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Li S, Feng N, Cui L. Network analysis of social anxiety and problematic mobile phone use in Chinese adolescents: A longitudinal study. Addict Behav 2024; 155:108026. [PMID: 38593598 DOI: 10.1016/j.addbeh.2024.108026] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/01/2023] [Revised: 03/26/2024] [Accepted: 04/03/2024] [Indexed: 04/11/2024]
Abstract
Social anxiety is a common comorbid factor of problematic mobile phone use, but the relationship between them from the inside structure has been underexplored. This two-wave longitudinal study aims to identify the central symptoms of problematic mobile phone use and social anxiety, respectively, as well as the bridge symptoms between the two disorders. Furthermore, this study examined the time and gender differences. A total of 3,294 Chinese adolescents were recruited during two waves (T1: January 2023; T2: August 2023), and completed the questionnaires of social anxiety and problematic mobile phone use. Through network analysis, the results showed that 1) the central symptom of problematic mobile phone use was "loss of control" both at T1 and T2, 2) the central symptom of social anxiety was "fear of negative evaluation" both at T1 and T2, and 3) the bridge symptom between social anxiety and problematic mobile phone use was "withdrawal" both at T1 and T2. Moreover, the network comparison test indicated that the nodes of social anxiety were more strongly associated with "craving", "loss of control", and "negative life consequences" of problematic mobile phone use at T2 than at T1. The nodes of social anxiety were more strongly associated with "negative life consequences" of problematic mobile phone use for boys than for girls, while the "fear of negative evaluation" was more strongly associated with "loss of control" for girls than for boys. These findings provide new scientific basis for interventions targeting adolescents who are susceptible to social anxiety and problematic mobile phone use.
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Affiliation(s)
- Shuang Li
- Shanghai Key Laboratory of Mental Health and Psychological Crisis Intervention, Institute of Brain and Education Innovation, The School of Psychology and Cognitive Science, East China Normal University, Shanghai, China
| | - Ningning Feng
- Shanghai Key Laboratory of Mental Health and Psychological Crisis Intervention, Institute of Brain and Education Innovation, The School of Psychology and Cognitive Science, East China Normal University, Shanghai, China; Shanghai Centre for Brain Science and Brain-Inspired Technology, Shanghai, China
| | - Lijuan Cui
- Shanghai Key Laboratory of Mental Health and Psychological Crisis Intervention, Institute of Brain and Education Innovation, The School of Psychology and Cognitive Science, East China Normal University, Shanghai, China; Shanghai Centre for Brain Science and Brain-Inspired Technology, Shanghai, China.
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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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Cilligol Karabey S, Palanci A, Turan Z. How does smartphone addiction affect the lives of adolescents socially and academically?: a systematic review study. PSYCHOL HEALTH MED 2024; 29:631-654. [PMID: 37365771 DOI: 10.1080/13548506.2023.2229241] [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: 11/30/2022] [Accepted: 06/20/2023] [Indexed: 06/28/2023]
Abstract
Today, adolescents tend to accept smartphones more quickly than adults and spend more time with these devices since they are members of the first generation born and living in environments where smartphones and the internet are common. However, when they use smartphones excessively and become addicted to smartphones, this may cause them to suffer from various psychological, emotional, and physical health problems from an early age. Therefore, this study systematically examines the articles on smartphone addiction in adolescents. For this purpose, the related articles were screened using the Web of Science database and 188 studies by the search criteria were subjected to a systematic review. In this sense, methodological tendencies, variables and main findings of the studies included in the present study were examined. This study revealed that the quantitative research method was primarily used. The studies mainly investigated smartphone use, social relations, demographic characteristics, depression, personal characteristics, and sleep variables. Moreover, the studies were primarily conducted in China, and large sample groups were preferred. The factors that triggered the smartphone addiction of adolescents were family problems, and especially females were more addicted to smartphones than males. Moreover, smartphone addiction causes depressive symptoms, sleep problems, and decreased academic achievement in adolescents. Finally, various suggestions were presented based on the findings of this study.
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Affiliation(s)
| | - Abdulkadir Palanci
- Department of Computer Education & Instructional Technology, Faculty of Education, Ataturk University, Erzurum, Turkey
| | - Zeynep Turan
- Department of Computer Education & Instructional Technology, Faculty of Education, Ataturk University, Erzurum, Turkey
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Liang Y, Huang H, Ding Y, Zhang Y, Lu G, Chen C. The Relationship Between Self-Esteem and Mobile Phone Addiction Among Mainland Chinese Adolescents: A Meta-Analysis. Psychol Rep 2024; 127:5-39. [PMID: 35722969 DOI: 10.1177/00332941221109115] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
In recent years, the problem of mobile phone addiction (MPA) has become increasingly serious among mainland Chinese adolescents. Studies have found that self-esteem may be related to MPA, but the conclusions are inconsistent. Consequently, this meta-analysis aims to explore the real relationship between self-esteem and MPA, and analyze the moderator variables. The relevant studies used in meta-analysis were obtained by searching China National Knowledge Infrastructure (CNKI), Wan Fang Data, Chongqing VIP Information Co., Ltd. (VIP), PubMed, Web of Science, Scopus, Medline and Embase. Then articles were screened and coded, and statistical analysis was carried out by Stata 16.0 software. A total of 45,765 participants from 64 articles were included in the research. Meta-analysis showed that there was a moderate negative correlation between self-esteem and MPA(r = -.25, 95%CI = -.29, -.21). Subgroup analysis and meta-regression analysis showed that the age and publication time can significantly moderate the relationship between self-esteem and MPA, but MPA measurement instrument, gender, region and publication type have no significant moderating effect. The current meta-analysis provided solid evidence that self-esteem was negatively correlated with MPA. Longitudinal studies are needed to clarify the causality between them, so as to make more specific practice and policy recommendations.
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Affiliation(s)
- Yipei Liang
- School of business, Henan University, Kaifeng, Henan, China
| | - Haitao Huang
- Institute of Nursing and Health, Henan University, Kaifeng, Henan, China
| | - Yueming Ding
- Institute of Nursing and Health, Henan University, Kaifeng, Henan, China
| | - Yiming Zhang
- Institute of Nursing and Health, Henan University, Kaifeng, Henan, China
| | - Guangli Lu
- School of business, Henan University, Kaifeng, Henan, China
| | - Chaoran Chen
- Institute of Nursing and Health, Henan University, Kaifeng, Henan, China
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Long Q, Huang B, Tang Y, Wu J, Yu J, Qiu J, Huang Y, Huang G. Peer victimization and non-suicidal self-injury among high school students: the mediating role of social anxiety, mobile phone addiction, and sex differences. BMC Psychiatry 2024; 24:25. [PMID: 38178004 PMCID: PMC10768228 DOI: 10.1186/s12888-024-05495-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/02/2023] [Accepted: 01/02/2024] [Indexed: 01/06/2024] Open
Abstract
BACKGROUND Peer victimization (PV) is one of the major causes of non-suicidal self-injury. Non-suicidal self-injury (NSSI), peer victimization, social anxiety, and mobile phone addiction are significantly related; however, the interaction mechanism and effect of sex differences remain to be determined. OBJECTIVE Herein, we investigated the relationship between peer victimization and NSSI among Chinese high school students. We also explored the chain mediating roles of social anxiety and mobile phone addiction and the regulatory role of sex. The findings of this study provide insights for theoretical interventions based on internal mechanisms. METHOD A self-reported survey of 14,666 high school students from Sichuan County was conducted using a peer victimization scale, NSSI scale, social anxiety scale, and mobile phone addiction scale. A self-administered questionnaire was used to capture sociodemographic information. RESULTS Peer victimization, social anxiety, and mobile phone addiction were positively correlated with NSSI. Peer victimization had significant direct predictive effects on NSSI (95% CI: 0.341, 0.385) and significant indirect predictive effects on NSSI through social anxiety (95% CI: 0.008, 0.019) or mobile phone addiction (95% CI: 0.036, 0.053). Peer victimization had significant indirect predictive effects on NSSI through social anxiety as well as mobile phone addiction (95% CI: 0.009, 0.014). The first stage (predicting the effect of peer victimization on NSSI) and the third stage (predicting the effect of mobile phone addiction on NSSI) were both moderated by sex. CONCLUSIONS Peer victimization could directly predict NSSI and indirectly predict NSSI through social anxiety and mobile phone addiction. Thus, social anxiety and mobile phone addiction exhibited chain mediating effects between peer victimization and NSSI in high school students; moreover, sex might be involved in the regulation of the mediation process.
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Affiliation(s)
- Qianmei Long
- Department of Psychiatry, North Sichuan Medical College, 637000, Nanchong, China
| | - Bin Huang
- Department of Psychiatry, North Sichuan Medical College, 637000, Nanchong, China
| | - Yiyu Tang
- Department of Psychiatry, North Sichuan Medical College, 637000, Nanchong, China
| | - Junlin Wu
- The Third Hospital of Mianyang, Sichuan Mental Health Center, 621000, Mianyang, China
| | - Jia Yu
- The Third Hospital of Panzhihua, Panzhihua Mental Health Center, 617061, Panzhihua, China
| | - Junlin Qiu
- Department of Psychiatry, North Sichuan Medical College, 637000, Nanchong, China
| | - Yanqing Huang
- Department of Psychiatry, North Sichuan Medical College, 637000, Nanchong, China
| | - Guoping Huang
- Department of Psychiatry, North Sichuan Medical College, 637000, Nanchong, China.
- The Third Hospital of Mianyang, Sichuan Mental Health Center, 621000, Mianyang, China.
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Oduro MS, Katey D, Morgan AK, Peprah P. Problematic social media use and overweight/obesity: explanatory pathway analysis of 124 667 in-school adolescents in 39 high-income countries. Pediatr Obes 2023; 18:e13073. [PMID: 37691184 DOI: 10.1111/ijpo.13073] [Citation(s) in RCA: 3] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/02/2023] [Accepted: 08/11/2023] [Indexed: 09/12/2023]
Abstract
BACKGROUND The relationship between adolescent problematic social media use (PSMU) and overweight/obesity and the potential explanatory pathways for this association are unclear. This study (1) examined the relationship between PSMU and overweight/obesity and (2) evaluated potential explanatory pathways for this association. METHODS The data used in this study came from the 2018 Health Behaviour in School-aged Children (HBSC) survey. A sample of 124 667 in-school adolescents from 39 high-income countries was analysed. Sequential logistic regressions were used to estimate the association between PSMU and overweight/obesity. Pathway analysis using a non-parametric bootstrapping technique tested the hypothesized mediating roles. RESULTS The multivariable logistic regressions indicated that higher problematic social media users were 1.11 times more likely to be overweight/obese compared with those who reported low PSMU (AOR = 1.11; 95% CI = 1.05-1.18). Our bootstrapping mediation analyses showed that PSMU indirectly influenced overweight/obesity through breakfast skipping, life satisfaction, family communication, self-rated health, and physical activity, accounting for 19.8% (β = 0.0068, Boots 95% CI = 0.0056-0.0074), 15.1% (β = 0.0050, Boots 95% CI = 0.0046-0.0056), 9.2% (β = 0.0031, Boots 95% CI = 0.0024-0.0038), 7.8% (β = 0.0024, Boots 95% CI = 0.001-0.004), and 5.2% (β = 0.0017, Boots 95% CI = 0.0014-0.0023), respectively, of the total effect. CONCLUSION To the best of our knowledge, this is the first study that used nationally representative data from multiple countries in high-income countries to examine the association between PSMU and overweight/obesity and potential explanatory pathways among school-going adolescents. This finding has important implications for public health interventions to reduce overweight/obesity rates among young people.
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Affiliation(s)
- Michael Safo Oduro
- Pfizer Worldwide Research and Development, Pharm Sci and PGS Statistics, Groton, Connecticut, USA
| | - Daniel Katey
- Department of Geography and Rural Development, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana
| | | | - Prince Peprah
- Social Policy Research Centre, University of New South Wales, Sydney, New South Wales, Australia
- Centre for Primary Health Care and Equity, University of New South Wales, Sydney, New South Wales, Australia
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Li M, Duan J, Liu Y, Zou J, Yang X, Zeng H. The habitual characteristic of smart phone use under relevant cues among Chinese college students. Front Psychol 2023; 14:1218886. [PMID: 37799513 PMCID: PMC10548464 DOI: 10.3389/fpsyg.2023.1218886] [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: 05/08/2023] [Accepted: 08/30/2023] [Indexed: 10/07/2023] Open
Abstract
Excessive smartphone use may be habitual behavior induced by cues associated with the phone. Habitual behavior occurs outside of awareness and is characterized by lack of control. It is not like problematic smartphone use (PSU) (Brand et al., 2016), which is used to either limit behavior or produce pleasure and relieve feelings of pain, stress, and failure despite significant harmful consequences. 62 college students participated in experiments to test the effects of visual cues and self-control, which are the important characteristic of habitual behavior in smartphone-related behavior. The results showed that a significantly larger amount of cue-related phone use behavior occurred in the setting where participants (a) had their smartphones in sight and (b) were given no instructions to exert self-control, compared to when neither of the two conditions was imposed. The habitual model is a useful framework for understanding PSU and can help people avoid it with less stress. The results provide substantial implications for reducing the frequency and duration of smartphone use among college populations.
