Increasing rates of smartphone use in Pakistani undergraduate students, coupled with a dearth of research, indicate a need for a better understanding of the effects of Smartphone use on this population. This cross-sectional study therefore aimed to measure rates of nomophobia and its predictors among this understudied population. A total of 138 undergraduate students of a private university in Lahore, Pakistan completed a demographics questionnaire and the Nomophobia Questionnaire (NMP-Q) as part of a larger study. All students reported some level of nomophobia, with the largest proportion reporting moderate levels. Gender differences were seen in NMP-Q scores, with women reporting greater levels of nomophobia, specifically within the "Not being able to communicate" subscale of the NMP-Q. Multiple linear regression indicated that, while hours of usage per day, number of times per day checking phone, and amount of time in university were all correlated with NMP-Q scores, however, the only significant predictor was hours of usage per day [R ¼ .331, R 2 ¼ .109, F (3, 116) ¼ 4.748, p < .05]. The results of this study indicate that, as use of smartphones continues to increase in this developing nation, monitoring nomophobia and its correlates is of great importance, and carries with it implications at the societal and university policy levels.
Background: In the wake of the worldwide spread of the novel coronavirus and the resultant restrictive measures, mental health has become a crucial issue. Physical health is not the only aspect of humans that is at risk. Globally, the rates and severity of mental illness are being significantly impacted by this pandemic. Two scales have been validated to measure the impact of coronavirus disease 2019 (COVID-19) on the levels of anxiety and obsessional thinking in clinical and non-clinical populations. The present study was designed to investigate the levels of anxiety and obsessions related to COVID-19 in the general public of Lahore, Pakistan.Materials and Methods: Data were collected via snowball sampling from May 9 to May 19. An online survey consisting of a demographic profile and two scales, Coronavirus Anxiety Scale (CAS) and Obsession with COVID-19 Scale (OCS), was sent through email, WhatsApp, and Facebook groups to adults (18 years and above) of Lahore, Pakistan.Results: A total of 240 individuals (20% men and 80% women) recorded their responses. The majority belonged to a nuclear family system (60%), and their education level ranged from high school to Ph.D. The cut-off score for probable dysfunctional coronavirus anxiety and obsession levels was not met within this sample (CAS, M = 3.24, SD = 4.21; OCS, M = 4.14, SD = 3.15), suggesting that the general population of Lahore, Pakistan is not suffering from dysfunctional anxiety or obsessions related to COVID-19. Forty-seven participants' score on OCS and 35 participants' scores on CAS were above the cut-off, i.e., ≥7 and ≥9, respectively. The results of the correlation analysis showed a significant positive relationship (**p < 0.619) between anxiety and obsessions related to COVID-19.Conclusion: One important, yet surprising, conclusion of this study is that the average adult in Lahore does not show much anxiety or obsessions related to COVID-19. Other studies around the world using these measurement tools have indicated significantly high levels of both anxiety and obsessions related to COVID-19. These findings may demonstrate the resilience of Pakistanis or perhaps the lack of understanding of the seriousness of the situation.
The therapeutic alliance consistently predicts positive psychotherapy outcomes. Thus, it is important to uncover factors that relate to alliance development. The goal of this study was to examine the association between patient interpersonal characteristics and alliance quality in interpersonal therapy for depression. Data derive from a subsample (n = 74) of a larger naturalistic database of outpatients treated at a mood disorders clinic of a university-affiliated psychiatric hospital. Following Session 3 of treatment, therapists completed the Impact Message Inventory (Kiesler & Schmidt, 1993) to assess patients' interpersonal impacts on them. Also following Session 3, patients completed the Working Alliance Inventory (Horvath & Greenberg, 1989) to assess alliance quality. As predicted, patients' affiliative interpersonal impacts, as perceived by their therapists, were positively associated with alliance quality, controlling for baseline depression severity. Although unrelated to the initial hypotheses, patients concurrently taking psychotropic medications reported better alliances than patients receiving psychotherapy only.
The COVID-19 pandemic has had a profound effect on stress levels around the world. In developing nations such as Pakistan, lack of resources and socioeconomic inequalities have compounded the negative impact of the pandemic, especially for minorities. Religion in the developing, collectivistic, Muslim-majority nation of Pakistan is a powerful identity marker inherited at birth and reflected in all identifying documents. A well-developed conceptual framework for religion is attachment to God, which has demonstrated strong predictive value for perceived stress in Western samples. Given the importance of other attachment relationships as well, this study has examined the predictive value of attachment to parents, attachment to God, and religiosity on perceived stress in Christian minorities within a Pakistani context. The sample consisted of 183 adult Christian Pakistanis. Multiple regression indicated that religiosity, attachment to father, and attachment to God were the strongest predictors of perceived stress, though not in the same pattern as expected in Western contexts. This finding demonstrates the importance of the impact of culture, attachment relationships, and religious context on perceived stress, indicating a need to consider both religion and culture in psychological care, as well as local and international public policy, to mitigate stress along minorities in developing nations in such uncertain times.
Nomophobia and even simply the presence of smartphones has an impact on attention and performance, likely through the cognitive mechanism of reduced working memory capacity. When a smartphone, a personally relevant stimulus, is present, working memory capacity is utilized leading to a reduction in the ability to inhibit responses and therefore difficulty with complex attentional tasks. With the increase in smartphone ownership, especially among young adults in developing nations and their proliferation in undergraduate classrooms, it becomes important to understand their cognitive impact in this demographic of users. Therefore, this study evaluated the impact of the presence of undergraduate students’ smartphones on their performance on a non-verbal reasoning task, as well as a series of simple to complex attentional tasks. A total of 154 Pakistani undergraduate students participated in this study. Results demonstrated that the presence or absence of the students’ smartphones did not affect fluid non-verbal intelligence or simple attentional tasks. However, the level of fear of being without their smartphone was correlated with non-verbal fluid intelligence and simple attention. Importantly, when the students’ smartphones were present, they experienced difficulty with a more complex attentional task, regardless of the level of nomophobia. Given the need for fluid reasoning and the complex nature of most material covered within the undergraduate classroom context, this finding indicates a need for education about the detrimental nature of smartphone presence on complex attention, as well as the relationship between nomophobia and fluid reasoning and attention. Implications also include a need for institutional policies clarifying appropriate use of smartphones in the classroom.
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