Changes in autism symptoms associated with screen exposure: Case report of two young children

Abstract

Introduction Excessive early-life screen media exposure has been associated with developmental delay and autism symptoms. Improvements in developmental trajectory in young children with ASD and high digital screen exposure have been reported when screen time is replaced with socially oriented activities. Method We report on two young children with autism spectrum disorder who had high early-life screen exposure which was later reduced and replaced with parent-child social time. After the initial screen reduction, both children had an ensuing period with higher screen exposure, which was again decreased. Results These children had marked improvements in developmental trajectories when screen time was replaced with social time, and worsening symptoms when screen exposure was subsequently increased, which improved when screen exposure was again reduced. One child exhibited marked fluctuations of repetitive/restricted behavior, which coincided with changes in screen exposure. Conclusion These cases support literature suggesting that screen exposure may impact therapeutic response in young children with autism. These cases additionally show fluctuations in autistic symptoms, including repetitive behavior, associated with fluctuations in screen time. Interventionists may consider a trial of replacement of screen time with socially engaging activities in young children with a history of high screen exposure and autism spectrum disorder.