Sexual function and problematic use of smartphones and social networking sites

Introduction. The use of social networking sites (SNS) sometimes acquires an addictive-like quality, often referred to as problematic use of SNS. This condition overlaps with problematic (addictive-like) use of smartphones, as the latter are commonly used for online social networking in addition to other activities that may gain addictive-like qualities. There is ample evidence that problematic use of smartphones and SNS is associated with poorer mental health, but research on associations with sexual function is scarce. Thus, we examined if sexual difficulties are related to problematic use of SNS and smartphones. Methods: Data from four studies conducted in Portugal were collapsed, resulting in 946 women and 235 men providing data on sexual function and problematic use of smartphones, and in 536 women and 194 men providing data on sexual function and problematic use of SNS. Female sexual function was assessed with the Female Sexual Function Index (FSFI) and the Female Sexual Distress Scale – Revised (FSDS–R). Male sexual function was assessed by the International Index of Erectile Function (IIEF). Problematic smartphone use was measured by the Smartphone Addiction Scale – Short Version (SAS–SV). Problematic use of SNS was measured by the Internet Addiction Scale (IAT) specifically adapted to online social networking.Results: In women, problematic use of smartphones and SNS correlated with lower sexual arousal, difficulties lubricating, difficulties having orgasms, sexual dissatisfaction, coital pain, and greater sexual distress. In men, problematic use of smartphones and SNS correlated with lower erectile function. Men’s problematic use of SNS correlated additionally with lower desire, intercourse dissatisfaction, overall sexual dissatisfaction, and more difficulties having orgasms. In a subsample of 311 women and 94 men with data on use of smartphones and SNS, multiple regressions predicting sexual function domains from age, problematic smartphone use, and problematic use of SNS, were performed. In women, problematic use of SNS independently predicted lower arousal, dissatisfaction, pain, and more sexual distress. Problematic use of smartphones independently predicted more difficulties lubricating. In men, problematic use of SNS independently predicted lower erectile function, intercourse dissatisfaction, and overall dissatisfaction.Discussion: Addictive-like use of SNS might be a risk factor for sexual difficulties. Our findings corroborate previous research.

Distinct Patterns of Problematic Smartphone Use: A Latent Profile Analysis Among Chinese College Students

Background: This study aimed to categorize different subgroups of problematic smartphone use among Chinese college students. Differences in gender and psychosocial characteristics of the categorized groups were also examined.Methods: A total of 1,123 participants completed the Mobile Phone Addiction Index Scale (MPAI), the Center for Epidemiologic Studies Depression Scale (CES-D), the Perceived Social Support Scale, and the Perceived Stress Scale. Using latent profile analysis (LPA), we identified different subgroups of problematic smartphone use among college students. Multivariate logistic regression analysis was implemented to examine the relationship between latent classes and demographic, psychosocial covariates.Results: Four latent classes were identified: a low-risk group, a moderate-risk with no evasiveness group, a moderate-risk with evasiveness group, and high-risk group that accounted for 11.0%, 24.1%, 35.5%, and 29.4% of the total sample, respectively. Further analysis revealed that compared with the “low-risk” class, the other three classes differed significantly with respect to gender and prevalence of depression.Conclusions: Classifying college students based on features of problematic smartphone use is potentially useful for understanding risk factors and developing targeted prevention and intervention programs.

Adolescents Suspended in the Space-Time: Problematic Use of Smartphone between Dissociative Symptoms and Flow Experiences

