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Donati MA, Padovani M, Iozzi A, Primi C. Prevention of problematic smartphone use among adolescents: A preliminary study to investigate the efficacy of an intervention based on the metacognitive model. Addict Behav 2025; 166:108332. [PMID: 40120187 DOI: 10.1016/j.addbeh.2025.108332] [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: 11/14/2024] [Revised: 02/21/2025] [Accepted: 03/18/2025] [Indexed: 03/25/2025]
Abstract
As there is a significant gap in the development of preventive interventions tailored to adolescents, this study develops and preliminarily investigates the efficacy of a preventive intervention towards Problematic Smartphone Use (PSU) by referring to the metacognitive model. Six classes, a total of 93 high school students (75 % females, Mage = 16.26, SD = 1.24), were randomly assigned to either the Training or No Training group. The intervention spanned five weekly sessions, incorporating cognitive behavioral therapy and the conceptual change model to modify metacognitive beliefs. Pre- and post-test measures included daily time spent on the mobile phone, risky behaviors related to smartphone use, and metacognitive beliefs about smartphone use. A mixed ANOVA indicated a significant reduction in daily time spent on the mobile phone and risky behaviors related to smartphone use only in the Training group, with large effect sizes. Findings are promising and discussed in terms of future improvement.
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Affiliation(s)
- Maria Anna Donati
- Department of Neuroscience, Psychology, Drug, and Child's Health, Section of Psychology, University of Florence, Florence, Italy.
| | - Massimiliano Padovani
- Department of Neuroscience, Psychology, Drug, and Child's Health, Section of Psychology, University of Florence, Florence, Italy
| | - Adriana Iozzi
- Department of Neuroscience, Psychology, Drug, and Child's Health, Section of Psychology, University of Florence, Florence, Italy
| | - Caterina Primi
- Department of Neuroscience, Psychology, Drug, and Child's Health, Section of Psychology, University of Florence, Florence, Italy
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Hidalgo-Fuentes S, Martínez-Álvarez I, Llamas-Salguero F, Villaseñor-León M. Adaptation and Validation of the Spanish Version of the Smartphone Application-Based Addiction Scale (SABAS). Behav Sci (Basel) 2025; 15:496. [PMID: 40282117 PMCID: PMC12024139 DOI: 10.3390/bs15040496] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/10/2025] [Revised: 03/19/2025] [Accepted: 04/06/2025] [Indexed: 04/29/2025] Open
Abstract
Smartphone addiction is very prevalent among university students and can negatively impact both their physical and mental health. This study aimed to translate the smartphone application-based addiction scale (SABAS) into Spanish and evaluate its psychometric properties among Spanish university students. A total of 297 university students (222 women and 75 men) participated in this study (M age = 20.88, SD = 4.58) by completing a sociodemographic questionnaire, the smartphone addiction scale-short version, the depression, anxiety, and stress scale-21, the fear of missing out scale, and the SABAS. The SABAS was translated into Spanish using the forward-backward method. The factor structure was analyzed using confirmatory factor analysis, while reliability was assessed with Cronbach's alpha and McDonald's omega coefficients. The SABAS showed acceptable reliability (α = 0.72; ω = 0.73), and all of its items were kept. Factor analysis revealed that the Spanish version of the SABAS was unifactorial and demonstrated excellent validity (χ2 = 10.285; p = 0.246; RMSEA = 0.034; CFI = 0.991; SRMR = 0.030). Significant associations were also observed between the SABAS score and the number of hours of smartphone use, fear of missing out, and psychological distress. Despite its brevity, the Spanish version of the SABAS provides good validity and reliability. Therefore, it can be used as a tool for screening smartphone addiction in Spanish university students.
