Relationship Between Screen Time and Mother-Child Reciprocal Interaction in Typically Developing Children and Children with Autism Spectrum Disorders

Krupa, Murugesan; Boominathan, P.; Ramanan, Padmasani Venkat; Sebastian, Swapna

doi:10.1007/s12098-018-02844-w

Cited by 10 publications

(10 citation statements)

References 4 publications

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“…The longer the screen time is, the worse the parent-child interaction level. Krupa's study (20) also reported the same results. In addition to children's personal screen time, family screen time also has a negative impact on the parent-child relationship.…”

Section: Screen Time Is Related To Parent-child Interactionsupporting

confidence: 61%

“…In addition to children's personal screen time, family screen time also has a negative impact on the parent-child relationship. Therefore, we should limit not only the screen time of children with ASD but also the screen time of their families (20). Some studies indicate that parent-child interaction is an intermediary factor.…”

Section: Screen Time Is Related To Parent-child Interactionmentioning

confidence: 99%

“…Research on the relationship between screen time and behavior in ASD children (13) shows that children who are exposed to electronic screens for more than 3 h a day have language delay, attention deficit and hyperactivity problems. Krupa's research has indicated that the screen time of ASD children and of their family members could affect the interaction between mother and child (20). These poor social interactions (mainly games) can further exacerbate children's autism-like symptoms and affect their development.…”

Section: Introductionmentioning

confidence: 99%

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Screen Time and Autism: Current Situation and Risk Factors for Screen Time Among Pre-school Children With ASD

et al. 2021

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Objective: To investigate the current status of screen time in children with ASD, its correlation with autistic symptoms and developmental quotient (DQ), and the factors affecting screen time.Method: One hundred ninety-three Chinese children with ASD were recruited. We collected the demographic and screen time data using a questionnaire. The ASD core symptoms and developmental quotient (DQ) were measured by the Autism Behavior Checklist (ABC), Childhood Autism Rating Scale (CARS), Autism Diagnostic Observation Schedule-Second Edition (ADOS-2), Griffiths Development Scales-Chinese Language Edition (GDS-C), and Chinese Children's Parent-Child Relationship Questionnaire (CPCIS). Then, we analyzed the correlations between the screen time of children with ASD and the ABC, CARS, ADOS, GDS-C DQs, and CPCIS scores. Linear regression was used to analyze the risk factors that affect screen time.Results: The children's average daily screen time was 2.64 ± 2.24 h. Forty eight percent children were exposed to two or more types of electronic devices. Their favorite activity of screen time was watching cartoons. Only 34% children spent screen time accompanied by parents and with communication. 50.26% children had no screen time before sleeping. The screen time of children with ASD had a negative correlation with the GDS-C CQ (r = −0.234, P = 0.001) and the CPCIS score (r = −0.180, P = 0.012) and a positive correlation with the CARS score (r = 0.192, P = 0.009). A low father's education level (P = 0.010), less restriction of the child's screen time by the guardian (P = 0.001), greater caregiver screen time (P < 0.001), the use of the screen as a tool for child rearing (P = 0.001), and the child's ownership of independent electronic equipment (P = 0.027) are risk factors for long screen time in children with ASD.Conclusion: The screen time of children with ASD in China is higher than the recommended standard, and the current situation is serious. The screen time of ASD children is related to their autism symptoms, DQ and parent-child interaction. Low paternal education levels, less restriction of children's screen time by guardians, greater guardian screen time, the use of screens in child rearing, and children's ownership of independent electronic equipment can lead to an increase in children's screen time. These findings may have implications for family intervention strategies.

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Section: Screen Time Is Related To Parent-child Interactionsupporting

confidence: 61%

Section: Screen Time Is Related To Parent-child Interactionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Screen Time and Autism: Current Situation and Risk Factors for Screen Time Among Pre-school Children With ASD

et al. 2021

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“…Our findings are consistent with previous research. Firstly, a study by Krupa et al found an overall negative association between family screen time and the duration of caregiver-child reciprocal interaction [62]. Similarly, a study by Mendelsohn et al showed that verbal interactions between mothers and children were limited during screen exposure, with only 42.8% mothers talking to their children while co-viewing educational programs and 21.3% during non-educational programs [63].…”

Section: Association Between Early Electronic Screen Exposure and Caregiver-child Interaction Sleep Duration And Outdoor Activitiesmentioning

confidence: 99%

Early Electronic Screen Exposure and Autistic-Like Behaviors among Preschoolers: The Mediating Role of Caregiver-Child Interaction, Sleep Duration and Outdoor Activities

