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Li N, Liu W, Yu S, Yang R. Parental supervision, children's self-control and smartphone dependence in rural children: a qualitative comparative analysis from China. Front Psychol 2025; 16:1481013. [PMID: 40230993 PMCID: PMC11994706 DOI: 10.3389/fpsyg.2025.1481013] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/16/2024] [Accepted: 03/19/2025] [Indexed: 04/16/2025] Open
Abstract
Objective This study explored the developmental pathways of smartphone dependence among rural children in China, focusing on the interplay between parental supervision, children's self-control, and parent-child relationships. Methods In-depth interviews were conducted with 20 rural Chinese children and their parents. A Qualitative Comparative Analysis was employed to examine the conditions and mechanisms underlying smartphone dependence from both children's and parents' perspectives. Results Three distinct pathways to smartphone dependence were identified. Path 1: Children who were not left behind exhibited low self-control, lacked supervision and guidance, and had introverted personalities, and were more susceptible to smartphone dependence. Paths 2 and 3- Children who were left behind in rural areas and lack self-control were prone to developing smartphone dependence, regardless of whether they had a distant or harmonious parent-child relationship and an introverted or extroverted personality. Conclusion Children's self-control and parental supervision were critical factors influencing the participants' smartphone dependence. The children's sex, age, academic performance, parents' smartphone use duration, and primary caregivers' parenting skills moderated these influencing paths. Interventions should focus on enhancing children's self-control through skill-building and equipping parents and primary caregivers with effective supervision, communication, and boundary-setting strategies to foster healthier technological habits.
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Affiliation(s)
- Na Li
- Department of Sociology, School of Humanities and Social Sciences, Xi’an Jiaotong University, Xi’an, China
| | - Wushuang Liu
- Department of Sociology, School of Humanities and Social Sciences, Xi’an Jiaotong University, Xi’an, China
| | - Suzhen Yu
- Department of Sociology, School of Humanities and Social Sciences, Xi’an Jiaotong University, Xi’an, China
| | - Rui Yang
- Department of Public Administration, School of Humanities, Chang’an University, Xi’an, China
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2
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Mancinelli E, Cottu M, Salcuni S. Validation of the Difficulties in Emotion Regulation Scale-Short Form in a sample of Italian adolescents. J Clin Psychol 2024; 80:2209-2227. [PMID: 38970816 DOI: 10.1002/jclp.23732] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/14/2023] [Revised: 05/09/2024] [Accepted: 06/26/2024] [Indexed: 07/08/2024]
Abstract
OBJECTIVE The primary objective of the present study is to validate the Difficulty in Emotion Regulation Scale-Short Form (DERS-SF) in a sample of Italian adolescents. Additionally, we aim to evaluate its factorial structure by examining the contribution of each subscale (i.e., Nonacceptance, Clarity, Awareness, Goals, Impulse, Strategy) on the general factor using bi-factor models by replicating a past study. METHOD The sample comprises N = 704 adolescents aged 11-17 years (M = 13.38, SD = 1.37; 53.12% females). To establish external validity, correlation and path analyses were conducted between the DERS-SF sub-scales, the total score, and measures of internalizing and externalizing symptoms, as well as Problematic Smartphone Use (PSU). Measurement invariance was tested comparing males versus females and pre-adolescents and adolescents. RESULTS Overall, results supported the multidimensional nature of the DERS-SF, confirming its original six-factor structure. However, bi-factor models analysis revealed that the Awareness subscale should be excluded when calculating the total score. Furthermore, findings indicated that the Strategy subscale variance is largely accounted for by the general factor rather than the specific subscale. In terms of external validity, significant positive associations between the DERS-SF sub-scales, the total score, and PSU, internalizing and externalizing symptoms were observed. Measurement invariance was supported. CONCLUSIONS Altogether, findings support the validity of the DERS-SF among Italian Adolescents and provide insights relevant to the understanding of the multifaceted facets of emotion regulation, emphasizing its relevance as a transdiagnostic process.
