Exposição a “Tempo de Ecrã” e Psicopatologia na Infância
DOI:
https://doi.org/10.51338/rppsm.2020.v6.i2.161Palavras-chave:
Adolescente, Criança, Psicopatologia, Tempo de EcrãResumo
Introdução: A disponibilidade de ecrãs tem sido associada a efeitos negativos. Pretendemos caracterizar e comparar o “tempo de ecrã” em crianças e adolescentes da área de Vila Nova de Gaia, com e sem psicopatologia.
Material e Métodos: Estudo observacional, com amostra de conveniência e aplicação de questionários entre 1 de outubro de 2018 e 31 de junho de 2019 a crianças e adolescentes seguidos em Cuidados Saúdes Primários e em consulta de Psiquiatria da Infância e Adolescência.
Resultados: Amostra de 223 participantes, 184 com psicopatologia (82,5%) e 39 sem (17,5%). A maioria apresentava “tempo de ecrã” superior ao recomendado (71,4%), com superioridade naqueles com psicopatologia (p=0,006). Verificámos o mesmo relativamente à utilização de dispositivos ao adormecer ou background TV (p=0,024 e 0,008, respetivamente). A covisualização foi mais frequente nos participantes sem psicopatologia (p=0,045). O “tempo de ecrã” superior ao recomendado, background TV e covisualização mantiveram‑se significativos após regressão logística (p=0,029, p=0,024 e p=0,013, e OR = 3,741 [IC 1,148‑12,194]; OR=3,494 [IC 1,175‑10,392] e OR = 0,249 [IC 0,083‑0,750] respetivamente).
Discussão: Os resultados coadunam com o que éapontado na literatura sobre uma possível associação entre “tempo de ecrã” e psicopatologia. Será importante avaliar o efeito de causalidade desta associação.
Conclusão: O “tempo de ecrã” éexcessivo e mais frequente nos participantes com psicopatologia. A uniformização de recomendações e adaptação à realidade portuguesa são de relevância crescente na atualidade.
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Referências
Pecora NO. Children become audiences. In: The Business of Children’s Entertainment. New York: Guilford Publications; 1997.p.25‑39.
Strasburger VC, Hogan MJ. Children, adolescents, and the media. Pediatrics. 2013;132:958‑61. doi:10.1542/ peds.2013‑2656
Rideout V. The Common Sense Census: Media Use by kids Zero to Eight. Common Sense Media; 2017. doi:10.1163/9789004250901_013
Radesky JS, Christakis DA. Increased screen time: implications for early childhood development and behavior. Pediatr Clin North Am. 2016;63:827‑39. doi:10.1016/j.pcl.2016.06.006
Chassiakos YR, Radesky J, Christakis D, Moreno MA, Cross C; Council on Communications and Media. Children and adolescents and digital media. Pediatrics. 2016;138:e20162593. doi:10.1542/peds.2016‑2593
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. doi:10.1136/bmjopen‑2018‑023191
Kaur N, Gupta M, Malhi P, Grover S. Screen time in under‑five children. Indian Pediatr. 2019;56:773‑88.
Barber SE, Kelly B, Collings PJ, Nagy L, Bywater T, Wright J. Prevalence, trajectories, and determinants of television viewing time in an ethnically diverse sample of young children from the UK. Int J Behav Nutr Phys Act. 2017;14:1‑11. doi:10.1186/s12966‑017‑0541‑8
Canada AHK. Report Card on Physical Activity for Children and Youth. 2013. [accessed September 2020] Available at: http://dvqdas9jty7g6.cloudfront. net/reportcard2013/Active‑Healthy‑Kids‑2013‑Report‑Card_ en.pdf%0Afile:///V:/HALO/HALO Staff/Longmuir/New Literature B/AHKC2013ReportCardENG. pdf.
