The Predictive Role of Problematic Technology Use of Children Aged 4-6 and Mother’s Parenting Stress Levels on Children’s Attention Levels

Yıl 2024, , 1147 - 1171, 30.08.2024

Burcu Bağcı Çetin

https://doi.org/10.37217/tebd.1417347

Öz

This study aims to examine the predictive effect of problematic technology use of children aged 4-6 and mothers' parenting stress levels on children's attention levels. The research is a study in the relational survey model. In the 2023-2024 academic year, 260 children aged 4-6 studying in independent kindergartens affiliated with the Ministry of National Education in Aydın province and their mothers constituted the study group of the research. Parental Stress Scale, Self-Regulation Skills Scale for 4-6 Year Old Children (Mother Form), Problematic Technology Use Scale for Young Children were used as the data collection tools in the study, and demographic information of the participants was collected. In the analysis of the data, multiple linear regression analysis technique was applied using the Pearson Product Moment Correlation Coefficient Method using the SPSS 22.00 statistical software. In the research findings, it was determined that there was a statistically significant negative relationship between the sub-dimensions of children's problematic technology use (continuity of use, resistance to control, impact on development, deprivation-escape) and their mothers' parenting stress levels, and children's attention skills. As a result of regression analyses, it was determined that the sub-dimensions of children's problematic technology use and mothers' parenting stress levels together predicted the variability of children's attention skills by 42%.

Anahtar Kelimeler

Mother stress, Child, Attention, Technology

4-6 Yaş Aralığındaki Çocukların Problemli Teknoloji Kullanımı ve Annelerin Ebeveynlik Stres Düzeylerinin Çocukların Dikkat Düzeylerini Yordayıcı Rolü

Öz

Bu çalışma, 4-6 yaş aralığındaki çocukların problemli teknoloji kullanımının ve annelerin ebeveynlik stres düzeylerinin çocukların dikkat düzeylerine yordayıcı etkisini incelemeyi amaçlamaktadır. Araştırma, ilişkisel tarama modelinde bir çalışmadır. 2023-2024 eğitim-öğretim yılında Aydın ili Millî Eğitim Bakanlığına bağlı bağımsız anaokullarında öğrenim görmekte olan 4-6 yaş aralığındaki 260 çocuk ve anneleri araştırmanın çalışma grubunu oluşturmuştur. Araştırmada veri toplama aracı olarak, Anne-Baba Stres Ölçeği, 4-6 Yaş Çocuklar için Öz Düzenleme Becerileri Ölçeği (Anne Formu), Küçük Çocuklar için Problemli Teknoloji Kullanım Ölçeği kullanılmış ve katılımcılara ait demografik bilgiler toplanmıştır. Verilerin analizinde SPSS 22.00 istatistik programı kullanılarak Pearson Momentler Çarpımı Korelasyon Katsayısı Yöntemi ile çoklu doğrusal regresyon analizi tekniği uygulanmıştır. Araştırma bulgularında, çocukların problemli teknoloji kullanımının alt boyutları (kullanım sürekliliği, kontrole karşı direnç, gelişime etkisi, yoksunluk-kaçış) ve annelerinin ebeveynlik stres düzeyleri ile çocukların dikkat becerileri arasında istatistiksel olarak anlamlı düzeyde negatif yönlü ilişki olduğu belirlenmiştir. Regresyon analizleri neticesinde, çocukların problemli teknoloji kullanımının alt boyutları ile annelerin ebeveynlik stres düzeylerinin birlikte çocukların dikkat becerileri değişkenliğini %42 oranında yordadığı tespit edilmiştir.

