Longitudinal association between compulsive behaviour and smartphone addiction in middle school students

CHEN Qifei; WANG Daosen; GONG Ranran; LIN Xinyun; SU Xintong; ZHAO Jingxian; FU Jiaxuan; YANG Kaize; TANG Jie; CHEN Shihua; LI Xiuhong

doi:10.16835/j.cnki.1000-9817.2025150

Volume 46 Issue 5

May 2025

Turn off MathJax

Article Contents

Article Navigation > CHINESE JOURNAL OF SCHOOL HEALTH > 2025 > 46(5): 638-641

CHEN Qifei, WANG Daosen, GONG Ranran, LIN Xinyun, SU Xintong, ZHAO Jingxian, FU Jiaxuan, YANG Kaize, TANG Jie, CHEN Shihua, LI Xiuhong. Longitudinal association between compulsive behaviour and smartphone addiction in middle school students[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2025, 46(5): 638-641. doi: 10.16835/j.cnki.1000-9817.2025150

Citation:

CHEN Qifei, WANG Daosen, GONG Ranran, LIN Xinyun, SU Xintong, ZHAO Jingxian, FU Jiaxuan, YANG Kaize, TANG Jie, CHEN Shihua, LI Xiuhong. Longitudinal association between compulsive behaviour and smartphone addiction in middle school students[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2025, 46(5): 638-641. doi: 10.16835/j.cnki.1000-9817.2025150

Citation:

CHEN Qifei, WANG Daosen, GONG Ranran, LIN Xinyun, SU Xintong, ZHAO Jingxian, FU Jiaxuan, YANG Kaize, TANG Jie, CHEN Shihua, LI Xiuhong. Longitudinal association between compulsive behaviour and smartphone addiction in middle school students[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2025, 46(5): 638-641. doi: 10.16835/j.cnki.1000-9817.2025150

PDF( 949 KB)

Longitudinal association between compulsive behaviour and smartphone addiction in middle school students

doi: 10.16835/j.cnki.1000-9817.2025150

1.
Department of Maternal, Child and Aging Health, School of Public Health (Shenzhen), Sun Yat-sen University, Shenzhen (518107), Guangdong Province, China

Received Date: 2025-02-05
Rev Recd Date: 2025-04-02

Available Online: 2025-06-07

Publish Date: 2025-05-25

Abstract

Abstract

Objective To explore the potential causal association between adolescent compulsive behaviour and smartphone addiction based on longitudinal data, so as to provide reference for the establishment of adolescent smartphone addiction interventions. Methods A preliminary survey and follow-up were conducted on 8 907 middle and high school students in a district of Shenzhen in 2022 and 2023, respectively. Compulsive behaviours were measured by using the Mental Health Inventory for Middle School Students-60 Items (MMHI-60), smartphone addiction was assessed by using the Smartphone Addiction Scale-Short Version (SAS-SV), and the associations between compulsive behaviours and smartphone addiction were analysed by using multilevel mixed-effects models and subgroup analyses. Results Smartphone addiction detection rates among middle school students were significantly associated with genders, father's education level, mother's education level, study load subgroups, and whether or not they were single-parent families, and there were statistical differences (χ²=17.21-175.34, P < 0.05). Students with compulsive behaviours were 2.98 times more likely to develop smartphone addiction than those without compulsive behaviours (OR=2.98, 95%CI=2.77-3.22, P < 0.05). Subgroup analysis of middle school students without smartphone addiction in the first year found that compulsive behaviours significantly predicted smartphone addiction (OR=1.76, 95%CI=1.54-2.01, P < 0.05). Conclusion There is a potential causal association between obsessive-compulsive behaviours and smartphone addiction in middle school students, and obsessive-compulsive behaviours in middle school students could significantly predicted the occurrence of smartphone addiction.
- Coercion,
- Cellular phone,
- Behavior, addictive,
- Regression analysis,
- Students

FullText(HTML)

References(26)

