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Ekran Maruziyeti Okul Öncesi Dönemdeki Çocukların Uyku Rutinlerini Nasıl Etkiler?

Yıl 2026, Cilt: 7 Sayı: 1, 9 - 23, 31.01.2026
https://doi.org/10.47482/acmr.1642749

Öz

Giriş ve Amaç: Yaşamın erken dönemlerinde uyku ruhsal ve fiziksel açıdan oldukça önemlidir. Bu çalışmanın amacı, okul öncesi çocukların uyku özelliklerini ve rutinlerini belirlemek ve uyku özelliklerinin ekrana maruz kalma ve sosyoekonomik faktörlerle ilişkisini araştırmaktır.
Yöntem: Eğitimli bir klinisyen, 3-6 yaş arası 114 sağlıklı çocuğun ebeveynine yapılandırılmış tanı görüşmesinin (Preschool Age Psychiatric Assessment-PAPA) uyku bozuklukları bölümünü uygulamıştır. Sosyodemografik özellikler, uyku özellikleri ve rutinleri ile ekran süresi not edilmiştir.
Bulgular: Ekrana maruz kalma süresi çocukların %72'sinde >1 saat/gün ve %23.68'inde >3 saat olarak bulunmuştur. Katılımcılar arasında kendi odasında uyuma oranı %26.3, ortak odada uyuma oranı %34.2 ve ebeveyn yatağında uyuma oranı %39.5'tir. Yatma zamanı direnci prevalansı %73.69'dur. Ebeveynlerin eğitim düzeyleri, aylık gelirleri ve okula devam etme durumları ayrı bir yatağa sahip olma ile ilişkiliydi. Yatma zamanı direnci ve ayrılık rüyaları uyku öncesi ekran kullanımında daha yaygındı. Yatma zamanı direnci 1 saatten daha uzun süre ekrana maruz kalma ile ilişkiliydi.
Sonuç: Kültürel inançlara ek olarak, bireysel farklılıklar ve mizaç, ebeveynlik stilleri ve aile süreçleri gibi birçok faktör uyku ve sonuçlarıyla ilgili yatma zamanı rutinlerini etkileyebilir. Bu nedenle, kültürel özellikler göz önünde bulundurularak, ebeveyn psikoeğitimi ve ekrana maruz kalma, yatma zamanı rutinine katılımı teşvik etmeli, sağlıklı alışkanlıkların gelişimini desteklemeli ve çocuğun yaşam boyu psikolojik refahını artırmalıdır.