Anahtar Kelimeler

Anne stres, Çocuk, Dikkat, Teknoloji

Kaynakça

• Alhraiwil, N. J., Ali, A., Househ, M. S., Al-Shehri, A. M., & El-Metwally, A. A. (2015). Systematic review of the epidemiology of attention deficit hyperactivity disorder in Arab countries. Neurosciences (Riyadh, Saudi Arabia), 20, 137–144. https://doi.org/10.17712/nsj.2015.2.20140678
• Almeida, M. L., Garon-Carrier, G., Cinar, E., Frizzo, G. B., & Fitzpatrick, C. (2023). Prospective associations between child screen time and parenting stress and later inattention symptoms in preschoolers during the COVID-19 pandemic. Front. Psychol., 14, 1053146. https://doi.org/10.3389/fpsyg.2023.1053146
• American Psychiatry Association. (2013). Diagnostic and statistical manual of mental disorders (5. b.). Washington, D.C: American Psychiatric Publishing.
• Anderson, D. R., Huston, A. C., Schmitt, K. L., Linebarger, D. L., & Wright, J. C. (2001). Early childhood television viewing and adolescent behavior. Boston, MA: Blackwell.
• Arı-Arat, C. & Gülay-Ogelman, H. (2021). Küçük çocukların Covid-19 sürecinde teknolojik araç kullanımının çeşitli değişkenler açısından incelenmesi. Maarif Mektepleri Uluslararası Eğitim Bilimleri Dergisi, 5(1), 15-32. https://doi.org/10.46762/mamulebd.880109
• Bergmann, C., Dimitrova, N., Alaslani, K., Almohammadi, A., Alroqi, H., Aussems, S., … & Mani, N. (2022). Young children’s screen time during the first Covid-19 lockdown in 12 countries. Sci. Rep., 12(1), 1-16. https://doi.org/10.1038/s41598-022-05840-5
• Büyüköztürk, Ş., Kılıç-Çakmak, E., Akgün, Ö. E., Karadeniz, Ş., & Demirel, F. (2018). Eğitimde bilimsel araştırma yöntemleri (25. b.). Ankara: Pegem Akademi.
• Cao, H., Yan, S., Gu, C., Wang, S., Ni, L., Tao, H., … & Tao, F. (2018). Prevalence of attention-deficit/hyperactivity disorder symptoms and their associations with sleep schedules and sleep-related problems among preschoolers in mainland China. BMC Pediatr., 18(70), 1-8. https://doi.org/10.1186/s12887-018-1022-1
• Christakis, D. A. (2009). The effects of infant media usage: what do we know and what should we learn? Acta Paediatr., 98, 8–16. https://doi.org/10.1111/j.1651-2227.2008.01027.x
• Christakis, D. A., Ramirez, J. S. B., Ferguson, S. M., Ravinder, S., & Ramirez, J. M. (2018). How early media exposure may affect cognitive function: A review of results from observations in humans and experiments in mice. Proc. Natl. Acad. Sci. U.S.A., 115, 9851–9858. https://doi.org/10.1073/pnas.1711548115
• Christakis, D. A., Zimmerman, F. J., DiGiuseppe, D. L., & McCarty, C. A. (2004). Early television exposure and subsequent attentional problems in children. Pediatrics, 30(5), 708-713. https://doi.org/10.1111/j.1365-2214.2004.00456_4.x
• Chung, G., Lanier, P., & Wong, P. Y. J. (2022). Mediating effects of parental stress on harsh parenting and parent-child relationship during coronavirus Covid-19 pandemic in Singapore. J. Fam. Violence, 37, 801–812. https://doi.org/10.1007/s10896-020-00200-1
• Corkin, M. T., Peterson, E. R., Henderson, A. M. E., Waldie, K. E., Reese, E., & Morton, S. M. B. (2021). Preschool screen media exposure, executive functions and symptoms of inattention/hyperactivity. J. Appl. Dev. Psychol., 73, 101237. https://doi.org/10.1016/j.appdev.2020.101237
• Çokluk, Ö., Şekercioğlu, G., & Büyüköztürk, Ş. (2018). Sosyal bilimler için çok değişkenli istatistik SPSS ve LISREL uygulamaları (5. b.). Pegem Akademi.
• Davidovitch, M., Koren, G., Fund, N., Shrem, M., & Porath, A. (2017). Challenges in defining the rates of ADHD diagnosis and treatment: Trends over the last decade. BMC Pediatr., 17(1), 1-9. https://doi.org/10.1186/s12887-017-0971-0
• DeCoster, M. M., Spiller, H. A., Badeti, J., Casavant, M. J., Rine, N. I., Michaels, N. L., Zhu, M., & Smith, G. A. (2023). Pediatric ADHD medication errors reported to United States Poison Centers, 2000 to 2021. Pediatrics, 152(4), e2023061942. https://doi.org/10.1542/peds.2023-061942
