025) · cites this paper as [51]
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Disability Is Not a Single Risk Category
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- Authors
- Yuan, G., Zhu, Z., Guo, H., Yang, H., Zhang, J., Zhang, K., Zhang, X., Lu, X., Du, J., Shi, H., Jin, G., Hao, J., Sun, Y., Su, P., & Zhang, Z.
- Affiliations
- Anhui Medical University (CN)
- Corresponding author
- Zhang, Zhihua
- ORCID
- Venue
- Journal of Autism and Developmental Disorders
- Published
- 2024-12-03
- Volume
- 56
- Issue
- 4
- Pages
- 1573-1587
- ISSN
- 0162-3257 (ISSN-L)
- 1573-3432
- OpenAlex
- W4404953191
- Cited by
- 20
- References
- 80
- Citations by year
- 2026: 8 · 2025: 12
- FWCI
- 2.76
- Type
- journal article
- Language
- en
- Open access
- closed
- Licence
- Locations
- Journal of Autism and Developmental Disorders (publishedVersion)
- PubMed (publishedVersion)
- Funders
- The National Natural Science Foundation of China (81973064)
- Topics
- Social Sciences › Education › Child Development and Digital Technology
- Life Sciences › Neuroscience › Cognitive Neuroscience › Autism Spectrum Disorder Research
- Social Sciences › Sociology and Political Science › Impact of Technology on Adolescents
- Keywords
- autism spectrum disorder, screen time, screen addiction, preschool children, autism risk, autistic adults
- MeSH terms
- Autism Spectrum Disorder, Screen Time, Child, Child, Preschool, Humans, Risk Factors, Behavior, Addictive
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