Screen use can disrupt children’s sleep health at any age or developmental stage. But which devices have the greatest effect and which specific sleep health challenges are linked to different types of screen use?
Children and Screens’ latest Research-at-a-Glance on “Sleep and Screens” provides a quick, printable, and accessible resource with current and quality research on screen media’s effects on children’s sleep health.
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Chiu, K., Lewis, F.C., Ashton, R., Cornish, K.M., & Johnson, K.A. (2022). Higher tablet use is associated with better sustained attention performance but poorer sleep quality in school-aged children. Front Psychol, 12. https://doi.org/10.3389/fpsyg.2021.742468
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Dong, H., Wang, T., Feng, J., Xue, Y., & Jia, F. (2023). The relationship between screen time before bedtime and behaviors of preschoolers with autism spectrum disorder and the mediating effects of sleep. BMC Psychiatry, 23(635). https://doi.org/10.1186/s12888-023-05128-6
Echevarria, P., Del-Ponte, B., Tovo-Rodrigues, L., Matijasevich, A., Halal, C.S., & Santos, I.S. (2023). Screen use and sleep duration and quality at 15 years old: Cohort study. Sleep Medicine: X, 5. doi: 10.1016/j.sleepx.2023.100073
Eto, T., & Higuchi, S. (2023). Review on age-related differences in non-visual effects of light: Melatonin suppression, circadian phase shift and pupillary light reflex in children to older adults. Journal of Physiological Anthropology, 42(11). https://doi.org/10.1186/s40101-023-00328-1
Exelmans, L., & Van den Bulck, J. (2017). Bedtime, shuteye time and electronic media: Sleep displacement is a two‐step process. Journal Sleep Res, 26(3), 364–370. doi: 10.1111/jsr.12510
Fitzpatrick, C., Almeida, M.L., Harvey, E., Garon-Carrier, G., Berrigan, F., & Asbridge, M. (2022). An examination of bedtime social media and excessive screen time by Canadian preschoolers during the COVID-19 pandemic. BMC Pediatr, 22(212). https://doi.org/10.1186/s12887-022-03280-8
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Gaya, A.R., Brum, R., Brites, K., Gaya, A., de Borba Schneiders, L., Duarte Junior, A., & López-Gil, J. (2023). Electronic device and social network use and sleep outcomes among adolescents: The EHDLA study. BMC Public Health, 23(919). https://doi.org/10.1186/s12889-023-15579-x
Hale, L., Kirschen, G.W., LeBourgeois, M.K., Gradisar, M., Garrison, M.M., Montgomery-Downs, H.,…& Buxton, O.M. (2018). Youth screen media habits and sleep: Sleep-friendly screen behavior recommendations for clinicians, educators, and parents. Child Adolesc Psychiatr Clin N Am, 27(2), 229-245. doi: 10.1016/j.chc.2017.11.014
Hartstein, L.E., Diniz Behn, C., Wright, K.P., Jr., Akacem, L.D., Stowe, S.R., & LeBourgeois, M.K. (2023). Evening light intensity and phase delay of the circadian clock in early childhood. J Biol Rhythms, 38(1), 77–86. doi: 10.1177/07487304221134330
Hartstein, L.E., Mathew, G.M., Reichenberger, D.A., Rodriguez, I., Allen, N., Chang, A.M.,…& Hale, L. (2024). The impact of screen use on sleep health across the lifespan: A national sleep foundation consensus statement. Sleep Health, 10(4), 373-384. https://www.sleephealthjournal.org/article/S2352-7218(24)00090-1/fulltext
Helm, A.F., & Spencer, R.M.C. (2019). Television use and its effects on sleep in early childhood. Sleep Health, 5(3), 241-247. doi: 10.1016/j.sleh.2019.02.009
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Jakobsson, M., Josefsson, K., & Högberg, K. (2024). Adolescents’ suggestions on how to support their sleep: A focus group study. J Sch Nurs, 40(3), 275-284. doi: 10.1177/10598405221084317
Johansson, A.E., Petrisko, M.A., & Chasens, E.R. (2016). Adolescent sleep and the impact of technology use before sleep on daytime function. J Pediatr Nurs, 31(5), 498-504. doi: 10.1016/j.pedn.2016.04.004
Khan, A., Reyad, M.A.H., Edwards, E., & Horwood, S. (2023). Associations between adolescent sleep difficulties and active versus passive screen time across 38 countries. J Affect Disord, 320, 298-304. doi: 10.1016/j.jad.2022.09.137
Khan, A., Thomas, G., Karatela, S., Morawska, A., & Werner-Seidler, A. (2024). Intense and problematic sleep social media use and sleep difficulties of adolescents in 40 countries. Journal of Adolescence, 96(5), 1116-1125. https://doi.org/10.1002/jad.12321
