Youth Screen Media Habits and Sleep: Sleep-Friendly Screen Behavior Recommendations for Clinicians, Educators, and Parents.

With the widespread use of portable electronic devices and the normalization of screen media devices in the bedroom, insufficient sleep has become commonplace. In a recent literature review, 90% of included studies found an association between screen media use and delayed bedtime and/or decreased total sleep time. This pervasive phenomenon of pediatric sleep loss has widespread implications. There is a need for basic, translational, and clinical research examining the effects of screen media on sleep loss and health consequences in children and adolescents to educate and motivate clinicians, teachers, parents and youth themselves to foster healthy sleep habits.

[1]  S. Kurth,et al.  Acute sleep restriction increases dietary intake in preschool‐age children , 2017, Journal of sleep research.

[2]  H. Al-Hazzaa,et al.  Association of dietary habits with levels of physical activity and screen time among adolescents living in Saudi Arabia. , 2014, Journal of human nutrition and dietetics : the official journal of the British Dietetic Association.

[3]  Christina Schmidt,et al.  Blue blocker glasses as a countermeasure for alerting effects of evening light-emitting diode screen exposure in male teenagers. , 2015, The Journal of adolescent health : official publication of the Society for Adolescent Medicine.

[4]  T. Schierl,et al.  Impact of Singular Excessive Computer Game and Television Exposure on Sleep Patterns and Memory Performance of School-aged Children , 2007, Pediatrics.

[5]  Charles A Czeisler,et al.  High sensitivity of the human circadian melatonin rhythm to resetting by short wavelength light. , 2003, The Journal of clinical endocrinology and metabolism.

[6]  J. Bulck Television viewing, computer game playing, and Internet use and self-reported time to bed and time out of bed in secondary-school children. , 2004 .

[7]  Torbjörn Åkerstedt,et al.  The Effect of Violent and Nonviolent Video Games on Heart Rate Variability, Sleep, and Emotions in Adolescents With Different Violent Gaming Habits , 2013, Psychosomatic medicine.

[8]  Michael Gradisar,et al.  A meta-analysis and model of the relationship between sleep and depression in adolescents: recommendations for future research and clinical practice. , 2014, Sleep medicine reviews.

[9]  Yang Liu,et al.  Effects of VDT tasks with a bright display at night on melatonin, core temperature, heart rate, and sleepiness. , 2003, Journal of applied physiology.

[10]  V. Rideout,et al.  Media Family: Electronic Media in the Lives of Infants, Toddlers, Preschoolers, and Their Parents, The , 2006 .

[11]  M. Gradisar,et al.  Electronic media use and sleep in school-aged children and adolescents: A review. , 2010, Sleep medicine.

[12]  C. Nygård,et al.  Use of information and communication technology (ICT) and perceived health in adolescence: the role of sleeping habits and waking-time tiredness. , 2007, Journal of adolescence.

[13]  D. Elder,et al.  Environmental and behavioural factors associated with school children's sleep in Aotearoa/New Zealand , 2017, Journal of paediatrics and child health.

[14]  F. Jiang,et al.  The impact of media use on sleep patterns and sleep disorders among school-aged children in China. , 2007, Sleep.

[15]  L. Hale,et al.  Interactive vs passive screen time and nighttime sleep duration among school-aged children. , 2015, Sleep health.

[16]  J. Prochaska,et al.  Stages and processes of self-change of smoking: toward an integrative model of change. , 1983, Journal of consulting and clinical psychology.

[17]  S. Taheri,et al.  Associations between specific technologies and adolescent sleep quantity, sleep quality, and parasomnias. , 2014, Sleep medicine.

[18]  A. Grob,et al.  Habitual computer game playing at night is related to depressive symptoms , 2011 .

[19]  J. W. Woo Baidal,et al.  Risk Factors for Childhood Obesity in the First 1,000 Days: A Systematic Review. , 2016, American journal of preventive medicine.

[20]  A. Sadeh,et al.  Sleep in infancy and childhood: implications for emotional and behavioral difficulties in adolescence and beyond , 2014, Current opinion in psychiatry.

[21]  R. Steele,et al.  A meta-analysis of motivational interviewing interventions for pediatric health behavior change. , 2014, Journal of consulting and clinical psychology.

[22]  C. Azevedo,et al.  The effect of a sleep hygiene education program on the sleep-wake cycle of Brazilian adolescent students , 2007 .

[23]  P. Werkhoven,et al.  Meta-analysis of digital game and study characteristics eliciting physiological stress responses. , 2015, Psychophysiology.

