O064 Screen Time, Sleep, and Behavioural Development in Preschool Children: Relationships Caregiver Rules and Perceptions of Screen Time

E Axelsson, A Metse, S Nanthakumar, A Robson, G Paeach, A Asis, K Purcell
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Abstract

Abstract Sleep is highly important for children’s behaviour (Touchette et al., 2007). However, screen time is associated with poorer sleep (Janssen et al., 2020), and greater behavioural difficulties (Hinkley et al., 2018), but they are rarely investigated together. Caregivers’ rules and perceptions about screen time are also associated with children’s engagement with screens. Caregivers of preschoolers completed online questionnaires about children’s screen time, sleep-related behaviours (Child Sleep-Wake Scale), behaviour (Child Behavior Checklist (CBCL, 1.5-5)), person-social development (Ages and Stages Questionnaire-3 (ASQ-3)), and questions about their rules and perceptions of screen time. Greater screen times predicted lower personal-social scores, and better sleep-related behaviours predicted lower internalising scores. Greater screen times were predicted by caregivers’ tendency to disagree about limits on screen time and a greater inclination to think limits cause conflict. Lower child personal-social scores predicted caregivers’ tendency to disagree about screen time limits. Greater child externalising behaviours predicted caregivers’ belief that screen time helps calm their child and that time limits cause conflicts. Poorer child sleep also predicted caregivers’ tendency to think screen time limits cause conflict. Therefore, caregivers’ rules and perceptions are associated with children’s screen times, but also children’s behaviours are associated with caregivers’ rules and perceptions about screen time. This is concerning as screen time predicted poorer personal-social behaviours in children. Providing caregivers with alternative ways to manage behaviours and conflicts surrounding time limits could also help in managing children’s screen times. This could have long-term implications for healthy sleep, social, and behavioural development in children.
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学龄前儿童的屏幕时间、睡眠和行为发展:照顾者规则和屏幕时间感知的关系
睡眠对儿童的行为非常重要(Touchette et al., 2007)。然而,屏幕时间与较差的睡眠(Janssen et al., 2020)和更大的行为困难(Hinkley et al., 2018)有关,但它们很少被一起调查。照顾者对屏幕时间的规则和看法也与儿童与屏幕的接触有关。学龄前儿童的照顾者完成了关于儿童屏幕时间、睡眠相关行为(儿童睡眠-觉醒量表)、行为(儿童行为清单(CBCL, 1.5-5))、个人-社会发展(年龄和阶段问卷-3 (ASQ-3))的在线问卷,以及关于他们对屏幕时间的规则和感知的问题。更长的屏幕时间预示着更低的个人社会得分,而更好的睡眠相关行为预示着更低的内化得分。看护人倾向于不同意对屏幕时间的限制,并且更倾向于认为限制会导致冲突,这预示着更长的屏幕时间。儿童的个人-社会得分越低,看护人对屏幕时间限制的看法就越不一致。更大的儿童外化行为预示着看护者相信屏幕时间有助于让孩子平静下来,而时间限制会导致冲突。儿童睡眠较差也预示着看护者倾向于认为屏幕时间限制会导致冲突。因此,照顾者的规则和感知与儿童的屏幕时间有关,但儿童的行为也与照顾者关于屏幕时间的规则和感知有关。这一点令人担忧,因为屏幕时间预示着儿童较差的个人社交行为。为照顾者提供其他方法来管理围绕时间限制的行为和冲突,也有助于管理儿童的屏幕时间。这可能会对儿童的健康睡眠、社交和行为发展产生长期影响。
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