Volume 44 Issue 11
Nov.  2023
Turn off MathJax
Article Contents
SHEN Xinyu, XUE Yangrun, XU Chaoyu, XUE Kaiwen, LYU Hui, LI Xuefang, WANG Wei. Association of mobile phone dependence, anxiety symptoms and uncertainty stress among medical undergraduates[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2023, 44(11): 1650-1654. doi: 10.16835/j.cnki.1000-9817.2023.11.013
Citation: SHEN Xinyu, XUE Yangrun, XU Chaoyu, XUE Kaiwen, LYU Hui, LI Xuefang, WANG Wei. Association of mobile phone dependence, anxiety symptoms and uncertainty stress among medical undergraduates[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2023, 44(11): 1650-1654. doi: 10.16835/j.cnki.1000-9817.2023.11.013

Association of mobile phone dependence, anxiety symptoms and uncertainty stress among medical undergraduates

doi: 10.16835/j.cnki.1000-9817.2023.11.013
  • Received Date: 2023-04-27
  • Rev Recd Date: 2023-08-24
  • Available Online: 2023-11-27
  • Publish Date: 2023-11-25
  •   Objective  To explore medical students' mobile phone dependence and anxiety symptoms, as well as the association between their interaction and uncertainty stress, so as to provide a reference for uncertainty stress prevention and intervention in medical students intervention.  Methods  From November to December 2022, a total of 2 085 medical students from a medical university were selected by using stratified cluster random sampling. A questionnaire survey was conducted by using the Smartphone Addiction Scale-Short Version(SAS-SV), Generalized Anxiety Disorder-7 (GAD-7), and Uncertainty Stress Scale. Logistic regression was used to analyze the influence of mobile phone dependence and anxiety symptoms on uncertainty stress in medical students, and multiplicative and additive interaction models were employed to analyze their interaction.  Results  The detection rate of uncertainty stress was 26.2%. After adjusting for gender, age and other confounders, Logistic regression analysis showed that both mobile phone dependence and anxiety symptoms were related to uncertainty stress in medical students [OR (95%CI)=4.05(3.22-5.10), 9.80(6.84-14.03), P < 0.05]. Interaction analysis revealed no multiplicative interaction between mobile phone dependence and anxiety on uncertainty stress; however, additive interactions were observed [OR(95%CI)=39.59(24.60-62.74), RERI (95%CI)=26.68(8.07-45.28), AP(95%CI)=0.67(0.48-0.87), S(95%CI)=3.24(1.73-6.34), P < 0.05].  Conclusions  Mobile phone dependence and anxiety symptoms in medical students are related to uncertainty stress, and they have a synergistic effect. Reducing medical students' dependence on mobile phones and alleviating their anxiety will help reduce the occurrence of uncertainty stress.
  • loading
  • [1]
    李人杰, 陶舒曼, 伍晓艳, 等. 大学生手机使用行为与抑郁症状双向关联的随访研究[J]. 中国学校卫生, 2023, 44(2): 251-255. doi: 10.16835/j.cnki.1000-9817.2023.02.021

    LI R J, TAO S M, WU X Y, et al. Bidirectional association between cellular phone use behaviors and depressive symptoms in college student: a follow-up study[J]. Chin J Sch Health, 2023, 44(2): 251-255. (in Chinese) doi: 10.16835/j.cnki.1000-9817.2023.02.021
    [2]
    中国互联网络信息中心. 第51次《中国互联网络发展状况统计报告》——互联网发展研究[EB/OL]. (2023-08-07)[2023-08-22]. https://www.cnnic.net.cn/NMediaFile/2023/0807/MAIN169137187130308PEDV637M.pdf.

