Impact of Screen Time on Behavioral Patterns of 2-15-year-old Children in Kerala- A Cross-sectional Study

  • Surya Prabha PV Post Graduate Student
  • Vijai S MDS, Former Professor & Head
  • Anusree Sadanandan MDS, Senior Lecturer
  • Fousiya Ali MDS, Senior Lecturer
  • Abdul Saheer P MDS, Reader and Head
  • Akhil S Chief Dental Surgeon,White Petals Dental Clinic
Keywords: Behavior, Screen time, cross-sectional study

Abstract

Aim and background: Early childhood screen exposure is being caused by the development of small, user-friendly, and accessible multimedia goods. Screen’s impact on children and adolescents’ mental health is an alarming concern nowadays. The current study is aimed at assessing the association of screen media use on child behavior among 2-15-year-old children in Kerala.

Methods: A comprehensive questionnaire, derived from existing literature, was distributed through a Google form to parents and guardians of 2-15-year-old children in Kerala. The study involved the participation of 738 respondents. The questionnaire was pre tested for its reliability and validity before collecting data.

Results: Multivariate Regression analysis revealed that the frequency of everyday usage of screen media, number of devices owned, addiction and dependency increased the odds of behavior change and mean behavioral score by 5.02, 6.18, 3.07 and 2.8 times respectively.

Conclusion: The findings of this study indicate that excess screen time is associated with greater behavior problems among children. These results emphasize the importance of addressing excess screen media exposure, particularly in the context of the pandemic, and consider parental perceptions in implementing appropriate interventions.

Clinical significance: Use of technology and gadgets is fast spreading among small children. Increased screen time has been proven to have detrimental effects on a child’s behavior which in turn could affect dental associated behavior as well. This can have important implications for the dentist concerning behavior management during the treatment of child patients.

Author Biographies

Surya Prabha PV, Post Graduate Student

Department of pediatric and preventive dentistry , Malabar Dental College and Research Centre, Manoor Chekanoor road, Mudur P O, Edappal, Malappuram district, Kerala, India-679 578.

Vijai S, MDS, Former Professor & Head

Department of pediatric and preventive dentistry , Malabar Dental College and Research Centre, Manoor Chekanoor road, Mudur P O, Edappal, Malappuram district, Kerala, India-679 578.     

Anusree Sadanandan, MDS, Senior Lecturer

Department of pediatric and preventive dentistry, Malabar Dental College and Research Centre, Manoor Chekanoor road, Mudur P O, Edappal, Malappuram district, Kerala, India-679 578.

Fousiya Ali, MDS, Senior Lecturer

Department of Oral Pathology and Microbiology, Malabar Dental College and Research Centre, Manoor Chekanoor road, Mudur P O, Edappal, Malappuram district, Kerala, India-679 578.

Abdul Saheer P, MDS, Reader and Head

Department of public health health dentistry, Malabar Dental College and Research Centre, Manoor Chekanoor road, Mudur P O, Edappal, Malappuram district, Kerala, India-679 578.

