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Vagka E, Gnardellis C, Lagiou A, Notara V. Smartphone Use and Social Media Involvement in Young Adults: Association with Nomophobia, Depression Anxiety Stress Scales (DASS) and Self-Esteem. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2024; 21:920. [PMID: 39063496 PMCID: PMC11277010 DOI: 10.3390/ijerph21070920] [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: 06/13/2024] [Revised: 07/11/2024] [Accepted: 07/12/2024] [Indexed: 07/28/2024]
Abstract
Excessive smartphone use and dependence on social media give rise to multiple issues that negatively affect the overall well-being of individuals. Nomophobia is characterized as a "digital disease" due to the unlimited use of smartphone devices. The aim of this study is to examine smartphone use and social media involvement in association with nomophobia and psychological traits (i.e., depression, anxiety, stress, and self-esteem) of young adults. A cross-sectional investigation was conducted on 1408 Greek undergraduate students aged 18 to 25 years, using an anonymous self-reported questionnaire. Study data were collected through the Nomophobia Questionnaire (NMP-Q), Depression Anxiety Stress Scale (DASS-21), and Rosenberg Self-Esteem Scale (RSES). Participants' social media engagement was summarized through four variables: use of social media applications, number of friends, number of followers, and number of messages exchanged daily on social media. High levels of nomophobia were associated with high engagement in social media and, thereby, with a high number of friends. The same applies to participants with high/normal self-esteem compared to those with low. Regarding stress, anxiety and depression were not associated with digital network use, while elevated stress and anxiety seemed to play a negative role in the number of online followers. In addition, high levels of anxiety were correlated to an increased number of messages exchanged through social media applications.
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Affiliation(s)
- Elissavet Vagka
- Department of Public and Community Health, School of Public Health, University of West Attica, 12243 Athens, Greece; (E.V.); (A.L.); (V.N.)
| | - Charalambos Gnardellis
- Department of Fisheries and Aquaculture, School of Agricultural Sciences, University of Patras, 30200 Messolonghi, Greece
| | - Areti Lagiou
- Department of Public and Community Health, School of Public Health, University of West Attica, 12243 Athens, Greece; (E.V.); (A.L.); (V.N.)
| | - Venetia Notara
- Department of Public and Community Health, School of Public Health, University of West Attica, 12243 Athens, Greece; (E.V.); (A.L.); (V.N.)
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Wicaksono YI, Maramis MM. The relationship between self-efficacy and locus of control in medical students related to nomophobia tendency. Australas Psychiatry 2023; 31:746-750. [PMID: 37990509 DOI: 10.1177/10398562231209826] [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] [Indexed: 11/23/2023]
Abstract
BACKGROUND The purpose of this study was to investigate the relation of self-efficacy and locus of control on nomophobia in medical students. METHODS This is a cross-sectional study of Indonesian medical students that employs correlational statistical analysis methods. The research instrument included the General Self-Efficacy Scale (GSES), the Internality Powerful-Others Chance (IPC) Levenson Multidimensional Locus of Control Scales, and the Nomophobia Questionnaire (NMP-Q). RESULTS The majority of the 388 subjects had high self-efficacy, used an internal locus of control, and were moderately nomophobia. The mixed locus of control had the greatest effect on the tendency of severe nomophobia (p < .05, OR=3.02 [CI 1.01-90.8]). CONCLUSION In general, self-efficacy and external locus of control have a significant influence on the tendency of severe nomophobia with weak relationship strength. For the positive goal, a smartphone balance was required so that the smartphone had no negative impact.