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Affiliation(s)
- Ming Li
- Department of Psychology, Guangzhou University, Guangzhou, China
- College of Science and Engineering, Jinan University, Guangzhou, China
| | - Jieyue Duan
- Zhuhai Center for Chronic Disease Control, Zhuhai, China
| | - Yuning Liu
- School of Philosophy, Psychology and Language sciences, University of Edinburgh, Edinburgh, United Kingdom
| | - Jingxin Zou
- Department of Psychology, Guangzhou University, Guangzhou, China
| | - Xuesong Yang
- International Joint Laboratory for Embryonic Development and Prenatal Medicine, Medical College, Jinan University, Guangzhou, China
| | - Hong Zeng
- Clinical and Counseling Psychology Research Center, Guangzhou University, Guangzhou, China
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Naser AY, Alwafi H, Itani R, Alzayani S, Qadus S, Al-Rousan R, Abdelwahab GM, Dahmash E, AlQatawneh A, Khojah HMJ, Kautsar AP, Alabbasi R, Alsahaf N, Qutub R, Alrawashdeh HM, Abukhalaf AHI, Bahlol M. Nomophobia among university students in five Arab countries in the Middle East: prevalence and risk factors. BMC Psychiatry 2023; 23:541. [PMID: 37496010 PMCID: PMC10369834 DOI: 10.1186/s12888-023-05049-4] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/09/2022] [Accepted: 07/24/2023] [Indexed: 07/28/2023] Open
Abstract
BACKGROUND Excessive use of mobile phones leading to development of symptoms suggestive of dependence syndrome with teenagers are far more likely to become dependent on mobile phones as compared to adults. COVID-19 pandemic has had an impact on the mental health of several groups in society, especially university students. This study aimed to explore the prevalence of mobile phone dependence among university students and its associated factors. METHODS Between September 2021 and January 2022, a cross-sectional study was conducted at universities in Jordan, Lebanon, Egypt, Bahrain, and Saudi Arabia utilizing an online and paper-based self-administered questionnaire. We employed a previously developed questionnaire by Aggarwal et al. RESULTS: A total of 5,720 university students were involved in this study (Egypt = 2813, Saudi Arabia = 1509, Jordan = 766, Lebanon = 432, and Bahrain = 200). The mean estimated daily time spent on using mobile phone was 186.4 (94.4) minutes. The highest mobile dependence score was observed for the university students from Egypt and the lowest mobile dependence score was observed for the university students from Lebanon. The most common dependence criteria across the study sample was impaired control (55.6%) and the least common one was harmful use (25.1%). Females and those reported having anxiety problem or using a treatment for anxiety were at higher risk of developing mobile phone dependence by 15% and 75%, respectively. CONCLUSION Mobile phone dependence is common among university students in Arab countries in the Middle East region. Future studies exploring useful interventions to decrease mobile phone dependence are warranted.
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Affiliation(s)
- Abdallah Y Naser
- Department of Applied Pharmaceutical Sciences and Clinical Pharmacy, Faculty of Pharmacy, Isra University, Amman, Jordan.
| | - Hassan Alwafi
- Faculty of Medicine, Umm Al Qura University, Mecca, Saudi Arabia
| | - Rania Itani
- Pharmacy Practice Department, Faculty of Pharmacy, Beirut Arab University, Riad El Solh, Beirut, Lebanon
| | - Salman Alzayani
- Department of Family and Community Medicine, Arabian Gulf University, Manama, Bahrain
| | - Sami Qadus
- Department of Applied Pharmaceutical Sciences and Clinical Pharmacy, Faculty of Pharmacy, Isra University, Amman, Jordan
| | - Rabaa Al-Rousan
- Department of Applied Pharmaceutical Sciences and Clinical Pharmacy, Faculty of Pharmacy, Isra University, Amman, Jordan
| | - Ghada Mohammad Abdelwahab
- Department of Applied Pharmaceutical Sciences and Clinical Pharmacy, Faculty of Pharmacy, Isra University, Amman, Jordan
| | - Eman Dahmash
- Department of Chemical and Pharmaceutical Sciences, School of Life Sciences, Pharmacy and Chemistry, Faculty of Health, Science, Social Care and Education, Kingston University, London, UK
| | - Ahmad AlQatawneh
- ACDIMA Center for Bioequivalence and Pharmaceutical Studies, Department of Clinical Research, Amman, Jordan
| | - Hani M J Khojah
- Department of Clinical and Hospital Pharmacy, College of Pharmacy, Taibah University, Madinah, Kingdom of Saudi Arabia
| | - Angga Prawira Kautsar
- Unit of Global Health, Department of Health Sciences, University of Groningen/University Medical Center Groningen, Groningen, the Netherlands
- Department of Pharmaceutics and Pharmaceutical Technology, Faculty of Pharmacy, Universitas Padjadjaran, Bandung, West Java, Indonesia
- Center of Excellence in Higher Education for Pharmaceutical Care Innovation, Universitas Padjadjaran, Bandung, West Java, Indonesia
| | - Renan Alabbasi
- Faculty of Medicine, Umm Al Qura University, Mecca, Saudi Arabia
| | - Nouf Alsahaf
- Faculty of Medicine, Umm Al Qura University, Mecca, Saudi Arabia
| | - Razan Qutub
- Faculty of Medicine, Umm Al Qura University, Mecca, Saudi Arabia
| | | | - Amer Hamad Issa Abukhalaf
- Florida Institute for Built Environment Resilience, M.E. Rinker, Sr. School of Construction Management, College of design construction and planning, University of Florida, Gainesville, FL, USA
| | - Mohamed Bahlol
- Specialty of Pharmaceutical Management and Economics, Department of Pharmacy Practice and Clinical Pharmacy, Egyptian Russian University, Cairo, Egypt
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Zhang M, Wolters M, O'Connor S, Wang Y, Doi L. Smokers' user experience of smoking cessation apps: A systematic review. Int J Med Inform 2023; 175:105069. [PMID: 37084673 DOI: 10.1016/j.ijmedinf.2023.105069] [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: 12/26/2022] [Revised: 03/30/2023] [Accepted: 04/11/2023] [Indexed: 04/23/2023]
Abstract
OBJECTIVES To explore how smokers view common functions and characteristics of smoking cessation apps. DESIGN Systematic review. SEARCH SOURCES CINAHL PLUS, MEDLINE, PsycINFO, EMBASE, IEEE Xplore, ACM Digital Library, and Google Scholar. REVIEW METHODS Seven digital databases were searched separately using relevant search terms. Search results were uploaded to Covidence. Inclusion and exclusion criteria were identified with the expert team in advance. Titles, abstracts, and full texts were screened by two reviewers independently. Any disagreements were discussed in research meetings. Pertinent data were extracted and analysed using qualitative content analysis. Findings were presented in a narrative approach. RESULTS 28 studies were included in this review. The overarching themes were app functionality and app characteristics. Under app "functionality", six subthemes emerged: 1) education; 2) tracking; 3) social support; 4) compensation; 5) distraction, and 6) reminding. Under "app characteristics", five subthemes emerged: 1) simplification, 2) personalisation, 3) diverse content forms, 4) interactivity, and 5) privacy and security. CONCLUSION Understanding user needs and expectations is crucial for developing a programme theory for smoking cessation app interventions. Relevant needs identified in this review should be linked to broader theories of smoking cessation and app-based intervention.
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Affiliation(s)
- Mengying Zhang
- School of Health in Social Science, The University of Edinburgh, UK; Scottish Collaboration for Public Health Research & Policy, The University of Edinburgh, UK.
| | - Maria Wolters
- School of Informatics, The University of Edinburgh, UK
| | | | - Yajing Wang
- School of Health in Social Science, The University of Edinburgh, UK
| | - Lawrence Doi
- School of Health in Social Science, The University of Edinburgh, UK; Scottish Collaboration for Public Health Research & Policy, The University of Edinburgh, UK
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Chen Y, Bao Z, Zhu J. Longitudinal associations between cyber victimization and problematic mobile phone use in adolescents: Disentangling between-person effects from within-person effects. CHILD ABUSE & NEGLECT 2023; 138:106065. [PMID: 36736032 DOI: 10.1016/j.chiabu.2023.106065] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/28/2022] [Revised: 11/07/2022] [Accepted: 01/24/2023] [Indexed: 06/18/2023]
Abstract
BACKGROUND Being the target of cyber victimization has been shown to be connected with several forms of maladjustment among adolescents. However, there is not a clear understanding of the impact of cyber victimization on Problematic Mobile Phone Use (PMPU) and the potential mechanism underlying the association. The present study tested the longitudinal association between cyber victimization and adolescents' PMPU as well as the mediating role of sleep problems in this association. METHODS A sample of 1835 Chinese adolescents (55.9 % boys; Mage = 12.34) completed self-report questionnaires regarding cyber victimization, sleep problems and PMPU at four time points, using 6-month intervals. Gender, age and socioeconomic status were controlled for in the analyses. We tested cross-lagged panel models (CLPMs) and random intercept cross-lagged panel models (RI-CLPMs) to separate between- and within-person effects, allowing a robust and rigorous test of relationships among variables. RESULTS As hypothesized, at the within-person level, cyber victimization was a predictive risk factor of later PMPU among adolescents, and sleep problems served as an explanatory mechanism by which cyber victimization predicted adolescents' PMPU over time. CONCLUSION These findings contribute to identifying adolescents at risk for engaging in PMPU, as well as the prevention and intervention.
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Affiliation(s)
- Yuanyuan Chen
- School of Education, Guangzhou University, Guangzhou, Guangdong, China.
| | - Zhenzhou Bao
- School of Educational Science, Gannan Normal University, Ganzhou, Jiangxi, China
| | - Jianjun Zhu
- School of Education, Guangzhou University, Guangzhou, Guangdong, China.
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Świątek AH, Szcześniak M, Aleksandrowicz B, Zaczkowska D, Wawer W, Ścisłowska M. Problematic Smartphone Use and Social Media Fatigue: The Mediating Role of Self-Control. Psychol Res Behav Manag 2023; 16:211-222. [PMID: 36718180 PMCID: PMC9884050 DOI: 10.2147/prbm.s389806] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/14/2022] [Accepted: 01/04/2023] [Indexed: 01/25/2023] Open
Abstract
Background Excessive social media consumption leads to addiction and affects mental health. It is a phenomenon that is difficult to avoid. Previous research on the effects of excessive Internet use shows that people who engage in social media (SM) without restraint experience over-involvement, over-disclosure, technostress, and social media fatigue (SMF). SMF, conceptualized as an emotional and cognitive feeling of being overwhelmed, manifests itself in mindless browsing of content, limiting the amount of time spent on SM, or quitting SM altogether. Self-control, although present in the technology addiction literature and psychology research, has been rarely described in relation to both excessive SM use and SMF. Therefore, the main goal of the present study was to verify whether there is a direct relationship between problematic smartphone use and SMF, and whether this association is mediated by self-control. Methods The study included 210 respondents (M = 25.85, SD = 9.84) living in different Polish cities. The survey was conducted online, and the respondents consented to participate in the study. They completed the following measures: the Mobile Phone Problematic Use, the Self-Control Scale, the Social Media Fatigue Scale, and a brief questionnaire with socio-demographic data. Results Statistical analysis was performed to verify the relationship between problematic mobile phone use, level of self-control, and SMF. The outcomes indicate that there are significant interrelationships between the three studied variables. The association between problematic smartphone use and SMF is mediated by self-control. Conclusion A lack of impulse-inhibition skills, such as compulsive checking of notifications, can be a significant factor in SM exhaustion, fatigue, or frustration. SMF can also be understood as a natural defensive response, triggered in situations where individuals are overwhelmed, when the self-control is insufficient to stop the compulsion to use SM, and the use of a smartphone for this purpose is excessively engaging.
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Affiliation(s)
| | - Małgorzata Szcześniak
- Institute of Psychology, University of Szczecin, Szczecin, Poland,Correspondence: Małgorzata Szcześniak, Email
| | | | - Daria Zaczkowska
- Institute of Psychology, University of Szczecin, Szczecin, Poland
| | - Weronika Wawer
- Institute of Psychology, University of Szczecin, Szczecin, Poland
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Wan X, Huang H, Jia R, Liang D, Lu G, Chen C. Association between mobile phone addiction and social support among mainland Chinese teenagers: A meta-analysis. Front Public Health 2022; 10:911560. [PMID: 36589942 PMCID: PMC9798221 DOI: 10.3389/fpubh.2022.911560] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/02/2022] [Accepted: 11/28/2022] [Indexed: 12/23/2022] Open
Abstract
Background Mobile phone addiction brings many adverse effects to teenagers, such as physical health problems, emotional problems, and academic failure, and studies have found that social support is an important influencing factor. Therefore, considering institutional, cultural and economic differences, we aimed to investigate the association between mobile phone addiction and social support among mainland Chinese teenagers, and explored the moderators affecting the relation. Methods Based on the PRISMA method, a meta-analysis was applied to quantitatively synthesize relevant findings to obtain reliable estimates of effect sizes and conduct moderator analyses. Results In total, 92 studies involving 59,716 participants and 92 effect sizes were identified by a systematic literature search. A significant low degree of negative correlation was found between mobile phone addiction and social support (r = -0.174, 95%CI = -0.213 to -0.134, p < 0.001, I 2 = 96.1%). Moreover, the present meta-analysis observed significant moderating effects of participants' gender, and region on the association between social support and mobile phone addiction. Conclusion This study suggests that the mobile phone addiction level of teenagers could be reduced by increasing social support, and actions to improve their social support levels should be proposed based on their gender and regional differences. Systematic review registration https://www.crd.york.ac.uk/prospero/display_record.php?ID=CRD42021276672.