[24]  Jan Van den Bulck,et al.  Sleep quality is negatively related to video gaming volume in adults , 2015, Journal of sleep research.

[25]  J. Nicholson,et al.  A Developmental Cascade Model of Behavioral Sleep Problems and Emotional and Attentional Self-Regulation Across Early Childhood , 2017, Behavioral sleep medicine.

[26]  P. Veugelers,et al.  Availability and night‐time use of electronic entertainment and communication devices are associated with short sleep duration and obesity among Canadian children , 2013, Pediatric obesity.

[27]  J. Trinder,et al.  What's Keeping Teenagers Up? Prebedtime Behaviors and Actigraphy-Assessed Sleep Over School and Vacation. , 2016, The Journal of adolescent health : official publication of the Society for Adolescent Medicine.

[28]  M. Kaess,et al.  Hours of sleep in adolescents and its association with anxiety, emotional concerns, and suicidal ideation. , 2014, Sleep medicine.

[29]  Christopher P. Barlett,et al.  Effects of realism on extended violent and nonviolent video game play on aggressive thoughts, feelings, and physiological arousal. , 2009, Aggressive behavior.

[30]  Daniel L. King,et al.  The impact of prolonged violent video‐gaming on adolescent sleep: an experimental study , 2013, Journal of sleep research.

[31]  T. O'Connor,et al.  Sleep problems in childhood: a longitudinal study of developmental change and association with behavioral problems. , 2002, Journal of the American Academy of Child and Adolescent Psychiatry.

[32]  L. Hale,et al.  Screen time and sleep among school-aged children and adolescents: a systematic literature review. , 2015, Sleep medicine reviews.

[33]  M. Tremblay,et al.  Electronic screens in children’s bedrooms and adiposity, physical activity and sleep: Do the number and type of electronic devices matter? , 2014, Canadian Journal of Public Health.

[34]  Jan Van den Bulck,et al.  Nodding off or switching off? The use of popular media as a sleep aid in secondary‐school children , 2006, Journal of paediatrics and child health.

[35]  M. Gradisar,et al.  The effect of presleep video-game playing on adolescent sleep. , 2010, Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine.

[36]  J. Rausch,et al.  Sleep restriction worsens mood and emotion regulation in adolescents. , 2014, Journal of child psychology and psychiatry, and allied disciplines.

[37]  Daniel L. King,et al.  Sleep Interference Effects of Pathological Electronic Media Use during Adolescence , 2014, International Journal of Mental Health and Addiction.

[38]  Steven Eggermont,et al.  "I don't want to miss a thing": Adolescents' fear of missing out and its relationship to adolescents' social needs, Facebook use, and Facebook related stress , 2016, Comput. Hum. Behav..

[39]  Stefania Sette,et al.  Technology Use and Sleep Quality in Preadolescence and Adolescence. , 2015, Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine.

[40]  S. Redline,et al.  Chronic Sleep Curtailment and Adiposity , 2014, Pediatrics.

[41]  J. Owens,et al.  Television-viewing Habits and Sleep Disturbance in School Children , 1999, Pediatrics.

[42]  A. Gray,et al.  Sleep hygiene intervention for youth aged 10 to 18 years with problematic sleep: a before-after pilot study , 2012, BMC Pediatrics.

[43]  Mari Hysing,et al.  Sleep and use of electronic devices in adolescence: results from a large population-based study , 2015, BMJ Open.

[44]  Dimitri A. Christakis,et al.  The Impact of a Healthy Media Use Intervention on Sleep in Preschool Children , 2012, Pediatrics.

[45]  A. Chang,et al.  Evening use of light-emitting eReaders negatively affects sleep, circadian timing, and next-morning alertness , 2014, Proceedings of the National Academy of Sciences.

[46]  R. Huber,et al.  Developmental changes in sleep and their relationships to psychiatric illnesses , 2013, Current opinion in psychiatry.

[47]  Tung-Cheng Lin,et al.  Effects of Gender and Game Type on Autonomic Nervous System Physiological Parameters in Long-Hour Online Game Players , 2013, Cyberpsychology Behav. Soc. Netw..

[48]  Y. Inoue,et al.  Bedtime Activities, Sleep Environment, and Sleep/Wake Patterns of Japanese Elementary School Children , 2008, Behavioral sleep medicine.

[49]  B. Knäuper,et al.  School-based sleep promotion programs: effectiveness, feasibility and insights for future research. , 2013, Sleep medicine reviews.

[50]  Jon D. Elhai,et al.  Fear of missing out, need for touch, anxiety and depression are related to problematic smartphone use , 2016, Comput. Hum. Behav..