    China Internet Network Information Center. The 51st Statistical Report on Chinese internet Development—Internet development research[EB/OL]. (2023-08-07)[2023-08-22]. https://www.cnnic.net.cn/NMediaFile/2023/0807/MAIN169137187130308PEDV637M.pdf. (in Chinese)
    [3]
    THOMÉÉ S, HÄRENSTAM A, HAGBERG M. Mobile phone use and stress, sleep disturbances, and symptoms of depression among young adults: a prospective cohort study[J]. BMC Public Health, 2011, 11(1): 66. doi: 10.1186/1471-2458-11-66
    [4]
    何杰, 刘雪巍, 郭立栋, 等. 不同手机功能对高职学生压力和手机成瘾的影响[J]. 中国学校卫生, 2020, 41(2): 213-216, 220. doi: 10.16835/j.cnki.1000-9817.2020.02.014

    HE J, LIU X W, GUO L D, et al. Effect of function of mobile phone use on the self-perceived stress and mobile phone addiction of high vocational students[J]. Chin J Sch Health, 2020, 41(2): 213-216, 220. (in Chinese) doi: 10.16835/j.cnki.1000-9817.2020.02.014
    [5]
    SHIHATA S, MCEVOY P M, MULLAN B A, et al. Intolerance of uncertainty in emotional disorders: what uncertainties remain?[J]. J Anx Disord, 2016, 41: 115-124. doi: 10.1016/j.janxdis.2016.05.001
    [6]
    张笑盼, 侯欣宇, 熊金辉, 等. 早期应激与无法忍受不确定性在焦虑障碍中的研究[J]. 世界最新医学信息文摘, 2021, 21(71): 63-65. doi: 10.3969/j.issn.1671-3141.2021.71.021

    ZHANG X P, HOU X Y, XIONG J H, et al. Early stress and intolerable uncertainty in anxiety disorder[J]. World Latest Med Inf, 2021, 21(71): 63-65. (in Chinese) doi: 10.3969/j.issn.1671-3141.2021.71.021
    [7]
    杨廷忠. 健康研究: 社会行为理论与方法[M]. 北京: 人民卫生出版社, 2018: 40-42.

    YANG T Z. Health research: social and behavioral theory and methods[M]. Beijing: People's Medical Publishing House, 2018: 40-42. (in Chinese)
    [8]
    朱永平. 认知行为理论视角下事实无人抚养儿童的自主学习行为改善研究: 基于B市儿童救助站的个案[D]. 包头: 内蒙古科技大学, 2022.

    ZHU Y P. A study on the improvement of self-regulated learning behavior of de facto unattended children from the perspective of cognitive behavior theory: a case study of B city rescue station of children[D]. Baotou: Inner Mongolia University of Science and Technology, 2022. (in Chinese)
    [9]
    PENG S, YANG T, ROCKETT I R H. Life stress and uncertainty stress: which is more associated with unintentional injury?[J]. Psychol Health Med, 2020, 25(6): 774-780. doi: 10.1080/13548506.2019.1687913
    [10]
    WU D, YANG T, ROCKETT I R, et al. Uncertainty stress, social capital, and suicidal ideation among Chinese medical students: findings from a 22-university survey[J]. J Health Psychol, 2021, 26(2): 214-225. doi: 10.1177/1359105318805820
    [11]
    KWON M, KIM D J, CHO H, et al. The Smartphone Addiction Scale: development and validation of a short version for adolescents[J]. PLoS One, 2013, 8(12): e83558. doi: 10.1371/journal.pone.0083558
    [12]
    周妍妍, 毕亚红, 劳力敏, 等. 广泛性焦虑量表在筛查广泛性焦虑障碍中的应用[J]. 中华全科医师杂志, 2018, 17(9): 735-737. https://www.cnki.com.cn/Article/CJFDTOTAL-NTYX202004010.htm

    ZHOU Y Y, BI Y H, LAO L M, et al. Application of GAD-7 in population screening for Generalized Anxiety Disorder[J]. Chin J Gen Pract, 2018, 17(9): 735-737. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-NTYX202004010.htm
    [13]
    ROTHMAN K J. Epidemiology: an introduction[M]. 2nd ed. New York: Oxford University Press, 2002: 168-180.
    [14]
    ANDERSSON T, ALFREDSSON L, KALLBERG H, et al. Calculating measures of biological interaction[J]. Eur J Epidemiol, 2005(7): 20.
    [15]
    邓宇, 侯皓, 严娜, 等. 大学生童年期积极及不良经历与不确定心理压力的关联[J]. 中国学校卫生, 2022, 43(9): 1355-1358. doi: 10.16835/j.cnki.1000-9817.2022.09.018