• Diamond, A. (2002). Normal development of prefrontal cortex from birth to young adulthood: Cognitive functions, anatomy and biochemistry. D. T. Stuss & R. T. Knight (Ed.), Principles of frontal lobe function içinde (s. 466-503). New York, NY: Oxford University Press. https://doi.org/10.1093/acprof:oso/9780195134971.003.0029
• Diamond, A. (2014). Want to optimize executive functions and academic outcomes? Minnesota Symposia on Child Psychology, 37, 205–232.
• Diamond, A. & Lee, K. (2011). Interventions shown to aid executive function development in children 4–12 years old. Science (New York, N.Y.), 333, 959–964. https://doi.org/10.1126/science.1204529
• Dumuid, D. (2020). Screen time in early childhood. Lancet Child Adolesc. Health, 4, 169–170. https://doi.org/10.1016/S2352-4642(20)30005-5
• Ebenegger, V., Marques-Vidal, P. M., Munsch, S., Quartier, V., Nydegger, A., Barral, J., … & Puder, J. J. (2012). Relationship of hyperactivity/inattention with adiposity and lifestyle characteristics in preschool children. J. Child Neurol., 27, 852–858. https://doi.org/10.1177/0883073811428009
• Erol, A. & İvrendi, A. (2018). 4-6 Yaş Çocuklarına Yönelik Öz-Düzenleme Becerileri Ölçeği’nin geliştirilmesi (Anne Formu). Pamukkale Üniversitesi Eğitim Fakültesi Dergisi, 44, 178-195.
• Fan, J. & Posner, M. (2004). Human attentional networks. Psychiatrische Praxis, 31, 210-214. http://dx.doi.org/10.1055/s-2004-828484
• Fraenkel, J. R., Wallen, N. E., & Hyun, H. H. (2012). How to design and evaluate research in education (7. b.). New York: McGraw-Hill.
• Gartstein, M. A., Crawford, J., & Robertson, C. D. (2008). Early markers of language and attention: mutual contributions and the impact of parent–infant interactions. Child Psychiatry Hum. Dev., 39, 9–26. https://doi.org/10.1007/s10578-007-0067-4
• Gentile, D. A., Swing, E. L., Lim, C. G., & Khoo, A. (2012). Video game playing, attention problems, and impulsiveness: Evidence of bidirectional causality. Psychology of Popular Media Culture, 1(1), 62–70. https://doi.org/10.1037/a0026969
• Gözüm, A. İ. C. & Kandır, A. (2020). Okul öncesi çocukların dijital oyun oynama sürelerine göre oyun eğilimi ile konsantrasyon düzeylerinin incelenmesi. Atatürk Üniversitesi Kazım Karabekir Eğitim Fakültesi Dergisi, 41, 82-100.
• Greenhill, L. L., Posner, K., Vaughan, B. S., & Kratochvil, C. J. (2008). Attention deficit hyperactivity disorder in preschool children. Child Adolesc. Psychiatr. Clin. N. Am., 17, 347–366, https://doi.org/10.1016/j.chc.2007.11.004
• Gueron-Sela, N. & Gordon-Hacker, A. (2020). Longitudinal links between media use and focused attention through toddlerhood: A cumulative risk approach. Front Psychol, 2(11), 569222. https://doi.org/10.3389/fpsyg.2020.569222
• Güzen, M. (2021). Covid-19 pandemi öncesi ve pandemi sürecinde 4-6 yaş çocuklarının dijital oyun bağımlılık eğilimleri ve ebeveyn rehberlik stratejilerinde görülen farklılıkları incelenmesi. (Yüksek Lisans Tezi). http://tez.yok.gov.tr sayfasından erişilmiştir.
• Hartshorne, J. K., Huang, Y. T., Lucio-Paredes, P. M., Oppenheimer, K., Robbins, P. T., & Velasco, M. D. (2021). Screen time as an index of family distress. Curr. Res. Behav. Sci., 2, 100023. https://doi.org/10.1016/j.crbeha.2021.100023
• Hetherington, E., McDonald, S., Racine, N., & Tough, S. (2020). Longitudinal predictors of self-regulation at school entry: Findings from the all our families cohort. Children, 7(10), 186, 1-12. https://doi.org/10.3390/children7100186
• Kawabe, K., Horiuchi, F., Miyama, T., Jogamoto, T., Aibara, K., Ishii, E., & Ueno, S. (2019). Internet addiction and attention-deficit/hyperactivity disorder symptoms in adolescents with autism spectrum disorder. Research in Developmental Disabilities, 89, 22-28. https://doi.org/10.1016/j.ridd.2019.03.002