Kaynakça

  • Janssen X, Martin A, Hughes AR, Hill CM, Kotronoulas G, Hesketh KR. Associations of screen time, sedentary time and physical activity with sleep in under 5s: A systematic review and meta-analysis. Sleep Med Rev. 2020;49:101226.
  • Galland BC, Taylor BJ, Elder DE, Herbison P. Normal sleep patterns in infants and children: A systematic review of observational studies. Sleep Med Rev. 2012;16(3):213-22.
  • Sijtsma A, Koller M, Sauer PJ, Corpeleijn E. Television, sleep, outdoor play and BMI in young children: the GECKO Drenthe cohort. Eur J Pediatr. 2015;174:631-39.
  • Mindell JA, Williamson AA. Benefits of a bedtime routine in young children: Sleep development, and beyond. Sleep Med Rev. 2018;40:93-108.
  • Simola P, Laitalainen E, Liukkonen K, Virkkula P, Kirjavainen T, Pitkäranta A, et al. Sleep disturbances in a community sample from preschool to school age. Child Care Health Dev. 2012;38(4):572-80.
  • Spruyt K. A review of developmental consequences of poor sleep in childhood. Sleep Med. 2019;60:3-12.
  • Berger SE, Scher A. Naps improve new walkers’ locomotor problem solving. J Exp Child Psychol. 2017;162:292-300.
  • Sytsma SE, Kelley ML, Wymer JH. Sleep routines inventory. J Psychopathol Behav Assess. 2001;23(4):241-51.
  • Hoyniak CP, Bates JE, McQuillan ME, Albert LE, Staples AD, et al. The family context of toddler sleep: Routines, sleep environment, and emotional security induction in the hour before bedtime. Behav Sleep Med. 2021;19(6):795-813.
  • Nathanson AI, Fries PT. Television exposure, sleep time, and neuropsychological function among preschoolers. Media Psychol. 2014;17(3):237-61.
  • Vijakkhana N, Wilaisakditipakorn T, Ruedeekhajorn K, Pruksananonda C, Chonchaiya W. Evening media exposure reduces nighttime sleep. Acta Paediatrica. 2015;104(3):306-12.
  • Taylor RW, Williams SM, Farmer VL, Taylor BJ. The stability of sleep patterns in children 3 to 7 years of age. J Pediatr. 2015;166(3):697-702.
  • Ahn Y, Williamson AA, Seo HJ, Sadeh A, Mindell JA. Sleep patterns among South Korean infants and toddlers: global comparison. J Korean Med Sci. 2016;31(2):261-69.
  • Zhang Z, Sousa-Sá E, Pereira J, Chaput JP, Okely A, Feng X, et al. Correlates of nocturnal sleep duration, nocturnal sleep variability, and nocturnal sleep problems in toddlers: results from the GET UP! Study. Sleep Med. 2019;53:124-32.
  • Biddle SJ, Pearson N, Ross GM, Braithwaite R. Tracking of sedentary behaviours of young people: a systematic review. Prev Med. 2010;51(5):345-51.
  • Egger HL, Erkanli A, Keeler G, Potts E, Walter BK, Angold A. Test-retest reliability of the preschool age psychiatric assessment (PAPA). J Am Acad Child Adolesc Psychiatry. 2006;45(5):538-49.
  • Oztop DB, Efendi GY, Uytun MC, Yurumez E, Unlu HK, Ayidaga EA, et al. The Validity and Reliability of Preschool Age Psychiatric Assessment (PAPA) in Turkish Population. Asian J Psychiatr. 2024;91:103837.
  • American Academy of Pediatrics. American Academy of Pediatrics: children, adolescents, and television. Pediatrics. 2001;107(2):423-26.
  • Allen SL, Howlett MD, Coulombe JA, Corkum PV. ABCs of SLEEPING: A review of the evidence behind pediatric sleep practice recommendations. Sleep Med Rev. 2016;29:1-14.
  • Hirshkowitz M, Whiton K, Albert SM, Alessi C, Bruni O, DonCarlos L, et al. National Sleep Foundation’s updated sleep duration recommendations. Sleep Health. 2015;1(4):233-43.
  • Mindell JA, Sadeh A, Wiegand B, How TH, Goh DYT. Cross-cultural differences in infant and toddler sleep. Sleep Med. 2010;11(3):274-80.
  • Mindell JA, Sadeh A, Kwon R, Goh DY. Cross-cultural differences in the sleep of preschool children. Sleep Med. 2013;14(12):1283-89.
  • Jeon M, Dimitriou D, Halstead EJ. A systematic review on cross-cultural comparative studies of sleep in young populations: the roles of cultural factors. Int J Environ Res Public Health. 2021;18(4):2005.
  • Carneiro IM, Fonseca PTD, Ferreira R. Children's sleep habits questionnaire in two subpopulations from Cape Verde and Mozambique: Exploratory and regression analysis. Acta Med Port. 2019;32(10):628‑34.
  • Brockmann PE, Diaz B, Damiani F, Villarroel L, Núñez F, Bruni O. Impact of television on the quality of sleep in preschool children. Sleep Med. 2016;20:140-44.
  • Peterman JS, Carper MM, Kendall PC. Anxiety disorders and comorbid sleep problems in school-aged youth: review and future research directions. Child Psychiatry Hum Dev. 2015;46:376-92.
  • Rimsh A, Pietrowsky R. Dreams in anxiety disorders and anxiety. Int J Dream Res. 2020:1-16.
  • Hale L, Berger LM, LeBourgeois MK, Brooks-Gunn J. A longitudinal study of preschoolers language-based bedtime routines sleep duration, and well-being. J Fam Psychol. 2011;25(3):423-33.
  • Black MM, Walker SP, Fernald LC, Andersen CT, DiGirolamo AM, Lu C, et al. Early childhood development coming of age: science through the life course. The Lancet. 2017;389(10064):77-90.
  • Anvari SH, Trainor LJ, Woodside J, Levy BA. Relations among musical skills, phonological processing, and early reading ability in preschool children. J Exp Child Psychol. 2002;83(2):111-130.
  • Okami P, Weisner T, Olmstead R. Outcome correlates of parent-child bedsharing: an eighteen-year longitudinal study. J Dev Behav Pediatr. 2002;23(4):244–53.
  • Mileva-Seitz VR, Bakermans-Kranenburg MJ, Battaini C, Luijk MP. Parent-child bed-sharing: The good, the bad, and the burden of evidence. Sleep Med Rev. 2017;32:4-27.
  • Santos IS, Barros AJ, Barros FC, Munhoz TN, Da Silva BDP, Matijasevich A. Mother-child bed-sharing trajectories and psychiatric disorders at the age of 6 years. J Affect Disord. 2017;208:163-69.
  • Mindell JA, Lee C, Sadeh A. Young child and maternal sleep in the Middle East. Sleep Med. 2017;32:75-82.

How Does Screen Exposure Affect Sleep Routines of Preschool Children?

