Early-Childhood Tablet Use and Outbursts of Anger.

IF 24.7 1区 医学 Q1 PEDIATRICS
Caroline Fitzpatrick, Pedro Mario Pan, Annie Lemieux, Elizabeth Harvey, Fabricio de Andrade Rocha, Gabrielle Garon-Carrier
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引用次数: 0

Abstract

Importance: Tablet use continues to increase in preschool-aged children. The use of mobile devices has been linked to child emotional dysregulation. However, few studies have been able to show a clear direction of association between child tablet use and the development of self-regulation skills. In addition, few studies have modeled within-person associations over time.

Objective: To estimate how child tablet use contributes to expressions of anger and frustration across the ages of 3.5 to 5.5 years at the within-person level. The study team also examined the extent to which associations are bidirectional to clarify the direction of the correlations.

Design, setting, and participants: This prospective, community-based convenience sample of 315 parents of preschool-aged children from Nova Scotia, Canada, was studied repeatedly at the ages of 3.5 (2020), 4.5 (2021), and 5.5 years (2022) during the COVID-19 pandemic. All analyses were conducted between October 5, 2023, and December 15, 2023.

Exposure: Parent-reported tablet use at the ages of 3.5, 4.5, and 5.5 years.

Main outcome and measures: Parents reported child expressions of anger/frustration at the ages of 3.5, 4.5, and 5.5 years using the Children's Behavior Questionnaire.

Results: The sample was equally distributed across child sex (171 were identified by parents as being born boys [54%] and 144 as girls [46%]). Most reported being Canadian (287 [91.0%]) and married (258 [82.0%]). A random-intercept cross-lagged panel model revealed that a 1-SD increase in tablet use at 3.5 years (corresponding to 1.22 hours per day) was associated with a 22% SD scale increase in anger/frustration at age 4.5 years (standardized coefficient = 0.22; 95% CI, 0.01-0.44). A 1 SD scale increase in anger and frustration at 4.5 years was associated with a 22% SD (corresponding to 0.28 hours per day) increase in tablet use at 5.5 years (standardized coefficient = 0.22; 95% CI, 0.01-0.43).

Conclusion and relevance: In this study, child tablet use at age 3.5 years was associated with more expressions of anger and frustration by the age of 4.5 years. Child proneness to anger/frustration at age 4.5 years was then associated with more use of tablets by age 5.5 years. These results suggest that early-childhood tablet use may contribute to a cycle that is deleterious for emotional regulation.

儿童早期使用平板电脑与愤怒情绪的爆发
重要性:学龄前儿童使用平板电脑的人数不断增加。使用移动设备与儿童情绪失调有关。然而,很少有研究能够明确显示儿童使用平板电脑与自我调节能力发展之间的关联方向。此外,很少有研究模拟了随时间推移的人内关联:估计儿童平板电脑的使用对 3.5 至 5.5 岁儿童愤怒和沮丧情绪表达的影响。研究小组还研究了相关性的双向程度,以明确相关性的方向:在 COVID-19 大流行期间,对加拿大新斯科舍省 315 名学龄前儿童的父母在 3.5 岁(2020 年)、4.5 岁(2021 年)和 5.5 岁(2022 年)时的情况进行了重复研究。所有分析均在 2023 年 10 月 5 日至 2023 年 12 月 15 日期间进行:主要结果和测量指标:主要结果和测量指标:家长使用儿童行为问卷报告孩子在3.5、4.5和5.5岁时的愤怒/沮丧表现:样本中儿童的性别分布相当(171 名儿童的父母确认其为男孩[54%],144 名为女孩[46%])。大多数人称自己是加拿大人(287 人 [91.0%])和已婚人士(258 人 [82.0%])。随机截距交叉滞后面板模型显示,3.5 岁时平板电脑使用量每增加 1 标度(相当于每天 1.15 小时),4.5 岁时愤怒/沮丧程度就会增加 22% 标度(标准化系数 = 0.22;95% CI,0.01-0.44)。4.5 岁时,愤怒和沮丧程度每增加 1 SD,5.5 岁时平板电脑使用量就会增加 22% SD(相当于每天 0.28 小时)(标准化系数 = 0.22;95% CI,0.01-0.43):在这项研究中,儿童在 3.5 岁时使用平板电脑与 4.5 岁时更多地表达愤怒和沮丧有关。儿童在 4.5 岁时易愤怒/沮丧与 5.5 岁时更多地使用平板电脑有关。这些结果表明,儿童早期使用平板电脑可能会造成一种对情绪调节有害的循环。
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来源期刊
JAMA Pediatrics
JAMA Pediatrics PEDIATRICS-
CiteScore
31.60
自引率
1.90%
发文量
357
期刊介绍: JAMA Pediatrics, the oldest continuously published pediatric journal in the US since 1911, is an international peer-reviewed publication and a part of the JAMA Network. Published weekly online and in 12 issues annually, it garners over 8.4 million article views and downloads yearly. All research articles become freely accessible online after 12 months without any author fees, and through the WHO's HINARI program, the online version is accessible to institutions in developing countries. With a focus on advancing the health of infants, children, and adolescents, JAMA Pediatrics serves as a platform for discussing crucial issues and policies in child and adolescent health care. Leveraging the latest technology, it ensures timely access to information for its readers worldwide.
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