Problematic smartphone use has detrimental effects on mental health and somatic symptoms in a heterogeneous sample of German adults

Winkler, Alexander W.; Jeromin, Franziska; Doering, Bettina K.; Barke, Antonia

doi:10.1016/j.chb.2020.106500

Cited by 29 publications

(18 citation statements)

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“…We were able to confirm the direct effects of PSU on depression and anxiety that are consistent with previous reports ( 38 , 61 , 62 ). The serial mediation role we identified for PSU and psychological distress in the relationship between sleep quality and DEBs was “sleep quality -> PSU -> psychological distress -> DEBs.” Young adults who reported poor sleep quality tended to have higher levels of PSU and depression/anxiety symptoms, which in turn would lead to high levels of DEBs.…”

Section: Discussionsupporting

confidence: 92%

The Role of Problematic Smartphone Uses and Psychological Distress in the Relationship Between Sleep Quality and Disordered Eating Behaviors Among Chinese College Students

Guo

Rong

et al. 2021

Front. Psychiatry

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Background: Sleep problems and eating disorders (EDs) are both serious public health concerns often seen in young adults. Yet, the underlying mechanisms for such associations are largely unknown. This study aims to examine potential serial multiple mediation effects of problematic smartphone use (PSU) and psychological distress (i.e., depressive and anxiety symptoms) in the relationship between sleep quality and disordered eating behaviors/attitudes (DEBs).Methods: A total of 4,325 students from two Tibet universities in China (2,657 females and 1,668 males) completed an online survey that included the following measurements: Eating Attitude Test-26 for disordered eating behaviors/attitudes, the Chinese Version of Pittsburgh Sleep Quality Index (CPSQI), Smartphone Addiction Scale—Short Version (SAS-SV) for problematic smartphone use, Patient Health Questionnaire-9 (PHQ-9) and Generalized Anxiety Disorder-7 (GAD-7) for psychological distress.Results: While the direct path linking sleep quality and DEBs was not found to be significant (Standardized β = 0.006, 95% CI = −0.0667~0.0970), both PSU (Standardized β = 0.016, 95% CI = 0.0256~0.0591) and anxiety symptoms (Standardized β = 0.014, 95% CI = 0.0203~0.0526) may mediate a link between sleep quality and DEBs; serial multiple mediation analysis revealed that a serial indirect pathway of “sleep quality -> PSU -> anxiety symptoms -> DEBs” existed(Standardized β = 0.001, 95% CI = 0.0002~0.0012). Similarly, while the direct path linking sleep quality and DEBs was not found to be significant (Standardized β = 0.006, 95% CI = −0.0667~0.0970), both PSU (Standardized β = 0.020, 95% CI = 0.0337~0.0692) and depressive symptoms (Standardized β = 0.015, 95% CI = 0.0139~0.0652) may mediate a link between sleep quality and DEBs; serial multiple mediation analysis revealed that a serial indirect pathway of “sleep quality -> PSU -> depressive symptoms -> DEBs” existed (Standardized β = 0.001, 95% CI = 0.0006~0.0038).Conclusions: Psychological and behavioral factors may comprehensively work together, leading to flow-on effects from sleep problems to disordered eating behaviors among university students. Appropriate interventions that target problematic smartphone use could thus potentially reduce anxiety and depression levels, which in turn will provide a buffer against the negative impact of poor sleep quality on eating disorder symptoms.

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Section: Discussionsupporting

confidence: 92%

The Role of Problematic Smartphone Uses and Psychological Distress in the Relationship Between Sleep Quality and Disordered Eating Behaviors Among Chinese College Students

Guo

Rong

et al. 2021

Front. Psychiatry

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“…Adicionalmente, las comparaciones entre adolescentes con bajo y alto riesgo de PSU corroboran que existen diferencias en los indicadores de ajuste, siento estos más bajos en los participantes con alto riesgo. Estos resultados coinciden con investigaciones previas (p.ej., Arrivillaga et al, 2020;Chen, 2020;Winkler et al, 2020;Xie et al, 2018). Asimismo, los resultados brindan evidencia preliminar para sustentar la CIUT (Kardefelt-Winther, 2014) con respecto al uso del smartphone, en tanto confirman que las personas con un PSU tienen bajos niveles de ajuste psicológico, lo cual hace plausible el planteamiento de la necesidad de compensación de estos aspectos vitales por medio del uso de dispositivos tecnológicos.…”

Section: Discussionunclassified

“…Por añadidura, se observó que los adolescentes con niveles elevados de PSU padecían más síntomas de estrés, ansiedad, depresión e ideación suicida. Este hallazgo también es acorde con investigaciones anteriores (p.ej., Arrivillaga et al, 2020;Elhai et al, 2017;Kuang-Tsan y Fu-Yuan, 2017;Winkler et al, 2020). Asimismo, estos resultados aportan evidencia para respaldar la CIUT sobre el uso del smartphone, apoyando la idea de que Arrivillaga et al…”

