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RAY AND JAT ELECTRONIC MEDIA AND CHILDREN watch more television than their peers and experience significant impairments in comprehending stories, a crucial skill in achieving academic success(13). While Zimmerman, et al.(14) reported that any deleterious longitudinal relation between television and cognitive outcomes may be more salient among children with ADHD, AcevedoPolakovich, et al.(15) observed no effect. Thus, a more careful examination of the relation between television viewing and children’s cognitive abilities are needed. MEDIA AND BEHAVIORAL PROBLEMS Children, who observe (in the media or in the environment around them) others exhibiting a specific aggressive behavior, e.g. hitting, are more likely to perform the same aggressive behavior immediately. Exposure to media violence has been positively related to subsequent aggressive behavior, ideas, arousal, and anger. Additionally, there is a significant negative effect of exposure to violence on subsequent helping behavior. Infrequent exposure is not likely to produce lasting consequences, but parents, particularly need to be urged to protect their children against the kinds of repeated exposures that excessive play with violent video games or immersion in violent TV programs is likely to produce(4). Ray, et al.(5) from India reported that children having exposure to violence through media had poorer school performance and its impact on their psychosocial adjustments was detrimental. Another study from India showed that vivid display of violence through media (9/11 terrorist attack) caused stress in adolescents(6). Yama, et al.(7) described that some of the fears, tensions, bad dreams and tendencies towards delinquencies of children are a result of frequent and a regular exposure to murder-mystery movies, and stories filled with violence and torture that children view on TV and movies. Association between TV viewing and suicidal behavior has also been reported from India(8). Both content exposure and screen time of media had independent detrimental associations with school performance in children and adolescents (9). Hopf, et al.(10) showed that the more frequently children view horror and violent films during childhood, and the more frequ ently they play violent electronic games at the beginning of adolescence, the higher will these students’ violence and delinquency be at the age of 14. TELEVISION VIEWING AND SOCIAL ISOLATION Bickham, et al.(16) investigated the relationship between TV viewing time, content, context, and peer integration. As children spend more total time watching TV, they spend a significantly shorter amount of time with friends as compared to those who don’t. Thus, viewing television causes poor peer relationships and thereby increases the risk for social isolation, anxiety disorder, agoraphobia, and antisocial behavior, including aggression and gang involvement(7). Some authors found that the more time children spent watching TV, the less time they spent with their families(17). While TV may isolate children, the reverse causal direction is also plausible – lonely children may turn to TV for entertainment and companionship. Children who are marginalized by their peers use TV to escape the stresses of their lives and meet their social needs(18). Conversely, children who are socially integrated spend less time watching TV(19). Thus, it can be argued that it is social isolation that motivates excessive media use. Overall, it is most likely that both effects occur – children who watch more TV become more socially isolated, which leads them to spend more time watching TV. While TV viewing is often perceived as an isolating activity, it frequently occurs in the company of friends. Because socializing builds interpersonal skills, TV viewing with friends may provide a venue for these skills to develop(20). It is important to consider content whenever investigating the relationships between media use and behaviors. Violent television viewing may influence younger Primack, et al.(11) showed that excessive TV viewing in adolescence is a risk factor for development of depression in young adulthood. TV viewing may play an exacerbating, if not causal, role in the development of attention-deficit/hyperactivity disorder (ADHD)(12). This hypothesis is consistent with evidence indicating that children with ADHD INDIAN PEDIATRICS 562 VOLUME 47__JULY 17, 2010