Association of problematic smartphone use with poor sleep quality, depression, and anxiety: A systematic review and meta-analysis

Yang, Jiaxin; Fu, Xi; Liao, Xiaoli; Li, Yamin

doi:10.1016/j.psychres.2019.112686

Cited by 217 publications

(189 citation statements)

References 64 publications

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“…Because excessive smartphone and internet use are conceptualized as (maladaptive) emotional coping processes for relieving negative T affect (Brand et al, 2019(Brand et al, , 2016Kardefelt-Winther, 2014), negative affectivity has been investigated in relation to PSU. PSU severity demonstrates small-to-moderate positive associations with depression and anxiety symptoms across the literature (Elhai et al, 2019a;Yang et al, 2020). Furthermore, recent studies support additional negative affectivity correlates of PSU severity, including rumination (Elhai et al, in pressa;Elhai et al, 2020c;Liu et al, 2017), worry (Elhai et al, 2019b), and fear of missing out (FOMO) on rewarding social experiences (Elhai et al, 2020d;Sha et al, 2019).…”

Section: Smartphonementioning

confidence: 94%

“…COVID-19 is a potentially fatal disease, and its consequential social isolation from quarantine and distancing increase anxiety (Xiang et al, 2020). Given that social isolation drives emotional distress and negative affect (Hawkley and Cacioppo, 2010;Leigh-Hunt et al, 2017), general anxiety and depression as well as anxiety specific to COVID-19 should, in turn, exacerbate PSU (reviewed in Elhai et al, 2019a;Yang et al, 2020).…”

Section: Aimsmentioning

confidence: 99%

“…COVID-19 anxiety should positively relate to PSU severity. General anxiety is consistently associated with PSU severity (Elhai et al, 2019a;Yang et al, 2020). COVID-19 anxiety more specifically represents an affective response to environmental stressors in I-PACE (Brand et al, 2019(Brand et al, , 2016 and affective responses influence excessive internet and PSU (e.g., Dempsey et al, 2019;Elhai et al, 2020a;Lachmann et al, 2019).…”

Section: Hypothesesmentioning

confidence: 99%

“…A volume of research in many countries has supported mental health symptoms, primarily depression and anxiety, positively related to greater problematic smartphone use (PSU) (reviewed by Elhai et al, 2019a;Yang et al, 2020). The theorized mechanism is that many people seek emotional relief through easily accessible means-one's smartphone and internet devices-and over-reliance on such coping can lead to adverse consequences (Brand et al, 2019(Brand et al, , 2016Kardefelt-Winther, 2014).…”

Section: Introductionmentioning

confidence: 99%

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COVID-19 anxiety symptoms associated with problematic smartphone use severity in Chinese adults

Elhai

Yang

McKay

et al. 2020

Journal of Affective Disorders

267

232

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Elsevier has created a COVID-19 resource centre with free information in English and Mandarin on the novel coronavirus COVID-19. The COVID-19 resource centre is hosted on Elsevier Connect, the company's public news and information website. Elsevier hereby grants permission to make all its COVID-19-related research that is available on the COVID-19 resource centre-including this research content-immediately available in PubMed Central and other publicly funded repositories, such as the WHO COVID database with rights for unrestricted research re-use and analyses in any form or by any means with acknowledgement of the original source. These permissions are granted for free by Elsevier for as long as the COVID-19 resource centre remains active.

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Section: Smartphonementioning

confidence: 94%

Section: Aimsmentioning

confidence: 99%

Section: Hypothesesmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

COVID-19 anxiety symptoms associated with problematic smartphone use severity in Chinese adults

Elhai

Yang

McKay

et al. 2020

Journal of Affective Disorders

267

232

View full text Add to dashboard Cite

show abstract

“…Evening-type individuals have a higher tendency to drink caffeinated beverage, eat snacks at midnight and suffer from internet addiction [ 72 , 73 ]. A recent study reported the problematic smartphone use contributed to the enhanced risk of poor sleep quality, anxiety and depression [ 74 ]. Another study provided support regarding the positive correlations between PSQI scores and DASS-21 based on a non-clinical sample [ 75 ].…”

Section: Discussionmentioning

confidence: 99%

Chronotype and psychological distress among Chinese rural population: A moderated mediation model of sleep quality and age

et al. 2020

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Purposes Evidence suggests evening-type individuals have a higher risk of reporting psychological distress than morning-type individuals. However, less is known regarding the underlying processes that might mediate or moderate this association among Chinese rural population. This study aimed to evaluate the prevalence of psychological distress, investigate whether sleep quality would mediate the association between chronotype and psychological distress and explore whether age would moderate the direct or indirect effect of the mediation model. Methods The cross-sectional study utilized a sample of 884 rural residents from rural regions in Anqing City, Anhui Province, China. Morningness-Eveningness Questionnaire (MEQ), Pittsburgh Sleep Quality Index (PSQI) and 21-item Depression Anxiety Stress Scale (DASS-21) were used to measure chronotype, sleep quality and psychological distress, respectively. MacKinnon’s four-step procedure was employed to examine the mediation effect, while Hayes PROCESS macro (model 59) was used to perform the moderated mediation analysis. Results The prevalence of psychological distress among Chinese rural population was 33.4%. The association between chronotype and psychological distress was partially mediated by sleep quality (indirect effect = - 0.05, 95% CI = [-0.08, -0.03]). In addition, age moderated the first stage (sleep quality–psychological distress) of the indirect effect, with the indirect effect being attenuated for older rural residents. As suggested by Johnson-Neyman technique, the association between sleep quality and psychological distress was only significant when the age of the participant was lower than 48.59. Conclusions The incidence of psychological distress among Chinese rural residents cannot be neglected. Interventions for the enhancement of sleep quality to prevent and reduce psychological distress should be prioritized to rural residents who are prone to eveningness, especially those who are younger.

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Anxiety sensitivity mediates relations between anxiety (but not depression) and problematic smartphone use severity, adjusting for age and sex, in Chinese adolescents early in the COVID ‐19 pandemic

Hallauer

Rooney

Yang

et al. 2021

Human Behav and Emerg Tech

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Risk factors for problematic smartphone use (PSU) have rapidly become an important area of research due to the prevalence of smartphones and functional impairment associated with PSU. Our aim was to examine relations between established predictors of PSU (depression and anxiety) and a potential mediator of PSU (anxiety sensitivity; AS). Participants ( N = 4752) from junior and senior high schools in Tianjin, China completed a web‐based survey with measures of depression, anxiety, AS, and PSU. Descriptive and inferential analyses revealed significant differences between males and females on depression severity, and between junior and senior high school students on AS and PSU severity. Results of structural equation modeling indicated that anxiety was positively associated with AS when adjusting for depression; and AS was significantly associated with greater PSU severity, adjusting for age and sex. Additionally, AS mediated relations between anxiety and PSU severity. Current findings on AS are consistent with theoretical models of problematic internet use (Interaction of Person‐Affect‐Cognition‐Execution) and previous research linking AS to other kinds of behavioral addictions (e.g., smoking, alcohol use).

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Association of problematic smartphone use with poor sleep quality, depression, and anxiety: A systematic review and meta-analysis

Cited by 217 publications

References 64 publications

COVID-19 anxiety symptoms associated with problematic smartphone use severity in Chinese adults

COVID-19 anxiety symptoms associated with problematic smartphone use severity in Chinese adults

Chronotype and psychological distress among Chinese rural population: A moderated mediation model of sleep quality and age

Anxiety sensitivity mediates relations between anxiety (but not depression) and problematic smartphone use severity, adjusting for age and sex, in Chinese adolescents early in the COVID ‐19 pandemic

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