Problematic smartphone use and anxiety in adolescents: survey study (Preprint)

2021 ◽  
Author(s):  
Kyung Eun Lee ◽  
Kitai Kim ◽  
Jeong Yee ◽  
Jee Eun Chung ◽  
Joo Hee Kim ◽  
...  

BACKGROUND Smartphone overuse is a troubling issue to many, influencing psychological, social, and physical aspects. OBJECTIVE This study was conducted to investigate the association between risk of problematic smartphone use and anxiety in adolescents. METHODS A questionnaire-based observational study design was used. Revised Children’s Manifest Anxiety Scale was used to assess symptoms of anxiety, and Smartphone Addiction Proneness Scale index was used to evaluate the degree of high-risk or potential-risk for problematic smartphone use. RESULTS Analyses were conducted on 1,733 adolescents, including 771 boys and 962 girls. 20.1% of the studied population was classified as high-risk or potential-risk group for problematic smartphone use. Risk of problematic smartphone use exhibited statistically significant effects on the total anxiety scale, as well as physiological anxiety, oversensitivity, and social concern (all P-values < 0.0001). Multivariate analysis suggested that higher anxiety scales were associated with the higher risk of problematic smartphone use, as well as following factors: poor self-reported health, fewer number of close friends, caffeine beverage consumption, female sex, and alcohol use. CONCLUSIONS Our results suggested that higher risk of problematic smartphone use was associated with anxiety. Thus, management of problematic smartphone use seems necessary for the enhancement of psychological health.

2021 ◽  
Vol 45 (5) ◽  
pp. 895-901
Author(s):  
Kitai Kim ◽  
Jeong Yee ◽  
Jee Eun Chung ◽  
Hyun Jeong Kim ◽  
Ji Min Han ◽  
...  

Objectives: The overuse of smartphones affects physical, social, and psychological well-being. However, research on smartphone addiction and anxiety disorders is scarce. Therefore, the objective of this study was to investigate the association between anxiety and smartphone addiction risk in Korean adolescents. Methods: This study used a cross-sectional survey method. We used the Revised Children's Manifest Anxiety Scale to assess anxiety symptoms and we used the Korean Smartphone Addiction Proneness Scale index to evaluate the degree of high-risk or at-risk for smartphone addiction. Results: Analyses were performed for 1733 adolescents, including 771 boys and 962 girls. The high-risk or at-risk group for smartphone addiction accounted for 20.1% (p < .0001). Total anxiety scale score, as well as physiological anxiety, oversensitivity, and social concern categories were statistically different among levels of smartphone addiction risk (all ps < .0001). Multivariate analysis showed that poor self-reported health level, higher risk of smartphone addiction, having fewer close friends, caffeine drink consumption, female sex, and alcohol use were associated with greater anxiety. Conclusions: Management of smartphone addiction seems to be essential for proper psychological health. There is an urgent need to develop a way to prevent smartphone addiction on a social level.


2021 ◽  
Vol 9 (1) ◽  
Author(s):  
Joanne Zeidan ◽  
Souheil Hallit ◽  
Marwan Akel ◽  
Ismail Louragli ◽  
Sahar Obeid

Abstract Background Adults all over the world face serious issues from problematic smartphone use (PSU). It influences them negatively on a cognitive, behavioral, and emotional level, as well as on their tendencies and well-being. In Lebanon, the prevalence of PSU was shown to be 20.2% within the adult population, specifically with young adults (18–34 years old). This study investigates the validity and reliability of the Smartphone Addiction Scale (SAS) Arabic version. In addition, this study evaluates the association between PSU and affective temperaments and the mediating role of self-esteem in this association. Method A cross-sectional study was carried out between August and September 2020, using a sample of community-dwelling participants aged 18 to 29 years. The Smartphone Addiction Scale—Short Version was used to evaluate smartphone addiction among adolescents and adults. The five different temperaments of the patients were assessed by using the Affective temperament Scale (TEMPS‐A). The Rosenberg Self-Esteem Scale was used to evaluate self-esteem. Results 461 participants were included in this study. All items of the SAS were extracted and yielded a one-factor solution with Eigenvalues > 1 (variance explained = 49.96%; αCronbach = 0.886). The confirmatory analysis results consolidated those obtained from the factor analysis. Higher depressive temperament (B = 0.46) was significantly associated with more smartphone addiction, whereas higher self-esteem (B =  − 0.28) was significantly associated with less smartphone addiction. Self-esteem was found to mediate the association between depressive and hyperthymic temperaments with smartphone addiction. Conclusion This study added a better understanding of the high smartphone addiction rate among adults in Lebanon. It confirms the association between affective temperaments and PSU through the mediating effect of self-esteem on Lebanese adults.