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Affiliation(s)
- Sergio Hidalgo-Fuentes
- Facultad de Psicología y Logopedia, Universitat de València, Av. Blasco Ibáñez 21, 46010 Valencia, Spain
| | - Isabel Martínez-Álvarez
- Facultad de Ciencias de la Educación, Universidad a Distancia de Madrid (UDIMA), Vía de Servicio A-6 15, 28400 Collado Villalba, Spain;
| | - Fátima Llamas-Salguero
- Facultad de Educación y Psicología, Universidad de Extremadura, Av. de Elvas, S/n, 06006 Badajoz, Spain;
| | - Miriam Villaseñor-León
- Facultad de Educación y Psicología, Universidad Francisco de Vitoria, M-515, km 1.800, 28223 Pozuelo de Alarcón, Spain;
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Alodhialah AM, Almutairi AA, Almutairi MT. Assessment of Knowledge and Outcomes of Nomophobia Among Students at a Selected Degree College in Riyadh. Risk Manag Healthc Policy 2025; 18:667-678. [PMID: 40035054 PMCID: PMC11874954 DOI: 10.2147/rmhp.s508434] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/02/2024] [Accepted: 02/11/2025] [Indexed: 03/05/2025] Open
Abstract
Introduction Nomophobia, the fear of being without a mobile phone, is increasingly prevalent among university students, impacting their psychological well-being and academic performance. This study assesses the level of knowledge and the psychological, academic, and social outcomes associated with nomophobia among students at King Saud University, Riyadh, Saudi Arabia. Methods A descriptive cross-sectional design was employed, involving 350 undergraduate students recruited via convenience sampling. Data were collected using a structured questionnaire adapted from the Nomophobia Questionnaire (NMP-Q). Statistical analyses, including descriptive statistics, Pearson correlation, and multiple regression, were conducted using IBM SPSS. Results The majority of participants (51.4%) exhibited moderate knowledge of nomophobia. Higher nomophobia scores were significantly associated with lower academic performance (r = -0.35, p < 0.001) and greater psychological distress, including anxiety (mean score = 5.2) and panic when phone battery was low (mean score = 4.8). Regression analysis identified gender (β = 0.28, p = 0.001) and smartphone ownership (β = 0.20, p = 0.003) as predictors of nomophobia. Discussion The findings highlight nomophobia's negative impact on students' academic and psychological well-being, emphasizing the need for educational interventions to promote healthier smartphone usage. Addressing nomophobia through targeted strategies could improve academic outcomes and overall student wellness.
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Affiliation(s)
- Abdulaziz M Alodhialah
- Department of Medical Surgical Nursing, College of Nursing, King Saud University, Riyadh, Saudi Arabia
| | - Ashwaq A Almutairi
- School of Nursing & Midwifery, Monash University, Melbourne, VIC, Australia
| | - Mohammed T Almutairi
- Department of Medical Surgical Nursing, College of Nursing, King Saud University, Riyadh, Saudi Arabia
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Cheng Q, Zhou Y, Zhu H, Wang Q, Peng W. Relationships between daily emotional experiences and smartphone addiction among college students: moderated mediating role of gender and mental health problems. Front Psychol 2024; 15:1490338. [PMID: 39726616 PMCID: PMC11670668 DOI: 10.3389/fpsyg.2024.1490338] [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: 09/03/2024] [Accepted: 11/22/2024] [Indexed: 12/28/2024] Open
Abstract
Introduction The theoretical model of smartphone addiction highlights the role of emotional factors in fostering addictive behaviors. However, most research has focused on long-term emotional states and pathologies, often overlooking the immediate effects of daily emotional fluctuations on smartphone usage and their mechanisms. Methods Our study employed an online survey and a moderated parallel mediation model to explore how daily emotional experiences influence smartphone addiction among college students. We analyzed the mediating roles of anxiety, stress, and depression, and the moderating effect of gender. Results Our findings indicate that daily negative emotional experiences were positively correlated with smartphone addiction, with stress serving as a significant mediator in the relationship between both positive and negative emotional experiences and addiction. Interestingly, positive emotional experiences directly increased smartphone addiction risk among female students, but they also significantly reduced stress and depression, especially pronounced in women. Further analysis indicated that positive emotions primarily mitigate addiction through reducing stress, a pathway especially significant in females. Discussion The study not only confirms the substantial impact of emotional experiences on addiction but also deepens our understanding of their mechanisms, underlining the importance of considering the nature of emotional experiences and gender-specific effects in devising prevention and intervention strategies.
