Sunday, May 5, 2019

Position Paper: Adolescent Screen Time Exposure


by Al Gourrier Jr., Neuroscience & Psychology Major, Class of 2019 


My blog post is a position paper about adolescent screen time exposure. I chose this topic because there are many negative affects of excessive screen time exposure on children that the general public may not be aware of. 


My position paper is on screen time exposure during childhood and adolescence. I will discuss screen time exposure from a parenting perspective. More specifically, I will discuss why I will raise my future children in a household where screen time exposure is limited, especially before and during bed time hours.
Screen time and digital media is addictive, especially for children and adolescents who find themselves spending hours and hours in front of a screen. Excessive screen time not only takes away from the opportunity to engage in activities essential for proper development and exercise, but it also has adverse consequences that include: physical, psychological, social and neurological (Lissak, 2018). There are many known factors that contribute to these adverse effects (e.g. duration of screen time); however, Lissak (2018) talked about two factors (i.e. number of devices and after-dark use) that I had not thought of prior. I will talk about these factors among many others in the remainder of this paper. I will primarily focus on why I plan to limit excessive screen time exposure for my future children and provide empirical evidence to support my personal parenting perspective.
The accessibility of digital media and devices in general plays a significant role in screen time exposure in children and adolescents. Parents and guardians have the means to afford multiple televisions, phones, tablets, etcetera that result in ample devices available for excess leisure screen time. My future family, specifically my future children, will have limited access to a plethora of devices, especially after-dark use. In other words, my children will have the resources and means to acquire the devices and leisure screen time that comes with it. However, they will be expected to limit their time in front of a screen and partake in other activities, such as playing or reading. Exercise, socializing, and mental activities in the form of games promote good physical health, attachment and social coping.
Lissak (2018) states that these components of well-being (e.g. good physical health) are crucial for psychophysiological resilience, and excessive screen usage in children and adolescents is a primary factor that disrupts its development. For instance, excessive screen usage is associated with poor sleep, cardiovascular disease risk factors, and impaired vision (Lissak, 2018). Twenge and Campbell (2019) even tackled the daunting question that every Generation X and Baby Boomer has wondered (or at least hypothesized and reported as if it were factual): is time spent on digital media associated with lower psychological well-being?
Various studies’ offer different conclusions; however, Twenge and Campbell (2019) utilized three large surveys of adolescents [UK 15 year olds (n = 120,115) and American 8th to 12th graders (n = 100,981)] to gain a rather extensive sample (n = 221,096) to compare light daily digital usage (i.e. less than one hour) to heavy daily digital usage (i.e. five or more hours). Twenge and Campbell (2019) found that adolescents’ who reported heavy daily digital usage were significantly more likely to be unhappy and report low well-being, depression and suicidal ideation/attempts. Light daily digital usage, on the other hand, was found to have the highest well-being reports.
Given that we know that psychological well-being is crucial for healthy adolescent development and excessive screen time negatively influences well-being, I will limit my future children’s screen exposure. In addition to negatively influencing psychological well-being, excessive screen time exposure also has adverse consequences in brain structural changes and psycho-neurological effects. For instance, ADHD-related behaviors are associated with excessive screen usage, and addictive screen time usage consists of craving behavior that resembles substance dependence behavior (Lissak, 2018).
Moreover, Dunckley (2014) observed that her adolescent patients often suffered from “electronic screen syndrome,” which is characterized by a hyper aroused nervous system, lack of sleep, and sensory overload. Adolescent mood instability, attentional span, and inhibitory control are thus negatively influenced (i.e. side effects) as a result of screen overload and lead to a general decrease in cognitive control. Furthermore, Zhou et al. (2011) found that adolescents’ with internet addiction had decreased brain gray matter density, specifically in the left anterior and posterior cingulate cortex and left insula. Dunckley (2014) further reported on the significance of the insula in developing compassion and empathy, which are pivotal skills needed for the personal relationships that individuals work on developing in adolescence.
