A cross-lagged panel model for testing the bidirectional relationship between depression and smartphone addiction and the influences of maladaptive metacognition on them in Chinese adolescents

Zhou, Hui; Dang, Le; Lam, L.; Zhang, Meng Xuan; Wu, Anise M. S.

doi:10.1016/j.addbeh.2021.106978

Cited by 42 publications

(31 citation statements)

References 91 publications

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“…This study showed that depressive symptoms were bidirectionally associated with PMPU and sleep quality, consistent with previous studies [37,46,74]. However, a recent 6-month longitudinal study in China found that depressive symptoms at baseline predicted follow-up PMPU, as opposed to the converse [13]. A possible reason was that the length of follow-up was different, which may lead to different directions of effect between PMPU and depressive symptoms.…”

Section: Discussionsupporting

confidence: 90%

“…In a previous study, PMPU was defined as uncontrolled or excessive use of mobile phones by individuals that causes problems in daily life [10]. In some studies, it was also referred to as mobile phone dependence [11], mobile phone addiction [12], and smartphone addiction [13]. Similar to the symptoms of substance use disorder, uncontrolled and excessive use was the important symptoms and characteristics of PMPU [14].…”

Section: Introductionmentioning

confidence: 99%

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

Cui

Yin

et al. 2021

BMC Psychiatry

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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.

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Section: Discussionsupporting

confidence: 90%

Section: Introductionmentioning

confidence: 99%

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

Cui

Yin

et al. 2021

BMC Psychiatry

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“…On the one hand, stress was positively associated with problematic SVAs use, suggesting that high levels of stress might be accompanied by impaired self-control ability, rendering individuals vulnerable to developing problematic SVAs usage. These findings are in line with the psychopathological approach, which assumes a direct link between maladaptive psychological states and problematic smartphone use [ 19 , 31 , 35 ]. On the other hand, the mediating roles of duration of use and flow experience between stress and problematic SVAs use corroborate the compensatory use approach [ 32 , 43 , 44 ]: Middle-aged adults used SVAs to escape from the stresses of daily life.…”

Section: Discussionsupporting

confidence: 83%

“…Prior studies have found that maladaptive psychological states (e.g., depression, anxiety, loneliness, low self-esteem, and stress) might render individuals vulnerable to the problematic use of online applications [ 26 , 34 ]. For instance, those suffering from depression, anxiety, and loneliness are at high risk for problematic smartphone use [ 19 , 31 , 35 ]. In a similar vein, as a person’s stress level increases, the possibility of them overusing the internet or their smartphones also increases [ 36 , 37 , 38 , 39 ].…”

Section: Introductionmentioning

confidence: 99%

Exploring Stress and Problematic Use of Short-Form Video Applications among Middle-Aged Chinese Adults: The Mediating Roles of Duration of Use and Flow Experience

Huang

Chen

2021

IJERPH

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The pervasiveness of smartphones and the popularity of short-form video applications (SVAs), such as TikTok, among middle-aged Chinese adults have raised concerns about problematic SVAs use. Although a plethora of research has examined problematic smartphone use among teenagers and young adults, scarce attention has been paid to the middle-aged group. This study integrates the psychopathological approach and the compensatory use approach to explicate problematic SVAs use among middle-aged Chinese adults. We aim to examine the relationship between stress and problematic SVAs use via the mediating roles of duration of use and flow experience. A total of 194 middle-aged adults from across the nation participated in an online survey. The results showed that stress was positively associated with problematic SVAs use. We also found that duration of use positively mediated the relationship between stress and problematic SVAs use. Furthermore, a serial mediation effect of duration of use and flow experience was found. The findings suggest that the aforementioned two approaches are complementary to each other in explicating problematic SVAs use, but the compensatory use approach explains more than the psychopathological approach does. Flow experience extends the original compensatory use approach and demonstrates the importance of incorporating techno-psychological predictors in understanding problematic SVAs use.

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“…The relationship between smartphone overuse and mental disorders has been widely reported in university students and similar populations [ 24 ]. However, there are no consensus on which study variable represents the outcome, arguing in some cases a bidirectional association [ 25 ]. For example, Demirci et al found that smartphone overuse was an independent predictor of high depression/anxiety scores, while Matar Boumosleh proposed a reverse order of association [ 26 , 27 ].…”

Section: Introductionmentioning

confidence: 99%

Smartphone overuse, depression & anxiety in medical students during the COVID-19 pandemic

et al. 2022

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Introduction Medical students have made particular use of smartphones during the COVID-19 pandemic. Although higher smartphone overuse has been observed, its effect on mental disorders is unclear. This study aimed to assess the association between smartphone overuse and mental disorders in Peruvian medical students during the COVID-19 pandemic. Methods A cross-sectional study was conducted in 370 students aged between 16 and 41 years (median age: 20) in three universities from July to October 2020. A survey including Smartphone Dependence and Addiction Scale, PHQ-9, and GAD-7 was applied. Prevalence ratios were estimated using generalized linear models. Results Smartphone overuse was a common feature among students (n = 291, 79%). Depressive symptoms were present in 290 (78%) students and anxiety symptoms in 255 (69%). Adjusted for confounders, addictive/dependent smartphone use was significantly associated with presence of depressive symptoms (PR = 1.29, 95% CI: 1.20–1.38 for dependent use; PR = 1.30, 95% CI: 1.12–1.50 for addictive use). Also, addictive/dependent smartphone use was significantly associated with presence of anxiety symptoms (PR = 1.59, 95% CI: 1.14–2.23 for dependent use; PR = 1.61, 95% CI: 1.07–2.41 for addictive use). Conclusions Our findings suggest that medical students exposed to smartphone overuse are vulnerable to mental disorders. Overuse may reflect an inappropriate way of finding emotional relief, which may significantly affect quality of life and academic performance. Findings would assist faculties to establish effective measures for prevention of smartphone overuse.

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A cross-lagged panel model for testing the bidirectional relationship between depression and smartphone addiction and the influences of maladaptive metacognition on them in Chinese adolescents

Cited by 42 publications

References 91 publications

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

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

Exploring Stress and Problematic Use of Short-Form Video Applications among Middle-Aged Chinese Adults: The Mediating Roles of Duration of Use and Flow Experience

Smartphone overuse, depression & anxiety in medical students during the COVID-19 pandemic

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