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Why Good Sleep is Critical for Child and Teen Health

Ask anybody what they need more of – and they’ll say SLEEP! Surveys report that sleep deprivation among Americans is rampant. As a psychologist who treats kids, teens, and adults, I see that those who suffer the most are teens! Teens are burdened with a ton of schoolwork and the temptations of social media, video gaming, and binge-watching YouTube, TikTok, and Netflix. With crazy busy work weeks, we crave “me-time,” especially during those precious moments when we’ve settled in for bed without interruptions and distractions. Unfortunately, most people don’t know why sleep is so important. Without enough sleep, we are at risk for mental illness and overall performance decline. Today’s GKIS article goes over the reasons why sleep is so important and how to preserve your mental health and learning capacity by protecting much-needed restorative sleep.

Why is sleep so important?

During sleep, our brains conduct general housekeeping and memory-strengthening duties. Housekeeping tasks necessary for brain health include the pruning, repair, and new growth of neurons and the removal of toxins.

Memory strengthening, called memory consolidation, occurs by stabilizing memory traces that were collected while awake. Memory consolidation occurs with both declarative (fact-based) and procedural (how-to) information. Rapid-eye-movement (REM) sleep is particularly important for stabilizing complex or emotionally charged memories.[i]When we don’t get enough sleep, our brain’s housekeeping and memory consolidation tasks remain undone, leaving us unable to efficiently acquire (onboard) or retrieve information.

Sleep deprivation not only stunts learning, but it can also cause:

  • mood swings,
  • negative mood states like depression, irritability, and anxiety,
  • fatigue,
  • confusion,
  • attention problems,
  • motor impairment, and
  • overall impaired cognitive performance.[ii]

If people regularly sleep fewer than six hours a night, research has found that they may have:

  • a higher risk of developing Alzheimer’s Disease,
  • a 200% increased chance of having a heart attack or stroke,
  • a 70% reduction in cancer-fighting T-cells, and
  • disrupted melatonin and cortisol which can lead to weight gain and Type 2 diabetes.

For those who stay awake 16 hours straight, they may lower their overall functioning to resemble somebody who is legally drunk. Furthermore, sleep-deprived individuals often fail to recognize impairment. In other words, they don’t realize the costs and keep burning the candle at both ends.

Vamping

Missing out on much-needed sleep and staying up all night on screens is called vamping.

Teens with chronic sleep deprivation have been found to demonstrate:

  • lower achievement motivation,
  • more teacher-child relationship problems,
  • a poorer academic self-concept, and
  • poorer school performance.[iii]

How might you decrease the risk of vamping and encourage healthy sleep?

Stage the room to be restful.

I know it’s nearly impossible to motivate kids to unclutter their rooms. But a soothing environment contributes to a soothed mind. Offer your support by helping your child create a more restful environment with a fresh bedroom makeover. Light paint colors, soft textures, organized closets and bedside tables, soft lighting, white noise makers, and yummy smells can turn a chaotic hovel into a relaxing paradise.

Recognize that nutrition, exercise, and screen content impact the quality of sleep.

Research has demonstrated that young children who watch violent television content have more sleep problems, particularly delayed onset of sleep, than children who view age-appropriate content.[iv] Furthermore, kids who get adequate nutrition and exercise, especially outdoor exercise because of sunlight setting your circadian rhythm, also get better quality sleep. In practice, I find that teens, in particular, benefit from the mood benefits of regular cardio and cooperative team play.

No screens in the bedroom.

Why? Because screens wake up our brains! The blue LED light from the screen stimulates the photosensors in the retina that signal the brain to suppress melatonin production (our sleep-regulating hormone) and makes us more alert. Less melatonin disrupts our natural circadian rhythms, which can lead to sleep during the day and wakefulness during the night.

Using screens before bedtime has been found to cause people to:

  • go to bed later,
  • prolong the time it takes to fall asleep,
  • delay the timing of REM sleep, reduce the amount of REM sleep and sleep overall,
  • reduce alertness in the morning, and
  • cause more daytime sleepiness.[v]

Screens also condition us to be awake in bed. If we are often awake in bed, our bodies will automatically be conditioned to cue, or believe that the bed is an “awake-only” zone.

Alternatively, if we only rest and sleep in bed, our bodies will be conditioned that the bed is a “sleep-only” zone.

In psychology, we call this type of cued learning classical conditioning. By these principles, we must resist the urge to do anything in bed but sleep to develop good expectations and habits.

