Volume 42 Issue 12
Dec.  2021
Turn off MathJax
Article Contents
QU Yang, WU Xiaoyan, TAO Shuman, YANG Yajuan, ZOU Liwei, XIE Yang, LI Tingting, ZHANG Dan, ZHAI Shuang, TAO Fangbiao. Association between cell phone dependence and anxiety-depression co-morbid symptoms among college students[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2021, 42(12): 1842-1846. doi: 10.16835/j.cnki.1000-9817.2021.12.020
Citation: QU Yang, WU Xiaoyan, TAO Shuman, YANG Yajuan, ZOU Liwei, XIE Yang, LI Tingting, ZHANG Dan, ZHAI Shuang, TAO Fangbiao. Association between cell phone dependence and anxiety-depression co-morbid symptoms among college students[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2021, 42(12): 1842-1846. doi: 10.16835/j.cnki.1000-9817.2021.12.020

Association between cell phone dependence and anxiety-depression co-morbid symptoms among college students

doi: 10.16835/j.cnki.1000-9817.2021.12.020
  • Received Date: 2021-04-28
  • Rev Recd Date: 2021-06-17
  • Available Online: 2021-12-23
  • Publish Date: 2021-12-25
  •   Objective  To describe the prevalence of cell phone dependence and anxiety-depression co-morbidity among college students, and to explore the association between cell phone dependence and anxiety-depression co-morbidity among college students, in order to provide a reference basis for promoting the development of college students' mental health.  Methods  Using a prospective study design, baseline survey was conducted in April-May 2019 among a random whole-group sample of 1 135 individuals in two universities in Hefei, Anhui Province and Shangrao, Jiangxi Province, and a follow-up survey was conducted in November 2019 among the sampled population, with a valid number of 1 110 individuals after matching with the baseline survey. The Self-rating Questionnaire for Adolescent Problematic Mobile Phone Use (SQAPMPU) was used to assess college students' cell phone dependence, and the Depression-Anxiety-Stress Self-Rating Scale (DASS-21) to assess depression, anxiety, and anxiety-depression co-morbidity symptoms, and the self-administered Health-Related Behavior and Mental Health Questionnaire for College Students to report sleep duration.  Results  The detection rates of cell phone dependence among college students at baseline and follow-up surveys were 24.5% and 27.7%, respectively, and the detection rates of anxiety symptoms, depressive symptoms, and anxiety-depression co-morbidities were 28.7%, 21.3%, and 18.4%, respectively. The results of the binary Logistic regression model showed that cell phone dependence was positively associated with the risk of anxiety-depression co-morbid symptoms among college students at baseline (OR=5.79, 95%CI=4.06-8.24) and after six months of follow-up (OR=2.62, 95%CI=1.86-3.69) (P < 0.01). The results of the moderating effect analysis showed that sleep duration moderated the association between cell phone dependence and anxiety-depression co-morbidities, and the interaction term was statistically significant (β=0.08, 0.04, P < 0.01).  Conclusion  Cell phone dependence in college students increases the risk of depressive and anxiety co-morbid symptoms, and sleep mitigates effect of cell phone dependence on depressive and anxiety co-morbid symptoms in college students.
  • loading
  • [1]
    MA C, ZHOU L, XU W, et al. Associations of physical activity and screen time with suboptimal health status and sleep quality among Chinese college freshmen: a cross-sectional study[J]. PLoS One, 2020, 15(9): e0239429. doi: 10.1371/journal.pone.0239429
    [2]
    LIU F, ZHOU N, CAO H, et al. Chinese college freshmen's mental health problems and their subsequent help-seeking behaviors: a cohort design (2005-2011)[J]. PLoS One, 2017, 12(10): e0185531. doi: 10.1371/journal.pone.0185531
    [3]
    KESSLER R C, ANGERMEYER M, ANTHONY J C, et al. Lifetime prevalence and age-of-onset distributions of mental disorders in the World Health Organization's World Mental Health Survey Initiative[J]. World Psychiatry, 2007, 6(3): 168-176. https://d.wanfangdata.com.cn/periodical/ChlQZXJpb2RpY2FsRW5nTmV3UzIwMjEwMzAyEhJQdWJNZWQwMDAwMDEzNTE0NTAaCHpjbGV4a2N1
    [4]
    耿梦龙, 陶芳标. 儿童内外化行为共病现象及对未来发展的影响[J]. 中国学校卫生, 2018, 39(4): 637-640. doi: 10.16835/j.cnki.1000-9817.2018.04.048