• Kaymak-Özmen, S. & Özmen, A. (2012). Anne baba stres ölçeğinin geliştirilmesi. Milli Eğitim, 20(196), 20-35. Kılıç, S. (2016). Cronbach'ın alfa güvenirlik katsayısı. Journal of Mood Disorders, 6(1), 47-48.
• King, S. A., Casavant, M. J., Spiller, H. A., Hodges, N. L., Chounthirath, T., & Smith, G. A. (2018). Pediatric ADHD medication exposures reported to US Poison Control Centers. Pediatrics, 141(6), e20173872. https://doi.org/10.1542/peds.2017-3872
• Kirkorian, H. L., Pempek, T. A., Murphy, L. A., Schmidt, M. E., & Anderson, D. R. (2009). The impact of background television on parent-child interaction. Child Dev., 80, 1350–1359. https://doi.org/10.1111/j.1467-8624.2009.01337.x
• Konca, A. S., Baltacı, Ö., & Akbulut, Ö. F. (2022). Problematic technology use scale for young children (PTUS-YC): Validity and reliability study. International Journal of Assessment Tools in Education, 9(2), 267-289. https://doi.org/10.21449/ijate.888936
• Konok, V., Liszkai-Peres, K., Bunford, N., Ferdinandy, B., Jurányi, Z., Ujfalussy, D. J., … & Adam, M. (2021). Mobile use induces local attentional precedence and is associated with limited socio-cognitive skills in preschoolers. Comput. Hum. Behav., 120, 106758. https://doi.org/10.1016/j.chb.2021.106758
• Köklü, N., Büyüköztürk, Ş., & Çokluk, Ö. (2007). Sosyal bilimler için istatistik (2. b.). Ankara: Pegem.
• Kuru, N. B. & Kolcu, M. (2021). Covid-19 pandemisinde okul çocuklarında (6-10 yaş) teknolojik araç kullanımının belirlenmesi: İstanbul örneği. TJFMPC, 15(3), 552-560. http://dx.doi.org/10.21763/tjfmpc.887422
• Küçüksille, E. (2014). Çoklu doğrusal regresyon modeli. Ş Kalaycı (ed.), Spss uygulamalı çok değişkenli istatistik teknikleri (6. b.) içinde (s. 259-266). Ankara: Asil.
• Lakes, K. D., Vargas, D., Riggs, M., Schmidt, J., & Baird, M. (2011). Parenting intervention to reduce attention and behavior difficulties in preschoolers: A CUIDAR evaluation study. J. Child Fam. Stud., 20, 648–659. https://doi.org/10.1007/s10826-010-9440-1
• Landhuis, C. E., Poulton, R., Welch, D., & Hancox, R. J. (2007). Does childhood television viewing lead to attention problems in adolescence? Results from a prospective longitudinal study. Pediatrics, 120(3), 532–537. https://doi.org/10.1542/peds.2007-0978
• Landis, T. D., Garcia, A. M., Hart, K. C., & Graziano, P. A. (2021). Differentiating symptoms of ADHD in preschoolers: the role of emotion regulation and executive function. J. Atten. Disord., 25, 1260–1271. https://doi.org/10.1177/1087054719896858
• Li, H., Hsueh, Y., Yu, H., & Kitzmann, K. M. (2020). Viewing fantastical events in animated television shows: Immediate effects on Chinese preschoolers’ executive function. Front. Psychol., 11, 583174. https://doi.org/10.3389/fpsyg.2020.583174
• Malhi, P., Bharti, B., & Sidhu, M. (2021). Stress and parenting during the Covid-19 pandemic: Psychosocial impact on children. Indian J. Pediatr., 88, 481. https://doi.org/10.1007/s12098-021-03665-0
• Marchetti, D., Fontanesi, L., DiGiandomenico, S., Mazza, C., Roma, P., & Verrocchio, M. C. (2020). The effect of parent psychological distress on child hyperactivity/inattention during the Covid-19 lockdown: Testing the mediation of parent verbal hostility and child emotional symptoms. Front. Psychol., 11, 567052. https://doi.org/10.3389/fpsyg.2020.567052
• McArthur, B. A., Tough, S., & Madigan, S. (2021). Screen time and developmental and behavioral outcomes for preschool children. Pediatr. Res., 91, 1616–1621. https://doi.org/10.1038/s41390-021-01572-w
• McDaniel, B. T., & Radesky, J. S. (2020). Longitudinal associations between early childhood externalizing behavior, parenting stress, and child media use. Cyberpsychol. Behav. Soc. Netw., 23, 384–391. https://doi.org/10.1089/cyber.2019.0478
• Mercan-Uzun, E., Bütün-Kar, E., & Özdemir, Y. (2023). Ebeveynlerin gözünden çocuklarının dijital oyun oynama alışkanlıklarının değerlendirilmesi. Erzincan Üniversitesi Eğitim Fakültesi Dergisi, 25(1), 9-22. https://doi.org/10.17556/erziefd.1111846