Author(s):  
Tanja Poulain ◽  
Mandy Vogel ◽  
Tobias Kliesener ◽  
Wieland Kiess

Abstract Objectives The present longitudinal study investigates associations between changes in externalizing and internalizing behavioral difficulties and changes in problematic smartphone usage within the same 1-year period in healthy adolescents. Methods The project is part of the LIFE Child cohort study conducted in Leipzig, Germany. Ten- to 16-year-old adolescents (n = 363) provided information on behavioral difficulties [Strengths and Difficulties Questionnaire (SDQ)], the duration of daily smartphone use, and symptoms of smartphone addiction [Smartphone Addiction Proneness Scale (SAPS)] at two consecutive study visits, t1 and t2 (1 year after t1). In the first of two analysis phases, we applied linear regression analyses to assess cross-sectional associations between externalizing and internalizing behavioral difficulties and the duration of smartphone use and symptoms of smartphone addiction (at t1 and t2). In the second, we assessed associations between the changes measured in these variables over the period of a year. All associations were adjusted for age, sex, and soci-economic status. Results Children who reported prolonged periods of smartphone use or more symptoms of smartphone addiction exhibited significantly higher levels of externalizing and internalizing behavioral difficulties at t1 and t2. Further, children who increased their usage or developed addiction symptoms between t1 and t2 also developed more externalizing behavioral difficulties. We found the same tendencies in regard to internalizing behavioral difficulties, although the associations did not reach statistical significance. Conclusions The present findings suggest that externalizing behavioral difficulties and problematic smartphone use are mutually dependent in the long term.


2020 ◽  
Vol 9 (1) ◽  
pp. 163-174 ◽  
Author(s):  
Haoran Meng ◽  
Hongjian Cao ◽  
Ruining Hao ◽  
Nan Zhou ◽  
Yue Liang ◽  
...  

Abstract Background and aims Previous studies on smartphone use motivation (SUM) and problematic smartphone use (PSU) have been limited in the utilization of regional samples of emerging adults (e.g., college students) and also in the foci on the direct association between SUM and PSU. To address such gaps, using data from a large, national representative sample of Chinese young adolescents and their parents this study examined the associations between adolescents' various types of SUM and their PSU, and also tested the potential mediating roles of smartphone use time (SUT) that adolescents spent on various activities in such associations. Methods A nationwide representative sample of 8,261 Chinese adolescents (Mage = 12.86 years old, SD = 1.76; 42.6% females) and their parents (49% mothers) participated in this survey study. Results Instrumental SUM (i.e., to expand knowledge or acquire information) was associated negatively with PSU via longer SUT spent on learning and shorter SUT spent on entertainment and communication. Self-expression SUM (i.e., to gain acceptance and recognition of others by maintaining or improving self-images) was associated with longer SUT spent on both learning and entertainment, which, in turn, predicted lower and higher levels of PSU, respectively. Last, hedonic SUM (i.e., to gain pleasure) was associated positively with PSU via longer SUT spent on entertainment and communication. Discussion These findings contribute to the literature by adding greater specificity in our understanding of the implications of SUM and SUT in the etiology of PSU during the critical life stage of adolescence in a Chinese cultural context.


Author(s):  
Sheila Yu ◽  
Steve Sussman

Due to the high accessibility and mobility of smartphones, widespread and pervasive smartphone use has become the social norm, exposing users to various health and other risk factors. There is, however, a debate on whether addiction to smartphone use is a valid behavioral addiction that is distinct from similar conditions, such as Internet and gaming addiction. The goal of this review is to gather and integrate up-to-date research on measures of smartphone addiction (SA) and problematic smartphone use (PSU) to better understand (a) if they are distinct from other addictions that merely use the smartphone as a medium, and (b) how the disorder(s) may fall on a continuum of addictive behaviors that at some point could be considered an addiction. A systematic literature search adapted from the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) method was conducted to find all relevant articles on SA and PSU published between 2017 and 2019. A total of 108 articles were included in the current review. Most studies neither distinguished SA from other technological addictions nor clarified whether SA was an addiction to the actual smartphone device or to the features that the device offers. Most studies also did not directly base their research on a theory to explain the etiologic origins or causal pathways of SA and its associations. Suggestions are made regarding how to address SA as an emerging behavioral addiction.