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Dunckley also reported compromised white matter integrity, reduced cortical thickness, and impaired cognitive functioning as negative effects of too much screen time in the review. Compromised white matter integrity, in her review, referred to the loss in functional connectivity in the brain, which results in poor internal communication. Reduced cortical thickness, on the other hand, was found in the frontal lobe of late adolescent gaming addicts, which resulted in decreased performances in cognitive functioning. With all of this in mind, there’s a multitude of adverse consequences that result from too much time in front of a screen, and I will preemptively provide restrictions in order to avoid the possibility of my future children acquiring any of these negative effects. 
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Additional adverse consequences of excessive screen time exposure include: poor sleep and low parental attachment (Cajochen et al., 2011; Hale & Guan, 2015; Lissak, 2018; Richards et al., 2010). Computer screens emit short wavelength light-emitting diodes (LED), generally known as blue light. The blue light of the screen enhances alertness and increases cognitive performance in the evening, because human alert levels and circadian physiology is sensitive to blue light (Cajochen et al., 2011). The ability of screens to keep people cognitively alert is beneficial for adults that need to stay up. However, children and adolescents rarely need to be cognitively alert after dark. The excessive screen time exposure thus keeps children and adolescents up and results in a lack of sleep and increased sleep problems (Hale & Guan, 2015). Sleep is pivotal for healthy development in childhood and adolescence. Therefore, if limiting screen time exposure before and during bed time hours reduces the risk of sleep problems, then my future children will have bed time restrictions for screen time exposure.
Furthermore, Richards et al. (2010) found that increased screen time exposure was associated with low parental attachment for adolescents’ (14-15 years old). Increased television viewing and computer playing was also associated with low attachment to peers. Richards et al.’s (2010) results warrant immediate attention, because adolescence is a transitional period in development in which individuals socialize and begin to rebel in an effort to gain independence. Therefore, adolescents’ should at least have high attachment with their peers, if not with both parents and peers. My future children will not have excessive screen time exposure so that they’ll be able to properly develop social skills as well as high attachment to both their parents and peers. Furthermore, family television viewing will hopefully increase parental attachment as well. My future children will be able to watch what they want with their parents and develop a healthy parental relationship in the process, in addition to their independent leisure screen time.
The final adverse consequence of screen time that I’ll address in my position paper is particularly catered to mass media and the potential negative affect of social media on adolescent development and health. Media, specifically social media, has the potential to foster friendships and transmit information instantly. However, the social influences of media can also be detrimental to individuals’ psychological and physiological health, especially during adolescence.
The media plays a significant role in learning social norms. For instance, we know what the latest trends are due to media and we often unconsciously develop the ideals of beauty marked by thinness and lighter skin complexion. We cannot escape the thinness ideal when every model, actor/actress, spokesperson and celebrity fit a particular mold. The media constantly reminds and even reinforces people that there is an ideal body shape that we should work towards. With that in mind, the media ends up playing a critical role in the social context for body dissatisfaction and eating disorders. Spettigue and Henderson (2004) reported that women with anorexia nervosa even increased their social media use and further internalized the thinness ideal during the initial onset of the anorexia. The women know that social media is part of the problem; however, the power of social media to draw their attention is borderline addictive.
Social media is generally a part of the problem with regards to the development of eating disorders because of social comparison and cyber-bullying. However, media has the ability to promote and spread treatment and prevention messages as well. For instance, media advocacy and literacy campaigns and trainings for eating disorders are available, but seldom used or spread enough (especially in adolescent populations). Media thus plays a critical role in the development (and even treatment) of eating disorders. Therefore, with the accumulation of all of this empirical evidence of adverse consequences of excessive screen time exposure and social media influences, I plan to limit my future children’s screen exposure. Additionally, I think it is important to teach my children (e.g. young adolescence) the potential effects of excessive screen time exposure and social media, so that they are aware of the benefits and consequences of the technology that they live with.


References

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