Yıl 2026, Cilt: 7 Sayı: 1, 9 - 23, 31.01.2026
https://doi.org/10.47482/acmr.1642749

Öz

Background: Sleep is crucial for children's development and is influenced by bedtime routines, screen exposure, and socioeconomic factors. Modern lifestyle changes, including increased screen use, may disrupt sleep quality. Cultural and socioeconomic conditions also shape sleep habits, such as co-sleeping and parental involvement. This study aimed to examine the sleep characteristics and routines of healthy children aged 3–6 years and their associations with screen exposure and socioeconomic factors.
Methods: This cross-sectional study included 114 healthy children aged 3-6 years. The sleep disorder section of a structured diagnostic interview (Preschool Age Psychiatric Assessment-PAPA) was administered to the parents. Sociodemographic features, sleep characteristics and routines, and screen time were noted. The correlation between sleep characteristics and sleep routines was analyzed. The statistical significance level was set at 0.05.
Results: 92.98% of children had at least one sleep routine, while 72% were exposed to screens for over an hour per day and 23.68% for over 3 hours per day. 26.3% of participants slept in their own room, 34.2% in a shared room, and 39.5% in their parents' bed. Bedtime resistance was prevalent in 73.69% of the participants. Education levels of parents (p<.05), monthly income (p=.002), and school attendance (p=.01) were correlated with sleeping in separate beds. Bedtime resistance was correlated with screen exposure longer than 1 h (p=.01). Bedtime resistance and separation dreams were more common in pre-sleep screen use (p<.05).
Conclusion: Factors related to bedtime routines play a key role in shaping sleep characteristics. Children’s school attendance, education levels of parents, and monthly income may affect sleep routines. Screen exposure can disrupt sleep, so reducing screen time before bed is important. Parental education on healthy sleep habits helps promote better sleep and supports children’s emotional and psychological development.

