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Sarman A, Çiftci N. Relationship between smartphone addiction, loneliness, and depression in adolescents: A correlational structural equation modeling study. J Pediatr Nurs 2024; 76:150-159. [PMID: 38402746 DOI: 10.1016/j.pedn.2024.02.019] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/15/2023] [Revised: 12/22/2023] [Accepted: 02/19/2024] [Indexed: 02/27/2024]
Abstract
PURPOSE This study was aimed to investigate the relationship between smartphone addiction, loneliness, and depression in adolescents. DESIGN AND METHODS This study was designed in a correlational-cross-sectional-descriptive model and was conducted with 1041 adolescents attending high schools in a provincial center in Eastern Turkey. The data were collected through face-to-face interviews using a personal information form, Smartphone Addiction Scale-Short Version for Adolescents, UCLA Loneliness Scale, and Kutcher Adolescent Depression Scale. RESULTS The average scores for smartphone addiction were found to be higher among females, individuals with low academic success, and those with a high-income level. Similarly, the average scores for loneliness were higher among individuals residing in broken families and those with parents who have limited literacy. Additionally, the mean scores for depression were higher among individuals with low academic success and those with a high-income level. Furthermore, a significant positive correlation was observed between the duration of smartphone use and levels of smartphone addiction, loneliness, and depression. CONCLUSION Smartphone addiction, loneliness, and depression were found to be prevalent above the moderate level in adolescents. Additionally, a significant positive correlation was observed between the depression and loneliness scores of adolescents. PRACTICE IMPLICATIONS Pediatric and school nurses should assess children's phone use. Nurses are well-positioned to establish a follow-up program aimed at monitoring adolescents' efforts in managing smartphone use, offering continuous support, and providing guidance when necessary. The implementation of such programs enables prompt intervention in addressing any arising issues.
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Affiliation(s)
- Abdullah Sarman
- Bingöl University, Faculty of Health Science, Department of Pediatric Nursing, Campus 12000, Bingöl, Turkey.
| | - Necmettin Çiftci
- Muş Alparslan University, Faculty of Health Sciences, Department of Nursing, Campus, Turkey.
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Chen S, Qiu D, Li X, Zhao Q. Discrepancies in Adolescent-Parent Perceptions of Parental Phubbing and Their Relevance to Adolescent Smartphone Dependence: The Mediating Role of Parent-Child Relationship. Behav Sci (Basel) 2023; 13:888. [PMID: 37998635 PMCID: PMC10669100 DOI: 10.3390/bs13110888] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/08/2023] [Revised: 10/06/2023] [Accepted: 10/24/2023] [Indexed: 11/25/2023] Open
Abstract
Parental phubbing behavior is a significant predictor of adolescent smartphone dependence. However, previous research has mainly focused on the child and adolescent's perspective, overlooking potential differences in how parents and their children perceive parental phubbing. Therefore, this study investigates whether disparities exist in how parents and adolescents perceive parental phubbing and how these perceptual differences impact adolescent smartphone dependence. We also explore the role of the parent-child relationship in this context. In this study, 728 families from a middle school in Wuhan were selected and surveys were administered to both children and parents. The findings are as follows: (1) Significant perceptual differences were found between parents and adolescents regarding parental phubbing. (2) These perceptual discrepancies positively predict adolescent smartphone dependence and negatively impact parent-child relationships. Additionally, parent-child relationships have a negative influence on adolescent smartphone dependence. (3) The parent-child relationship serves as a mediator between perceptual differences in parental phubbing behavior and adolescent smartphone dependence. In summary, this research highlights the importance of considering both parent and adolescent perspectives on parental phubbing and emphasizes the role of the parent-child relationship in influencing adolescent smartphone dependence.