Author(s):  
Liat Turgeman ◽  
Inbar Hefner ◽  
Maayan Bazon ◽  
Or Yehoshua ◽  
Aviv Weinstein

Problematic smartphone use is the excessive use of the smartphone with negative impacts on the quality of life of the user. We investigated the association between social anxiety and excessive smartphone use. The sample consisted of 140 participants, 73 male and 67 female university students with a mean age of 26 years and 4 months (SD = 3.38), who filled in the Liebowitz Social Anxiety Scale and the Smartphone Addiction Scale (SAS). Results showed a positive association between social anxiety and excessive smartphone use. Social anxiety explained 31.5% of the variance of ratings on the SAS. A second study investigated the interaction between abstinence and sensation seeking and excessive smartphone use. The sample consisted of 60 participants, 44 female and 16 male university students. The sample was divided into two experimental conditions: 30 participants were abstinent for 1.5 h from the smartphone and 30 participants were non-abstinent. Results showed that excessive smartphone use increased in the group that abstained compared to those who did not. Secondly, participants who had high baseline sensation-seeking ratings had higher scores of excessive smartphone use after abstinence compared with those with low ratings of sensation seeking. These studies indicate the contribution of social anxiety to problematic smartphone use and how it can be exacerbated by the combination of abstinence and high sensation seeking.


Author(s):  
Ningyuan Guo ◽  
Tzu Tsun Luk ◽  
Sai Yin Ho ◽  
Jung Jae Lee ◽  
Chen Shen ◽  
...  

Problematic smartphone use (PSU) has been associated with anxiety and depression, but few explored its mental well-being correlates that could co-occur with or be independent of mental symptoms. We studied the associations of PSU with anxiety, depression, and mental well-being in Hong Kong Chinese adults in a probability-based survey (N = 4054; 55.0% females; mean age ± SD 48.3 ± 18.3 years). PSU was measured using Smartphone Addiction Scale-Short Version. Anxiety and depression symptoms were evaluated using General Anxiety Disorder screener-2 (GAD-2) and Patient Health Questionnaire-2 (PHQ-2). Mental well-being was measured using Subjective Happiness Scale (SHS) and Short Warwick-Edinburgh Mental Well-Being Scale (SWEMWBS). Multivariable regression analyzed associations adjusting for sociodemographic and lifestyle-related variables. Associations of PSU with mental well-being were stratified by symptom severity of anxiety (GAD-2 cutoff of 3) and depression (PHQ-2 cutoff of 3). We found that PSU was associated with higher odds of anxiety and depression symptom severity and lower scores of SHS and SWEMWBS. Associations of PSU with lower SHS and SWEMWBS scores remained in respondents who screened negative for anxiety or depression symptoms. To conclude, PSU was associated with anxiety, depression, and impaired mental well-being. Associations of PSU with impaired mental well-being could be independent of anxiety or depression symptoms.


2021 ◽  
pp. 0192513X2199388
Author(s):  
M. V. Jimeno ◽  
J. J. Ricarte ◽  
A. Toledano ◽  
S. Mangialavori ◽  
M. Cacioppo ◽  
...  

Overuse of the smartphone causes negative consequences on the health and behavior of younger people. It is necessary to know which factors can determine the problematic use of the smartphone. The aim of the present study was to explore the relationship between problematic smartphone use, attachment styles, and perceived family functioning in young adults. Three hundred and thirteen Spanish young adults took part in the study (255 women, 58 men) and completed the following instruments: the Smartphone Addiction Scale (SAS), the Relationship Questionnaire (RQ), the Parental Bonding Instrument (PBI), and the Family Adaptability and Cohesion Evaluation Scale (FACES IV). The results of the path analyses show that the cohesion and enmeshed functioning variables were the best predictors of problematic smartphone use. The preoccupied attachment scale was the only one whose score also showed indirect effects on problematic smartphone use through the variable of enmeshed family functioning.


2020 ◽  
Author(s):  
Jay A. Olson ◽  
Dasha Sandra ◽  
Élissa S. Colucci ◽  
Alain Al Bikaii ◽  
Johnny Nahas ◽  
...  

Smartphone ownership and screen time are increasing across the world, but there have been few attempts to quantify smartphone addiction on a global scale. We conducted a meta-analysis of studies published between 2014 and 2020 that used the Smartphone Addiction Scale, the most common measure of problematic smartphone use. This scale measures whether smartphone use interferes with one’s daily life. We focused on studies of teenagers and young adults (aged 15 to 35) since they show the highest screen time and smartphone ownership rates. Across 85 samples, 24 countries, and 39,292 participants, we demonstrate that problematic smartphone use is increasing across the world. China, Saudi Arabia, and Malaysia had the highest scores while Switzerland, Germany, and France had the lowest. Our results provide global norms for researchers and can help identify countries that could benefit from targeted interventions.


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