Children and screens: how to balance use for healthy cognitive development
Portada nº 274
pdf (Spanish)

Keywords

Attention
Child Development
Executive Function
Language Development
Screen Time

How to Cite

1.
Bausela Herreras E. Children and screens: how to balance use for healthy cognitive development. Bol Pediatr. 2025;65(274):241-245. doi:10.63788/yhjexw76

Abstract

Screen use in childhood has raised growing concerns due to its impact on cognitive development. This arti- cle reviews studies showing that excessive exposure to electronic devices –especially in children under six– is linked to difficulties in attention, memory, language, and executive functions. Passive content, such as background television, is more harmful than educational or interactive media, and adult supervision can help mitigate these effects. Factors like family environment, socioeconom- ic status, and individual child characteristics influence the degree of impact. Children from urban areas, boys, and those with limited social interaction are more vul- nerable. However, moderate and structured screen use, with appropriate content and parental involvement, may support language and cognitive skills. Neurobiological studies suggest that prolonged exposure affects brain connectivity, although these effects tend to be subtle and cumulative. Recommendations include limiting screen time to less than one hour per day for preschool-aged children, prioritizing educational content, and encourag- ing offline activities such as collaborative play or reading. 

In conclusion, excessive and unsupervised screen use is associated with poorer cognitive outcomes, while regulat- ed and contextualized use can support healthy learning and development.

pdf (Spanish)

References

Pérez P. El abuso de las pantallas en la infancia y la adoles- cencia deja huella: “Hemos encontrado un patrón en la sangre. ElMundo Salud [Internet]. 24 de agosto de 2025; Disponible en: https://www.elmundo.es/ciencia-y-salud/salud/2025/08/24/68a9a37e21efa0d1468b458a.html.

Mahadi G, Ahammad GS, Abdi AA. Spot It! A mathematical approach to offline games - Reducing screen time and enhan- cing cognitive development in children. RA Journal of Applied Research. 2025; 11(03): 97-105. https://doi.org/10.47191/rajar/v11i3.04.

Bukhalenkova DA, Chichinina EA, Chursina A, Veraska A. The relationship between the use of digital devices and cognitive development in preschool children: Evidence from scholarly literature. Science for Education Today. 2021; 11(3): 7-25. https://doi.org/10.15293/2658-6762.2103.01.

Massaroni V, Delle Donne V, Marra C, Arcangeli V, Chieffo DPR. The relationship between language and technology: How screen time affects language development in early life–A systematic review. Brain Sci. 2023; 14(1): 27. https://doi.org/10.3390/brainsci14010027.

Silva IM, Oliveira JM, Pereira MIS, Melo C. A relação entre o excesso de telas na primeira infância com o atraso no desenvol- vimento neuromotor. Revista ft. 2024; 28(140): 42-3. https://doi.org/10.69849/revistaft/ar10202411072142.

Gijare B, Shrivastava A, Ansari S. Effects of excessive screen time on children’s cognitive and communication development. ShodhKosh J Vis Per Arts. 2023; 4(2): 1535-40. https://doi. org/10.29121/shodhkosh.v4.i2.2023.2626.

Nivins S, Sauce B, Liebherr M, Judd N, Klingberg T. Long-term impact of digital media on brain development in children. Sci Rep. 2024; 14(1): 13030. https://doi.org/10.1038/s41598-024-63566-y.

Kim J, Tsethlikai M. Longitudinal relations of screen time dura- tion and content with executive function difficulties in South Korean children. J Child Media. 2024; 18(3): 386-404. https://doi.org/10.1080/17482798.2024.2342344.

Remadevi V, Ar K, Kunnath S. Appropriate screen time use to pre- vent speech and language delay in toddlers during the Covid-19 pandemic: A brief report. Disability CBR & Inclusive Develop- ment. 2022; 32(4): 155. https://doi.org/10.47985/dcidj.519.

Korres G, Kourklidou M, Sideris G, Bastaki D, Demagkou A, Riga M, et al. Unsupervised screen exposure and poor language development: A scoping review to assess current evidence and suggest priorities for research. Cureus. 2024; 16(3): e56483. https://doi.org/10.7759/cureus.56483.