    DENG Y, HOU H, YAN N, et al. Association between positive and negative childhood experiences and uncertainty stress in college students[J]. Chin J Sch Health, 2022, 43(9): 1355-1358. (in Chinese) doi: 10.16835/j.cnki.1000-9817.2022.09.018
    [16]
    YANG T, YANG X Y, YU L, et al. Individual and regional association between socioeconomic status and uncertainty stress, and life stress: a representative nationwide study of China[J]. Int J Equity Health, 2017, 16(1): 118. doi: 10.1186/s12939-017-0618-7
    [17]
    刘婧楠, 李志伟, 鲍其雪, 等. 大学生心理压力感现况调查研究[J]. 科技风, 2016, 297(15): 185. https://www.cnki.com.cn/Article/CJFDTOTAL-KJFT201615169.htm

    LIU J N, LI Z W, BAO Q X, et al. Investigation and study on the current situation of psychological stress among college students[J]. Technol Wind, 2016, 297(15): 185. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-KJFT201615169.htm
    [18]
    郑莉. 情绪调节策略、自我宽恕和学业拖延的关系研究[D]. 宁波: 宁波大学, 2012.

    ZHENG L. The correlation research between emotion regulation strategies, self-forgiveness and academic procrastination[D]. Ningbo: Ningbo University, 2012. (in Chinese)
    [19]
    姜松梅, 傅安洲, 张勤. 应对方式, 社会支持在研究生心理压力与心理健康中的影响研究[J]. 扬州大学学报(高教研究版), 2011, 15(1): 80-84. https://www.cnki.com.cn/Article/CJFDTOTAL-YZDG201101021.htm

    JIANG S M, FU A Z, ZHANG Q. On the effect of coping strategy and social support on postgraduates mental stress and mental health[J]. J Yangzhou Univ(Higher Educ Study Edit), 2011, 15(1): 80-84. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-YZDG201101021.htm
    [20]
    LONG J, LIU T Q, LIAO Y H, et al. Prevalence and correlates of problematic smartphone use in a large random sample of Chinese undergraduates[J]. BMC Psychiatry, 2016, 16(1): 408.
    [21]
    吴芳, 刘欢, 李争, 等. 智能手机成瘾在医学生焦虑和睡眠质量间的中介效应[J]. 职业与健康, 2022, 38(7): 955-958. https://www.cnki.com.cn/Article/CJFDTOTAL-ZYJK202207020.htm

    WU F, LIU H, LI Z, et al. Mediating effect of smartphone addiction on anxiety and sleep quality of medical students[J]. Occup Health, 2022, 38(7): 955-958. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-ZYJK202207020.htm
    [22]
    陈江媛, 吴冉. 大学生的睡眠质量与抑郁, 焦虑的关系[J]. 中国健康心理学杂志, 2021, 29(4): 608-614. https://www.cnki.com.cn/Article/CJFDTOTAL-JKXL202104029.htm

    CHEN J Y, WU R. Relations of sleep quality to depression and anxiety in college students[J]. Chin J Health Psychol, 2021, 29(4): 608-614. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-JKXL202104029.htm
    [23]
    RODINO I S, GIGNAC G E, SANDERS K A. Stress has a direct and indirect effect on eating pathology in infertile women: avoidant coping style as a mediator[J]. Reprod Biomed Soc Online, 2018, 5: 110-118.
    [24]
    XU T, SUN X, JIANG P, et al. Effects of cell phone dependence on mental health among college students during the pandemic of COVID-19: a cross-sectional survey of a medical university in Shanghai[J]. Front Psychol, 2022, 13: 920899.
    [25]
    RAMÓN-ARBUÉS E, GEA-CABALLERO V, GRANADA-LÓPEZ J M, et al. The prevalence of depression, anxiety and stress and their associated factors in college students[J]. Int J Environ Res Public Health, 2020, 17(19): 7001.
    [26]
    DAVIU N, BRUCHAS M R, MOGHADDAM B, et al. Neurobiological links between stress and anxiety[J]. Neurobiol Stress, 2019, 11: 100191.
    [27]
    BLÖTE A W, MIERS A C, WESTENBERG P M. Concurrent and prospective associations between social anxiety and responses to stress in adolescence[J]. Res Child Adolesc Psychopathol, 2022, 50(5): 659-668.
    [28]
    ROTHMAN K J, GREENLAND S, LASH T L. Modern epidemiology[M]. Lippincott: Williams & Wilkins, 2008.
    [29]
    袁悦, 李楠, 任爱国, 等. 流行病学研究中相加和相乘尺度交互作用的分析[J]. 现代预防医学, 2015, 42(6): 961-965. https://www.cnki.com.cn/Article/CJFDTOTAL-XDYF201506001.htm