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Affiliation(s)
- Qiuping Cheng
- Insititute of Modern Services, Zhejiang Shuren University, Hangzhou, China
| | - Ying Zhou
- Mental Health Education and Counseling Center, Jinhua University of Vocational Technology, Jinhua, China
| | - Hongying Zhu
- Insititute of Modern Services, Zhejiang Shuren University, Hangzhou, China
| | - Qunlong Wang
- Insititute of Modern Services, Zhejiang Shuren University, Hangzhou, China
| | - Wei Peng
- Insititute of Modern Services, Zhejiang Shuren University, Hangzhou, China
- School of Economics and Social Welfare, Zhejiang Shuren University, Hangzhou, China
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Xiao QL, Ding YQ, Cao XX, Chen WY, Lian SL, Zhu XW. Mobile phone addiction and emptiness among Chinese college students: the chain mediating role of attention control and self-concept clarity. CURRENT PSYCHOLOGY 2024; 43:25297-25310. [DOI: 10.1007/s12144-024-06221-z] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 05/30/2024] [Indexed: 01/06/2025]
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Licata F, Maruca R, Citrino EA, Bianco A. Insight into sleep quality and its relationship with emotional intelligence: results of a cross-sectional study among Italian university students. Front Public Health 2024; 12:1392571. [PMID: 38813404 PMCID: PMC11133748 DOI: 10.3389/fpubh.2024.1392571] [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: 02/27/2024] [Accepted: 04/15/2024] [Indexed: 05/31/2024] Open
Abstract
Background This study aimed to investigate sleep habits and examine the relationship between sleep quality and its potential predictors, namely Emotional Intelligence (EI) and perceived health status. Methods The present cross-sectional study was conducted between February 13 and February 28, 2023, at the "Magna Græcia" University of Catanzaro, in the Southern part of Italy. The study involved undergraduate students who were 18 years or older, proficient in the Italian language, and with no restrictions on the major attended. They completed a self-administered survey on socio-demographic information, health status, sleep quality (Pittsburgh Sleep Quality Index-PSQI), EI, and perceived health status. Results The majority of the sample (59.6%) was enrolled in medical or life science majors. The results showed a high prevalence of poor sleep quality and sleep latency was identified as the most affected aspect of it. The female gender and the self-perceived health status were the strongest predictors of poor sleep quality. Poor sleepers showed lower emotional clarity, emotional repair, and total EI scores. Moreover, as age increased, the odds of being classified as a poor sleeper increased by 7%. Conclusion The survey highlights that poor sleep health is still a significant issue and empowering individuals to make proactive decisions to adopt healthy lifestyles in the early phase of life is of paramount importance. The study exhibited the interesting role of EI in influencing sleep quality, highlighting that when emotional events are insufficiently regulated, it may result in sleep disturbances. Therefore, the promotion of sleep quality requires an integrated yet innovative approach including emotion regulation.