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Affiliation(s)
- Elisa Mancinelli
- Department of Developmental and Socialization Psychology, University of Padova, Padova, Italy
- Digital Health Lab, Centre for Digital Health and Wellbeing, Fondazione Bruno Kessler, Trento, Italy
| | - Manuela Cottu
- Department of Developmental and Socialization Psychology, University of Padova, Padova, Italy
| | - Silvia Salcuni
- Department of Developmental and Socialization Psychology, University of Padova, Padova, Italy
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3
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Li J, Yang H. Unveiling the grip of mobile phone addiction: an in-depth review. Front Psychiatry 2024; 15:1429941. [PMID: 39415886 PMCID: PMC11479953 DOI: 10.3389/fpsyt.2024.1429941] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/09/2024] [Accepted: 09/13/2024] [Indexed: 10/19/2024] Open
Abstract
Mobile Phone Addiction represents an emergent addictive disorder that gravely jeopardizes the physical and mental health of adolescents worldwide, necessitating exhaustive research. Current reviews of MPA are in dire need of updates and enhancements. Therefore, this review aggregates the extant research spanning the past two decades on the prevalence, pathogenesis, comorbidities, assessment, and treatment of MPA, aiming to furnish a reference for future investigations into this condition.
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Affiliation(s)
| | - Hong Yang
- School of Medical and Life Sciences, Chengdu University of Traditional Chinese Medicine, Chengdu, China
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4
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Hefter MH. Note-taking fosters distance video learning: smartphones as risk and intellectual values as protective factors. Sci Rep 2024; 14:16962. [PMID: 39043854 PMCID: PMC11266711 DOI: 10.1038/s41598-024-67898-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/15/2024] [Accepted: 07/17/2024] [Indexed: 07/25/2024] Open
Abstract
Distance video learning, especially with how-to videos, has become extremely popular. Whereas previous studies revealed note-taking as a prominent and promising support measure for video learning in the lab, we focus on note-taking while learning from a how-to video in a distance learning setting. Meanwhile, learners' digital distraction and smartphone usage have become widespread and excessive, potentially harming learning. We thus also aimed to analyze potential risk and protective factors associated with learning with how-to videos, such as smartphone usage time and intellectual values. We conducted an online field experiment involving 59 psychology students, who learned with a short how-to video on plumbing. We found that note-takers outperformed non-note-takers in a posttest about the video content. Furthermore, this note-taking effect on learning outcomes was mediated by learning engagement. Besides note-taking and intellectual values as contributing positively to learning outcomes, we also identified the mean daily smartphone usage time as a risk factor to learning. Overall, our results show how beneficial it is for students to take notes while learning with how-to videos in a distance learning setting. Conversely, learners should avoid digital distractions, in particular through smartphones.
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Affiliation(s)
- Markus H Hefter
- Department of Psychology, Bielefeld University, 33615, Bielefeld, Germany.
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Gerosa T, Gui M. Earlier smartphone acquisition negatively impacts language proficiency, but only for heavy media users. Results from a longitudinal quasi-experimental study. SOCIAL SCIENCE RESEARCH 2023; 114:102915. [PMID: 37597929 DOI: 10.1016/j.ssresearch.2023.102915] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/16/2022] [Revised: 03/14/2023] [Accepted: 07/24/2023] [Indexed: 08/21/2023]
Abstract
There is a growing debate about the proper age at which teens should be given permission to own a personal smartphone. While experts in different disciplines provide parents and educators with conflicting guidelines, the age of first smartphone acquisition is constantly decreasing and there is still limited evidence on the impact of anticipating the age of access on learning outcomes. Drawing on two-wave longitudinal data collected on a sample of 1672 students in 2013 (at grade 5) and 2016 (at grade 8), this study evaluates whether obtaining the first personal smartphone at 10 or 11 years old, during the transition to lower secondary school (early owning), affected their language proficiency trends compared to receiving it from the age of 12 onwards (late owning). Results indicate an overall null effect of smartphone early owning on adolescents' language proficiency trajectories, while a negative effect is found on those who were already heavy screen media users before receiving the device.
