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Alwazzeh M, Harfouch M, Hasan MA, Alqatari S, AlSaid AH, Alwazzeh MJ. Clinical Manifestations' Spectrum of Smartphone Addiction: Moving from an Addiction toward a Clinical Syndrome. Clin Pract Epidemiol Ment Health 2024; 20:e17450179295575. [PMID: 39130188 PMCID: PMC11311730 DOI: 10.2174/0117450179295575240520064919] [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: 11/29/2023] [Revised: 04/02/2024] [Accepted: 04/17/2024] [Indexed: 08/13/2024]
Abstract
Background Smartphone addiction is an emerging type of addiction in the digital era, characterized by smartphone dependence that negatively affects human health with a wide range of psychological and physical manifestations. Objective This study aimed to evaluate the detailed clinical manifestations of smartphone addiction as a delineated clinical syndrome. Methods A cross-sectional study design was employed to assess smartphone addiction prevalence and its health impacts among Syrian undergraduates using the Smartphone Addiction Scale-Short Version (SAS-SV 2013), the Kessler psychological distress scale (K-6), and a comprehensive assessment of the clinical manifestations frequently linked to smartphone addiction in the literature. Different statistical modeling techniques were applied; a P value of < .05 was considered statistically significant. Results Of 1532 invited undergraduates, 1401 (91.45%) completed the assessment adequately. Most participants were females (59.7%) and below 23 years of age (73.2%). The prevalence of smartphone addiction was 67.80%; statistically significant smartphone addiction associations were revealed with psychological distress (P < .0001) with odds ratios of 3.308. Most screened physical manifestations also showed a significant association with smartphone addiction. Conclusion A high prevalence of smartphone addiction was observed with a broad spectrum of associated mental and physical manifestations. As smart device addiction becomes a global health concern, combining the clinical findings reported in the related literature into one clinical identity is necessary to develop a holistic management approach for the delineated clinical syndrome.
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Affiliation(s)
- Mudar Alwazzeh
- Department of Internal Medicine, Faculty of Medicine, Al Andalus University for Medical Sciences, Tartus, Syria
| | - Muhdammad Harfouch
- Department of Internal Medicine, Faculty of Medicine, Al Andalus University for Medical Sciences, Tartus, Syria
| | - Manal Ahmed Hasan
- Division of Rheumatology, Department of Internal Medicine, Imam Abdulrahman Bin Faisal University, King Fahad Hospital of the University, Al-Khobar, Saudi Arabia
| | - Safi Alqatari
- Division of Rheumatology, Department of Internal Medicine, Imam Abdulrahman Bin Faisal University, King Fahad Hospital of the University, Al-Khobar, Saudi Arabia
| | - Abir Hamad AlSaid
- Division of Respiratory Medicine, Department of Internal Medicine, Faculty of Medicine, Imam Abdulrahman Bin Faisal University, King Fahad Hospital of the University, Al-Khobar, Saudi Arabia
| | - Marwan Jabr Alwazzeh
- Division of Infectious Diseases, Department of Internal Medicine, Faculty of Medicine, Imam Abdulrahman Bin Faisal University, King Fahad Hospital of the University, Al-Khobar, Saudi Arabia
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Mubaraki AA, Alharthi TS, Alkhoshi RM, Alamri SA, Alhunbusi SK, Altwiraqi RM. Association Between Smartphone Usage and Primary Headaches in Taif, Saudi Arabia: A Hospital-Based Study. Cureus 2024; 16:e53859. [PMID: 38465129 PMCID: PMC10924665 DOI: 10.7759/cureus.53859] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 02/08/2024] [Indexed: 03/12/2024] Open
Abstract
Background Integrating smartphones into human life has transformed various daily activities. Numerous symptoms, including headaches, have been linked to smartphone use. The excessive use of these devices raises significant health concerns. This study aimed to investigate the relationship between smartphone use and the progression, type, and severity of primary headaches, as well as the necessity for both abortive and prophylactic medications in treating such conditions. Materials and methods In this study, we utilized a cross-sectional survey involving 403 participants aged 14 years and older, all experiencing primary headaches and seeking care at three governmental hospitals in Taif, Saudi Arabia. The participants were divided into two groups based on their smartphone usage: high and low smartphone users. Data were collected through a hospital-based questionnaire administered across the three centers. Descriptive analysis and Pearson chi-square tests were conducted using IBM SPSS Statistics for Windows, Version 21 (released 2012; IBM Corp., Armonk, New York, United States). Results Of the participants, 128 (31.8%) were classified as low users, while 275 (68.2%) were identified as high users. The most frequently reported type of headache was undiagnosed headache, among 109 (27%), followed by migraine, at 86 (21.3%). Headaches were severe in 112 (40.9%) of cases and moderate in 134 (48.9%) of users. Around 62 (72.1%) of participants diagnosed with migraine reported a severe impact on their daily lives. In terms of medication usage, 166 (60.6%) of participants reported consuming zero to five pills monthly, while 52 (19%) reported taking more than 10 pills monthly. Additionally, 58 (21.2%) of participants utilized prophylactic medications. Conclusion No significant association was observed between smartphone use and the impact of headaches. Notably, pain severity was higher among low smartphone users who reported a high intake of medications. Migraine was the most severe and intense headache type. On average, the participants consumed fewer than five pills per month.
