Contemporary screen time modalities and disruptive behavior disorders in children: a prospective cohort study
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Background: Cross‐sectional studies have demonstrated associations between screen time and disruptive behavior disorders (conduct disorder and oppositional defiant disorder); however, prospective associations remain unknown. This study's objective was to determine the prospective associations of contemporary screen time modalities with conduct and oppositional defiant disorder in a national cohort of 9–11‐year‐old children. Methods: We analyzed data from the Adolescent Brain Cognitive Development (ABCD) Study ( N = 11,875). Modified Poisson regression analyses were conducted to estimate the associations between baseline child‐reported screen time (total and by modality) and parent‐reported conduct or oppositional defiant disorder based on the Kiddie Schedule for Affective Disorders and Schizophrenia (KSADS‐5) at 1‐year follow‐up, adjusting for potential confounders. Results: Participants reported an average of 4 hr of total screen time per day at baseline. Each hour of total screen time per day was prospectively associated with a 7% higher prevalence of conduct disorder (95% CI 1.03–1.11) and a 5% higher prevalence of oppositional defiant disorder (95% CI 1.03–1.08) at 1‐year follow‐up. Each hour of social media per day was associated with a 62% higher prevalence of conduct disorder (95% CI 1.39–1.87). Each hour of video chat (prevalence ratio [PR] 1.21, 95% CI 1.06–1.37), texting (PR 1.19, 95% CI 1.07–1.33), television/movies (PR 1.17, 95% CI 1.10–1.25), and video games (PR 1.14, 95% CI 1.07–1.21) per day was associated with a higher prevalence of the oppositional defiant disorder. When examining thresholds, exposure to >4 hr of total screen time per day was associated with a higher prevalence of conduct disorder (69%) and oppositional defiant disorder (46%). Conclusions: Higher screen time was prospectively associated with a higher prevalence of new‐onset disruptive behavior disorders. The strongest association was between social media and conduct disorder, indicating that future research and interventions may focus on social media platforms to prevent conduct disorder.
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Our group previously found higher screen time to be prospectively associated with higher odds of conduct disorder and ODD at one-year follow-up in a larger national cohort of adolescents in the ABCD Study.
“Consistent with these findings, our group has previously found higher screen time to be prospectively associated with higher odds of conduct disorder and ODD at one-year follow-up, based on longitudinal data from a larger (n = 11,875), national cohort of adolescents who participated in the ABCD Study [74].”
From Screen time and mental health: a prospective analysis of the Adolescent Brain Cognitive Development (ABCD) Study (2024) · cites this paper as [74]
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Nagata, J. M., Al-Shoaibi, A. A. A., Leong, A. W., Zamora, G., Testa, A., Ganson, K. T., & Baker, F. C. (2024) · BMC Public Health · doi:10.1186/s12889-024-20102-x · Cited by 103 · see citing works
“…with these findings, our group has previously found higher screen time to be prospectively associated with higher odds of conduct disorder and ODD at one-year follow-up, based on longitudinal data from a larger ( n = 11,875), national cohort of adolescents who participated in the ABCD Study [74].”
BackgroundSelf-citationWallace, J., Boers, E., Ouellet, J., Afzali, M. H., & Conrod, P. (2023) · Scientific Reports · doi:10.1038/s41598-023-44105-7 · Cited by 70 · see citing works
- Authors
- Nagata, J. M., Chu, J., Ganson, K. T., Murray, S. B., Iyer, P., Gabriel, K. P., Garber, A. K., Bibbins‐Domingo, K., & Baker, F. C.
- Affiliations
- University of California, San Francisco (US)
- University of Toronto (CA)
- University of Southern California (US)
- University of Alabama at Birmingham (US)
- Department of Epidemiology and Biostatistics University of California, San Francisco San Francisco CA USA
- SRI International (US)
- Corresponding author
- Nagata, Jason M.
- ORCID
- Venue
- Journal of Child Psychology and Psychiatry
- Publisher
- Wiley
- Published
- 2022-07-26
- Volume
- 64
- Issue
- 1
- Pages
- 125-135
- ISSN
- 0021-9630 (ISSN-L)
- 1469-7610
- PMC
- PMC9771898
- OpenAlex
- W4288036649
- Cited by
- 39
- References
- 75
- Citations by year
- 2026: 4 · 2025: 12 · 2024: 16 · 2023: 5 · 2022: 2
- FWCI
- 18.88
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Journal of Child Psychology and Psychiatry (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- eScholarship (California Digital Library) (submittedVersion)
- Funders
- American Heart Association (CDA34760281)
- National Institutes of Health (K08HL159350, K23 MH115184, K24DK103992)
- Topics
- Social Sciences › Education › Child Development and Digital Technology
- Social Sciences › Psychology › Clinical Psychology › Child and Adolescent Psychosocial and Emotional Development
- Social Sciences › Sociology and Political Science › Impact of Technology on Adolescents
- Keywords
- screen time, disruptive behavior disorders, conduct disorder, oppositional defiant disorder, social media, children, video games, video chat, text messaging, television, exposure thresholds, Adolescent Brain Cognitive Development Study
- MeSH terms
- Problem Behavior, Screen Time, Adolescent, Child, Cross-Sectional Studies, Humans, Prospective Studies, Conduct Disorder, Attention Deficit and Disruptive Behavior Disorders
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