Gadget Usage and Its Relationship with Mental and Emotional Health in Early Childhood (3–6 Years) at Puskesmas Medan Tuntungan

Authors

  • Arlinda Sari Wahyuni Department of Community Medicine, Faculty of Medicine, Universitas Sumatera Utara, Medan, 20155, Indonesia
  • Timotius Pratama Medical Professional Education Program, Faculty of Medicine, Universitas Sumatera Utara, Medan, 20155, Indonesia
  • Maranatha Duva Siahaan Undergraduate Program of Medicine, Faculty of Medicine, Universitas Sumatera Utara, Medan, 20155, Indonesia
  • Nabila Febrina Salamah Undergraduate Program of Medicine, Faculty of Medicine, Universitas Sumatera Utara, Medan, 20155, Indonesia
  • Venessa Wongso Undergraduate Program of Medicine, Faculty of Medicine, Universitas Sumatera Utara, Medan, 20155, Indonesia
  • Arridho Anwar Dalimunthe Undergraduate Program of Medicine, Faculty of Medicine, Universitas Sumatera Utara, Medan, 20155, Indonesia
  • Muhammad Irzi Undergraduate Program of Medicine, Faculty of Medicine, Universitas Sumatera Utara, Medan, 20155, Indonesia
  • Evelyn Undergraduate Program of Medicine, Faculty of Medicine, Universitas Sumatera Utara, Medan, 20155, Indonesia
  • Siti Nurkholilah Undergraduate Program of Medicine, Faculty of Medicine, Universitas Sumatera Utara, Medan, 20155, Indonesia
  • Ryann Setiawan Undergraduate Program of Medicine, Faculty of Medicine, Universitas Sumatera Utara, Medan, 20155, Indonesia

DOI:

https://doi.org/10.32734/sumej.v9i1.22796

Keywords:

gadget, mental, emotional, preschool

Abstract

Introduction: Excessive gadget use in early childhood is increasingly associated with cognitive, behavioral, and emotional problems. Preschool-aged children are particularly vulnerable as this period involves rapid socio-emotional and motor development. Objective: This study aimed to determine the association between gadget use and mental and emotional health among children aged 3–6 years at Puskesmas Medan Tuntungan. Methods: A cross-sectional study was conducted involving 105 children selected through consecutive sampling. Data on gadget use (duration, type, ownership, and age of first exposure) were collected using parent-reported questionnaires. Mental and emotional status was assessed using the KMME instrument. Bivariate analysis was performed using the Chi-square test with a significance level of p < 0.05. Results: Most children (61.90%) used gadgets for more than one hour per day, exceeding recommended limits. A total of 64 children (60.95%) screened positive for mental and emotional problems. Screen time >1 hour was significantly associated with mental–emotional problems (p = 0.001). No significant relationship was found between personal gadget ownership and mental–emotional problems (p = 0.729). Conclusion: Longer screen time, particularly >1 hour per day, was significantly associated with mental and emotional problems in preschool-aged children. Further longitudinal studies with larger samples are needed to strengthen causality and generalizability.

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References

[1] Agung I, Widiputera F, Widodo W. The effect of gadget use on psychosocial, socio-emotional, self-reliance, responsibility, and students’ learning outcomes in elementary school. Education Quarterly Reviews [Internet]. 2019 [cited 2025 Dec 16];2(2). Available from: https://doi.org/10.31014/aior.1993.02.02.60Panjeti-Madan VN, Ranganathan P. Impact of screen time on children’s development: cognitive, language, physical, and social and emotional domains. Multimodal Technologies and Interaction [Internet]. 2023 [cited 2025 Dec 16];7:52. Available from: https://www.mdpi.com/2414-4088/7/5/52 P H. Dampak smartphone. Sains J.

[2] Suhana M. Influence of gadget usage on children’s social-emotional development. In: Proceedings of the International Conference of Early Childhood Education (ICECE 2017) [Internet]. Paris: Atlantis Press; 2018 [cited 2025 Dec 16]. Available from: https://doi.org/10.2991/icece-17.2018.58.

