Bidirectional associations between cellular phone use behaviors and depressive symptoms in college students: a follow-up study

LI Renjie; TAO Shuman; WU Xiaoyan; YANG Yajuan; ZOU Liwei; XIE Yang; LI Tingting; ZHANG Dan; ZHAI Shuang; QU Yang; TAO Fangbiao

doi:10.16835/j.cnki.1000-9817.2023.02.021

Volume 44 Issue 2

Feb. 2023

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Article Navigation > CHINESE JOURNAL OF SCHOOL HEALTH > 2023 > 44(2): 251-255

LI Renjie, TAO Shuman, WU Xiaoyan, YANG Yajuan, ZOU Liwei, XIE Yang, LI Tingting, ZHANG Dan, ZHAI Shuang, QU Yang, TAO Fangbiao. Bidirectional associations between cellular phone use behaviors and depressive symptoms in college students: a follow-up study[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2023, 44(2): 251-255. doi: 10.16835/j.cnki.1000-9817.2023.02.021

Citation:

LI Renjie, TAO Shuman, WU Xiaoyan, YANG Yajuan, ZOU Liwei, XIE Yang, LI Tingting, ZHANG Dan, ZHAI Shuang, QU Yang, TAO Fangbiao. Bidirectional associations between cellular phone use behaviors and depressive symptoms in college students: a follow-up study[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2023, 44(2): 251-255. doi: 10.16835/j.cnki.1000-9817.2023.02.021

Citation:

LI Renjie, TAO Shuman, WU Xiaoyan, YANG Yajuan, ZOU Liwei, XIE Yang, LI Tingting, ZHANG Dan, ZHAI Shuang, QU Yang, TAO Fangbiao. Bidirectional associations between cellular phone use behaviors and depressive symptoms in college students: a follow-up study[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2023, 44(2): 251-255. doi: 10.16835/j.cnki.1000-9817.2023.02.021

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Bidirectional associations between cellular phone use behaviors and depressive symptoms in college students: a follow-up study

doi: 10.16835/j.cnki.1000-9817.2023.02.021

LI Renjie¹,
TAO Shuman^{2, 3
,
,},
WU Xiaoyan^{1, 3},
YANG Yajuan⁴,
ZOU Liwei³,
XIE Yang¹,
LI Tingting¹,
ZHANG Dan¹,
ZHAI Shuang¹,
QU Yang¹,
TAO Fangbiao^{1, 3}

1.
Department of Maternal, Child & Adolescent Health, School of Public Health, Anhui Medical University, Hefei(230032), China

