Relationship among family environment, self-control, friendship quality, and adolescents' smartphone addiction in South Korea: Findings from nationwide data

Parental supervision, children's self-control and smartphone dependence in rural children: a qualitative comparative analysis from China

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.

Examining Self-Regulation and Problematic Smartphone Use in Canadian Adolescents: A Parallel Latent Growth Modeling Approach

Despite extensive research on the prevalence and mental health implications of problematic smartphone use in adolescents, the cognitive mechanisms underpinning its development, such as self-regulation, remain underexplored. This study aims to fill this research gap by investigating the developmental trajectories of self-regulation and problematic smartphone use among Canadian adolescents. Participants (N = 1303; 614 girls; Mage = 14.60 years, SD = 1.16 years) attended one of five public high schools in Southern British Columbia. Adolescents self-reported their self-regulation skills, as well as problematic smartphone use annually for three years. In line with developmental expectations, results indicated that both self-regulation and problematic smartphone use increased across the three years. Parallel latent growth models revealed significant intercept and positive slope differences for self-regulation and problematic smartphone use, showing that higher initial self-regulation predicted lower initial problematic smartphone use, and vice versa. Girls exhibited higher initial levels of problematic smartphone use, but gender differences in developmental trajectories were not observed. These findings emphasize the importance of early self-regulation skills in preventing the escalation of problematic smartphone use in adolescents, providing evidence-based insights for developing targeted interventions.

Exploring the association between sleep quality, internet addiction, and related factors among adolescents in Dakshinkali Municipality, Nepal

BACKGROUND

Poor sleep quality and internet addiction are significant issues affecting adolescents globally, and Nepal is no exception. Several studies have independently assessed the prevalence and associated factors of poor sleep quality and internet addiction among Nepali adolescents and youth, but the relationship between sleep-related attributes and internet addiction remains unexplored. This study aimed to explore the prevalence and contributing factors of poor sleep quality and internet addiction along with the relationship between sleep quality-related attributes and internet addiction.

MATERIAL AND METHODS

A cross-sectional study was conducted among 243 adolescents of Dakshinkali Municipality, Nepal. Pittsburgh Sleep Quality Index and Young's Internet Addiction Test scale were used to measure sleep quality and internet addiction. Pearson's chi-square test and binary logistic regression were performed at a 5% level of significance to examine the associated factors.

RESULTS

The prevalence of poor sleep quality was 27.6% (95% CI: 22.6-33.7) while potential internet addiction was 49.4% (95% CI: 42.0-56.7). Poor sleep quality was associated with internet addiction (aOR: 1.845; 95% CI: 1.344-3.608), poor perceived relation with teachers (aOR: 2.274; 95% CI: 1.149-4.497), and presence of family conflict (aOR: 2.355; 95% CI: 1.040-5.329). Bad subjective sleep quality (aOR: 5.613; 95% CI: 2.007-15.701), sleep disturbance (aOR: 1.781; 95% CI: 1.251-4.872), frequent daytime dysfunction (aOR: 1.902; 95% CI: 1.083-4.638), and poor perceived relation with teachers (aOR: 2.298; 95% CI: 1.233-4.285), and presence of family conflict (aOR: 1.606; 95% CI: 1.202-3.675) were associated with internet addiction.

CONCLUSION

Almost a quarter of adolescents' experience poor sleep quality, while nearly half screened positive for potential internet addiction. Established interrelations between sleep quality and internet usage underscore the importance of integrated intervention approaches combining lifestyle modification and family/school support to protect and promote the mental health and well-being of Nepalese adolescents.

Psychological Compensation or Drinking Poison to Quench Thirst: The Dual Effects of Smartphone Use Habits on Depression in Chinese Left-Behind Adolescents

With the popularity of smartphones, their impact on the physical and mental health of left-behind adolescents has become the focus of social attention. Some believe that smartphone use will provide emotional compensation for left-behind adolescents, while others believe that the lack of supervision of smartphone use among left-behind adolescents will exacerbate their psychological problems. To explore the mechanisms of the dual effects, we conducted a field survey of 848 left-behind adolescents (male = 446, age between 12 and 19) in Shicheng County in Gannan Region of China. It was found that social smartphone use, recreational smartphone use, frequency, and duration of smartphone use, mediated by smartphone dependence, were positively associated with social anxiety, stress perception, and sleep disorder, and further with depression of left-behind adolescents. Although social uses of smartphones were positively associated with online social support, they were not related to loneliness and depression. Based on our results, left-behind adolescents' smartphone use habits have shown more harmful than good effects on their psychological well-being.