References

1. Aguilar MM, Vergara FA, Velásquez EJ, Marina R, García-Hermoso A. Screen time impairs the relationship between physical fitness and academic attainment in children. J Pediatr (Rio J). 2015 Jul-Aug;91(4):339-45.
2. Alaki SM, Al-Raddadi RA, Sabbagh HJ. Children's electronic screen time exposure and its relationship to dental anxiety and behavior. J Taibah Univ Med Sci. 2023 Jan 10;18(4):778-786.
3. American Academy of Pediatrics. American Academy of Pediatrics Supports Childhood Sleep Guidelines. 2016.
4. Antzaka A, Lallier M, Meyer S, Diard J, Carreiras M, Valdois S. Enhancing reading performance through action video games: the role of visual attention span. Sci Rep. 2017 Nov 6;7(1):14563.
5. Barr R, Mentioner P, Garcia A, Fujimoto M, Chávez V. The effect of repetition on imitation from television during infancy. Dev Psychobiol. 2007 Mar;49(2):196-207.
6. Beyens I, Nathanson AI. Electronic Media Use and Sleep Among Preschoolers: Evidence for Time-Shifted and Less Consolidated Sleep. Health Commun. 2019 May;34(5):537-544.
7. Calvert SL, Staiano AE, Bond BJ. Electronic gaming and the obesity crisis. New Dir Child Adolesc Dev. 2013 Spring;2013(139):51-7.
8. Cao H, Qian Q, Weng T, Yuan C, Sun Y, Wang H, Tao F. Screen time, physical activity and mental health among urban adolescents in China. Prev Med. 2011 Oct;53(4-5):316-20.
9. Casiano H, Jolene Kinley D, Katz LY, Chartier MJ, Sareen J. Media use and health outcomes in adolescents: findings from a nationally representative survey. J Can Acad Child Adolesc Psychiatry. 2012;21:296–301.
10. COUNCIL ON COMMUNICATIONS AND MEDIA. Media and Young Minds. Pediatrics. 2016 Nov;138(5):e20162591.
11. Granic I, Lobel A, Engels RCME. The benefits of playing video games. Am Psychol. 2014;69:66–78.
12. Gupta RK, Saini DP, Acharya U, Miglani N. Impact of television on children.Indian J Pediatr 1994;61:153–9.
13. Huang C. Time spent on social network sites and psychological well-being: a meta-analysis. Cyberpsychology, Behav Soc Netw. 2017;20:346–54.
14. Hume C, Timperio A, Veitch J, Salmon J, Crawford D, Ball K. Physical activity, sedentary behavior, and depressive symptoms among adolescents. J Phys Act Health. 2016;8:152–6.
15. Ishtiaq A, Ashraf H, Iftikhar S, Baig-Ansari N. Parental perception on screen time and psychological distress among young children. J Family Med Prim Care 2021;10:765-72.
16. Klakk H, Wester CT, Olesen LG, Rasmussen MG, Kristensen PL, Pedersen J, Grøntved A. The development of a questionnaire to assess leisure time screen-based media use and its proximal correlates in children (SCREENS-Q). BMC Public Health. 2020 May 12;20(1):664.
17. Marino, C., Vieno, A., Lenzi, M., Borraccino, A., Lazzeri, G., Lemma, P. Computer Use, Sleep Difficulties, and Psychological Symptoms Among School-Aged Children: The Mediating Role of Sleep Difficulties. International Journal of School Health, 2017; 4(1): 1-4.
18. Mobarek NH, Khalil AM, Talaat DM. Exposure to Electronic Screens and Children's Anxiety and Behavior During Dental Treatment. J Dent Child (Chic). 2019 Sep 15;86(3):139-144.
19. Muppalla SK, Vuppalapati S, Reddy Pulliahgaru A, Sreenivasulu H. Effects of Excessive Screen Time on Child Development: An Updated Review and Strategies for Management. Cureus. 2023 Jun 18;15(6):e40608.
20. Nuutinen T, Roos E, Ray C, Villberg J, Välimaa R, Rasmussen M, Holstein B, Godeau E, Beck F, Léger D, Tynjälä J. Computer use, sleep duration and health symptoms: a cross-sectional study of 15-year-olds in three countries. Int J Public Health. 2014 Aug;59(4):619-28.
21. Paudel S, Jancey J, Subedi N, et al. Correlates of mobile screen media use among children aged 0–8: a systematic review. BMJ Open 2017;7: e014585.
22. Picherot G, Cheymol J, Assathiany R, Barthet-Derrien MS, Bidet-Emeriau M, Blocquaux S, Carbajal R, Caron FM, Gerard O, Hinterman M, Houde O, Jollivet C, Le Heuzey MF, Mielle A, Ogrizek M, Rocher B, Samson B, Ronziere V, Foucaud P. Children and screens: Groupe de Pédiatrie Générale (Société française de pédiatrie) guidelines for pediatricians and families. Arch Pediatr. 2018 Feb;25(2):170-174.
23. Przybylski AK, Weinstein N. Digital Screen Time Limits and Young Children's Psychological Well-Being: Evidence From a Population-Based Study. Child Dev. 2019 Jan;90(1):e56-e65.
24. Sabrina L. Connell, Alexis R. Lauric Ella & Ellen Wartella (2015) Parental Co-Use of Media Technology with their Young Children in the USA, Journal of Children and Media, 9:1, 5-21.
25. Stiglic N, Viner RM Effects of screentime on the health and well-being of children and adolescents: a systematic review of reviews BMJ Open 2019;9:e023191.
26. Tamana SK, Ezeugwu V, Chikuma J, Lefebvre DL, Azad MB, Moraes TJ, Subbarao P, Becker AB, Turvey SE, Sears MR, Dick BD, Carson V, Rasmussen C; CHILD study Investigators; Pei J, Mandhane PJ. Screen-time is associated with inattention problems in preschoolers: Results from the CHILD birth cohort study. PLoS One. 2019 Apr 17;14(4):e0213995.
27. Twenge, J. M., Joiner, T. E., Rogers, M. L., & Martin, G. N. (2018). Increases in depressive symptoms, suicide-related outcomes, and suicide rates among U.S. adolescents after 2010 and links to increased new media screen time. Clinical Psychological Science, 6(1), 3–17.
28. Wer Hiniker A, Suh H, Cao S, Kientz JA. Screen time tantrums: How Families Manage Screen Media Experiences for Toddlers and Preschoolers. C HI '16: Proceedings of the 2016 CHI Conference on Human Factors in Computing Systems May 2016; 648- 66.
29. Yilmaz N, Avci G. Exposure to screen time and dental neglect. J Paediatr Child Health. 2022 Oct;58(10):1855-1861.
30. Zhao J, Zhang Y, Jiang F, Ip P, Ho FKW, Zhang Y, et al. Excessive screen time and psychosocial well-being: the mediating role of body mass index, sleep duration, and parent-child interaction. J Pediatr. 2018;202:157–62.
Published
2025-04-04
How to Cite
PV, S. P., S, V., Sadanandan, A., Ali, F., P, A. S., & Akhil S. (2025). Impact of Screen Time on Behavioral Patterns of 2-15-year-old Children in Kerala- A Cross-sectional Study. UNIVERSITY JOURNAL OF DENTAL SCIENCES, 11(1). https://doi.org/10.21276/ujds.2025.11.1.24
Section
Pedodontics and Preventive Dentistry