• Mostafa, E. (2019). Effect of television exposure on attention and language in preschool children. Egypt. J. Otolaryngol., 35, 327–331. https://doi.org/10.4103/ejo.ejo_47_18
• Nigg, J. T. (2017). Annual research review: on the relations among self-regulation, self-control, executive functioning, effortful control, cognitive control, impulsivity, risk-taking, and inhibition for developmental psychopathology. J. Child Psychol. Psychiatry, 58, 361–383. https://doi.org/10.1111/jcpp.12675
• Nikkelen, S. W. C., Valkenburg, P. M., Huizinga, M., & Bushman, B. J. (2014). Media use and ADHD-related behaviors in children and adolescents: A meta-analysis. Dev. Psychol., 50(9), 2228–2241. https://doi.org/10.1037/a0037318
• O’Neill, S., Rajendran, K., Mahbubani, S. M., & Halperin, J. M. (2017). Preschool predictors of ADHD symptoms and impairment during childhood and adolescence. Curr. Psychiatry Rep., 19(12), 95, 1-15. https://doi.org/10.1007/s11920-017-0853-z
• Onwuegbuzie, A. J. & Collins, K. M. T. (2007). A typology of mixed methods sampling designs in social science research. The Qualitative Report, 12(2), 281-316. http://www.nova.edu/ssss/QR/QR12-2/onwuegbuzie2.pdf sayfasından erişilmiştir.
• Oğuz-Atıcı, V., Kurtay, A., Demirel, H., & Koyuncu, M. (2023). Pandemi sürecinin okul öncesi dönem çocuklarının oyunlarına etkisi. International Academic Social Resources Journal, 8(49), 2671-2677. http://dx.doi.org/10.29228/ASRJOURNAL.69621
• Özmert, E., Toyran, M., & Yurdakok, K. (2002). Behavioral correlates of television viewing in primary school children evaluated by the child behavior checklist. Arch Pediatr Adolesc Med., 156(9), 910–914. https://doi.org/10.1001/archpedi.156.9.910
• Page, A. S., Cooper, A. R., Griew, P., & Jago, R. (2010). Children’s screen viewing is related to psychological difficulties irrespective of physical activity. Pediatrics, 126(5), e1011–7. https://doi.org/10.1542/peds.2010-1154 Parks, E. P., Kazak, A., Kumanyika, S., Lewis, L., & Barg, F. K. (2016). Perspectives on stress, parenting, and children's obesity-related behaviors in black families. Health Educ. Behav., 43, 632–640. https://doi.org/10.1177/1090198115620418
• Pempek, T. & McDaniel, B. T. (2016). Young children’s tablet use and associations with maternal well-being. Journal of Child and Family Studies, 25(8), 1-28. https://doi.org/10.1007/s10826-016-0413-x
• Perrin, H. T., Heller, N. A., & Loe, I. M. (2019). School readiness in preschoolers with symptoms of attention-deficit/hyperactivity disorder. Pediatrics, 144, e20190038. https://doi.org/10.1542/peds.2019-0038
• Pew Research Center. (2020). How parents’ views of their kids’ screen time, social media use changed during COVID-19. https://www.pewresearch.org/short-reads/2022/04/28/how-parents-views-of-their-kids-screen-time-social-media-use-changed-during-covid-19/ sayfasından erişilmiştir.
• Posner, M. I. & Rothbart, M. K. (2007). Research on attention networks as a model for the integration of psychological science. Annu. Rev. Psychol., 58, 1–23. https://doi.org/10.1146/annurev.psych.58.110405.085516
• Radesky, J., Miller, A. L., Rosenblum, K. L., Appugliese, D., Kaciroti, N., & Lumeng, J. C. (2015). Maternal mobile device use during a structured parent-child interaction task. Acad. Pediatr., 15, 238–244. https://doi.org/10.1016/j.acap.2014.10.001
• Radesky, J. S., Eisenberg, S., Kistin, C. J., Gross, J., Block, G., Zuckerman, B., & Silverstein, M. (2016). Overstimulated consumers or next-generation learners? Parent tensions about child mobile technology use. Ann Fam Med., 14, 503-508. https://doi.org/10.1370/afm.1976
• Ramos, D. K. & Melo, H. M. (2019). Can digital games in school improve attention? A study of Brazilian elementary school students. J. Comput. Educ., 6, 5–19.