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Affiliation(s)
- Xiao Wan
- Institute of Nursing and Health, College of Nursing and Health, Henan University, Kaifeng, Henan, China
| | - Haitao Huang
- Institute of Nursing and Health, College of Nursing and Health, Henan University, Kaifeng, Henan, China
| | - Ruiying Jia
- Institute of Nursing and Health, College of Nursing and Health, Henan University, Kaifeng, Henan, China
| | - Dandan Liang
- Institute of Nursing and Health, College of Nursing and Health, Henan University, Kaifeng, Henan, China
| | - Guangli Lu
- Institute of Business Administration, School of Business, Henan University, Kaifeng, Henan, China
| | - Chaoran Chen
- Institute of Nursing and Health, College of Nursing and Health, Henan University, Kaifeng, Henan, China,*Correspondence: Chaoran Chen
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Li ZK, Shi LJ, Cai XL. Smartphone addiction is more harmful to adolescents than Internet gaming disorder: Divergence in the impact of parenting styles. Front Psychol 2022; 13:1044190. [PMID: 36591056 PMCID: PMC9796998 DOI: 10.3389/fpsyg.2022.1044190] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/14/2022] [Accepted: 11/28/2022] [Indexed: 12/23/2022] Open
Abstract
Background The adverse effects of smartphone addiction (SPA) and Internet gaming disorder (IGD) on adolescents' mental health have been widely recognized. However, the influence of parenting styles on these high-risk Internet use behaviors of adolescents still remain elusive. Aiming to identify preventable patterns for adolescents with SPA or IGD, this study compared the mental health status between adolescents with SPA and IGD and used path analysis to confirm actual effects of parenting styles on SPA and IGD. Methods Participants were enrolled at a junior high school in Hunan Province and a senior high school in Shanxi Province, China [n = 3,049, female (male): 50.5% (49.5%), mean age = 15.68 ± 1.54]. All participants reported their socio-demographic characteristics and undertook standardized assessments of SPA, IGD, parenting styles, depression, anxiety, insomnia, self-control, and support utilization. Results High levels of parental care and low levels of parental overprotection benefited adolescents' mental health with SPA and IGD. However, despite having a more positive parenting style, adolescents with only SPA showed more severe mental health problems than adolescents with only IGD. Furthermore, the results showed that the parenting style of encouraging autonomy might be a protective factor against IGD, but it might reinforce SPA indirectly by reducing abilities of support utilization and self-control in whole sample. Conclusion Compared to IGD, SPA which included different kinds of Internet addiction behaviors, was more hazardous for adolescents' mental health. The divergent effects of an autonomy-encouraging parenting style on SPA and IGD may reflect the different impacts of self-control in different types of Internet addiction.
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Affiliation(s)
- Zhao-kang Li
- School of Education, Hunan University of Science and Technology, Xiangtan, Hunan, China
| | - Li-juan Shi
- School of Education, Hunan University of Science and Technology, Xiangtan, Hunan, China,*Correspondence: Li-juan Shi,
| | - Xin-lu Cai
- Department of Physiology, Institute of Brain Science, School of Basic Medical Sciences, Hangzhou Normal University, Hangzhou, Zhejiang, China
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Shahidin SH, Midin M, Sidi H, Choy CL, Nik Jaafar NR, Mohd Salleh Sahimi H, Che Roos NA. The Relationship between Emotion Regulation (ER) and Problematic Smartphone Use (PSU): A Systematic Review and Meta-Analyses. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:15848. [PMID: 36497921 PMCID: PMC9740505 DOI: 10.3390/ijerph192315848] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 08/29/2022] [Revised: 11/18/2022] [Accepted: 11/22/2022] [Indexed: 06/17/2023]
Abstract
Emotion Dysregulation (ED) and Problematic Smartphone Use (PSU) are two rising global issues requiring further understanding on how they are linked. This paper aims to summarize the evidence pertaining to this relationship. Five databases were systematically searched for published literature from inception until 29 March 2021 using appropriate search strategies. Each study was screened for eligibility based on the set criteria, assessed for its quality and its level of evidence was determined. The Comprehensive Meta-Analysis software program (CMA) was employed to run further analyses of the data. Twenty-one studies were included in the systematic review. Nine studies with extractable data for meta-analysis had high across-studies heterogeneity, hence subgroup analyses were performed that confirmed a significant moderate positive correlation between ED and PSU (pooled correlation coefficient, r = 0.416 (four studies, n = 1462) and r = 0.42 (three studies, n = 899), respectively) and a weak positive correlation between "expressive suppression" and PSU (pooled correlation coefficient, r = 0.14 (two studies, n = 608)). Meta-regression analysis showed a stronger correlation between ED and PSU (R2 = 1.0, p = 0.0006) in the younger age group. Further studies to establish and explore the mechanisms that contribute towards the positive link between ED and PSU are required to guide in the planning of targeted interventions in addressing both issues.
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Affiliation(s)
- Siti Hajar Shahidin
- Department of Psychiatry, Faculty of Medicine, Universiti Kebangsaan Malaysia Medical Centre, Kuala Lumpur 56000, Malaysia
- Hospital Bahagia Ulu Kinta, Tanjung Rambutan 31250, Malaysia
| | - Marhani Midin
- Department of Psychiatry, Faculty of Medicine, Universiti Kebangsaan Malaysia Medical Centre, Kuala Lumpur 56000, Malaysia
| | - Hatta Sidi
- Department of Psychiatry, Faculty of Medicine, Universiti Kebangsaan Malaysia Medical Centre, Kuala Lumpur 56000, Malaysia
| | - Chia Lip Choy
- Department of Psychiatry and Mental Health, Hospital Keningau, Peti Surat 11 Jalan Apin-Apin, Keningau 89007, Malaysia
| | - Nik Ruzyanei Nik Jaafar
- Department of Psychiatry, Faculty of Medicine, Universiti Kebangsaan Malaysia Medical Centre, Kuala Lumpur 56000, Malaysia
| | - Hajar Mohd Salleh Sahimi
- Department of Psychiatry, Faculty of Medicine, Universiti Kebangsaan Malaysia Medical Centre, Kuala Lumpur 56000, Malaysia
| | - Nur Aishah Che Roos
- Faculty of Medicine and Defence Health, National Defence University of Malaysia, Kuala Lumpur 57000, Malaysia
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15
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Laor T, Galily Y. In WAZE we trust? GPS-based navigation application users’ behavior and patterns of dependency. PLoS One 2022; 17:e0276449. [PMID: 36355802 PMCID: PMC9648768 DOI: 10.1371/journal.pone.0276449] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/07/2022] [Accepted: 10/07/2022] [Indexed: 11/12/2022] Open
Abstract
Functional technological applications have become an integral part of our lives changing our patterns of reasoning and behavior. The current study examines whether, how and why use of WAZE app, a popular GPS-based navigation application, demonstrate behaviors and patterns which resemble those of technological dependency. We conducted semi-structured in-depth interviews with 50 WAZE users. The questions took inspiration from the model of IT addiction, which identifies six behavioral parameters: withdrawal, conflict, mood modification, relapse, tolerance, and saliency. The novelty of the study lies in the evidence of patterns and behaviors which resemble technological dependency on the WAZE app. The findings indicate that WAZE app satisfies users’ needs driven by functionality. Four behavioral characteristics associated with IT addiction are applicable to WAZE users: mood modification, conflict, relapse, and withdrawal. The study concludes that functional technological applications may trigger behavioral indicators of technological addiction.
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Affiliation(s)
- Tal Laor
- Founder & Head of Radio, Broadcast and Content Production Studies Track, School of Communications, Ariel University, Ari’el, Israel
| | - Yair Galily
- Head, Sport, Media & Society Research Lab, Sammy Ofer School of Communications, Reichman University, Herzliya, Israel
- * E-mail:
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16
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Ding Y, Wan X, Lu G, Huang H, Liang Y, Yu J, Chen C. The associations between smartphone addiction and self-esteem, self-control, and social support among Chinese adolescents: A meta-analysis. Front Psychol 2022; 13:1029323. [PMID: 36420390 PMCID: PMC9677120 DOI: 10.3389/fpsyg.2022.1029323] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/27/2022] [Accepted: 10/21/2022] [Indexed: 08/01/2023] Open
Abstract
Background Smartphone addiction has become a social problem that affects the healthy growth of adolescents, and it is frequently reported to be correlated with self-esteem, self-control, and social support among adolescents. Methods A meta-analysis was conducted by searching the PubMed, Web of Science, Embase, PsycINFO, PsycArticles, China National Knowledge Infrastructure (CNKI), WANFANG DATA, and Chongqing VIP Information Co., Ltd. (VIP) databases. Stata 16.0 was used to analyse the overall effect and test the moderating effect. Results Fifty-six studies were included, involving a total of 42,300 participants. Adolescents' smartphone addiction had a moderately negative correlation with self-esteem (r = -0.25, 95% CI = -0.29 to -0.22, p < 0.001), a strong negative correlation with self-control (r = -0.48, 95% CI = -0.53 to -0.42, p < 0.001), and a weak negative correlation with social support (r = -0.16, 95% CI = -0.23 to -0.09, p < 0.001). Moderation analysis revealed that the correlation between adolescents' smartphone addiction and self-esteem was strongest when smartphone addiction was measured with the Mobile Phone Addiction Tendency Scale for College Students (MPATS; r = -0.38). The correlation between adolescents' smartphone addiction and self-control was strongest when self-control was measured with the Middle school students' Self-control Ability Questionnaire (MSAQ; r = -0.62). The effect of dissertations on smartphone addiction, self-control, and social support among adolescents was significantly larger than that of journal articles. The correlation between adolescents' smartphone addiction and social support was strongest when smartphone addiction was measured with the Mobile Phone Addiction Index (MPAI; r = -0.24). However, the correlations between adolescents' smartphone addiction and self-esteem, self-control, and social support were not affected by age or gender. Conclusion There was a strong relationship between smartphone addiction and self-esteem, self-control, and social support among adolescents. In the future, longitudinal research should be carried out to better investigate the dynamic changes in therelationship between smartphone addiction and self-esteem, self-control, and social support. Systematic review registration https://www.crd.york.ac.uk/PROSPERO/, identifier: CRD42022300061.
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Affiliation(s)
- Yueming Ding
- Institute of Nursing and Health, School of Nursing and Health, Henan University, Kaifeng, China
| | - Xiao Wan
- Institute of Nursing and Health, School of Nursing and Health, Henan University, Kaifeng, China
| | - Guangli Lu
- Institute of Business Administration, School of Business, Henan University, Kaifeng, China
| | - Haitao Huang
- Institute of Nursing and Health, School of Nursing and Health, Henan University, Kaifeng, China
| | - Yipei Liang
- Institute of Business Administration, School of Business, Henan University, Kaifeng, China
| | - Jingfen Yu
- Institute of Nursing and Health, School of Nursing and Health, Henan University, Kaifeng, China
| | - Chaoran Chen
- Institute of Nursing and Health, School of Nursing and Health, Henan University, Kaifeng, China
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17
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Wang R, Yang R, Ran H, Xu X, Yang G, Wang T, Che Y, Fang D, Lu J, Xiao Y. Mobile phone addiction and non-suicidal self-injury among adolescents in China. PeerJ 2022; 10:e14057. [PMID: 36275469 PMCID: PMC9583854 DOI: 10.7717/peerj.14057] [Citation(s) in RCA: 6] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/11/2022] [Accepted: 08/25/2022] [Indexed: 01/20/2023] Open
Abstract
Background Non-suicidal self-injury (NSSI) has recently widely discussed. Independently, mobile phone addiction (MPA) has also attracted academic attention. A few research have examined the correlation between the two. However, there is inadequate knowledge to characterize this relationship altogether. This study further explores the correlation between MPA and NSSI, specifically repeated and severe NSSI. Method A population-based cross-sectional survey was conducted among 2,719 adolescents in Lincang, Yunnan. The mobile phone addiction index (MPAI) and the Modified Adolescents Self-Harm Survey (MASHS) were administered in combination. The connection between the MPAI and NSSI, as well as both repeated and severe NSSI, was studied using univariate and multivariate logistic regression models. (The copyright holders have permitted the authors to use the MPAI and the MASHS). Results The prevalence of NSSI was 47.11% (95% CI [36.2-58.0%]), and the detection rate of MPA was 11.11% (95% CI [6.7-18.0%]). The prevalence of NSSI among those with MPA was 4.280 times (95% CI [3.480-5.266]) that of respondents not exhibiting MPA. In addition, all subscales of the MPAI, except for the feeling anxious and lost subscale (FALS), were positively correlated with NSSI. Risk factors, represented by odds ratios, of repeated NSSI with the inability to control cravings subscale (ICCS), the FALS, and the withdrawal and escape subscale (WES) was 1.052 (95% CI [1.032-1.072]), 1.028 (95% CI [1.006-1.051]), and 1.048 (95% CI [1.019-1.078]) respectively. Risk factors of these same three subscales for severe NSSI, had odds ratios of 1.048 (95% CI [1.029-1.068]), 1.033 (95% CI [1.009-1.057]), and 1.045 (95% CI [1.018-1.073]). Conclusion MPA was shown to be a risk factor for NSSI in adolescents. Individuals with high scores on the ICCS, the WES, and the FALS were more prone to experience repeated and severe NSSI. As a result, early assessment using the MPAI to determine the need for intervention can contribute to the prediction and prevention of NSSI.