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Affiliation(s)
- Tiziano Gerosa
- Institute of Applied Sustainability to the Built Environment, Department of Environment Constructions and Design, University of Applied Sciences and Arts of Southern Switzerland, Switzerland.
| | - Marco Gui
- Department of Sociology and Social Research, Università Degli Studi di Milano-Bicocca, Italy.
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6
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Błachnio A, Przepiorka A, Cudo A, Angeluci A, Ben-Ezra M, Durak M, Kaniasty K, Mazzoni E, Senol-Durak E, Hou WK, Benvenuti M. Self-Control and Digital Media Addiction: The Mediating Role of Media Multitasking and Time Style. Psychol Res Behav Manag 2023; 16:2283-2296. [PMID: 37366482 PMCID: PMC10290845 DOI: 10.2147/prbm.s408993] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/28/2023] [Accepted: 05/26/2023] [Indexed: 06/28/2023] Open
Abstract
Introduction As being an initiating actions and resisting short-term temptations, self-control is negatively related to digital media addiction. However, many studies indicate that there are variables that may mediate this relationship. The present study investigated the mediating role of media multitasking and time style in the relationship between self-control and digital media addiction. Methods The study included N= 2193 participants with a mean age of M = 23.26 (SD = 6.98) from seven countries: Brazil, Hong Kong, Israel, Italy, Poland, Turkey, and the United States. The authors used the Brief Self-Control Scale, the Media Multitasking Scale, the Time Styles Scale, the Problematic Smartphone Use Scale, the Problematic Internet Use Scale, and the Problematic Facebook Use Scale. Results Results revealed that self-control was negatively related to all assessed types of problematic digital media use, namely problematic Internet use, problematic smartphone use, and problematic Facebook use. Media multitasking was found to be a significant mediator of the relationship between self-control and problematic digital media use. Discussion High self-control can be preventative against uncontrolled and automatic social media checking, whereas low self-control fosters the habit of continuously remaining current.
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Affiliation(s)
- Agata Błachnio
- The John Paul II Catholic University of Lublin, Lublin, Poland
| | | | - Andrzej Cudo
- The John Paul II Catholic University of Lublin, Lublin, Poland
| | | | | | - Mithat Durak
- Bolu Abant Izzet Baysal University, Bolu, Turkey
| | - Krzysztof Kaniasty
- Indiana University of Pennsylvania, Indiana, PA, USA
- Polish Academy of Sciences, Warsaw, Poland
| | | | | | - Wai Kai Hou
- The Education University of Hong Kong, Hong Kong, People’s Republic of China
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7
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Robayo-Pinzon O, Rojas-Berrío S, Paredes MR, Foxall GR. Social media sites users' choice between utilitarian and informational reinforcers assessed using temporal discounting. Front Public Health 2023; 11:960321. [PMID: 36844822 PMCID: PMC9950497 DOI: 10.3389/fpubh.2023.960321] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/02/2022] [Accepted: 01/24/2023] [Indexed: 02/12/2023] Open
Abstract
Objective This study provides a first approach to the use of the Multiple-Choice Procedure in social media networks use, as well as empirical evidence for the application of the Behavioral Perspective Model to digital consumption behavior in young users in conjunction with a methodology based on behavioral economics. Participants/methods The participants were part of a large university in Bogotá, Colombia, and they received an academic credit once they completed the online questionnaire. A total of 311 participants completed the experiment. Of the participants, 49% were men with a mean age of 20.6 years (SD = 3.10, Range = 15-30); 51% were women with a mean age of 20.2 years (SD = 2.84, Range = 15-29). Results Among the total participants, 40% reported that they used social networks between 1 and 2 h a day, 38% between 2 and 3 h, 16% for 4 h or more, and the remaining 9% used them for 1 h or less per day. The factorial analysis of variance (ANOVA) allowed us to identify a statistically significant effect of the delay of the alternative reinforcer, that is, the average crossover points were higher when the monetary reinforcer was delayed 1 week, compared to the immediate delivery of the monetary reinforcer. There was no statistically significant effect of the interaction between the magnitude of the reinforcer and the delay time of the alternative reinforcer. Conclusions This study supports the relative reinforcing value of an informational reinforcement consequence such as social media use, which is sensitive to both the magnitude of reinforcement and the delay in delivery as individual factors. The findings on reinforcer magnitude and delay effects are consistent with previous research that have applied behavioral economics to the study of non-substance-related addictions.
