Prevalence and predisposing factors of smartphone addiction, sleep quality and daytime sleepiness of nursing students: A cross-sectional design

Uzunçakmak, Tuğba; Ayaz‐Alkaya, Sultan; Akca, Ayşegül

doi:10.1016/j.nepr.2022.103478

Cited by 8 publications

(4 citation statements)

References 30 publications

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“…Our findings align with previous reports indicating that medical college students with higher levels of cell phone addiction tend to experience poorer sleep quality ( 14 , 32 ). In the medical college student population, cell phone addiction can affect an individual's emotional self-control, emotional balance, and potentially leading to negative emotions such as anxiety or depression, all of which can impact sleep quality.…”

Section: Discussionsupporting

confidence: 92%

Cell phone addiction and sleep disturbance among medical students in Jiangsu Province, China: the mediating role of psychological resilience and the moderating role of gender

Hu,

Wu,

Xie

et al. 2024

Front. Psychiatry

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BackgroundCell phone addiction presents a widespread and severe physical and mental health concern, now recognized as a global public health issue. Among medical college students, the issue of poor sleep quality has become particularly prevalent. This study aimed to investigate the relationship between cell phone addiction and sleep disturbance in a population of medical college students, exploring the potential mediating role of psychological resilience and the moderating impact of gender.MethodsA random cluster sampling method was employed to survey 5,048 students from four medical colleges in Jiangsu Province, China, utilizing the Mobile Phone Addiction Index (MPAI), Connor-Davidson Resilience Scale (CD-RISC), and Pittsburgh Sleep Quality Index (PSQI) for data collection. Statistical analyses were conducted using SPSS 26.0 and the PROCESS macro version 4.1. To assess mediation, Model 4 of the PROCESS macro was utilized, while Model 15 was employed to investigate the moderating effect of gender.ResultsThe results revealed a significant positive correlation between cell phone addiction and sleep disturbance, with psychological resilience found to partially mediate this relationship. Moreover, gender was observed to significantly moderate the impact of cell phone addiction on sleep disturbance. Specifically, bootstrap analysis indicated a significant interaction between cell phone addiction and gender (Coeff. = -0.0215, P< 0.001), with a stronger relationship found in males (simple slope = 0.0616, t = 16.66, P< 0.001) compared to females (simple slope = 0.0401, t = 9.51, P< 0.001).ConclusionUltimately, psychological resilience was identified as a partial mediator between cell phone addiction and sleep disturbance in medical students from Jiangsu Province, with gender playing a significant moderating role in this association.

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Section: Discussionsupporting

confidence: 92%

Cell phone addiction and sleep disturbance among medical students in Jiangsu Province, China: the mediating role of psychological resilience and the moderating role of gender

Hu,

Wu,

Xie

et al. 2024

Front. Psychiatry

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“…However, excessive use of smartphones can cause physical and psychological harm, and can negatively affect success while negatively affecting attention and learning in the clinical and classroom 5 . The excessive use of smartphones may also prevent nursing students from establishing therapeutic relationships with patients as future nurses 39 . It is thought that this situation may disrupt patient care and communication.…”

Section: Discussionmentioning

confidence: 99%

“…5 The excessive use of smartphones may also prevent nursing students from establishing therapeutic relationships with patients as future nurses. 39 It is thought that this situation may disrupt patient care and communication. In a systematic review examining nurses' smartphone use in the acute care setting, it was observed that smartphones caused nurses to be distracted at work and perceived as unprofessional.…”

Section: Feature Articlementioning

confidence: 99%

Nomophobia and Phubbing Levels of Nursing Students

Sahin Karaduman,

Basak,

Santana Fialho Sim-Sim

et al. 2024

CIN: Computers, Informatics, Nursing

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Today, with the enhancement in the usage of smartphones, the concepts of nomophobia and phubbing have emerged. Nomophobia refers to the fear of being deprived of smartphones/smart devices. Phubbing is the use of a person's smartphone in situations that are not appropriate for the situation, time, and place. Therefore, the study purposed to evaluate nursing students' nomophobia and phubbing scores in Turkey, Portugal, and the United States. The data were collected with the Personal Information Questionnaire, Nomophobia Scale, and Phubbing Scale from N = 446 nursing students. The mean age of the students was 22.04 ± 4.08 years, and 86.5% were women. It was found that the total nomophobia scores of the nursing students were 80.15 ± 21.96, 72.29 ± 28.09, and 99.65 ± 6.11, respectively in Turkey, Portugal, and the United States. When the countries' Nomophobia Scale total scores, “giving up convenience,” “not being able to communicate,” and “losing connectedness” scores were compared with each other, they were found to be statistically significant (P < .05). When the countries' Phubbing Scale total scores and all subscale scores were compared with each other were found to be statistically significant (P < .05). It is seen that nomophobia scores were moderate (60 ≤ NMP-Q nomophobia ≤ 99) and phubbing scores (<40) were below the level indicating addiction in all countries.

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“…Established studies have shown a strong relationship between smartphone addiction and sleep quality. [44][45][46] Those with a higher propensity for smartphone addiction report lower sleep quality. 47 Smartphone addicts typically strongly rely on their phones and uncontrollable use behaviors.…”

Section: Smartphone Addiction and Sleep Qualitymentioning

confidence: 99%

The Links Among Cumulative Ecological Risk and Smartphone Addiction, Sleep Quality in Chinese University Freshmen: A Two-Wave Study

Xie,

Zeng,

Dai

2024

PRBM

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Purpose While previous research has highlighted the influence of family, school, and peer factors on smartphone addiction and sleep quality, the cumulative effects of these risk factors and their underlying causal relationships remain poorly understood. Therefore, based on the cumulative risk model and the bioecological model of human development, this study examined the longitudinal associations between cumulative ecological risk and smartphone addiction and sleep quality. Methods A survey was conducted among 653 Chinese university freshmen (mean age 18.56) at two distinct time points, with a 6-month interval. The initial assessment focused on family, school, and peer risk factors, while the subsequent assessment focused on smartphone addiction and sleep quality. Results Approximately 63.71% of university freshmen were found to be at risk of exposure. Compared to other risk-exposure groups, the group with no-risk exposure exhibited the lowest scores for smartphone addiction and sleep quality. The relationships between cumulative ecological risk and smartphone addiction and sleep quality displayed a linear pattern and a discernible “gradient effect”. Smartphone addiction was identified as a fully mediating factor in the link between cumulative ecological risk and sleep quality, with a mediating effect value of 0.08 (representing 44.44% of the total effect). Conclusion University freshmen face various risks associated with their families, schools, and peers. The cumulative ecological risk can, directly and indirectly, impact sleep quality by influencing smartphone addiction. Given the observed “gradient effect” of cumulative ecological risk on smartphone addiction and sleep quality, it is imperative to adopt comprehensive risk prevention strategies to mitigate the impact of each risk factor.

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Prevalence and predisposing factors of smartphone addiction, sleep quality and daytime sleepiness of nursing students: A cross-sectional design

Cited by 8 publications

References 30 publications

Cell phone addiction and sleep disturbance among medical students in Jiangsu Province, China: the mediating role of psychological resilience and the moderating role of gender

Cell phone addiction and sleep disturbance among medical students in Jiangsu Province, China: the mediating role of psychological resilience and the moderating role of gender

Nomophobia and Phubbing Levels of Nursing Students

The Links Among Cumulative Ecological Risk and Smartphone Addiction, Sleep Quality in Chinese University Freshmen: A Two-Wave Study

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