Exploring the Association Between Screen Time Exposure and Autism Spectrum Disorder in Preschool-Aged Children in Sulaymaniyah
DOI:
https://doi.org/10.21928/uhdjst.v9n2y2025.pp297-304Keywords:
Autism Spectrum Disorder, Screen Time, Preschool Children, Neurodevelopment, ParentalAbstract
Introduction: Autism Spectrum Disorder (ASD) is a neurodevelopmental condition characterized by social communication deficits and repetitive behaviors. Recent research suggests that excessive screen time may influence ASD-related developmental patterns. This study examines the correlation between screen exposure and ASD symptoms in preschool-aged children in Sulaymaniyah, Iraq. Methods: A cross-sectional study was conducted on children aged 2-6 years, including both formally diagnosed ASD cases and those exhibiting ASD-related symptoms. Data collection involved structured face-to-face questionnaires adapted from previous research, covering screen time duration, content type, parent-child interactions, and ASD symptom prevalence. Statistical analyses, including Kendall’s tau-b correlation and logistic regression, were performed using IBM SPSS Statistics 22. Results: The study found that children in Sulaymaniyah engage in excessive screen exposure, averaging over four hours per day—far exceeding international recommendations. Logistic regression analysis identified screen time as a significant predictor of ASD-related symptoms (p = 0.011, Exp(B) = 6.364). Additionally, socioeconomic factors, including household income and parental education level, showed associations with screen time habits. Conclusion: Findings suggest a strong correlation between prolonged screen exposure and ASD-related behaviors in young children. Socioeconomic determinants further influence screen time regulation. These results underscore the need for parental guidance and structured screen time policies to mitigate potential neurodevelopmental impacts. Future research should explore causal relationships and intervention strategies for screen exposure management in early childhood.
References
W. Mandy and M. C. Lai. “Annual research review: The role of the environment in the developmental psychopathology of autism spectrum condition”. Journal of Child Psychology and Psychiatry, vol. 57, no. 3, pp. 271-292, 2016.
C. R. Engelhardt and M. O. Mazurek. “Video game access, parental rules, and problem behavior: A study of boys with autism spectrum disorder”. Autism, vol. 18, no. 5, pp. 529-537, 2014.
I. Beyens and A. I. Nathanson. “Electronic media use and sleep among preschoolers: Evidence for time-shifted and less consolidated sleep”. Health Communication, vol. 34, no. 5, pp. 537-544, 2019.
D. Hermawati, F. A. Rahmadi, T. A. Sumekar, and T. I. Winarni. “Early electronic screen exposure and autistic-like symptoms”. Intractable and rare Diseases Research, vol. 7, no. 1, pp. 69-71, 2018.
World Health Organization. “Guidelines on physical activity, sedentary behaviour and sleep for children under 5 years of age.” In: Guidelines on Physical Activity, Sedentary Behaviour and Sleep for Children Under 5 Years of Age, World Health Organization, Geneva, pp. 36-36, 2019.
K. F. Heffler and L. M. Oestreicher. “Causation model of autism: Audiovisual brain specialization in infancy competes with social brain networks”. Medical hypotheses, vol. 91, pp. 114-122, 2016.
X. Wu, S. Tao, E. Rutayisire, Y. Chen, K. Huang. and F. Tao. “The relationship between screen time, nighttime sleep duration, and behavioural problems in preschool children in China”. European Child and Adolescent Psychiatry, vol. 26, pp. 541-548, 2017.
J. Y. Chen, E. Strodl, C. A. Wu, L. H. Huang, X. N. Yin, G. M. Wen, D. L. Sun, D. X. Xian, Y. J. Chen, G. Y. Yang and W. Q. Chen. “Screen time and autistic-like behaviors among preschool children in China.” Psychology Health and Medicine, vol. 26, no. 5, pp. 607-620, 2021.