Heelan KA, Eisenmann JC. Physical activity, media time, and body composition in young children. J Phys Act Heal. 2006;3:200‑9. doi:10.1123/jpah.3.2.200
Cox R, Skouteris H, Rutherford L, Fuller‑Tyszkiewicz M, Aquila DD, Hardy LL. Television viewing, television content, food intake, physical activity and body mass index: A cross‑sectional study of preschool children aged 2‑6 years. Heal Promot J Aust. 2012;23:58‑62. doi:10.1071/he12058
Mazur A, Caroli M, Radziewicz‑Winnicki I, Nowicka P, Weghuber D, Neubauer D, et al. Reviewing and addressing the link between mass media and the increase in obesity among European children: The European Academy of Paediatrics (EAP) and The European Childhood Obesity Group (ECOG) consensus statement. Acta Paediatr. 2018;107:568‑76. doi:10.1111/ apa.14136
Póvoas M, Póvoas M, Castro T, Costa M, Escária A, Miranda C, et al. O brincar da criança em idade pré‑escolar. Port J Pediatr. 2013;44:108‑12. doi:10.25754/ pjp.2013.1166
Ponte C, Batista S. EU Kids Online Portugal Usos, Competências, Riscos e Mediações da Internet reportados por crianças e jovens (9‑17anos). Lisboa: Universidade Nova; 2019.
Dias Â, Almeida C, Lobo AL, Veiga G. Os média e as crianças lá de casa …. Saúde Infantil. 2013;35:55‑60.
Pérez‑Farinós N, Villar‑Villalba C, López Sobaler AM, Dal Re Saavedra MÁ, Aparicio A, Santos Sanz S, et al. The relationship between hours of sleep, screen time and frequency of food and drink consumption in Spain in the 2011 and 2013 ALADINO: a cross‑sectional study. BMC Public Health. 2017;17:1‑12. doi:10.1186/s12889‑016‑3962‑4
Mihrshahi S, Drayton BA, Bauman AE, Hardy LL. Associations between childhood overweight, obesity, abdominal obesity and obesogenic behaviors and practices in Australian homes. BMC Public Health. 2017;18:1‑10. doi:10.1186/s12889‑017‑4595‑y
Biddle SJH, García Bengoechea E, Wiesner G. Sedentary behaviour and adiposity in youth: A systematic review of reviews and analysis of causality. Int J Behav Nutr Phys Act. 2017;14:1‑21. doi:10.1186/ s12966‑017‑0497‑8
Chahal H, Fung C, Kuhle S, Veugelers PJ. Availability and night‑time use of electronic entertainment and communication devices are associated with short sleep duration and obesity among Canadian children. Pediatr Obes. 2013;8:42‑51. doi:10.1111/j.2047‑6310.2012.00085. x
Magee CA, Lee JK, Vella SA. Bidirectional relationships between sleep duration and screen time in early childhood. JAMA Pediatr. 2014;168:465‑70. doi:10.1001/jamapediatrics.2013.4183
Pardee PE, Norman GJ, Lustig RH, Preud’homme D, Schwimmer JB. Television Viewing and Hypertension in Obese Children. Am J Prev Med. 2007;33:439‑43. doi:10.1016/j.amepre.2007.07.036
Mark AE, Janssen I. Relationship between screen time and metabolic syndrome in adolescents. J Public Health. 2008;30:153‑60. doi:10.1093/pubmed/fdn022
Adams JA, Galloway TS, Mondal D, Esteves SC, Mathews F. Effect of mobile telephones on sperm quality: A systematic review and meta‑analysis. Environ Int. 2014;70:106‑12. doi:10.1016/j. envint.2014.04.015
Sepehrimanesh M, Kazemipour N, Saeb M, Nazifi S, Davis DL. Proteomic analysis of continuous 900‑MHz radiofrequency electromagnetic field exposure in testicular tissue: a rat model of human cell phone exposure. Environ Sci Pollut Res. 2017;24:13666‑73. doi:10.1007/s11356‑017‑8882‑z
La Vignera S, Condorelli RA, Vicari E, D’Agata R, Calogero AE. Effects of the exposure to mobile phones on male reproduction: A review of the literature. J Androl. 2012;33:350‑6. doi:10.2164/jandrol.111.014373
Swing EL, Gentile DA, Anderson CA, Walsh DA. Television and video game exposure and the development of attention problems. Pediatrics. 2010;126:214‑21. doi:10.1542/peds.2009‑1508
Uhls YT, Michikyan M, Morris J, Garcia D, Small GW, Zgourou E, et al. Five days at outdoor education camp without screens improves preteen skills with nonverbal emotion cues. Comput Human Behav. 2014;39:387‑392. doi:10.1016/j.chb.2014.05.036
Grover K, Pecor K, Malkowski M, Kang L, Machado S, Lulla R, et al. Effects of instant messaging on school performance in adolescents. J Child Neurol. 2016;31:850‑7. doi:10.1177/0883073815624758
Maras D, Flament MF, Murray M, Buchholz A, Henderson KA, Obeid N, et al. Screen time is associated with depression and anxiety in Canadian youth. Prev Med. 2015;73:133‑8. doi:10.1016/j. ypmed.2015.01.029
Tanimura, M, Okuma, K, Kyoshima K. Television viewing, reduced parental utterance, and delayed speech development in infants and young children. Arch Pediatr Adolesc Med. 2011;161:618‑9. doi: 10.1001/archpedi.161.6.618‑b.
