| Poster | Poster Session 10 Program Schedule
02/17/2024
09:00 am - 10:15 am
Room: Shubert Complex (Posters 1-60)
Poster Session 10: Neurodevelopmental | Congenital Conditions
Final Abstract #60
The Relationship Between Media and Hyperactivity/ADHD in Children: A Systematic Review and Meta-Analysis
Sofia Lawrence, Stuyvesant High School, Brooklyn/NYC, United States
Paul Lewis, Columbia University, Manhattan, New York, United States
Category: ADHD/Attentional Functions
Keyword 1: attention deficit hyperactivity disorder
Keyword 2: technology
Keyword 3: child development disorders
Objective:
Excessive screen time and screen addiction are ever so increasing in children and adolescents. At the same time, ADHD and hyperactivity are also increasing in children and adolescents, and some studies suggest that it may be linked with the use of media. This systematic review aims to assess the relationship between media and hyperactivity or ADHD in children.
Participants and Methods:
A systematic review was conducted following PRISMA guidelines using various iterations of keywords such as "children", "media", and "hyperactivity" in Pubmed, Google Scholar, PsycInfo, and Cochrane. Studies were limited to peer reviewed articles published between January 2018- August 2023 resulting in 2,832 articles. Titles and abstracts were reviewed resulting in the exclusion of 2,779 articles due to not being in English or irrelevance to the topic of media and hyperactivity. 53 full articles were screened based on topic relevance (measured hyperactivity), age (children or adolescents), media (social media, television, video games). 17 articles were included in the final analysis.
Results:
Combining participant data across included studies yielded 107,320 total participants. Within the meta-analysis, a screen time ≥2 hours/day was found to be positively associated with hyperactivity issues in children (OR=2.81, 95% CI [2.66-2.97], p<0.0001). Children with early exposure to media, under the age of 2, had a higher likelihood of developing hyperactivity in the future (OR=1.57, 95% CI [1.21-2.02], p=0.001). Regular users of mobile devices had an increased risk of developing hyperactivity issues than non-regular users of mobile devices (OR=1.85, 95% CI [1.25-2.74] p=0.002). Program viewing, such as TV use, was found to be associated with an increased likelihood of hyperactivity issues in children (OR=2.23, 95% CI [1.4-3.54], p<0.01), as well as electronic game playing (OR=1.65, 95% CI [1.08-2.51], p=0.02). Every additional hour of media exposure was associated with a higher mean hyperactivity score (95% CI [0.006-0.14] p=0.04). Educational forms of media such as electronic learning did not have a significant association with hyperactivity issues (p=0.27).
Children with ADHD had higher screen time than children without ADHD: <2 hours daily compared to 6 hours daily (p<0.001). Children with ADHD also tend to have more isolating behaviors surrounding media usage, such as prefer using media than playing with other children. Children with ADHD were found to be more likely to develop an internet addiction (OR=9.3) than children without ADHD and score higher on the Youth Internet Addiction Test (p=0.001). Children with ADHD and problematic digital media use had worse symptoms of inattention (p=0.04), oppositional defiance (p=0.01), and conduct problems (p=0.01).
Conclusions:
Overall, media and screen time was associated with hyperactivity and ADHD in children and adolescents. Further research may provide insight into specific types of media, media’s relationship with children under 6, and avenues for public health intervention.
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