Make the No Screens in the Bedroom Rule BEFORE it’s necessary. It’s asking a lot to say no TV, video games, tablets, or smartphones in the bedroom, but vamping leads to sleep deprivation. Sleep deprivation leads to impulsivity and risk-taking.[vi] Impulsivity while in intimate spaces leads to intimate gestures like sexting and viewing inappropriate online content.

Also, use alarm clocks with red-lighted numbers in bedrooms rather than screens for timekeeping.

Encourage a soothing nighttime ritual.

We are creatures of habit. Habitual activity during the thirty-minute bedtime wind-down signals the body to anticipate rest. Components of a soothing ritual may include soft lighting; quiet, repetitive, or white noise sounds; and comforting activities. Sticking to a consistent bedtime schedule is also important.

Screens off thirty minutes before lights out.

As our brains sort through our memory caches, information is prioritized to either forget or remember. Because experiences that trigger emotion are typically important, evolution has shaped our brains to prioritize memories infused with emotion. Based on cognitive science theories, looping on a troubling experience is thought to be the cause of nightmares.

Just like the response to fright when we’re awake, stress hormones like cortisol and adrenaline dump into our bloodstream when we have nightmares. If we are troubled upon falling asleep, agitated dreaming and tossing and turning may result, leaving us tired, irritable, and cognitively scrambled the next day. Over time, this can seriously impair mental health.

Although emotionally triggering and arousing screen activities like gaming, texting, or viewing activating content aren’t as troubling as real-life trauma, they still stimulate the same brain regions activated with chronic stress, often for hours at a time. The hangover from chronic stress has been referred to as mental brownout. Limiting activating screen activities at night and giving your children time to soothe prior to bedtime will result in better quality sleep overall and pave the way for healthy learning during the day. Particularly, avoid eating, triggering discussions, video gaming, and intense exercise before bed.

Teach sophisticated self-soothing strategies.

The opportunity to spend time with a relaxed parent is another factor critical to self-soothing. From birth, a child’s brain synchronizes with a responsive parent. Eye contact, narrative moment-to-moment comments with emotion words, and general conversation teach kids what emotions are and how to deal with them.

We cannot provide this kind of synching and teaching if we are focused on screens instead of each other. Also, if you don’t sleep well one night, don’t stress about it. Getting anxious or angry will wake you up more, and most of us get poor sleep here and there and simply make it up later.

If you are reading this because you are taking our Social Media Readiness Course, you’re about to learn cognitive-behavioral exercises like diaphragmatic breathing, progressive muscle relaxation, mindfulness, imagery, and meditation. These skills can prevent even the most persistent sleep disorders.

Exercising one’s mind to relax is critical to self-soothing. Another option for overcoming some of the negative effects of sleep deprivation is napping.

A full cycle of sleep takes about ninety minutes and provides cognitive rejuvenation that improves procedural memory and creativity with no sleep inertia (grogginess). Sixty to thirty minutes is good for slow-wave sleep, which helps with fact memory and retrieval but may still result in grogginess. Twenty to ten-minute power naps are shown to increase alertness and energy. If you have time to nap, it’s best to spend ninety minutes to complete a sleep cycle or just a power nap for ten.

Onward to More Awesome Parenting, 

Tracy S. Bennett, Ph.D.
Mom, Clinical Psychologist, CSUCI Adjunct Faculty
GetKidsInternetSafe

Works Cited

[i] Xie, L., Kang, H., Xu, Q., Chen, M., Liao, Y., Thiyagarajan, M., O’Donnell, J., Christensen, D., Nicholson, C., Iliff, J., Takano, T., Deane, R., &

Nedergaard, M. (2013). Sleep Drives Metabolite Clearance from the Adult Brain. Science 342.6156: 373-77. Web.

[ii] Goel, N., Rao, H., Durmer, J., & Dinges, D. (2009). Neurocognitive Consequences of Sleep Deprivation. Seminars in Neurology 29.04: 320-39. Web.

[iii] Dewald-Kaufmann, J., Oort, F., Bogels, S., & Meijer, A. (2013). “Why Sleep Matters: Differences in Daytime Functioning Between Adolescents with Low & High Chronic Sleep Reduction & Short & Long Sleep Durations.” Journal of Cognitive & Behavioral Psychotherapies, 13, 171-182.

[iv] Garrison, M. & Christakis, D. (2012). The impact of a healthy media use intervention on sleep in preschool children. Pediatrics, 2011-3153; DOI: 10.1542/peds.2011-3153

[v] Chang, A., Aeschbach, D, Duffy, J., & Czeisler, C. (2014). Evening Use of Light-emitting EReaders Negatively Affects Sleep, Circadian Timing, & Next-morning Alertness. Proceedings of the National Academy of Sciences 112.4: 1232-237. Web.