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Affiliation(s)
- Rui Wang
- Psychiatric Department, The First Affiliated Hospital of Kunming Medical University, Kunming, Yunnan, China,Yunnan Clinical Research Center for Mental Health, Kunming, Yunnan, China
| | - Runxu Yang
- Psychiatric Department, The First Affiliated Hospital of Kunming Medical University, Kunming, Yunnan, China,Yunnan Clinical Research Center for Mental Health, Kunming, Yunnan, China
| | - Hailiang Ran
- Department of Epidemiology and Health Statistics, School of Public Health, Kunming Medical University, Kunming, Yunnan, China
| | - Xiufeng Xu
- Psychiatric Department, The First Affiliated Hospital of Kunming Medical University, Kunming, Yunnan, China,Yunnan Clinical Research Center for Mental Health, Kunming, Yunnan, China
| | - Guangya Yang
- Psychiatric Department, Lincang Psychiatric Hospita, Lincang, Yunnan, China
| | - TianLan Wang
- Psychiatric Department, Lincang Psychiatric Hospita, Lincang, Yunnan, China
| | - Yusan Che
- Psychiatric Department, Lincang Psychiatric Hospita, Lincang, Yunnan, China
| | - Die Fang
- Psychiatric Department, Lincang Psychiatric Hospita, Lincang, Yunnan, China
| | - Jin Lu
- Psychiatric Department, The First Affiliated Hospital of Kunming Medical University, Kunming, Yunnan, China,Yunnan Clinical Research Center for Mental Health, Kunming, Yunnan, China
| | - Yuanyuan Xiao
- Department of Epidemiology and Health Statistics, School of Public Health, Kunming Medical University, Kunming, Yunnan, China
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18
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Liu S, Lan Y, He G, Chen B, Jia Y. The associations between problematic smartphone use and blood pressure among 2,573 aged 9-17 years students in Shanghai, China. Front Public Health 2022; 10:904509. [PMID: 36159281 PMCID: PMC9490019 DOI: 10.3389/fpubh.2022.904509] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/17/2022] [Accepted: 08/16/2022] [Indexed: 01/22/2023] Open
Abstract
Objectives This study aimed to (1) examine the cross-sectional association between problematic smartphone use (PSU) and blood pressure (BP) in children and adolescents and (2) determine whether the association between PSU and BP differs by the grade of students. Methods We recruited a total of 2,573 participants from 14 schools in Shanghai by a two-stage sampling method. We derived BP data from the participant's most recent medical examination data, including systolic blood pressure (SBP) and diastolic blood pressure (DBP). We measured PSU by a modified PSU Classification Scale. We also assessed demographic characteristics, body mass index, behavioral variables, and physiological characteristics. Results High school students had higher BP and PSU scores than primary and middle school students. PSU on the dimension of information collection was associated positively with both SBP and DBP among primary and middle school students, with the β (95% CI) values of 0.282 (0.018, 0.546) and 0.229 (0.031, 0.427). Meanwhile, the dimension of the relationship of social network was associated positively with SBP among primary and middle school students, with a β (95% CI) value of 0.390 (0.062, 0.717). PSU on the dimension of information collection was positively associated with the development of high BP, with a OR (95% CI) value of 1.072 (1.011, 1.137) among primary and middle school students. Conclusions PSU might be a potential correlate of high BP among school-age children and adolescents. The associations between PSU and BP differed by the grade of students as well as according to the four dimensions of PSU.
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Affiliation(s)
- Shaojie Liu
- Department of Nutrition and Food Hygiene, School of Public Health, Fudan University, Shanghai, China
| | - Yukun Lan
- Department of Preventive Medicine and Health Education, School of Public Health, Fudan University, Shanghai, China
| | - Gengsheng He
- Department of Nutrition and Food Hygiene, School of Public Health, Fudan University, Shanghai, China
| | - Bo Chen
- Department of Nutrition and Food Hygiene, School of Public Health, Fudan University, Shanghai, China
| | - Yingnan Jia
- Department of Preventive Medicine and Health Education, School of Public Health, Fudan University, Shanghai, China,*Correspondence: Yingnan Jia
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Tu W, Jiang H, Liu Q. Peer Victimization and Adolescent Mobile Social Addiction: Mediation of Social Anxiety and Gender Differences. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:ijerph191710978. [PMID: 36078687 PMCID: PMC9518094 DOI: 10.3390/ijerph191710978] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/07/2022] [Revised: 08/21/2022] [Accepted: 08/24/2022] [Indexed: 05/14/2023]
Abstract
Social media addiction has become one of the typical problem behaviors during adolescence. The present study examined the mediation of social anxiety between peer victimization and adolescent mobile social addiction and tested whether gender could moderate the direct and indirect effects of peer victimization. 649 adolescents between 12 and 19 years of age (Mage = 14.80, SDage = 1.82) completed the anonymous survey. The results found that social anxiety was a mediator linking peer victimization to mobile social addiction. Gender could moderate the direct and indirect effects of peer victimization, and these two effects were stronger in girls than in boys. The results highlight the role of social anxiety in explaining how peer victimization was associated with adolescent mobile phone addiction and the role of gender in explaining when or for whom the direct and indirect associations between peer victimization and adolescent mobile social addiction were more potent. The findings would contribute to the intervention of mobile social addiction.
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Affiliation(s)
- Wei Tu
- Mental Health Education Center for College Students, Department of Student Affairs, Hunan University of Science and Engineering, Yongzhou 425199, China
| | - Hui Jiang
- College of Education for the Future, Beijing Normal University, Zhuhai 519087, China
| | - Qingqi Liu
- College of Education for the Future, Beijing Normal University, Zhuhai 519087, China
- Correspondence:
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Rosič J, Janicke-Bowles SH, Carbone L, Lobe B, Vandenbosch L. Positive digital communication among youth: The development and validation of the digital flourishing scale for adolescents. Front Digit Health 2022; 4:975557. [PMID: 36120715 PMCID: PMC9474732 DOI: 10.3389/fdgth.2022.975557] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/22/2022] [Accepted: 08/12/2022] [Indexed: 11/13/2022] Open
Abstract
Research has extensively studied the negative effects of digital communication on adolescents’ well-being. However, positive digital experiences and behavior in adolescence are still poorly understood. The recently developed Digital Flourishing Scale addresses this gap and focuses on the positive perceptions of a user’s experiences and behaviors in digital communication among adults. In this paper, we developed an adolescent version of this scale. Study 1 demonstrated the internal consistency of the scale and the same factor structure for adolescence as for adulthood: connectedness, civil participation, positive social comparison, authentic self-presentation, and self-control. Study 2 confirmed the identified factor structure with a second sample of adolescents and established measurement invariance across genders. The construct validity of the scale was confirmed by investigating associations with related constructs, including the basic psychological needs from self-determination theory (competence, autonomy, and relatedness), secure attachment to a close friend, Internet aggression, social media-induced inspiration, authenticity of posted positive content, and social media self-control failure. The results indicated that not all adolescents flourish equally online. Differences occurred depending on the adolescents’ gender and socioeconomic status. The paper concludes that the newly developed scale is a valid and reliable measure for assessing adolescents’ perceptions of digital thriving and digital empowerment.
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Affiliation(s)
- Jasmina Rosič
- School for Mass Communication Research, Faculty of Social Sciences, KU Leuven, Leuven, Belgium
- Correspondence: Jasmina Rosič
| | | | - Luca Carbone
- School for Mass Communication Research, Faculty of Social Sciences, KU Leuven, Leuven, Belgium
| | - Bojana Lobe
- Center for Methodology and Informatics, Faculty of Social Sciences, University of Ljubljana, Ljubljana, Slovenia
| | - Laura Vandenbosch
- School for Mass Communication Research, Faculty of Social Sciences, KU Leuven, Leuven, Belgium
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Casale S, Fioravanti G, Bocci Benucci S, Falone A, Ricca V, Rotella F. A meta-analysis on the association between self-esteem and problematic smartphone use. COMPUTERS IN HUMAN BEHAVIOR 2022. [DOI: 10.1016/j.chb.2022.107302] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/30/2022]
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22
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Ren Z, Tan J, Huang B, Cheng J, Huang Y, Xu P, Fang X, Li H, Zhang D, Gao Y. Association between 24-Hour Movement Behaviors and Smartphone Addiction among Adolescents in Foshan City, Southern China: Compositional Data Analysis. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:9942. [PMID: 36011576 PMCID: PMC9408153 DOI: 10.3390/ijerph19169942] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 07/07/2022] [Revised: 08/03/2022] [Accepted: 08/06/2022] [Indexed: 06/15/2023]
Abstract
Smartphone addiction has become a public health issue. To help reduce smartphone addiction, we assessed the combined effect of 24-Hour Movement Behaviors on smartphone addiction during Corona Virus Disease 2019 (COVID-19) home confinement in Foshan, China. Data were collected in a sample of 1323 senior middle school students ((mean age ± standard deviation): 16.4 ± 0.9 years; 43.46% males) during the COVID-19 lockdown. Their 24-Hour movement behaviors were assessed by a self-reported questionnaire, The Smartphone Addiction Scale-Short Version (SAS-SV). The compositional multiple linear regression model and compositional isotemporal substitution model were used to examine the association between the time budget composition of the day and smartphone addiction. Smartphone addiction occurred in 671 (50.72%) of the 1323 students. Compared with smartphone-addicted adolescents, non-smartphone-addicted adolescents had more moderate-to-vigorous physical activity (MVPA) and sleep duration (SLP), and less sedentary behavior (SB). The distribution of time spent in 24-Hour movement behaviors was significantly associated with smartphone addiction. The negative effect was found for the proportion of time spent in MVPA or SLP (ilr1-MVPA = −0.453, p < 0.001. ilr1-SLP = −3.641, p < 0.001, respectively) relative to the other three behaviors. Conversely, SB was positively associated with the score of smartphone addiction (ilr1-SB = 2.641, p < 0.001). Reallocating one behavior to remaining behaviors was associated with smartphone addiction. Noticeably, the effects of one behavior replacing another behavior and of one behavior being displaced by another behavior were asymmetric. The 24-Hour movement behaviors of adolescents are closely related to smartphone addiction, and future intervention studies should focus on the compositional attribute of 24-Hour movement behaviors.
