Impact of smartphone overuse on 1-year severe depressive symptoms and momentary negative affect: Longitudinal and experience sampling findings from a representative epidemiological youth sample in Hong Kong

Wong, S. M.; Chen, Eric; Wong, Corine Sau Man; Suen, Yi Nam; Chan, Dorothy LK; Tsang, Samantha; Wong, T. Y.; Cheung, Charlton; Chan, Kai-tai; Lui, Simon S-Y; Wong, Michael; Chan, Sherry Kit Wa; Lee, Edwin HM; Myin‐Germeys, Inez; Hui, Christy Y.

doi:10.1016/j.psychres.2022.114939

Cited by 14 publications

(5 citation statements)

References 75 publications

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“… 24 The scale and its subscales have been validated and used in Chinese community and youth samples. 22 , 25 – 27 DASS-A, DASS-D and DASS-S also showed good internal consistency in this study (α = 0.82–0.87).…”

Section: Methodssupporting

confidence: 70%

“…Details of the HK-YES have been reported elsewhere. [18][19][20][21][22][23] Written informed consent was obtained from all participants, with consent obtained from parents or legal guardians for those below the age of 18. The authors assert that all procedures contributing to this work comply with the ethical standards of the relevant national and institutional committees on human experimentation and with the Helsinki Declaration of 1975, as revised in 2008.…”

Section: Participantsmentioning

confidence: 99%

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Excessive fear of clusters of holes, its interaction with stressful life events and the association with anxiety and depressive symptoms: large epidemiological study of young people in Hong Kong

et al. 2023

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Background Excessive and persistent fear of clusters of holes, also known as trypophobia, has been suggested to reflect cortical hyperexcitability and may be associated with mental health risks. No study, however, has yet examined these associations in representative epidemiological samples. Aims To examine the prevalence of trypophobia in a population-representative youth sample, its association with mental health and functioning, and its interaction with external stress. Method A total of 2065 young people were consecutively recruited from a household-based epidemiological youth mental health study in Hong Kong. Trypophobia, symptoms of anxiety, depression and stress, and exposure to personal stressors were assessed. Logistic regression was used to assess the relationships between trypophobia and mental health. Potential additive and interaction effects of trypophobia and high stress exposure on mental health were also tested. Results The prevalence of trypophobia was 17.6%. Trypophobia was significantly associated with severe symptoms of anxiety (odds ratio (OR) = 1.83, 95% CI = 1.32–2.53), depression (OR = 1.78, 95% CI = 1.24–2.56) and stress (OR = 1.68, 95% CI = 1.11–2.53), even when accounting for sociodemographic factors, personal and family psychiatric history, resilience and stress exposure. Dose–response relationships were observed, and trypophobia significantly potentiated the effects of stress exposure on symptom outcomes, particularly for depressive symptoms. Those with trypophobia also showed significantly poorer functioning across domains and poorer health-related quality of life. Conclusions Screening for trypophobia in young people may facilitate early risk detection and intervention, particularly among those with recent stress exposure. Nevertheless, the generally small effect sizes suggest that other factors have more prominent roles in determining recent mental health outcomes in population-based samples; these should be explored in future work.

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Section: Methodssupporting

confidence: 70%

Section: Participantsmentioning

confidence: 99%

Excessive fear of clusters of holes, its interaction with stressful life events and the association with anxiety and depressive symptoms: large epidemiological study of young people in Hong Kong

et al. 2023

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“…Consenting participants were invited for a face-to-face interview by a trained researcher with an option of online video conferencing following the same procedures during the pandemic. Study details are described elsewhere, 2 , 21 , 22 , 23 , 24 with details of the sample size calculation provided in Appendix pp 2.…”

Section: Methodsmentioning

confidence: 99%

Prevalence, time trends, and correlates of major depressive episode and other psychiatric conditions among young people amid major social unrest and COVID-19 in Hong Kong: a representative epidemiological study from 2019 to 2022

Wong,

Chen,

Suen

et al. 2023

The Lancet Regional Health - Western Pacific

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“…Excessive smartphone use can increase transient negative emotions in users, and repeated or persistent negative emotions can heighten the risk of depression. Reducing smartphone usage might have long-term positive effects ( 56 ). Another piece of evidence suggests that frequent phone use can decrease physical activity in users, thereby raising the risk of depression ( 57 , 58 ).…”

Section: Discussionmentioning

confidence: 99%

The potential causal relationship between various lifestyles and depression: a univariable and multivariable Mendelian randomization study

Guo,

Zhu,

et al. 2024

Front. Psychiatry

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BackgroundPrevious studies have shown that lifestyle was associated with depression. Thus, the aim of this study was to examine the causality between multiple lifestyles and depression by Mendelian randomization (MR) analysis.MethodsThe single-nucleotide polymorphisms (SNPs) of depression, alcoholic drinks per week, sleeplessness or insomnia, body mass index (BMI), mood swings, weekly usage of mobile phone in the last 3 months, beef intake, cooked vegetable intake, and “smoking status: never” were acquired from the Integrative Epidemiology Unit Open genome-wide association study database. Causal effects of eight exposure factors and depression were investigated using MR-Egger, weighted median, inverse variance weighted (IVW), simple mode, and weighted mode, and results were primarily referred to IVW. Subsequently, univariable MR (UVMR) analysis was performed on eight exposure factors and depression, separately. In addition, sensitivity analysis, including heterogeneity test, horizontal pleiotropy, and leave-one-out (LOO) methods, was conducted to evaluate the stability of MR results. Furthermore, multivariable MR (MVMR) analysis was carried out.ResultsUVMR analysis revealed that all eight exposure factors were causally associated with depression; alcoholic drinks per week, sleeplessness or insomnia, BMI, mood swings, weekly usage of mobile phone in the last 3 months, and cooked vegetable intake were risk factors, and beef intake and “smoking status: never” were protection factors. Heterogeneity tests revealed no heterogeneity for alcoholic drinks per week, sleeplessness or insomnia, mood swings, weekly usage of mobile phone in the last 3 months, and cooked vegetable intake. Meanwhile, there was no horizontal pleiotropy in UVMR, and LOO analysis verified that univariable analysis results were reliable. Moreover, MVMR analysis indicated that mood swings and weekly usage of mobile phone in the last 3 months were risk factors, and beef intake was a protection factor for depression when multiple factors occurred at the same time.ConclusionAlcoholic drinks per week, sleeplessness or insomnia, BMI, mood swings, weekly usage of mobile phone in the last 3 months, and cooked vegetable intake were risk factors, and beef intake and “smoking status: never” were protection factors. In addition, mood swings, weekly usage of mobile phone in the last 3 months, and beef intake had a direct effect on depression when multiple factors occurred simultaneously.

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Impact of smartphone overuse on 1-year severe depressive symptoms and momentary negative affect: Longitudinal and experience sampling findings from a representative epidemiological youth sample in Hong Kong

Cited by 14 publications

References 75 publications

Excessive fear of clusters of holes, its interaction with stressful life events and the association with anxiety and depressive symptoms: large epidemiological study of young people in Hong Kong

Excessive fear of clusters of holes, its interaction with stressful life events and the association with anxiety and depressive symptoms: large epidemiological study of young people in Hong Kong

Prevalence, time trends, and correlates of major depressive episode and other psychiatric conditions among young people amid major social unrest and COVID-19 in Hong Kong: a representative epidemiological study from 2019 to 2022

The potential causal relationship between various lifestyles and depression: a univariable and multivariable Mendelian randomization study

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