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Background highlights increasing pediatric screen time and its uncertain but potentially harmful effects on cognition and psychosocial development, with limited disorder-specific guidance. Using a PRISMA-adapted checklist, the authors analyze studies linking screen time to autistic manifestations and sleep disturbances. Findings suggest excessive screen use, especially in preschoolers, may affect behavior, emotions, and sleep quality.",{"@graph":69,"@context":122},[70,84,105],{"@type":71,"itemListElement":72},"BreadcrumbList",[73,77,79,82],{"item":74,"name":75,"@type":76,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":78,"name":9,"@type":76,"position":14},"https://docshare.wps.com/document/",{"item":80,"name":40,"@type":76,"position":81},"https://docshare.wps.com/document/research-report/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/impact-of-screen-use-on-behavior-and-sleep-in-patients-with-autism-spectrum-disorder/438586/",{"url":83,"name":65,"@type":85,"image":86,"author":91,"headline":65,"publisher":94,"fileFormat":97,"inLanguage":63,"description":67,"dateModified":98,"datePublished":99,"encodingFormat":97,"isAccessibleForFree":100,"interactionStatistic":101},"DigitalDocument",{"url":87,"@type":88,"width":89,"height":90},"https://docshare.wps.com/thumbnails/impact-of-screen-use-on-behavior-and-sleep-in-patients-with-autism-spectrum-disorder/438586.png","ImageObject",300,407,{"name":92,"@type":93},"Finn","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-09-30","2026-09-29",true,{"@type":102,"interactionType":103,"userInteractionCount":14},"InteractionCounter",{"@type":104},"ViewAction",{"@type":106,"mainEntity":107},"FAQPage",[108,114,118],{"name":109,"@type":110,"acceptedAnswer":111},"What is the document’s main objective?","Question",{"text":112,"@type":113},"To synthesize and analyze evidence on the association between screen exposure time, behavioral symptoms, and sleep disorders in children with ASD.","Answer",{"name":115,"@type":110,"acceptedAnswer":116},"What approach does the review use to evaluate the evidence?",{"text":117,"@type":113},"The authors use a PRISMA checklist adapted review of studies examining links between screen time and autistic symptoms as well as sleep disturbances.",{"name":119,"@type":110,"acceptedAnswer":120},"What does the review suggest about screen use and ASD outcomes?",{"text":121,"@type":113},"Excessive screen use in ASD children, particularly preschool-aged children, may be associated with significant impacts on behavior, emotional state, and sleep quality.","https://schema.org",{"og:url":83,"og:type":124,"og:title":65,"og:site_name":95,"og:description":67},"article",{"robots":126,"canonical":83},"index,follow",{"doc_id":128,"site_id":62},438586,1790758448,{"code":4,"msg":5,"data":131},{"doc_id":128,"user_id":132,"nickname":92,"user_avatar":133,"doc_module":4,"category_id":39,"category_name":40,"doc_title":65,"doc_description":67,"doc_content":134,"file_id":135,"file_url":136,"file_type":137,"file_size":138,"view_count":14,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":29,"language":139,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":140,"faqs":141,"seo_title":142,"seo_description":67,"update_tm":143,"read_time":144},34359740700684,"https://ap-avatar.wpscdn.com/avatar/1f400023980c374ae676?_k=1777273430885731487","Article published online: 2025-12-22  \nOriginal Article 1  \nImpact of screen use on behavior and sleep inpatients with autism spectrum disorder  \nMatheus Eugênio de Sousa Lima 1 Lívia Maria Eugênio Lopes 1 Fernanda Eugênio de Sousa Lima2  \n1 Hospital de Saúde Mental Professor Frota Pinto, Núcleo de Atenção à Infância e Adolescência, Fortaleza CE, Brazil.  \n2 Universidade de Fortaleza, Faculdade de Medicina, Fortaleza CE, Brazil. Arq. Neuro-Psiquiatr. 2025;83(12):s00451813641 .  \nAddress for correspondence Matheus E. de S. Lima (email: [lima_matheus@hotmail.com](lima_matheus@hotmail.com))  \nAbstract  \nKeywords  \n► Autistic Disorder  \n► Cell Phone Use  \n► Internet Use  \n► Sleep Wake Disorders  \nBackground The increasing screen time among the pediatric population is a detrimental factor for cognitive and psychosocial development, especially for children with autism spectrum disorder (ASD) . However, there are still many questions regarding its negative effects on behavior and sleep in this population group and, as of the writing of this study, there are no specific recommendations regarding screen use for children with ASD.  \nObjective To synthesize and analyze the current evidence on the association between screen exposure time, behavioral symptoms, and sleep disorders in ASD children. Methods The authors provided a Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) checklist adapted review of studies that examined the association between screen time and both autistic symptoms and sleep disturbances in this patient population.  \nResults Research indicates that excessive screen use among ASD children, particularly in preschool-aged children, may be associated with significant behavioral, emotional, and sleep quality impacts. The screen time recommendations set by the World Health Organization for the general pediatric population could also be applied to these children, at least until new studies can clarify specific guidelines, taking their particularities into account.  \nConclusion This review article explores the current evidence on the association between excessive screen time and both autistic symptoms and sleep disturbances in ASD, underscoring the relevance of further clinical investigation.  \nINTRODUCTION  \nAutism spectrum disorder (ASD) is essentially defined as aneurodevelopmental disorder with heterogeneous manifestations, characterized by persistent deficits in social communication, as well as the presence of restricted or repetitive behaviors.1 The latest revised version of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5-TR) emphasizes the presence of limitations in socioemotional reciprocity,  \nreceived  \nMay 12, 2025  \nreceived in its final form September 15, 2025 accepted  \nSeptember 22, 2025  \nDOI [https://doi.org/](https://doi.org/)[ ](https://doi.org/)10.1055/s-0045-1813641 . ISSN 0004-282X.  \nEditor-in-Chief: Ayrton Roberto Massaro.  \nAssociate Editor: Fernando Morgadinho Santos.  \ndeficitsin nonverbal behavior affecting social interactions, and difficulties in initiating, maintaining, and understanding interpersonal relationships. These characteristics must be present from early development and cause significant functional impairment in affected individuals.2  \nOver the past years, an increasing prevalence of ASD has been observed, with studies indicating arise from an estimated 1. 1 to 2.3% in the pediatric population. However, this increase may also be attributed to factors such as modifications in the  \n© 2025 . The Author(s) .  \nThis is an open access article published by Thieme under the terms of the Creative Commons Attribution 4.0 International License, permitting copying and reproduction so long as the original work is given appropriate credit ([https://creativecommons.org/licenses/by/4.0/](https://creativecommons.org/licenses/by/4.0/))  \nThieme Revinter Publicações Ltda. , Rua Rego Freitas, 175, loja 1, República, São Paulo, SP, CEP 01220-010, Brazil  \n2 Screen time and","cbCaihKYk2jZi5SC","https://ap.wps.com/l/cbCaihKYk2jZi5SC","pdf",286965,"English","# Abstract\n# Background\n# Objective\n# Methods\n# Results\n# Conclusion\n# Introduction","[{\"question\":\"What is the document’s main objective?\",\"answer\":\"To synthesize and analyze evidence on the association between screen exposure time, behavioral symptoms, and sleep disorders in children with ASD.\"},{\"question\":\"What approach does the review use to evaluate the evidence?\",\"answer\":\"The authors use a PRISMA checklist adapted review of studies examining links between screen time and autistic symptoms as well as sleep disturbances.\"},{\"question\":\"What does the review suggest about screen use and ASD outcomes?\",\"answer\":\"Excessive screen use in ASD children, particularly preschool-aged children, may be associated with significant impacts on behavior, emotional state, and sleep quality.\"}]","Impact of screen use on behavior and sleep inpatients with autism spectrum disorder | PDF",1790685797,15]