Japanese researchers analyzed the US Adolescent Brain Cognitive Development study, which enrolled 11,878 children at ages 9 and 10. They used data from 10,116 children at the start and 7,880 two years later. Children reported their screen time across TV, video games, and other devices. Parents rated ADHD-related symptoms, and teachers added ratings for a smaller group. Longer screen time predicted more ADHD symptoms two years later, even after accounting for how severe symptoms were at the start. Heavier screen users also showed subtle differences in brain structure that partly accounted for the link.
What this does and doesn't tell us
Controlling for starting symptoms addresses the objection that kids with attention struggles simply seek out screens. The authors say it does not prove cause, and the differences they found were modest.
Evidence strength
Strong
For an observational study. Over 10,000 children, followed for two years.
For your school board
A study of over 10,000 US children found more screen time at ages 9 and 10 predicted more attention and hyperactivity symptoms two years later. Source: Shou et al., 2025.
Shou, Q., Yamashita, M., & Mizuno, Y. (2025). Association of screen time with attention-deficit/hyperactivity disorder symptoms and their development: The mediating role of brain structure. Translational Psychiatry, 15, 447.
Last reviewed September 26, 2026.