Received Date: 2022-04-11
Rev Recd Date: 2022-12-13

Available Online: 2023-03-02

Publish Date: 2023-02-25

Abstract

Abstract

Objective The study aimed to describe the prevalence of mobile phone use and depressive symptoms and to examine the bidirectional associations between the two among college students, providinb evidence for mental health promotion among college students. Methods A longitudinal study with follow-up at 6-month intervals was conducted in 1 135 students from 2 universities in Hefei, Anhui Province and Shangrao, Jiangxi Province who were selected between April and May 2019. The last follow-up was conducted between April and May 2021 based on questionnaire survey, and 999 valid participants were obtained after matching. The self-designed questionnaire was used to investigate the duration of cellular phone use and use of cellular phone functions among college students. The Self-rating Questionnaire for Adolescent Problematic Mobile Phone Use (SQAPMPU) and the Patient Health Questionnaire-9 (PHQ-9) were used to assess cellular phone dependence and depressive symptoms among college students. Pearson correlation analysis was used to examine the correlation between cellular phone use behavior and depressive symptoms at baseline and 2 years later; linear regression model was used to analyze the linear association between cellular phone use behavior and depressive symptoms scores; autoregressive cross-lagged model was used to analyze the bidirectional associations between cellular phone use behaviors and depressive symptoms among college students over time. Results The prevalence of mobile phone dependence and depressive symptoms among college students at baseline were 24.3% and 42.4%, respectively. The mean duration of mobile phone use among college students at baseline and the 2-year follow-up were (2.84±0.90)h/d and (2.02±1.05)h/d, respectively; the mean scores of mobile phone dependence were (23.30±9.00) and (23.29±10.45), respectively; the mean scores of mobile phone function use were (30.12±6.66) and (29.12±7.27), respectively; and the mean scores of depressive symptoms were (4.51±4.76) and (2.61±4.40), respectively. Pearson correlation analysis showed there were significant positive correlations between duration of cellular phone use, cellular phone dependence, use of cellular phone functions at baseline or 2 years later and depressive symptoms 2 years later(r=0.08-0.50, P < 0.05). Linear regression models showed a significant positive association between cellular phone dependence at baseline and depressive symptoms (β=0.26, 95%CI=0.23-0.29) at baseline and 2 years later (β=0.12, 95%CI=0.09-0.15). Autoregressive cross-lagged models showed that cellular phone dependence at baseline positively predicted depressive symptoms 2 years later (β=0.04) and depressive symptoms at baseline positively predicted cellular phone dependence 2 years later(β=0.23)(P < 0.05). Conclusion There was a bidirectional association between cellular phone dependence and depressive symptoms among college students. Reducing cellular phone dependence is of positive significance for improving college students' mental health.
- Cellular phone,
- Tool use behavior,
- Depression,
- Follow-up studies,
- Regression analysis,
- Students

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References(39)

