IMPACT OF SCREEN TIME AND MEDIA USE ON NEURODEVELOPMENT, EMOTIONAL AND BEHAVIORAL OUTCOMES, AND MENTAL HEALTH IN CHILDREN
Abstract
Digital devices offer opportunities for learning and communication, but growing evidence links excessive screen exposure to negative cognitive, language, auditory, and psychosocial outcomes, as well as increased sedentary behavior. These concerns intensified during the COVID-19 pandemic, when lockdowns and school closures led to substantial increases in screen use, as digital media became essential for remote learning, emotional regulation, and social connection. Moreover, emerging research suggests that these elevated screen habits may persist beyond the pandemic, underscoring the need for parental guidance and developmentally appropriate limits.
This review analyzed articles from the PubMed, Scopus, and Google Scholar databases, with particular emphasis on recent systematic reviews, meta-analyses, and cross-sectional studies investigating how screen time and media use affect children’s neurodevelopment, emotional and behavioral outcomes, and mental health.
During the pandemic, children frequently exceeded recommended screen limits. Across studies, prolonged early screen exposure was linked to increased risk of cognitive, language, and social delays, particularly among children with emerging ASD symptoms or higher genetic susceptibility to ADHD. Fast-paced content correlated with ADHD-related behaviors and video gaming with conduct problems, whereas interactive and communication-based media showed fewer negative associations. Language development appeared especially vulnerable: excessive mobile device use, background television, and parental “technoference” were associated with fewer conversational turns, reduced child vocalizations, poorer language outcomes, and weaker auditory responsiveness.
These findings highlight the importance of parent-focused strategies that promote balanced media habits, such as screen-free routines, time limits, and active monitoring. Future research should clarify the specific pathways linking screen time to developmental outcomes and identify effective intervention strategies that can help mitigate potential risks.
References
Abdelnour, E., Jansen, M. O., & Gold, J. A. (2022). ADHD Diagnostic Trends: Increased Recognition or Overdiagnosis? Missouri Medicine, 119(5), 467–473.
Anitha, F. S., Narasimhan, U., Janakiraman, A., Janakarajan, N., & Tamilselvan, P. (2021). Association of digital media exposure and addiction with child development and behavior. Industrial Psychiatry Journal, 30(2), 265–271. https://doi.org/10.4103/ipj.ipj_157_20
Arundell, L., Veitch, J., Sahlqvist, S., Uddin, R., Ridgers, N. D., Salmon, J., Timperio, A., & Parker, K. (2021). Changes in Families’ Leisure, Educational/Work and Social Screen Time Behaviours before and during COVID-19 in Australia: Findings from the Our Life at Home Study. International Journal of Environmental Research and Public Health, 18(21), 11335. https://doi.org/10.3390/ijerph182111335
Balton, S., Uys, K., & Alant, E. (2019). Family-based activity settings of children in a low-income African context. African Journal of Disability, 8. https://doi.org/10.4102/ajod.v8i0.364
Beamish, N., Fisher, J., & Rowe, H. (2019). Parents’ use of mobile computing devices, caregiving and the social and emotional development of children: a systematic review of the evidence. Australasian Psychiatry, 27(2), 132–143. https://doi.org/10.1177/1039856218789764
Bergmann, C., Dimitrova, N., Alaslani, K., Almohammadi, A., Alroqi, H., Aussems, S., Barokova, M., Davies, C., Gonzalez-Gomez, N., Gibson, S. P., Havron, N., Horowitz-Kraus, T., Kanero, J., Kartushina, N., Keller, C., Mayor, J., Mundry, R., Shinskey, J., & Mani, N. (2022). Young children’s screen time during the first COVID-19 lockdown in 12 countries. Scientific Reports, 12(1). https://doi.org/10.1038/s41598-022-05840-5
Brushe, M. E., Haag, D. G., Melhuish, E. C., Reilly, S., & Gregory, T. (2024). Screen Time and Parent-Child Talk When Children Are Aged 12 to 36 Months. JAMA Pediatrics, 178(4), 369–375. https://doi.org/10.1001/jamapediatrics.2023.6790