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Affiliation(s)
- Shi Chen
- School of Medical Humanities, Hubei University of Chinese Medicine, Wuhan 430065, China
- Key Laboratory of Adolescent Cyberpsychology and Behavior (CCNU), Ministry of Education, Wuhan 430079, China
- Key Laboratory of Human Development and Mental Health of Hubei Province, School of Psychology, Central China Normal University, Wuhan 430079, China
- School of Psychology, Central China Normal University, Wuhan 430079, China
| | - Dongqing Qiu
- Key Laboratory of Adolescent Cyberpsychology and Behavior (CCNU), Ministry of Education, Wuhan 430079, China
- Key Laboratory of Human Development and Mental Health of Hubei Province, School of Psychology, Central China Normal University, Wuhan 430079, China
- School of Psychology, Central China Normal University, Wuhan 430079, China
- Jingzhou Vocational College of Technology, Jingzhou 434000, China
| | - Xing Li
- Key Laboratory of Adolescent Cyberpsychology and Behavior (CCNU), Ministry of Education, Wuhan 430079, China
- Key Laboratory of Human Development and Mental Health of Hubei Province, School of Psychology, Central China Normal University, Wuhan 430079, China
- School of Psychology, Central China Normal University, Wuhan 430079, China
| | - Qingbai Zhao
- Key Laboratory of Adolescent Cyberpsychology and Behavior (CCNU), Ministry of Education, Wuhan 430079, China
- Key Laboratory of Human Development and Mental Health of Hubei Province, School of Psychology, Central China Normal University, Wuhan 430079, China
- School of Psychology, Central China Normal University, Wuhan 430079, China
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Ye XL, Zhang W, Zhao FF. Depression and internet addiction among adolescents:A meta-analysis. Psychiatry Res 2023; 326:115311. [PMID: 37348449 DOI: 10.1016/j.psychres.2023.115311] [Citation(s) in RCA: 6] [Impact Index Per Article: 6.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/10/2023] [Revised: 06/12/2023] [Accepted: 06/14/2023] [Indexed: 06/24/2023]
Abstract
Depression and Internet addiction (IA) are both prevalent and burdensome in adolescents. Findings on the relationship between depression and IA remain equivocal, and we therefore conducted a meta-analysis to confirm their correlation. We searched for relevant studies, with the last search being conducted on November 10, 2022. Adolescents aged 10 to 24 reported objectively measured depression and IA using scales that have been used worldwide and are valid. Random effect models were used to produce combined odds ratios (OR) and coefficient of regression (β) We included 42 studies presenting data from 102,769 participants. The meta-analysis confirmed that depression is positively correlated with IA and vice versa. Adolescents with depressive disorders were found to have a higher risk of IA. Adolescents with IA were found to have a higher risk of depressive disorders. In addition, IA had a stronger effect on depression risk. Screening for Internet addiction in depressed adolescents is recommended at initial diagnosis and follow-up. Similarly, Internet addicts should be screened regularly for depression.
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Affiliation(s)
- Xiao-Li Ye
- Department of nursing, School of Medicine (School of Nursing), Nantong University, Nantong 226001, Jiangsu, PR China
| | - Wei Zhang
- Department of nursing, School of Medicine (School of Nursing), Nantong University, Nantong 226001, Jiangsu, PR China
| | - Fang-Fang Zhao
- Department of nursing, School of Medicine (School of Nursing), Nantong University, Nantong 226001, Jiangsu, PR China.
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Wang J, Hao QH, Peng W, Tu Y, Zhang L, Zhu TM. Relationship between smartphone addiction and eating disorders and lifestyle among Chinese college students. Front Public Health 2023; 11:1111477. [PMID: 37275494 PMCID: PMC10235600 DOI: 10.3389/fpubh.2023.1111477] [Citation(s) in RCA: 5] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/29/2022] [Accepted: 04/04/2023] [Indexed: 06/07/2023] Open
Abstract
Purpose Smartphone addiction has been a matter of serious concern among society and parents because of its high incidence and serious negative effects. This study aimed to determine the association between smartphone addiction and eating disorders and lifestyle changes among college students. Methods The present article is a descriptive, cross-sectional study involving 1,112 college students from several universities in Chengdu, China. The data were collected by using the Chinese version of the Mobile Phone Addiction Index (MPAI) and the Eating Attitudes Test-26 (EAT-26). In addition, the information on sociodemographic, lifestyle, and smartphone use were obtained through a self-administered questionnaire. Results The prevalence of smartphone addiction among the students involved in the study was 22.6%, of which 10.4% were at risk for eating disorders. Female students had higher MPAI scores and EAT-26 scores than male students (p < 0.001). The proportion of male students with a risk of eating disorders was significantly higher than that of female students (p < 0.05). The total EAT-26 scores of students with smartphone addiction were higher than that of others (p < 0.001). The correlation analysis indicated that the MPAI scores were significantly positively correlated with the EAT-26 scores, depression and anxiety, difficulty in falling asleep at night, the frequency of eating fast food and drinking carbonated soft drink (p < 0.01). In addition, the MPAI scores were significantly negatively correlated with skipping breakfast and the frequency of physical activity (p < 0.05). Conclusion Smartphone addiction is significantly associated with eating disorders, eating habits, and lifestyle. The influence of dietary habits and lifestyle needs to be considered for the prevention and development of an intervention for smartphone addiction among college students.
