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Relationship Between Screen Time Duration and Sleep Duration with Emotional Behavioral Problems in Preschool Children in Kindergartens In Denpasar City

Received: 25 April 2025     Accepted: 7 May 2025     Published: 12 June 2025
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Abstract

Emotional behavioral problems in children are quite serious problems because they affect their development, cause disabilities, reduce their productivity and quality of life. In this digital era, the use of gadgets has become a habit and has been introduced to children since preschool age. Excessive screen time can have an impact on children's sleep quality, one of which is reduced sleep duration. Excessive screen time and insufficient sleep duration are often associated with the child's development process. This study aims to prove that screen time and sleep duration have a significant relationship with the incidence of emotional behavioral problems in preschool children in Denpasar City Kindergartens. This study used a cross-sectional design with an analytical method conducted during the period January 2024–March 2024 using the emotional behavior problems questionnaire. The sample size used was total sampling in the research sampling, which was 108 children. For the result mental emotional problems experienced in 38.9% subjects. The gender that experienced the most mental emotional problems was male at 52.4%. Working and highly educated mothers were more dominant in children who experienced mental emotional problems with a percentage of 69% and 78.6%. Children who experienced complications at birth were 9.5% experiencing mental emotional problems. There was a significant relationship between screen time duration (p=0.045 [PR 2.25; 95% CI 1.01-5.04]) and sleep duration (p=0.023 [PR 2.66; 95% CI 1.12-6.29]) with emotional behavioral problems in preschool children. Screen time >1 hour and sleep duration <11 hours have been shown to have a significant relationship with emotional behavioral problems in preschool-aged children.

Published in American Journal of Pediatrics (Volume 11, Issue 2)
DOI 10.11648/j.ajp.20251102.21
Page(s) 108-113
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2025. Published by Science Publishing Group

Keywords

Duration, Emotional Behavioral Problems, Preschool-aged, Screen Time, Sleep

References
[1] Centers for Disease Control and Prevention. Children’s Mental Health. 2022. Download from
[2] Kementrian Kesehatan RI. Pedoman Pelaksanaan Stimulasi, Deteksi, dan Intervensi Dini Tumbuh Kembang Anak di Tingkat Pelayanan Kesehatan Dasar. Jakarta; 2022.
[3] KMHO. Childrens Behavioral and Emosional Disorders. 2019. Download from
[4] BPPK. Hasil Utama RISKESDAS 2018. Download from
[5] Subekti N, Nurrahima A. Gambaran Keadaan Mental Emosional Anak Usia Prasekolah di Daerah Pesisir. Jurnal PPNI Jateng. 2019.
[6] Riskesdas. Laporan Provinsi Bali Riskesdas 2018. Jakarta; 2018.
[7] Utami S, Hanifah D. Faktor Risiko Masalah Mental Emosional pada Anak Prasekolah di Kota Sukabumi. Buletin Penelitian Sistem Kesehatan 2020; 24 (3): 192-201.
[8] Chikmah AM, Fitrianingsih D. Pengaruh Durasi Penggunaan Gadget Terhadap Masalah Mental Emosional Anak Prasekolah di TK Pembina Kota Tegal. Jurnal SIKLUS 2018; 7(2): 295-98.
[9] Lukmasari A, Hartanto F, Bahtera T, Muryawan MH. Hubungan antara Gangguan Tidur dengan Gangguan Mental Emosional pada Anak usia 4-6 Tahun di Semarang. Sari Pediatri 2017; 18(5): 345-49.
[10] Wijirahayu A, Pranaji D, Muflikhati I. Kelekatan Ibu-anak, Pertumbuhan Anak, dan Perkembangan Sosial Emosi Anak Usia Prasekolah. Jurnal Ilmu Keluarga dan Konsumen 2016; 9(3): 171-82.
[11] Kopp M, Linduer M, Garthus-Niegel S. Association between Maternal Employment and Child’s Mental Health: A Systematic Review with Meta-Analysis. European Child and Adolescent Psychiatry 2024; 33: 3025-42.
[12] WHO. Guidelines on Physical Activity, Sedentary Behaviour and Sleep for Children under 5 years of age. 2019.
[13] Xiaoyan W et all. 2017. The relationship between screen time, nighttime sleep duration, and behavioural problems in preschool children in China. Eur Child Adolesc Psychiatry.
[14] Suryawan A. Rekomendasi Screen Time pada Anak. In prosciding book Simposium Nasional Ikatan Dokter Anak Indonesia (IDAI). 2020. Page. 87-96.
[15] Madigan S, Browne D, Racine N, Merl C, Tough S. Association Between Screen Time and Children’s Performance on a Developmental Screening Test. JAMA Pediatr 2019; 173(3): 244-50.
[16] Gregory A, Sadeh A. Sleep, Emotional and Behavioral Difficulties in Children and Adolescents. Sleep Med Rev 2012; 16: 129-36.
[17] IDAI. Perkembangan Tidur Normal pada Batita. 2016. Download from https://www.idai.or.id/artikel/seputar-kesehatan-anak/perkembangan-tidur-normal-pada-batita
[18] Saghir Z, Syeda J, Muhammad S. The Amygdala, Sleep Debt, Sleep Deprivation, and Emotion of Anger: A Possible Connection?. Cureus 2018; 10(7): 2912.
[19] Bauducco S, Flink K, Linton S. Sleep Duration and Patterns in Adolescents: Correlates and The Role of Daily Stressors. Sleep Health 2016; 2: 211-18.
[20] Izzaturahman N, Safira L, Herardi R, Muktamiroh H. Hubungan antara Durasi Penggunaan Media Layar dengan Pola Tidur pada Anak Usia Tiga sampai Lima tahun saat Masa Pandemi COVID-19. Sari Pediatri 2023; 24 (6): 382-87.
[21] Sekartini R, Purwito N. Gangguan Tidur pada Anak Usia Bawah Tiga Thun di Lima Kota di Indonesia. Sari Pediatri 2006; 7(4): 188-93.
[22] Haixia L et all. 2023. Longitudinal association of nighttime sleep duration with emotional and behavioral problems among rural preschool children. Spinger Nature Link. Volume 33, pages 267-277.
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  • APA Style

