A Survey on Early Screen Exposure during Infancy and Autism
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A Survey on Early Screen Exposure during Infancy and Autism

Authors: I. Mahmood

Abstract:

This survey was conducted to explore the hypothesis that excessive screen exposure combined with a subsequent decrease in parent-child interaction during infancy might be associated with autism. The main questions being asked are: Were children with autism exposed to long hours of screen time during the first 2 years of life? And what was the reason(s) for exposure at such an early age? Other variables were also addressed in this survey. An Arabic questionnaire was administered online (June 2019) via a Facebook page, relatively well-known in Arab countries. 1725 parents of children diagnosed with autism participated in this survey. Results show that 80.9% of children surveyed who were diagnosed with autism had been exposed to screens for long periods of time during the first 2 years of life. It can be inferred from the results of this survey that over-exposure to screens disrupt the parent-child interaction which is shown to be associated with ASD. The results of this survey highlight the harmful effects of screen exposure during infancy and the importance of parent-child interaction during the critical period of brain development. This paper attempts to further explore the connection between parent-child interaction and ASD, as well as serve as a call for further research and investigation of the relation between screens and parent-child interactions during infancy and Autism.

Keywords: Attachment disorder, autism, screen exposure, virtual autism.

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[1] AP Association (2013). Diagnostic and Statistical Manual of Mental Disorders. doi:10.1176/appi.books.9780890425596
[2] Waldman, M., Nicholson, S., & Adilov, N. (2006). Does television cause autism? SSRN Electronic Journal. doi:10.2139/ssrn.989648
[3] Dishing Democracy ~ Handbook: Satellite Television in the Arab World. (2008, December 04). Retrieved June 10, 2020, from https://www.pbs.org/wnet/wideangle/uncategorized/dishing-democracy-handbook-satellite-television-in-the-arab-world/1843/
[4] ElShajari, S. (2018, March 27). فيديو: كلمة الأميرة فهدة بنت سعود في افتتاح مبنى التوحد الجديد. Retrieved June 10, 2020, from https://derwaza.news/Home/Details/5aba2b488c42539ee41562c7_2
[5] Hussein, H., & Taha, G. R. (2013). Autism spectrum disorders. Middle East Current Psychiatry, 20(3), 106-116. doi:10.1097/01.xme.0000430433.49160.a4
[6] Eapen, V., Mabrouk, A. A., Zoubeidi, T., & Yunis, F. (2007). Prevalence of pervasive developmental disorders in pre-school children in the UAE. Journal of Tropical Pediatrics, 53(3), 202-205. doi:10.1093/tropej/fml091
[7] Al-Farsi, Y. M., Al-Sharbati, M. M., Al-Farsi, O. A., Al-Shafaee, M. S., Brooks, D. R., & Waly, M. I. (2010). Brief Report: Prevalence of autistic spectrum disorders in the Sultanate of Oman. Journal of Autism and Developmental Disorders, 41(6), 821-825. doi:10.1007/s10803-010-1094-8
[8] Salhia, H.O.; Al-Nasser, L.A.; Taher, L.S.; Al-Khathaami, A.M.; El-Metwally, A.A. Systemic review of the epidemiology of autism in Arab Gulf countries. Neurosciences 2014, 19, 291.
[9] Causation model of autism: Audiovisual brain ... (n.d.). Retrieved June 13, 2020, from https://www.sciencedirect.com/science/article/pii/S0306987715002388
[10] Jahan, A., Parvin, S. R., & Bugum, D. (2015). Familial, social and environmental risk factors in autism: A case-control study. Bangladesh Medical Research Council Bulletin, 40(3), 113-117. doi:10.3329/bmrcb.v40i3.25233
[11] Slobodin, O., Heffler, K. F., & Davidovitch, M. (2019). Screen media and autism spectrum disorder. Journal of Developmental & Behavioral Pediatrics, Publish Ahead of Print. doi:10.1097/dbp.0000000000000654
[12] Heffler, K. F., Sienko, D. M., Subedi, K., Mccann, K. A., & Bennett, D. S. (2020). Association of early-life social and digital media experiences with development of autism spectrum disorder–like symptoms. JAMA Pediatrics, 174(7), 690. doi:10.1001/jamapediatrics.2020.0230
[13] Early electronic screen exposure and autistic-like symptoms. (n.d.). Retrieved June 13, 2020, from https://www.ncbi.nlm.nih.gov/pubmed/29552452
[14] Orengul, A. C., & Gormez, V. (2017). Television viewing habits in a pre-school age clinical population with autism spectrum disorders and other clinical groups. Bezmialem Science. doi:10.14235/bs.2017.1423
[15] Chonchaiya, W., Nuntnarumit, P., & Pruksananonda, C. (2011). Comparison of television viewing between children with autism spectrum disorder and controls. Acta Paediatrica, 100(7), 1033-1037. doi:10.1111/j.1651-2227.2011.02166.x
[16] Zamfir, Marius. (2018). The consumption of virtual environment more than 4 hours/day, in the children between 0-3 years old, can cause a syndrome similar with the autism spectrum disorder. Journal of Literary Studies.