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Affiliation(s)
- Zhiqiang Ren
- Department of Epidemiology and Biostatistics, School of Public Health, Guangdong Pharmaceutical University, Guangzhou 510315, China
| | - Jianyi Tan
- Department of Epidemiology and Biostatistics, School of Public Health, Guangdong Pharmaceutical University, Guangzhou 510315, China
| | - Baoying Huang
- Department of Epidemiology and Biostatistics, School of Public Health, Guangdong Pharmaceutical University, Guangzhou 510315, China
| | - Jinqun Cheng
- Department of Epidemiology and Biostatistics, School of Public Health, Guangdong Pharmaceutical University, Guangzhou 510315, China
| | - Yanhong Huang
- Department of Epidemiology and Biostatistics, School of Public Health, Guangdong Pharmaceutical University, Guangzhou 510315, China
| | - Peng Xu
- Department of Epidemiology and Biostatistics, School of Public Health, Guangdong Pharmaceutical University, Guangzhou 510315, China
| | - Xuanbi Fang
- Department of Medical Statistics, School of Basic Medicine and Public Health, Jinan University, Guangzhou 510632, China
| | - Hongjuan Li
- School of Sport Science, Beijing Sport University, Beijing 100084, China
| | - Dongmei Zhang
- Department of Public Health Management and Social Medicine, School of Public Health, Guangdong Pharmaceutical University, No. 283, Jianghai Road, Haizhu District, Guangzhou 510315, China
| | - Yanhui Gao
- Department of Epidemiology and Health Statistics, School of Basic Medicine and Public Health, Jinan University, No. 601, Huangpu Avenue West, Tianhe District, Guangzhou 510632, China
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How different levels of mobile phone addiction relate to adolescent depressive symptoms: the mediating role of parent-adolescent relationships. JOURNAL OF PSYCHOPATHOLOGY AND BEHAVIORAL ASSESSMENT 2022. [DOI: 10.1007/s10862-022-09993-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/15/2022]
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Jeon M, Lee MS, Yoon JY, Bhang SY. Mental health literacy of Internet gaming disorder and problematic smartphone use among Korean teenagers. PLoS One 2022; 17:e0270988. [PMID: 35862446 PMCID: PMC9302878 DOI: 10.1371/journal.pone.0270988] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/27/2021] [Accepted: 06/21/2022] [Indexed: 11/29/2022] Open
Abstract
The last few decades have seen an increased interest in ‘Mental Health Literacy (MHL)’ which addresses knowledge and beliefs relating to mental health problems and is likely to hinder treatment-seeking behaviors. Although MHL research to date has explored various mental disorders, far too little attention has been paid to Internet Gaming Disorder (IGD) and Problematic Smartphone use (PSU). The objective of this study is to develop an MHL questionnaire for IGD and PSU by adopting the MHL approach in the previous literature and examine MHL of IGD and PSU in Korean teenagers by focusing on their ability to recognize addictions, and perceptions and help-seeking attitudes towards a person with addictions. The current study also aimed to compare Korean teenagers’ MHL depending on low- and high-risk of IGD and PSU. A total of 169 teenagers aged 10 and 16 years were recruited from schools and children’s centers in Seoul and completed the newly developed MHL questionnaire and screening questionnaires for IGD and PSU. The MHL questionnaire for IGD and PSU was designed as a vignette-based questionnaire that depicted behavioral characteristics of a severe problem with Internet and smartphone usage. Korean teenagers had a poor ability to recognize IGD and PSU and were more prone to seek parental help than professional help. The current study also showed that teenagers had better recognition of IGD than PSU and perceived that a person with IGD has a more difficult life than a person with PSU. Furthermore, a low-risk or high-risk group of IGD or PSU showed minimal differences in MHL. The current study provided empirical evidence to support a need to develop educational programs to improve Korean teenagers’ MHL for both IGD and PSU.
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Affiliation(s)
- Mina Jeon
- Department of Psychology and Human Development, Institute of Education, University College London, London, United Kingdom
| | - Mi-Sun Lee
- Department of Preventive Medicine, College of Medicine, The Catholic University of Korea, Seoul, Korea
- Center for School Mental Health, Eulji University, Seoul, Korea
| | - Ji-Young Yoon
- Department of Social Welfare, Ewha Womans University, Seoul, Korea
| | - Soo-Young Bhang
- Center for School Mental Health, Eulji University, Seoul, Korea
- Department of Psychiatry, Eulji University School of Medicine, Nowon Eulji University Hospital, Seoul, Korea
- Nowon Community Addiction Management Center, Seoul, Korea
- * E-mail:
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Chen W. Exploring digital natives' mobile addiction syndrome in Taiwan: psychological issues and beyond. INFORMATION TECHNOLOGY & PEOPLE 2022. [DOI: 10.1108/itp-08-2021-0633] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
PurposeThis study seeks to explore digital natives' mobile usage behaviors and, in turn, develop an analytic framework that helps articulate the underlying components of mobile addiction syndrome (MAS), its severity levels and mobile usage purposes.Design/methodology/approachThe investigation adopts a survey method and a case study. The results of the former are based on 411 random classroom observations and 205 questionnaire responses, and the insights of the latter are derived from 24 interviews and daily observations.FindingsThe findings validate five distinctive signs that constitute MAS and their significant correlations with each of the Big Five personality traits. Classroom observations confirm the prevalence of addiction tendency among digital natives in the research context. Seven levels of MAS and six different mobile usage purposes further manifest themselves from case analysis. There appears to be a sharp contrast between the addicted and non-addicted groups in their mobile purposes and behavioral patterns. Additionally, family relationships seem influential in shaping non-addictive mobile usage behaviors.Research limitations/implicationsPsychological perspectives on MAS may be important but insufficient. Empirical investigation on a global scale, especially with distinctive cross-cultural comparisons, will be highly encouraged. How MAS evolves over time should also serve as future research interests.Practical implicationsTeaching pedagogy of college education might need certain adjustments to intrigue digital natives' learning interests. Future managers might also need to adopt better performance measurements for digital natives who barely separate work from personal matters in their mobile devices.Social implicationsParents and healthcare institutions may need to develop response mechanism to tackle this global issue at home and in society. The long-term effects of the COVID-19 pandemic on MAS might also deserve global attention.Originality/valueThe analytic framework developed provides an original mechanism that can be valuable in identifying MAS severity and associated behavioral patterns.
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Individual differences in self-esteem and social anxiety predict problem smartphone use in adolescents. SCHOOL PSYCHOLOGY INTERNATIONAL 2022. [DOI: 10.1177/01430343221111061] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
Smartphones have many characteristics that make them attractive to adolescents. Recent work, however, has established a link between smartphone-related problems and self-esteem (self-worth) and social anxiety (fear of social relations). To date, little is known about the characteristics underpinning these relationships in combination. Driven by theory, the present study examined the association between self-esteem, social anxiety, and nomophobia (fear of being without access to a smartphone) and problem smartphone use (PSU) in a sample of early adolescents ( N = 254). Self-esteem (Rosenberg Self Esteem Scale), social anxiety (Social Avoidance and Distress Scale) and their combined contribution (self-esteem × social anxiety) served as predictor variables of nomophobia (Nomophobia Questionnaire) and PSU (Mobile Phone Problem Usage Scale – Adolescent version) in separate moderated regression analyses. We found that lower self-esteem was associated with higher nomophobia and PSU, and that higher self-esteem may be a protective factor in those lower in social anxiety, such that they are not prone to excessive smartphone use. Our findings offer preliminary markers for psychologists addressing the challenges related to excessive smartphone use in this age group.
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Are smartphones addictive? Examining the cognitive-behavior model of motivation, leisure boredom, extended self, and fear of missing out on possible smartphone addiction. TELEMATICS AND INFORMATICS 2022. [DOI: 10.1016/j.tele.2022.101834] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/21/2022]
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Xu T, Sun X, Jiang P, Chen M, Yue Y, Dong E. Effects of Cell Phone Dependence on Mental Health Among College Students During the Pandemic of COVID-19: A Cross-Sectional Survey of a Medical University in Shanghai. Front Psychol 2022; 13:920899. [PMID: 35832907 PMCID: PMC9271901 DOI: 10.3389/fpsyg.2022.920899] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/15/2022] [Accepted: 05/16/2022] [Indexed: 01/22/2023] Open
Abstract
Objective To investigate the effects of cell phone dependence (CPD) on mental health among undergraduates during the COVID-19 pandemic and further identify the determinants that may affect their mental health in China. Methods The data were collected from 602 students at a medical school in Shanghai via an online survey conducted from December 2021 to February 2022. The Mobile Phone Addiction Index (MPAI) and Depression Anxiety Stress Scale (DASS) were applied to evaluate CPD and mental health, respectively. Independent sample t-test and one-way analysis of variance (ANOVA) were employed to compare the means of continuous variables among categorical groups. Correlations between continuous variables were detected using Pearson's correlation analysis. Univariable and multivariable logistic regressions were employed to identify the determinants of mental health. Results Among the 402 eligible students, 73.88% were women with an average age of 20.19 ± 2.36 years. On average, the DASS score was 32.20 ± 11.07, the CPD score was 36.23 ± 11.89, and the cell phone use duration was 7.67 ± 3.61 h/day. CPD was found to have a negative effect on mental health among college students in Shanghai. Additionally, cell phone use duration, age, being senior students, faculty-student relationship, insomnia, tobacco use, obesity, and life satisfaction were clarified as contributing factors to mental health among college students. Conclusion High degree of CPD could have a negative effect on college students' mental health, which might lead to some psychological problems. Appropriate actions and effective interventions are highly needed to prevent severe psychological injuries among college students in China.
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Affiliation(s)
- Ting Xu
- School of Nursing and Health Management, Shanghai University of Medicine and Health Science, Shanghai, China
- School of Media and Communication, Shanghai Jiao Tong University, Shanghai, China
- Institute of Health Yangtze River Delta, Shanghai Jiao Tong University, Shanghai, China
| | - Xiaoting Sun
- Shanghai Tenth People's Hospital, Tongji University School of Medicine, Shanghai, China
| | - Ping Jiang
- Genetics and Biochemistry Laboratory, Shanghai Mental Health Center, Shanghai, China
| | - Minjie Chen
- Renji Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China
| | - Yan Yue
- School of Health Care Management, Tsinghua University, Beijing, China
| | - Enhong Dong
- School of Nursing and Health Management, Shanghai University of Medicine and Health Science, Shanghai, China
- School of Media and Communication, Shanghai Jiao Tong University, Shanghai, China
- Institute of Health Yangtze River Delta, Shanghai Jiao Tong University, Shanghai, China
- *Correspondence: Enhong Dong
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Hao Z, Jin L, Huang J, Wu H. Stress, academic burnout, smartphone use types and problematic smartphone use: The moderation effects of resilience. J Psychiatr Res 2022; 150:324-331. [PMID: 35447526 DOI: 10.1016/j.jpsychires.2022.03.019] [Citation(s) in RCA: 14] [Impact Index Per Article: 7.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/14/2021] [Revised: 01/28/2022] [Accepted: 03/09/2022] [Indexed: 11/30/2022]
Abstract
Few studies have investigated stress in association with social and process smartphone use and how these types of use influence problematic smartphone use during the COVID-19 pandemic; furthermore, the moderation effects of resilience have been rarely tested in this model. For these, a cross-sectional survey was conducted involving 766 Chinese undergraduate students (74.4% female; M = 20.1 years, SD = 1.15) who were measured with their levels of stress, academic burnout, smartphone use types (social/process smartphone use), resilience, and problematic smartphone use. Based on the I-PACE theory, we built a structural equation model, and the results indicated that compared with social smartphone use, process smartphone use more related to problematic smartphone use; academic burnout fully mediated between stress and process smartphone use, and between stress and problematic smartphone use. Moreover, resilience moderated between stress and academic burnout, between academic burnout and process smartphone use, and between academic burnout and problematic smartphone use. We discuss the process smartphone use as a key indicator of problematic smartphone use and the role of academic burnout for linking stress and smartphone use behaviors. In addition, interventions for enhancing resilience should be launched in the future.
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Affiliation(s)
- Zejun Hao
- Institute of Foreign Languages, China Medical University, No.77 Puhe Road, Shenyang North New Area, 110122, Shenyang, Liaoning Province, PR China
| | - Liangyi Jin
- Shenyang Women's and Children's Hospital, No.87 Danan Street, Shenhe District, 110011, Shenyang, Liaoning Province, PR China
| | - Jinzi Huang
- Liaoning National Normal College, No. 45, Chongshan East Road, Huanggu District, 110032, Shenyang, Liaoning Province, PR China
| | - Hui Wu
- School of Health Management, China Medical University, No.77 Puhe Road, Shenyang North New Area, 110122, Shenyang, Liaoning Province, PR China.
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Yang X, Liu RD, Ding Y, Hong W, Ding Z. Interpersonal relationships moderate the relation between academic stress and mobile phone addiction via depression among Chinese adolescents: A three-wave longitudinal study. CURRENT PSYCHOLOGY 2022. [DOI: 10.1007/s12144-022-02951-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022]
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Gangadharan N, Borle AL, Basu S. Mobile Phone Addiction as an Emerging Behavioral Form of Addiction Among Adolescents in India. Cureus 2022; 14:e23798. [PMID: 35518537 PMCID: PMC9067330 DOI: 10.7759/cureus.23798] [Citation(s) in RCA: 4] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 03/29/2022] [Indexed: 11/05/2022] Open
Abstract
Introduction: The advancements in mobile phones from simple basic phones to featured phones and smartphones resulted in the penetration of technology to different groups of people irrespective of age, gender, or region. Thus, mobile phone addiction has evolved as a form of behavioral addiction found to be increasingly prevalent among adolescents too. The study aimed to determine the prevalence of mobile phone addiction among adolescents and its associated risk factors among adolescents. Method and results: A community-based, cross-sectional study was conducted among 264 adolescents (10-19 years) of low-income urban areas of Delhi. The prevalence of mobile phone addiction in the participants was 33.0% (95% CI: 27.2-38.6). The addiction was higher among boys (33.6%) than girls (32.3%) (p=0.835). Mobile phone addiction was found to be significantly higher among those adolescents who had ≥3 siblings, those belonging to nuclear families, and among late-onset users (≥16 years). Late-onset users (adjusted odds ratio {aOR}: 3.398; 95% CI: 1.307-8.833) and ≥3 siblings (aOR: 1.980; 95% CI: 1.141-3.437) were independent predictors of mobile phone addiction. The mean time spent on mobile phones was significantly higher among those with addiction but no significant gender difference was found between time spent on phones and addiction. Conclusion: The high prevalence of mobile phone addiction found in our study is an indication of the potential public health concern posed by mobile phone use among adolescents in urban settings. Hence, it is essential to limit the access to mobile phones for important utility purposes for adolescents.
