Cited by 174Child Development and Digital TechnologyImpact of Technology on AdolescentsChild and Adolescent Psychosocial and Emotional Development

The DOI matches its Crossref record; 37 of the 37 references it cites were found in a registry or an index; 2 of the 31 sources its claims cite were checked for support.

Screen time and early adolescent mental health, academic, and social outcomes in 9- and 10- year old children: Utilizing the Adolescent Brain Cognitive Development ℠ (ABCD) Study

Open access

Abstract

In a technology-driven society, screens are being used more than ever. The high rate of electronic media use among children and adolescents begs the question: is screen time harming our youth? The current study draws from a nationwide sample of 11,875 participants in the United States, aged 9 to 10 years, from the Adolescent Brain Cognitive Development Study (ABCD Study®). We investigate relationships between screen time and mental health, behavioral problems, academic performance, sleep habits, and peer relationships by conducting a series of correlation and regression analyses, controlling for SES and race/ethnicity. We find that more screen time is moderately associated with worse mental health, increased behavioral problems, decreased academic performance, and poorer sleep, but heightened quality of peer relationships. However, effect sizes associated with screen time and the various outcomes were modest; SES was more strongly associated with each outcome measure. Our analyses do not establish causality and the small effect sizes observed suggest that increased screen time is unlikely to be directly harmful to 9-and-10-year-old children.

Overview

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Written from the paper’s full text.

TL;DR

In a nationwide ABCD Study sample of 11,875 U.S. children aged 9–10, more screen time was moderately associated with worse mental health, more behavioral problems, lower academic performance, and poorer sleep, but also with stronger peer relationships. Effect sizes were small (<2% of variance explained), and SES was more strongly associated with outcomes than screen time, suggesting screen time is unlikely to be directly harmful at this age.

Key findings

  • Weekday total screen time was significantly associated with externalizing problems, ODD, conduct disorder, attention problems, ADHD, academic performance, sleep quantity, sleep quality, and number of close friends for both males and females, but not with depression, anxiety, or internalizing problems for females; for males, it was also not significantly associated with depression or anxiety.
  • Weekend total screen time was significantly associated with all outcomes for males, including depression, anxiety, and internalizing problems; for females, it remained significantly associated with externalizing problems, ODD, conduct disorder, attention problems, ADHD, academic performance, sleep quantity, sleep quality, and close friends, but not depression, anxiety, or internalizing problems.
  • Screen time effects were small: “<2% of the variance explained” for all outcomes, while SES accounted for “much more of the variance (~5%).”
  • Child-reported weekday screen time averaged 3.39 hours (SD = 2.94) and weekend screen time 4.57 hours (SD = 3.54); parent-reported weekday screen time averaged 2.55 hours (SD = 2.59) and weekend 3.99 hours (SD = 2.66).

Methods

  • Data came from the Adolescent Brain Cognitive Development (ABCD) Study baseline, a nationwide sample of 11,875 children aged 9–10 recruited from 21 U.S. sites. Part 1 analyzed weekday screen time in 11,727 children; Part 2 analyzed weekend screen time in 11,672 children after exclusions for implausible values (≥18 hours/day) and missing data.
  • Measures included child and parent Screen Time Questionnaire reports, parent-reported Child Behavior Checklist (CBCL) scales for depression, anxiety, internalizing, externalizing, ODD, conduct disorder, attention problems, and ADHD; parent-reported academic grades, sleep quantity and quality, and child-reported number of close male and female friends; covariates were combined family income (SES) and race/ethnicity.
  • Analyses used Pearson correlations and multiple linear regressions controlling for SES and race/ethnicity, run separately by sex, with interaction tests for sex × screen time; primary tests used a Bonferroni-corrected significance level of .004.

Limitations

  • The paper states that participants were only 9–10 years old, so screen time means were low—especially for texting and social media—and most participants did not show signs of mental ill health; follow-up as the cohort ages would likely be better powered.
  • The paper states that screen time items capped most subtypes at “4+ hours,” preventing examination of extreme screen time, and that most outcomes relied on parent report, which may be inaccurate for subtle symptoms such as internalizing problems.
  • The paper states that analyses do not establish causality; evident from the text, the baseline cross-sectional design and small effect sizes limit causal or clinical conclusions, and the sample tended toward upper-middle SES and was 52% White.