[vi] Killgore, W., Kamimori, G., & Balkin, T. Caffeine Protects Against Increased Risk-taking Propensity During Severe Sleep Deprivation. Journal of Sleep Research 20.3 (2010): 395-403. Web.

How Screen Devices Impact Our Brains

Did you know that our activities change how our brains grow? And the way our brains work determines what activities we like to do. In other words, our brain wiring changes over time, and those changes lead us to prefer some tasks over others. These days, we spend more time on our screens than we do outside or face-to-face with other people. That means our brains are wired to function best in the virtual world. Because screens are a relatively new phenomenon in the scope of human history, we don’t know what the long-term outcome of screen use will be on our brains. Child and teen brains are especially vulnerable to rewiring issues because they are already in a massive state of change. Will this information change the way you use your screens?

Brains!

Neurons & Superhighways

Our brains are made up of millions of brain cells, called neurons. Neurons communicate with each other and help us think, move, and even breathe! Neurons are necessary for us to live. The healthier our brains are, the better our lives are.

As we age, our brains are constantly remodeling. At first, our brains use many neurons to complete one task. But with practice, our neurons form superhighways for the most efficient thinking. As we age, fewer neurons can get the same task done that used to take far more neurons. The more primitive pathways that get replaced prune away while the superhighways develop.

Our brain is its biggest when we are 10 years old! Then our gray matter (the brain tissue packed with neurons) decreases from there. At certain ages, some parts of our brain remodel more than others based on the types of learning that we are doing. For example, babies and toddlers are remodeling the brain areas responsible for attaching to others and learning a language. Teen brains are remodeling the brain areas responsible for creating abstract ideas and connecting with their peers.

Brain Thinning from Excessive Screen Use

To build healthy brains, we must take good care of ourselves and get good sleep, nutrition, and exercise. We also need to do a lot of balanced learning off-screen, not just on-screen. Doing different types of learning will build a more capable, healthier brain.

Doing only one type of learning over and over for many hours a day will build a less capable brain than learning a variety of things. In fact, studies are showing that kids who use screens seven hours a day, versus kids who do not, show thinning in many parts of the brain and lower scores on thinking and language tests.[i][ii][iii][iv] The way their brains process information is also negatively affected.[v]

Is multitasking healthy for our brains?

Many of us spend much of our day multitasking, which means going back and forth between different screen tasks and in-real-life tasks. We are doing many (multiple) tasks at the same time – going back and forth between a primary task and an interrupting task. We love to be connected to our screen devices when we are doing in-real-life things like checking our social media during homework or watching a video while at a restaurant. Most of the time that’s fun and works great. But other times our screen devices can reduce the quality of our work.

Many people think that when they are multitasking, their brains can work on everything at the same time as if the brain has a huge mental pipeline where different things flow in and out at once. But the brain can’t do many things at the same time. Instead, we have a single mental pipeline that is built to do only one thing at a time.

When you are multitasking, you end up quickly going back and forth between those tasks rather than doing them at the same time. We call that toggling back and forth. Those activities must take turns using the same brain area. Competition between the same cognitive resources can decrease our energy, happiness, and learning performance.

But it’s not so simple to say that interrupting one task with another is always a problem. Sometimes there are learning benefits to using screens during real-life activities. The challenge is figuring out what screen activities help get the task done and which are distracting us and wearing us out.

Do younger people outsource to their screens better than older people?

Young people who grew up with screens tend to multitask more often and better than older people who did not grow up with screens. With early life practice, they have learned the mental flexibility of digital learning. Screen natives learn differently than screen immigrants.

For example, younger people are better than older people at multitasking.[vi] Using our screens for things like memory, increased access to information, mapping, performing calculations, and creating is called outsourcing. Outsourcing to screens means less need for memory or spatial skills and less cognitive effort.

Is that a good thing or a bad thing?

Well, the answer is complicated. Some types of limited multitasking are healthy for learning. Other types are not so much. Furthermore, we cannot trust our judgment. Though people insist they get more done, better, and faster when multitasking, they are most often wrong.[vii] Multitaskers don’t recognize that juggling tasks cost us more time and results in worse performance, kind of like a drunk driver saying he drives better while under the influence.