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Affiliation(s)
- Yunatan Iko Wicaksono
- Department of Psychiatry, Faculty of Medicine, Universitas Airlangga, Surabaya, Indonesia - Dr. Soetomo General Hospital, Surabaya, Indonesia
| | - Margarita Maria Maramis
- Division of Biological Psychiatry and Neuroscience, Department of Psychiatry, Faculty of Medicine, Universitas Airlangga, Surabaya, Indonesia - Dr. Soetomo General Hospital, Surabaya, Indonesia
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Alkalash SH, Aldawsari AK, Alfahmi SS, Babukur AO, Alrizqi RA, Salaemae KF, Al-Masoudi RO, Basamih KA. The Prevalence of Nomophobia and Its Impact on Academic Performance of Medical Undergraduates at the College of Medicine, Umm Al-Qura University, Makkah City, Saudi Arabia. Cureus 2023; 15:e51052. [PMID: 38269229 PMCID: PMC10805678 DOI: 10.7759/cureus.51052] [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] [Accepted: 12/24/2023] [Indexed: 01/26/2024] Open
Abstract
BACKGROUND Nomophobia, or no mobile phone phobia, is a term used to describe psychological conditions when people fear being without a mobile phone. OBJECTIVES This study aimed to measure the prevalence of nomophobia, its associated factors, and its impact on the academic performance of medical undergraduates at Umm Al-Qura University (UQU), Makkah City, Saudi Arabia. METHODS A descriptive cross-sectional study included a simple random sample of 595 medical undergraduates. The study administered the Nomophobia Questionnaire, which had been validated in previous articles, using an interview-based model. The collected data were reviewed and entered into the IBM SPSS Statistics for Windows, Version 26 (Released 2019; IBM Corp., Armonk, New York) for analysis. RESULTS A total of 595 medical students were included in this study. Most of them (99%, n = 589) had different degrees of nomophobia, while only a small percentage (1%, n = 6) did not exhibit it. The younger medical students (18-19 years old) showed significantly higher percentages of moderate to severe nomophobia in comparison to older students (P = 0.028), while there was no significant relationship between nomophobia and academic performance, despite the fact that 128 (77.1%) of students with severe nomophobia had grade point averages (GPAs) of 3.5-4.0, compared to 244 (69.1%) of students with moderate nomophobia (P = 0.150). CONCLUSIONS This study concludes that the prevalence rate of nomophobia is generally high among medical undergraduates at UQU in Makkah City, Saudi Arabia. This disorder was detected more among younger medical undergraduates, with no significant effects on their academic performance. It is mandatory to conduct more studies with larger sample sizes of different university students (medical and non-medical) to identify factors that lead to the development of nomophobia. Qualitative research among groups of university students will add more deep information about this disorder. Health education programs should be designed and targeted at university students, focusing on the harmful health effects of excessive use of mobile phones and measures to prevent this disorder.
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Affiliation(s)
- Safa H Alkalash
- Community Medicine and Health Care, Umm Al-Qura University, Al-Qunfudah, SAU
- Family Medicine, Menoufia University, Shebin Elkom, EGY
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Gnardellis C, Vagka E, Lagiou A, Notara V. Nomophobia and Its Association with Depression, Anxiety and Stress (DASS Scale), among Young Adults in Greece. Eur J Investig Health Psychol Educ 2023; 13:2765-2778. [PMID: 38131890 PMCID: PMC10743171 DOI: 10.3390/ejihpe13120191] [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: 10/06/2023] [Revised: 11/21/2023] [Accepted: 11/24/2023] [Indexed: 12/23/2023] Open
Abstract
Smartphones with their numerous applications have become essential daily equipment, prompting scientific research to deal with the impact of their use on psychosocial health. Under this spectrum, the aim of the present cross-sectional study was to examine the association between nomophobia and the negative emotional states of depression, anxiety, and stress, in relation to self-esteem and sociodemographic data, among the young adult population. The study sample consisted of 1408 young adults aged 18-25 years, participating on a voluntary basis with an online anonymous questionnaire. Data were collected through the "Nomophobia Questionnaire (NMP-Q)", "Depression Anxiety Stress Scales-short form (DASS-21)", and Rosenberg Self-Esteem Scale (RSES). The questionnaire also included socio-demographic characteristics and smartphone use variables. Data analysis showed that women were identified with severe depression and stress to a greater extent than men (63.3% vs. 55.1% for depression and 18.1% vs. 13.8% for stress scale). With respect to nomophobia, participants with severe levels of nomophobia also exhibited severe levels of negative emotional states in all DASS components, i.e., 40.6% in depression, 73.7% in anxiety, and 32.7% in stress (all p values < 0.001). Participants with severe levels of depression and anxiety were very often checking their phone and used it in all daily activities. Moreover, correlation analysis revealed that self-esteem had a moderating effect on the relationship between nomophobia and DASS, a fact that modifies the association between the involved variables: stronger relationships appeared between nomophobia and DASS components in individuals with normal/high self-esteem than in individuals with low self-esteem.
