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.

Abid, R., Ammar, A., Maaloul, R., Boudaya, M., Souissi, N., & Hammouda, O. (2024). Nocturnal smartphone use affects sleep quality and cognitive and physical performance in Tunisian school-age children. Eur J Investig Health Psychol Educ, 14(4), 856-869. doi: 10.3390/ejihpe14040055

Axelsson, E.L., Purcell, K., Asis, A., Paech, G., Metse, A., Murphy, D., & Robson, A. (2022). Preschoolers’ engagement with screen content and associations with sleep and cognitive development, Acta Psychol, 230. https://doi.org/10.1016/j.actpsy.2022.103762

Becker, S.P., & Lienesch, J.A. (2018). Nighttime media use in adolescents with ADHD: Links to sleep problems and internalizing symptoms. Sleep Med, 51, 171-178. doi: 10.1016/j.sleep.2018.06.021

Bellagamba, F., Presaghi, F., Di Marco, M., D’Abundo, E., Blanchfield, O., & Barr R. (2021) How infant and toddlers’ media use is related to sleeping habits in everyday life in Italy. Front. Psychol, 12. https://doi.org/10.3389/fpsyg.2021.589664

Bozkurt, A., Demirdöğen, E.Y., & Akıncı, M.A., (2024) The association between bedtime procrastination, sleep quality, and problematic smartphone use in adolescents: A mediation analysis. The Eurasian J Med, 56, 69-75. https://doi.org/10.5152/eurasianjmed.2024.23379

Brushe, M.E., Islam, T., Monroy, N.S., Sincovich, A., Gregory, T., Finlay-Jones, A., & Brinkman, S.A. (2022). Prevalence of electronic device use before bed among Australian children and adolescents: A cross-sectional population level study. Australian and New Zealand Journal of Public Health, 46(3), 286–291. https://doi.org/10.1111/1753-6405.13214

Charmarman, L., Richer, A.M., Ben-Joseph, E.P., & Klerman, E.B. (2020). Quantity, content, and context matter: Associations among social technology use and sleep habits in early adolescents. J Adolesc Health, 69(1), 162-165. doi: 10.1016/j.jadohealth.2020.09.035

Chen, Y., Li, Y., Li, S., He, M., Chen, Q., Ru, T., & Zhou, G. (2024). When and what: A longitudinal study on the role of screen time and activities in adolescent sleep. Sleep Med, 117, 33-39. doi: 10.1016/j.sleep.2024.03.008

Cheung, C., Bedford, R., Saez De Urabain, I., Karmiloff-Smith, A., & Smith, T.J. (2017).  Daily touchscreen use in infants and toddlers is associated with reduced sleep and delayed sleep onset. Sci Rep, 7. https://doi.org/10.1038/srep46104 

Chindamo, S., Buja, A., DeBattisti, E., Terraneo, A., Marini, E., Javier, L.,…& Gallimberti, L. (2019). Sleep and new media usage in toddlers. Eur J Pediatr, 178, 483–490. https://doi.org/10.1007/s00431-019-03318-7

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

Common Sense Media. (2019). The Common Sense census: Media use by tweens and teens, 2019. Common Sense Media. https://www.commonsensemedia.org/sites/default/files/research/report/2019-census-8-to-18-full-report-updated.pdf

Conlin, M.C., & Sillence, E. (2021). Exploring British adolescents’ views and experiences of problematic smartphone use and smartphone etiquette. Journal of Gambling Issues, 46. 279-301. doi: 10.4309/jgi.2021.46.14

Daniels, A., Pillion, M., Rullo, B., Mikulcic, J., Whittall, H., Bartel, K.,…& Bauducco, S.V. (2023). Technology use as a sleep-onset aid: Are adolescents using apps to distract themselves from negative thoughts? Sleep Adv, 4(1). https://doi.org/10.1093/sleepadvances/zpac047

Diler, F., & Başkale, H. (2022). The influence of sleep patterns and screen time on the sleep needs of infants and toddlers: A cross-sectional study. J Pediatr Nurs, 67. doi: 10.1016/j.pedn.2022.07.014

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

Gamble, A.L., D’Rozario, A.L., Bartlett, D.J., Williams, S., Bin, Y.S., Grunstein, R.R., & Marshall, N.S. (2014). Adolescent sleep patterns and night-time technology use: Results of the Australian Broadcasting Corporation’s Big Sleep Survey. PloS One, 9(11). doi: 10.1371/journal.pone.0111700

Garrison, M.M., Liekweg, K., & Christakis, D.A. (2011). Media use and child sleep: The impact of content, timing, and environment. Pediatrics, 128(1), 29-35. doi: 10.1542/peds.2010-3304

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

Horiuchi, F., Oka, Y., Kawabe, K., & Ueno, S. (2020). Sleep habits and electronic media usage in Japanese children: A prospective comparative analysis of preschoolers. Int J Environ Res Public Health, 17(14). https://doi.org/10.3390/ijerph17145189

Hysing, M., Pallesen, S., Stormark, K.M., Jakobsen, R., Lundervold, A.J., & Sivertsen, B. (2015). Sleep and use of electronic devices in adolescence: Results from a large population-based study. BMJ Open, 5(1). doi: 10.1136/bmjopen-2014-006748

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 

Paruthi, S., Brooks, L.J., D’Ambrosio, C., Hall, W.A., Kotagal, S., Lloyd, R.M.,…& Wise, M.S. (2016). Consensus statement of the American Academy of Sleep Medicine on the recommended amount of sleep for healthy children: Methodology and discussion. J Clin Sleep Med, 12(11), 1549-1561. doi: 10.5664/jcsm.6288 

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 

Restrepo, A., Scheininger, T., Clucas, J., Alexander, L., Salum, G.A., Georgiades, K.,…& Milham, M.P. (2020). Problematic internet use in children and adolescents: Associations with psychiatric disorders and impairment. BMC Psychiatry, 20(252). https://doi.org/10.1186/s12888-020-02640-x 

Royant-Parola, S., Londe, V., Tréhout, S., & Hartley, S. (2018). The use of social media modifies teenagers’ sleep-related behavior. L’encephale, 44(4), 321-328. doi: 10.1016/j.encep.2017.03.009 

Scott, H., Biello, S.M., & Woods, H.C. (2019). Identifying drivers for bedtime social media use despite sleep costs: The adolescent perspective. Sleep Health, 5(6), 539-545. doi: 10.1016/j.sleh.2019.07.006 

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