The Costs of Multitasking

Performance Decline

Results are consistent across studies that multitasking results in a small but significant decrease in test scores (4-5% decrease). Larger interruptions cause even larger decreases.[xiii][xiv] Perhaps a 5% decline doesn’t seem like much, but it is half a letter grade.

If two tasks require different cognitive resources, like walking and talking, then the performance decline is smaller. If tasks require similar cognitive resources, like talking and texting, which both require language centers, then the deficits are larger.[xv]

In the long term, multitasking (with social media and instant messaging for example) can lead to lower grades and poorer cognitive performance overall, especially in the areas of working memory and attention.[xvi][xvii] Multitaskers tend to have poorer memories because they are getting less memorizing practice.

Time Cost & the Google Effect

Multitasking also costs us extra time. When people are interrupted, it takes an average of 23 minutes, 15 seconds to return to work, often getting distracted by two or more tasks after the interruption.[xi]

When we use the Internet, we are also less likely to remember something we’ve learned if we know it’s published online, a dynamic now called the Google effect.[xii] It’s as if we quit thinking or taking responsibility for learning because we expect our smartphones to have it handled. Why bother to take the effort to remember the date if a press of a button will get the job done?

Brain Drain & Anxiety

Another cost of multitasking with our screens is brain drain. Research has shown that toggling between mental tasks burns the brain’s fuel, oxygenated glucose, at a rate faster than concentrating on a single task.[xx] We think we are saving time and energy by fracturing our attention, but we are actually draining the very energy necessary to do the work and taking more time to do it! 

Our screens drain us in other ways too. A 2015 study found that smartphone notifications hijack attention and distract us by launching distracting thoughts whether we’ve checked notifications or not.[viii] Furthermore, when smartphone users are unable to answer a notification, their pulse and blood pressure increase, they feel anxious, and their problem-solving skills decline.[ix] The more attached we are to our phones and the closer they are to us, the more distracted and stressed we are.[x]

Brain overload from multitasking can take a toll on mental health. Factors that make us most vulnerable to rapidly switching tasks are anxious and impulsive personality traits, stress, and too little sleep.[xxi] Without downtime, mental stress and fatigue can lead to poorer learning, irritability, and mood and anxiety disorders, especially for teens.[xxii]

Homework & Multitasking

Kids argue, and rightfully so, that it is impossible to do homework without multitasking on- and offscreen. As they get older, school tasks require the student to look up information for research, communicate with other group members, and track progress across multiple platforms.

Here are some research findings that can help you make better choices while doing schoolwork.

Watching TV or videos while doing schoolwork interferes with performance.

Watching TV and doing homework are both demanding tasks that compete for the same brain areas. Research studies have demonstrated that watching television, or even just having it on in the background, impairs reading performance, [xxiii] memory of homework facts, [xxiv] and even your memory of what you’ve watched on TV. [xxv

How about music and homework?

It was once widely believed that listening to classical music makes you smarter, known as The Mozart Effect. However, this theory has largely been proven to be untrue.

Studying in a quiet environment results in better homework performance than studying with music.[xxvi] Kids tend to think they do better while listening to the music they like and worse while listening to music they don’t like. But performance is poorer in either condition.[xxvii]

However, music does have a positive role in learning if you listen to music you like before homework or during breaks due to a bump in arousal and mood (called the Stephen King Effect).

Is using a laptop during the lecture OK?

College students who do not use any type of technology during class time tend to outperform those students who do use screen technology during the lecture.[xxviii] Researchers explained the results in terms of a bottleneck in attention. Meaning that more goes into the brain than it can handle, so it must slow down to catch up. Using a smartphone decreases a student’s ability to remember lecture information.[xxix] Moreover, laptop use during lectures not only distracts the user but also distracts the student’s neighbors.[xxx]

Supertaskers & Neuroplasticity

Pumping yourself up to learn before homework and relaxing during breaks is a good thing. But distracting yourself during homework with anything that may compete for the same brain resources is a bad thing. But there are exceptions to this rule.

Approximately 2% of the population, called supertaskers, defy statistics and demonstrate an extraordinary ability to screen out distractors when multitasking. It’s as if they have super-enhanced brain skills called synaptic plasticity.[xxxi]

Supertaskers can maintain these exceptional abilities by practicing excellent brain health habits, like good organization and time management, and refueling with emotional and cognitive control strategies that are screen-free like mindfulness, imagery, and meditation.

The Work-Home Boundary

It’s not just kids and teens that are impacted by screen time. Parents also have problems getting off their screens.

