The sharp rise over the past decade in young children's access to various forms of screen media (e.g., smartphones, tablets, TVs) has posed new and significant challenges to caregivers in managing children's use of this type of media. For caregivers of young children with externalizing behavior problems, managing children's time with screen media is especially important and challenging. In this article, we summarize evidence of bidirectional links between early externalizing behavior problems and unhealthy screen media use in young children and discuss the extent to which prior interventions have responded to the needs of caregivers of children with these problems. We propose a conceptual model for an intervention to promote healthy screen media use for children with externalizing behavior problems that leverages current behavioral parenting interventions.

中文翻译：

---

促进有外化行为的儿童健康地使用屏幕

过去十年中，幼儿接触各种形式的屏幕媒体（例如智能手机、平板电脑、电视）的人数急剧增加，这对护理人员在管理儿童对此类媒体的使用方面提出了新的重大挑战。对于有外化行为问题的幼儿的照顾者来说，管理孩子使用屏幕媒体的时间尤其重要且具有挑战性。在本文中，我们总结了幼儿早期外化行为问题与不健康的屏幕媒体使用之间双向联系的证据，并讨论了先前的干预措施在多大程度上满足了患有这些问题的儿童的照顾者的需求。我们提出了一个干预概念模型，以促进有外化行为问题的儿童健康地使用屏幕媒体，并利用当前的行为养育干预措施。