The role of mobile phone addiction and anxiety symptoms in the association between childhood psychological abuse and depressive symptoms among college students

PAN Zhiyin; TONG Jiani; XIONG Jiajie; HUA Long; FEI Suhai; YU Yue; CHU Yinghu; LI Ning; LIU Zhenfeng; XU Miao; CHANG Weiwei; CHEN Yan; ZHU Lijun; YAO Yingshui; JIN Yuelong

doi:10.16835/j.cnki.1000-9817.2023.11.016

Volume 44 Issue 11

Nov. 2023

Turn off MathJax

Article Contents

Article Navigation > CHINESE JOURNAL OF SCHOOL HEALTH > 2023 > 44(11): 1665-1669

PAN Zhiyin, TONG Jiani, XIONG Jiajie, HUA Long, FEI Suhai, YU Yue, CHU Yinghu, LI Ning, LIU Zhenfeng, XU Miao, CHANG Weiwei, CHEN Yan, ZHU Lijun, YAO Yingshui, JIN Yuelong. The role of mobile phone addiction and anxiety symptoms in the association between childhood psychological abuse and depressive symptoms among college students[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2023, 44(11): 1665-1669. doi: 10.16835/j.cnki.1000-9817.2023.11.016

Citation:

PAN Zhiyin, TONG Jiani, XIONG Jiajie, HUA Long, FEI Suhai, YU Yue, CHU Yinghu, LI Ning, LIU Zhenfeng, XU Miao, CHANG Weiwei, CHEN Yan, ZHU Lijun, YAO Yingshui, JIN Yuelong. The role of mobile phone addiction and anxiety symptoms in the association between childhood psychological abuse and depressive symptoms among college students[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2023, 44(11): 1665-1669. doi: 10.16835/j.cnki.1000-9817.2023.11.016

Citation:

PAN Zhiyin, TONG Jiani, XIONG Jiajie, HUA Long, FEI Suhai, YU Yue, CHU Yinghu, LI Ning, LIU Zhenfeng, XU Miao, CHANG Weiwei, CHEN Yan, ZHU Lijun, YAO Yingshui, JIN Yuelong. The role of mobile phone addiction and anxiety symptoms in the association between childhood psychological abuse and depressive symptoms among college students[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2023, 44(11): 1665-1669. doi: 10.16835/j.cnki.1000-9817.2023.11.016

PDF( 433 KB)

The role of mobile phone addiction and anxiety symptoms in the association between childhood psychological abuse and depressive symptoms among college students

doi: 10.16835/j.cnki.1000-9817.2023.11.016

School of Public Health, Wannan Medical College/Institute of Chronic Disease Control and Prevention, Wuhu (241002), Anhui Province, China

Received Date: 2023-09-06
Rev Recd Date: 2023-09-12

Available Online: 2023-11-27

Publish Date: 2023-11-25

Abstract

Abstract

Objective To explore the role of mobile phone addiction and anxiety symptoms in the relationship between childhood psychological abuse and depressive symptoms among college students, in order to provide a basis for mental health promotion. Methods From February to May 2023, a stratified random sampling method was used to select 1 799 freshmen to juniors from a university in Wuhu City, Anhui Province. The questionnaire survey was conducted using the 2-item Patient Health Questionnaire (PHQ-2), Child Psychological Maltreatment Scale (CPMS), Mobile Phone Addiction Tendency Scale (MPATS), 2-item General Anxiety Disorder (GAD-2). Correlations among each variable were analyzed, and the chain mediating effect of mobile phone addiction and anxiety symptoms was explored. Results The detection rate of depressive symptoms among college students was 9.7%, and the positive detection rate of childhood psychological abuse was 28.6%. Depressive symptoms were positively correlated with childhood psychological abuse, mobile phone addiction and anxiety symptoms (r=0.28, 0.32, 0.27, P < 0.01). Childhood psychological abuse was positively correlated with mobile phone addiction and anxiety symptoms (r=0.29, 0.71, P < 0.01). Mobile phone addiction and anxiety symptoms were positively correlated (r=0.30, P < 0.01). Childhood psychological abuse could effectively predict depressiove symptoms, mobile phone addiction and anxiety symptoms (β=0.08, 0.06, 0.66, P < 0.01). Mobile phone addiction and anxiety symptoms had a chain mediating effect between childhood psychological abuse and depression symptoms, with a total indirect mediating effect (effect=25.27%, P < 0.05), accounting for 72.44% of the total effect. Conclusions Mobile phone addiction and anxiety symptoms play a chain mediating role between childhood psychological abuse and depressive symptoms. Focusing on childhood psychological abuse, mobile phone addiction and anxiety among college students are beneficial for depression symptoms prevention.
- Behavior, addictive,
- Torture,
- Depression,
- Mental health,
- Students