• Riter, H. D. S., Almeida, M. L., Vescovi, G., Marques, F. M., Pedrotti, B. G., Mallmann, M. Y., … & Frizzo, G. B. (2021). Symptoms of common mental disorders in Brazilian parents during the Covid-19 pandemic: Associated factors. Psychol. Stud., 66, 270–279. https://doi.org/10.1007/s12646-021-00609-8
• Rueda, M. R., Posner, M. I., & Rothbart, M. K. (2005). The development of executive attention: Contributions to the emergence of self-regulation. Developmental Neuropsychology, 28, 573–594. https://doi.org/10.1207/s15326942dn2802_2
• Santos, R. M. S., Mendes, C. G., Marques-Miranda, D., & Romano-Silva, M. A. (2022). The association between screen time and attention in children: A systematic review. Dev. Neuropsychol., 47, 175–192. https://doi.org/10.1080/87565641.2022.2064863
• Shannon, K. A., Scerif, G., & Raver, C. C. (2021). Using a multidimensional model of attention to predict low-income preschoolers’ early academic skills across time. Dev. Sci., 24, e13025. https://doi.org/10.1111/desc.13025
• Shin, E., Choi, K., Resor, J., & Smith, C. L. (2021). Why do parents use screen media with toddlers? The role of child temperament and parenting stress in early screen use. Infant Behav. Dev., 64, 101595. https://doi.org/10.1016/j.infbeh.2021.101595
• Sims, D. M. & Lonigan, C. J. (2013). Inattention, hyperactivity, and emergent literacy: Different facets of inattention relate uniquely to preschoolers’ reading-related skills. J. Clin. Child Adolesc. Psychol., 42, 208–219. https://doi.org/10.1080/15374416.2012.738453
• Soldatova, G. U. & Teslavskaia, O. I. (2017). Videogames, academic performance and attention problems: Practices and results of foreign empirical studies of children and adolescents. Journal of Modern Foreign Psychology, 6(4), 21–28. http://dx.doi.org/10.17759/jmfp.2017060402
• Spinelli, M., Lionetti, F., Pastore, M., & Fasolo, M. (2020). Parents’ stress and children’s psychological problems in families facing the Covid-19 outbreak in Italy. Front. Psychol., 11, 1713. https://doi.org/10.3389/fpsyg.2020.01713
• Spira, E. G. & Fischel, J. E. (2005). The impact of preschool inattention, hyperactivity, and impulsivity on social and academic development: A review. J. Child Psychol. Psychiatry, 46, 755–773. https://doi.org/10.1111/j.1469-7610.2005.01466.x
• Spruijt, A. M., Dekker, M. C., Ziermans, T. B., & Swaab, H. (2020). Educating parents to improve parent–child interactions: Fostering the development of attentional control and executive functioning. Br. J. Educ. Psychol., 90, 158–175. https://doi.org/10.1111/bjep.12312
• Tabachnick, B. G. & Fidell, L. S. (2015). Çok değişkenli istatistiklerin kullanımı (B. Bıçak vd., Çev.). Ankara: Nobel.
• Tamana, S. K., Ezeugwu, V., Chikuma, J., Lefebvre, D. L., Azad, M. B., Moraes, T. J., … & Mandhane, P. J. (2019). Screen-time is associated with inattention problems in preschoolers: Results from the childbirth cohort study. PLoS One, 14, e0213995. https://doi.org/10.1371/journal.pone.0213995
• Vanderloo, L. M., Carsley, S., Aglipay, M., Cost, K. T., Maguire, J., & Birken, C. S. (2020). Applying harm reduction principles to address screen time in young children amidst the Covid-19 pandemic. J. Dev. Behav. Pediatr., 41, 335–336. https://doi.org/10.1097/DBP.0000000000000825
• Walton, K., Simpson, J. R., Darlington, G., & Haines, J. (2014). Parenting stress: a cross-sectional analysis of associations with childhood obesity, physical activity, and TV viewing. BMC Pediatr., 14, 1-7. https://doi.org/10.1186/1471-2431-14-244
• Warren, R. & Aloia, L. (2019). Parenting style, parental stress, and mediation of children’s media use. Western Journal of Communication, 83(4), 483-500. https://doi.org/10.1080/10570314.2019.1582087
• Zimmerman, F. J. & Christakis, D.A. (2007). Associations between content types of early media exposure and subsequent attentional problems. Pediatrics, 120, 986–992. https://doi.org/10.1542/peds.2006-3322