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Affiliation(s)
- Oscar Robayo-Pinzon
- School of Business Administration, Universidad del Rosario, Bogotá, Colombia,*Correspondence: Oscar Robayo-Pinzon ✉
| | | | - Mario R. Paredes
- School of Business Administration, Universidad del Rosario, Bogotá, Colombia
| | - Gordon R. Foxall
- Cardiff Business School, Cardiff University, Cardiff, United Kingdom,School of Management, Reykjavik University, Reykjavik, Iceland
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Zhang K, Guo H, Wang T, Zhang J, Yuan G, Ren J, Zhang X, Yang H, Lu X, Zhu Z, Du J, Shi H, Jin G, Hao J, Sun Y, Su P, Zhang Z. A bidirectional association between smartphone addiction and depression among college students: A cross-lagged panel model. Front Public Health 2023; 11:1083856. [PMID: 36761134 PMCID: PMC9902510 DOI: 10.3389/fpubh.2023.1083856] [Citation(s) in RCA: 8] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/29/2022] [Accepted: 01/05/2023] [Indexed: 01/26/2023] Open
Abstract
Background Smartphone addiction (SA) is associated with adverse consequences, especially for freshmen. Evidence indicates that SA is associated with depression, and it is necessary to conduct a longitudinal study to explore the association further. Methods SA (measured by the Smartphone Addiction Scale-Short Version) and depression (measured by the Zung's Self-Rating Depression Scale) among 1,186 freshmen were surveyed at baseline and a respective 12-month follow-up for each participant. The application of a cross-lagged panel model approach (CLPM) revealed an association between SA and depression after adjusting for demographic variables. Results The CLPM results showed a significant path from baseline SA to follow-up depression (β = 0.08, P < 0.001) and a significant path from baseline depression to follow-up SA (β = 0.08, P < 0.001). Compared with the overall cross-lagged model, the cross-lagged coefficient of the path from baseline SA to follow-up depression increased in the female group (β = 0.10, P = 0.015), and the cross-lagged coefficient of the path from baseline depression to follow-up SA also increased significantly (β = 0.15, P < 0.001). In contrast, the cross-lagged model in the male group showed no predictive effect between SA and depression (P > 0.05). Conclusions The current study showed a significant bidirectional association between smartphone addiction and depression among freshmen, but only in the female population.