References

[1]	王瑞雪. 青少年智能手机成瘾现状和干预对策[J]. 中小学心理健康教育, 2021(35): 56-58. WANG R X. Current situation of smartphone addiction among adolescents and intervention countermeasures[J]. Ment Health Educ Prim Second Sch, 2021(35): 56-58. (in Chinese)
[2]	贺金波, 陈昌润, 鲍远纯, 等. 青少年手机依赖的测量、危害和发生机制[J]. 中国临床心理学杂志, 2012, 20(6): 822-825. HE J B, CHEN C R, BAO Y C, et al. A probe into mobile phone dependence in adolescents: measurement, harmfulness and genesis mechanism[J]. Chin J Clin Psychol, 2012, 20(6): 822-825. (in Chinese)
[3]	王小辉. 中学生手机依赖现状及与社会支持、社会适应性的关系研究[D]. 福州: 福建师范大学, 2011. WANG X H. Research on the situation of mobile phone dependency and the relationship among MPD, social support and social adaptation for middle school students[D]. Fuzhou: Fujian Normal University, 2011. (in Chinese)
[4]	WACKS Y, WEINSTEIN A. Excessive smartphone use is associated with health problems in adolescents and young adults[J]. Front Psychiatry, 2021, 12: 669042. doi: 10.3389/fpsyt.2021.669042
[5]	PERA A. The psychology of addictive smartphone behavior in young adults: problematic use, social anxiety, and depressive stress[J]. Front Psychiatry, 2020, 11: 573473. doi: 10.3389/fpsyt.2020.573473
[6]	DAVEY S, DAVEY A. Assessment of smartphone addiction in Indian adolescents: a mixed method study by systematic-review and Meta-analysis approach[J]. Int J Prev Med, 2014, 5(12): 1500-1511.
[7]	IVANOVA A, GORBANIUK O, BACHNIO A, et al. Mobile phone addiction, phubbing, and depression among men and women: a moderated mediation analysis[J]. Psychiatr Q, 2020, 91(3): 655-668. doi: 10.1007/s11126-020-09723-8
[8]	顾涛, 鲍喜燕, 沈素梅, 等. 儿童青少年强迫障碍的临床特征和治疗新进展[J]. 中国医药科学, 2023, 13(16): 52-55. GU T, BAO X Y, SHEN S M, et al. Clinical characteristics and new progress in the therapy of obsessive-compulsive disorder in children and adolescents[J]. China Med Pharm, 2023, 13(16): 52-55. (in Chinese)
[9]	贾得焕, 李幼辉, 李妍, 等. 儿童、少年强迫症的临床特点分析[J]. 中国实用医刊, 2018, 45(4): 4. JIA D H, LI Y H, LI Y, et al. Clinical characteristics of children and adolescents with obsessive-compulsive disorder[J]. Chin J Pract Med, 2018, 45(4): 4. (in Chinese)
[10]	王文韬, 钱鹏博, 唐思捷, 等. 信息成瘾现象的成瘾溯源、行为机理与阶段模型[J]. 图书情报工作, 2023, 67(22): 68-79. WANG W T, QIAN P B, TANG S J, et al. The source, behavior mechanism and stage model of information addiction[J]. Library Inf Serv, 2023, 67(22): 68-79. (in Chinese)
[11]	刘想, 龙镜亦, 李毅. 强迫症的功能脑网络机制研究进展[J]. 神经损伤与功能重建, 2024, 19(6): 358-361. LIU X, LONG J Y, LI Y. Current status of research on the functional brain network mechanism of obsessive-compulsive disorder[J]. Neural Inj Funct Reconstruct, 2024, 19(6): 358-361. (in Chinese)
[12]	ELHAI J D, LEVINE J C, DVORAK R D, et al. Problematic smartphone use: a conceptual overview and systematic review of relations with anxiety and depression psychopathology[J]. J Affect Disord, 2017, 207: 251-259.
[13]	王极盛, 李焰, 赫尔实. 中国中学生心理健康量表的编制及其标准化[J]. 社会心理科学, 1997(4): 15-20. WANG J S, LI Y, HE E S. Development of a Mental Health Scale for Chinese Secondary School Students and its standardisation[J]. Sci Soc Psychol, 1997(4): 15-20. (in Chinese)