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Affiliation(s)
- Adnan A Mubaraki
- Department of Medicine, Faculty of Medicine, Taif University, Taif, SAU
| | - Taif S Alharthi
- Department of Medicine, Faculty of Medicine, Taif University, Taif, SAU
| | - Razan M Alkhoshi
- Department of Medicine, Faculty of Medicine, Taif University, Taif, SAU
| | - Shahad A Alamri
- Department of Medicine, Faculty of Medicine, Taif University, Taif, SAU
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Bag A, Bhoi SK, Jha M, Palo GD. Sleep quality evaluation, correlation with headache frequency, and propensity to conversion from episodic to chronic daily headache in migraine patients: A cross-sectional study. J Neurosci Rural Pract 2023; 14:70-77. [PMID: 36891094 PMCID: PMC9943944 DOI: 10.25259/jnrp-2022-2-28] [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: 09/13/2022] [Accepted: 09/20/2022] [Indexed: 12/23/2022] Open
Abstract
Objective The aim of the study was to determine the association between sleep quality with headache frequency in migraine patients and also to evaluate migraine trigger and non-headache symptoms in episodic and chronic migraine groups and evaluation of the same in poor and good sleepers (GSs) in migraine population. Materials and Methods In a cross-sectional and observational study in a tertiary care hospital of East India between January 2018 and September 2020, migraine patients were evaluated. Migraine patients were divided into two groups: Episodic migraine (EM) and chronic migraine (CM) group according to ICHD 3 b classification and into poor sleepers (PSs, Global Pittsburgh Sleep Quality Index [PSQI] >5) and GSs (Global PSQI ≤5). Sleep was evaluated using PQSI - a self-rated questionnaire and disease pattern, associated non-headache symptoms, and triggers were evaluated in between groups. Demographic, headache character, and sleep parameters including seven "component" scores: Subjective sleep quality, sleep latency, sleeps duration, habitual sleep efficiency, sleep disturbances, use of sleeping medication, and daytime dysfunction and global PQSI were compared between groups (EM and CM). Similar parameters were also compared between PSs and GSs group. Statistical analysis was performed using the χ2 test for categorical variables and the t-test and Wilcoxon rank-sum test for continuous variables. Correlation between two normally distributed numerical was tested by Pearson correlation coefficient assessment. Results One hundred migraine patients were analyzed, among which 57 were PSs and 43 were GSs and 51 patients had EM and 49 patients had CM. Moderately significant "r" value noted in between headache frequency and global PQSI score (r = 0.45, P < 0.01). In non-headache symptoms, blurring of vision (EM 8 [16%] and CM 16 [33%] P = 0.05), nasal congestion (EM - 3 [6%] and CM - 12 [24%], P = 0.01), and cervical muscle tenderness (EM- 23 [45%] and CM - 34 [69%], P = 0.01) were more prevalent in chronic headache group along with allodynia (EM - 11 [22%] and CM - 25 [51%], P < 0.01). Conclusion Chronic headache group had poor subjective sleep quality, increased sleep latency, decreased sleep duration, decreased sleep efficiency, and increased sleep disturbance in comparison to episodic group which has therapeutic implication. The non-headache symptoms which are more prevalent in CM patients increase the overall disability.
