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Samantha K Micsinszki, Robyn Stremler, JPP Student Journal Club Commentary: Technology Use and Sleep in Adolescents With and Without Attention-Deficit/Hyperactivity Disorder, Journal of Pediatric Psychology, Volume 44, Issue 5, June 2019, Pages 527–529, https://doi.org/10.1093/jpepsy/jsz023
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Adolescents use technology to engage in an array of media and “screen time,” both individually and socially. Although social media connects adolescents with friends and family instantly across geographic and time boundaries (Anderson & Jiang, 2018), a high amount of screen time has been associated with poorer psychological well-being (Twenge & Campbell, 2018) and increased internalizing symptoms in adolescents with Attention-Deficit/Hyperactivity Disorder (ADHD) (Becker & Lienesch, 2018). Screen time use before bedtime is also common among adolescents (Gradisar et al., 2013), which has been associated with shorter sleep duration and delayed sleep onset across many types of technology (Hale & Guan, 2015). Video gaming before bedtime, in particular, has been negatively associated with a later bedtime and shorter sleep duration during the school week (Bartel, Gradisar, & Williamson, 2015; Harbard, Allen, Trinder, & Bei, 2016). Such associations, however, might not lead to clinically significant decreases in sleep (Bartel et al., 2015; Przybylski, 2019). A recent national cohort study found that every hour of screen time in children 6–17 years resulted in only 3 fewer minutes of sleep time (Przybylski, 2019), indicating that screen time may play a nuanced role in sleep duration. Given this evidence, the American Academy of Pediatrics recommends limiting daily screen time to 2 hr or less for children 2–18 years (Reid Chassiakos et al., 2016).