[17] Kheir, N. M., Ghoneim, O. M., Sandridge, A. L., Hayder, S. A., Al-Ismail, M. S., & Al-Rawi, F. (2012). Concerns and considerations among caregivers of a child with autism in Qatar. BMC Research Notes, 5(1). doi:10.1186/1756-0500-5-290
[18] Rapoport, J. L., & Gogtay, N. (2007). Brain neuroplasticity in healthy, hyperactive and psychotic children: Insights from neuroimaging. Neuropsychopharmacology, 33(1), 181-197. doi:10.1038/sj.npp.1301553
[19] Schore, A. N. (2001). Effects of a secure attachment relationship on right brain development, affect regulation, and infant mental health. Infant Mental Health Journal, 22(1-2), 7-66. doi:10.1002/1097-0355(200101/04)22:13.0.co;2-n
[20] Knickmeyer, R. C., Gouttard, S., Kang, C., Evans, D., Wilber, K., Smith, J. K., . . . Gilmore, J. H. (2008). A Structural MRI study of human brain development from birth to 2 years. Journal of Neuroscience, 28(47), 12176-12182. doi:10.1523/jneurosci.3479-08.2008.
[21] Cheung, C. H., Bedford, R., Urabain, I. R., Karmiloff-Smith, A., & Smith, T. J. (2017). Daily touch-screen use in infants and toddlers is associated with reduced sleep and delayed sleep onset. Scientific Reports, 7(1). doi:10.1038/srep46104
[22] Barr, R., Lauricella, A., Zack, E., & Calvert, S. L. (2010). Infant and early childhood exposure to adult-directed and child-directed television programming: Relations with cognitive skills at age four. Merrill-Palmer Quarterly, 56(1), 21-48. doi:10.1353/mpq.0.0038
[23] Figueiro MG, Wood B, Plitnick B, Rea MS. The impact of light from computer monitors on melatonin levels in college students. Neuro Endocrinol Lett. 2011;32(2):158‐163.
[24] Pagani LS, Fitzpatrick C, Barnett TA, Dubow E. Prospective associations between early childhood television exposure and academic, psychosocial, and physical well-being by middle childhood. Arch Pediatr Adolesc Med. 2010;164(5):425‐431. doi:10.1001/archpediatrics.2010.50
[25] Thompson, D. A. (2005). The association between television viewing and irregular sleep schedules among children less than 3 years of age. Pediatrics, 116(4), 851-856. doi:10.1542/peds.2004-2788
[26] Tomopoulos, S., Dreyer, B. P., Berkule, S., Fierman, A. H., Brockmeyer, C., & Mendelsohn, A. L. (2010). Infant media exposure and toddler development. Archives of Pediatrics & Adolescent Medicine, 164(12). doi:10.1001/archpediatrics.2010.235
[27] Tomopoulos, S., Dreyer, B. P., Valdez, P., Flynn, V., Foley, G., Berkule, S. B., & Mendelsohn, A. L. (2007). Media content and externalizing behaviors in Latino toddlers. Ambulatory Pediatrics, 7(3), 232-238. doi:10.1016/j.ambp.2007.02.004
[28] Vandewater, E. A., Bickham, D. S., Lee, J. H., Cummings, H. M., Wartella, E. A., & Rideout, V. J. (2005). When the television is always on. American Behavioral Scientist, 48(5), 562-577. doi:10.1177/0002764204271496
[29] Zimmerman, F. J., & Christakis, D. A. (2005). Children’s television viewing and cognitive outcomes. Archives of Pdiatrics & Adolescent Medicine, 159(7), 619. doi:10.1001/archpedi.159.7.619
[30] Zimmerman, F. J., Christakis, D. A., & Meltzoff, A. N. (2007). Television and DVD/Video viewing in children younger than 2 years. Archives of Pediatrics & Adolescent Medicine, 161(5), 473. doi:10.1001/archpedi.161.5.473
[31] Christakis, D. A., Zimmerman, F. J., Digiuseppe, D. L., & Mccarty, C. A. (2004). Early television exposure and subsequent attentional problems in children. Pediatrics, 113(4), 708-713. doi:10.1542/peds.113.4.708