Dahl V, Ramakrishnan A, Spears AP, Jorge A, Lu J, Bigio NA, et al. Psychoeducation interventions for parents and teachers of children and adolescents with ADHD: A systematic review of the literature. J Dev Phys Disabil. 2020; 32(2): 257-92. https://doi.org/10.1007/s10882-019-09691-3.

Kakon HS, Soron RT, Hossain MS, Haque R, Tofail F. Role of parental supervision on digital screen use and its effects on children’s mental health and wellbeing in Bangladesh: A cross sectional study. BJPsych open. 2024;10(S1): S50-S50. https://doi.org/10.1192/bjo.2024.179.

Xie H, Liu C, Wang S, Wang X. Screen time and preschoolers’ pre-academic and behavioural competence: the moderating role of child characteristics. Early Child Dev Care. 2024; 194(2) 260-80. https://doi.org/10.1080/03004430.2024.2303473.

Rajasekhar Reddy, SOVS Satish Reddy. Impact of screen time on language development and sleep patterns in children: An observational cohort study. Asian J Med Sci. 2025: 16(3): 97-101. https://doi.org/10.71152/ajms.v16i3.4412.

Yang M, Yan X, Zhang Q. Exploring the influence of an immer- sive virtual reality environment on training pre-service teachers’ inquiry-based instruction. En: 4th International Conference on Computer Science and Technologies in Education (CSTE) [Internet]. Xi’an, China: IEEE; 2022:77-81. https://doi.org/10.1109/CSTE55932.2022.00020

Guellai B, Somogyi E, Esseily R, Chopin A. Effects of screen exposure on young children’s cognitive development: A review. Front Psychol. 2022; 13: 923370. https://doi.org/10.3389/fpsyg.2022.923370.

Bal M, Kara Aydemir AG, Tepetas Cengiz GS, Altındag A. Exami- ning the relationship between language development, executive function, and screen time: A systematic review. PLoS One. 2024; 19(12): e0314540. https://doi.org/10.1371/journal.pone.0314540.

Ponti M. Screen time and preschool children: Promoting health and development in a digital world. Paediatr Child Health. 2023; 28(3): 184-92. https://doi.org/10.1093/pch/pxac125.

Swit CS, Friesen MD, Xue X. Predictors of young children’s problematic screen media use in Aotearoa New Zealand: Testing the interactional theory of childhood problematic media use model. J Child Media. 2025; 1-22. https://doi.org/10.1080/17482798.2025.2530940.

Zhang J, Zhang Q, Xiao B, Cao Y, Chen Y, Li Y. Parental technoference and child problematic media use: Meta-analysis. J Med Internet Res. 2025; 27: e57636. https://doi.org/10.2196/57636.

Hu BY, Johnson GK, Teo T, Wu Z. Relationship between screen time and chinese children’s cognitive and social development. J Res Child Educ. 2020; 34(2): 183-207. https://doi.org/10.1080/02568543.2019.1702600.

Massaroni V, Delle Donne V, Marra C, Arcangeli V, Chieffo DPR. The relationship between language and technology: How screen time affects language development in early life–A systematic review. Brain Sci. 2023; 14(1): 27. https://doi.org/10.3390/brainsci14010027.

Anderson DR, Subrahmanyam K. Digital screen media and cog- nitive development. Pediatrics. 2017; 140(Suppl 2): S57-61. https://doi.org/10.1542/peds.2016-1758C.

Baladaniya M, Korat AS. The impact of digital technology use on child development: A comprehensive literature review. J Pedia- tr Res Rev Rep. 2024; 6(1): 1-9. https://doi.org/10.47363/jprrr/2024(6)159.

Mahadevan J, Kandasamy A, Benegal V. Situating adult attention-deficit/hyperactivity disorder in the externalizing spectrum: Etiological, diagnostic, and treatment considerations. Indian J Psychiatry. 2019; 61(1): 3-12.