    YUAN Y, LI N, REN A G, et al. Analysis of the application of the additive model and the multiplicative statistical model in biological interaction[J]. Mod Prev Med, 2015, 42(6): 961-965. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-XDYF201506001.htm
    [30]
    荣婷. 手机依赖强度对大学生身心健康、人际关系、学习状态的影响研究: 基于全国2 240所高校调查的实证分析[J]. 黑龙江高教研究, 2018(6): 114-118. https://www.cnki.com.cn/Article/CJFDTOTAL-HLJG201806027.htm

    RONG T. Study on the influence of cell phone dependence intensity on college students' physical and mental health, interpersonal relationship and learning efficiency: an empirical analysis based on investigation of 2 240 colleges in China[J]. Heilongjiang Res Higher Educ, 2018(6): 114-118. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-HLJG201806027.htm
    [31]
    岳鹏飞, 胡文丽, 张嘉鑫, 等. 粗暴养育与中学生学习投入: 状态焦虑与性别的作用[J]. 心理与行为研究, 2022, 20(2): 226-232. https://www.cnki.com.cn/Article/CJFDTOTAL-CLXW202202012.htm

    YUE P F, HU W L, ZHANG J X, et al. Harsh parenting and learning engagement among middle school students: the role of state anxiety and gender[J]. Stud Psychol Behav, 2022, 20(2): 226-232. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-CLXW202202012.htm
    [32]
    张晓旭, 朱海雪. 正念认知疗法对手机依赖大学生的干预效果[J]. 心理与行为研究, 2014, 12(3): 391-394. https://www.cnki.com.cn/Article/CJFDTOTAL-CLXW201403019.htm

    ZHANG X X, ZHU H X. The intervention effect of mindfulness-based cognitive therapy on college students with mobile phone addiction[J]. Stud Psychol Behav, 2014, 12(3): 391-394. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-CLXW201403019.htm
    [33]
    牛临虹. 正念疗法对手机依赖大学生的人际关系及共情能力的影响[J]. 国际精神病学杂志, 2020, 47(6): 1161-1165. https://www.cnki.com.cn/Article/CJFDTOTAL-GWYJ202006020.htm

    NIU L H. The influence of mindfulness therapy on the interpersonal relationship and empathy ability of college students with mobile phone-dependent[J]. Int J Psychiatry, 2020, 47(6): 1161-1165. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-GWYJ202006020.htm
    [34]
    陆棋文. 正念训练对大学生焦虑、抑郁、压力水平以及睡眠质量的干预研究[D]. 武汉: 华中师范大学, 2019.

    LU Q W. Intervention of mindfulness training on anxiety, depression, stress level and sleep quality in college students[D]. Wuhan: Central China Normal University, 2019. (in Chinese)
    [35]
    何志涛, 张智远, 郐欣, 等. 大学生心理压力源分析及心理调适策略[J]. 中国新通信, 2019, 21(15): 221. https://www.cnki.com.cn/Article/CJFDTOTAL-TXWL201915184.htm

    HE Z T, ZHANG Z Y, GUI X, et al. Analysis of psychological stressors and psychological adjustment strategies of college students[J]. China New Commun, 2019, 21(15): 221. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-TXWL201915184.htm
  • 加载中

Catalog

    通讯作者: 陈斌, bchen63@163.com
    • 1. 

      沈阳化工大学材料科学与工程学院 沈阳 110142

    1. 本站搜索
    2. 百度学术搜索
    3. 万方数据库搜索
    4. CNKI搜索

    Tables(3)

    Article Metrics

    Article views (179) PDF downloads(35) Cited by()
    Proportional views
    Related

    /

    DownLoad:  Full-Size Img  PowerPoint
    Return
    Return