[32] Chonchaiya, W., & Pruksananonda, C. (2008). Television viewing associates with delayed language development. Acta Paediatrica, 97(7), 977-982. doi:10.1111/j.1651-2227.2008.00831.x
[33] Hermawati, D., Rahmadi, F. A., Sumekar, T. A., & Winarni, T. I. (2018). Early electronic screen exposure and autistic-like symptoms. Intractable & Rare Diseases Research, 7(1), 69-71. doi:10.5582/irdr.2018.01007
[34] Wu, X., Tao, S., Rutayisire, E., Chen, Y., Huang, K., & Tao, F. (2016). The relationship between screen time, nighttime sleep duration, and behavioural problems in pre-school children in China. European Child & Adolescent Psychiatry, 26(5), 541-548. doi:10.1007/s00787-016-0912-8
[35] Hutton, J. S., Dudley, J., Horowitz-Kraus, T., Dewitt, T., & Holland, S. K. (2020). Associations between screen-based media use and brain white matter integrity in preschool-aged children. JAMA Pediatrics, 174(1). doi:10.1001/jamapediatrics.2019.3869
[36] Goh, S. N., Teh, L. H., Tay, W. R., Anantharaman, S., Dam, R. M., Tan, C. S., . . . Müller-Riemenschneider, F. (2016). Sociodemographic, home environment and parental influences on total and device-specific screen viewing in children aged 2 years and below: An observational study. BMJ Open, 6(1). doi:10.1136/bmjopen-2015-009113
[37] Common Sense Media. Zero to Eight: Children’s Media Use in America 2013: A Common Sense Research Study. www.commonsensemedia.org/research/zero-to-eight-childrens-media-use-in-america-2013 (Accessed April 11, 2017).
[38] Cheung CHM, Vota W; LSE Department of Media and Communications. What Are the Effects of Touchscreens on Toddler Development? http://blogs.lse.ac.uk/parenting4digitalfuture/2016/12/28/what-are-the-effects-of-touchscreens-on-toddler-development/ (Accessed April 11, 2017).
[39] Hamel, E., & Rideout, V. (2006, May 24). The Media Family: Electronic Media in the Lives of Infants, Toddlers, Preschoolers, and Their Parents. Retrieved June 20, 2020, from https://www.issuelab.org/resource/the-media-family-electronic-media-in-the-lives-of-infants-toddlers-preschoolers-and-their-parents.html
[40] Dalzell, V. P., Msall, M. E., & High, P. C. (2000). Parental attitudes of television and videocassette viewing of children aged birth to 36 months. Journal of Developmental & Behavioral Pediatrics, 21(5), 390. doi:10.1097/00004703-200010000-00035
[41] Masur, E. F., & Flynn, V. (2008). Infant and mother-infant play and the presence of the television. Journal of Applied Developmental Psychology, 29(1), 76-83. doi:10.1016/j.appdev.2007.10.001
[42] Vandewater, E. A., Rideout, V. J., Wartella, E. A., Huang, X., Lee, J. H., & Shim, M. (2007). Digital childhood: electronic media and technology use among infants, toddlers, and preschoolers. Pediatrics, 119(5). doi:10.1542/peds.2006-1804
[43] Maternal characteristics and perception of temperament associated with infant TV exposure. (2013). Pediatrics, 131(2), X20-X20. doi:10.1542/peds.2012-1224d
[44] Schmidt, M. E., Rich, M., Rifas-Shiman, S. L., Oken, E., & Taveras, E. M. (2009). Television Viewing in Infancy and Child Cognition at 3 Years of Age in a US Cohort. Pediatrics, 123(3). doi:10.1542/peds.2008-3221
[45] Lamb, M. E. (1980). Patterns of attachment: A psychological study of the strange situation. Mary D. Salter Ainsworth, Mary C. Blehar, Everett Waters, and Sally Wall. Hillsdale, N.J., Erlbaum, 1978 (distributor, Halsted (Wiley), New York). xviii, 392 pages, $24.95. Infant Mental Health Journal, 1(1), 68-70. doi:10.1002/1097-0355(198021)1:13.0.co;2-3
[46] Steele, H., & Steele, M. (2018). Handbook of attachment-based interventions. New York, NY: The Guilford Press.