Chen

Strodl

et al. 2020

Children

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Research into early screen exposure has raised growing concerns about its impact upon children’s neuropsychological well-being. However, possible pathways remain unclear. This study therefore aimed not only to evaluate the association between screen exposure during the ages of 0–3 years and preschoolers’ autistic-like behaviors, but also the mediating roles of the frequency of caregiver-child interaction, sleep duration and level of participation in outdoor activities. Based on the 2017 survey of the Longhua Child Cohort Study, data of 29,595 child-caregiver dyads were obtained via a caregiver-reported questionnaire, with the data from 29,461 dyads included in the data analysis. Multiple linear and logistic regression models were employed to estimate the associations between screen exposure, caregiver-child interaction, sleep duration, outdoor activities, and children’s autistic-like behaviors. The results indicated that screen exposure during 0–3 years of age was associated with the presence of autistic-like behaviors at preschool age, and the strength of the association was enhanced with the increase of average daily screen time (Odds Ratios (ORs) ranging from 1.358 to 4.026). The frequency of caregiver-child interaction and sleep duration mediated 5.32% and 1.19% of the variance of the association respectively, but outdoor activities did not mediate the association. Our findings indicate that preschoolers who are exposed to screens at aged 0–3 years might have an increased risk of autistic-like behaviors, and that, the frequency of caregiver-child interaction and sleep duration might function as potential mediators of this association.

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“…We evaluated television screening time and, only 3.7% of children with ASD had screen time less than 1 hour, as recommended by AAP (41). It is known that in addition to child's direct screen time, family screen time has negative impact on mother child reciprocal interaction (42). Thus, clinician should give advice to the families about the importance of limitation of the screening time as a part of anticipatory guidance in every visit.…”

Section: Discussionmentioning

confidence: 99%

Üçüncü basamak sağlık hizmeti veren bir merkezde otizm spektrum bozukluğu nedeniyle izlenen 4 yaş altındaki çocukların gelişimsel özellikleri

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et al. 2020

Ankara Eğitim Ve Araştırma Hastanesi Tıp Dergisi

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The aim of the study was to describe the clinical and developmental characteristics of toddlers with autism spectrum disorder (ASD); and find out early manifestations. MATERIAL AND METHOD:Medical records of 134 ASD diagnosed children under 4 years of age between January 2017-May 2019 were retrospectively reviewed. Developmental characteristics of the children diagnosed at ≤24 months and >24 months of age were compared. RESULTS: Forty-three (32.1%) of the children were diagnosed with autism at ≤24 months of age, and 91 (67.9%) were diagnosed at > 24 months. The most common concern expressed by parents at admission was language delay (46.2%). While only 1.5% of parents named "autism" spontaneously as a concern at admission, 73.9% of parents expressed concerns about ASD when the history was detailed. Parental concern about ASD (p=0.031) and mothers' educational level >8 years (p=0.002) were correlated with earlier diagnosis. Children diagnosed at ≤24 months of age were more likely to have inability to follow verbal commands (p=0.012) and delayed motor milestones (p=0.008). Other ASD signs and clinical characteristics were similar between children who diagnosed at ≤24 and >24 months of age. CONCLUSION:The signs of ASD emerge over the first 2 years of life. Children who diagnosed ASD at ≤24 months of age have poorer receptive language and motor skills. Parents recognized the warning signs of ASD, but they might have not express their concerns clearly. Pediatricians should take time to listen the parents' developmental concerns and notice the early symptoms of ASD.

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Relationship Between Screen Time and Mother-Child Reciprocal Interaction in Typically Developing Children and Children with Autism Spectrum Disorders

Cited by 10 publications

References 4 publications

Screen Time and Autism: Current Situation and Risk Factors for Screen Time Among Pre-school Children With ASD

Screen Time and Autism: Current Situation and Risk Factors for Screen Time Among Pre-school Children With ASD

Early Electronic Screen Exposure and Autistic-Like Behaviors among Preschoolers: The Mediating Role of Caregiver-Child Interaction, Sleep Duration and Outdoor Activities

Üçüncü basamak sağlık hizmeti veren bir merkezde otizm spektrum bozukluğu nedeniyle izlenen 4 yaş altındaki çocukların gelişimsel özellikleri

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