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Affiliation(s)
- Kexin Zhang
- Department of Epidemiology and Biostatistics, School of Public Health, Anhui Medical University, Hefei, China
| | - Haiyun Guo
- Department of Epidemiology and Biostatistics, School of Public Health, Anhui Medical University, Hefei, China
| | - Tianli Wang
- Hefei Center for Disease Control and Prevention, Hefei, China
| | - Jianghui Zhang
- Department of Epidemiology and Biostatistics, School of Public Health, Anhui Medical University, Hefei, China
| | - Guojing Yuan
- Department of Epidemiology and Biostatistics, School of Public Health, Anhui Medical University, Hefei, China
| | - Juan Ren
- The Second Hospital of Anhui Medical University, Hefei, China
| | - Xueqing Zhang
- Department of Epidemiology and Biostatistics, School of Public Health, Anhui Medical University, Hefei, China
| | - Huayu Yang
- Department of Epidemiology and Biostatistics, School of Public Health, Anhui Medical University, Hefei, China
| | - Xiaoyan Lu
- Department of Epidemiology and Biostatistics, School of Public Health, Anhui Medical University, Hefei, China
| | - Zhihui Zhu
- Department of Epidemiology and Biostatistics, School of Public Health, Anhui Medical University, Hefei, China
| | - Jun Du
- Department of Epidemiology and Biostatistics, School of Public Health, Anhui Medical University, Hefei, China
| | - Haiyan Shi
- Department of Epidemiology and Biostatistics, School of Public Health, Anhui Medical University, Hefei, China
| | - Guifang Jin
- Department of Epidemiology and Biostatistics, School of Public Health, Anhui Medical University, Hefei, China
| | - Jiahu Hao
- Department of Maternal, Child, and Adolescent Health, School of Public Health, Anhui Medical University, Hefei, China
| | - Ying Sun
- Department of Maternal, Child, and Adolescent Health, School of Public Health, Anhui Medical University, Hefei, China
| | - Puyu Su
- Department of Maternal, Child, and Adolescent Health, School of Public Health, Anhui Medical University, Hefei, China
| | - Zhihua Zhang
- Department of Epidemiology and Biostatistics, School of Public Health, Anhui Medical University, Hefei, China
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9
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Boredom Proneness on Chinese College Students' Phubbing during the COVID-19 Outbreak: The Mediating Effects of Self-Control and Bedtime Procrastination. JOURNAL OF HEALTHCARE ENGINEERING 2023; 2023:4134283. [PMID: 36818383 PMCID: PMC9931466 DOI: 10.1155/2023/4134283] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 05/23/2022] [Revised: 11/02/2022] [Accepted: 01/28/2023] [Indexed: 02/10/2023]
Abstract
Objective To analyze the relationship between boredom proneness and phubbing among Chinese college students and examine how self-control and bedtime procrastination mediate this relationship during the COVID-19 outbreak. Methods A total of 707 Chinese college students were voluntarily surveyed. They completed the Generic Scale of Phubbing (GSP), Short Boredom Proneness Scale (SBPS), Bedtime Procrastination Scale (BPS), and Self-Control Scale (SCS). Results (1) The results revealed that men scored higher on boredom than women. (2) The analysis revealed significant associations between each of the variables. Boredom proneness was positively correlated with bedtime procrastination (r = 0.318; P < 0.001) and phubbing (r = 0.418; P < 0.001) and negatively correlated with self-control (r = -0.518; P < 0.001). (3) Mediation analysis suggested that self-control and bedtime procrastination mediate the relationship between boredom proneness and phubbing (effect of self-control = 0.094, P < 0.001, 95% CI [0.062∼0.128]; effect of bedtime procrastination = 0.025, P < 0.001, 95% CI [0.011∼0.042]; and effect of self-control and bedtime procrastination = 0.032, P < 0.001, 95% CI [0.020∼0.046]). Conclusion Self-control and bedtime procrastination mediate the association between boredom proneness and phubbing among Chinese college students during the COVID-19 pandemic.