The Associations Between Social Support and Problematic Mobile Phone Use Among Children and Adolescents: A Three-level Meta-analysis

Numerous studies have investigated the relationship between social support and problematic mobile phone use among adolescents, yet a definitive consensus remains elusive. The high prevalence of problematic mobile phone use among children and adolescents requires urgent clarity on this issue. However, previous meta-analyses on this topic have primarily focused on college students, overlooking this association in younger age groups. The present study thus concentrated on children and adolescents, conducting a three-level meta-analysis to combine existing research findings and analyze various moderators to identify sources of research heterogeneity. A systematic literature search retrieved a total of 33 studies with 135 effect sizes for this meta-analysis, and 25,537 students (53.83% female, age range 7-19, grades range 3rd-12th) were included. The results showed a negative correlation (r = -0.139) between social support and problematic mobile phone use in children and adolescents. Age, social support measurement, sources of social support, and symptoms of problematic mobile phone use were found to have a significant moderating influence. Specifically, social support showed a stronger negative correlation with problematic mobile phone use in older adolescents compared to their younger counterparts. The correlation was more pronounced when using the Multidimensional Scale of Perceived Social Support than other scales. Family support exhibited a stronger negative correlation with problematic mobile phone use compared to other sources of support. Among the symptoms of problematic mobile phone use, the inability to control craving has the strongest negative correlation with social support. This meta-analysis suggested that providing more social support, particularly in the form of family support, during the development of children and adolescents may help alleviate problematic mobile phone use.

The associations of family atmosphere, religiosity and lifestyle with self-esteem and self-control among Saudi adolescents

We assessed, with validated instruments, whether family atmosphere, religiosity or lifestyle were significant correlates of self-esteem and/or self-control among adolescents (Grades 7-12, n = 2067) in Saudi Arabia. Participants' mean age was 15.5 years; 64% were boys. Higher scores in family atmosphere and religiosity and having fewer lifestyle risk factors were significantly related to higher self-esteem and self-control scores (p < .05; adjusted linear regression models). The odds of scoring low (below median) in both self-esteem and self-control decreased incrementally across the increasing quartiles of family atmosphere and religiosity; the odds decreased incrementally across decreasing number of lifestyle risk factors (p < .05; adjusted multinomial regression). Programmes supporting healthy lifestyles, positive family environments and religiosity may boost self-esteem and self-control among adolescents.

Validation of the Difficulties in Emotion Regulation Scale-Short Form in a sample of Italian adolescents

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.

Exploring associative relationships: Family functions, anxiety, and fear of missing out as predictors of smartphone addiction among Thai adolescents

Past research has recognized family functions and psychological factors like anxiety and Fear of Missing Out (FoMO) as significant influencers on smartphone addiction (SA) among adolescents. However, the precise association links between these elements have remained elusive. This study, grounded in family systems and structural family theories, and the Interaction of Person-Affect-Cognition-Execution (I-PACE) Model, examines these relationships among adolescent students. It investigated how family functions, particularly emotional status and discipline, alongside anxiety and FoMO, contribute to SA through Structural Equation Modeling (SEM). This study involved 1105 secondary school students (57.3 % females; Mage = 15.12, SD = 1.78) from Southern Thailand. The research unveils that a positive family emotional climate significantly reduces anxiety, FoMO, and SA. The study further elucidates that anxiety and FoMO serve as significant risk factors in exacerbating SA. Anxiety is found to be a full mediator in the relationship from discipline to SA and a partial mediator between emotional status and SA, with FoMO amplifying these mediation effects. The limitations of this study include its cross-sectional design and reliance on self-reported data.

Preventive Interventions for Internet Addiction in Young Children: Systematic Review

BACKGROUND

In this digital age, children typically start using the internet in early childhood. Studies highlighted that young children are vulnerable to internet addiction due to personal limitations and social influence (eg, family and school). Internet addiction can have long-term harmful effects on children's health and well-being. The high risk of internet addiction for vulnerable populations like young children has raised questions about how best to prevent the problem.

OBJECTIVE

This review study aimed to investigate the existing interventions and explore future directions to prevent or reduce internet addiction risks in children younger than 12 years.