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Affiliation(s)
- Jun Wang
- Chengdu Women's and Children's Central Hospital, School of Medicine, University of Electronic Science and Technology of China, Chengdu, China
| | - Qing-Hong Hao
- Longgang District Maternity and Child Healthcare Hospital of Shenzhen City, Shenzhen, China
| | - Wei Peng
- Chongqing Hospital of Traditional Chinese Medicine, Chongqing, China
| | - Yang Tu
- Chongqing University Cancer Hospital, Oncology Treatment Center of Traditional Chinese Medicine, Chongqing, China
| | - Lan Zhang
- Chengdu Women's and Children's Central Hospital, School of Medicine, University of Electronic Science and Technology of China, Chengdu, China
| | - Tian-Min Zhu
- School of Rehabilitation and Health Preservation, Chengdu University of Traditional Chinese Medicine, Chengdu, China
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Tarabay R, Gerges S, Sarray El Dine A, Malaeb D, Obeid S, Hallit S, Soufia M. Exploring the indirect effect of loneliness in the association between problematic use of social networks and cognitive function in Lebanese adolescents. BMC Psychol 2023; 11:152. [PMID: 37158956 PMCID: PMC10166028 DOI: 10.1186/s40359-023-01168-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/28/2022] [Accepted: 04/15/2023] [Indexed: 05/10/2023] Open
Abstract
BACKGROUND Problematic use of social networks is a widespread problem that may exert deleterious impacts on cognitive functions. Moreover, studies have added an important link between loneliness and its harmful effect on cognitive functions. Other studies have also revealed that problematic use of social networks among teenagers has a pejorative influence on their social interactions, leading to increased social isolation. Therefore, the goal of our research was to investigate the link between problematic use of social networks and cognitive function in a group of Lebanese adolescents while also taking into consideration the indirect role of loneliness in this relationship. METHODS This cross-sectional study, which was carried out between January and April 2022, included 379 teenagers (aged between 13 and 17 years), from all Lebanese governorates. The PROCESS SPSS Macro version 3.4, model four was used to compute three pathways. Pathway A determined the regression coefficient for the effect of problematic use of social networks on loneliness; Pathway B examined the association between loneliness and cognitive function, and Pathway C' estimated the direct effect of problematic use of social networks on cognitive function. RESULTS Higher negative social comparison, addictive consequences of problematic use of social networks, and loneliness were significantly associated with worse cognitive function. Loneliness mediated the association between negative social comparison and worse cognitive function, as well as between addictive consequences of problematic use of social networks and worse cognitive function. In addition, higher financial burden was significantly correlated with worse cognitive function, whereas higher physical activity was related to better cognitive function. CONCLUSION In sum, the current study supports that problematic use of social networks is negatively associated with adolescents' cognitive function, where loneliness seems to play a pivotal role in this equation. The results thus endorse the importance of helping Lebanese adolescents to overcome problematic use of social networks and recover from their loneliness, to achieve a better cognitive/academic performance.
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Affiliation(s)
- Rami Tarabay
- School of Medicine and Medical Sciences, Holy Spirit University of Kaslik, P.O. Box 446, Jounieh, Lebanon
| | - Sarah Gerges
- School of Medicine and Medical Sciences, Holy Spirit University of Kaslik, P.O. Box 446, Jounieh, Lebanon
| | - Abir Sarray El Dine
- Department of Biomedical Sciences, School of arts and Sciences, Lebanese International University, Beirut, Lebanon
| | - Diana Malaeb
- School of Pharmacy, Lebanese International University, Beirut, Lebanon
- College of Pharmacy, Gulf Med University, Ajman, United Arab Emirates
| | - Sahar Obeid
- School of Arts and Sciences, Social and Education Sciences Department, Lebanese American University, Jbeil, Lebanon
| | - Souheil Hallit
- School of Medicine and Medical Sciences, Holy Spirit University of Kaslik, P.O. Box 446, Jounieh, Lebanon.
- Applied Science Research Center, Applied Science Private University, Amman, Jordan.