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Affiliation(s)
- Charalambos Gnardellis
- Department of Fisheries and Aquaculture, School of Agricultural Sciences, University of Patras, 30200 Messolonghi, Greece
| | - Elissavet Vagka
- Department of Public and Community Health, School of Public Health, University of West Attica, 12243 Athens, Greece; (E.V.); (A.L.); (V.N.)
| | - Areti Lagiou
- Department of Public and Community Health, School of Public Health, University of West Attica, 12243 Athens, Greece; (E.V.); (A.L.); (V.N.)
| | - Venetia Notara
- Department of Public and Community Health, School of Public Health, University of West Attica, 12243 Athens, Greece; (E.V.); (A.L.); (V.N.)
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Vagka E, Gnardellis C, Lagiou A, Notara V. Prevalence and Factors Related to Nomophobia: Arising Issues among Young Adults. Eur J Investig Health Psychol Educ 2023; 13:1467-1476. [PMID: 37623304 PMCID: PMC10453636 DOI: 10.3390/ejihpe13080107] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/01/2023] [Revised: 07/22/2023] [Accepted: 08/09/2023] [Indexed: 08/26/2023] Open
Abstract
Nomophobia is characterized as apprehension of being apart from smartphone, which causes the user to seek proximity with the device. The purpose of this study was to explore the prevalence and factors associated to nomophobia among young adults in Athens, the capital city of Greece. A cross-sectional study was performed on a sample of 1408 young adults aged 18-25 years. The questionnaire was anonymous, including the socio-demographic characteristics of the participants, the smartphone uses, and the nomophobia questions. Statistical analyses were done by simple univariable techniques or modeling the data through generalized linear models. Almost all participants (99.9%) exhibited any level of nomophobia, with the moderate level prevailing (57.0%). Women and non-working participants were more likely to exhibit severe nomophobia (adj PR = 1.57) and any level of nomophobia was 30% higher among the participants whose father had no academic degree (p = 0.029). In addition, 59% of those with severe nomophobia had very frequent phone checking (p < 0.001) while 45.8% with any level of nomophobia reported a negative influence on their academic performance. Attention should be paid to early prevention through the development of integrated health promotion programs.
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Affiliation(s)
- Elissavet Vagka
- Department of Public and Community Health, School of Public Health, University of West Attica, 12243 Athens, Greece; (E.V.); (A.L.); (V.N.)
| | - Charalambos Gnardellis
- Department of Fisheries and Aquaculture, School of Agricultural Sciences, University of Patras, 30200 Messolonghi, Greece
| | - Areti Lagiou
- Department of Public and Community Health, School of Public Health, University of West Attica, 12243 Athens, Greece; (E.V.); (A.L.); (V.N.)
| | - Venetia Notara
- Department of Public and Community Health, School of Public Health, University of West Attica, 12243 Athens, Greece; (E.V.); (A.L.); (V.N.)
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Al-Mamun F, Mamun MA, Prodhan MS, Muktarul M, Griffiths MD, Muhit M, Sikder MT. Nomophobia among university students: Prevalence, correlates, and the mediating role of smartphone use between Facebook addiction and nomophobia. Heliyon 2023; 9:e14284. [PMID: 36942222 PMCID: PMC10023918 DOI: 10.1016/j.heliyon.2023.e14284] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/21/2022] [Revised: 02/16/2023] [Accepted: 02/28/2023] [Indexed: 03/08/2023] Open
Abstract
Nomophobia ('no mobile phone phobia') has been growing issue worldwide in recent years and has been associated with a number of psychological and behavioral health-related problems. However, few studies have examined nomophobia in Bangladesh. Therefore, the severity and correlates of nomophobia, and the mediating role of smartphone use between Facebook addiction and nomophobia was investigated. A cross-sectional study utilizing 585 university students was conducted employing a convenience sampling method. Data were collected using a survey in March 2022. The survey comprised questions related to socio-demographics, behavioral health, academic performance, nomophobia, smartphone addiction, Facebook addiction, insomnia, and depression. The mean score of nomophobia was 88.55 out of 140 (±21.71). The prevalence was 9.4% for mild nomophobia, 56.1% for moderate nomophobia, and 34.5% for severe nomophobia. First-year students had higher levels of nomophobia than other years. Significant predictors for nomophobia included daily duration of smartphone time, psychoactive substance use, and being in a relationship. Nomophobia was significantly associated with smartphone addiction, Facebook addiction, insomnia, and depression. Moreover, smartphone addiction significantly mediated the relationship between Facebook addiction and nomophobia. Strategies that help reduce daily smartphone time, and reduce psychoactive substance use might help reduce nomophobia prevalence among university students.