    GENG M L, TAO F B. Co-morbidities of internalizing behaviors in children and their impact on future development[J]. Chin J Sch Health, 2018, 39(4): 637-640. doi: 10.16835/j.cnki.1000-9817.2018.04.048
    [5]
    WASZCZUK M A, ZAVOS H M, GREGORY A M, et al. The phenotypic and genetic structure of depression and anxiety disorder symptoms in childhood, adolescence, and young adulthood[J]. JAMA Psychiatry, 2014, 71(8): 905-916. doi: 10.1001/jamapsychiatry.2014.655
    [6]
    LI L, LOK G K I, MEI S L, et al. Prevalence of depression and its relationship with quality of life among university students in Macau, Hong Kong and mainland China[J]. Sci Rep, 2020, 10(1): 15798. doi: 10.1038/s41598-020-72458-w
    [7]
    LAMERS F, VAN OPPEN P, COMIJS HC, et al. Comorbidity patterns of anxiety and depressive disorders in a large cohort study: the Netherlands Study of Depression and Anxiety (NESDA)[J]. J Clin Psychiatry, 2011, 72(3): 341-348. doi: 10.4088/JCP.10m06176blu
    [8]
    KESSLER R C, MCGONAGLE K A, ZHAO S, et al. Lifetime and 12-month prevalence of DSM-Ⅲ-R psychiatric disorders in the United States. Results from the National Comorbidity Survey[J]. Arch Gen Psychiatry, 1994, 51(1): 8-19. doi: 10.1001/archpsyc.1994.03950010008002
    [9]
    施慎逊, 张明园, 吴文源, 等. 抑郁症与焦虑障碍共病临床特征研究[J]. 上海精神医学, 2009, 21(4): 198-202. doi: 10.3969/j.issn.1002-0829.2009.04.002

    SHI S X, ZHANG M Y, WU W Y, et al. Multi-center study of the clinical features in depression comorbidity with anxiety disorders[J]. Shanghai Arch Psychiatry, 2009, 21(4): 198-202. doi: 10.3969/j.issn.1002-0829.2009.04.002
    [10]
    KIRCANSKI K, LEMOULT J, ORDAZ S, et al. Investigating the nature of co-occurring depression and anxiety: Comparing diagnostic and dimensional research approaches[J]. J Affect Disord, 2017, 216: 123-135. doi: 10.1016/j.jad.2016.08.006
    [11]
    师建国. 手机依赖综合征[J]. 临床精神医学杂志, 2009, 19(2): 138-139. http://www.cnki.com.cn/Article/CJFDTotal-LCJS200902045.htm

    SHI J G. Cell phone dependence syndrome[J]. J Clin Psychiatry Med, 2009, 19(2): 138-139. http://www.cnki.com.cn/Article/CJFDTotal-LCJS200902045.htm
    [12]
    中国互联网络信息中心. 第46次《中国互联网络发展状况统计报告》[J]. 国家图书馆学刊, 2020, 29(6): 19.

    China Internet Network Information Center. 46th Statistical Report on the Development of the Internet in China[J]. J National Library Chin, 2020, 29(6): 19.
    [13]
    EICHENBERG C, SCHOTT M, SCHROIFF A. Problematic smartphone use-comparison of students with and without problematic smartphone use in light of personality[J]. Front Psychiatry, 2021, 28(11): 599241. http://www.researchgate.net/publication/348840886_Problematic_Smartphone_Use-Comparison_of_Students_With_and_Without_Problematic_Smartphone_Use_in_Light_of_Personality
    [14]
    DEMIRCI K, AKGÖNÜL M, AKPINAR A. Relationship of smartphone use severity with sleep quality, depression, and anxiety in university students[J]. J Behav Addict, 2015, 4(2): 85-92. doi: 10.1556/2006.4.2015.010
    [15]
    CHATTU V K, MANZAR M D, KUMARY S, et al. The Global Problem of Insufficient Sleep and Its Serious Public Health Implications[J]. Healthcare (Basel), 2018, 7(1): 1. http://www.onacademic.com/detail/journal_1000041695255299_d564.html
    [16]
    陶舒曼, 付继玲, 王惠, 等. 青少年手机使用依赖自评问卷编制及其在大学生中的应用[J]. 中国学校卫生, 2013, 34(1): 26-29. http://www.cjsh.org.cn/article/id/zgxxws201301009

    TAO S M, FU J L, WANG H, et al. Development of a self-assessment questionnaire on adolescent cell phone use dependence and its application among college students[J]. Chin J Sch Health, 2013, 34(1): 26-29. http://www.cjsh.org.cn/article/id/zgxxws201301009
    [17]
    LOVIBOND P F, LOVIBOND S H. The structure of negative emotional states: comparison of the Depression Anxiety Stress Scales (DASS) with the Beck Depression and Anxiety Inventories[J]. Behav Res Ther, 1995, 33(3): 335-343. doi: 10.1016/0005-7967(94)00075-U
    [18]
    GOMEZ R, SUMMERS M, SUMMERS A, et al. Depression anxiety stress scales-21: measurement and structural invariance across ratings of men and women[J]. Assessment, 2014, 21(4): 418-426. doi: 10.1177/1073191113514106
    [19]
    王蜜源, 刘佳, 吴鑫, 等. 近十年中国大学生抑郁症患病率的Meta分析[J]. 海南医学院学报, 2020, 26(9): 686-693, 699. https://d.wanfangdata.com.cn/periodical/hainanyxyxb202009010