S. Madigan, B. A. McArthur, C. Anhorn, R. Eirich and D. A. Christakis. “Associations between screen use and child language skills: A systematic review and meta-analysis”. JAMA Pediatrics, vol. 174, no. 7, pp. 665-675, 2020.
A. Genovese and M. G. Butler. “Clinical assessment, genetics, and treatment approaches in autism spectrum disorder (ASD)”. International Journal of Molecular Sciences, vol. 21, no. 13, p. 4726, 2020.
H. Piraneh, M. Gholami, K. Sargeran and A. R. Shamshiri. “Oral health and dental caries experience among students aged 7-15 years old with autism spectrum disorders in Tehran, Iran.” BMC Pediatrics, vol. 22, no. 1, p. 116, 2022.
H. Hodges, C. Fealko and N. Soares, “Autism spectrum disorder: Definition, epidemiology, causes, and clinical evaluation.” Translational Pediatrics, vol. 9, no. Suppl 1, p. S55-S65, 2020.
M. Peries, F. Duhr, M.C. Picot, B. Heude, J. Y. Bernard and A. Baghdadli. “Breastfeeding is not a risk factor for clinical severity in Autism spectrum disorder in children from the ELENA cohort.” Scientific Reports, vol. 13, no. 1, p. 816, 2023.
N. U. Isaac. “Early childhood, language development and its acquisition”. Spektra: Jurnal Ilmu-ilmu Sosial, vol. 6, no. 2, pp. 206-225, 2024.
P. M. B. Rocha. “The Covid-19 pandemic and its possible consequences to language/speech development and delay in children: An urgent issue”. Audiology-Communication Research, vol. 26, p. e2566, 2021.
N. Jamil, A. N. Belkacem and A. Lakas. “On enhancing students’ cognitive abilities in online learning using brain activity and eye movements.” Education and Information Technologies, vol. 28, no. 4, pp. 4363-4397, 2023.
S. Healy, J. A. Haegele, M. Grenier and J. M. Garcia. “Physical activity, screen-time behavior, and obesity among 13-year olds in Ireland with and without autism spectrum disorder”. Journal of Autism and Developmental Disorders, vol. 47, pp. 49-57, 2017.
J. A. MacMullin, Y. Lunsky and J. A. Weiss. “Plugged in: Electronics use in youth and young adults with autism spectrum disorder.” Autism, vol. 20, no. 1, pp. 45-54, 2016.
N. M. Kheir, O. M. Ghoneim, A. L. Sandridge, S. A. Hayder, M. S. Al-Ismail, and F. Al-Rawi. “Concerns and considerations among caregivers of a child with autism in Qatar.” BMC Research Notes, vol. 5, p. 290, 2012.
H. Y. Dong, J. Y. Feng, B. Wang, L. Shan and F. Y. Jia. “Screen time and autism: Current situation and risk factors for screen time among pre-school children with ASD”. Frontiers in Psychiatry, vol. 12, p. 675902, 2021.
A. Must, S. M. Phillips, C. Curtin, S. E. Anderson, M. Maslin, K. Lividini and L. G. Bandini. “Comparison of sedentary behaviors between children with autism spectrum disorders and typically developing children”. Autism, vol. 18, no. 4, pp. 376-384, 2014.
S. Varadarajan, A. Govindarajan Venguidesvarane, K. N. Ramaswamy, M. Rajamohan, M. Krupa and S. B. Winfred Christadoss. “Prevalence of excessive screen time and its association with developmental delay in children aged <5 years: A population-based cross-sectional study in India.” PLoS One, vol. 16, no. 7, p. e0254102, 2021.
S. S. Al Hosani, E. A. Darwish, S. Ayanikalath, R. S. AlMazroei, R. S. AlMaashari and A. T. Wedyan. “Screen time and speech and language delay in children aged 12-48 months in UAE: A case-control study”. Middle East Current Psychiatry, vol. 30, no. 1, p. 47, 2023.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2025 Zamdar H Rasul Karim, Hawnaz Jawhar Hameed, Kazia Rizgar Latif, Lania Sardar Mahmood

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