    Prameswari, P. S., Windiani, I. G. A. T., Adnyana, I. G. A. N. S. (2025). Relationship Between Screen Time Duration and Sleep Duration with Emotional Behavioral Problems in Preschool Children in Kindergartens In Denpasar City. American Journal of Pediatrics, 11(2), 108-113. https://doi.org/10.11648/j.ajp.20251102.21

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    ACS Style

    Prameswari, P. S.; Windiani, I. G. A. T.; Adnyana, I. G. A. N. S. Relationship Between Screen Time Duration and Sleep Duration with Emotional Behavioral Problems in Preschool Children in Kindergartens In Denpasar City. Am. J. Pediatr. 2025, 11(2), 108-113. doi: 10.11648/j.ajp.20251102.21

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    AMA Style

    Prameswari PS, Windiani IGAT, Adnyana IGANS. Relationship Between Screen Time Duration and Sleep Duration with Emotional Behavioral Problems in Preschool Children in Kindergartens In Denpasar City. Am J Pediatr. 2025;11(2):108-113. doi: 10.11648/j.ajp.20251102.21

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  • @article{10.11648/j.ajp.20251102.21,
      author = {Putu Satya Prameswari and I Gusti Ayu Trisna Windiani and I Gusti Agung Ngurah Sugitha Adnyana},
      title = {Relationship Between Screen Time Duration and Sleep Duration with Emotional Behavioral Problems in Preschool Children in Kindergartens In Denpasar City
    },
      journal = {American Journal of Pediatrics},
      volume = {11},
      number = {2},
      pages = {108-113},
      doi = {10.11648/j.ajp.20251102.21},
      url = {https://doi.org/10.11648/j.ajp.20251102.21},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ajp.20251102.21},
      abstract = {Emotional behavioral problems in children are quite serious problems because they affect their development, cause disabilities, reduce their productivity and quality of life. In this digital era, the use of gadgets has become a habit and has been introduced to children since preschool age. Excessive screen time can have an impact on children's sleep quality, one of which is reduced sleep duration. Excessive screen time and insufficient sleep duration are often associated with the child's development process. This study aims to prove that screen time and sleep duration have a significant relationship with the incidence of emotional behavioral problems in preschool children in Denpasar City Kindergartens. This study used a cross-sectional design with an analytical method conducted during the period January 2024–March 2024 using the emotional behavior problems questionnaire. The sample size used was total sampling in the research sampling, which was 108 children. For the result mental emotional problems experienced in 38.9% subjects. The gender that experienced the most mental emotional problems was male at 52.4%. Working and highly educated mothers were more dominant in children who experienced mental emotional problems with a percentage of 69% and 78.6%. Children who experienced complications at birth were 9.5% experiencing mental emotional problems. There was a significant relationship between screen time duration (p=0.045 [PR 2.25; 95% CI 1.01-5.04]) and sleep duration (p=0.023 [PR 2.66; 95% CI 1.12-6.29]) with emotional behavioral problems in preschool children. Screen time >1 hour and sleep duration <11 hours have been shown to have a significant relationship with emotional behavioral problems in preschool-aged children.
    },
     year = {2025}
    }
    

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  • TY  - JOUR
    T1  - Relationship Between Screen Time Duration and Sleep Duration with Emotional Behavioral Problems in Preschool Children in Kindergartens In Denpasar City
    
    AU  - Putu Satya Prameswari
    AU  - I Gusti Ayu Trisna Windiani
    AU  - I Gusti Agung Ngurah Sugitha Adnyana
    Y1  - 2025/06/12
    PY  - 2025
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    DO  - 10.11648/j.ajp.20251102.21
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    JF  - American Journal of Pediatrics
    JO  - American Journal of Pediatrics
    SP  - 108
    EP  - 113
    PB  - Science Publishing Group
    SN  - 2472-0909
    UR  - https://doi.org/10.11648/j.ajp.20251102.21
    AB  - Emotional behavioral problems in children are quite serious problems because they affect their development, cause disabilities, reduce their productivity and quality of life. In this digital era, the use of gadgets has become a habit and has been introduced to children since preschool age. Excessive screen time can have an impact on children's sleep quality, one of which is reduced sleep duration. Excessive screen time and insufficient sleep duration are often associated with the child's development process. This study aims to prove that screen time and sleep duration have a significant relationship with the incidence of emotional behavioral problems in preschool children in Denpasar City Kindergartens. This study used a cross-sectional design with an analytical method conducted during the period January 2024–March 2024 using the emotional behavior problems questionnaire. The sample size used was total sampling in the research sampling, which was 108 children. For the result mental emotional problems experienced in 38.9% subjects. The gender that experienced the most mental emotional problems was male at 52.4%. Working and highly educated mothers were more dominant in children who experienced mental emotional problems with a percentage of 69% and 78.6%. Children who experienced complications at birth were 9.5% experiencing mental emotional problems. There was a significant relationship between screen time duration (p=0.045 [PR 2.25; 95% CI 1.01-5.04]) and sleep duration (p=0.023 [PR 2.66; 95% CI 1.12-6.29]) with emotional behavioral problems in preschool children. Screen time >1 hour and sleep duration <11 hours have been shown to have a significant relationship with emotional behavioral problems in preschool-aged children.
    
    VL  - 11
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    ER  - 

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