Studies have found that the boundaries between work and home have blurred. Overall, our work and school days span more hours and our jobs have become more demanding. This has led to more stress and dissatisfaction and less connection to the things that are meaningful to us.[xviii] We have trained ourselves to self-interrupt, leading to worsened task prioritization and poorer sustained attention overall.[xix]

How can we overcome the depleting effects of multitasking and screen time?

Taking YouTube breaks is not the answer.

Try these things instead:

  • Focus on one task at a time.
  • Do your work first, then enjoy fun content as your reward for a job well done.
  • Batch notifications (turn off notifications, then save them up and go through them all at once every few hours instead of constantly checking).
  • Take frequent screen-free brain breaks. Don’t go on the screen because you will lose track of time and stay distracted. Instead, let your mind wander or stare off for fifteen minutes every couple of hours.
  • Sprinkle in brain-healthy activities throughout your day, like yoga, group hikes, and nutritious snack times.

Onward to More Awesome Parenting, 

Tracy S. Bennett, Ph.D.
Mom, Clinical Psychologist, CSUCI Adjunct Faculty
GetKidsInternetSafe

Photo Credits

Photo by mentatdgt from Pexels

Photo by meo from Pexels

Photo by Startup Stock Photos from Pexels

Photo by Snapwire from Pexels

Works Cited

[i]https://www.cbsnews.com/news/groundbreaking-study-examines-effects-of-screen-time-on-kids-60-minutes/

[ii] Kim, S., Baik, S., Park, C., Kim, S., Choi, S. & Kim, S. (2011). Reduced Striatal Dopamine D2 Receptors in People with Internet Addiction. NeuroReport 22.8: 407-11. Web.

[iii] Koepp, M., Gunn, R., Lawrence, A., Cunningham, V., Dagher, A., Jones, T., Brooks, D., Bench, C., & Grasby, P. (1998). Evidence for striatal dopamine release during a video game. Nature 393: 266-268.

[iv] Kühn, S., Romanowski, A., Schilling, C., Lorenz, R., Mörsen, C., Seiferth, N., & Banaschewski, T. (2011). The Neural Basis of Video Gaming. Translational Psychiatry 1: e53.

[v] Dong, G. Hu, Y., & Lin, X. (2013). Reward/punishment sensitivities among internet addicts: Implications for their addictive behaviors. Progress in Neuro-Psychopharmacology & Biological Psychiatry, 46, 139–145.

[vi] Ie, A., Haller, C., Langer, E., & Courvoisier, D. (2012). “Mindful Multitasking: The Relationship between Mindful Flexibility and Media Multitasking.” Computers in Human Behavior 28.4: 1526-532. Web.

[vii] Finley, J., Benjamin, A., & McCarley, J., (2014). “Metacognition of Multitasking: How Well Do We Predict the Costs of Divided Attention?” Journal of Experimental Psychology: Applied, 20.2: 158-65. Web.

[viii] Ward, A., Duke, K., Gneezy, A., & Bos, M.  (2017). “Brain Drain: The Mere Presence of Oneâs Own Smartphone Reduces Available Cognitive Capacity.” Journal of the Association for Consumer Research 2.2: 140-54. Web.

[ix] Clayton, R. (2015). “The Extended ISelf: The Impact of IPhone Separation on Cognition, Emotion, & Physiology.” Journal of Computer-Mediated Communication, vol. 20(2), pp. 119–135., doi:10.1111/jcc4.12109.

[x] Ward, A., Duke, K., Gneezy, A., & Bos, M.  (2017). “Brain Drain: The Mere Presence of Oneâs Own Smartphone Reduces Available Cognitive Capacity.” Journal of the Association for Consumer Research 2.2: 140-54. Web.

[xi] Sano, A. (20160.  “Neurotics Can’t Focus: An in Situ Study of Online Multitasking in the Workplace – MIT Media Lab.” MIT Media Lab, www.media.mit.edu/publications/neurotics-cant-focus-an-in-situ-study-of-online-multitasking-in-the-workplace/.

[xii] Sparrow, B., et al. (2011). “Google Effects on Memory: Cognitive Consequences of Having Information at Our Fingertips.” Science, vol. 333, no. 6043, pp. 776–778., doi:10.1126/science.1207745.

[xiii] Conard, M., & Marsh, R., (2013). “Interest Level Improves Learning but Does Not Moderate the Effects of Interruptions: An Experiment Using Simultaneous Multitasking.” Learning and Individual Differences: n. pag. Web.