- Research Department, Psychiatric Hospital of the Cross, P.O. Box 60096, Jal Eddib, Lebanon.
| | - Michel Soufia
- School of Medicine and Medical Sciences, Holy Spirit University of Kaslik, P.O. Box 446, Jounieh, Lebanon
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Lim SA. Relationship Between Korean Adolescents’ Dependence on Smartphones, Peer Relationships, and Life Satisfaction. CHILD & YOUTH CARE FORUM 2022; 52:603-618. [PMID: 35814497 PMCID: PMC9253240 DOI: 10.1007/s10566-022-09703-y] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/23/2021] [Revised: 05/06/2022] [Accepted: 06/22/2022] [Indexed: 11/30/2022]
Abstract
Background In recent years, the penetration rate of smartphones among Korean teenagers has increased, making it critical to clarify the influence of these devices on adolescents' lives. Objective This study investigated the effects of smartphone dependence on peer relationships and life satisfaction among Korean adolescents. Methods Using the middle school panel of the Korean Children and Youth Panel Survey (KCYPS), longitudinal data of 2,250 participants (53.4% boys) at Grade 1 (M age = 14.01, SD = 0.03) in 2018, Grade 2 in 2019, and Grade 3 in 2020 were analyzed to examine the causal relationships between smartphone dependence, peer relationships, and life satisfaction. Results This study found that smartphone dependence had a longitudinal effect on negative peer relationships. Negative peer relationships had a longitudinal negative effect on early adolescents' life satisfaction. Finally, negative peer relationships in early adolescents longitudinally mediated the relationship between smartphone dependence and life satisfaction. Conclusions This study showed that early adolescents' dependence on smartphones negatively affects their social relationships and, in turn, negative relationships with peers hindered life satisfaction, suggesting that adolescents' smartphone use should be guided and, when necessary, receive assistance to develop control of their smartphone use.
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Affiliation(s)
- Sun Ah Lim
- Department of Education, Jeonbuk National University, 567 Baekje-daero, Deokjin-gu, 54896 Jeonju-si, Jeollabuk-do South Korea
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Jiang W, Luo J, Guan H, Jiang F, Tang YL. Problematic Mobile Phone Use and Life Satisfaction Among University Students During the COVID-19 Pandemic in Shanghai, China. Front Public Health 2022; 9:805529. [PMID: 35155354 PMCID: PMC8826078 DOI: 10.3389/fpubh.2021.805529] [Citation(s) in RCA: 4] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/30/2021] [Accepted: 12/31/2021] [Indexed: 01/09/2023] Open
Abstract
Objective This study examined problematic mobile phone use (PMPU) and its relationship with life satisfaction in Chinese university students during the pandemic. Methods An anonymous online survey was conducted in a university in China. The Mobile Phone Addiction Index (MPAI) and the Satisfaction with Life Scale (SWLS) were used to assess the severity of problematic mobile phone use and life satisfaction, respectively. Data on demographic and health-related factors were also collected. Results A total of 1,491 undergraduate students (73.3% were male) completed the survey. On average, students in the survey reported spending 7.4 ± 4.3 h/day on phone use. Their MPAI score was 38.1 ± 13.3 and SWLS score was 24.9 ± 6.8, respectively. After controlling for confounding factors, the MPAI score was significantly associated with lower life satisfaction. Multiple linear regression revealed that higher monthly allowances, frequent insomnia, longer phone use duration were significantly associated with PMPU. Conclusion University students in China spend nearly half of their waking hours on mobile phone use, significantly longer than before the COVID-19 pandemic. PMPU is associated with insomnia, lower life satisfaction and higher allowances. If the trend continues after the pandemic, interventions may be needed. Increase in-person interactions, limiting online social and gaming time, awareness campaign may be effective in reducing the impact of PMPU and improve life satisfaction.
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Affiliation(s)
- Wenning Jiang
- Antai College of Economics and Management, Shanghai Jiao Tong University, Shanghai, China
| | - Jin Luo
- School of International and Public Affairs, Shanghai Jiao Tong University, Shanghai, China.,Institute of Healthy Yangtze River Delta, Shanghai Jiao Tong University, Shanghai, China
| | - Hannan Guan
- School of Education, Shanghai Jiao Tong University, Shanghai, China.,Department of Education Information Technology, East China Normal University, Shanghai, China
| | - Feng Jiang
- School of International and Public Affairs, Shanghai Jiao Tong University, Shanghai, China.,Institute of Healthy Yangtze River Delta, Shanghai Jiao Tong University, Shanghai, China
| | - Yi-Lang Tang
- Department of Psychiatry and Behavioral Sciences, Emory University, Atlanta, GA, United States.,Atlanta Veterans Affairs Medical Center, Decatur, GA, United States
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