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学龄前儿童过度使用电子屏幕、睡眠模式与行为及认知方面之间关联的评估:一项系统综述。

Evaluation of the association between excessive screen use, sleep patterns and behavioral and cognitive aspects in preschool population. A systematic review.

作者信息

Merín Llanos, Toledano-González Abel, Fernández-Aguilar Luz, Nieto Marta, Del Olmo Nuria, Latorre José M

机构信息

Department of Psychology, Faculty of Education, University of Castilla-La Mancha, Albacete, Spain.

Department of Psychology, Faculty of Health Sciences, University of Castilla-La Mancha, Talavera de la Reina, Spain.

出版信息

Eur Child Adolesc Psychiatry. 2024 Dec;33(12):4097-4114. doi: 10.1007/s00787-024-02430-w. Epub 2024 Apr 2.

DOI:10.1007/s00787-024-02430-w
PMID:38565731
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11618148/
Abstract

In this review, we analyzed the possible relationship between the excessive use of screens and sleep patterns, and how this may affect certain behavioral and cognitive factors in preschool children. The selection, extraction and synthesis of the data were conducted according to PRISMA guidelines. The search was carried out in the electronic databases Medline (PubMed), PsycINFO (American Psychological Association), Scopus and Web of Science (WOS). Of the 597 articles initially identified, 13 met the inclusion criteria. The risk of bias of the articles selected was evaluated using a specific scale created for this purpose. The results found indicate that excessive use of screens is associated with a negative impact on the duration and quality of sleep-in preschoolers, and this worsening of sleep in infancy is related with a greater probability of the appearance of internalizing and externalizing behavioral problems and certain cognitive problems. The results also suggest that sleep could play a mediating or moderating role as a bioregulatory system that attenuates or increases the onset of behavioral and cognitive difficulties in those children most exposed to digital devices.

摘要

在本综述中,我们分析了过度使用电子屏幕与睡眠模式之间的可能关系,以及这可能如何影响学龄前儿童的某些行为和认知因素。数据的选择、提取和综合按照PRISMA指南进行。检索在电子数据库Medline(PubMed)、PsycINFO(美国心理学会)、Scopus和科学引文索引(WOS)中进行。在最初识别的597篇文章中,有13篇符合纳入标准。使用为此目的创建的特定量表评估所选文章的偏倚风险。研究结果表明,过度使用电子屏幕对学龄前儿童的睡眠时间和质量有负面影响,而婴儿期睡眠质量的恶化与出现内化和外化行为问题以及某些认知问题的可能性增加有关。研究结果还表明,睡眠可能作为一种生物调节系统发挥中介或调节作用,减轻或增加那些最常接触数字设备的儿童出现行为和认知困难的几率。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/46c0/11618148/ec51a251b6f0/787_2024_2430_Figa_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/46c0/11618148/ec51a251b6f0/787_2024_2430_Figa_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/46c0/11618148/ec51a251b6f0/787_2024_2430_Figa_HTML.jpg

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Sleep Biol Rhythms. 2021 Oct 8;20(1):123-136. doi: 10.1007/s41105-021-00348-3. eCollection 2022 Jan.
2
Association of Screen Time With Internalizing and Externalizing Behavior Problems in Children 12 Years or Younger: A Systematic Review and Meta-analysis.屏幕时间与 12 岁或以下儿童内化和外化行为问题的关联:系统评价和荟萃分析。
JAMA Psychiatry. 2022 May 1;79(5):393-405. doi: 10.1001/jamapsychiatry.2022.0155.
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Relation between nighttime sleep duration and executive functioning in a nonclinical sample of preschool children.
学龄前儿童非临床样本中夜间睡眠时间与执行功能的关系。
Scand J Psychol. 2022 Jun;63(3):191-198. doi: 10.1111/sjop.12801. Epub 2022 Mar 14.
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A systematic review of proxy-report questionnaires assessing physical activity, sedentary behavior and/or sleep in young children (aged 0-5 years).系统评价代理报告问卷评估 0-5 岁幼儿的身体活动、久坐行为和/或睡眠。
Int J Behav Nutr Phys Act. 2022 Feb 14;19(1):18. doi: 10.1186/s12966-022-01251-x.
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Global Prevalence of Meeting Screen Time Guidelines Among Children 5 Years and Younger: A Systematic Review and Meta-analysis.全球 5 岁及以下儿童符合屏幕时间指南的比例:系统评价和荟萃分析。
JAMA Pediatr. 2022 Apr 1;176(4):373-383. doi: 10.1001/jamapediatrics.2021.6386.
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J Pineal Res. 2022 Mar;72(2):e12780. doi: 10.1111/jpi.12780. Epub 2022 Jan 8.
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