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Affiliation(s)
- Francesca Licata
- Department of Health Sciences, School of Medicine, University of Catanzaro “Magna Græcia”, Catanzaro, Italy
| | - Riccardo Maruca
- Department of Health Sciences, School of Medicine, University of Catanzaro “Magna Græcia”, Catanzaro, Italy
| | - Emma Antonia Citrino
- Department of Medical and Surgical Sciences, School of Medicine, University of Catanzaro “Magna Græcia”, Catanzaro, Italy
| | - Aida Bianco
- Department of Medical and Surgical Sciences, School of Medicine, University of Catanzaro “Magna Græcia”, Catanzaro, Italy
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An Y, Zhang MX. Relationship between problematic smartphone use and sleep problems: The roles of sleep-related compensatory health beliefs and bedtime procrastination. Digit Health 2024; 10:20552076241283338. [PMID: 39291154 PMCID: PMC11406640 DOI: 10.1177/20552076241283338] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/17/2024] [Accepted: 08/28/2024] [Indexed: 09/19/2024] Open
Abstract
Objective Concerns regarding sleep problems in emerging adults and their antecedents, such as problematic smartphone use (PSU), have been growing. This study tested the association between PSU and sleep problems and further investigated the mechanisms of this relationship based on the theory of compensatory health beliefs (CHBs). Methods This study included 999 participants (74.87% female) in China, aged 17 to 25 years (M = 21.16; standard deviation = 1.60), who voluntarily filled in an anonymous survey. Results The findings showed positive correlations between sleep problems and PSU, sleep-related CHBs, and bedtime procrastination (rs = .25-.52, p < .001). Furthermore, the positive link between PSU and sleep problems was mediated by bedtime procrastination alone (β=.21, 95% confidence interval (CI) [.17, .26]) or a serial path of sleep-related CHBs and bedtime procrastination (β=.04, 95% CI [.02, .05]). Conclusion This study provides a new perspective to understand the internal mechanism underlying the PSU-sleep problem link. Interventions for sleep disorders ought to consider the theoretical guidelines of the CHBs model to reduce the risk of bedtime procrastination and sleep disorders in emerging adults.
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Affiliation(s)
- Yandong An
- Department of Medical Humanities, School of Humanities, Southeast University, Nanjing, Jiangsu, China
- Psychological Research & Education Center, School of Humanities, Southeast University, Nanjing, Jiangsu, China
| | - Meng Xuan Zhang
- Department of Medical Humanities, School of Humanities, Southeast University, Nanjing, Jiangsu, China
- Psychological Research & Education Center, School of Humanities, Southeast University, Nanjing, Jiangsu, China
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Asao A, Yamaguchi D, Morishita S. Mental Workload and Prefrontal Brain Activity During Silent Reading Task in University Students with Problematic Smartphone Use. ADVANCES IN EXPERIMENTAL MEDICINE AND BIOLOGY 2024; 1463:103-107. [PMID: 39400808 DOI: 10.1007/978-3-031-67458-7_18] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 10/15/2024]
Abstract
Problematic smartphone use (PSU) is common among young people and linked to poor academic performance. However, how PSU affects learning processes remains unclear. This study investigated the influence of auditory cue stimulation during a reading task on the mental workload and prefrontal brain activity of young individuals with PSU. Sixteen university students with PSU and 14 healthy controls (HC) performed a silent reading task, during which fake notification sounds were introduced. Their mental workload was assessed using the NASA Task Load Index (NASA-TLX), and prefrontal brain activity was measured using functional near-infrared spectroscopy (fNIRS). The results of the NASA-TLX suggest that the PSU group experienced greater frustration than the HC group. The fNIRS results showed that in the right medial prefrontal region of the HC group, O2Hb levels increased following cue stimulation, whereas no change was observed in the PSU group. Moreover, in the HC group, HHb levels in the left lateral prefrontal region decreased after cue stimulation. The findings of the present study demonstrate that university students with PSU experience frustration and exhibit deactivation in the prefrontal regions associated with the executive control network during silent reading in realistic learning situations.
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Affiliation(s)
- Akihiko Asao
- Department of Occupational Therapy, School of Health Science, Fukushima Medical University, Fukushima, Japan.
| | - Daiki Yamaguchi
- Department of Rehabilitation, Niigata-Minami Hospital, Niigata, Japan
| | - Shinichiro Morishita
- Department of Physical Therapy, School of Health Science, Fukushima Medical University, Fukushima, Japan
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