scholarly journals Longitudinal relationships among problematic mobile phone use, bedtime procrastination, sleep quality and depressive symptoms in Chinese college students: a cross-lagged panel analysis

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Guanghui Cui ◽  
Yongtian Yin ◽  
Shaojie Li ◽  
Lei Chen ◽  
Xinyao Liu ◽  
...  

Abstract Background Cross-sectional and longitudinal studies have found that problematic mobile phone use, bedtime procrastination, sleep quality, and depressive symptoms are strongly associated. However, studies are inconsistent regarding whether problematic mobile phone use predicts depressive symptoms or vice versa, and sleep factors have been infrequently focused on in this regard. In addition, few studies have examined the longitudinal associations and directions of effects between these factors. Therefore, this study aims to explore the longitudinal relationship among problematic mobile phone use, bedtime procrastination, sleep quality, and depressive symptoms in college students. Methods Overall, 1181 college students completed questionnaires on problematic mobile phone use, bedtime procrastination, sleep quality, and depressive symptoms at two time points 12 months apart. A cross-lagged model was used to examine the longitudinal relationship between these factors. Results Cross-lagged analyses showed significant bidirectional relationships of problematic mobile phone use with bedtime procrastination and depressive symptoms. Additionally, there were also significant bidirectional relationships of sleep quality with bedtime procrastination and depressive symptoms. Problematic mobile phone use predicted subsequent sleep quality one-way, and bedtime procrastination predicted subsequent depressive symptoms one-way. Conclusions This study further expands our understanding of the longitudinal and bidirectional relationships among problematic mobile phone use, bedtime procrastination, sleep quality and depressive symptoms and helps school mental health educators design targeted interventions to reduce problematic mobile phone use, sleep problems, and depressive symptoms among college students.

2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Haibo Xie ◽  
Shuman Tao ◽  
Yukun Zhang ◽  
Fangbiao Tao ◽  
Xiaoyan Wu

Abstract Background Insufficient physical activity (IPA) and mobile phone dependence are common coexisting behaviors among college students. However, the impact of the synergies between the two behaviors on depression has yet to be validated. Therefore, this study evaluated independent and interactive associations of problematic mobile phone use (PMPU) and IPA with depression symptoms and increased depressive symptoms among Chinese college students. Methods In total, 2134 college students participated in this follow-up study, which was conducted between June 2014 (wave 1) and December 2014 (wave 2) at Anhui Medical University. The Self-rating Questionnaire for Adolescent Problematic Mobile Phone Use and the Center for Epidemiologic Studies Depression Scale were used to assess PMPU and depression symptoms, respectively. Physical activity (PA) was assessed with a reliable question from the Youth Risk Behavior Survey. Joint effects of PMPU and PA were calculated, and increased depressive symptoms were assessed. We used multivariable-adjusted odds ratios (OR) with 95% confidence intervals (CI) to evaluate associations between depression symptoms and PMPU, IPA, and the PMPU/IPA joint effect, estimated by binary logistic regression models. Results PMPU and high PMPU/IPA joint effect scores were significantly associated with depression symptoms in waves 1 (OR 7.36, 95% CI: 5.09, 10.66) and 2 (OR 3.74, 95% CI: 2.56, 5.48). IPA was significantly associated with depression symptoms in wave 1 (OR 1.40, 95% CI: 1.09, 1.79) but not wave 2 (OR 1.24, 95% CI: 0.95, 1.62). PMPU and high PMPU/IPA joint effect scores were also significantly associated with increased depressive symptoms (OR 2.36, 95% CI: 1.55, 3.60). Conclusions These results suggest that PMPU is an important factor for depression in college students, and IPA may be a synergistic factor.


2016 ◽  
Vol 25 (1) ◽  
pp. 103-112 ◽  
Author(s):  
Shuman Tao ◽  
Xiaoyan Wu ◽  
Shichen Zhang ◽  
Shilu Tong ◽  
Jiahu Hao ◽  
...  

Author(s):  
Wei Hong ◽  
Ru-De Liu ◽  
Yi Ding ◽  
Rui Zhen ◽  
Ronghuan Jiang ◽  
...  