[47] Winnicott, D. W. (2019). Thinking about Children. S.l.: Routledge.
[48] Numata‐Uematsu, Y., Yokoyama, H., Sato, H., Endo, W., Uematsu, M., Nara, C., & Kure, S. (2018). Attachment Disorder and Early Media Exposure: Neurobehavioral symptoms mimicking autism spectrum disorder. The Journal of Medical Investigation, 65(3.4), 280-282. doi:10.2152/jmi.65.280
[49] 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 Development, 80(5), 1350-1359. doi:10.1111/j.1467-8624.2009.01337.x
[50] Courage, M. L., Murphy, A. N., Goulding, S., & Setliff, A. E. (2010). When the television is on: The impact of infant-directed video on 6- and 18-month-olds’ attention during toy play and on parent–infant interaction. Infant Behavior and Development, 33(2), 176-188. doi:10.1016/j.infbeh.2009.12.012
[51] Byeon, H., & Hong, S. (2015). Relationship between television viewing and language delay in toddlers: Evidence from a Korea national cross-sectional survey. Plos One, 10(3). doi:10.1371/journal.pone.0120663
[52] Cabrera, N. J., Fagan, J., Wight, V., & Schadler, C. (2011). Influence of mother, father, and child risk on parenting and children’s cognitive and social behaviors. Child Development, 82(6), 1985-2005. doi:10.1111/j.1467-8624.2011.01667.x
[53] Christakis, D. A., Gilkerson, J., Richards, J. A., Zimmerman, F. J., Garrison, M. M., Xu, D., . . . Yapanel, U. (2009). Audible television and decreased adult words, infant vocalizations, and conversational turns. Archives of Pediatrics & Adolescent Medicine, 163(6), 554. doi:10.1001/archpediatrics.2009.61
[54] Mendelsohn, A. L., Berkule, S. B., Tomopoulos, S., Tamis-Lemonda, C. S., Huberman, H. S., Alvir, J., & Dreyer, B. P. (2008). Infant television and video exposure associated with limited parent-child verbal interactions in low socioeconomic status households. Archives of Pediatrics & Adolescent Medicine, 162(5), 411. doi:10.1001/archpedi.162.5.411
[55] Tanimura, M., Okuma, K., & Kyoshima, K. (2007). Television viewing, reduced parental utterance, and delayed speech development in infants and young children. Archives of Pediatrics & Adolescent Medicine, 161(6), 618. doi:10.1001/archpedi.161.6.618-b
[56] Tomopoulos S, Valdez PT, Dreyer BP, et al. Is exposure to media intended for pre-school children associated with less parent-child shared reading aloud and teaching activities? Ambul Pediatr. 2007;7(1):18–24.
[57] Mendelsohn AL, Dreyer BP, Brockmeyer CA, Berkule-Silberman SB, Huberman HS, Tomopoulos S: Randomized controlled trial of primary care pediatric parenting programs: effect on reduced media exposure on infants, mediated through enhanced parent–child interaction. Arch Pediatr Adolesc Med. 2011, 165 (1): 42-48. 10.1001/archpediatrics.2010.266.
[58] Zhao, J., Zhang, Y., Jiang, F., Ip, P., Ho, F. K., Zhang, Y., & Huang, H. (2018). Excessive screen time and psychosocial well-being: The mediating role of body mass index, sleep duration, and parent-child interaction. The Journal of Pediatrics, 202. doi:10.1016/j.jpeds.2018.06.029
[59] Courage, M. L., & Howe, M. L. (2010). To watch or not to watch: Infants and toddlers in a brave new electronic world. Developmental Review, 30(2), 101–115. https://doi.org/10.1016/j.dr.2010.03.002
[60] Shafai, T., Mustafa, M., Mulari, J., & Curtis, A. (2017). Impact of infant feeding methods on the development of autism spectrum disorder. Autism - Paradigms, Recent Research and Clinical Applications. doi:10.5772/67624
[61] Sakr, N. (1999). Satellite television and development in the Middle East. Middle East Report, (210), 6. doi:10.2307/3012492
[62] Alterman, J. B. (1998). New media, new politics?: From satellite television to the Internet in the Arab world. Washington, DC: Washington Institute for Near East Policy.