[51]  C. Ko,et al.  The multidimensional correlates associated with short nocturnal sleep duration and subjective insomnia among Taiwanese adolescents. , 2008, Sleep.

[52]  M. Gradisar,et al.  Adolescents who perceive fewer consequences of risk‐taking choose to switch off games later at night , 2015, Acta paediatrica.

[53]  Daniel L. King,et al.  Intrinsic and extrinsic predictors of video-gaming behaviour and adolescent bedtimes: the relationship between flow states, self-perceived risk-taking, device accessibility, parental regulation of media and bedtime. , 2017, Sleep medicine.

[54]  Michael Gradisar,et al.  A motivational school-based intervention for adolescent sleep problems. , 2011, Sleep medicine.

[55]  J. Ballantine,et al.  For Parents Particularly: Raising Competent Kids: The Authoritative Parenting Style , 2001 .

[56]  S. Pallesen,et al.  Restricted use of electronic media, sleep, performance, and mood in high school athletes--a randomized trial. , 2015, Sleep health.

[57]  P. Sauer,et al.  Television, sleep, outdoor play and BMI in young children: the GECKO Drenthe cohort , 2015, European Journal of Pediatrics.

[58]  Arja Rimpelä,et al.  Digital Game Playing and Direct and Indirect Aggression in Early Adolescence: The Roles of Age, Social Intelligence, and Parent-Child Communication , 2007, Journal of youth and adolescence.

[59]  Jinkyu Han,et al.  Internet overuse and excessive daytime sleepiness in adolescents , 2009, Psychiatry and clinical neurosciences.

[60]  S. Gortmaker,et al.  Sleep Duration, Restfulness, and Screens in the Sleep Environment , 2015, Pediatrics.

[61]  M. Gillman,et al.  Short sleep duration in infancy and risk of childhood overweight. , 2008, Archives of pediatrics & adolescent medicine.

[62]  D. Ding,et al.  Sleep Duration, Schedule and Quality among Urban Chinese Children and Adolescents: Associations with Routine After-School Activities , 2015, PloS one.

[63]  D. Schwebel,et al.  Impact of Media Use on Adolescent Sleep Efficiency , 2016, Journal of developmental and behavioral pediatrics : JDBP.

[64]  Dimitri A Christakis,et al.  The Association Between Television Viewing and Irregular Sleep Schedules Among Children Less Than 3 Years of Age , 2005, Pediatrics.

[65]  Patricia Cohen,et al.  Association between television viewing and sleep problems during adolescence and early adulthood. , 2004, Archives of pediatrics & adolescent medicine.

[66]  M. Gradisar,et al.  Protective and risk factors for adolescent sleep: a meta-analytic review. , 2015, Sleep medicine reviews.

[67]  Lawrence T Lam,et al.  Internet Gaming Addiction, Problematic Use of the Internet, and Sleep Problems: A Systematic Review , 2014, Current Psychiatry Reports.

[68]  T. Ohida,et al.  The association between use of mobile phones after lights out and sleep disturbances among Japanese adolescents: a nationwide cross-sectional survey. , 2011, Sleep.

[69]  Emily K. Snell,et al.  Sleep timing and quantity in ecological and family context: a nationally representative time-diary study. , 2007, Journal of family psychology : JFP : journal of the Division of Family Psychology of the American Psychological Association.

[70]  Y. Motohashi,et al.  Effects of playing a computer game using a bright display on presleep physiological variables, sleep latency, slow wave sleep and REM sleep , 2005, Journal of sleep research.

[71]  E. Haffen,et al.  Massively multiplayer online role-playing games: comparing characteristics of addict vs non-addict online recruited gamers in a French adult population , 2011, BMC psychiatry.

[72]  B. Burnand,et al.  The RAND/UCLA Appropriateness Method User's Manual , 2001 .

[73]  B. Bjorvatn,et al.  Assessment and Treatment of Delayed Sleep Phase Disorder in Adolescents: Recent Innovations and Cautions , 2014 .

[74]  Michelle M. Garrison,et al.  Media Use and Child Sleep: The Impact of Content, Timing, and Environment , 2011, Pediatrics.

[75]  S. Quan,et al.  Consensus Statement of the American Academy of Sleep Medicine on the Recommended Amount of Sleep for Healthy Children: Methodology and Discussion. , 2016, Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine.

[76]  T. Åkerstedt,et al.  Playing a violent television game affects heart rate variability , 2009, Acta paediatrica.

[77]  Ismail Sahin,et al.  Problematic Internet use: Functions of use, cognitive absorption, and depression , 2014, Comput. Hum. Behav..