Adamovich SV, August, K, Merians, A, Tunik E. A virtual rea- lity-based system integrated with fmri to study neural mecha- nisms of action observation-execution: a proof of concept stu- dy. Restor Neurol Neurosci. 2009; 27(3): 209-23. https://doi.org/10.3233/RNN-2009-0471.

Paulich KN, Ross JM, Lessem JM, Hewitt JK. Screen time and early adolescent mental health, academic, and social outcomes in 9- and 10- year old children: Utilizing the Adolescent Brain Cognitive Development SM (ABCD) study. Kabir E, editor. PLoS One. 8 2021;16(9): e0256591. https://doi.org/10.1371/journal.pone.0256591.

Abid T, Javed I, Kanwal S, Mushtaq HM, Butt GA, Arshad S. Effects of screen time and phonemic segmentation in school going children. J Health Rehabil Res. 2024; 4(1): 1514-8. https://doi.org/10.61919/jhrr.v4i1.650.

Jaisle EM, Groves NB, Black KE, Kofler MJ. Linking ADHD and ASD symptomatology with social impairment: The role of emotion dysregulation. Res Child Adolesc Psychopathol. 2023; 51(1): 3-16. https://doi.org/10.1007/s10802-022-00982-6.

Gastaud LM, Trettim JP, Scholl CC, Rubin BB, Coelho FT, Krause GB, et al. Screen time: Implications for early childhood cognitive development. Early Hum Dev. 2023; 183: 105792. https://doi.org/10.1016/j.earlhumdev.2023.105792.

Neophytou E, Manwell LA, Eikelboom R. Effects of exces- sive screen time on neurodevelopment, learning, memory, mental health, and neurodegeneration: A scoping review. Int J Ment Health Addiction. 2021; 19(3): 724-44. https://doi.org/10.1007/s11469-019-00182-2.

Zhao J, Yu Z, Sun X, Wu S, Zhang J, Zhang D, et al. Association between screen time trajectory and early childhood development in children in China. JAMA Pediatr. 2022; 176(8): 768. https://doi.org/10.1001/jamapediatrics.2022.1630.

Anderson SW, Wisnowski JL, Barrash J, Damasio H, Tra- nel D. Consistency of neuropsychological outcome following damage to prefrontal cortex in the first years of life. J Clin Exp Neuropsychol. 2009; 31(2): 170-9. https://doi.org/10.1080/13803390802360526.

Walsh JJ, Barnes JD, Tremblay MS, Chaput JP. Associations between duration and type of electronic screen use and cogni- tion in US children. Comput Hum Behav. 2020; 108: 106312. https://doi.org/10.1016/j.chb.2020.106312.

Panjeti-Madan VN, Ranganathan P. Impact of screen time on children’s development: Cognitive, language, physical, and social and emotional domains. Multimodal Technol Interact. 2023; 7(5): 52. https://doi.org/10.3390/mti7050052.

Zhang W, Li H, Sheng Y. A study of the effects of virtual rea- lity-based sports games on improving executive and cognitive functions in minors with ADHD–A meta-analysis of randomi- zed controlled trials. Behav Sci (Basel). 2024; 14(12): 1141. https://doi.org/10.3390/bs14121141.

Jannesar N, Davenport TE, Gietzen L. Effects of screen time on children’s brain development: A scoping review. Pacific J Health. 2023; 6(1): 14. https://doi.org/10.56031/2576-215X.1052.

Geetha D. The impact of excessive screen time on the develo- pment of children. Int J Eng Lit Soc Sci. 2025; 10(3): 271-3. https://doi.org/10.22161/ijels.103.43.

Olmos Raya E, Cascales Martínez A, Contero González MR. Tole- rancia a entornos virtuales inmersivos multisensoriales y medi- da electrodermal ratio como identificador de población TEA. Siglo Cero. 2023; 54(1): 115-33. https://doi.org/10.14201/scero202354128535.

Muppalla SK, Vuppalapati S, Reddy Pulliahgaru A, Sreenivasulu H. Effects of excessive screen time on child development: An updated review and strategies for management. Cureus. 2023; 15(6): e40608. https://doi.org/10.7759/cureus.40608.

Creative Commons License

This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

Copyright (c) 2025 Boletín de Pediatría