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Integrity signals

Registry

Crossref · 10.1371/journal.pone.0256591

Cites

37 of 37 references verified0 citation errors · 0 not checkable

Statistics

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Claims the paper makes

67 Own result · 26 Not checked yet · 16 Own method · 9 Own interpretation · 5 No basis given · 2 Partly supported · accuracy not yet measured

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  • Probably not a substantial claim. 41
  • It may state two separate claims as one. 43
  • The quote only partly states this claim. 4
71 of 71
  • The paper relies on this without support.

    Few studies have examined screen time use at such a young age; the majority of the current literature focuses on mid-to-late adolescence rather than very early adolescence.

    “Of additional importance, few studies have examined screen time use at such a young age. The majority of the current literature focuses on mid-to-late adolescence, rather than very early adolescence; the current study’s focus on 9- and 10- year old children fills that gap in the literature.”
  • The authors state this as an assumption.

    The number of close friends a participant has indicates that these friendships are of quality to the participant.

    “By specifically examining the number of close friends, rather than merely the total number of friends, we can assume that these friendships are of quality to the participant.”
  • The paper relies on this without support.

    The ABCD Study baseline sample is representative of 9- and 10-year-old children in the US, so the findings generalize to that population.

    “for 9- to 10-year-old children, in both boys and girls”
    “in 9- and 10- year old children”
  • The paper relies on this without support.

    The screen time measures (self-report and parent report) accurately reflect participants' actual screen time.

    “By restricting the screen time maximum label to “4+ hours” for all subsets of screen time apart from total screen time, it was not possible to examine extremes in screen time”
  • The paper relies on this without support.

    The associations between screen time and outcomes are not substantially confounded by variables other than SES and race/ethnicity.

    “controlling for SES and race/ethnicity”
5 of 5

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Citations

Cites

Show all 37 references

Research works printed but not linked: 1

  1. BB Brown, 2009, Handbook of adolescent psychology: Contextual influences on adolescent development

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Metadata

Authors
Paulich, K. N., Ross, J. M., Lessem, J. M., & Hewitt, J. K.
Affiliations
University of Colorado Boulder (US)
Corresponding author
Paulich, Katie N.
Venue
PLOS ONE
Published
2021-09-08
Volume
16
Issue
9
Pages
e0256591
ISSN
1932-6203 (ISSN-L)
OpenAlex
W3198152199
Cited by
174
References
37
Citations by year
2026: 36 · 2025: 55 · 2024: 41 · 2023: 25 · 2022: 14 · 2021: 3
FWCI
36.45
Type
journal article
Language
en
Open access
Locations
  • PLoS ONE (publishedVersion, cc-by)
  • PubMed Central (publishedVersion, cc-by)
  • PubMed (publishedVersion)
  • CU Scholar (University of Colorado Boulder) (submittedVersion, cc-by)
  • DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
Funders
National Institutes of Health (U01DA041022, U01DA041028, U01DA041048, U01DA041089, U01DA041106, U01DA041117, U01DA041120, U01DA041134, U01DA041148, U01DA041156, U01DA041174, U24DA041123, U24DA041147)
Topics
  • Social Sciences › Education › Child Development and Digital Technology
  • Social Sciences › Sociology and Political Science › Impact of Technology on Adolescents
  • Social Sciences › Psychology › Clinical Psychology › Child and Adolescent Psychosocial and Emotional Development
Keywords
screen time, early adolescents, child mental health, behavioral problems, academic performance, sleep habits, peer relationships, socioeconomic status, Adolescent Brain Cognitive Development Study, electronic media use, children aged 9-10
MeSH terms
Problem Behavior, Child Health, Adolescent Health, Academic Performance, Screen Time, Adolescent, Anxiety, Attention, Attention Deficit Disorder with Hyperactivity, Child, Cognition, Depression, Follow-Up Studies, Humans, Interpersonal Relations, Longitudinal Studies, Mental Health, Sleep, United States, Young Adult, Self Report

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