There are several theoretical reasons to believe that media use might be related to attention-deficit/ hyperactivity disorder (ADHD) or ADHD-related behaviors (i.e., attention problems, hyperactivity, and impulsivity). Although studies into the media-ADHD relationship have accumulated, they have yielded inconsistent results. Therefore, we still do not know whether children's media use and ADHD-related behaviors are related and, if so, under which conditions. To fill this gap in the literature, we first identified 6 different hypotheses that may explain why media use in general and viewing fast-paced or violent media content might be related to 1 or more ADHD-related behaviors. Subsequently, we conducted a meta-analysis of 45 empirical studies investigating the relationship between media use and ADHDrelated behaviors in children and adolescents. Our results indicated a small significant relationship between media use and ADHD-related behaviors (r ϩ ϭ .12). Finally, we identified several specific gaps in the existing literature and presented 5 crucial directions for future research.
Keywords: ADHD, attention problems, hyperactivity, impulsivity, media useIn the past four decades, children's media entertainment (e.g., cartoons, TV shows, and computer games) has changed significantly. It has become more fast-paced, violent, and arousing (Allen, Livingstone, & Reiner, 1998;Bushman, Jamieson, Weitz, & Romer, 2013;Koolstra, van Zanten, Lucassen, & Ishaak, 2004), and it has become abundantly accessible to ever younger children. These same four decades have also witnessed a significant increase in the diagnosis rate of attention-deficit/hyperactivity disorder (ADHD; Akinbami, Liu, Pastor, & Reuben, 2011;Kelleher, McInerny, Gardner, Childs, & Wasserman, 2000;Visser et al., 2014). ADHD is a behavioral disorder characterized by a cluster of three symptoms: attention problems, hyperactivity, and impulsivity (Diagnostic and Statistical Manual of Mental Disorders, 5th The parallel between changes occurring in children's media environment and ADHD diagnosis rates have led to a concern among some authors that use of media entertainment may influence ADHD-related behaviors (e.g., Christakis, 2009;Jensen et al., 1997;Nigg, 2006;Sigman, 2007). Although studies into the relationship between children's media use and ADHD-related behaviors have accumulated, they have yielded mixed results (also see Kirkorian, Wartella, & Anderson, 2008;Schmidt & Vandewater, 2008). It is essential to gain more understanding of the media-ADHD relationship in order to design adequate prevention and intervention strategies aimed at children displaying behavioral problems. To date, no attempt has been made to integrate the inconsistent findings in the current literature using meta-analysis. To fill this gap, we conducted a meta-analysis of studies investigating the relationship between the use of screen entertainment media (i.e., television viewing and video game playing) and ADHD-related behaviors in children or adolescents under the age of 18.For this ...