From the category archives:

Media & marketing

Dr. Claire McCarthy is a primary care physician and the Medical Communications Editor at Children’s Hospital Boston. Along with her blogs here on Thriving, you can find her at the Huffington Post and Boston.com. Follow her on Twitter @drClaire.

My latest (by no means the first, and certainly not the last) embarrassing parenthood moment happened two weeks ago.

It was the evening of the district-wide art show. This is a semi-big deal in our town; the art teachers pick their favorite projects from the school year, from all the grades, and put them on display for everyone to see. There is an opening reception when all the families and friends come to look at all the wonderful art, eat hors d’oeuvres, and do all the appropriate oohing and aahing. Full story »

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Michael Rich, MD, MPH

Michael Rich, MD, MPH, is Children’s Hospital Boston’s media expert and director of Children’s Center on Media and Child Health. Take a look at his blog archive or follow him on Twitter @CMCH_Boston

Q: My son is 15 and displays symptoms of video game addiction, including lying and sneaking to try to gain access. He has Asperger’s and ADHD, and regardless of what medication regimen we try, the gaming obsession remains. I recently asked the psychiatrist to hospitalize him and treat him as they would other addicts, but they just changed his meds. Anyway, even if he were treated, he needs the computer for school. Do you have any advice for me?
-Dealing with Addiction, Orlando, FL

A: Dear Dealing with Addiction,

Unfortunately, more and more families share your story. Whether through sleep deprivation, anxiety, or social isolation, teens struggling with problematic video game or internet use are suffering, and their families are disrupted. And research shows that young people with ADHD may actually be more susceptible to problematic video game or internet use. Full story »

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Ratings Reality: Who rates our media and what that means for children

by Childrens Hospital Boston staff on April 5, 2012

By Kristelle Lavallee, staff member at Boston Children’s Hospital’s Center on Media and Child Health

Are you looking to take the family to a movie but aren’t sure whether your child should see The Hunger Games (PG-13) or Bully (unrated)? If you base the decision on the Motion Picture Association of American (MPAA) ratings, the answer seems pretty cut and dry—“maybe” to Hunger Games, and “no” to Bully. But are the movie ratings the best guide to making healthy media choices for your children?

Based on the best-selling novel, The Hunger Games is a fantasy story where teenagers are pitted against each other in a battle to the death broadcast on live TV. In contrast, Bully is a “slice of life” documentary about peer-on-peer bullying in American schools.

Both movies center on children and teenagers, but the fictional Hunger Games, portraying “intense violent thematic material and disturbing images” (MPAA’s description) was given a PG-13 rating, while the documentary Bully with “some language” (MPAA again) was rated R. The producers of Bully knew that accepting an R rating would greatly limit the film’s impact as an educational tool for young viewers, so they chose to release it unrated. But when a film is released without an MPAA rating, it comes at a price: Fewer theaters are willing to show it, and those that do will treat it the same way they treat films unrated for extreme violence or sex. Full story »

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Scene from The Hunger Games movie

The movie The Hunger Games opens today, and record tickets sales are expected to make the grisly, post-apocalyptic, survival tale one of the spring’s biggest blockbusters. Like the Harry Potter and Twilight series before it, The Hunger Games film is based on a book written for young adults that has captured the imaginations of readers of all ages.

Considering the ultraviolent nature of The Hunger Games’ plot line—24 teenage protagonists are pitted against each other in a fight to the death—is all this hype a good thing for young, would-be fans? The intended age for young adult novels is 12 to 17, but the books’ popularity has piqued the interest of much younger readers. Not wanting to sully their younger children’s budding interest in reading, many parents across the country have allowed them to read the story.

But just because your child has read The Hunger Game books, does that mean she’s ready to watch it’s bloody action unfold on the big screen? The answer will vary from child to child, but it’s a question parents of younger Hunger Game fans need to ask. Full story »

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Could my 14-year-old son’s anxiety be related to playing video games?

by Childrens Hospital Boston staff on March 2, 2012

Michael Rich, MD, MPH

Michael Rich, MD, MPH, is Children’s Hospital Boston’s media expert and director of Children’s Center on Media and Child Health. Take a look at his blog archive or follow him on Twitter @CMCH_Boston

Q: Is there a connection between excessive video game playing and increased anxiety levels? My son is 14 and has some basic anxieties like walking the dog at night that I feel are made worse by the first-person shooter games he plays. I’d love to understand if you have seen any connections here.
-Grappling with Gaming, in Westfield, NJ

A: Dear Grappling,

As a parent, you are the best monitor of your son’s well-being. If you have seen an increase in his anxiety that has paralleled his increase in first-person shooter (FPS) game play, then it is probably worth seeing what happens if he cuts back on or eliminates playing these games. Research supports what you are observing—it has found that children and adolescents frequently respond to media violence with increased fear and anxiety, because action entertainment makes violence seem more prevalent than it actually is. Full story »

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Dr. Claire McCarthy is a primary care physician and the Medical Communications Editor at Children’s Hospital Boston. Along with her blogs here on Thriving, you can find her at the Huffington Post and Boston.com. Follow her on Twitter @drClaire.

It seemed like such a great idea.

We need kids to be more active. With a third of US kids overweight or obese, and studies showing that childhood obesity leads to adult obesity, getting the recommended hour a day of activity is more important than ever. Problem is, kids aren’t doing it. For all sorts of reasons, some good and most bad, our kids are turning into couch potatoes.

I was getting really frustrated with my inability to get my patients moving. Then I heard about active video games, like Wii Fit and Just Dance and Dance Dance Revolution, and I thought: this is perfect. Kids love video games. Full story »

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My 5 year old is afraid of TV—what do I do?

by Childrens Hospital Boston staff on February 17, 2012

Michael Rich, MD, MPH

Michael Rich, MD, MPH, is Children’s Hospital Boston’s media expert and director of Children’s Center on Media and Child Health. Take a look at his blog archive or follow him on Twitter @CMCH_Boston

Q: My 5-year-old daughter does not like TV that involves conflict. She has no desire to see a Disney movie and even gets anxious when a kid gets lost on Veggie Tales. She’ll watch Blues Clues, Yo Gabba Gabba, and Barney but has no desire to watch the shows for her own age. When a movie is shown in CCD or Kindergarten, she gets anxious and sometimes starts crying. Will her inability to distinguish reality from fantasy resolve with age? Or is she an overly anxious, sensitive child?
-Facing Fear, in Chicago, IL

A: Dear Facing Fear,

It’s wonderful that you’re observing so closely how your child responds to the media she’s using. Every child is different. Knowing your daughter and watching her as closely as you do will help you make the best decisions for her.

Because children younger than 7 or 8 can’t reliably tell what’s real and what’s not, things that don’t seem scary to you or to older siblings may terrify them. Even though cartoons are marketed for young children, most aren’t really designed with their developmental stage in mind. Conflict and suspense sell tickets to adults, whose brains understand that it’s not real, but children experience these things in a much more direct and primal way.

Many kids are encouraged or learn to cover the anxiety that these images provoke. Your daughter may simply be more transparent in her responses than others her age, and even if she does seem more sensitive than other children, that can be positive, too.

In any case, it’s likely that her fear will resolve with time, but don’t push her to achieve this developmental milestone earlier than she’s ready. That would simply encourage her pretend she is not feeling what she is feeling, which will make her more anxious in the long run. In the meantime, ask teachers and other caregivers to find alternative activities for her rather than forcing her—and peers who may be better at hiding their anxiety—to view TV or videos that trigger her very normal stress response to anxiety-provoking images.

Enjoy your media and use them wisely,
The Mediatrician®

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