[3] American Academy of Pediatrics. Media and young minds. Pediatrics [Internet]. 2016 [cited 2025 Dec 16];138(5). Available from: https://publications.aap.org/pediatrics/article/138/5/e20162591.

[4] Ikatan Dokter Anak Indonesia. Tumbuh kembang anak dan remaja. Jakarta: Sagung Seto; 2016. VS M, YE S, I R, et al. Hubungan durasi penggunaan gadget dengan mental emosional anak usia prasekolah. Prosiding Seminar Nasional Kebidanan [Internet]. 2020 [cited 2025 Dec 16]:77–83.

[5] Mulyantari AI, Romadhona N, Nuripah G, et al. Hubungan kebiasaan penggunaan gadget dengan status mental emosional pada anak usia prasekolah. Jurnal Integrasi Kesehatan dan Sains [Internet]. 2019 [cited 2025 Dec 16];1:10–15.

[6] Kabali HK, Irigoyen MM, Nunez-Davis R, et al. Exposure and use of mobile media devices by young children. Pediatrics [Internet]. 2015 [cited 2025 Dec 16];136:1044–1050. Available from: https://doi.org/10.1542/peds.2015-2151.

[7] Pew Research Center. A closer look at gadget ownership [Internet]. 2012 [cited 2025 Dec 16]. Available from: https://www.pewresearch.org/internet/2012/06/28/a-closer-look-at-gadget-ownership/.

[8] Northwestern University. Revised parenting in the age of digital technology survey [Internet]. Evanston: Northwestern University; 2014 [cited 2025 Dec 16].

[9] Ayu IM, Titik R, Yuli S. Preschoolers’ mental health status based on their mobile gadget usage. Journal of Physics: Conference Series [Internet]. 2020 [cited 2025 Dec 16];1469:012054. Available from: https://doi.org/10.1088/1742-6596/1469/1/012054.

[10] Andriani R. Overview of gadget utilization and its effect on growth and development in preschool children. Mutiara Medika: Jurnal Kedokteran dan Kesehatan [Internet]. 2021 [cited 2025 Dec 16];22:6–13.

[11] Hiniker A, Suh H, Cao S, et al. Screen time tantrums. In: Proceedings of the CHI Conference on Human Factors in Computing Systems [Internet]. New York: ACM; 2016 [cited 2025 Dec 16]. p. 648–660. Available from: https://doi.org/10.1145/2858036.2858278.

[12] Y T. Pengaruh penggunaan gadget terhadap perkembangan psikososial anak usia prasekolah (3–6 tahun) di TK Swasta Kristen Immanuel tahun ajaran 2014–2015. ProNers [Internet]. 2015 [cited 2025 Dec 16];3.

[13] Li L, Zhang Q, Zhu L, et al. Screen time and depression risk: a meta-analysis of cohort studies. Frontiers in Psychiatry [Internet]. 2022 [cited 2025 Dec 16];13. Available from: https://doi.org/10.3389/fpsyt.2022.1058572.

[14] Clemente-Suárez VJ, Beltrán-Velasco AI, Herrero-Roldán S, et al. Digital device usage and childhood cognitive development: exploring effects on cognitive abilities. Children [Internet]. 2024 [cited 2025 Dec 16];11:1299. Available from: https://doi.org/10.3390/children11111299.

[15] Çaylan N. Associations between parenting styles and excessive screen usage in preschool children. Turkish Archives of Pediatrics [Internet]. 2020 [cited 2025 Dec 16]. Available from: https://doi.org/10.14744/TurkPediatriArs.2020.43765.

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Published

2026-01-01

How to Cite

1.
Arlinda Sari Wahyuni, Timotius Pratama, Maranatha Duva Siahaan, Nabila Febrina Salamah, Venessa Wongso, Arridho Anwar Dalimunthe, et al. Gadget Usage and Its Relationship with Mental and Emotional Health in Early Childhood (3–6 Years) at Puskesmas Medan Tuntungan. Sumat. Med. J. [Internet]. 2026 Jan. 1 [cited 2026 Jan. 9];9(1):11-7. Available from: https://talenta.usu.ac.id/smj/article/view/22796

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