FullText(HTML)

References(36)

References

[1]	程爽, 张柳依, 蔡艺, 等. 孤独症谱系障碍患者抑郁状况研究综述[J]. 精神医学杂志, 2021, 34(3): 271-275. https://www.cnki.com.cn/Article/CJFDTOTAL-SDJB202103018.htm CHENG S, ZHANG L Y, CAI Y, et al. A review of research on depression in patients with autism spectrum disorders[J]. J Psychiatr, 2021, 34(3): 271-275. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-SDJB202103018.htm
[2]	GAO L, XIE Y, JIA C, et al. Prevalence of depression among Chinese university students: a systematic review and Meta-analysis[J]. Sci Rep, 2020, 10(1): 15897. doi: 10.1038/s41598-020-72998-1
[3]	NELSON J, KLUMPARENDT A, DOEBLER P, et al. Childhood maltreatment and characteristics of adult depression: Meta-analysis[J]. Br J Psychiatr, 2017, 210(2): 96-104. doi: 10.1192/bjp.bp.115.180752
[4]	MACALLI M, ORRI M, TZOURIO C, et al. Contributions of childhood peer victimization and/or maltreatment to young adult anxiety, depression, and suicidality: a cross-sectional study[J]. BMC Psychiatr, 2021, 21(1): 354. doi: 10.1186/s12888-021-03354-4
[5]	LI M, D'ARCY C, MENG X. Maltreatment in childhood substantially increases the risk of adult depression and anxiety in prospective cohort studies: systematic review, Meta-analysis, and proportional attributable fractions[J]. Psychol Med, 2016, 46(4): 717-730. doi: 10.1017/S0033291715002743
[6]	吴正慧, 赵占锋, 李功平. 大学生儿童期心理虐待和同伴侵害状况及其与抑郁症状和自杀意念的关系[J]. 中国心理卫生杂志, 2023, 37(7): 596-602. https://www.cnki.com.cn/Article/CJFDTOTAL-ZXWS202307008.htm WU Z H, ZHAO Z F, LI G P. Childhood psyhological maltreatment and peer victimization and their relationship with depressive symptoms and suicidal ideation in college[J]. Chin Ment Health J, 2023, 37(7): 596-602. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-ZXWS202307008.htm
[7]	王翠萍. 大学生儿童期心理虐待、忽视与社会性体格焦虑的关系及负面身体自我的中介作用研究[J]. 中国全科医学, 2017, 20(4): 487-491. https://www.cnki.com.cn/Article/CJFDTOTAL-QKYX201704024.htm WANG C P. Relationship between psychological abuse, neglect during childhood and social physical anxiety of college students and mediating effect of negative physical self[J]. Chin Gen Pract, 2017, 20(4): 487-491. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-QKYX201704024.htm
[8]	潘莉莉, 姚文兵, 孙燕. 大学生手机依赖与抑郁症状及其社会支持效应修饰作用[J]. 中国公共卫生, 2019, 35(7): 857-860. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGGW201907017.htm PAN L L, YAO W B, SUN Y. Prevalence of and correlation between problematic mobile phone use and depressive symptoms and modification effect of social support on the correlation among college students[J]. Chin J Public Health, 2019, 35(7): 857-860. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-ZGGW201907017.htm
[9]	班梦姣, 王永杰. 大学生手机成瘾评分的变化轨迹与焦虑抑郁的关系[J]. 中国学校卫生, 2020, 41(7): 1022-1025. doi: 10.16835/j.cnki.1000-9817.2020.07.018 BAN M J, WANG Y J. Relationship between mobile phone addiction score and anxiety and depression in college students[J]. Chin J Sch Health, 2020, 41(7): 1022-1025. (in Chinese) doi: 10.16835/j.cnki.1000-9817.2020.07.018