Brushe, M. E., Lynch, J., Reilly, S., Melhuish, E., Mittinty, M. N., & Brinkman, S. A. (2021). The education word gap emerges by 18 months: findings from an Australian prospective study. BMC Pediatrics, 21(1), 247. https://doi.org/10.1186/s12887-021-02712-1
Brushe, M. E., Lynch, J. W., Reilly, S., Melhuish, E., & Brinkman, S. A. (2020). How many words are Australian children hearing in the first year of life? BMC Pediatrics, 20(1), 52. https://doi.org/10.1186/s12887-020-1946-0
Cai, C., Ran, Q., Lu, M., Song, C., & Jiang, Z. (2025). Leisure Screen Time and the Risk of Six Neurodevelopmental Disorders: A Two‐Sample Mendelian Randomization Study. Brain and Behavior, 15(9). https://doi.org/10.1002/brb3.70884
Chan, D. K.-L. (2024). Balancing screen time: Insights and impact on preschool children. Annals of the Academy of Medicine, Singapore, 53(7), 402–404. https://doi.org/10.47102/annals-acadmedsg.2024172
Copeland, W. E., Wolke, D., Shanahan, L., & Costello, E. J. (2015). Adult Functional Outcomes of Common Childhood Psychiatric Problems. JAMA Psychiatry, 72(9), 892. https://doi.org/10.1001/jamapsychiatry.2015.0730
Ferjan Ramírez, N., Lytle, S. R., Fish, M., & Kuhl, P. K. (2019). Parent coaching at 6 and 10 months improves language outcomes at 14 months: A randomized controlled trial. Developmental Science, 22(3). https://doi.org/10.1111/desc.12762
Fitzpatrick, C., Almeida, M. L., Harvey, E., Garon-Carrier, G., Berrigan, F., & Asbridge, M. (2022). An examination of bedtime media and excessive screen time by Canadian preschoolers during the COVID-19 pandemic. BMC Pediatrics, 22(1). https://doi.org/10.1186/s12887-022-03280-8
Francés, L., Quintero, J., Fernández, A., Ruiz, A., Caules, J., Fillon, G., Hervás, A., & Soler, C. V. (2022). Current state of knowledge on the prevalence of neurodevelopmental disorders in childhood according to the DSM-5: a systematic review in accordance with the PRISMA criteria. Child and Adolescent Psychiatry and Mental Health, 16(1), 27. https://doi.org/10.1186/s13034-022-00462-1
Gilkerson, J., Richards, J. A., Warren, S. F., Montgomery, J. K., Greenwood, C. R., Kimbrough Oller, D., Hansen, J. H. L., & Paul, T. D. (2017). Mapping the Early Language Environment Using All-Day Recordings and Automated Analysis. American Journal of Speech-Language Pathology, 26(2), 248–265. https://doi.org/10.1044/2016_AJSLP-15-0169
Hartshorne, J. K., Huang, Y. T., Lucio Paredes, P. M., Oppenheimer, K., Robbins, P. T., & Velasco, M. D. (2021). Screen time as an index of family distress. Current Research in Behavioral Sciences, 2. https://doi.org/10.1016/j.crbeha.2021.100023
Hedderson, M. M., Bekelman, T. A., Li, M., Knapp, E. A., Palmore, M., Dong, Y., Elliott, A. J., Friedman, C., Galarce, M., Gilbert-Diamond, D., Glueck, D., Hockett, C. W., Lucchini, M., McDonald, J., Sauder, K., Zhu, Y., Karagas, M. R., Dabelea, D., & Ferrara, A. (2023). Trends in Screen Time Use among Children during the COVID-19 Pandemic, July 2019 Through August 2021. JAMA Network Open, 6(2), E2256157. https://doi.org/10.1001/jamanetworkopen.2022.56157
Heffler, K. F., Sienko, D. M., Subedi, K., McCann, K. A., & Bennett, D. S. (2020). Association of Early-Life Social and Digital Media Experiences With Development of Autism Spectrum Disorder-Like Symptoms. JAMA Pediatrics, 174(7), 690–696. https://doi.org/10.1001/jamapediatrics.2020.0230
Hirota, T., & King, B. H. (2023). Autism Spectrum Disorder: A Review. JAMA, 329(2), 157–168. https://doi.org/10.1001/jama.2022.23661
Kalin, N. H. (2020). Childhood and Adolescent Neurodevelopmental Disorders. American Journal of Psychiatry, 177(9), 792–794. https://doi.org/10.1176/appi.ajp.2020.20071046
Karani, N. F., Sher, J., & Mophosho, M. (2022). The influence of screen time on children’s language development: A scoping review. South African Journal of Communication Disorders, 69(1). https://doi.org/10.4102/sajcd.v69i1.825
Knitter, B., & Zemp, M. (2020). Digital Family Life: A Systematic Review of the Impact of Parental Smartphone Use on Parent-Child Interactions. Digital Psychology, 1(1), 29–43. https://doi.org/10.24989/dp.v1i1.1809