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Affiliation(s)
- Arijit Bag
- Department of Neurology, All India Institute of Medical Sciences, Bhubaneswar, Odisha, India
| | - Sanjeev Kumar Bhoi
- Department of Neurology, All India Institute of Medical Sciences, Bhubaneswar, Odisha, India
| | - Menka Jha
- Department of Neurology, All India Institute of Medical Sciences, Bhubaneswar, Odisha, India
| | - Gayatri Devi Palo
- Department of Neurology, All India Institute of Medical Sciences, Bhubaneswar, Odisha, India
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Butt M, Chavarria Y, Ninmol J, Arif A, Tebha SS, Daniyal M, Siddiqui UM, Shams SS, Sarfaraz Q, Haider SF, Essar MY. Association of increased pain intensity, daytime sleepiness, poor sleep quality, and quality of life with mobile phone overuse in patients with migraine: A multicenter, cross-sectional comparative study. Brain Behav 2022; 12:e2760. [PMID: 36128652 PMCID: PMC9575598 DOI: 10.1002/brb3.2760] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/24/2022] [Accepted: 08/17/2022] [Indexed: 11/23/2022] Open
Abstract
BACKGROUND The number of regular smartphone users has increased dramatically worldwide. Headaches, followed by sleep difficulties, forgetfulness, dizziness, and other ailments, are among the most prevalent complaints among smartphone users during or after use. In addition, migraine is a debilitating disease and is the world's second leading cause of disability. Hence, we performed this study to determine how smartphone overuse influenced migraine patients' level of disability, pain intensity, sleep quality, and overall quality of life. METHODS In this observational study, the patients were divided into two groups high mobile phone use group (HMPUG) and the low mobile phone user group (LMPUG) using the Mobile Phone Problematic Use Scale. We assessed, for each group, patients' level of disability, pain intensity, sleep quality, daytime sleepiness, and quality of life through the Migraine Disability Assessment Scale, Visual Analogue Scale, Pittsburgh Sleep Quality Index, Epworth Sleepiness Scale, and 24-h Migraine Quality of Life Questionnaire, respectively. RESULTS Our study showed that the respondents' average age was 27.59 (9.79) years. The average number of family members was 5.98 (2.3251). A total of 65.8% (n = 263) of the 400 participants were female, while 34.3 % (n = 137) were male. Greater pain intensity, poor sleep quality, and reduced medication effectivity were found in HMPUG compared to LMPUG (p < .05). However, increased duration of migraine and medication intake was reported in the LMPUG (p < .05). CONCLUSION We observed that smartphone overuse could worsen pain, sleep, and reduce treatment efficacy in individuals with migraine. Therefore, controlled smartphone use is recommended to avoid worsening symptoms.
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Affiliation(s)
- Mehwish Butt
- Department of Neurosurgery and NeurologyJinnah Medical and Dental CollegeKarachiSindhPakistan
| | - Yeny Chavarria
- Department of NeurologyUniversity of CaliforniaIrvineCalifornia
| | - Jesse Ninmol
- Department of Public HealthUniversity of CaliforniaBerkeleyCalifornia
| | - Aabiya Arif
- Department of MedicineZiauddin UniversityKarachiSindhPakistan
| | - Sameer Saleem Tebha
- Department of Neurosurgery and NeurologyJinnah Medical and Dental CollegeKarachiSindhPakistan
| | - Muhammad Daniyal
- Department of StatisticsThe Islamia University of BahawalpurBahawalpurPunjabPakistan
| | - Umesa Mazhar Siddiqui
- Department of Neurosurgery and NeurologyJinnah Medical and Dental CollegeKarachiSindhPakistan
| | - Syeda Samia Shams
- Department of Neurosurgery and NeurologyJinnah Medical and Dental CollegeKarachiSindhPakistan
| | - Qubra Sarfaraz
- Department of Neurosurgery and NeurologyJinnah Medical and Dental CollegeKarachiSindhPakistan
| | - Syeda Fatima Haider
- Department of Neurosurgery and NeurologyJinnah Medical and Dental CollegeKarachiSindhPakistan
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Internet Addiction and Screen Time Exposure Among Children with Migraine. Indian J Pediatr 2022; 89:627. [PMID: 35349035 DOI: 10.1007/s12098-022-04114-2] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/15/2021] [Accepted: 12/24/2021] [Indexed: 11/05/2022]
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Karvounides D, Marzouk M, Ross AC, VanderPluym JH, Pettet C, Ladak A, Ziplow J, Patterson Gentile C, Turner S, Anto M, Barmherzig R, Chadehumbe M, Kalkbrenner J, Malavolta CP, Clementi MA, Gerson T, Szperka CL. The intersection of COVID-19, school, and headaches: Problems and solutions. Headache 2021; 61:190-201. [PMID: 33382459 PMCID: PMC8086994 DOI: 10.1111/head.14038] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/20/2020] [Revised: 10/12/2020] [Accepted: 11/12/2020] [Indexed: 12/21/2022]
Abstract
OBJECTIVE To equip clinicians with recommendations specific to concerns related to the novel coronavirus disease 2019 (COVID-19), which impact the physical, emotional, and social health of youth with headache disorders. BACKGROUND COVID-19 has affected societies on a global scale including children and youth with chronic headache disorders. Many concerns are predicted to arise in the 2020-2021 school year, whether classes are conducted in-person or virtually. METHODS Clinical impressions were combined with a review of the literature, although limited due to the recent nature of this issue. RESULTS We describe recommendations to support caregivers and youth as they face changes expected with the return to school in the fall of 2020. CONCLUSION Although there are significant concerns for caregivers and youth with migraine given the context of changes related to the pandemic, there are many recommendations that can help minimize exacerbations of the physical, emotional, and social health of youth with chronic migraine.