Psychological needs dissatisfaction has been identified as hindering adaptive development, in which autonomy need dissatisfaction, as one core component, may be associated with adolescents’ maladaptive online behaviors. Sporadic research has examined the association between autonomy need dissatisfaction and problematic mobile phone use (PMPU). Boredom proneness and mobile phone gaming were suggested to be linked to this association. This study aimed to examine the mediating effects of boredom proneness and mobile phone gaming in the association between autonomy need dissatisfaction and PMPU. A total of 358 secondary school students completed questionnaires at three waves; autonomy need dissatisfaction was measured in time 1 (T1); boredom proneness and mobile phone gaming were measured one year later (time 2, T2); PMPU was measured two years later (time 3, T3). The structural equation model results showed that T1 autonomy need dissatisfaction not only directly predicted T3 PMPU, but also exerted effects via the mediating role of T2 boredom proneness and the chain mediating role of T2 boredom proneness and T2 mobile phone gaming. These findings reveal the unique role of specific psychological need in engaging PMPU, which provides support to targeted interventions, such that promoting autonomy need satisfaction may be an instrumental procedure to prevent adolescents from addiction-like online behaviors.


2020 ◽  
Author(s):  
Yang Xie ◽  
Ming Zhu ◽  
Xiaoyan Wu ◽  
Shuman Tao ◽  
Yajuan Yang ◽  
...  

Abstract Background: Previous researches have found a relationship between problematic mobile phone use (PMPU) and suicidality. However, few studies have examined the interaction effects between low physical activity (PA) and PMPU on suicidality among college students. This study aimed to examine the interactions of PA and PMPU and their impacts on suicidality in a school-based sample among Chinese college students. Methods: Analysis was based on data from two universities in China, which recruited 4,787 participants. Binary logistic regression models were used to explore the associations of PA, PMPU with suicidal ideation and suicide attempt, as well as the interactions of PA and PMPU on suicidality. Results: The prevalence of suicide attempt and suicidal ideation were 3.5% and 7.2%, respectively. Low PA was significantly associated with suicide attempt (OR=3.48, 95%CI: 2.52-4.81) and suicidal ideation (OR=1.90, 95%CI: 1.46-2.46). PMPU was significantly associated with suicide attempt (OR=3.65, 95%CI: 2.66-5.01) and suicidal ideation (OR=2.83, 95%CI: 2.25-3.54). Interaction analysis indicated that low PA and PMPU were interactively associated with suicide attempt (OR=9.51, 95%CI: 6.15-14.73), RERI=4.85(1.20-8.50), AP=0.51(0.29-0.73), SI=2.32(1.34-4.04). There were no additive interaction effects between PA and PMPU on suicidal ideation.Conclusions: The findings reveal that PA levels and PMPU should be considered in the intervention programs of suicide attempt among college students.


2020 ◽  
Author(s):  
Yang Xie ◽  
Ming Zhu ◽  
Xiaoyan Wu ◽  
Shuman Tao ◽  
Yajuan Yang ◽  
...  

Abstract Background Previous research has found a relationship between problematic mobile phone use (PMPU) and suicidality. However, few studies have examined the interaction effects between low physical activity (PA) and PMPU on suicidality among college students. This study aimed to examine the interactions of PA and PMPU and their impact on suicidality in a school-based sample among Chinese college students. Methods Analysis is based on date from two university in China, which recruited 4,787 participants. Binomial logistic regression models were used to explore the associations of PA, PMPU with suicidal ideation and suicide attempt, as well as the interaction of PA and PMPU with suicidality. Results The prevalence of suicide attempt and suicidal ideation were 3.5% and 7.2%, respectively. Low PA was significantly associated with suicide attempt (OR = 3.48, 95%CI: 2.52–4.81) and suicidal ideation (OR = 1.90, 95%CI: 1.46–2.46). PMPU was significantly associated with suicide attempt (OR = 3.65, 95%CI: 2.66–5.01) and suicidal ideation (OR = 2.83, 95%CI: 2.25–3.54). Interaction analysis indicated that low PA and PMPU were interactively associated with suicide attempt (OR = 9.51, 95%CI: 6.15–14.73, P < 0.001), RERI = 4.85(1.20–8.50), AP = 0.51(0.29–0.73), SI = 2.32(1.34–4.04). There was no additive interaction effects between PA and PMPU on suicidal ideation. Conclusions The findings reveals that the intervention programs of suicide attempt should consider the students PA levels and PMPU.


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