Kaynakça

  • Janssen X, Martin A, Hughes AR, Hill CM, Kotronoulas G, Hesketh KR. Associations of screen time, sedentary time and physical activity with sleep in under 5s: A systematic review and meta-analysis. Sleep Med Rev. 2020;49:101226.
  • Galland BC, Taylor BJ, Elder DE, Herbison P. Normal sleep patterns in infants and children: A systematic review of observational studies. Sleep Med Rev. 2012;16(3):213-22.
  • Sijtsma A, Koller M, Sauer PJ, Corpeleijn E. Television, sleep, outdoor play and BMI in young children: the GECKO Drenthe cohort. Eur J Pediatr. 2015;174:631-39.
  • Mindell JA, Williamson AA. Benefits of a bedtime routine in young children: Sleep development, and beyond. Sleep Med Rev. 2018;40:93-108.
  • Simola P, Laitalainen E, Liukkonen K, Virkkula P, Kirjavainen T, Pitkäranta A, et al. Sleep disturbances in a community sample from preschool to school age. Child Care Health Dev. 2012;38(4):572-80.
  • Spruyt K. A review of developmental consequences of poor sleep in childhood. Sleep Med. 2019;60:3-12.
  • Berger SE, Scher A. Naps improve new walkers’ locomotor problem solving. J Exp Child Psychol. 2017;162:292-300.
  • Sytsma SE, Kelley ML, Wymer JH. Sleep routines inventory. J Psychopathol Behav Assess. 2001;23(4):241-51.
  • Hoyniak CP, Bates JE, McQuillan ME, Albert LE, Staples AD, et al. The family context of toddler sleep: Routines, sleep environment, and emotional security induction in the hour before bedtime. Behav Sleep Med. 2021;19(6):795-813.
  • Nathanson AI, Fries PT. Television exposure, sleep time, and neuropsychological function among preschoolers. Media Psychol. 2014;17(3):237-61.
  • Vijakkhana N, Wilaisakditipakorn T, Ruedeekhajorn K, Pruksananonda C, Chonchaiya W. Evening media exposure reduces nighttime sleep. Acta Paediatrica. 2015;104(3):306-12.
  • Taylor RW, Williams SM, Farmer VL, Taylor BJ. The stability of sleep patterns in children 3 to 7 years of age. J Pediatr. 2015;166(3):697-702.
  • Ahn Y, Williamson AA, Seo HJ, Sadeh A, Mindell JA. Sleep patterns among South Korean infants and toddlers: global comparison. J Korean Med Sci. 2016;31(2):261-69.
  • Zhang Z, Sousa-Sá E, Pereira J, Chaput JP, Okely A, Feng X, et al. Correlates of nocturnal sleep duration, nocturnal sleep variability, and nocturnal sleep problems in toddlers: results from the GET UP! Study. Sleep Med. 2019;53:124-32.
  • Biddle SJ, Pearson N, Ross GM, Braithwaite R. Tracking of sedentary behaviours of young people: a systematic review. Prev Med. 2010;51(5):345-51.
  • Egger HL, Erkanli A, Keeler G, Potts E, Walter BK, Angold A. Test-retest reliability of the preschool age psychiatric assessment (PAPA). J Am Acad Child Adolesc Psychiatry. 2006;45(5):538-49.
  • Oztop DB, Efendi GY, Uytun MC, Yurumez E, Unlu HK, Ayidaga EA, et al. The Validity and Reliability of Preschool Age Psychiatric Assessment (PAPA) in Turkish Population. Asian J Psychiatr. 2024;91:103837.
  • American Academy of Pediatrics. American Academy of Pediatrics: children, adolescents, and television. Pediatrics. 2001;107(2):423-26.
  • Allen SL, Howlett MD, Coulombe JA, Corkum PV. ABCs of SLEEPING: A review of the evidence behind pediatric sleep practice recommendations. Sleep Med Rev. 2016;29:1-14.
  • Hirshkowitz M, Whiton K, Albert SM, Alessi C, Bruni O, DonCarlos L, et al. National Sleep Foundation’s updated sleep duration recommendations. Sleep Health. 2015;1(4):233-43.
  • Mindell JA, Sadeh A, Wiegand B, How TH, Goh DYT. Cross-cultural differences in infant and toddler sleep. Sleep Med. 2010;11(3):274-80.
  • Mindell JA, Sadeh A, Kwon R, Goh DY. Cross-cultural differences in the sleep of preschool children. Sleep Med. 2013;14(12):1283-89.
  • Jeon M, Dimitriou D, Halstead EJ. A systematic review on cross-cultural comparative studies of sleep in young populations: the roles of cultural factors. Int J Environ Res Public Health. 2021;18(4):2005.
  • Carneiro IM, Fonseca PTD, Ferreira R. Children's sleep habits questionnaire in two subpopulations from Cape Verde and Mozambique: Exploratory and regression analysis. Acta Med Port. 2019;32(10):628‑34.
  • Brockmann PE, Diaz B, Damiani F, Villarroel L, Núñez F, Bruni O. Impact of television on the quality of sleep in preschool children. Sleep Med. 2016;20:140-44.
  • Peterman JS, Carper MM, Kendall PC. Anxiety disorders and comorbid sleep problems in school-aged youth: review and future research directions. Child Psychiatry Hum Dev. 2015;46:376-92.
  • Rimsh A, Pietrowsky R. Dreams in anxiety disorders and anxiety. Int J Dream Res. 2020:1-16.
  • Hale L, Berger LM, LeBourgeois MK, Brooks-Gunn J. A longitudinal study of preschoolers language-based bedtime routines sleep duration, and well-being. J Fam Psychol. 2011;25(3):423-33.
  • Black MM, Walker SP, Fernald LC, Andersen CT, DiGirolamo AM, Lu C, et al. Early childhood development coming of age: science through the life course. The Lancet. 2017;389(10064):77-90.
  • Anvari SH, Trainor LJ, Woodside J, Levy BA. Relations among musical skills, phonological processing, and early reading ability in preschool children. J Exp Child Psychol. 2002;83(2):111-130.
  • Okami P, Weisner T, Olmstead R. Outcome correlates of parent-child bedsharing: an eighteen-year longitudinal study. J Dev Behav Pediatr. 2002;23(4):244–53.
  • Mileva-Seitz VR, Bakermans-Kranenburg MJ, Battaini C, Luijk MP. Parent-child bed-sharing: The good, the bad, and the burden of evidence. Sleep Med Rev. 2017;32:4-27.
  • Santos IS, Barros AJ, Barros FC, Munhoz TN, Da Silva BDP, Matijasevich A. Mother-child bed-sharing trajectories and psychiatric disorders at the age of 6 years. J Affect Disord. 2017;208:163-69.
  • Mindell JA, Lee C, Sadeh A. Young child and maternal sleep in the Middle East. Sleep Med. 2017;32:75-82.
Toplam 34 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Konular Psikiyatri
Bölüm Araştırma Makalesi
Yazarlar

Esra Yurumez 0000-0002-7051-5662

Esra Akman Ayidağa 0000-0001-7968-9266

Müge Çakıroğlu 0000-0002-7567-6641

Merve Çıkılı Uytun 0000-0002-2381-5742

Birim Günay Kılıç 0000-0002-4566-2564

Didem Öztop 0000-0003-3189-2112

Gönderilme Tarihi 19 Şubat 2025
Kabul Tarihi 15 Nisan 2025
Yayımlanma Tarihi 31 Ocak 2026
Yayımlandığı Sayı Yıl 2026 Cilt: 7 Sayı: 1

Kaynak Göster

APA Yurumez, E., Akman Ayidağa, E., Çakıroğlu, M., … Çıkılı Uytun, M. (2026). How Does Screen Exposure Affect Sleep Routines of Preschool Children? Archives of Current Medical Research, 7(1), 9-23. https://doi.org/10.47482/acmr.1642749

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