Schmidt ME, Pempek TA, Kirkorian HL, Lund AF, Anderson DR. The effects of background television on the toy play behavior of very young children. Child Dev. 2008;79:1137‑51. doi:10.1111/j.1467‑8624.2008.01180. x
Mendelsohn AL, Berkule SB, Tomopoulos S, Tamis‑LeMonda CS, Huberman HS, Alvir J, et al. Infant television and video exposure associated with limited parent‑child verbal interactions in low socioeconomic status households. Arch Pediatr Adolesc Med. 2008;162:411‑7. doi:10.1001/archpedi.162.5.411
Christakis DA, Gilkerson J, Richards JA, Zimmerman FJ, Garrison MM, Xu D, et al. Audible television and decreased adult words, infant vocalizations, and conversational turns: A population‑based study. Arch Pediatr Adolesc Med. 2009;163:554‑8. doi:10.1001/ archpediatrics.2009.61
Hancox RJ, Milne BJ, Poulton R. Association of television viewing during childhood with poor educational achievement. Arch Pediatr Adolesc Med. 2005;159:614‑8. doi:10.1001/archpedi.159.7.614
Woods HC, Scott H. Sleepyteens: Social media use in adolescence is associated with poor sleep quality, anxiety, depression and low self‑esteem. J Adolesc. 2016;51:41‑9. doi:10.1016/j.adolescence.2016.05.008
Hoare E, Milton K, Foster C, Allender S. The associations between sedentary behaviour and mental health among adolescents: A systematic review. Int J Behav Nutr Phys Act. 2016;13:108. doi:10.1186/ s12966‑016‑0432‑4
Suchert V, Hanewinkel R, Isensee B. Sedentary behavior and indicators of mental health in school‑aged children and adolescents: A systematic review. Prev Med. 2015;76:48‑57. doi:10.1016/j.ypmed.2015.03.026
Carson V, Hunter S, Kuzik N, Gray CE, Poitras VJ, Chaput JP, et al. Systematic review of sedentary behaviour and health indicators in school‑aged children and youth: an update. Appl Physiol Nutr Metab. 2016;41:S240‑S265. doi:10.1139/apnm‑2015‑0630
Oshima N, Nishida A, Shimodera S, et al. The suicidal feelings, self‑injury, and mobile phone use after lights out in adolescents. J Pediatr Psychol. 2012;37:1023‑30. doi:10.1093/jpepsy/jss072
Hale L, Guan S. Screen time and sleep among school‑aged children and adolescents: A systematic literature review. Sleep Med Rev. 2015;21:50‑8. doi:10.1016/j. smrv.2014.07.007
World Health Organization. WHO Guidelines on Physical Activity, Sedentary Behaviour: 2019. [accessed September 2020] Available at: https:// apps.who.int/iris/bitstream/handle/10665/325147/ WHO‑NMH‑PND‑2019.4‑eng. pdf?sequence=1&is‑ Allowed=y%0Ahttp://www.who.int/iris/handle/ 10665/311664%0Ahttps://apps.who.int/iris/ handle/10665/325147.
AACAP. Screen time and children. Facts Fam. 2020;54:3‑5.
