ObjectivesThis study investigated the frequency of electronic media (e-media) usage by preschool children and the risks of high-dose e-media use on young children’s psychosocial well-being.DesignLongitudinal associations between e-media use at 18 months and psychosocial symptoms at 5 years of age were studied, as well as cross-sectional associations between e-media use and psychosocial symptoms at 5 years.SettingBetween 2011 and 2017 in Finland.ParticipantsChildren aged 5 years (n=699).Primary and secondary outcome measuresChildren’s psychosocial symptoms were determined at the age of 5 years using the parent-reported questionnaires Five-to-Fifteen (FTF) and the Strengths and Difficulties Questionnaire (SDQ).ResultsBased on our results, 95% of the preschool children exceeded the daily recommended use of e-media set by health professionals. Our results indicate that increased screen time at 5 years of age is associated with a risk of multiple psychosocial symptoms (OR 1.53–2.18, 95% CI 1.05 to 3.34, p<0.05), while increased levels of e-media use at 18 months was only associated with FTF peer problems (OR 1.59, 95% CI 1.04 to 2.41, p=0.03). Moreover, high-dose use of electronic games at the age of 5 years seems to be associated with fewer risks for psychosocial well-being than programme viewing, as it was only associated with SDQ hyperactivity (OR 1.65, 95% CI 1.08 to 2.51, p=0.02).ConclusionIncreased screen time has multiple risks for children’s psychosocial well-being. These risk factors seem to be significant in the long term, and are related to problems in children’s socio-emotional development later on. Health professionals and paediatricians have an important role as communicators of the current research results on the safe usage time of e-media for families, and enhancing parents’ skills as regulators of children’s safe e-media use. More research is needed on the family conditions of high-dose e-media users.

Most studies of adolescents placed in foster care due to severe conduct problems have focused on their problems, while adolescents with healthy adulthood condition remain understudied. In Finland, adolescents with severe conduct problems are placed in reform schools (RS). The purpose of this study was to examine how former RS adolescents’ narrative identity and capability construction interact in different phases of their life-stories. Semi-structured life-story interviews were conducted with 13 former RS adolescents with healthy adulthood condition. Data were analyzed using a narrative constructivist method. We found a story in which the theoretical elements found from the research material were especially rich and thick and decided to present it as a case example of our findings—Anna’s story. The analysis showed that capabilities were closely related to RS adolescents’ identity construction and well-being. Strengthened capabilities provided material for identity construction, such as identities of meaning making, agency, redemption, and communion. The findings of the study point out that out-of-home care adolescents’ stable and trusting relationships should be supported as they may strengthen capabilities and help develop feelings of meaningfulness, belonging, experienced parity of participation and senses of coherence.