Erat Nergiz Meryem, Çaylan Nilgün, Yalçin Sıddika Songül, Oflu Ayşe, Tezol Özlem, Foto Özdemir Dilşad, Çiçek Şeyma, Yıldız Deniz
Department of Pediatrics, Yıldırım Beyazıt University, Yenimahalle Research Hospital, Ankara, Turkey.
Department of Child and Adolescents Health, Ministry of Health, Ankara, Turkey.
J Paediatr Child Health. 2020 Jul;56(7):1077-1082. doi: 10.1111/jpc.14821. Epub 2020 Mar 20.
Early childhood screen exposure leads to multiple adverse health events and parents have a major influence on their children's screen time. Our aim was to determine the association between maternal acceptance-rejection/control behaviours and excessive screen exposure in pre-school children.
In this cross-sectional descriptive study, children aged 2-5 years who had daily screen time <1 h (n = 76) and >4 h (n = 62) were enrolled. A structured survey form and Parental Acceptance-Rejection/Control Questionnaire were completed by mothers.
Total rejection scores were found to be lower in those with screen time <1 h than cases with >4 h (82.7 ± 13.2, 89.3 ± 17.2; P = 0.015). In addition, higher hostility, neglect and reverse-affection scores were detected in excessive screen-exposed group (P = 0.033, P = 0.003, P = 0.047, respectively). Multivariate logistic regression analyses revealed that mothers' low acceptance of their children and high neglect score were associated with excessive screen exposure after adjusting possible confounding factors. The undifferentiated rejection and control behaviours of the mothers had no association with excessive screen exposure.
Children with excessive screen time may have a problematic relationship with their mothers. The relationship between parent and child should be examined and corrective actions should be taken.
幼儿期屏幕暴露会导致多种不良健康事件，且父母对孩子的屏幕使用时间有重大影响。我们的目的是确定母亲的接纳-拒绝/控制行为与学龄前儿童过度屏幕暴露之间的关联。
在这项横断面描述性研究中，纳入了每日屏幕使用时间<1小时（n = 76）和>4小时（n = 62）的2至5岁儿童。母亲们完成了一份结构化调查问卷和父母接纳-拒绝/控制问卷。
发现屏幕使用时间<1小时的儿童的总拒绝得分低于屏幕使用时间>4小时的儿童（82.7±13.2，89.3±17.2；P = 0.015）。此外，在过度屏幕暴露组中检测到更高的敌意、忽视和反向情感得分（分别为P = 0.033、P = 0.003、P = 0.047）。多因素逻辑回归分析显示，在调整可能的混杂因素后，母亲对孩子的低接纳度和高忽视得分与过度屏幕暴露相关。母亲的无差别拒绝和控制行为与过度屏幕暴露无关。
屏幕使用时间过长的儿童可能与母亲关系存在问题。应检查亲子关系并采取纠正措施。