[10]	卿再花, 刘小群, 刘丽君, 等. 儿童期心理虐待与大学生手机成瘾的关系以及社会支持的中介与调节作用[J]. 中国临床心理学杂志, 2022, 30(5): 1203-1207. https://www.cnki.com.cn/Article/CJFDTOTAL-ZLCY202205039.htm QIN Z H, LIU X Q, LIU L J, et al. The association between childhood psychological abuse with mobile phone addiction of college students and the mediating and moderating effects of social support[J]. Chin J Clin Psychol, 2022, 30(5): 1203-1207. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-ZLCY202205039.htm
[11]	LI E T, LUYTEN P, MIDGLEY N. Psychological mediators of the association between childhood emotional abuse and depression: a systematic review[J]. Front Psychiatry, 2020, 11: 559213. doi: 10.3389/fpsyt.2020.559213
[12]	乔瑞红, 苗秋香. 高校大学生手机成瘾变化趋势与不良心理问题的关联[J]. 中国学校卫生, 2021, 42(10): 1516-1519. doi: 10.16835/j.cnki.1000-9817.2021.10.017 QIAO R H, MIAO Q X. An analysis of the correlation between the changing trends of mobile phone addiction and unhealthy psychological problems of college students[J]. Chin J Sch Health, 2021, 42(10): 1516-1519. (in Chinese) doi: 10.16835/j.cnki.1000-9817.2021.10.017
[13]	KROENKE K, SPITZER R L, WILLIAMS J B. The Patient Health Questionnaire-2: validity of a two-item depression screener[J]. Med Care, 2003, 41(11): 1284-1292. doi: 10.1097/01.MLR.0000093487.78664.3C
[14]	WEN L Y, SHI L X, ZHU L J, et al. Associations between Chinese college students' anxiety and depression: a chain mediation analysis[J]. PLoS One, 2022, 17(6): e0268773. doi: 10.1371/journal.pone.0268773
[15]	KROENKE K, SPITZER R L, WILLIAMS J B, et al. Anxiety disorders in primary care: prevalence, impairment, comorbidity, and detection[J]. Ann Intern Med, 2007, 146(5): 317-325. doi: 10.7326/0003-4819-146-5-200703060-00004
[16]	潘辰, 邓云龙, 管冰清. 儿童心理虐待量表的修订和信效度检验[J]. 中国临床心理学杂志, 2010, 18(4): 463-465. https://www.cnki.com.cn/Article/CJFDTOTAL-ZLCY201004022.htm PAN C, DENG Y L, GUAN B Q. Reliability and validity of Child Psychological Maltreatment Scale[J]. Chin J Clin Psychol, 2010, 18(4): 463-465. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-ZLCY201004022.htm
[17]	熊婕, 周宗奎, 陈武, 等. 大学生手机成瘾倾向量表的编制[J]. 中国心理卫生杂志, 2012, 26(3): 222-225. https://www.cnki.com.cn/Article/CJFDTOTAL-ZXWS201203017.htm XIONG J, ZHOU Z K, CHEN W, et al. Development of the Mobile Phone Addiction Tendency Scale for college students[J]. Chin Ment Health J, 2012, 26(3): 222-225. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-ZXWS201203017.htm
[18]	温忠麟, 叶宝娟. 中介效应分析: 方法和模型发展[J]. 心理科学进展, 2014, 22(5): 731-745. https://www.cnki.com.cn/Article/CJFDTOTAL-XLXD201405001.htm WEN Z L, YE B J. Mediation effect analysis: methods and model development[J]. Adv Psychol Sci, 2014, 22(5): 731-45. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-XLXD201405001.htm