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Affiliation(s)
- Firoj Al-Mamun
- CHINTA Research Bangladesh, Savar, Dhaka, 1342, Bangladesh
- Department of Public Health and Informatics, Jahangirnagar University, Savar, Dhaka, 1342, Bangladesh
- Department of Public Health, University of South Asia, Dhaka, Bangladesh
- Corresponding author. CHINTA Research Bangladesh, Savar, Dhaka, 1342, Bangladesh.
| | - Mohammed A. Mamun
- CHINTA Research Bangladesh, Savar, Dhaka, 1342, Bangladesh
- Department of Public Health and Informatics, Jahangirnagar University, Savar, Dhaka, 1342, Bangladesh
| | | | - Md. Muktarul
- Department of Public Health and Informatics, Jahangirnagar University, Savar, Dhaka, 1342, Bangladesh
| | - Mark D. Griffiths
- Psychology Department, Nottingham Trent University, 50 Shakespeare Street, Nottingham, NG1 4FQ, United Kingdom
| | - Mohammad Muhit
- Department of Public Health, University of South Asia, Dhaka, Bangladesh
| | - Md. Tajuddin Sikder
- Department of Public Health and Informatics, Jahangirnagar University, Savar, Dhaka, 1342, Bangladesh
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Ren S, Liu T, Zhao X, Yang H, Elhai JD. Is Nomophobia Problematic or Functional? A Perspective from Bifactor Structure. Int J Ment Health Addict 2023:1-20. [PMID: 36811078 PMCID: PMC9934512 DOI: 10.1007/s11469-023-01030-0] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Accepted: 02/07/2023] [Indexed: 02/18/2023] Open
Abstract
With the extensive use of mobile phones globally, some people engage in excessive or problematic phone use behaviors. However, little is known regarding the latent structure of problematic mobile phone use. The current study employed the Chinese versions of the Nomophobia Questionnaire, Mobile Phone Addiction Tendency Scale, and Depression-Anxiety-Stress Scale-21 to explore the latent psychological structure of problematic mobile phone use and nomophobia and their associations with mental health symptoms. Results showed that a bifactor latent model best fit nomophobia, which contained a general factor and four unique factors involving the fear of being unable to access information, losing convenience, losing contact, and losing one's Internet connection. Results also showed significant correlations among latent factors of nomophobia, problematic mobile phone use, and mental health symptoms. Through these findings, we can conclude that two problematic mobile phone use behaviors share a common factor concerning excessive use, and nomophobia has independent unique factors concerning usable function. This study clarifies the structure of problematic mobile phone use, and it implies that we can distinguish problematic mobile phone use from functional use; further investigation of problematic mobile phone use is warranted.
