Prospective relationships between mobile phone dependence and mental health status among Chinese undergraduate students with college adjustment as a mediator

Zhang, Guohua; Yang, Xue; Tu, Xiaolian; Ding, Nani; Lau, Joseph T. F.

doi:10.1016/j.jad.2019.09.047

Cited by 87 publications

(53 citation statements)

References 46 publications

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“…A previous study of university undergraduates found that excessive dependence on information obtained from smartphones can significantly increase risk of mental illness. 36 Likely the same was true among our patients. Our results suggest that encouraging patients with epilepsy to cultivate hobbies and providing them with online learning opportunities may help protect them from severe psychological distress during public health emergencies.…”

Section: K-6 Item Patients With Epilepsysupporting

confidence: 82%

Severe psychological distress among patients with epilepsy during the COVID‐19 outbreak in southwest China

et al. 2020

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Objective:To compare the severity of psychological distress between patients with epilepsy and healthy controls during the COVID-19 outbreak in southwest China, as well as identify potential risk factors of severe psychological distress among patients with epilepsy. Methods: This cross-sectional case-control study examined a consecutive sample of patients older than 15 years treated at the epilepsy center of West China Hospital between February 1 and February 29, 2020. As controls, sex-and age-matched healthy visitors of inpatients (unrelated to the patients) were also enrolled during the same period. Data on demographics and attention paid to COVID-19 were collected by online questionnaire, data on epilepsy features were collected from electronic medical records, and psychological distress was evaluated using the 6-item Kessler Psychological Distress Scale (K-6). Potential risk factors of severe psychological distress were identified using multivariate logistic regression. Results: The 252 patients and 252 controls in this study were similar along all demographic variables except family income. Patients with epilepsy showed significantly higher K-6 scores than healthy controls and spent significantly more time following the COVID-19 outbreak (both P < .001). Univariate analyses associated both diagnosis of drug-resistant epilepsy and time spent paying attention to COVID-19 with severe psychological distress (defined as K-6 score >12; both P ≤ .001). Multivariate logistic regression identified two independent predictors of severe psychological distress: time spent paying attention to COVID-19 (odds ratio [OR] = 1.172, 95% confidence interval [CI] = 1.073-1.280) and diagnosis of drug-resistant epilepsy (OR = 0.283, 95% CI = 0.128-0.623). Significance: During public health outbreaks, clinicians and caregivers should focus not only on seizure control but also on mental health of patients with epilepsy, especially those with drug-resistant epilepsy. K-6 scores > 12 indicate severe psychological distress. This may mean, for example, encouraging patients to engage in other activities instead of excessively following media coverage of the outbreak. |HAO et Al.

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Section: K-6 Item Patients With Epilepsysupporting

confidence: 82%

Severe psychological distress among patients with epilepsy during the COVID‐19 outbreak in southwest China

et al. 2020

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“…However, MPAB at baseline cannot predict the depression and/or anxiety symptoms at follow-up in this study. It is inconsistent with the result of the previous studies, which suggested the reciprocal relationship between MPA and mental problems (15,16). In fact, it has been reported that rely on mobile phones could alleviate negative emotions when facing depression or loneliness (43).…”

Section: Discussionmentioning

confidence: 57%

“…A mass of cross-sectional researches were conducted based on above theoretical framework. At present, only two studies have used prospective designs to explore the changes in MPA and the psychiatric symptoms over time, and one of them pointed out the reciprocal relationship between MPA and depressive symptom ( 15 , 16 ). The exploration in the field still has limitations restricted by a relatively small sample size and a single aspect of mental distress concerned.…”

Section: Introductionmentioning

confidence: 99%

Testing the Bidirectional Associations of Mobile Phone Addiction Behaviors With Mental Distress, Sleep Disturbances, and Sleep Patterns: A One-Year Prospective Study Among Chinese College Students

Kang

Liu

et al. 2020

Front. Psychiatry

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Background: Mobile phone addiction behaviors (MPAB) are extensively associated with several mental and sleep problems. Only a limited number of bidirectional longitudinal papers have focused on this field. This study aimed to examine the bidirectional associations of MPAB with mental distress, sleep disturbances, and sleep patterns. Methods: A total of 940 and 902 (response rate: 95.9%) students participated at baseline and one-year follow-up, respectively. Self-reported severity of mobile phone addiction was measured using Mobile Phone Involvement Questionnaire (MPIQ). Mental distress was evaluated by using Beck Depression Inventory (BDI) and Zung Self-Rating Anxiety Scale (SAS). Sleep disturbances were assessed by using Insomnia Severity Index (ISI), Pittsburgh Sleep Quality Index (PSQI), and Epworth Sleepiness Scale (ESS). Sleep patterns were evaluated by using reduced Morningness-Eveningness Questionnaire (rMEQ), weekday sleep duration, and weekend sleep duration. Results: Cross-lagged analyses revealed a higher total score of BDI, SAS, and ISI predicted a greater likelihood of subsequent MPAB, but not vice versa. We found the bidirectional longitudinal relationships between MPAB and the total score of PSQI and ESS. Besides, a higher score of MPIQ at baseline predicts a subsequent lower total score of rMEQ and shorter weekday sleep duration. Conclusions: The current study expands our understanding of causal relationships of MPAB with mental distress, sleep disturbances, and sleep patterns.

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“…The SDS, which was developed in 1965, contains 20 questions with a score range of 1 (none or seldom) to 4 (most or constant), which indicates how frequently the subject experienced depression‐related symptoms during the preceding 7 days (Zhang, Yang, & Tu, ). The original total score is the sum of 20 items, which is then multiplied by 1.25 to get the standard score.…”

Section: Methodsmentioning

confidence: 99%

Time management disposition and related factors among nursing managers in China: A cross‐sectional study

et al. 2020

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Aim The purpose of this study was to gain a general overview of the time management disposition of clinical nursing managers in China and its related factors. Background Effective time management is important for managers to achieve organizational goals. However, there is a lack of big‐sample research exploring the impact of psychological and socio‐demographic characteristics on time management disposition. Method The study adopted a cross‐sectional and descriptive design; 531 nursing managers from seven regions of China were recruited. Results The nursing managers performed best on sense of time's value, followed by time monitoring ability and sense of time efficacy. Time management disposition was predicted by self‐efficacy, SDS scores, managerial experience, the character strength of self‐control and number of children. Conclusion The “norm” level of the Chinese clinical nursing managers' time management disposition was at a favourable level, but these managers performed poorly in the aspect of time monitoring. It is recommended that actions be taken to improve nursing managers' time management disposition in order to maximize their time‐use efficiency and enhance the quality of nursing management. Implications for Nursing Management A greater understanding of nursing managers' time management disposition will provide a reference for subsequent actions to improve nursing managers' time management behaviour, which in turn will improve the quality and efficiency of nursing management.

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Prospective relationships between mobile phone dependence and mental health status among Chinese undergraduate students with college adjustment as a mediator

Cited by 87 publications

References 46 publications

Severe psychological distress among patients with epilepsy during the COVID‐19 outbreak in southwest China

Severe psychological distress among patients with epilepsy during the COVID‐19 outbreak in southwest China

Testing the Bidirectional Associations of Mobile Phone Addiction Behaviors With Mental Distress, Sleep Disturbances, and Sleep Patterns: A One-Year Prospective Study Among Chinese College Students

Time management disposition and related factors among nursing managers in China: A cross‐sectional study

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