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“My other hand”: The central role of smartphones and SNSs in Korean students’ lives and studies. COMPUTERS IN HUMAN BEHAVIOR 2023. [DOI: 10.1016/j.chb.2022.107447] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022]
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11
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Effects of childhood adversity on smartphone addiction: The multiple mediation of life history strategies and smartphone use motivations. COMPUTERS IN HUMAN BEHAVIOR 2022. [DOI: 10.1016/j.chb.2022.107298] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/23/2023]
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Qiu C, Liu Q, Yu C, Li Z, Nie Y. The influence of meaning in life on children and adolescents' problematic smartphone use: A three-wave multiple mediation model. Addict Behav 2022; 126:107199. [PMID: 34920329 DOI: 10.1016/j.addbeh.2021.107199] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/04/2021] [Revised: 11/02/2021] [Accepted: 11/22/2021] [Indexed: 11/17/2022]
Abstract
Using a three-wave longitudinal design, the current study examined the relationship between early meaning in life and subsequent problematic smartphone use (PSU). As depression and self-control are a strong predictor of Internet-related addiction, we examined these two variables as possible mediators in this relationship based on existing literature. A total of 478 Chinese children and adolescents (243 boys and 235 girls, mean age = 11.26 years) completed questionnaires regarding meaning in life, depression, self-control and PSU. The results indicated that: (a) presence of meaning and search for meaning are positive correlation, and they are negatively associated with PSU among children and adolescents; (b) depression and self-control mediated the link between presence of meaning and children and adolescents' subsequent PSU respectively; and (c) depression and self-control sequentially mediated the relationship between early presence of meaning and children and adolescents' subsequent PSU; whereas not sequentially mediated the relationship between search for meaning and children and adolescents' subsequent PSU. These results suggested that three types of interventions could be effectively used to decrease the risk of PSU among children and adolescents, namely, enhancing presence of meaning, relieving depression, and improving self-control.
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Affiliation(s)
- Caixia Qiu
- Research Center of Adolescent Psychology and Behavior, School of Education, Guangzhou University, Guangzhou 510006, China
| | - Qingqi Liu
- Research Center of Adolescent Psychology and Behavior, School of Education, Guangzhou University, Guangzhou 510006, China
| | - Chengfu Yu
- Research Center of Adolescent Psychology and Behavior, School of Education, Guangzhou University, Guangzhou 510006, China
| | - Zhenhua Li
- Research Center of Adolescent Psychology and Behavior, School of Education, Guangzhou University, Guangzhou 510006, China
| | - Yangang Nie
- Research Center of Adolescent Psychology and Behavior, School of Education, Guangzhou University, Guangzhou 510006, China.
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García-Manglano J, López-Madrigal C, Sádaba-Chalezquer C, Serrano C, Lopez-Fernandez O. Difficulties in Establishing "Truth" Conditions in the Assessment of Addictive Smartphone Use in Young Adults. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 19:358. [PMID: 35010618 PMCID: PMC8744600 DOI: 10.3390/ijerph19010358] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/29/2021] [Revised: 12/09/2021] [Accepted: 12/16/2021] [Indexed: 06/14/2023]
Abstract
The smartphone revolution has placed powerful, multipurpose devices in the hands of youth across the globe, prompting worries about the potential negative consequences of these technologies on mental health. Many assessment tools have been created, seeking to classify individuals into problematic and non-problematic smartphone users. These are identified using a cutoff value: a threshold, within the scale range, at which higher scores are expected to be associated with negative outcomes. Lacking a clinical assessment of individuals, the establishment of this threshold is challenging. We illustrate this difficulty by calculating cutoff values for the Short Version of the Smartphone Addiction Scale (SAS-SV) in 13 Spanish-speaking samples in 11 countries, using common procedures (i.e., reliability, validity, ROC methodology). After showing that results can be very heterogeneous (i.e., they lead to diverse cutoff points and rates of addiction) depending on the decisions made by the researchers, we call for caution in the use of these classifications, particularly when researchers lack a clinical definition of true addiction-as is the case with most available scales in the field of behavioral addictions-which can cause an unnecessary public health alert.
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Affiliation(s)
| | | | | | - Cecilia Serrano
- Department of Sociology, Catholic University of the Sacred Heart, 20123 Milan, Italy;
| | - Olatz Lopez-Fernandez
- Health Research Institute, Hospital Universitario Fundación Jiménez Díaz, 28040 Madrid, Spain
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