METHODS

The systematic review was conducted following the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines. We searched for relevant literature from 4 research databases (Scopus, Web of Science, PubMed, and PsycINFO). We included 14 primary studies discussing the interventions to prevent or reduce internet addiction risks in young children and their efficacy outcomes.

RESULTS

The preventive interventions identified were categorized into four approaches as follows: (1) children's education, (2) parenting strategy, (3) strategic physical activity, and (4) counseling. Ten interventions showed promising efficacy in preventing or reducing internet addiction risks with small-to-medium effect sizes. Interventions that enhance children's competencies in having appropriate online behaviors and literacy were more likely to show better efficacy than interventions that force children to reduce screen time. Interventions that shift children's focus from online activities to real-world activities also showed promising efficacy in reducing engagement with the internet, thereby preventing addictive behaviors. We also identified the limitations of each approach (eg, temporariness, accessibility, and implementation) as valuable considerations in developing future interventions.

CONCLUSIONS

The findings suggest the need to develop more sustainable and accessible interventions to encourage healthy online behaviors through education, appropriate parenting strategies, and substitutive activities to prevent children's overdependence on the internet. Developing digital tools and social support systems can be beneficial to improve the capability, efficiency, and accessibility of the interventions. Future interventions also need to consider their appropriateness within familial context or culture and provide adequate implementation training. Last, policy makers and experts can also contribute by making design guidelines to prevent digital product developers from making products that can encourage overuse in children.

How is parental psychological control associated with adolescent mental health in economically disadvantaged areas? The serial mediating role of psychological reactance and problematic smartphone use

INTRODUCTION

Adolescent mental health has been an issue of global concern, and the mental health of adolescents in economically disadvantaged areas may require additional research. The research delves into factors associated with economically disadvantaged areas' adolescent mental health, employing family systems theory, self-determination theory, and psychological reactance theory. Specifically, the present study which was done in Jingzhou country, an economically disadvantaged area of Hunan Province, China, aimed to examine the link between parental psychological control and adolescent mental health, as well as the mediating roles of psychological reactance and problematic smartphone use in this relationship.

METHODS

A sample of 1300 Chinese middle school students (620 girls, mean age = 14.22 ± 1.29) completed self-reported measures of parental psychological control, psychological reactance, problematic smartphone use, and adolescent mental health.

RESULTS

Results showed that parental psychological control was negatively associated with adolescent mental health. Psychological reactance and problematic smartphone use mediated the association between parental psychological control and adolescent mental health, separately and serially.

DISCUSSION

The findings of the present study enrich the literature on parenting styles and adolescent mental health in economically disadvantaged areas, and this provides an intervention perspective to reduce the negative impact of poor parenting on adolescent mental health in economically disadvantaged areas.

From temperament to YouTube: exploring the link between childhood temperament, YouTube usage patterns, and emotional/behavioral problems among children

BACKGROUND

YouTube is a widely used video sharing and social networking platform among children and adolescents. However, research on YouTube usage among this population remains scarce. Specifically, studies on factors that influence children and adolescents' usage are clinically significant but largely lacking. Additionally, few studies have examined the association between usage and emotional/behavioral problems, which is fundamental to smartphone research. Therefore, this study explored the relationship between early childhood temperament, subsequent YouTube usage patterns, and emotional/behavioral problems.

METHODS

The Kids Cohort for Understanding Internet Addiction Risk Factors in Early Childhood (K-CURE) is the first long-term prospective cohort study in Korea aimed at understanding the long-term effects of media exposure on young children. The study included 195 children aged 8-11 years enrolled in the K-CURE study. Caregivers, predominantly mothers, who voluntarily participated during their visits to community centers for children's mental health in Korea's major cities, completed a detailed self-administered survey. Childhood temperament was measured in 2018 when the children were 5-8 years old. Subsequent YouTube usage patterns and emotional/behavioral problems were assessed in 2021. Data were analyzed using frequency analysis, correlation analysis, and multiple linear regression.

RESULTS

The study found that 21.0% of children started using YouTube before age 4, with the most common onset age being 8-9 years (30.3%). These children used YouTube on average 4.8 days per week for 68.5 min per day. Early childhood persistence was negatively associated with the subsequent YouTube usage duration, and the age at first YouTube use was negatively correlated with subsequent usage frequency. Furthermore, a younger age at first YouTube use and higher usage frequency were significantly associated with increased emotional/behavioral problems.