Based on current digital culture, this chapter aims to provide an updated view of dissociative experiences as no-psychopathological symptoms of flow experiences. It has been hypothesized that prolonged exposures to smartphone screens could be a predictor of altered states of consciousness (flow) and that sometimes these prolonged exposures could degenerate into dissociative phenomena. Participants were 643 high school students aged between 13 and 23 years (M = 16.08; SD = 1.79). They were asked to answer four self-report questionnaires about the habits of smartphone usage, the perception of problematic smartphone use, and the assessment of dissociative symptoms and experiences (e.g., bizarre sensory experiences, absorption and imaginative involvement [AII], depersonalization and derealization). Gender differences emerged both in smartphone usage habits and some dissociative scales. Two gender-specific stepwise linear regressions showed that problematic smartphone use is one of the stronger predictors of dissociative symptoms. Results support the idea that in an adolescents’ community sample prolonged exposition to smartphone screens plays a role in the manifestation of dissociative symptoms. This is closely connected with experiences of AII, which could reinforce the use of devices contributing significantly to establishing a causal circularity between smartphone prolonged usage and AII phenomena.

Altered connectivity in the right inferior frontal gyrus associated with self-control in adolescents exhibiting problematic smartphone use: A fMRI study

Background With the continued spread of smartphones and development of the internet, the potential negative effects arising from problematic smartphone use (PSU) in adolescents are being reported on an increasing basis. This study aimed to investigate whether altered resting-state functional connectivity (rsFC) is related to the psychological factors underlying PSU in adolescents. Methods Resting-state functional magnetic resonance images were acquired from 47 adolescents with PSU and 46 healthy control adolescents (the CON group). Seed-based functional connectivity analyses were then performed to compare the two groups with respect to rsFC in the right inferior frontal gyrus, associated with various forms of self-control, and rsFC in the left inferior frontal gyrus. Results Compared to the CON group, the PSU group exhibited a reduction in rsFC between the right inferior frontal gyrus and limbic areas, including the bilateral parahippocampal gyrus, the left amygdala, and the right hippocampus. In addition, a reduction in fronto-limbic rsFC was associated with the severity of PSU, the degree of self-control, and the amount of time the subjects used their smartphones. Conclusion Adolescents with PSU exhibited reduced levels of fronto-limbic functional connectivity; this mechanism is involved in salience attribution and self-control, attributes that are critical to the clinical manifestation of substance and behavioral addictions. Our data provide clear evidence for alterations in brain connectivity with respect to self-control in PSU.

From low sense of control to problematic smartphone use severity during Covid-19 outbreak: The mediating role of fear of missing out and the moderating role of repetitive negative thinking

Since the outbreak of Covid-19, the use of digital devices, especially smartphones, remarkably increased. Smartphone use belongs to one’s daily routine, but can negatively impact physical and mental health, performance, and relationships if used excessively. The present study aimed to investigate potential correlates of problematic smartphone use (PSU) severity and the mechanisms underlying its development. Data of 516 smartphone users from Germany (Mage = 31.91, SDage = 12.96) were assessed via online surveys in April and May 2021. PSU severity was significantly negatively associated with sense of control. In contrast, it was significantly positively linked to fear of missing out (FoMO), repetitive negative thinking (RNT), and daily time spent on smartphone use. In a moderated mediation analysis, the negative relationship between sense of control and PSU severity was significantly mediated by FoMO. RNT significantly moderated the positive association between FoMO and PSU severity. Specifically, the higher the RNT, the stronger the relationship between FoMO and PSU. The present findings disclose potential mechanisms that could contribute to PSU. Potential ways of how to reduce PSU severity are discussed.

Digital Intervention for Problematic Smartphone Use

Smartphones have become the primary devices for accessing the online world. The potential for smartphone use to become problematic has come into increasing focus. Students and young adults have been shown to use their smartphones at high rates and may be at risk for problematic use. There is limited research evaluating interventions for problematic smartphone use. The present research aimed to develop and evaluate a digital intervention for problematic smartphone use in a student population. A mixed-method case series design was used. The participants were 10 students with mild–moderate dependency on the online world (measured via a self-report questionnaire). An intervention comprising goal setting, personalised feedback, mindfulness, and behavioural suggestions was delivered via a smartphone application. Time spent on smartphones was measured objectively through the same application. Changes in problematic technology use, wellbeing, mindfulness, and sleep were also evaluated. The findings indicate that the intervention resulted in a reduction in self-reported problematic smartphone use, but not screen time. The findings also indicate that over the course of participation, there was a positive influence on wellbeing, online dependency, mindfulness, and sleep. However, the mechanisms of change could not be determined. The study provides preliminary evidence that a light-touch, smartphone-delivered package is an acceptable and effective intervention for students wishing to better manage their problematic smartphone use.