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Kliesener T, Meigen C, Kiess W, Poulain T. Associations between problematic smartphone use and behavioural difficulties, quality of life, and school performance among children and adolescents. BMC Psychiatry 2022; 22:195. [PMID: 35300635 PMCID: PMC8932112 DOI: 10.1186/s12888-022-03815-4] [Citation(s) in RCA: 8] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/19/2021] [Accepted: 02/23/2022] [Indexed: 11/16/2022] Open
Abstract
BACKGROUND European studies on determinants and factors associated with problematic smartphone use (PSU) in children and adolescents are still sparse. This study reports the current amount of PSU symptoms and the presence of (clinically relevant) PSU in German children and adolescents. We also investigated associations between socio-demographic factors, different smartphone usage patterns, and daily smartphone usage time and the amount of PSU symptoms in this group. In addition, associations of PSU symptoms and high smartphone usage times (> 2 h/day) with behavioural problems, quality of life (QoL), and school performance were investigated. METHODS Within the framework of the LIFE Child study, 564 children and adolescents aged 10-18 years provided information on PSU symptoms (using the Smartphone Addiction Proneness Scale), daily smartphone usage time, smartphone activities, behavioural strengths and difficulties (using the Strengths and Difficulties Questionnaire), QoL (using the KIDSCREEN-27), and school performance. Multiple regression analyses were applied to assess associations. RESULTS In the present sample, PSU was present in 13 children (2.3%). Older age, female gender, high daily smartphone usage time of > 2 h, and intensive smartphone use for social networking, gaming, or watching video clips were significantly associated with more PSU symptoms. Children and adolescents reporting more PSU symptoms also showed lower QoL, more behavioural difficulties, and poorer school performance, independently of age, gender, socio-economic status, and daily smartphone usage time. In contrast, daily smartphone usage time per se showed only weak or non-significant associations with these aspects of health and behaviour. CONCLUSION Intensive smartphone use for entertainment may increase the risk of developing PSU symptoms. Furthermore, the results indicate that PSU symptoms (more than long smartphone usage times per se) are associated with more behavioural difficulties and poorer QoL.
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Affiliation(s)
- Tobias Kliesener
- LIFE Leipzig Research Center for Civilization Diseases, Leipzig University, Philipp-Rosenthal-Strasse 27, 04103, Leipzig, Germany. .,Department of Women and Child Health, University Hospital for Children and Adolescents and Center for Pediatric Research, Leipzig University, Liebigstrasse 20a, 04103, Leipzig, Germany.
| | - Christof Meigen
- grid.9647.c0000 0004 7669 9786LIFE Leipzig Research Center for Civilization Diseases, Leipzig University, Philipp-Rosenthal-Strasse 27, 04103 Leipzig, Germany ,grid.9647.c0000 0004 7669 9786Department of Women and Child Health, University Hospital for Children and Adolescents and Center for Pediatric Research, Leipzig University, Liebigstrasse 20a, 04103 Leipzig, Germany
| | - Wieland Kiess
- grid.9647.c0000 0004 7669 9786LIFE Leipzig Research Center for Civilization Diseases, Leipzig University, Philipp-Rosenthal-Strasse 27, 04103 Leipzig, Germany ,grid.9647.c0000 0004 7669 9786Department of Women and Child Health, University Hospital for Children and Adolescents and Center for Pediatric Research, Leipzig University, Liebigstrasse 20a, 04103 Leipzig, Germany
| | - Tanja Poulain
- grid.9647.c0000 0004 7669 9786LIFE Leipzig Research Center for Civilization Diseases, Leipzig University, Philipp-Rosenthal-Strasse 27, 04103 Leipzig, Germany ,grid.9647.c0000 0004 7669 9786Department of Women and Child Health, University Hospital for Children and Adolescents and Center for Pediatric Research, Leipzig University, Liebigstrasse 20a, 04103 Leipzig, Germany
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Association between the Perceived Household Financial Decline Due to COVID-19 and Smartphone Dependency among Korean Adolescents. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:ijerph19063303. [PMID: 35328992 PMCID: PMC8951075 DOI: 10.3390/ijerph19063303] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 01/17/2022] [Revised: 02/28/2022] [Accepted: 03/09/2022] [Indexed: 01/04/2023]
Abstract
This cross-sectional study identified the association between COVID-19-related perceived household financial decline and smartphone dependency among adolescents in South Korea. Data from the 2020 Youth Risk Behavior Survey of Korea was used and 54,809 middle and high school students were included. COVID-19-related perceived household financial decline was categorized as no financial decline, mild, moderate, and severe. Smartphone dependency was calculated by 10 questions and was largely categorized as yes and no, and as normal, low, and high (prevalence rate: 25.0%). Binary and multinomial regression analyses were performed to analyze the association. The more severe the financial decline, the more pronounced the risk of high-risk smartphone dependency (mild financial decline: odds ratio (OR) 1.11, 95% CI 0.96-1.28; moderate: OR 1.22, 95% CI 1.04-1.43; severe: OR 2.56, 95% CI 2.06-3.17). Poor family relationships (OR 1.06, 95% CI 1.03-1.10) and severe social conflict (OR 2.99, 95% CI 2.50-3.58) were also related to smartphone dependency. The ORs were 2.63 with more than three bathrooms and 1.63 with their own bedroom. Smartphone dependency among adolescents is closely related to COVID-19-related perceived household financial decline. As smartphone dependency relates to complicated psychological issues, further evaluation is necessary, especially for vulnerable adolescents.
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Interactive effects of cumulative social-environmental risk and trait mindfulness on different types of adolescent mobile phone addiction. CURRENT PSYCHOLOGY 2022. [DOI: 10.1007/s12144-022-02899-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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Huang H, Wan X, Lu G, Ding Y, Chen C. The Relationship Between Alexithymia and Mobile Phone Addiction Among Mainland Chinese Students: A Meta-Analysis. Front Psychiatry 2022; 13:754542. [PMID: 35222110 PMCID: PMC8866180 DOI: 10.3389/fpsyt.2022.754542] [Citation(s) in RCA: 4] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/06/2021] [Accepted: 01/17/2022] [Indexed: 01/01/2023] Open
Abstract
Alexithymia and mobile phone addiction are common phenomena in daily life. Many studies have explored the internal relationship between them based on different theoretical perspectives, but the extent of the exact correlation is still controversial. To address this controversy and clarify the reasons for the divergence, a meta-analysis of 26 articles comprising 23,387 Chinese students was conducted. The results show that alexithymia was highly positively correlated with mobile phone addiction (r = 0.41, 95% CI = [0.37, 0.45]). Furthermore, the relationship was moderated by mobile phone addiction measurement tool and year of publication, with studies using the Mobile Phone Addiction Tendency Scale (MPATS) having higher correlation coefficients than those using the Mobile Phone Addiction Index (MPAI) or other measurement tools. Studies published in 2020-2021 yielded higher correlations than those published in 2014-2016 and 2017-2019. However, the relationship was not moderated by gender, region, or measures of alexithymia. Therefore, our meta-analysis of available published data indicated that alexithymia and mobile phone addiction in Chinese students are not only highly positively correlated but also affected by mobile phone addiction measurement tools and publication year. Longitudinal studies or experimental studies should be strengthened in the future to further establish the direction(s) of causality for the relation between alexithymia and mobile phone addiction.
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Affiliation(s)
- Haitao Huang
- Institute of Nursing and Health, Henan University, Kaifeng, China
| | - Xiao Wan
- Institute of Nursing and Health, Henan University, Kaifeng, China
| | - Guangli Lu
- School of Business, Henan University, Kaifeng, China
| | - Yueming Ding
- Institute of Nursing and Health, Henan University, Kaifeng, China
| | - Chaoran Chen
- Institute of Nursing and Health, Henan University, Kaifeng, China
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Xiong S, Xu Y, Zhang B, Zhu L, Xie J. Smartphone Addiction and Eysenck's Personality Traits Among Chinese Adolescents: A Meta-Analysis. Front Psychol 2022; 12:794112. [PMID: 35185692 PMCID: PMC8854182 DOI: 10.3389/fpsyg.2021.794112] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/13/2021] [Accepted: 12/07/2021] [Indexed: 11/21/2022] Open
Abstract
With the quickly rising popularity of smartphone among adolescents over the past decade, studies have begun to investigate the relationship between smartphone addiction and Eysenck's personality traits. Despite numerous studies on this topic, however, findings have been mixed and there is a lack of consensus regarding this relationship. Thus, this meta-analysis aimed to explore the relationship between smartphone addiction and Eysenck's personality traits in Chinese adolescents, as well as its possible moderators. Through literature search and screening, 33 studies were included, comprising 79 independent effect sizes with a total of 17, 737 subjects. A random effects model was selected, and it was found that smartphone addiction was positively associated with psychoticism (r = 0.16, p < 0.001) and neuroticism (r = 0.32, p < 0.001), but not significantly associated with extroversion (r = -0.06, p = 0.079). The moderating effect test showed that sex and year of study publication had significant influences on the relationship between smartphone addiction and psychoticism, and the year of study publication had a significant influence on the relationship between smartphone addiction and neuroticism. This study is the first meta-analysis on the relationship between smartphone addiction and Eysenck's personality traits among adolescents in China, and the results have helped to clarify the controversy of previous studies regarding this relationship.
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Affiliation(s)
- Sicheng Xiong
- Department of Applied Psychology, Hunan University of Chinese Medicine, Changsha, China
| | - Yi Xu
- Department of Rehabilitation, Hunan Children's Hospital, Changsha, China
| | - Bin Zhang
- Department of Applied Psychology, Hunan University of Chinese Medicine, Changsha, China
| | - Lihui Zhu
- Department of Rehabilitation, Hunan Children's Hospital, Changsha, China
| | - Jianhui Xie
- Department of Rehabilitation, Hunan Children's Hospital, Changsha, China
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Kwon M, Jung YC, Lee D, Lee J. Altered resting-state functional connectivity of the dorsal anterior cingulate cortex with intrinsic brain networks in male problematic smartphone users. Front Psychiatry 2022; 13:1008557. [PMID: 36262635 PMCID: PMC9573940 DOI: 10.3389/fpsyt.2022.1008557] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/31/2022] [Accepted: 09/16/2022] [Indexed: 11/27/2022] Open
Abstract
The excessive use of smartphones is associated with various medical complications and mental health problems. However, existing research findings on neurobiological mechanisms behind problematic smartphone use are limited. In this study, we investigated functional connectivity in problematic smartphone users, focusing on the default mode network (DMN) and attentional networks. We hypothesized that problematic smartphone users would have alterations in functional connectivity between the DMN and attentional networks and that such alterations would correlate with the severity of problematic smartphone use. This study included 30 problematic smartphone users and 35 non-problematic smartphone users. We carried out group independent component analysis (group ICA) to decompose resting-state functional magnetic resonance imaging (fMRI) data into distinct networks. We examined functional connectivity using seed-to-seed analysis and identified the nodes of networks in group ICA, which we used as region of interest. We identified greater functional connectivity of the dorsal anterior cingulate cortex (dACC) with the ventral attention network (VAN) and with the DMN in problematic smartphone users. In seed-to-seed analysis, problematic smartphone users showed atypical dACC-VAN functional connectivity which correlated with the smartphone addiction proneness scale total scores. Our resting-state fMRI study found greater functional connectivity between the dACC and attentional networks in problematic smartphone users. Our findings suggest that increased bottom-up and interoceptive attentional processing might play an important role in problematic smartphone use.