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Affiliation(s)
- Shixiu Ren
- Collaborative Innovation Center of Assessment for Basic Education Quality, Beijing Normal University, Beijing, P.R. China
- Faculty of Psychology, Tianjin Normal University, Tianjin, P.R. China
| | - Tour Liu
- Faculty of Psychology, Tianjin Normal University, Tianjin, P.R. China
- Key Research Base of Humanities and Social Sciences of the Ministry of Education, Academy of Psychology and Behavior, Tianjin Normal University, Tianjin, P.R. China
- Center of Collaborative Innovation for Assessment and Promotion of Mental Health, Tianjin Normal University, Tianjin, P.R. China
- 393 Binshui West Road, Xiqing District, 300387 Tianjin, China
| | - Xinlu Zhao
- Faculty of Psychology, Tianjin Normal University, Tianjin, P.R. China
| | - Haibo Yang
- Faculty of Psychology, Tianjin Normal University, Tianjin, P.R. China
- Key Research Base of Humanities and Social Sciences of the Ministry of Education, Academy of Psychology and Behavior, Tianjin Normal University, Tianjin, P.R. China
- Center of Collaborative Innovation for Assessment and Promotion of Mental Health, Tianjin Normal University, Tianjin, P.R. China
| | - Jon D. Elhai
- Department of Psychology, University of Toledo, Toledo, OH USA
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The Prevalence of Mild, Moderate, and Severe Nomophobia Symptoms: A Systematic Review, Meta-Analysis, and Meta-Regression. Behav Sci (Basel) 2022; 13:bs13010035. [PMID: 36661607 PMCID: PMC9854858 DOI: 10.3390/bs13010035] [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: 11/12/2022] [Revised: 12/22/2022] [Accepted: 12/26/2022] [Indexed: 01/03/2023] Open
Abstract
NOMOPHOBIA, or NO MObile PHone Phobia, refers to a psychological condition in which people fear being disconnected from their mobile phones. The purpose of this review was to establish the prevalence of nomophobia symptoms in youth and young adults according to severity, country, culture, population, measurement tool, and year of data collection. An electronic search of fourteen databases, two digital preservation services, and three content aggregator services was conducted from the inception of each database until 15 September 2021. A total of 52 studies involving 47,399 participants from 20 countries were included in the analyses. The prevalence of nomophobia was defined as the proportion of individuals scoring at or above established cut-offs on validated measures. Based on a random-effects meta-analysis, approximately 20% of individuals showed mild symptoms of nomophobia, 50% showed moderate symptoms, and 20% showed severe symptoms. Our results showed that university students from non-Western cultures are the most likely to suffer severe symptoms. In the year 2021, the prevalence rate of nomophobia increased. The instrument that was best able to detect nomophobia was the nomophobia questionnaire. Most individuals who own mobile phones experience mild or moderate symptoms of nomophobia. Severe symptoms deserve attention from clinicians and research scientists. A valid method of identifying individuals with a severe addiction to their mobile phones will help with timely and effective therapeutic management.
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Sleep Disorders and Their Associated Factors during the COVID-19 Pandemic: Data from Peruvian Medical Students. Medicina (B Aires) 2022; 58:medicina58101325. [PMID: 36295486 PMCID: PMC9610973 DOI: 10.3390/medicina58101325] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/04/2022] [Revised: 08/31/2022] [Accepted: 09/13/2022] [Indexed: 11/17/2022] Open
Abstract
Background and objectives: Sleep disorders are a common public health problem among college students. The objective of this study was to evaluate sleep quality and its associated factors in medical students during the COVID-19 pandemic. Materials and Methods: Cross-sectional analytical study—we conducted a secondary analysis of the survey “Nomophobia in medical students in Peru” database between 2020 and 2021. Sleep disturbances were assessed using the Pittsburgh Sleep Quality Index (PSQI). To evaluate associated factors, crude and adjusted prevalence ratios (aPR) and their 95% confidence intervals (95% CI) were calculated. Results: We analyzed data from 3139 participants from 18 cities in Peru (61.1% were women, median age: 22 years). 43.4% had a quality of sleep that could require medical attention; the PSQI dimension with the highest score was daytime dysfunction. The poor sleep quality was associated with symptoms of anxiety (aPR: 1.48; 95% CI: 1.27–1.72), depression (aPR: 2.03; 1.72–2.39), or nomophobia (aPR: 1.28; 1.09–1.51). Conclusions: Sleep disorders were a common problem among Peruvian medical students and were associated with anxiety, depression, or nomophobia symptoms.
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The effects of the nomophobic behaviors of emergency room nurses on their clinical decision-making perceptions: A cross-sectional study. COMPUTERS IN HUMAN BEHAVIOR 2022. [DOI: 10.1016/j.chb.2022.107478] [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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Kadiyala P, Dayala PP, Duggirala N, Busi S. Nomophobia among medical students before and after COVID-19 – A propensity score-matched study. ARCHIVES OF MENTAL HEALTH 2022. [DOI: 10.4103/amh.amh_115_22] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/12/2022] Open
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