[14]	项明强, 王梓蓉, 马奔. 智能手机依赖量表中文版在青少年中的信效度检验[J]. 中国临床心理学杂志, 2019, 27(5): 959-964. XIANG M Q, WANG Z R, MA B. Reliability and validity of Chinese Version of the Smartphone Addiction Scale in adolescents[J]. Chin J Clin Psychol, 2019, 27(5): 959-964. (in Chinese)
[15]	朱现玉, 王承敏, 王训强. 智能手机问题性使用与儿童青少年心理行为问题[J]. 实用预防医学, 2023, 30(8): 1021-1025. ZHU X Y, WANG C M, WANG X Q. Problematic smartphone use and psychological and behavioral problems in children and adolescents[J]. Pract Prev Med, 2023, 30(8): 1021-1025. (in Chinese)
[16]	张全, 刘正奎. 青少年智能手机依赖倾向量表中文版修订及信效度检验[J]. 中国公共卫生, 2021, 37(7): 1149-1152. ZHANG Q, LIU Z K. Smartphone Addiction Proneness Scale for Adolescents-Chinese Version: revision and evaluation on reliability and validity[J]. Chin J Public Health, 2021, 37(7): 1149-1152. (in Chinese)
[17]	HAUG S, CASTRO R P, KWON M, et al. Smartphone use and smartphone addiction among young people in Switzerland[J]. J Behav Addict, 2015, 4(4): 299-307.
[18]	岳彩镇, 杨志雯, 费秀芬, 等. 重庆市某区青少年心理健康状况及影响因素分析[J]. 保健医学研究与实践, 2021, 18(3): 15-21. YUE C Z, YANG Z W, FEI X F, et al. A study on the mental health status and influencing factors of adolescents in a district in Chongqing[J]. Health Med Res Pract, 2021, 18(3): 15-21. (in Chinese)
[19]	LUO L, FENG B, YANG S, et al. Clinical characteristics of moderate-severe obsessive-compulsive disorder in children and adolescents in China[J]. J Int Med Res, 2020, 48(5): 1358-1367.
[20]	徐楚楚, 解瑾, 卫心雨, 等. 青少年手机成瘾干预研究进展[J]. 中国学校卫生, 2022, 43(8): 1276-1280. doi: 10.16835/j.cnki.1000-9817.2022.08.035 XU C C, XIE J, WEI X Y, et al. Research progress of smartphone addiction interventions in adolescents[J]. Chin J Sch Health, 2022, 43(8): 1276-1280. (in Chinese) doi: 10.16835/j.cnki.1000-9817.2022.08.035
[21]	郑秀秀, 闫风武, 周芸芸, 等. 青少年手机成瘾流行病学及健康危害的研究进展[J]. 中国儿童保健杂志, 2022, 30(5): 526-530. ZHENG X X, YAN F W, ZHOU Y Y, et al. Research progress in the concept, epidemiology and health hazards of smart phone addiction on adolescents[J]. Chin J Child Health Care, 2022, 30(5): 526-530. (in Chinese)
[22]	RATHOD A S, INGOLE A, GAIDHANE A, et al. Psychological morbidities associated with excessive usage of smartphones among adolescents and young adults: a review[J]. Cureus, 2022, 14(10): e30756.
[23]	宫剑, 李晔, 周兵平, 等. 强迫倾向与大学生网络闲逛的关系: 一个有调节的中介模型[J]. 心理学探新, 2023, 43(3): 247-253. GONG J, LI Y, ZHOU B P, et al. Obsessive-compulsive tendency and college students' cyberloafing: a moderated mediation model[J]. Psychol Exp, 2023, 43(3): 247-253. (in Chinese)
[24]	薛锦文. 中脑多巴胺调控重复刻板行为的神经环路基础[D]. 南京: 东南大学, 2022. XUE J W. Neural loop basis of midbrain dopamine modulation of repetitive stereotyped behaviour[D]. Nanjing: Southeast University, 2022. (in Chinese)
[25]	穆丽思. 心理素质对青少年手机依赖的影响研究[D]. 长沙: 湖南师范大学, 2018. MU L S. A study of the effect of psychological quality on mobile phone dependence in adolescents[D]. Changsha: Hunan Normal University, 2018. (in Chinese)
[26]	刘雨薇, 程亚玲, 王婷婷, 等. 儿童青少年强迫障碍的治疗新进展[J]. 神经疾病与精神卫生, 2022, 22(1): 58-63. LIU Y W, CHENG Y L, WANG T T, et al. New progress in the treatment of obsessive-compulsive disorder in children and adolescents[J]. J Neurosc Ment Health, 2022, 22(1): 58-63. (in Chinese)