Kostyrka‐Allchorne, K., Cooper, N. R., Gossmann, A. M., Barber, K. J., & Simpson, A. (2017). Differential effects of film on preschool children’s behaviour dependent on editing pace. Acta Paediatrica, 106(5), 831–836. https://doi.org/10.1111/apa.13770
Kushima, M., Kojima, R., Shinohara, R., Horiuchi, S., Otawa, S., Ooka, T., Akiyama, Y., Miyake, K., Yokomichi, H., & Yamagata, Z. (2022). Association between Screen Time Exposure in Children at 1 Year of Age and Autism Spectrum Disorder at 3 Years of Age: The Japan Environment and Children’s Study. JAMA Pediatrics, 176(4), 384–391. https://doi.org/10.1001/jamapediatrics.2021.5778
Li, C., Cheng, G., Sha, T., Cheng, W., & Yan, Y. (2020). The Relationships between Screen Use and Health Indicators among Infants, Toddlers, and Preschoolers: A Meta-Analysis and Systematic Review. International Journal of Environmental Research and Public Health, 17(19), 7324. https://doi.org/10.3390/ijerph17197324
Li, Y. (2024). Children’s development in the digital age: impact of technology, family, and pandemic on education and well-being. Early Child Development and Care, 194(13–14), 1245–1250. https://doi.org/10.1080/03004430.2024.2440687
Maenner, M. J., Warren, Z., Williams, A. R., Amoakohene, E., Bakian, A. V, Bilder, D. A., Durkin, M. S., Fitzgerald, R. T., Furnier, S. M., Hughes, M. M., Ladd-Acosta, C. M., McArthur, D., Pas, E. T., Salinas, A., Vehorn, A., Williams, S., Esler, A., Grzybowski, A., Hall-Lande, J., … Shaw, K. A. (2023). Prevalence and Characteristics of Autism Spectrum Disorder Among Children Aged 8 Years - Autism and Developmental Disabilities Monitoring Network, 11 Sites, United States, 2020. Morbidity and Mortality Weekly Report. Surveillance Summaries (Washington, D.C. : 2002), 72(2), 1–14. https://doi.org/10.15585/mmwr.ss7202a1
Marriage, J. E., Keshavarzi, M., & Moore, B. C. J. (2024). An association between auditory responsiveness of children and duration of entertainment screen time in the early years of life. International Journal of Audiology, 63(9), 731–737. https://doi.org/10.1080/14992027.2023.2260097
Massaroni, V., Delle Donne, V., Marra, C., Arcangeli, V., & Chieffo, D. P. R. (2024). The Relationship between Language and Technology: How Screen Time Affects Language Development in Early Life—A Systematic Review. In Brain Sciences (Vol. 14, Issue 1). Multidisciplinary Digital Publishing Institute (MDPI). https://doi.org/10.3390/brainsci14010027
McDaniel, B. T., & Radesky, J. S. (2018). Technoference: Parent Distraction With Technology and Associations With Child Behavior Problems. Child Development, 89(1), 100–109. https://doi.org/10.1111/cdev.12822
NATHANSON, A. I. (1999). Identifying and Explaining the Relationship Between Parental Mediation and Children’s Aggression. Communication Research, 26(2), 124–143. https://doi.org/10.1177/009365099026002002
Oswald, T. K., Rumbold, A. R., Kedzior, S. G. E., & Moore, V. M. (2020). Psychological impacts of “screen time” and “green time” for children and adolescents: A systematic scoping review. PLOS ONE, 15(9), e0237725. https://doi.org/10.1371/journal.pone.0237725
Panjeti-Madan, V. N., & Ranganathan, P. (2023). Impact of Screen Time on Children’s Development: Cognitive, Language, Physical, and Social and Emotional Domains. Multimodal Technologies and Interaction, 7(5), 52. https://doi.org/10.3390/mti7050052
Peng, X., Xue, Y., Dong, H., Ma, C., Jia, F., & Du, L. (2024). A study of the effects of screen exposure on the neuropsychological development in children with autism spectrum disorders based on ScreenQ. BMC Pediatrics, 24(1). https://doi.org/10.1186/s12887-024-04814-y
Ponti, M., Bélanger, S., Grimes, R., Heard, J., Johnson, M., Moreau, E., Norris, M., Shaw, A., Stanwick, R., Van Lankveld, J., & Williams, R. (2017). Screen time and young children: Promoting health and development in a digital world. Paediatrics & Child Health, 22(8), 461–468. https://doi.org/10.1093/pch/pxx123
