March 19, 2026
Excessive screen time and social media use exacerbate ADHD symptoms and may impact brain development in children with the condition, according to two new studies.
Social media (e.g., Snapchat or Instagram) use gradually increases symptoms of inattention in children with ADHD, with a cumulative four-year effect, a new study published in Pediatrics Open Science found. ADHD symptoms alone, however, did not predict a rise in social media use. Further, playing video games or watching television and videos did not increase the risk of developing ADHD symptoms. The study found the opposite: Children who played video games or watched television and videos experienced reduced hyperactivity and impulsivity. 1
“We can only speculate about the mechanisms underlying the association between social media use and increased inattention symptoms,” the researchers wrote. “Social media platforms often involve constant messaging and notifications, which can disrupt attention and interfere with current activities. Experimental studies have shown that such interruptions, or even the mere presence of a mobile phone nearby without using it, can impair attention and learning on psychological tests.” 2
In contrast, cognitively engaging exercises (e.g., activities requiring strategy, coordination, and quick decision-making, such as team sports or martial arts) significantly improve sustained attention in children and adolescents with ADHD, according to a new systematic review and meta-analysis published in the Journal of Autism and Developmental Disorders. 3
The Pediatrics Open Science study examined the longitudinal associations between ADHD symptoms in 8,324 children who participated in the Adolescent Brain Cognitive Development (ABCD) study and various types of digital media. The researchers tracked the children from ages 9 or 10 for 4 years.
Over that time, children spent an average of
- 3 hours/day watching television/videos
- 4 hours/ day on social media
- 5 hours/day playing video games
At age 9, children spent approximately 30 minutes per day using social media. The time spent on social media rose to 2.5 hours by age 13, despite the fact that most platforms, such as Facebook and TikTok, require users to be 13 years or older. While the yearly effect size of 0.15 is considered statistically small for a single child, it can have substantial consequences at the population level.
“Together, these results strengthen the potentially causal link between social media use and changes in inattention symptoms,” the researchers wrote.
Another recent study using advanced MRI imaging and ABCD data from more than 10,000 children in the same age range found similarly negative outcomes when examining the broader effects of screen time. The study, published in Translational Psychiatry, found an association between extended screen exposure and changes in brain structure that may exacerbate ADHD symptoms in children.4
The researchers observed that children with high screen use had reduced cortical thickness and volume in the right putamen, an area of the brain involved in reward processing and habit formation, as well as changes in the prefrontal cortex, which is involved in focus, emotional regulation, and decision-making. Such changes in brain structure may make it more difficult for children to pay attention and regulate their behavior, which are two prominent features of ADHD.
“Our results indicate a partial mediating effect of cortical volume in the relationship between screen time and ADHD symptoms,” the researchers wrote. “Specifically, longer screen time was associated with smaller cortical volume, which in turn was linked to more severe ADHD symptoms, suggesting that cortical volume may partially explain this association.”
At the two-year follow-up, screen time remained a significant predictor of ADHD symptoms in children, even after controlling for baseline ADHD symptoms as covariates. However, causality could not be established since the results were derived from cross-sectional analyses of the ABCD baseline data.
Social Media Risks
Both studies align with a 2023 U.S. Surgeon General advisory calling social media a “profound risk of harm” to the mental health of children and teens.
According to an ADDitude survey of 1,187 caregivers, 72% of children aged 10 and older with ADHD use social media. Of those, 35% reported adverse mental health effects, including anxiety, sadness, sleep problems, and depression. These negative outcomes are about 70% higher than those seen in adolescents who don’t use social media. In addition, 15% of adolescents with ADHD who use social media reportedly experience eating problems, and 14% have engaged in self-harm. Those numbers are much higher for girls.
“Neurodivergent people, especially those with the focus and self-regulation challenges associated with ADHD, could have a harder time regulating their emotions and unplugging from screens,” said Linda Charmaraman, Ph.D., during the ADDitude Mental Health Out Loud episode “The Mental Health Fallout from Social Media Use.”
Charmaraman recommends that caregivers talk openly with their children about their online experiences to help them become more mindful of their social media use and its effects.
“Avoid judgmental, disproportionate responses when your child comes to you with a social media-related issue,” she said. “Often, tweens and teens will keep things to themselves, afraid that their parents will tell them to deactivate their social media profiles or take away their devices altogether at the first hint of a problem. Should an issue come up, approach with curiosity and collaborate with your teen on a solution.”
Sources
1Nivins, S., Mooney, M.A., Nigg, J., Klingberg, T. (2026). Digital media, genetics, and risk for ADHD symptoms in children: a longitudinal study. Pediatrics Open Science. https://doi.org/10.1542/pedsos.2025-000922
2 Van Der Schuur, W.A., Baumgartner, S.E., Sumter, S.R., Valkenburg, P.M. (2015). The consequences of media multitasking for youth: a review Comput Human Behav. https://doi.org/10.1016/j.chb.2015.06.035
3Zhao, M., Li, J., Xu, R.H. et al. (2025). The impact of exercise interventions on sustained attention for children and adolescents with ADHD: A systematic review and meta-analysis. J Autism Dev Disord. https://doi.org/10.1007/s10803-025-07187-y
4Shou, 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. Transl Psychiatry. https://doi.org/10.1038/s41398-025-03672-1