Ponti M. Digital media: Promoting healthy screen use in school‑aged children and adolescents. Paediatr Child Health. 2019;24:402‑8. doi:10.1093/pch/ pxz095
Canadian Paediatric Society, Digital Health Task Force, Ottawa, Ontario. Screen time and young children: Promoting health and development in a digital world. Paediatr Child Heal. 2017;22:461‑77. doi:10.1093/pch/pxx123
Mistry KB, Minkovitz CS, Strobino DM, Borzekowski DL. Children’s television exposure and behavioral and social outcomes at 5.5 years: does timing of exposure matter? Pediatrics. 2007;120:762‑9. doi:10.1542/ peds.2006‑3573.
Zimmerman FJ, Christakis DA. Associations between content types of early media exposure and subsequent attentional problems. Pediatrics. 2007;120:986‑92. doi:10.1542/peds.2006‑3322.
Verlinden M, Tiemeier H, Hudziak JJ, Jaddoe VW, Raat H, Guxens M, et al. Television viewing and externalizing problems in preschool children: the Generation R Study. Arch Pediatr Adolesc Med. 2012;166:919‑25. doi: 10.1001/archpediatrics.2012.653.
Cepêda T, Brito I, Heitor MJ. Promoção Da Saúde Mental Na Gravidez e Primeira Infância. Lisboa: SPPSM; 2005.
Trussell TM, Ward WL, Conners Edge NA. The Impact of Maternal Depression on Children: A Call for Maternal Depression Screening. Clin Pediatr. 2018;57:1137‑47. doi:10.1177/0009922818769450
Anand V, Downs SM, Bauer NS, Carroll AE. Prevalence of Infant Television Viewing and Maternal Depression Symptoms. J Dev Behav Pediatr. 2014;35:216‑24. doi:10.1097/DBP.0000000000000035.
Mendelsohn AL, Berkule SB, Tomopoulos S, Tamis‑LeMonda CS, Huberman HS, Alvir J, Dreyer BP. Infant television and video exposure associated with limited parent‑child verbal interactions in low socioeconomic status households. Arch Pediatr Adolesc Med. 2008 ;162:411‑7. doi: 10.1001/ archpedi.162.5.411.
Thompson DA, Christakis DA. The association of maternal mental distress with television viewing in children under 3 years old. Ambul Pediatr. 2007;7:32‑7. doi: 10.1016/j.ambp.2006.09.007.
Madigan S, McArthur BA, Anhorn C, Eirich R, Christakis DA. Associations between screen use and child language skills. JAMA Pediatr. 2020 (in press). doi:10.1001/jamapediatrics.2020.0327
Lissak G. Adverse physiological and psychological effects of screen time on children and adolescents: Literature review and case study. Environ Res. 2018;164:149‑57. doi:10.1016/j.envres.2018.01.015
Bruni O, Sette S, Fontanesi L, Baiocco R, Laghi F, Baumgartner E. Technology use and sleep quality in preadolescence and adolescence. J Clin Sleep Med. 2015;11:1433‑41. doi:10.5664/jcsm.5282
Hysing M, Pallesen S, Stormark KM, Jakobsen R, Lundervold AJ, Sivertsen B. Sleep and use of electronic devices in adolescence: Results from a large population‑based study. BMJ Open. 2015;5:1‑7. doi:10.1136/bmjopen‑2014‑006748
Bittman M, Rutherford L, Brown J, Unsworth L. Digital natives? New and old media and children’s OlitCOmeS. Aust J Educ. 2011;55:161‑75. doi:10.1177/000494411105500206
Nelson K. Structure and Strategy in Learning to Talk. Berlin: Wiley; 1973.
Hudon TM, Fennell CT, Hoftyzer M. Quality not quantity of television viewing is associated with bilingual toddlers’ vocabulary scores. Infant Behav Dev. 2013;36:245‑54. doi:10.1016/j.infbeh.2013.01.010
UNESCO. Learning through radio and television in the time of COVID‑19. [accessed September 2020] Available at: https://en.unesco.org/news/learning‑through‑radio‑and‑television‑time‑covid‑19. Published 2020.
