Abstract
Objectives
Few studies have sought to evaluate how screen media use relates to symptoms of sleep-wake
disturbances. To extend these prior studies in a large sample of children, this study
examined associations of different types of screen media with symptom severity of
different classes of sleep-wake disturbances. This study was preregistered here.
Design
This study utilized the baseline cross-sectional survey administered within the Adolescent
Brain Cognitive Development Study (ABCD; Release 2.0).
Participants
ABCD recruited over 11,000 U.S. children age 9–10 across 21 study sites using an epidemiologically-informed
school-based recruitment strategy.
Measurements
Children reported typical weekend and weekday use of TV, video, video game, social
media, texting, and video chat, and parents completed reports of the child's symptom
severity of sleep-wake disturbances via the Sleep Disturbance Scale for Children.
Results
Greater screen media use, TV, video, and video game use, was associated with decreased
sleep duration, increased sleep onset latency as well as greater excessive sleepiness,
insomnia, and overall sleep disturbance symptom severity. Use of these screen medias
were also associated with clinically relevant sleep problems. Ethnoracial differences
emerged in screen use and sleep, but did not moderate the association between screen
use and sleep.
Conclusions
Greater use of screen medias was not just associated with longer sleep onset latency
and shorter sleep duration, but also increased severity of multiple types of sleep-wake
disturbances. Future research should use longitudinal designs to determine the direction
of these associations in adolescent populations.
Keywords
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Article info
Publication history
Published online: August 27, 2020
Identification
Copyright
© 2020 National Sleep Foundation. Published by Elsevier Inc. All rights reserved.
