Emerging Trends in Personalized Medicines Review Article
Excessive screen time: Understanding its long-term impact on health and behavior
Abstract
In today’s world, digital gadgets, like laptops, game consoles, smartphones, and televisions, are essential since they provide entertainment and convenience. However, their overuse has raised serious concerns regarding long-term health and social implications. This review investigates the extensive effects of excessive screen time on mental, physical, and social well-being, with a special emphasis on children and adolescents. The growing amount of time toddlers and preschoolers spend in front of screens is especially concerning since it undermines their social skills, causes behavioral issues, and interferes with their social development. Prolonged screen time negatively impacts physical health by disrupting sleep cycles, elevating the risk of obesity, and fostering a sedentary lifestyle. Psychologically, it leads to attention difficulties, increased anxiety, and a higher likelihood of depression, severely affecting emotional well-being. Socially, excessive screen use limits face-to-face interactions, weakens communication skills, and strains relationships, often resulting in a sense of isolation. Tackling these challenges necessitates a balanced approach to digital device use, especially among vulnerable groups. This article highlights the need to set clear screen time limits, encourage offline activities, and cultivate healthier habits. Additionally, it underscores the importance of future research in creating comprehensive guidelines and evidence-based policies to manage screen time effectively across various age groups. By recognizing the wide-ranging effects of excessive screen use, we can promote a healthier, more harmonious relationship with technology, leading to improved mental, physical, and social well-being for all.
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References (30)
- Anderson CA, Dill KE. Video games and aggressive thoughts, feelings, and behavior in the laboratory and in life. J Pers Soc Psychol. 2000;78(4):772. https://doi.org/10.1037//0022-3514.78.4.772.
- Tremblay MS, LeBlanc AG, Kho ME, Saunders TJ, Larouche R, Colley RC, et al. Systematic review of sedentary behaviour and health indicators in school-aged children and youth. International Journal of Behavioral Nutrition and Physical Activity. 2011;8(1):98. doi:10.1186/1479-5868-8-98
- Nakshine VS, Thute P, Khatib MN, Sarkar B. Increased Screen Time as a Cause of Declining Physical, Psychological Health, and Sleep Patterns: A Literary Review. Cureus. 2022. doi:10.7759/cureus.30051
- Uccella S, Cordani R, Salfi F, Gorgoni M, Scarpelli S, Gemignani A, et al. Sleep Deprivation and Insomnia in Adolescence: Implications for Mental Health. Brain Sciences. 2023;13(4):569. doi:10.3390/brainsci13040569
- Chiu K, Lewis FC, Ashton R, Cornish KM, Johnson KA. Higher Tablet Use Is Associated With Better Sustained Attention Performance but Poorer Sleep Quality in School-Aged Children. Frontiers in Psychology. 2022;12. doi:10.3389/fpsyg.2021.742468
- Jha S, Mehendale AM. Increased Incidence of Obesity in Children and Adolescents Post-COVID-19 Pandemic: A Review Article. Cureus. 2022. doi:10.7759/cureus.29348
- Massar SAA, Ng ASC, Soon CS, Ong JL, Chua XY, Chee NIYN, et al. Reopening after lockdown: the influence of working-from-home and digital device use on sleep, physical activity, and wellbeing following COVID-19 lockdown and reopening. Sleep. 2021;45(1). doi:10.1093/sleep/zsab250
- Lee JJ, Flouri E, Jackson Y. The Role of Timing and Amount of Outdoor Play in Emotional Dysregulation in Preschool Children. Child: Care, Health and Development. 2024;51(1). doi:10.1111/cch.70020
- Majumdar P, Biswas A, Sahu S. COVID-19 pandemic and lockdown: cause of sleep disruption, depression, somatic pain, and increased screen exposure of office workers and students of India. Chronobiology International. 2020;37(8):1191-1200. doi:10.1080/07420528.2020.1786107
- Egami H, Rahman MS, Yamamoto T, Egami C, Wakabayashi T. Causal effect of video gaming on mental well-being in Japan 2020–2022. Nature Human Behaviour. 2024;8(10):1943-1956. doi:10.1038/s41562-024-01948-y
- McArthur BA, Volkova V, Tomopoulos S, Madigan S. Global Prevalence of Meeting Screen Time Guidelines Among Children 5 Years and Younger. JAMA Pediatrics. 2022;176(4):373. doi:10.1001/jamapediatrics.2021.6386
- Varadarajan S, Govindarajan Venguidesvarane A, Ramaswamy KN, Rajamohan M, Krupa M, Winfred Christadoss SB. 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. 2021;16(7):e0254102. doi:10.1371/journal.pone.0254102
- John R, Pokale A, Chutke A, Narula APS, Shinde S, Deshmukh R. Prevalence of excess screen time among secondary school children in rural India. J Prev Med Hyg. 2024;64(4):E457.https://doi.org/10.15167/2421-4248/jpmh2023.64.4.3030.