References

[1]	CERUTTI R, PRESAGHI F, SPENSIERI V, et al. Adaptation and psychometric analysis of the test of mobile phone dependence: brief version in Italian adolescents[J]. Int J Environ Res Public Health, 2021, 18(5): 2612. doi: 10.3390/ijerph18052612
[2]	BILLIEUX J. Problematic use of the mobile phone: a literature review and a pathways model[J]. Curr Psychiatry Rev, 2012, 8(4): 299-307. doi: 10.2174/157340012803520522
[3]	BILLIEUX J, MAURAGE P, LOPEZ-FERNANDEZ O, et al. Can disordered mobile phone use be considered a behavioral addiction: an update on current evidence and a comprehensive model for future research[J]. Curr Addict Rep, 2015, 2(2): 156-162. doi: 10.1007/s40429-015-0054-y
[4]	中国互联网络信息中心. 第49次《中国互联网络发展状况统计报告》[EB/OL]. (2022-02-25)[2022-03-20]. https://www.cnnic.net.cn/hlwfzyj/hlwxzbg/hlwtjbg/202202/P020220407403488048001.pdf. China Internet Network Information Center.The 49th Statistical Report on China's Internet Development[EB/OL]. (2022-02-25)[2022-03-20]. https://www.cnnic.net.cn/hlwfzyj/hlwxzbg/hlwtjbg/202202/P020220407403488048001.pdf.(in Chinese)
[5]	NISHIDA T, TAMURA H, SAKAKIBARA H. The association of smartphone use and depression in Japanese adolescents[J]. Psychiatry Res, 2019, 273: 523-527. doi: 10.1016/j.psychres.2019.01.074
[6]	AMENDOLA S, SPENSIERI V, CERUTTI R. The impact of problematic mobile phone use on sleep quality in preadolescence: the mediating role of somatic symptoms[J]. Clin Psychol, 2018, 6: 55.
[7]	WILMER H H, SHERMAN L E, CHEIN J M. Smartphones and cognition: a review of research exploring the links between mobile technology habits and cognitive functioning[J]. Front Psychol, 2017, 8: 605. doi: 10.3389/fpsyg.2017.00605
[8]	SEO D G, PARK Y, KIM M K, et al. Mobile phone dependency and its impacts on adolescents' social and academic behaviors[J]. Comput Human Behav, 2016, 63: 282-292. doi: 10.1016/j.chb.2016.05.026
[9]	GUO N, LUK T T, HO S Y, et al. Problematic smartphone use and mental health in Chinese adults: a population-based study[J]. Int J Environ Res Public Health, 2020, 17(3): 844. doi: 10.3390/ijerph17030844
[10]	YEN C F, TANG T C, YEN J Y, et al. Symptoms of problematic cellular phone use, functional impairment and its association with depression among adolescents in southern Taiwan[J]. J Adolesc, 2009, 32(4): 863-873. doi: 10.1016/j.adolescence.2008.10.006
[11]	IKEDA K, NAKAMURA K. Association between mobile phone use and depressed mood in Japanese adolescents: a cross-sectional study[J]. Environ Health Prev Med, 2014, 19(3): 187-193. doi: 10.1007/s12199-013-0373-3
[12]	KAYA F, BOSTANCI DAŞTAN N, DURAR E. Smart phone usage, sleep quality and depression in university students[J]. Int J Soc Psychiatry, 2021, 67(5): 407-414. doi: 10.1177/0020764020960207
[13]	ALHASSAN A A, ALQADHIB E M, TAHA N W, et al. The relationship between addiction to smartphone usage and depression among adults: a cross sectional study[J]. BMC Psychiatry, 2018, 18(1): 148. doi: 10.1186/s12888-018-1745-4
[14]	IVANOVA A, GORBANIUK O, BŁACHNIO 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
[15]	KIM R, LEE K J, CHOI Y J. Mobile phone overuse among elementary school students in Korea: factors associated with mobile phone use as a behavior addiction[J]. J Addict Nurs, 2015, 26(2): 81-85. doi: 10.1097/JAN.0000000000000074
[16]	ZHANG G, YANG X, TU X, et al. Prospective relationships between mobile phone dependence and mental health status among Chinese undergraduate students with college adjustment as a mediator[J]. J Affect Disord, 2020, 260: 498-505. doi: 10.1016/j.jad.2019.09.047
[17]	CHOI S W, KIM D J, CHOI J S, et al. Comparison of risk and protective factors associated with smartphone addiction and internet addiction[J]. J Behav Addict, 2015, 4(4): 308-314. doi: 10.1556/2006.4.2015.043
[18]	HONG Y P, YEOM Y O, LIM M H. Relationships between smartphone addiction and smartphone usage types, depression, ADHD, stress, interpersonal problems, and parenting attitude with middle school students[J]. J Korean Med Sci, 2021, 36(19): e129. doi: 10.3346/jkms.2021.36.e129
[19]	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. doi: 10.16835/j.cnki.1000-9817.2013.01.010 TAO S M, FU J L, WANG H, et al. Development of Self-rating Questionnaire for Adolescent Problematic Mobile Phone Use and the psychometric evaluation in undergraduates[J]. Chin J Sch Health, 2013, 34(1): 26-29. (in Chinese) doi: 10.16835/j.cnki.1000-9817.2013.01.010