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Affiliation(s)
- Manjae Kwon
- Department of Psychiatry, Severance Hospital, Yonsei University College of Medicine, Seoul, South Korea.,Institute of Behavioral Science in Medicine, Yonsei University College of Medicine, Seoul, South Korea
| | - Young-Chul Jung
- Department of Psychiatry, Severance Hospital, Yonsei University College of Medicine, Seoul, South Korea.,Institute of Behavioral Science in Medicine, Yonsei University College of Medicine, Seoul, South Korea.,Institute for Innovation in Digital Healthcare, Yonsei University, Seoul, South Korea
| | - Deokjong Lee
- Institute of Behavioral Science in Medicine, Yonsei University College of Medicine, Seoul, South Korea.,Department of Psychiatry, Yongin Severance Hospital, Yonsei University College of Medicine, Seoul, South Korea
| | - Junghan Lee
- Department of Psychiatry, Severance Hospital, Yonsei University College of Medicine, Seoul, South Korea.,Institute of Behavioral Science in Medicine, Yonsei University College of Medicine, Seoul, South Korea
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St Quinton T, Morris B, Pickering D, Smith DM. Behavior Change Techniques and Delivery Modes in Interventions Targeting Adolescent Gambling: A Systematic Review. J Gambl Stud 2022; 38:1503-1528. [PMID: 35239076 PMCID: PMC8891739 DOI: 10.1007/s10899-022-10108-8] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/21/2021] [Revised: 01/19/2022] [Accepted: 01/29/2022] [Indexed: 12/30/2022]
Abstract
BACKGROUND Adolescent gambling can lead to significant harms, yet participation rates continue to rise. Interventions targeting gambling reduction have been implemented in this population. However, it is not clear which behavior change techniques (BCTs) and modes of delivery (MOD) are most effective at reducing gambling. OBJECTIVE The objective of the study was to identify 'promising' BCTs and MODs by systematically reviewing interventions targeting adolescent gambling behavior. 'Promising' was defined as those present in at least 25% of all interventions and in at least two effective interventions. METHODS Three databases were searched (PsycINFO, Medline, and Scopus) from database inception to May 2021. Interventions were eligible if they were randomized controlled trials; targeting adolescents (aged 10-25 years); and assessing gambling behavior post-intervention. BCTs were identified using the Behavior Change Technique Taxonomy v1. RESULTS From the initial 3,315 studies, the removal of duplicates and ineligible articles resulted in sixteen studies included in the review. Eleven of these reported successfully reducing gambling behavior. Eighteen BCTs and six MODs were used across the interventions. The BCTs identified as promising were '4.2. Information about antecedents', '4.4. Behavioral experiments', '5.3. Information about social and environmental consequences', and '5.6. Information about emotional consequences'. Promising MODs were 'face-to-face', 'computer', and 'playable electronic storage'. CONCLUSIONS The study reviewed the content of interventions targeting adolescent gambling behavior. Four BCTs were identified as promising and should therefore be adopted in future interventions. To facilitate the delivery of these techniques, the study also identified three promising MODs. Interventions developed using these BCTs and MODs may successfully reduce adolescent gambling behavior.
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Affiliation(s)
- Tom St Quinton
- School of Social and Health Sciences, Leeds Trinity University, Brownberrie Lane, LS18 5HD, Leeds, UK.
| | - Ben Morris
- School of Social and Health Sciences, Leeds Trinity University, Brownberrie Lane, LS18 5HD, Leeds, UK
| | - Dylan Pickering
- Gambling Treatment and Research Clinic, School of Psychology, University of Sydney, Sydney, Australia
| | - Debbie M Smith
- Manchester Centre for Health Psychology, School of Health Sciences, The University of Manchester, Manchester, UK
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García-Manglano J, López-Madrigal C, Sádaba-Chalezquer C, Serrano C, Lopez-Fernandez O. Difficulties in Establishing "Truth" Conditions in the Assessment of Addictive Smartphone Use in Young Adults. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 19:358. [PMID: 35010618 PMCID: PMC8744600 DOI: 10.3390/ijerph19010358] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/29/2021] [Revised: 12/09/2021] [Accepted: 12/16/2021] [Indexed: 06/14/2023]
Abstract
The smartphone revolution has placed powerful, multipurpose devices in the hands of youth across the globe, prompting worries about the potential negative consequences of these technologies on mental health. Many assessment tools have been created, seeking to classify individuals into problematic and non-problematic smartphone users. These are identified using a cutoff value: a threshold, within the scale range, at which higher scores are expected to be associated with negative outcomes. Lacking a clinical assessment of individuals, the establishment of this threshold is challenging. We illustrate this difficulty by calculating cutoff values for the Short Version of the Smartphone Addiction Scale (SAS-SV) in 13 Spanish-speaking samples in 11 countries, using common procedures (i.e., reliability, validity, ROC methodology). After showing that results can be very heterogeneous (i.e., they lead to diverse cutoff points and rates of addiction) depending on the decisions made by the researchers, we call for caution in the use of these classifications, particularly when researchers lack a clinical definition of true addiction-as is the case with most available scales in the field of behavioral addictions-which can cause an unnecessary public health alert.
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Affiliation(s)
| | | | | | - Cecilia Serrano
- Department of Sociology, Catholic University of the Sacred Heart, 20123 Milan, Italy;
| | - Olatz Lopez-Fernandez
- Health Research Institute, Hospital Universitario Fundación Jiménez Díaz, 28040 Madrid, Spain
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Jee M, Khan A, Nazneen N. Understanding Adolescents' Perceptions and Aspirations Towards Their Relationship With Personal Technology: Survey Study. JMIR Form Res 2021; 5:e27852. [PMID: 34941556 PMCID: PMC8738985 DOI: 10.2196/27852] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/09/2021] [Revised: 07/21/2021] [Accepted: 07/27/2021] [Indexed: 11/13/2022] Open
Abstract
BACKGROUND Understanding adolescents' relationship with technology is a pressing topic in this digital era. There seem to be both beneficial and detrimental implications that originate from use of technology by adolescents. Approximately 95% of adolescents have access to a smartphone, and several studies show a positive correlation between screen addiction and trends of anxiety and depression. At the same time, research shows that two-thirds of adolescents believe that technology is a necessity for connecting and making new friends. OBJECTIVE The aim of this formative study was to understand adolescents' perception of their own and others' relationship with personal technology. METHODS A survey was conducted with 619 adolescents ranging in age from 13 to 19 years. Adolescents were asked how they perceived the relationship with their personal technology, how they perceived others' (parents, siblings, or friends) relationship with personal technology, and how they wish to relate to their personal technology in the future. RESULTS "Essential," "Distractive," and "Addictive" were the most commonly selected descriptors to describe both adolescents' own relationship with technology (essential: 106/619, 17.1%; distractive: 105/619, 17%; addictive: 88/619, 14.2% ) and others' relationship as well (essential: 96/619, 15.6%; distractive: 88/619, 14.3%; addictive: 90/619, 14.5%). Adolescents selected "Provides an escape" more to describe their own relationship with technology. Whereas, they selected "It's just a tool" and "Creates Barrier" more to describe others' relationship with technology. These trends are consistent across ages and genders. In addition, adolescents' aspirations for their relationship with their personal technology varied across ages: 13 to 15-year olds' top choice was "best friend", 16 to 17-year olds' top choice was "I don't believe in personal connection with mobile technology," and 18 to 19-year olds' top choice was "My personal assistant." CONCLUSIONS Our 3-lens method allows us to examine how adolescents perceive their relationship with personal technology in comparison to others, as well as their future technological aspirations. Our findings suggest that adolescents see both communalities as well as differences in their own and others' relationships with technology. Their future aspirations for personal technology vary across age and gender. These preliminary findings will be examined further in our follow-up research.
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Affiliation(s)
| | - Alsa Khan
- Twinbits, Flower Mound, TX, United States
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Wang T, Wong JYH, Wang MP, Li ACY, Kim SS, Lee JJ. Effects of Social Networking Service (SNS) Addiction on Mental Health Status in Chinese University Students: Structural Equation Modeling Approach Using a Cross-sectional Online Survey. J Med Internet Res 2021; 23:e26733. [PMID: 34889760 PMCID: PMC8701716 DOI: 10.2196/26733] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/28/2020] [Revised: 04/26/2021] [Accepted: 10/19/2021] [Indexed: 12/24/2022] Open
Abstract
Background Although social networking services (SNSs) have become popular among young people, problematic SNS use has also increased. However, little is known about SNS addiction and its association with SNS use patterns and mental health status. Objective This study aims to test the mediating role of SNS addiction between SNS use patterns and mental health status among Chinese university students in Hong Kong (HK). Methods An online cross-sectional survey was conducted using a convenience sampling method. In total, 533 university students (323 [66.9%] female, mean age [SD]=20.87 [2.68] years) were recruited from February to March 2019. Multiple linear regression was used to assess the association between SNS use and SNS addiction. Structural equation modeling (SEM) was performed to examine the pathways and associations among SNS use, SNS addiction, psychosocial status, and mental health status (including anxiety and depressive symptoms). Results A longer time spent on SNSs per day (>3 h), a longer time spent on each SNS access (≥31 min), a higher frequency of SNS access (≤every 30 min), a longer duration of SNS use before sleeping (≥61 min), and a shorter duration from waking to first SNS use (≤5 min) were significantly associated with a higher level of SNS addiction (adjusted beta [aβ]=6.03, 95% CI 4.66-7.40; aβ=4.99, 95% CI 3.14-6.83; aβ=5.89, 95% CI 4.14-7.64; aβ=5.92, 95% CI 4.19-7.65; and aβ=3.27, 95% CI 1.73-4.82, respectively). SEM showed a significant mediating effect of SNS addiction in the relationship between SNS use and psychosocial status, and mental health status, including an indirect effect (β=0.63, 95% CI 0.37-0.93) and the total effect (β=0.44, 95% CI 0.19-0.72), while the direct effect was insignificant (β=–0.19, 95% CI –0.49 to 0.08). Conclusions SNS use patterns were associated with SNS addiction, and SNS addiction mediated the associations between SNS use, psychosocial status, and mental health status of Chinese university students in HK. The findings suggest that screening for and addressing excessive SNS use are needed to prevent SNS addiction and mental distress among young people.
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Affiliation(s)
- Tingxuan Wang
- School of Nursing, The University of Hong Kong, Hong Kong, China
| | - Janet Y H Wong
- School of Nursing, The University of Hong Kong, Hong Kong, China
| | - Man Ping Wang
- School of Nursing, The University of Hong Kong, Hong Kong, China
| | | | - Sang Suk Kim
- Red Cross College of Nursing, Chung-Ang University, Seoul, Republic of Korea
| | - Jung Jae Lee
- School of Nursing, The University of Hong Kong, Hong Kong, China
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Ma Z, Wang J, Li J, Jia Y. The association between obesity and problematic smartphone use among school-age children and adolescents: a cross-sectional study in Shanghai. BMC Public Health 2021; 21:2067. [PMID: 34763684 PMCID: PMC8581960 DOI: 10.1186/s12889-021-12124-6] [Citation(s) in RCA: 9] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/15/2020] [Accepted: 10/28/2021] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND The study aimed to investigate the association between content-based problematic smartphone use and obesity in school-age children and adolescents, including variations in the association by educational stage and sex. METHODS Two-stage non-probability sampling was used to recruit 8419 participants from nineteen primary schools, five middle schools, and thirteen high schools in Shanghai in December 2017. Obesity was identified by body mass index (BMI), which was obtained from the school physical examination record, while problematic smartphone use was measured by the Revised Problematic Smartphone Use Classification Scale as the independent variable. RESULTS The rates of obesity varied with educational stages, while problematic smartphone use increased with educational stages. Male students reported higher obesity rates (37.1%vs19.4%, P < 0.001) and greater problematic smartphone use scores (25.65 ± 10.37 vs 22.88 ± 8.94, P < 0.001) than female students. Problematic smartphone use for entertainment (smartphone users addicted to entertainment games, music, videos, novels and other applications) was positively associated to obesity status for primary school [odds ratio (OR), 1.030; 95% confidence interval (95% CI), 1.005-1.057] and high school students (OR, 1.031; 95% CI, 1.004-1.059). For female students, problematic smartphone use for entertainment was positively associated with obesity status (OR, 1.046; 95% CI, 1.018-1.075). CONCLUSIONS Problematic smartphone use may be associated with obesity in children and adolescents. The association differed based on the educational stage and sex, and the difference possessed dimensional specificity.
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Affiliation(s)
- Zhicong Ma
- School of Public Health, Key Lab of Public Health Safety of the Ministry of Education, Fudan University, Shanghai, 200032, China
| | - Jiangqi Wang
- School of Public Health, Key Lab of Public Health Safety of the Ministry of Education, Fudan University, Shanghai, 200032, China
| | - Jiang Li
- School of Public Health, Key Lab of Public Health Safety of the Ministry of Education, Fudan University, Shanghai, 200032, China
- Health Communication Institute, Fudan University, Shanghai, 200032, China
| | - Yingnan Jia
- School of Public Health, Key Lab of Public Health Safety of the Ministry of Education, Fudan University, Shanghai, 200032, China.
- Health Communication Institute, Fudan University, Shanghai, 200032, China.
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Kim JH. Factors Associated with Smartphone Addiction Tendency in Korean Adolescents. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:ijerph182111668. [PMID: 34770182 PMCID: PMC8583015 DOI: 10.3390/ijerph182111668] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 10/04/2021] [Revised: 11/02/2021] [Accepted: 11/03/2021] [Indexed: 01/23/2023]
Abstract
This study aims to identify the factors associated with smartphone addiction tendency in Korean adolescents. A convenience sample of 502 students from four middle schools participated in the survey for the assessment of demographic, personal factors (resilience and academic stress), environmental factors (parental support, teacher support, friend support, and bullying victimization), as well as smartphone addiction tendency. Smartphone addiction tendency was determined based on the Smartphone Addiction Proneness Scale for Youth (SAPS) criteria developed by Kim et al. The collected data were analyzed using descriptive statistics, chi-squared test, t-test, Pearson’s correlation coefficients, and hierarchical logistic regression. Among the adolescents, 17.9% were in the smartphone addiction tendency group. The factors associated with smartphone addiction tendency were subjective economic level, academic stress, parental support, and bullying victimization. Based on the findings of this study, it is considered necessary to approach smartphone addiction management considering personal factors as well as environmental factors.