CONCLUSIONS

In the YouTube environment, where content is automatically recommended based on user preferences, traits related to usage patterns may be associated with persistence, which is linked to self-regulation. Considering the current trend where children use smartphones, contents frequently for very short durations, our findings highlight the importance of self-regulation in the media usage of children who are still developing. Additionally, our results provide fundamental information for future YouTube studies and illustrate similarities and differences between smartphone and YouTube research.

Explainable prediction of problematic smartphone use among South Korea's children and adolescents using a Machine learning approach

BACKGROUND

Korea is known for its technological prowess, has the highest smartphone ownership rate in the world at 95%, and the smallest gap in smartphone ownership between generations. Since the onset of the COVID-19 pandemic, problematic smartphone use is becoming more prevalent among Korean children and adolescent owing to limited school attendance and outdoor activities, resulting in increased reliance on smartphones. 40.1% of adolescents are classified as high-risk, with only the adolescent group showing a persistent rise year after year.

OBJECTIVE

The study purpose is to present data-driven analysis results for predicting and preventing smartphone addiction in Korea, where problematic smartphone use is severe.

PARTICIPANTS AND METHODS

To predict the risk of problematic smartphone use in Korean children and adolescents at an early stage, we used data collected from the Smartphone Overdependence Survey conducted by the National Information Society Agency between 2017 and 2021. Eight representative machine and deep learning algorithms were used to predict groups at high risk for smartphone addiction: Logistic Regression, Random Forest, Gradient Boosting Machine (GBM), extreme Gradient Boosting (XGBoost), Light GBM, Categorical Boosting, Multilayer Perceptron, and Convolutional Neural Network.

RESULTS

The XGBoost ensemble algorithm predicted 87.60% of participants at risk of future problematic smartphone usebased on precision. Our results showed that prolonged use of games, webtoons/web novels, and e-books, which have not been found in previous studies, further increased the risk of problematic smartphone use.

CONCLUSIONS

Artificial intelligence algorithms have potential predictive and explanatory capabilities for identifying early signs of problematic smartphone use in adolescents and young children. We recommend that a variety of healthy, beneficial, and face-to-face activities be offered as alternatives to smartphones for leisure and play culture.

Association between mukbang and cookbang viewing and body image perception and BMI in adolescents

BACKGROUND

Adolescence is a critical period for establishing healthy eating habits and weight management, essential for preventing obesity and promoting overall health. This study investigates the impact of mukbang and cookbang-popular online broadcasts in Korea that feature excessive consumption of food-on the dietary habits and body image perception of Korean adolescents. With digital media, especially platforms like YouTube, becoming an integral part of daily life, these broadcasts have the potential to significantly influence adolescent health behaviors.

METHODS

Employing data from the 18th Korea Youth Risk Behavior Web-based Survey (2022), this descriptive survey research explores the relationship between watching mukbang and cookbang and various health-related factors among adolescents. The survey's comprehensive dataset provided a unique opportunity to examine this association in a population that is increasingly exposed to digital media content. The analysis focused on the frequency of watching mukbang and cookbang, their impact on eating habits, body mass index (BMI), body shape perception, and body image distortion among adolescents.

RESULTS

The results revealed a significant engagement with mukbang and cookbang among adolescents, with notable gender differences in viewing habits and effects. Increased frequency of viewing was associated with negative impacts on eating habits and body image perception. Furthermore, psychological factors such as stress levels and sleep quality emerged as significant predictors of the frequency of watching these broadcasts.

CONCLUSIONS

This study highlights the need for further investigation into the causal relationships between mukbang and cookbang viewership and adolescent health outcomes. The findings suggest the importance of developing targeted interventions to mitigate the negative influences of such content on adolescents' eating habits and body perceptions. Given the widespread popularity of these broadcasts, it is crucial to address their potential health implications through public health strategies, educational content, and policy development aimed at promoting healthier lifestyles among adolescents.

Depression, stress, and anxiety versus internet addiction in early and middle adolescent groups: the mediating roles of family and school environments

BACKGROUND

Family and school environment play a crucial role across the different developmental stages of adolescence. This paper investigates the potential mediating role of family and school environments in the relationship between the three psychosocial predictors of depression, anxiety, stress, and Internet addiction (IA). Specifically, it focuses on the two stages of early and middle adolescence.

