Prolonged screen time is associated with increased severity of tic symptoms in children with tic disorders

Abstract Background Recent studies have emphasized the association between prolonged screen exposure and neurodevelopmental disorders, though its correlation with tic disorders (TDs) remains ambiguous. We thus conducted this study to investigate the association between screen time (ST) and the sever...

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Main Authors: Zakaria Ahmed Mohamed, Hanyu Dong, Yang Xue, Miaoshui Bai, Yuling Ouyang, Feiyong Jia
Format: Article
Language:English
Published: BMC 2025-01-01
Series:Italian Journal of Pediatrics
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Online Access:https://doi.org/10.1186/s13052-025-01851-w
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author Zakaria Ahmed Mohamed
Hanyu Dong
Yang Xue
Miaoshui Bai
Yuling Ouyang
Feiyong Jia
author_facet Zakaria Ahmed Mohamed
Hanyu Dong
Yang Xue
Miaoshui Bai
Yuling Ouyang
Feiyong Jia
author_sort Zakaria Ahmed Mohamed
collection DOAJ
description Abstract Background Recent studies have emphasized the association between prolonged screen exposure and neurodevelopmental disorders, though its correlation with tic disorders (TDs) remains ambiguous. We thus conducted this study to investigate the association between screen time (ST) and the severity of tic symptoms in children diagnosed with TDs. Methods We conducted a retrospective case-control study with 342 cases of TDs and 270 controls, collecting data from March 2021 to December 2023. The main exposure variable was daily ST for each child, and tic severity, evaluated using the Yale Global Tic Severity Scale (YGTSS), was the outcome variable. Statistical analysis included descriptive statistics, Pearson’s correlation analysis to examine the relationship between screen time and tic severity, and multivariate regression analysis to evaluate the predictive power of screen time for tic symptoms. Results Our findings revealed that children with TDs had significantly longer ST compared to the control group, averaging 116.06 ± 147.9 min/day versus 43.23 ± 37.5 min/day, p < 0.001. We also noted a positive correlation between ST and TDs( r = 0.461, p < 0.01). Daily ST was a significant predictor of overall YGTSS scores (t = 9.58, p < 0.001), suggesting that increased ST is associated with heightened tic symptoms. However, age of first exposure to screens was not significantly correlated with tic severity (p > 0.05). Though we observed a negative correlation between ST and vitamin D levels, the results were not statistically significant (p > 0.05). Conclusion Children with TDs had longer ST compared to their control’s counterparts, and prolonged ST was significantly associated with heightened tic severity, which highlights the critical need for careful monitoring and regulation of screen time in children with TDs.
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spelling doaj-art-8d690b860d6b4a5a9b279fc592446e322025-02-02T12:34:56ZengBMCItalian Journal of Pediatrics1824-72882025-01-015111710.1186/s13052-025-01851-wProlonged screen time is associated with increased severity of tic symptoms in children with tic disordersZakaria Ahmed Mohamed0Hanyu Dong1Yang Xue2Miaoshui Bai3Yuling Ouyang4Feiyong Jia5Department of developmental and behavior pediatrics, Children’s Medical Center, The First Hospital of Jilin University, Jilin UniversityDepartment of developmental and behavior pediatrics, Children’s Medical Center, The First Hospital of Jilin University, Jilin UniversityDepartment of developmental and behavior pediatrics, Children’s Medical Center, The First Hospital of Jilin University, Jilin UniversityDepartment of developmental and behavior pediatrics, Children’s Medical Center, The First Hospital of Jilin University, Jilin UniversityDepartment of developmental and behavior pediatrics, Children’s Medical Center, The First Hospital of Jilin University, Jilin UniversityDepartment of developmental and behavior pediatrics, Children’s Medical Center, The First Hospital of Jilin University, Jilin UniversityAbstract Background Recent studies have emphasized the association between prolonged screen exposure and neurodevelopmental disorders, though its correlation with tic disorders (TDs) remains ambiguous. We thus conducted this study to investigate the association between screen time (ST) and the severity of tic symptoms in children diagnosed with TDs. Methods We conducted a retrospective case-control study with 342 cases of TDs and 270 controls, collecting data from March 2021 to December 2023. The main exposure variable was daily ST for each child, and tic severity, evaluated using the Yale Global Tic Severity Scale (YGTSS), was the outcome variable. Statistical analysis included descriptive statistics, Pearson’s correlation analysis to examine the relationship between screen time and tic severity, and multivariate regression analysis to evaluate the predictive power of screen time for tic symptoms. Results Our findings revealed that children with TDs had significantly longer ST compared to the control group, averaging 116.06 ± 147.9 min/day versus 43.23 ± 37.5 min/day, p < 0.001. We also noted a positive correlation between ST and TDs( r = 0.461, p < 0.01). Daily ST was a significant predictor of overall YGTSS scores (t = 9.58, p < 0.001), suggesting that increased ST is associated with heightened tic symptoms. However, age of first exposure to screens was not significantly correlated with tic severity (p > 0.05). Though we observed a negative correlation between ST and vitamin D levels, the results were not statistically significant (p > 0.05). Conclusion Children with TDs had longer ST compared to their control’s counterparts, and prolonged ST was significantly associated with heightened tic severity, which highlights the critical need for careful monitoring and regulation of screen time in children with TDs.https://doi.org/10.1186/s13052-025-01851-wScreen timeTic disordersYGTSSChildren
spellingShingle Zakaria Ahmed Mohamed
Hanyu Dong
Yang Xue
Miaoshui Bai
Yuling Ouyang
Feiyong Jia
Prolonged screen time is associated with increased severity of tic symptoms in children with tic disorders
Italian Journal of Pediatrics
Screen time
Tic disorders
YGTSS
Children
title Prolonged screen time is associated with increased severity of tic symptoms in children with tic disorders
title_full Prolonged screen time is associated with increased severity of tic symptoms in children with tic disorders
title_fullStr Prolonged screen time is associated with increased severity of tic symptoms in children with tic disorders
title_full_unstemmed Prolonged screen time is associated with increased severity of tic symptoms in children with tic disorders
title_short Prolonged screen time is associated with increased severity of tic symptoms in children with tic disorders
title_sort prolonged screen time is associated with increased severity of tic symptoms in children with tic disorders
topic Screen time
Tic disorders
YGTSS
Children
url https://doi.org/10.1186/s13052-025-01851-w
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