[78]  A. Harvey,et al.  The sleep and technology use of Americans: findings from the National Sleep Foundation's 2011 Sleep in America poll. , 2013, Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine.

[79]  E. Roos,et al.  Do computer use, TV viewing, and the presence of the media in the bedroom predict school-aged children’s sleep habits in a longitudinal study? , 2013, BMC Public Health.

[80]  B. Wood,et al.  Light level and duration of exposure determine the impact of self-luminous tablets on melatonin suppression. , 2013, Applied ergonomics.

[81]  S. Higuchi,et al.  Influence of light at night on melatonin suppression in children. , 2014, The Journal of clinical endocrinology and metabolism.

[82]  C. Xiaoli,et al.  Epidemiological aspects of self‐reported sleep onset latency in Japanese junior high school children , 2006, Journal of sleep research.

[83]  Ngianga-Bakwin Kandala,et al.  Meta-analysis of short sleep duration and obesity in children and adults. , 2008, Sleep.

[84]  W. Chonchaiya,et al.  Evening media exposure reduces night‐time sleep , 2015, Acta paediatrica.

[85]  S. Gortmaker,et al.  Insufficient sleep among elementary and middle school students is linked with elevated soda consumption and other unhealthy dietary behaviors. , 2015, Preventive medicine.

[86]  Florian Rehbein,et al.  Prevalence and Risk Factors of Video Game Dependency in Adolescence: Results of a German Nationwide Survey , 2010, Cyberpsychology Behav. Soc. Netw..

[87]  R. Reimão,et al.  Nightly use of computer by adolescents: its effect on quality of sleep. , 2007, Arquivos de neuro-psiquiatria.

[88]  M. Mainster,et al.  Circadian photoreception: ageing and the eye’s important role in systemic health , 2008, British Journal of Ophthalmology.

[89]  A. Grob,et al.  Adolescents’ Electronic Media Use at Night, Sleep Disturbance, and Depressive Symptoms in the Smartphone Age , 2015, Journal of youth and adolescence.

[90]  Christopher R. Engelhardt,et al.  Bedtime Electronic Media Use and Sleep in Children with Autism Spectrum Disorder , 2016, Journal of developmental and behavioral pediatrics : JDBP.

[91]  Daniel J Buysse,et al.  Recommended Amount of Sleep for a Healthy Adult: A Joint Consensus Statement of the American Academy of Sleep Medicine and Sleep Research Society. , 2015, Sleep.

[92]  M. Carskadon,et al.  Increased Sensitivity of the Circadian System to Light in Early/Mid-Puberty. , 2015, The Journal of clinical endocrinology and metabolism.

[93]  A. Chang,et al.  Sleep in the modern family: protective family routines for child and adolescent sleep. , 2015, Sleep health.

[94]  Jodi A. Mindell,et al.  A Clinical Guide to Pediatric Sleep: Diagnosis and Management of Sleep Problems , 2009 .

[95]  L. Moseley,et al.  Evaluation of novel school-based interventions for adolescent sleep problems: does parental involvement and bright light improve outcomes? , 2015, Sleep health.

[96]  M. LeBourgeois,et al.  Toddler's self‐regulation strategies in a challenge context are nap‐dependent , 2015, Journal of sleep research.

[97]  M. Hirshkowitz,et al.  National Sleep Foundation's sleep time duration recommendations: methodology and results summary. , 2015, Sleep health.

[98]  M. Gradisar,et al.  Does one hour of bright or short-wavelength filtered tablet screenlight have a meaningful effect on adolescents’ pre-bedtime alertness, sleep, and daytime functioning? , 2014, Chronobiology international.

[99]  A. Wirz-Justice,et al.  Evening exposure to a light-emitting diodes (LED)-backlit computer screen affects circadian physiology and cognitive performance. , 2011, Journal of applied physiology.

[100]  A. Harvey,et al.  Later emotional and behavioral problems associated with sleep problems in toddlers: a longitudinal study. , 2015, JAMA pediatrics.

[101]  G. Thomas,et al.  Exploring the complex pathways among specific types of technology, self-reported sleep duration and body mass index in UK adolescents , 2013, International Journal of Obesity.

[102]  D. Beebe,et al.  Cognitive, behavioral, and functional consequences of inadequate sleep in children and adolescents. , 2011, Pediatric clinics of North America.

[103]  L. Hale,et al.  Association Between Portable Screen-Based Media Device Access or Use and Sleep Outcomes: A Systematic Review and Meta-analysis. , 2016, JAMA pediatrics.