    WANG M Y, LIU J, WU X, et al. The prevalence of depression among students in Chinese universities over the past decade: a meta-analysis[J]. J Hainan Med Univ, 2020, 26(9): 686-693, 699. https://d.wanfangdata.com.cn/periodical/hainanyxyxb202009010
    [20]
    王黎恩, 王极盛. 医科大学生的生活事件与焦虑[J]. 中国临床康复, 2006, 10(6): 20-23. http://www.cnki.com.cn/Article/CJFDTotal-XDKF200606007.htm

    WANG L E, WANG J S. Life events and anxiety in medical university students[J]. Chin J Clin Rehabil, 2006, 10(6): 20-23. http://www.cnki.com.cn/Article/CJFDTotal-XDKF200606007.htm
    [21]
    BITSIKA V, SHARPLEY CF. Comorbidity of anxiety-depression among Australian university students: implications for student counsellors[J]. Br J Guid Counc, 2012, 40(4): 385-394. doi: 10.1080/03069885.2012.701271
    [22]
    王若琦, 韦润峰, 张玲童, 等. 医学本科生和硕士研究生焦虑和抑郁共病状态研究[J]. 中国继续医学教育, 2019, 11(18): 57-59. doi: 10.3969/j.issn.1674-9308.2019.18.025

    WANG R Q, WEI R F, ZHANG L T, et al. Study on the comorbidity state of anxiety and depression among medical undergraduates and postgraduates[J]. Chin Contin Med Educ, 2019, 11(18): 57-59. doi: 10.3969/j.issn.1674-9308.2019.18.025
    [23]
    LIU C H, STEVENS C, WONG S H M, et al. The prevalence and predictors of mental health diagnoses and suicide among U.S. college students: implications for addressing disparities in service use[J]. Depress Anxiety, 2019, 36(1): 8-17. doi: 10.1002/da.22830
    [24]
    ALKHATEEB A, ALBOALI R, ALHARBI W, et al. Smartphone addiction and its complications related to health and daily activities among university students in Saudi Arabia: a multicenter study[J]. J Family Med Prim Care, 2020, 9(7): 3220-3224. doi: 10.4103/jfmpc.jfmpc_1224_19
    [25]
    HAUG S, CASTRO RP, KWON M, et al. Smartphone use and smartphone addiction among young people in Switzerland[J]. J Behav Addict, 2015, 4(4): 299-307. doi: 10.1556/2006.4.2015.037
    [26]
    何雯, 夏赟. 大学生手机成瘾与心理需求、手机使用的关系研究[J]. 西南师范大学学报(自然科学版), 2021, 46(2): 105-111. http://qikan.cqvip.com/Qikan/Article/Detail?id=7104085461

    HE W, XIA Y. On relationship among college students' mobile phone addiction, psychological needs and mobile phone use[J]. J Southwest Chin Norm Univ (Nat Sci Edi), 2021, 46(2): 105-111. http://qikan.cqvip.com/Qikan/Article/Detail?id=7104085461
    [27]
    TANG C S K, WU A M S, YAN E C W, et al. Relative risks of Internet-related addictions and mood disturbances among college students: a 7-country/region comparison[J]. Public Health, 2018, 165: 16-25. doi: 10.1016/j.puhe.2018.09.010
    [28]
    LIU S, WING Y K, HAO Y, et al. The associations of long-time mobile phone use with sleep disturbances and mental distress in technical college students: a prospective cohort study[J]. Sleep, 2019, 42(2): 1-10. http://www.ncbi.nlm.nih.gov/pubmed/30395300
    [29]
    LI X, BUXTON O M, LEE S, et al. Sleep mediates the association between adolescent screen time and depressive symptoms[J]. Sleep Med, 2019, 57: 51-60. doi: 10.1016/j.sleep.2019.01.029
    [30]
    LEMOLA S, PERKINSON-GLOOR N, BRAND S, et al. Adolesc-ents' electronic media use at night, sleep disturbance, and depressive symptoms in the smartphone age[J]. J Youth Adolesc, 2015, 44(2): 405-418. doi: 10.1007/s10964-014-0176-x
    [31]
    JENSEN J L, JONES C R, KARTSONAKI C, et al. Sleep phase delay in cystic fibrosis: a potential new manifestation of cystic fibrosis transmembrane regulator dysfunction[J]. Chest, 2017, 152(2): 386-393. doi: 10.1016/j.chest.2017.03.057
    [32]
    PAREKH P K, MCCLUNG C A. Circadian mechanisms underlying reward-related neurophysiology and synaptic plasticity[J]. Front Psychiatry, 2016, 6: 187. http://core.ac.uk/download/pdf/82856400.pdf
  • 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(2)

    Article Metrics

    Article views (763) PDF downloads(110) Cited by()
    Proportional views

    /

    DownLoad:  Full-Size Img  PowerPoint
    Return
    Return