Lee, P.H., Tse, A.C.Y., Cheung, T., Do, C.W., Szeto, G., So, B., & Lee, R. (2022). Bedtime smart device usage and accelerometer-measured sleep outcomes in children and adolescents. Sleep Breath, 26, 477–487. https://doi.org/10.1007/s11325-021-02377-1
Lin, J., Magiati, I., Chiong, S.H., Singhal, S., Riard, N., Ng, I.,…& Chui, M. (2019). The relationship among screen use, sleep, and emotional/behavioral difficulties in preschool children with neurodevelopmental disorders. J Dev Behav Pediatr, 40, 519-529. doi: 10.1097/DBP.0000000000000683
McManus, B., Underhill, A., Mrug, S., Anthony, T., & Stavrinos, D. (2021). Gender moderates the relationship between media use and sleep quality. J Sleep Res, 30(4). https://doi.org/10.1111/jsr.13243
Mireku, M.O., Barker, M.M., Mutz, J., Dumontheil, I., Thomas, M.S.C., Röösli, M.,…& Toledano, M.B. (2019). Night-time screen-based media device use and adolescents’ sleep and health-related quality of life. Environ Int, 124, 66–78. https://doi.org/10.1016/j.envint.2018.11.069
Nagata, J.M., Singh, G., Yang, J.H., Smith, N., Kiss, O., Ganson, K.T.,…& Baker, F.C. (2023). Bedtime screen use behaviors and sleep outcomes: Findings from the Adolescent Brain Cognitive Development (ABCD) Study. Sleep Health, 9(4), 497-502. doi: 10.1016/j.sleh.2023.02.005
Nathanson, A.I., & Beyens, I. (2018). The relation between use of mobile electronic devices and bedtime resistance, sleep duration, and daytime sleepiness among preschoolers. Behav Sleep Med, 16(2), 202-219. doi: 10.1080/15402002.2016.1188389
Nishioka, T., Hasunuma, H., Okuda, M., Taniguchi, N., Fujino, T., Shimomura, H.,…& Japan Environment and Children’s Study Group. (2022). Effects of screen viewing time on sleep duration and bedtime in children aged 1 and 3 years: Japan environment and children’s study. Int J Environ Res Public Health, 19(7). https://doi.org/10.3390/ijerph19073914
Nosetti, L., Lonati, I., Marelli, S., Salsone, M., Sforza, M., Castelnuovo, A.,…& Castronovo, V. (2021). Impact of pre-sleep habits on adolescent sleep: An Italian population-based study. Sleep Med, 81, 300-306. doi: 10.1016/j.sleep.2021.02.054
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Pillion, M., Gradisar, M., Bartel, K., Whittall, H., & Kahn, M. (2022). What’s “app”-ning to adolescent sleep? Links between device, app use, and sleep outcomes. Sleep Med, 100, 174–182. doi: 10.1016/j.sleep.2022.08.004
Poirier, K., Gauvin, L., Haddad, S., Bélanger, R.E., Leatherdale, S.T., & Turcotte-Tremblay, A.M. (2024). Evolution of sleep duration and screen time between 2018 and 2022 among Canadian adolescents: Evidence of drifts accompanying the COVID-19 pandemic. J Adolesc Health, 74(5), 980-988. doi: 10.1016/j.jadohealth.2023.12.023
Poulain, T., Hilbert, C., Grundmann, A., & Kiess, W. (2024). Associations between media use at bedtime and sleep: A cross-sectional analysis on differences between girls and boys. Front. Psychol, 15. https://doi.org/10.3389/fpsyg.2024.1290935
Reardon, A., Lushington, K., & Agostini, A. (2023). Adolescent sleep, distress, and technology use: Weekday versus weekend. Child and Adolescent Mental Health, 28(1), 108-116. https://doi.org/10.1111/camh.12616
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Smith, C., de Wilde, T., Taylor, R.W., & Galland, B.C. (2020). Prebedtime screen use in adolescents: A survey of habits, barriers, and perceived acceptability of potential interventions. J Adolesc Health, 66(6), 725–732. doi: 10.1016/j.jadohealth.2019.12.007
Twenge, J.M., Hisler, G.C., & Krizan, Z. (2019). Associations between screen time and sleep duration are primarily driven by portable electronic devices: Evidence from a population-based study of U.S. children ages 0–17. Sleep Med, 56, 211–218. doi: 10.1016/j.sleep.2018.11.009
Vézina-Im, L., Beaulieu, D., Turcotte, S., Roussel-Ouellet, J., Labbé, V., & Bouchard, D. (2022). Association between recreational screen time and sleep quality among adolescents during the third wave of the COVID-19 pandemic in Canada. Int J Environ Res Public Health, 19(15). https://doi.org/10.3390/ijerph19159019
Yoon, J.Y., Jeong, K.H., & Cho, H.J. (2021). The effects of children’s smartphone addiction on sleep duration: The moderating effects of gender and age. Int J Environ Res Public Health, 18(11). https://doi.org/10.3390/ijerph18115943
Zhu, R., Fang, H., Chen, M., Hu, X., Cao, Y., Yang, F., & Xia, K. (2020). Screen time and sleep disorder in preschool children: Identifying the safe threshold in a digital world. Public Health, 186, 204–210. doi: 10.1016/j.puhe.2020.07.028