- Duraccio KM, Krietsch KN, Chardon ML, Van Dyk TR, Beebe DW. Poor sleep and adolescent obesity risk: a narrative review of potential mechanisms. Adolescent Health, Medicine and Therapeutics. 2019;Volume10:117-130. doi:10.2147/ahmt.s219594
- Janssen X, Martin A, Hughes AR, Hill CM, Kotronoulas G, Hesketh KR. Associations of screen time, sedentary time and physical activity with sleep in under 5s: A systematic review and meta-analysis. Sleep Medicine Reviews. 2020;49:101226. doi:10.1016/j.smrv.2019.101226
- Mindell JA, Sadeh A, Kwon R, Goh DYT. Cross-cultural differences in the sleep of preschool children. Sleep Medicine. 2013;14(12):1283-1289. doi:10.1016/j.sleep.2013.09.002
- Rawat SR, Singh RR. Impact of screen time and other factors on sleep time. In: Emerging Horizons: Business and Society in the Post-Pandemic Era. CRC Press; 2024. p. 160–72.
- Li C, Long C, Wu H, Zhu G, Liu D, Zhang C, et al. The impact of internet device diversity on depressive symptoms among middle-aged and older adults in China: A cross-lagged model of social participation as the mediating role. Journal of Affective Disorders. 2025;368:645-654. doi:10.1016/j.jad.2024.09.037
- Vidur J D, V NV, Meena A G, Ajay D, Krish A D. Eyes Over Exposed: Ocular Health of Students in Higher Education. Journal of Ophthalmology and Advance Research. 2022;03(01). doi:10.46889/joar.2022.3102
- Medic G, Wille M, Hemels M. Short- and long-term health consequences of sleep disruption. Nature and Science of Sleep. 2017;Volume9:151-161. doi:10.2147/nss.s134864
- Claussen AH, Holbrook JR, Hutchins HJ, Robinson LR, Bloomfield J, Meng L, et al. All in the Family? A Systematic Review and Meta-analysis of Parenting and Family Environment as Risk Factors for Attention-Deficit/Hyperactivity Disorder (ADHD) in Children. Prevention Science. 2022;25(S2):249-271. doi:10.1007/s11121-022-01358-4
- Neophytou E, Manwell LA, Eikelboom R. Effects of Excessive Screen Time on Neurodevelopment, Learning, Memory, Mental Health, and Neurodegeneration: a Scoping Review. International Journal of Mental Health and Addiction. 2019;19(3):724-744. doi:10.1007/s11469-019-00182-2
- Ray M, Jat KR. Effect of electronic media on children. Indian Pediatrics. 2010;47(7):561-568. doi:10.1007/s13312-010-0128-9
- Faught EL, Ekwaru JP, Gleddie D, Storey KE, Asbridge M, Veugelers PJ. The combined impact of diet, physical activity, sleep and screen time on academic achievement: a prospective study of elementary school students in Nova Scotia, Canada. International Journal of Behavioral Nutrition and Physical Activity. 2017;14(1). doi:10.1186/s12966-017-0476-0
- Panjeti-Madan VN, Ranganathan P. Impact of Screen Time on Children’s Development: Cognitive, Language, Physical, and Social and Emotional Domains. Multimodal Technologies and Interaction. 2023;7(5):52. doi:10.3390/mti7050052
- Vodopivec-Jamsek V, de Jongh T, Gurol-Urganci I, Atun R, Car J. Mobile phone messaging for preventive health care. Cochrane Database of Systematic Reviews. 2012;2012(12). doi:10.1002/14651858.cd007457.pub2
- Kast S. Exploring the relationship between smartphone screen time and affect in university students, moderated by trait creativity: An experience sampling method study [Bachelor’s thesis]. University of Twente; 2023.
- Meythaler A. Understanding the role of social media content in inducing anxiety: A qualitative study [Unpublished manuscript]. 2025. https://hdl.handle.net/10125/109175.
- Patzina A, Collischon M, Hoffmann R, Obrizan M. Mental health in Germany before, during and after the COVID-19 pandemic. PLOS ONE. 2025;20(1):e0313689. doi:10.1371/journal.pone.0313689
- Wahi G. Effectiveness of Interventions Aimed at Reducing Screen Time in Children. Archives of Pediatrics & Adolescent Medicine. 2011;165(11):979. doi:10.1001/archpediatrics.2011.122