Authors: Lisa B. Thorell; Jonas Burén; Johanna Ström Wiman; David Sandberg; Sissela B. Nutley · Research
How Do Screen Time and Digital Media Affect ADHD Symptoms in Children?
A comprehensive review of research examining the two-way relationship between digital media use and ADHD symptoms in young people.
Source: Thorell, L. B., Burén, J., Wiman, J. S., Sandberg, D., & Nutley, S. B. (2022). Longitudinal associations between digital media use and ADHD symptoms in children and adolescents: a systematic literature review. European Child & Adolescent Psychiatry, 33, 2503-2526.
What you need to know
- Digital media use and ADHD symptoms can influence each other over time in a complex relationship
- Problematic or addictive use of digital media shows stronger connections to ADHD symptoms than simple screen time
- The effects appear similar across different ages and for both boys and girls
- Parents should monitor their children’s digital media use and help establish healthy habits early on
The Digital Age and ADHD: Understanding the Connection
Think about how much time children spend with screens today compared to just 10 years ago. From smartphones to gaming consoles, digital media is everywhere in young people’s lives. At the same time, diagnoses of Attention-Deficit/Hyperactivity Disorder (ADHD) have been increasing. This has led many parents and researchers to wonder: Could there be a connection between digital media use and ADHD symptoms? And if so, which comes first?
What the Research Shows
Scientists examined 28 high-quality studies tracking children’s digital media use and ADHD symptoms over time. The findings reveal a two-way relationship - excessive digital media use can increase ADHD symptoms, and children with ADHD symptoms are more likely to develop problematic digital media habits.
However, not all screen time is equally concerning. The strongest links were found with problematic or addictive use of digital media - when gaming or social media starts interfering with daily life, relationships, and responsibilities. Simply spending time with screens showed weaker connections to ADHD symptoms.
Why Digital Media and ADHD May Be Connected
Several factors could explain this relationship:
- Fast-paced digital content may make it harder to focus on slower-paced activities
- The instant rewards in games and social media may be especially appealing to children with ADHD
- Excessive media use can displace important activities like sleep, exercise, and in-person social interaction
- Children with ADHD may use digital media to escape from challenges or negative feelings
Important Nuances in the Research
While the connection between digital media and ADHD symptoms is real, it’s important to understand some key points:
- The effects work both ways but are generally modest in size
- The relationship appears similar for different age groups and for both boys and girls
- Other factors like sleep problems, academic struggles, and social difficulties can influence the relationship
- Moderate use of digital media isn’t necessarily harmful - it’s excessive or problematic use that raises concerns
What This Means for You
If you’re a parent or caregiver, consider these practical steps:
- Monitor your child’s digital media use and watch for signs of problematic patterns
- Help establish healthy media habits early - set reasonable limits and screen-free times
- Ensure digital media isn’t displacing sleep, physical activity, or face-to-face interaction
- Be especially vigilant if your child shows ADHD symptoms, as they may be more vulnerable to problematic media use
- Focus on how media is being used rather than just counting screen time
- Model healthy digital media habits yourself
Conclusions
- Digital media use and ADHD symptoms can reinforce each other over time, though the effects are typically modest
- The relationship is complex and likely involves multiple factors including sleep, physical activity, and social interaction
- Parents should focus on preventing problematic patterns of use rather than worrying about all screen time
- Early intervention and guidance around healthy media habits is important, especially for children showing ADHD symptoms