Screen Time and ADHD Behaviors in Chinese Children: Findings From Longitudinal and Cross-Sectional Data

Objective: Research suggests that screen exposure presents a risk for ADHD behaviors in young children. However, the operationalization of screen exposure remains murky and longitudinal data is scarce. In this paper, we examined the relations between better operationalized daily screen time and behaviors of inattention and behaviors of hyperactivity/impulsivity in three cohorts of community samples of young Chinese children. Method: Study 1 was longitudinal and included 111 children who were 3.6 years old (Range = 2.4-4.9; SD = 0.4) at Baseline and 4.8 years old (Range = 3.9-6.0; SD = 0.4) at Follow-Up. Study 2 was cross-sectional and included 172 children aged 4.9 years (Range = 3.0-7.1; SD = 1.0). Study 3 was also cross-sectional and included 313 children who were 6.9 years old (Range = 5.7-8.3; SD = 0.4). In each study, the parents reported how much time that their children spent daily on iPad/tablet, smart phone, and online games and watching TV in the previous week, and their children's behaviors of inattention (I/A) and hyperactivity/impulsivity (H/I). Results: Regression analysis revealed that in Study 1, controlling for child demographics, mother's education, family SES, and corresponding I/A or H/I scores at Baseline, screen time at Baseline predicted I/A scores (beta = .27, p < .01) and H/I scores (beta = .32, p < .001) at Follow-Up. Similarly, controlling for covariates, screen time predicted I/A scores (beta = .25, p < .01) and H/I scores (beta = .25, p < .01) in Study 2; I/A scores (beta = 0.16, p < .01) and H/I scores (beta = .15, p < .05) in Study 3. Conclusion: Screen exposure was a risk for inattention and hyperactivity/impulsivity behaviors in urban Chinese children.