Sadr-Salek, S., Costa, A. P., & Steffgen, G. (2023). Psychological Treatments for Hyperactivity and Impulsivity in Children with ADHD: A Narrative Review. Children, 10(10), 1613. https://doi.org/10.3390/children10101613
Sarfraz, S., Shlaghya, G., Narayana, S. H., Mushtaq, U., Shaman Ameen, B., Nie, C., Nechi, D., Mazhar, I. J., Yasir, M., & Arcia Franchini, A. P. (2023). Early Screen-Time Exposure and Its Association With Risk of Developing Autism Spectrum Disorder: A Systematic Review. Cureus. https://doi.org/10.7759/cureus.42292
Song, Y., Li, L., Xu, Y., Pan, G., Tao, F., & Ren, L. (2020). Associations between screen time, negative life events, and emotional and behavioral problems among Chinese children and adolescents. Journal of Affective Disorders, 264, 506–512. https://doi.org/10.1016/j.jad.2019.11.082
Strouse, G. A., O’Doherty, K., & Troseth, G. L. (2013). Effective coviewing: Preschoolers’ learning from video after a dialogic questioning intervention. Developmental Psychology, 49(12), 2368–2382. https://doi.org/10.1037/a0032463
Suchert, V., Pedersen, A., Hanewinkel, R., & Isensee, B. (2017). Relationship between attention-deficit/hyperactivity disorder and sedentary behavior in adolescence: a cross-sectional study. Attention Deficit and Hyperactivity Disorders, 9(4), 213–218. https://doi.org/10.1007/s12402-017-0229-6
Sugiyama, M., Tsuchiya, K. J., Okubo, Y., Rahman, M. S., Uchiyama, S., Harada, T., Iwabuchi, T., Okumura, A., Nakayasu, C., Amma, Y., Suzuki, H., Takahashi, N., Kinsella-Kammerer, B., Nomura, Y., Itoh, H., & Nishimura, T. (2023). Outdoor Play as a Mitigating Factor in the Association between Screen Time for Young Children and Neurodevelopmental Outcomes. JAMA Pediatrics, 177(3), 303–310. https://doi.org/10.1001/jamapediatrics.2022.5356
Takahashi, N., Tsuchiya, K. J., Okumura, A., Harada, T., Iwabuchi, T., Rahman, M. S., Kuwabara, H., Nomura, Y., & Nishimura, T. (2023). The association between screen time and genetic risks for neurodevelopmental disorders in children. Psychiatry Research, 327. https://doi.org/10.1016/j.psychres.2023.115395
Tamura, N., Yamazaki, K., Miyashita, C., Ikeda, A., Ajmal, A., Suyama, S., Hikage, T., Omiya, M., Mizuta, M., & Kishi, R. (2025). Association between children’s intended screen time use and behavior problems in Japan: the Hokkaido Study on Environmental and Children’s Health. Environmental Health and Preventive Medicine, 30, 82. https://doi.org/10.1265/ehpm.25-00110
Tandon, P. S., Zhou, C., Johnson, A. M., Gonzalez, E. S., & Kroshus, E. (2021). Association of Children’s Physical Activity and Screen Time With Mental Health During the COVID-19 Pandemic. JAMA Network Open, 4(10), e2127892. https://doi.org/10.1001/jamanetworkopen.2021.27892
Valkenburg, P. M., Krcmar, M., Peeters, A. L., & Marseille, N. M. (1999). Developing a scale to assess three styles of television mediation: “Instructive mediation,” “restrictive mediation,” and “social coviewing.” Journal of Broadcasting & Electronic Media, 43(1), 52–66. https://doi.org/10.1080/08838159909364474
Votsi, I. C., & Koutelidakis, A. (2025). How Screen Time Affects Greek Schoolchildren’s Eating Habits and Functional Food Consumption?—A Cross-Sectional Study. Nutrients , 17(8). https://doi.org/10.3390/nu17081311
Wu, J. B., Yang, Y., Zhou, Q., Li, J., Yang, W. K., Yin, X., Qiu, S. Y., Zhang, J., Meng, M., Guo, Y., Chen, J. H., & Chen, Z. (2025). The relationship between screen time, screen content for children aged 1-3, and the risk of ADHD in preschools. PLoS ONE, 20(4 April). https://doi.org/10.1371/journal.pone.0312654
Yasuda, Y., Matsumoto, J., Miura, K., Hasegawa, N., & Hashimoto, R. (2023). Genetics of autism spectrum disorders and future direction. Journal of Human Genetics, 68(3), 193–197. https://doi.org/10.1038/s10038-022-01076-3
Zhou, Y., Jiang, X., Wang, R., Guo, B., Cai, J., Gu, Y., & Pei, J. (2023). The relationship between screen time and attention deficit/hyperactivity disorder in Chinese preschool children under the multichild policy: a cross-sectional survey. BMC Pediatrics, 23(1), 361. https://doi.org/10.1186/s12887-023-04130-x
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