Cited by 312Sleep and related disordersChild Development and Digital TechnologyImpact of Technology on Adolescents

Youth Screen Media Habits and Sleep

Open access
Hale, Lauren, Kirschen, Gregory W., LeBourgeois, Monique K., Gradisar, Michael, Garrison, Michelle M., Montgomery-Downs, Hawley, Kirschen, Howard, McHale, Susan M. +2 more·2018·Child and Adolescent Psychiatric Clinics of North America

Abstract

With the widespread use of portable electronic devices and the normalization of screen media devices in the bedroom, insufficient sleep has become commonplace. In a recent literature review, 90% of included studies found an association between screen media use and delayed bedtime and/or decreased total sleep time. This pervasive phenomenon of pediatric sleep loss has widespread implications. There is a need for basic, translational, and clinical research examining the effects of screen media on sleep loss and health consequences in children and adolescents to educate and motivate clinicians, teachers, parents and youth themselves to foster healthy sleep habits.

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Crossref · 10.1016/j.chc.2017.11.014

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107 of 107 references verified0 citation errors · 0 not checkable

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  • Strong evidence suggests that problematic internet use disrupts sleep duration and onset for both children and teens.

    “Strong evidence suggests problematic internet use disrupts sleep duration and onset for both children and teens.35,200,339,340”

    From Digital Ecosystems, Children, and Adolescents: Technical Report (2026) · cites this paper as [200]

    The “Internet and video game addiction and sleep” section reports an association between internet and video game addiction and insufficient sleep and subjective insomnia among adolescents. It says the evidence is limited and causality is unproven; it does not establish that problematic internet use disrupts sleep onset and duration in both children and teens. Page numbers were not available in our copy. (LLM, conf=0.89)

    Experimental — accuracy not yet measured
  • Strong evidence exists that digital media disrupts child and teen sleep duration, onset, and quality.

    “Strong evidence exists on the disruptive impact of digital media on child and teen sleep duration, onset, and quality.200-204”

    From Digital Ecosystems, Children, and Adolescents: Technical Report (2026) · cites this paper as [200]

    Experimental — accuracy not yet measured
  • Competition for users' attention has created a digital environment where content is more arousing or elicits strong emotions and may make it harder to relax for sleep.

    “For instance, the competition for users’ attention has created an digital environment where content is more arousing or elicits strong emotions7 and may make it more difficult to relax for sleep.200,202”

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2 of the 109 references couldn’t be matched to a known paper.

Research works printed but not linked: 4

  1. [57]Alexandru G Epidemiological aspects of self-reported sleep onset latency in Japanese junior high school children J Sleep Res 15 266 275 10.1111/j.1365-2869.2006.00530.x 2006 16911029 · DOI
  2. [95]Exelmans LVdBJ Ego Depletion both Increases and Decreases Time to Bed: a Dual Pathway Model Congress of the European Sleep Research Society edition 23 2016
  3. [100]Bartel K Gradisar M An adolescent’s worst nightmare? Altering pre-bedtime phone use to achieve better sleep health Journal of Sleep Research 25 141 2016
  4. [103]Grusec JE A history of research on parenting strategies and children’s internalization of values Grusec JE Kuczynski L Parenting and children’s internalization of values Wiley 3 22 1997

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Authors
Hale, L., Kirschen, G. W., LeBourgeois, M. K., Gradisar, M., Garrison, M. M., Montgomery-Downs, H., Kirschen, H., McHale, S. M., Chang, A.-M., & Buxton, O. M.
Affiliations
  • Stony Brook Medicine (US)
  • University of Colorado Boulder (US)
  • Flinders University (AU)
  • University of Washington (US)
  • Pennsylvania State University (US)
  • Brigham and Women's Hospital (US)
Corresponding author
Hale, Lauren
Venue
Child and Adolescent Psychiatric Clinics of North America
Publisher
Elsevier BV
Published
2018-04
Volume
27
Issue
2
Pages
229-245
ISSN
1056-4993 (ISSN-L)
OpenAlex
W2791006247
Cited by
312
References
109
Citations by year
2026: 51 · 2025: 42 · 2024: 47 · 2023: 42 · 2022: 51 · 2021: 30 · 2020: 33 · 2019: 9 · 2018: 6 · 2016: 1
FWCI
3.11
Type
journal article
Language
en
Open access
Locations
  • Child and Adolescent Psychiatric Clinics of North America (acceptedVersion)
  • PubMed (publishedVersion)
  • Europe PMC (PubMed Central) (acceptedVersion)
  • PubMed Central (acceptedVersion)
  • The Research Repository @ WVU (West Virginia University) (submittedVersion)
Funders
  • Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD) of the National Institutes of Health (R01HD073352, R01HD087707, R01HD071937)
  • Mobile Sleep Technologies for National Science Foundation (1622766)
  • NIH/National Institute on Aging (R43AG056250)
Topics
  • Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and related disorders
  • Social Sciences › Education › Child Development and Digital Technology
  • Social Sciences › Sociology and Political Science › Impact of Technology on Adolescents
Keywords
screen media use, sleep, bedtime procrastination, sleep duration, adolescents, youth, electronic devices, sleep habits
MeSH terms
Adolescent, Adolescent Behavior, Child, Child Behavior, Communications Media, Habits, Humans, Sleep, Sleep Wake Disorders, Parenting, Video Games, Internet

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