From the category archives:

Ask the Mediatrician

Do toddlers and iPads mix?

by Tripp Underwood on May 24, 2012

Children are using iPads earlier and earlier. Is it affecting development? flickr/remcovandermeer

Apple’s iPhone and iPad technology has revolutionized communication. The way millions of Americans interact with media, personal contacts and the Internet is now largely funneled through an Apple shaped logo. But are these machines so influential they could shape the mental and emotional development of young users?

Because these devices are so new, there’s not enough hard scientific data to know for sure. But the fact that more than half of the young children in the United States now have access to an iPad, iPhone or similar touch-screen device means the time to ask these questions is now.

So that’s exactly what Wall Street Journal reporter Ben Worthen did. Worthen spoke with many childhood development experts, including Michael Rich, MD, MPH, director of Boston Children’s Center on Media and Child Health, to find out how touch-screen technology is affecting the development of millions of young users. Here’s a brief video describing what he learned.

Until more data is collected, the scientific community remains split on how touch-screen technology affects kids. But there is one thing that they all agree on: parents know their children best and should be the final decision-maker on if and when this type of technology is appropriate in their house.

Does your child use an iPad, iPhone or tablet? If so, are you pleased or worried about her reaction to its interactive nature? Let us know in the comment section or our Facebook wall.

Read the entire Wall Street Journal on toddlers and iPads. Dr. Rich participated a live chat on the topic with parents on The Wall Street Journal’s website. Follow the conversation here: Should Your Toddler Use a Tablet?

You may also enjoy these stories on how touch-screen technology has shaped the lives of some of our patients and their families:

Are kids benefiting from all these electronics?

The new digital reality: why parents and pediatricians may need to rethink their messaging

Can the new iPad take therapy apps to the next level?

Mobile Mamas: Parenting in the smartphone age

Touchscreen technology helps kids with cerebral palsy

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What can I do for my 15-year-old son, who has Asperger’s and ADHD and seems addicted to video games?

by Childrens Hospital Boston staff on May 4, 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 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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Is The Hunger Games movie too scary for younger fans of the book?

by Tripp Underwood on March 22, 2012

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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Will sitting close to the TV hurt my kids’ eyes?

by Childrens Hospital Boston staff on January 26, 2012

Michael Rich, MD, MPH

Q: I have an son who’s 11 and a daughter who’s 9½, and for many years, they have sat close to the TV when watching. I have asked them to sit farther away, and they do move back maybe a foot…but they always go back to viewing the show close up, even if the screen is a 40” color flat screen. Any studies that show why? Any concerns? My wife and I sit 8 to 10 feet from the TV.
-Up Close and Personal, in Rochester Hills, MI

A: Dear Up Close,

Concern about sitting close to TV screens, like concern about reading in low light, is founded more on what our parents told us when we were little than on research. The worries about sitting close dates from the (not so long ago) time when TVs were actually “tubes”—cathode ray tubes, that is—and people were uncertain about how the cathode radiation emitted might affect a viewer’s eyes. Today’s TVs flatscreens only emit the light you see, which removes that concern. And there’s no evidence that sitting close to either kind of screen hurts your eyes.

That said, the fact that your children sit so close to the TV may be a sign that they are near-sighted and that this distance is where they best resolve the pixels of color, light, and darkness into a coherent image. Bring them in for an eye exam to see whether they need glasses.

If their eyes are fine, then they probably sit close because they like having the screen fill their peripheral vision. That shouldn’t cause any problems. Just make sure that they aren’t staring at screens all the time—that can cause eye strain and, of course, will take time away from all of the other activities they need to accomplish in a day to be happy and healthy.

Enjoy your media and use them wisely,
The Mediatrician®

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Will my 7-year-old outgrow her fear of 3D movies like Puss in Boots?

by Childrens Hospital Boston staff on December 9, 2011

Q: My seven-year-old daughter loves movies, and there are many 3D movies geared toward kids this holiday season—Arthur Christmas, Happy Feet 2, Hugo, Puss in Boots, and The Muppets. But when my friend took her to see Puss in Boots, which opens with snow falling, the 3-D snow really freaked my daughter out, and she refused to put the glasses back on the remainder of the film. Is this something she will grow out of? What should I do?
-Multidimensional in Atlanta, GA

A: Dear Multidimensional,

These movies can be exciting and fun—for some viewers. The 3D effect that is so engaging demands that our eyes and brains combine two artificially created 2D images into a single 3D image. This is much harder for the brain to do than it is to visually process objects that actually have three dimensions, like snow falling in real life. This processing uses parts of the brain that do not fully develop until the mid-20s (although even adults can develop eyestrain, headaches, and even nausea from watching 3D movies). Full story »

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My teens want to start a blog together–what are the pros and cons?

by Childrens Hospital Boston staff on November 30, 2011

Michael Rich, MD, MPH

Q: We have a 16-year-old daughter and a 14-year-old son who are at the same school. They have voluntarily given up Facebook because of the time drain it can be, and both have fairly heavy academic loads. They are interested in starting a blog together. What are the pros and cons?
-Benefits of Blogging in Roseville, CA

A: Dear Benefits,

What a great way for adolescent siblings to connect and use their creativity together! This kind of self-expression that can be incredibly powerful—even therapeutic—for teens pursuing the developmental tasks of finding themselves and connecting with their peers. But it can also be as much of a time sink as Facebook. To help them focus their efforts and make the time they spend on this project rewarding and positive, ask your teens these questions:

“What is the mission of your blog?” Do they want their blog to focus on sports, or music, or issues in their school, or what it’s like to be a teenager? Maybe they want to offer their different age, grade level, and gender perspectives on issues that interest them both. Having a vision and mission will help them focus their blog, limit the time they spend updating it, and create a unique niche in the blogosphere that will draw readers. Full story »

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How do I get my 4 year old’s grandpa not to play violent video games with him?

by Childrens Hospital Boston staff on October 28, 2011

Michael Rich, MD, MPH

Q:My father-in-law bonds with my 4-year-old son by playing video games. Recently, he bought a LEGO pirates game, rated for 10 year olds, and the two play it for about an hour every time they see each other. I love that they spend time together, but since they started playing this game, my son has become more violent. My father-in-law doesn’t see the problem, even though I’ve tried talking with him about it. Is there research that might help convince him to choose other bonding activities?

-Baffled over bonding in Palo Alto, CA

A: Dear Baffled,

You know your child better than anyone else, so you are most sensitive to a change in his behavior—and you are in the best position to guide him toward the person you want him to become. Full story »

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