[63] Sayfo, O. A. (n.d.). The emergence of Arab Children’s television and animation Industry in the Gulf States. State-Society Relations in the Arab Gulf States, 77-100. doi:10.2307/j.ctt1df4hq3.7
[64] Cantor, P., & Cornish, M. M. (2016). Techwise infant and toddler teachers: Making sense of screen media for children under 3. Charlotte, NC: Information Age Publishing.
[65] Schlembach, Sue & Johnson, Marcus. (2014). Parents’ beliefs, attitudes and behaviors concerning their young children’s screen media use. NHSA Dialog A Research-to-Practice Journal for the Early Intervention Field.
[66] Vaala SE. The nature and predictive value of mothers’ beliefs regarding infants’ and toddlers’ TV/Video Viewing: Applying the integrative model of behavioral prediction. Media Psychol. 2014;17(3):282-310. doi:10.1080/15213269.2013.872995
[67] Morrongiello, B. A., Corbett, M., Mccourt, M., & Johnston, N. (2005). Understanding unintentional injury-risk in young children I. The nature and scope of caregiver supervision of children at home. Journal of Pediatric Psychology, 31(6), 529-539. doi:10.1093/jpepsy/jsj045
[68] DeHart, G., Sroufe, L. A., Cooper, R. G., & Patterson, C. (2004). Child Development: Its nature and course. Boston: McGraw-Hill.
[69] Beyens, I., & Eggermont, S. (2014). Putting young children in front of the television: antecedents and outcomes of parents’ use of television as a babysitter. Communication Quarterly, 62(1), 57-74. doi:10.1080/01463373.2013.860904
[70] Cingel, Drew & Krcmar, Marina. (2013). Predicting media use in very young children: The role of demographics and parent attitudes. Communication Studies. 64. 374-394. 10.1080/10510974.2013.770408.
[71] Cassidy, J., & Shaver, P. R. (2018). Handbook of attachment theory, research, and clinical applications. New York, London: The Guilford Press.
[72] Delmolino, L., & Harris, S. L. (2014). Essential first steps for parents of children with autism: Helping the littlest learners. Mill Road, Bethesda, MD: Woodbine House.
[73] Schore, A. N. (2005). Back to basics: Attachment, affect regulation, and the developing right brain: linking developmental neuroscience to pediatrics. Pediatrics in Review, 26(6), 204-217. doi:10.1542/pir.26-6-204
[74] Detnakarintra, K., Trairatvorakul, P., Pruksananonda, C., & Chonchaiya, W. (2019). Positive mother‐child interactions and parenting styles were associated with lower screen time in early childhood. Acta Paediatrica, 109(4), 817-826. doi:10.1111/apa.15007
[75] Thye, M. D., Bednarz, H. M., Herringshaw, A. J., Sartin, E. B., & Kana, R. K. (2018). The impact of atypical sensory processing on social impairments in autism spectrum disorder. Developmental Cognitive Neuroscience, 29, 151-167. doi:10.1016/j.dcn.2017.04.010
[76] Fuchs, J. L., Montemayor, M., & Greenough, W. T. (1990). Effect of environmental complexity on size of the superior colliculus. Behavioral and Neural Biology, 54(2), 198-203. doi:10.1016/0163-1047(90)91422-8
[77] Greenough, W. T., Larson, J. R., & Withers, G. S. (1985). Effects of unilateral and bilateral training in a reaching task on dendritic branching of neurons in the rat motor-sensory forelimb cortex. Behavioral and Neural Biology, 44(2), 301-314. doi:10.1016/s0163-1047(85)90310-3
[78] Christakis, D. A., Ramirez, J. S., & Ramirez, J. M. (2012). Overstimulation of newborn mice leads to behavioral differences and deficits in cognitive performance. Scientific Reports, 2(1). doi:10.1038/srep00546