{"doi":"10.1016/j.sleh.2023.02.005","title":"Bedtime screen use behaviors and sleep outcomes: Findings from the Adolescent Brain Cognitive Development (ABCD) Study","abstract":"OBJECTIVES: To determine associations between bedtime screen time behaviors and sleep outcomes in a national study of early adolescents. METHODS: We analyzed cross-sectional data from 10,280 early adolescents aged 10-14 (48.8% female) in the Adolescent Brain Cognitive Development Study (Year 2, 2018-2020). Regression analyses examined the association between self-reported bedtime screen use and self- and caregiver-reported sleep measures, including sleep disturbance symptoms, controlling for sex, race/ethnicity, household income, parent education, depression, data collection period (pre- vs. during COVID-19 pandemic), and study site. RESULTS: Overall, 16% of adolescents had at least some trouble falling or staying asleep in the past 2 weeks and 28% had overall sleep disturbance, based on caregiver reports. Adolescents who had a television or an Internet-connected electronic device in the bedroom had a greater risk of having trouble falling or staying asleep (adjusted risk ratio 1.27, 95% CI 1.12-1.44) and overall sleep disturbance (adjusted risk ratio 1.15, 95% CI 1.06-1.25). Adolescents who left their phone ringer activated overnight had more trouble falling/staying asleep and greater overall sleep disturbance compared to those who turned off their cell phones at bedtime. Streaming movies, playing video games, listening to music, talking/texting on the phone, and using social media or chat rooms were all associated with trouble falling/staying asleep and sleep disturbance. CONCLUSIONS: Several bedtime screen use behaviors are associated with sleep disturbances in early adolescents. The study's findings can inform guidance for specific bedtime screen behaviors among early adolescents.","journal":"Sleep Health","year":2023,"id":318788,"datarank":0.0,"base_score":0.0,"endowment":0.0,"self_citation_contribution":0.0,"citation_network_contribution":0.0,"self_endowment_contribution":0.0,"citer_contribution":0.0,"corpus_percentile":null,"corpus_rank":null,"citation_count":61,"citer_count":0,"citers_with_citation_signal":0,"citers_with_endowment":0,"datacite_reuse_total":0,"is_dataset":false,"is_dataset_confidence":0.7858,"is_data_producer":false,"deposit_databanks":null,"is_oa":true,"file_count":0,"downloads":0,"has_version_chain":false,"published_date":"2023-01-01","fair_score":null,"fair_percentile":null,"algorithm_id":"datarank_citation_only_1hop_v6","ranking_scope":"data_only","authors":[{"id":869580,"name":"Gurbinder Singh","orcid":"0000-0001-7850-4418","position":1,"is_corresponding":false},{"id":872531,"name":"Joanne Yang","orcid":"0000-0002-6688-262X","position":2,"is_corresponding":false},{"id":1026725,"name":"Natalia Smith","orcid":"0000-0002-8708-3528","position":3,"is_corresponding":false},{"id":812482,"name":"Orsolya Kiss","orcid":"0000-0003-2643-773X","position":4,"is_corresponding":false},{"id":289883,"name":"Kyle T. Ganson","orcid":"0000-0003-3889-3716","position":5,"is_corresponding":false},{"id":667635,"name":"Alexander Testa","orcid":"0000-0002-8686-9115","position":6,"is_corresponding":false},{"id":667636,"name":"Dylan B. Jackson","orcid":"0000-0002-4726-6573","position":7,"is_corresponding":false},{"id":240033,"name":"Fiona C. Baker","orcid":"0000-0001-9602-6165","position":8,"is_corresponding":false},{"id":259485,"name":"Jason M. Nagata","orcid":"0000-0002-6541-0604","position":0,"is_corresponding":true}],"reference_count":46,"raw_metadata":null,"created_at":"2026-07-19T01:07:06.454099Z","pmid":"37098449","pmcid":null,"fwci":null,"citation_percentile":null,"influential_citations":0,"oa_status":null,"license":null,"views":0,"total_file_size_bytes":0,"version_count":0,"fair_f":null,"fair_a":null,"fair_i":null,"fair_r":null,"fair_zscore":null,"fair_rationale":null,"fair_model":null,"fair_agent_version":null,"fair_fulltext_source":null,"fair_has_llm":null,"fair_computed_at":null,"clinical_trials":[],"software_tools":[],"db_accessions":[],"linked_datasets":[],"topics":[]}