METHODS

The study involved a survey of 407 adolescents from Qatar, comprising 250 early adolescents and 157 middle adolescents. Inclusion criteria for the study included adolescents between the ages of 10 to 17 years old, residents of Qatar and studying in a Qatar-based school. To assess the constructs of the three psychosocial predictors, IA, family environment, the study utilized the Depression, Stress, and Anxiety Scale (DASS), the Internet Addiction Diagnostic Questionnaire (IADQ), and the Brief Family Relationship Scale, respectively. School environment was measured using questions from the "Health Behavior in School-aged Children: WHO Collaborative Cross-National survey/study (HBSC) 2013-2014. The study applied standard mediation analysis between the DASS components and IA with family and school environment as the mediators.

RESULTS

Results from the mediation analysis reveal insights into the relationships between psychosocial predictors and IA. The findings indicate that family and school environments partially mediated the relationship with regards to depression, stress, and anxiety in early adolescents. In middle adolescents, family environment partially mediated the relationship with depression and stress and fully mediating the relationship with anxiety. Meanwhile, school environment only exhibited partial mediation in the relationship with anxiety in middle adolescence.

CONCLUSIONS

These results highlight the crucial role parents and schools play in addressing problematic technology usage that develops as a response to depression, anxiety, and stress among adolescents. Moreover, the study reveals nuances in the mediating role of family and school environment in early and middle adolescence. This highlights the evolving nature of these influences across the different stages of development. Notably, this study contributes to the literature by moving beyond the conventional focus on the so-called WEIRD population, and offering valuable insights from a region that is underrepresented in current research.

How does smartphone addiction affect the lives of adolescents socially and academically?: a systematic review study

Today, adolescents tend to accept smartphones more quickly than adults and spend more time with these devices since they are members of the first generation born and living in environments where smartphones and the internet are common. However, when they use smartphones excessively and become addicted to smartphones, this may cause them to suffer from various psychological, emotional, and physical health problems from an early age. Therefore, this study systematically examines the articles on smartphone addiction in adolescents. For this purpose, the related articles were screened using the Web of Science database and 188 studies by the search criteria were subjected to a systematic review. In this sense, methodological tendencies, variables and main findings of the studies included in the present study were examined. This study revealed that the quantitative research method was primarily used. The studies mainly investigated smartphone use, social relations, demographic characteristics, depression, personal characteristics, and sleep variables. Moreover, the studies were primarily conducted in China, and large sample groups were preferred. The factors that triggered the smartphone addiction of adolescents were family problems, and especially females were more addicted to smartphones than males. Moreover, smartphone addiction causes depressive symptoms, sleep problems, and decreased academic achievement in adolescents. Finally, various suggestions were presented based on the findings of this study.

How and when is academic stress associated with mobile phone addiction? The roles of psychological distress, peer alienation and rumination

BACKGROUND

Mobile phone addiction has a high detection rate among adolescents and is thought to be related to academic stress. However, the underlying mechanisms in this relation were still unclear. The present study tested the mediating role of psychological distress and the moderating roles of peer alienation and rumination in the relationship between academic stress and mobile phone addiction.

METHODS

A total of 742 middle school students were recruited to complete measures of academic stress, psychological distress, mobile phone addiction, peer alienation, rumination, and demographic variables. Regression-based statistical mediation and moderation were conducted using the PROCESS macro for SPSS.

RESULTS

The results indicated that academic stress was significantly and positively associated with mobile phone addiction, and this link could be mediated by psychological distress. Moreover, this indirect effect was moderated by both peer alienation and rumination. Specifically, the mediating effect of psychological distress was stronger for adolescents with higher levels of peer alienation or adolescents with higher levels of rumination, as well as those with both higher levels of peer alienation and rumination.

CONCLUSION

The findings of this study enrich our understanding of how and for whom academic stress is correlated with mobile phone addiction. Education experts and parents should pay special attention to adolescents suffering from academic stress, especially those with higher peer alienation and rumination, and help them get rid of mobile phone addiction.

Self-control mediates the relationship between time perspective and mobile phone addiction in Chinese college students

Background

Mobile phone addiction (MPA) is a prevalent problem among college students, and Chinese college students are a high-risk group for smartphone addiction. MPA has a negative impact on the physical and mental health and academic performance of college students. Studies have explored the influence of many factors on MPA, such as the characteristics of the smartphone itself, the characteristics of the smartphone user, and the environment. However, to date, no studies have explored the protective and risk factors for MPA from the perspective of personality traits. From this perspective, this study explored the influence of time perspective and trait self-control on MPA to identify effective measures to prevent and intervene in MPA in college students.

