CC BY 4.0 · Journal of Child Science 2023; 13(01): e85-e95
DOI: 10.1055/s-0043-1770099
Original Article

Associations between Media Use and Executive Dysfunction among Preschool Children in Bangkok, Thailand

1   Department of Pediatrics, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand
Saruta Wattanakijthamrong
1   Department of Pediatrics, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand
2   College of Public Health Sciences, Chulalongkorn University, Bangkok, Thailand
1   Department of Pediatrics, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand
› Author Affiliations


This study aims to describe the relation between media use characteristics and executive dysfunction in Thai preschoolers. Secondary data were retrieved from a cross-sectional study to compare two Thai executive functions (EFs) assessment forms. Questionnaire data from 110 caregivers of preschool children were analyzed. The research materials included a sociodemographic information form, parenting style and dimensions questionnaire, a 1-week screen time diary, and the behavior rating inventory of executive function-preschool version (BRIEF-P). Findings showed a 23.6% prevalence of executive dysfunction among Thai preschool children. Children's media use characteristics associated with global executive dysfunction included less co-viewing time with caregivers. Shorter co-viewing time was linked to a deficiency of inhibition, emotional control, and planning and organization. Meanwhile, extended viewing of low-quality content was associated with impaired working memory. However, total screen time and setting screen time limits were not associated with executive dysfunction. Co-viewing with caregivers and limiting exposure to low-quality content must be promoted to minimize the adverse effects on EF development.

Ethical Approval

Ethical consideration was approved by the Siriraj Institutional Review Board (COA no. 833/2562 (IRB4)). Written informed consent was provided by the caregivers of each participant before enrollment.

Authors' Contributions

All authors approved the final article. The authors were involved with the study as follows: Prakasit Wannapaschaiyong—conceptualization, methodology, investigation and data collection, writing-original draft. Saruta Wattanakijthamrong—investigation and data collection. Kraiwuth Kallawicha—writing-review and editing. Sureelak Sutchritpongsa—conceptualization, methodology, writing-review and editing.

Publication History

Received: 21 February 2023

Accepted: 08 May 2023

Article published online:
22 June 2023

© 2023. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. (

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