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Affiliation(s)
- Dina Karvounides
- Division of Neurology, Children's Hospital of Philadelphia, Philadelphia, PA, USA
| | - Maya Marzouk
- Division of Neurology, Children's Hospital of Philadelphia, Philadelphia, PA, USA
- Ferkauf Graduate School of Psychology, Yeshiva University, New York, NY, USA
| | - Alexandra C Ross
- UCSF Benioff Children's Hospital, University of California, San Francisco, CA, USA
| | | | | | - Ali Ladak
- Penn Therapy & Fitness, University City, Philadelphia, PA, USA
| | - Jason Ziplow
- Division of Neurology, Children's Hospital of Philadelphia, Philadelphia, PA, USA
| | - Carlyn Patterson Gentile
- Division of Neurology, Children's Hospital of Philadelphia, Philadelphia, PA, USA
- Department of Neurology, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA, USA
- Department of Pediatrics, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA, USA
| | - Scott Turner
- Department of Neurology, University of Alabama at Birmingham, School of Medicine, Birmingham, AL, USA
| | - Marissa Anto
- Division of Neurology, Children's Hospital of Philadelphia, Philadelphia, PA, USA
| | - Rebecca Barmherzig
- Division of Neurology, Children's Hospital of Philadelphia, Philadelphia, PA, USA
| | - Madeline Chadehumbe
- Division of Neurology, Children's Hospital of Philadelphia, Philadelphia, PA, USA
- Department of Neurology, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA, USA
- Department of Pediatrics, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA, USA
| | - Jocelyn Kalkbrenner
- Division of Neurology, Children's Hospital of Philadelphia, Philadelphia, PA, USA
| | - Carrie P Malavolta
- Division of Neurology, Children's Hospital of Philadelphia, Philadelphia, PA, USA
| | - Michelle A Clementi
- Department of Psychiatry, University of Colorado Anschutz Medical Campus and Children's Hospital Colorado, Aurora, CO, USA
- Department of Pediatrics, University of Colorado Anschutz Medical Campus and Children's Hospital Colorado, Aurora, CO, USA
| | - Trevor Gerson
- Division of Child Neurology, Children's Mercy Hospital, University of Missouri-Kansas City School of Medicine, Kansas City, MO, USA
| | - Christina L Szperka
- Division of Neurology, Children's Hospital of Philadelphia, Philadelphia, PA, USA
- Department of Neurology, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA, USA
- Department of Pediatrics, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA, USA
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Moawad H, Jones E. Smartphone use and headaches: Are we ready to accept a link? Neurol Clin Pract 2020; 10:467-468. [PMID: 33524074 PMCID: PMC7837429 DOI: 10.1212/cpj.0000000000000822] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Affiliation(s)
- Heidi Moawad
- Department of Medical Education (HM), Case Western Reserve University, Cleveland, Ohio; and SOC Telemed (EJ), Teleneurology, Reston, VA
| | - Elaine Jones
- Department of Medical Education (HM), Case Western Reserve University, Cleveland, Ohio; and SOC Telemed (EJ), Teleneurology, Reston, VA
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Vibha D. Author response: Smartphone use and primary headache: A cross-sectional hospital-based study. Neurol Clin Pract 2020; 10:e51. [PMID: 33520417 PMCID: PMC7837444 DOI: 10.1212/cpj.0000000000000998] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
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Jacob J. Reader response: Smartphone use and primary headache: A cross-sectional hospital-based study. Neurol Clin Pract 2020; 10:e51. [PMID: 33524075 PMCID: PMC7837441 DOI: 10.1212/cpj.0000000000000997] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
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Vibha D, Srivastava MVP, Prasad K, Tripathi M, Srivastava AK, Bhatia R, Singh MB, VY V, Rajan R, Pandit AK, Singh RK, Das A, Gupta A, Elavarasi A, MR D, Ramanujam B, Shariff A. Connecting in COVID 19: Neurology telephonic-follow-up experience in the pandemic (Preprint). JMIR Form Res 2020. [DOI: 10.2196/24262] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
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