[19]	PREACHER K J, HAYES A F. SPSS and SAS procedures for estimating indirect effects in simple mediation models[J]. Behav Res Methods Instrum Comput, 2004, 36(4): 717-731.
[20]	尹璐. 大学生自杀意念及其相关因素的研究[J]. 中国校医, 2009, 23(4): 388-390. https://www.cnki.com.cn/Article/CJFDTOTAL-XIYI200904014.htm YIN L. A study on suicidal ideation and its related factors among college students[J]. Chin J School Doctor, 2009, 23(4): 388-390. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-XIYI200904014.htm
[21]	杨传维, 施申超, 刘静霞, 等. 医学院校大学生自杀意念及其危险因素分析[J]. 中国社会医学杂志, 2013, 30(3): 193-195. https://www.cnki.com.cn/Article/CJFDTOTAL-GWSY201303018.htm YANG C W, SHI S C, LIU J X, et al. Analysis on suicide ideation and its risk factors among medical college students[J]. Chin J Soc Med, 2013, 30(3): 193-195. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-GWSY201303018.htm
[22]	黄欣欣, 李雨婷, 陈剑华, 等. 家庭结构对青少年抑郁和焦虑症状的影响: 情感忽视的中介作用[J]. 中国当代儿科杂志, 2023, 25(1): 80-85. https://www.cnki.com.cn/Article/CJFDTOTAL-DDKZ202301013.htm HUANG X X, LI Y T, CHEN J H, et al. The influence of family structure on depression and anxiety symptoms in adolescents: the mediating role of emotional neglect[J]. Chin J Contemp Pediatr, 2023, 25(1): 80-85. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-DDKZ202301013.htm
[23]	陈丽华, 郭海英, 朱倩, 等. 情感虐待与儿童抑郁症状: 情绪调节策略的中介作用[J]. 中国临床心理学杂志, 2016, 24(6): 1042-1045, 1050. https://www.cnki.com.cn/Article/CJFDTOTAL-ZLCY201606017.htm CHEN L H, GUO H Y, ZHU Q, et al. Emotional abuse and depressive symptoms in children: the mediating of emotion regulation[J]. Chin J Clin Psychol, 2016, 24(6): 1042-1045, 1050. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-ZLCY201606017.htm
[24]	王湃, 刘爱书. 童年期心理虐待对抑郁的影响: 认知灵活性的中介作用[J]. 中国特殊教育, 2017(3): 84-90, 96. https://www.cnki.com.cn/Article/CJFDTOTAL-ZDTJ201703015.htm WANG P, LIU A S. The impact of childhood psychological abuse on depression: the mediating role of cognitive flexibility[J]. Chin J Spec Educ, 2017(3): 84-90, 96. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-ZDTJ201703015.htm
[25]	孙晓军, 张永欣, 周宗奎. 攻击行为对儿童受欺负的预测: 社会喜好的中介效应及性别差异[J]. 心理科学, 2013, 36(2): 383-389. https://www.cnki.com.cn/Article/CJFDTOTAL-XLKX201302025.htm SUN X J, ZHANG Y X, ZHOU Z K. Children's aggression and victimization: mediating effect of social preference and its gender difference[J]. J Psychol Sci, 2013, 36(2): 383-389. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-XLKX201302025.htm
[26]	肖长根, 唐秋萍, 邓云龙, 等. 儿童心理虐待与忽视同父母养育方式的关系[J]. 中国健康心理学杂志, 2007, 15(3): 200-202. https://www.cnki.com.cn/Article/CJFDTOTAL-JKXL200703003.htm XIAO C G, TANG Q P, DENG Y L, et al. The relation between child psychological abuse and neglect and the parental rearing behaviors[J]. Chin J Health Psychol, 2007, 15(3): 200-202. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-JKXL200703003.htm