[20]	RA C K, CHO J, STONE M D, et al. Association of digital media use with subsequent symptoms of attention-deficit/hyperactivity disorder among adolescents[J]. JAMA, 2018, 320(3): 255-263. doi: 10.1001/jama.2018.8931
[21]	LÖWE B, KROENKE K, HERZOG W, et al. Measuring depression outcome with a brief self-report instrument: sensitivity to change of the Patient Health Questionnaire (PHQ-9)[J]. J Affect Disord, 2004, 81(1): 61-66. doi: 10.1016/S0165-0327(03)00198-8
[22]	BOUMOSLEH J M, JAALOUK D. Depression, anxiety, and smartphone addiction in university students: a cross sectional study[J]. PLoS One, 2017, 12(8): e0182239. doi: 10.1371/journal.pone.0182239
[23]	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 Fam Med Prim Care, 2020, 9(7): 3220-3224. doi: 10.4103/jfmpc.jfmpc_1224_19
[24]	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. doi: 10.1186/s12888-016-1083-3
[25]	TAO S M, WU X Y, ZHANG S C, et al. Association of alcohol use with problematic mobile phone use and depressive symptoms among college students in Anhui, China[J]. J Public Health, 2017, 25: 103-112. doi: 10.1007/s10389-016-0766-z
[26]	DESOUKY D E, ABU-ZAID H. Mobile phone use pattern and addiction in relation to depression and anxiety[J]. East Mediterr Health J, 2020, 26(6): 692-699. doi: 10.26719/emhj.20.043
[27]	GAO W, PING S, LIU X. Gender differences in depression, anxiety, and stress among college students: a longitudinal study from China[J]. J Affect Disord, 2020, 263: 292-300. doi: 10.1016/j.jad.2019.11.121
[28]	LIU X, PING S, GAO W. Changes in undergraduate students' psychological well-being as they experience university life[J]. Int J Environ Res Public Health, 2019, 16(16): 2864. doi: 10.3390/ijerph16162864
[29]	丘彩霞, 刘庆奇, 聂衍刚.儿童青少年手机依赖与抑郁的关系: 父母婚姻关系的调节作用[J/OL]. 中国健康心理学杂志[2021-11-20].https://kns.cnki.net/kcms/detail/11.5257.R.20211119.1136.002.html. QIU C X, LIU Q Q, NIE Y G.The relationship between mobile phone dependence and depression among children and adolescents: the moderating effect of parental marital relationship[J/OL]. Chin J Health Psychol[2021-11-20]. https://kns.cnki.net/kcms/detail/11.5257.R.20211119.1136.002.html.(in Chinese)
[30]	THOMÉE 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: 66. doi: 10.1186/1471-2458-11-66
[31]	PARK S B, HWANG H S. An exploratory study on factors influencing on smart phone addiction: focused on the application use of university students[J]. Korean J Commun Stud, 2014, 58(4): 289-311.
[32]	JUN S. The reciprocal longitudinal relationships between mobile phone addiction and depressive symptoms among Korean adolescents[J]. Comput Human Behav, 2016, 58: 179-186. doi: 10.1016/j.chb.2015.12.061
[33]	LAPIERRE M A, ZHAO P, CUSTER B E. Short-term longitudinal relationships between smartphone use/dependency and psychological well-being among late adolescents[J]. J Adolesc Health, 2019, 65(5): 607-612. doi: 10.1016/j.jadohealth.2019.06.001
[34]	KUMAR K A S S. Mobile phone and adolescents-addiction a mindful check in![J]. Int J Adv Nurs Stud, 2014, 3(1): 42-46.
[35]	KARDEFELT-WINTHER D. A conceptual and methodological critique of internet addiction research: towards a model of compensatory internet use[J]. Comput Human Behav, 2014, 31: 351-354. doi: 10.1016/j.chb.2013.10.059
[36]	LEE J, AHN J S, MIN S, et al. Psychological characteristics and addiction propensity according to content type of smartphone use[J]. Int J Environ Res Public Health, 2020, 17(7): 2292. doi: 10.3390/ijerph17072292
[37]	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. https://www.cnki.com.cn/Article/CJFDTOTAL-XNZK202102018.htm HE W, XIA Y. On relationship among college students' mobile phone addiction, psychological needs and mobile phone use[J]. J Southwest China Norm Univ(Natur Sci Edit), 2021, 46(2): 105-111. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-XNZK202102018.htm
[38]	HE C, LEVIS B, RIEHM K E, et al. The accuracy of the Patient Health Questionnaire-9 algorithm for screening to detect major depression: an individual participant data Meta-analysis[J]. Psychother Psychosom, 2020, 89(1): 25-37. doi: 10.1159/000502294
[39]	TAO S, WU X, YANG Y, et al. The moderating effect of physical activity in the relation between problematic mobile phone use and depression among university students[J]. J Affect Disord, 2020, 273: 167-172. doi: 10.1016/j.jad.2020.04.012