Methods

The participants in this cross-sectional study were 526 Chinese college students. They completed the Zimbardo Time Perspective Inventory, the Self-Control Scale and the Mobile Phone Addiction Tendency Scale using an online questionnaire tool. Pearson correlation analysis was used to explore the relationships among time perspective, self-control and MPA. A latent variable mediation analysis of the structural equation model was used to examine the mediating role of self-control in the relationship between time perspective and MPA.

Results

Various dimensions of time perspective were strongly associated with MPA. Among these dimensions, past negative (r = 0.397, p < 0.001), present hedonistic (r = 0.207, p < 0.001), and present fatalistic perspectives (r = 0.444, p < 0.001) were positively associated with MPA, while a future time perspective (r = -0.200, p < 0.001) was negatively associated with MPA. Mediation effects analysis showed that past negative (β = 0.034, p < 0.001, 95% CI [0.020-0.051]), present hedonistic (β = 0.038, p < 0.001, 95% CI [0.02-0.06]), present fatalistic (β = 0.047, p < 0.001, 95% CI [0.031-0.065]) and future orientation perspectives (β = -0.093, p < 0.001, 95% CI [-0.123-0.069]) indirectly influenced MPA through the mediating effect of self-control.

Conclusion

This study confirmed that a future time perspective and self-control are protective factors for MPA and that past negative, present hedonistic and present fatalistic perspectives are risk factors for MPA. College educators can prevent MPA in college students directly by cultivating their self-control ability, as well as indirectly by increasing their use of future time perspective and reducing past negative, present fatalistic and present hedonistic perspectives.

Discrepancies in Adolescent-Parent Perceptions of Parental Phubbing and Their Relevance to Adolescent Smartphone Dependence: The Mediating Role of Parent-Child Relationship

Parental phubbing behavior is a significant predictor of adolescent smartphone dependence. However, previous research has mainly focused on the child and adolescent's perspective, overlooking potential differences in how parents and their children perceive parental phubbing. Therefore, this study investigates whether disparities exist in how parents and adolescents perceive parental phubbing and how these perceptual differences impact adolescent smartphone dependence. We also explore the role of the parent-child relationship in this context. In this study, 728 families from a middle school in Wuhan were selected and surveys were administered to both children and parents. The findings are as follows: (1) Significant perceptual differences were found between parents and adolescents regarding parental phubbing. (2) These perceptual discrepancies positively predict adolescent smartphone dependence and negatively impact parent-child relationships. Additionally, parent-child relationships have a negative influence on adolescent smartphone dependence. (3) The parent-child relationship serves as a mediator between perceptual differences in parental phubbing behavior and adolescent smartphone dependence. In summary, this research highlights the importance of considering both parent and adolescent perspectives on parental phubbing and emphasizes the role of the parent-child relationship in influencing adolescent smartphone dependence.

Validation of the Korean Version of the Assessment of Strategies in Families-Effectiveness Scale

BACKGROUND

Family health significantly affects society and the country. Health problems have been identified as the most important cause of family anxiety and conflict in South Korea. Because valid instruments to measure this concept are limited, using the Assessment of Strategies in Families-Effectiveness scale may provide precious insight into family health and nursing practice.

PURPOSE

This study was designed to translate and validate the Korean version of the Assessment of Strategies in Families-Effectiveness (K-ASF-E) scale. This scale was developed based on the framework of systemic organization for assessment and intervention use in the context of family nursing in South Korea.

METHODS

A methodological approach was used to verify the validity and reliability of the K-ASF-E. To determine validity, we first invited four experts to evaluate content validity. Next, we collected data from 1,028 participants using stratified random sampling that considered the background of each participant in terms of region, age, and gender. On the basis of the collected data, we determined the construct validity of the scale using exploratory factor analysis and confirmatory factor analysis. Finally, we used Cronbach's alpha and intraclass correlation coefficient analyses to assess scale reliability.

RESULTS

The K-ASF-E showed item-level content validity index and scale-level content validity index values of 1.00, as assessed by four experts. Using the principal component analysis method with varimax rotation, the exploratory factor analysis verified the validity of a K-ASF-E scale comprising four dimensions and 20 items, including system maintenance (seven items), system change (four items), coherence (six items), and individuation (three items). For confirmatory factor analysis, the fit indices of the factor structure of K-ASF-E indicate appropriate model fitness. The Cronbach's alpha coefficients for each of the subfactors centered on the target were .59-.86, and the intraclass correlation coefficient (range) was .56-.85.