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Affiliation(s)
- Ji-Hye Kim
- College of Nursing, Woosuk University, Jeonju-si 55338, Korea
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Moslemizadeh S, Ahmadipour H. Problematic Cellular Phone Use: A Factor Analysis. RUSSIAN OPEN MEDICAL JOURNAL 2021. [DOI: 10.15275/rusomj.2021.0317] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/09/2022] Open
Abstract
Background — Increasing access to smartphones has led some researches to focus in this regard. Objective — the current study aimed to determine psychometric properties of the Persian version of Problematic Cellular Phone Use Questionnaire (PCPU-Q) among medical student at Kerman University of Medical Sciences. Material and Methods — A cross-sectional study carried out on 351 medical students. Data collected using a questionnaire including demographic data and the Persian versions of PCPU-Q. The higher score indicates a greater problem. Data analyzed by SPSS 20 and Lisrel 8.8. Cronbach’s alpha and intraclass correlation coefficient (ICC) and exploratory/confirmatory factor analysis used for determining the reliability and construct validity of the questionnaire, respectively. Results — One hundred and seventy-two (49.0%) of the students had a problematic CPU. Cronbach’s alpha and ICC were 0.8 and 0.91, respectively. The model had acceptable goodness of fit indices in confirmatory factor analysis. Conclusion — The Persian version of PCPU-Q had good psychometric properties and can be useful for screening of problematic CPU among Iranian youth.
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Indrakusuma AABP, Sayoga IMA, Surya SC, Indrayani AW, Artini IGA. The Association between Smartphone Addiction and Insomnia Incidence in Students of the Faculty of Medicine Udayana University Batch of 2020 during the Coronavirus Disease-19 Pandemic. Open Access Maced J Med Sci 2021. [DOI: 10.3889/oamjms.2021.7064] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022] Open
Abstract
BACKGROUND: The use of smartphones is increasing in the coronavirus disease (COVID-19) pandemic for various purposes, this encourages smartphone addiction. In addition, the incidence of insomnia has also increased in the pandemic era.
AIM: This study was conducted to find an association between smartphone addiction and the incidence of insomnia, especially among students of the Faculty of Medicine, Udayana University.
METHOD: This research is a descriptive-analytic study with the cross-sectional method, using two main questionnaires, Smartphone Addiction Scale-Short Version, and Insomnia Severity Index. Questionnaires were distributed using Google forms and then collected and analyzed using software SPSS version 25.
RESULT: Overall the total research respondents with the inclusion criteria in this study amounted to 364 people. The results showed that 212 respondents (58.24%) had a high level of smartphone addiction and 152 respondents (41.76%) had a low level of smartphone addiction. In addition, 187 respondents (51.37%) experienced mild insomnia, 87 respondents (23.9%) experienced moderate insomnia, 13 respondents (3.57%) experienced severe insomnia, and 77 respondents (21.15%) did not experience insomnia. Based on the results of data analysis, it was found that smartphone addiction had a significant relationship (p = 0.002) with weak and positive correlation (r = 0.162) to the incidence of insomnia.
CONCLUSION: It was found that the majority of respondents experienced high levels of smartphone addiction and mild insomnia. Another finding suggests the higher addiction to the smartphones, the more severe insomnia suffered.
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Kim Y, Kim B. Effects of young adults' smartphone use for social media on communication network heterogeneity, social capital and civic engagement. ONLINE INFORMATION REVIEW 2021. [DOI: 10.1108/oir-08-2020-0332] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
PurposeThis study examines the direct and indirect effect mechanisms of how using smartphones for social media is associated with college students' civic engagement via levels of communication network heterogeneity and social capital. In addition, this study tests whether such indirect effects mechanisms are moderated by the need to belong.Design/methodology/approachThe study analyzes data from an online survey (N = 580) conducted at a public university. The PROCESS macro is used to examine the mediation association between mobile social media use, communication network heterogeneity, social capital, and civic engagement and the moderated mediation conditional upon need to belong.FindingsCollege students who often use smartphones for social media were more likely to communicate with people who have different socio-demographic characteristics and different opinions. There was also a positive mediation mechanism between smartphone use for social media, network heterogeneity, social capital and civic engagement, which means that college students who often use mobile social media are more likely to communicate with heterogeneous others and develop a sense of social capital, which in turn led to greater levels of civic engagement. Importantly, these indirect effects of smartphone use for social media on civic engagement were stronger for those with greater levels of need to belong.Originality/valueThe findings of the current study are significant given that little is known about how young adults' mobile social media use is associated with communication network heterogeneity and civic engagement in their everyday life. The research expands the research agenda by investigating the most popular interactive communication media platforms.
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Liu XXL. A Systematic Review of Prevention and Intervention Strategies for Smartphone Addiction in Students: Applicability During the COVID-19 Pandemic. JOURNAL OF EVIDENCE-BASED PSYCHOTHERAPIES 2021. [DOI: 10.24193/jebp.2021.2.9] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/06/2022]
Abstract
"During this coronavirus (COVID-19) pandemic, smartphones play an
important role in online classes, study, and entertainment. However,
excessive use may lead to smartphone addiction (SPA). The incidence of
SPA among students has increased with the spread of COVID-19 and
threatens to impair home-based students’ learning efficiency and physical
and mental health. This study aimed to provide a comprehensive overview
of the latest achievements in SPA prevention and treatment, and a theoretical
basis for future experimental research and clinical treatment, while
considering their applicability during the current pandemic. We researched
the core literature in Chinese, English, and Korean databases from 2000 to
2021; 3208 articles were identified. After reading the titles, abstracts, and
full texts, 53 articles were selected. Research on SPA interventions was
relatively limited; we identified six types of prevention and treatment
measures: psychotherapies, cognitive training, behavioral intervention,
application restriction, social intervention, and complementary and
alternative medicine. They can be implemented by students, parents, or
online experts. Future research should focus on developing early measures
to identify and prevent SPA and enhance students’ change motivation."
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Affiliation(s)
- Xiao-xia Liu Liu
- Department of Sports Science, College of Education, Zhejiang University, Hangzhou 310058, China
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Liu J, Ahmed MZ, Ahmed O, Griffiths MD, Chen L. Development and Psychometric Assessment of the Problematic QQ Use Scale among Adolescents. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:ijerph18136744. [PMID: 34201555 PMCID: PMC8268458 DOI: 10.3390/ijerph18136744] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 04/21/2021] [Revised: 06/15/2021] [Accepted: 06/16/2021] [Indexed: 02/07/2023]
Abstract
The QQ social media platform is very popular among Chinese adolescents. As with other social media platforms (e.g., Facebook, Instagram, YouTube, etc.), there have been increasing reports that the use of QQ can be potentially problematic to a minority of users. However, unlike these other social media platforms, there is currently no scale to assess the risk of problematic QQ use. The present study developed the Problematic QQ Use Scale (PQQUS) among Chinese adolescents based on six core criteria of behavioral addiction (salience, tolerance, mood modification, loss of control, withdrawal, and conflict) that have been used in the development of other social media addiction scales. The scale was administered to a sample of 1008 Chinese school children to assess its psychometric properties, utilizing both classical test theory and item response theory. The analysis demonstrated that the PQQUS had good item discrimination indices relating to both CTT and IRT. The CFA results and Loevinger’s H-coefficient suggested the PQQUS had a unidimensional factor structure. The PQQUS had good internal reliability, good composite reliability, and good concurrent validity (based on correlations with measures of anxiety, depression, self-esteem, and life satisfaction). The invariance testing between boys and girls suggested this scale is a valid assessment tool for both groups. Overall, the PQQUS is a psychometrically robust tool for assessing problematic QQ use and will have a key role in further research on problematic QQ use among Chinese adolescents.
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Affiliation(s)
- Jintao Liu
- Research Center for Urban Social Psychology, School of Education, Lanzhou City University, Lanzhou 730070, China
- School of Psychology, Northwest Normal University, Lanzhou 730070, China; (M.Z.A.); (L.C.)
- Correspondence:
| | - Md Zahir Ahmed
- School of Psychology, Northwest Normal University, Lanzhou 730070, China; (M.Z.A.); (L.C.)
| | - Oli Ahmed
- Department of Psychology, University of Chittagong, Chattogram 4331, Bangladesh;
| | - Mark D. Griffiths
- Psychology Department, Nottingham Trent University, Nottingham NG1 4FQ, UK;
| | - Lili Chen
- School of Psychology, Northwest Normal University, Lanzhou 730070, China; (M.Z.A.); (L.C.)
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Son HG, Cho HJ, Jeong KH. The Effects of Korean Parents' Smartphone Addiction on Korean Children's Smartphone Addiction: Moderating Effects of Children's Gender and Age. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:ijerph18136685. [PMID: 34206185 PMCID: PMC8297017 DOI: 10.3390/ijerph18136685] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 03/29/2021] [Revised: 06/07/2021] [Accepted: 06/07/2021] [Indexed: 11/16/2022]
Abstract
Background: Smartphone addiction among children and adolescents has a negative effect, as excessive use of smartphones can cause physical symptoms, such as fatigue, indigestion, and sleep problems, as well as psychopathological problems, such as depression, anxiety, and impulsiveness. Materials and Methods: This study was carried out using the Korean Children and Youth Panel Survey 2019 conducted by the National Youth Policy Institute. The total number of participants was 4656 youths (2290 in grade 5 and 2366 in grade 8), and the dependent and independent variables were smartphone addiction in children and parents, respectively. Multiple regression analysis was conducted by Stata 15.0 SE. Results: First, the level of parents' smartphone addiction affected that of children and adolescents. Second, the children's and adolescents' age affected the level of smartphone addiction, while their gender did not affect it. Third, the relationship between the levels of parents' and children's smartphone addiction was not moderated by the genders and ages of the children and adolescents. Conclusions: It was confirmed that as parents' smartphone addiction increased, that of children increased, and smartphone addiction was found to increase in the second grade of middle school (12 years old) rather than grade 5 of elementary school (10 years old). Parents' and children's smartphone addiction was not moderated by children's and adolescents' gender and age.
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Affiliation(s)
- Hye-Gyeong Son
- College of Nursing, Kosin University, Busan 49104, Korea;
| | - Heeran J. Cho
- Department of Health Administration, Yonsei University, Seoul 03021, Korea
- Correspondence:
| | - Kyu-Hyoung Jeong
- Department of Social Welfare, Semyung University, Jecheon 27136, Korea;
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Tang ACY, Lee RLT. Effects of a group mindfulness-based cognitive programme on smartphone addictive symptoms and resilience among adolescents: study protocol of a cluster-randomized controlled trial. BMC Nurs 2021; 20:86. [PMID: 34090443 PMCID: PMC8180053 DOI: 10.1186/s12912-021-00611-5] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/07/2021] [Accepted: 05/25/2021] [Indexed: 12/02/2022] Open
Abstract
Background Smartphone addiction in adolescent is a significant global health issue since the last decade. Evidence has shown that the uncontrolled use of smartphone would lead to undesirable impact on their growth and development. However, evidence-based interventions to manage adolescents’ smartphone addictive behaviors is lacking. The proposed study aims to examine the effect of a group mindfulness-based cognitive programme(MBCP) on resilience, smartphone behavior and addictive symptoms in young adolescents. Methods It is an open-label, parallel-group, cluster-randomized controlled trial with repeated measurement analysis. Four primary schools in Hong Kong will be recruited and randomly allocated in a ratio of 1:1 to the intervention/control group. A convenience sample of 240 class level 5 primary school students, 60 from each school, will be recruited. Participants in the intervention group will receive a 12-week MBCP which comprises 90-minute supervised practice at school and daily home practice. Resilience will be measured by Connor-Davidson Resilience Scale – 25 (Chinese version); smartphone behavior will be represented by time spent/day using the smartphone and types of functions used; addictive symptoms will be measured by Smartphone Addiction Scale-Short Version (Chinese Version). Baseline assessment(T0) will be conducted before the intervention starts. Post-tests will be conducted in weeks 4, 8, 12 of the intervention, and 3 months follow-up. Intention-to-Treat analysis will be applied to the variables. Generalized Estimating Equation model will be used to compare differences in resilience scores, smartphone behavior and addiction scores between and within groups, adjusted for socio-demographic factors. P < 0.05 with two-tailed test will be regarded as significance. Discussion It is expected that adolescents will demonstrate better resilience and lesser smartphone addictive symptoms after joining the MBCP. The study will be the first provided empirical evidence to support the promising application of MBCP to manage smartphone use among adolescents. It introduces community stakeholders including community nurses a non-invasive and simple-to-administer intervention to tackle problematic smartphone use among adolescent clients. Trial registration Chinese Clinical Trial Registry, ChiCTR2000033273, Registered on 26 May 2020.
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Affiliation(s)
| | - Regina Lai Tong Lee
- School of Nursing and Midwifery, Faculty of Health and Medicine, The University of Newcastle, 2308, Callaghan, New South Wales, Australia
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