The Role of Problematic Smartphone Uses and Psychological Distress in the Relationship Between Sleep Quality and Disordered Eating Behaviors Among Chinese College Students

Background: Sleep problems and eating disorders (EDs) are both serious public health concerns often seen in young adults. Yet, the underlying mechanisms for such associations are largely unknown. This study aims to examine potential serial multiple mediation effects of problematic smartphone use (PSU) and psychological distress (i.e., depressive and anxiety symptoms) in the relationship between sleep quality and disordered eating behaviors/attitudes (DEBs).Methods: A total of 4,325 students from two Tibet universities in China (2,657 females and 1,668 males) completed an online survey that included the following measurements: Eating Attitude Test-26 for disordered eating behaviors/attitudes, the Chinese Version of Pittsburgh Sleep Quality Index (CPSQI), Smartphone Addiction Scale—Short Version (SAS-SV) for problematic smartphone use, Patient Health Questionnaire-9 (PHQ-9) and Generalized Anxiety Disorder-7 (GAD-7) for psychological distress.Results: While the direct path linking sleep quality and DEBs was not found to be significant (Standardized β = 0.006, 95% CI = −0.0667~0.0970), both PSU (Standardized β = 0.016, 95% CI = 0.0256~0.0591) and anxiety symptoms (Standardized β = 0.014, 95% CI = 0.0203~0.0526) may mediate a link between sleep quality and DEBs; serial multiple mediation analysis revealed that a serial indirect pathway of “sleep quality -> PSU -> anxiety symptoms -> DEBs” existed(Standardized β = 0.001, 95% CI = 0.0002~0.0012). Similarly, while the direct path linking sleep quality and DEBs was not found to be significant (Standardized β = 0.006, 95% CI = −0.0667~0.0970), both PSU (Standardized β = 0.020, 95% CI = 0.0337~0.0692) and depressive symptoms (Standardized β = 0.015, 95% CI = 0.0139~0.0652) may mediate a link between sleep quality and DEBs; serial multiple mediation analysis revealed that a serial indirect pathway of “sleep quality -> PSU -> depressive symptoms -> DEBs” existed (Standardized β = 0.001, 95% CI = 0.0006~0.0038).Conclusions: Psychological and behavioral factors may comprehensively work together, leading to flow-on effects from sleep problems to disordered eating behaviors among university students. Appropriate interventions that target problematic smartphone use could thus potentially reduce anxiety and depression levels, which in turn will provide a buffer against the negative impact of poor sleep quality on eating disorder symptoms.

Longitudinal Effects of Stressful Life Events on Problematic Smartphone Use and the Mediating Roles of Mental Health Problems in Chinese Undergraduate Students

Background and Aims: This three-wave longitudinal study investigated the effects of stressful life events on problematic smartphone use and the mediating roles of mental health problems (i.e., depressive symptoms, poor sleep quality, and suicidal ideation) in Chinese undergraduate students.Methods: A total of 197 undergraduate students completed the three-wave surveys. Their severity of stressful life events, mental health problems, and problematic smartphone use were assessed.Results: Regression analyses revealed that stressful life events at T1 was significantly associated with problematic smartphone use at T3. Mediation analyses showed that mental health problems (i.e., depressive symptoms, poor sleep quality, and suicidal ideation) at T2 fully mediated the association between stressful life events at T1 and problematic smartphone use at T3 (B = 0.042, 0.034, and 0.022, respectively).Conclusions: The present study revealed that stressful life events and mental health problems (i.e., depressive symptoms, poor sleep quality, and suicidal ideation) are predictors of problematic smartphone use in Chinese college students.