[27]	邱炳武, 王极盛. 抑郁研究中的素质压力理论述评[J]. 心理科学, 2000, 23(3): 361-362. https://www.cnki.com.cn/Article/CJFDTOTAL-XLKX200003028.htm QIU B W, WANG J S. A review of the theory of quality stress in depression research[J]. J Psychol Sci, 2000, 23(3): 361-362. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-XLKX200003028.htm
[28]	HODGINS D C, SCHOPFLOCHER D P, EL-GUEBALY N, et al. The association between childhood maltreatment and gambling problems in a community sample of adult men and women[J]. Psychol Addict Behav, 2010, 24(3): 548-554.
[29]	VANDER W M W. Adverse childhood experiences and cigarette smoking: the 2009 Arkansas and Louisiana behavioral risk factor surveillance systems[J]. Nicotine Tob Res, 2011, 13(7): 616-622.
[30]	张玥, 张冬静, 熊琳, 等. 手机成瘾与大学生抑郁、焦虑的关系: 中介与调节效应分析[J]. 中国临床心理学杂志, 2018, 26(6): 1086-1090. https://www.cnki.com.cn/Article/CJFDTOTAL-ZLCY201806008.htm ZHANG Y, ZHANG D J, XIONG L, et al. Effects of mobile phone addiction on depression and anxiety: mediation and moderation analyses[J]. Chin J Clin Psychol, 2018, 26(6): 1086-1090. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-ZLCY201806008.htm
[31]	张雨晗, 李洁阳, 尹学琴, 等. 儿童期虐待类型与青少年焦虑抑郁关系的相对权重分析[J]. 中国学校卫生, 2022, 43(3): 407-410. doi: 10.16835/j.cnki.1000-9817.2022.03.021 ZHANG Y H, LI J Y, YIN X Q, et al. Relative weights analysis on the impacts of childhood maltreatment forms on adolescent anxiety and depression[J]. Chin J Sch Health, 2022, 43(3): 407-410. (in Chinese) doi: 10.16835/j.cnki.1000-9817.2022.03.021
[32]	张慧会, 张亮. 早期应激对情绪调节的影响及其神经机制[J]. 心理科学进展, 2018, 26(7): 1193-1203. https://www.cnki.com.cn/Article/CJFDTOTAL-XLXD201807006.htm ZHANG H H, ZHANG L. The effects of early life stress on emotion regulation and the underlying mechanisms[J]. Adv Psychol Sci, 2018, 26(7): 1193-1203. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-XLXD201807006.htm
[33]	刘文, 张妮, 于增艳, 等. 情绪调节与儿童青少年心理健康关系的元分析[J]. 中国临床心理学杂志, 2020, 28(5): 1002-1008. https://www.cnki.com.cn/Article/CJFDTOTAL-ZLCY202005029.htm LIU W, ZHANG N, YU Z Y, et al. Emotion regulation and mental health in children and adolescents: a Meta-analysis[J]. Chin J Clin Psychol, 2020, 28(5): 1002-1008. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-ZLCY202005029.htm
[34]	GENG Y, GU J, WANG J, et al. Smartphone addiction and depression, anxiety: the role of bedtime procrastination and self-control[J]. J Affect Dis, 2021, 293: 415-421.
[35]	OSORIO-MOLINA C, MARTOS-CABRERA M B, MEMBRIVE-JIMÉNEZ M J, et al. Smartphone addiction, risk factors and its adverse effects in nursing students: a systematic review and Meta-analysis[J]. Nurse Educ Today, 2021, 98: 104741.
[36]	王亚可, 卢瑶, 陈建文, 等. 大学生压力知觉与手机成瘾倾向关系的纵向研究[J]. 中国心理卫生杂志, 2023, 37(9): 813-818. https://www.cnki.com.cn/Article/CJFDTOTAL-ZXWS202309015.htm WANG Y K, LU Y, CHEN J W, et al. A longitydinal study of the relationship between perceived stress and mobile phone addiction tendency in college students[J]. Chin Ment Health J, 2023, 37(9): 813-818. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-ZXWS202309015.htm