CONCLUSIONS/IMPLICATIONS FOR PRACTICE

The K-ASF-E scale is the first attempt to develop a reliable and valid measurement tool for family effectiveness in South Korea. Initial testing was validated using a large number of stratified randomized clusters. The K-ASF-E scale accurately measures family effectiveness and may be used for family-related research, intervention, and training programs in community and clinical settings.

Impact of Learning Burnout on Mobile Phone Dependence Among Adolescents in Western China Under the "Double Reduction" Policy: The Mediating Role of Social Support

Purpose

This paper investigated the prevalence of mobile phone dependence (MPD) and its associated with learning burnout under the "double reduction" policy among adolescents in Guizhou Province in western China. In addition, the influence of the mediating mechanism of social support on this relationship was investigated.

Methods

The sample was collected from 16,216 adolescents in West China's Guizhou province, from December 2021 to January 2022 via multistage stratified random sampling. The Self-rating Questionnaire for Adolescent Problematic Mobile Phone Use (SQAPMPU) was used to assess the MPD, the Adolescent Student Burnout Scale (ASBI) was used to assess the learning burnout, and the Social Support Scale (SSS) was used to assess the social support. A hierarchical linear regression model was used to analyze the relationship between MPD, learning burnout, and social support. The mediating effect of social support between MPD and learning burnout was analyzed by structural equation model.

Results

Prevalence of MPD was 26.4% among adolescents in Guizhou province in western China. After adjusting for confounding variables like demographics, multiple linear regression model has revealed that learning burnout positively predicted MPD and social support negatively predicted MPD. The structural equation model showed that 10.9% of the effect was explained by the mediating effect of social support.

Conclusion

These findings could inform service delivery and policy formulation to reduce learning and avoid MPD in adolescents.

Adolescents' Internet addiction: Does it all begin with their environment?

BACKGROUND

This is one of the few studies that examines adolescent Internet addiction (IA) among Middle Eastern population. The purpose of this study is to determine whether adolescents' family and school environments play a role in their Internet Addiction.

METHODS

We conduced a survey that included 479 adolescents in Qatar. The survey collected demographic data, the Internet Addiction Diagnostic Questionnaire (IADQ), the Brief Family Relationship Scale (BFRS) and questions from the WHO Health Behavior in School-aged Children (HBSC) survey that assess school environment, academic performance, teacher support, and peer support of the adolescents. Factorial analysis, multiple regression, and logistic regression were used for statistical analysis.

RESULTS

Family environment and school environment were negative and significant predictors of adolescent Internet addiction. The prevalence rate was 29.64%.

CONCLUSION

Results imply that interventions and digital parenting programs should not only target adolescents, but also include entities in the developmental environment of adolescents, i.e. their family and school.

Self-Control and Digital Media Addiction: The Mediating Role of Media Multitasking and Time Style

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.

Impact of COVID-19 on Adolescents' Smartphone Addiction in South Korea

The outbreak of COVID-19 impacted numerous people globally, but most notably affected adolescents negatively by contributing to the increase in their use of media and smartphones and therefore their susceptibility to smartphone addiction. Based on the social-ecological model, this study seeks to identify the individual-, family-, and school-level factors of smartphone addiction through two groups of users: a first group whose smartphone usage time increased after the outbreak of COVID-19, and a second group whose usage time did not. Based on the data collected from 360 Korean adolescents aged 15 to 18, results reveal that personal-level factors (i.e., gender, depressive symptoms, self-control, and cyberbullying victimization) are associated with smartphone addiction. For the group whose smartphone usage time increased after the outbreak, economic status, academic performance, and academic year were related to smartphone addiction. Based on these findings, the study makes specific guidelines and suggestions on addressing the smartphone addiction among Korean adolescents.

Family functioning and mobile phone addiction in university students: Mediating effect of loneliness and moderating effect of capacity to be alone

Background

With the increasing popularity of smartphones, mobile phone addiction in university students has attracted widespread societal attention. Previous studies showed that family functioning and mobile phone addiction are related. However, the potential mechanisms involved in this relationship are unknown. This study examined the mediating effect of loneliness and the moderating effect of capacity to be alone on the relationship between family functioning and mobile phone addiction.

