Author:
Dong Hanyu,Wang Tiantian,Feng Junyan,Xue Yang,Jia Feiyong
Abstract
Abstract
Background
There are overlapping effects of screen time and sleep on children’s behavior. The purpose of this study was to explore the relationship of screen time with behavior problems in children with autism spectrum disorder (ASD) and the probable mediating effects of sleep, in order to provide evidence for the need for clinical identification and intervention.
Methods
A sample of 358 preschoolers with ASD were included. We investigated the children’s basic characteristics of sex and age, ASD symptoms (ABC, CARS, and ADOS-2), neurodevelopment (GDS-C), sleep habits (CSHQ), and behavior (CBCL). Pearson correlation tests were used to determine the direct correlations among children’s screen time, CBCL, and CSHQ. Linear regression analysis was used to explore whether screen time predicted total score of CBCL. Multi-step linear regression analysis was used to investigate the mediating effect of sleep on the relationship between screen time and total score of CBCL.
Results
Screen time before bedtime was correlated with CBCL and CSHQ, which indicated that screen time before bedtime was correlated with sleep and behavior in children with ASD. Screen time before bedtime was a predictor of CBCL total score (indicating children’s behavior), and CSHQ total score (indicating children’s sleep habits) played a partial mediating role between screen time before bedtime and children’s behavior.
Conclusion
Clinicians should support and educate parents of children with ASD, which should focus on managing screen time, especially screen time before bedtime.
Funder
National Natural Science Foundation of China
Key Scientific and Technological Projects of Guangdong Province
Natural Science Foundation of Jilin Province
Publisher
Springer Science and Business Media LLC
Subject
Psychiatry and Mental health
Reference79 articles.
1. Association AP. Diagnostic and statistical manual of mental disorders, 5th. Arlington: American Psychiatric Association; 2013.
2. Maenner MJ, Shaw KA, Bakian AV, Bilder DA, Durkin MS, Esler A, et al. Prevalence and characteristics of Autism Spectrum Disorder among Children aged 8 Years - Autism and Developmental Disabilities Monitoring Network, 11 Sites, United States, 2018. Morbidity and Mortality Weekly Report Surveillance Summaries (Washington DC: 2002). 2021;70(11):1–16.
3. Dominick KC, Davis NO, Lainhart J, Tager-Flusberg H, Folstein S. Atypical behaviors in children with autism and children with a history of language impairment. Res Dev Disabil. 2007;28(2):145–62.
4. Kodak T, Bergmann S. Autism spectrum disorder: characteristics, Associated Behaviors, and early intervention. Pediatr Clin North Am. 2020;67(3):525–35.
5. Hill AP, Zuckerman KE, Hagen AD, Kriz DJ, Duvall SW, van Santen J, et al. Aggressive behavior problems in children with Autism Spectrum Disorders: Prevalence and correlates in a large clinical sample. Res Autism Spectr Disord. 2014;8(9):1121–33.