[xiv] Wood, E., Zivcakova, L., Gentile, P., Archer, K., De Pasquale, D., & Nosko, A. (2012). “Examining the Impact of Off-task Multi-tasking with Technology on Real-time Classroom Learning.” Computers & Education 58.1: 365-74. Web.

[xv] Conard, M., & Marsh, R., (2013). “Interest Level Improves Learning but Does Not Moderate the Effects of Interruptions: An Experiment Using Simultaneous Multitasking.” Learning and Individual Differences: n. pag. Web.

[xvi] Fein, S., Jones, S., & Gerow, J. (2013). “When It Comes to Facebook There May Be More to Bad Memory than Just Multitasking.” Computers in Human Behavior 29.6: 2179-182. Web.

[xvii] Fox, A., Rosen, J., & Crawford, M. (2009). “Distractions, Distractions: Does Instant Messaging Affect College Students’ Performance on a Concurrent Reading Comprehension Task?” CyberPsychology & Behavior, 12(1): 51-53.https://doi.org/10.1089/cpb.2008.0107

[xviii] Gregoire, C. (2016). “The American Workplace Is Broken. Here’s How We Can Start Fixing It.” The Huffington Post, TheHuffingtonPost.com, 22 Nov. 2016, www.huffingtonpost.com/entry/american-workplace-broken-stress_us_566b3152e4b011b83a6b42bd.

[xix] Sano, A. (2016). “Email Duration Batching and Self-Interruption: Patterns of Email Use on Productivity and Stress – MIT Media Lab.” MIT Media Lab, 17 May 2016, www.media.mit.edu/publications/email-duration-batching-and-self-interruption-patterns-of-email-use-on-productivity-and-stress/.

[xx] Sridharan, D., et al. (2008). “A Critical Role for the Right Fronto-Insular Cortex in Switching between Central-Executive and Default-Mode Networks.” Proceedings of the National Academy of Sciences, vol. 105, no. 34, pp. 12569–12574., doi:10.1073/pnas.0800005105.

[xxi] Sano, A. (20160.  “Neurotics Can’t Focus: An in Situ Study of Online Multitasking in the Workplace – MIT Media Lab.” MIT Media Lab, www.media.mit.edu/publications/neurotics-cant-focus-an-in-situ-study-of-online-multitasking-in-the-workplace/.

[xxii] Becker, M., Alzahabi, R., & Hopwood, C., (2013). “Media Multitasking Is Associated with Symptoms of Depression and Social Anxiety.” Cyberpsychology, Behavior, and Social Networking 16.2: 132-35. Web.

[xxiii] Lin, L., Robertson, T., & Lee, J. (2009). “Reading Performances Between Novices and Experts in Different Media Multitasking Environments.” Computers in the Schools 26.3: 169-86. Web.

[xxiv] Armstrong, G. Blake, & Chung, L. (2000). “Background Television and Reading Memory in Context: Assessing TV Interference and Facilitative Context Effects on Encoding Versus Retrieval Processes.” Communication Research 27: 327–352.

[xxv] Zhang, W., Jeong, S., & Fishbein, M. (2010). “Situational Factors Competing For Attention: The Interaction Effect of Multitasking and Sexually Explicit Content on TV Recognition.” Journal of Media Psychology 22: 2–13. Web.

[xxvi] Furnham, A., & Bradley, A. (1997). “Music While You Work: The Differential Distraction of Background Music on the Cognitive Test Performance of Introverts and Extraverts.” Applied Cognitive Psychology 11.5: 445-55. Web.

[xxvii] Perham, N., & Vizard, J. (2011), Can preference for background music mediate the irrelevant sound effect? Appl. Cognit. Psychol., 25: 625–631. doi:10.1002/acp.1731

[xxviii] Hembrooke, H., & Gay, G. (2003). “The Laptop and the Lecture: The Effects of Multitasking in Learning Environments.” Journal of Computing in Higher Education 15.1: 46-64. Web.

[xxix] Wood, E., Zivcakova, L, Gentile, P., Archer, K., De Pasquale, D., & Nosko, A. (2012). “Examining the Impact of Off-task Multi-tasking with Technology on Real-time Classroom Learning.” Computers & Education 58.1: 365-74. Web.

[xxx] Sana, F., Weston, T., & Cepeda, N. (2013). “Laptop Multitasking Hinders Classroom Learning for Both Users and Nearby Peers.” Computers & Education 62: 24-31. Web.

[xxxi] Watson, J., & Strayer, D. (2010). “Supertaskers: Profiles in Extraordinary Multitasking Ability.” Psychonomic Bulletin & Review 17.4: 479-85. Web.