Section: Discussionunclassified

“…Con respecto a indicadores de bienestar, la literatura científica expone que el PSU se relaciona con menores niveles de ajuste psicológico (Pedrero Pérez et al, 2017), de bienestar psicológico (Horwood y Anglim, 2019) y de satisfacción con la vida (Chen, 2020; Kuang-Tsan y Fu-Yuan, 2017;Lachmann et al, 2018). En cuanto a la salud física, el PSU se ha asociado de forma positiva con síntomas somáticos (Winkler et al, 2020) y de forma negativa con comportamientos saludables (Luk et al, 2018) y con la calidad del sueño (Sahin et al, 2013;Winkler et al, 2020;Xie et al, 2018). Asimismo, diversos estudios han encontrado que las personas con PSU tienen mayores niveles de estrés (Kuang-Tsan y Fu-Yuan, 2017;Moral y Suárez, 2016;Samaha y Hawi, 2016;Wang et al, 2015), ansiedad (Elhai et al, 2019;Winkler et al, 2020;Yang et al, 2020), depresión (Elhai et al, 2017;Wang et al, 2019;Winkler et al, 2020;Yang et al, 2020) e ideación y comportamientos suicidas (Arrivillaga et al, 2020;Kang y Lee, 2014;Kim et al, 2019).…”

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Uso Problemático Del Smartphone Y Ajuste Psicológico en Adolescentes: El Papel Clave De La Inteligencia Emocional

Arrivillaga¹,

Rey²,

Extremera³

2020

KASP

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Algunas de las características típicas de la adolescencia, como el incremento en las conductas de riesgo y las dificultades en el manejo de impulsos en situaciones emocionales, se conjugan con un creciente contacto con tecnologías digitales, para colocar a los adolescentes en una posición de vulnerabilidad frente al desarrollo de un uso problemático de Internet y sus aplicaciones. La Teoría de Uso Compensatorio de Internet (CIUT: Kardefelt-Winther, 2014) aporta una base para comprender cómo se originan dichos problemas a partir del uso de Internet como medio para afrontar el malestar que algunas situaciones offline pueden generar en las personas. El presente estudio se focalizó en el uso problemático de smartphones (PSU) y tuvo por objetivo indagar la capacidad predictiva de diversos indicadores de ajuste psicológico en la probabilidad de que los adolescentes tuvieran un perfil de alto riesgo de PSU. La muestra estaba compuesta por 2040 adolescentes (45.7% chicos y 54.3% chicas) de 12 a 19 años (M = 14.62; DE = 1.61). Los indicadores de ajuste que se evaluaron fueron la satisfacción con la vida, la percepción de salud, la calidad de sueño, la inteligencia emocional, los síntomas de estrés, ansiedad y depresión y la ideación suicida. Los resultados mostraron que una peor calidad de sueño, mayores niveles de estrés y más bajos niveles de inteligencia emocional fueron los únicos indicadores de ajuste que significativamente predecían un alto riesgo de PSU. Se discuten los resultados con base en la CIUT y se destaca el rol fundamental que puede cumplir el entrenamiento de la inteligencia emocional como estrategia para la prevención del PSU en adolescentes.

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“…Smartphones are mobile, personal devices that indicate social identity and status with permanent access to the Internet and provide numerous gratifications, such as sociability, entertainment, information finding, time and stress management and social identity maintenance [1][2][3][4][5]. The smartphone has become an essential part of daily life but, in recent years, there has been a surge in literature on smartphone addiction [1,[6][7][8][9][10][11], even though no mention has been made of smartphone addiction in either the DSM-5 [12] or in the ICD-11 [13].…”

Section: Introductionmentioning

confidence: 99%

Absence of Objective Differences between Self-Identified Addicted and Healthy Smartphone Users?

Geyer

Carbonell

Beranuy

et al. 2021

IJERPH

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Smartphones are used by billions of people worldwide. However, some psychologists have argued that use of this technology is addictive, even though little research utilises objective smartphone usage records to verify this claim. We conducted an exploratory study to identify whether behavioural differences exist between those who self-identify as addicted smartphone users and those who do not. We gathered retrospective smartphone usage data from 131 Android users and asked them about their past use to compare their perception of their usage against their actual usage. We could not identify any reliable differences between the smartphone activity of those self-identified as addicted smartphone users and other users. Furthermore, smartphone scales are generally good at identifying who believes themselves to be addicted, although they do not reflect objective smartphone use. This study questions the use of self-report measures to diagnosis behavioural addictions without relevant psychopathological constructs and emphasises the need for more rigorous study to conceptualise smartphone addiction.

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Problematic smartphone use has detrimental effects on mental health and somatic symptoms in a heterogeneous sample of German adults

Cited by 29 publications

References 46 publications

The Role of Problematic Smartphone Uses and Psychological Distress in the Relationship Between Sleep Quality and Disordered Eating Behaviors Among Chinese College Students

The Role of Problematic Smartphone Uses and Psychological Distress in the Relationship Between Sleep Quality and Disordered Eating Behaviors Among Chinese College Students

Uso Problemático Del Smartphone Y Ajuste Psicológico en Adolescentes: El Papel Clave De La Inteligencia Emocional

Absence of Objective Differences between Self-Identified Addicted and Healthy Smartphone Users?

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