Methods

A total of 1,580 university students were recruited. A cross-sectional study design and online questionnaire survey were employed to measure demographic variables, family functioning, loneliness, capacity to be alone, and mobile phone addiction in university students.

Results

Family functioning is a significantly negative predictor of mobile phone addiction in university students, and loneliness has a mediating effect on the relationship between family functioning and mobile phone addiction. The capacity to be alone has moderating effects on the relationship between family functioning and loneliness and between family functioning and mobile phone addiction, and these correlation is stronger in university students with a low capacity to be alone.

Conclusion

The moderated mediation model in this study improves understanding of the correlation between family functioning and mobile phone addiction in university students. Education professionals and parents should pay particular attention to family functioning in mobile phone addiction, particularly university students with low capacity to be alone.

Children's excessive digital media use, mental health problems and the protective role of parenting during COVID-19

COVID-19's outbreak in March 2020 and the social distancing measures that followed it changed the lives of children worldwide. Studies assessing the pandemic's implications for children have reported an alarming increase in the use of digital media (DM) and warned of its adverse impacts on children's functioning and development. The current study aimed to assess the relationship between excessive and problematic DM use and emotional, behavioral, and academic functioning among Israeli adolescents during COVID-19 and to identify adolescents at elevated risk of developing problematic DM use. Three hundred forty-seven Israeli parent-child dyads (M age = 11.81, SD = 1.41) separately completed measures assessing children's DM use (time and addiction), functioning (academic, social, emotional, and behavioral), behavioral dysregulation, and the parents' parenting practices. The results showed that DM addiction, but not DM use, was related to children's emotional, behavioral, and academic difficulties. Moreover, the results indicated that negative parenting and behavioral dysregulation increased the risk of DM addiction, which in turn increased emotional, behavioral, and academic difficulties. The results underscored parents' role in preventing problematic DM use and highlighted the need to treat DM use and problematic DM use as distinct constructs.

Relationships between adolescent smartphone usage patterns, achievement goals, and academic achievement

As smartphones are emerging as a common device for adolescent, prior studies have provided theoretical and empirical evidence for the factors affecting adolescent smartphone use. However, mainstream research has tended to focus on the negative effects of smartphone. Even though smartphone use can have adverse outcomes, it may also allow students to engage in flexible mobile learning, gain access to important information about their possible future careers and achieve their personal goals. To fill this gap in adolescent smartphone usage, this study explored the smartphone usage patterns of adolescent subpopulations and the associations with their self-control, achievement goals, and academic achievements. Data were collected from 2341 s-year high school students as part of a larger longitudinal panel study. Three distinct smartphone usage profiles were identified in the latent profile analysis: learning, recreational use, and minimal use. Respondents with high perseverance were assigned to the learning group, and respondents with lower compliance and perseverance were assigned to the recreational group. The achievement goal score was found to be the highest in the learning group and lowest in the recreational group. Academic achievement was found to be higher in both the learning and minimal use groups than the recreational use group. Based on these findings, the implications of this study for research and practice are discussed.

Effectiveness of brief mindfulness intervention for college students' problematic smartphone use: The mediating role of self-control

BACKGROUND

Mainland China has the most smartphone users worldwide, especially among college students, while mindfulness intervention can significantly alleviate the level of problematic smartphone use. We examined the effects of a brief mindfulness intervention on problematic smartphone use and investigated if this effect is mediated by self-control.

METHODS

Participants were recruited randomly from a university in Beijing of China. Forty-four college students were assigned to a mindfulness group or a control group. The mindfulness group took part in a brief (30 min) single-session mindfulness intervention. The control group was instructed to listen to a neutral news audio recording for the same duration (30 min). The Freiburg Mindfulness Inventory, Mobile Phone Addiction Tendency Scale, and Self-control Scale were used to measure state mindfulness, problematic smartphone use, and self-control of college students at pre-intervention and post-intervention, respectively.

RESULTS

Two-way repeated-measures ANOVA revealed that the mindfulness group had significant improvements in state mindfulness (p = .049) and self-control (p = .012), and had significant alleviation in problematic smartphone use (p < .001) at post-intervention. In the regression model, self-control had a mediating effect between mindfulness intervention and problematic smartphone use (95% CI [0.490, 7.216]).

CONCLUSIONS

A brief single-session mindfulness intervention can alleviate the level of problematic smartphone use and increase the level of state mindfulness and self-control compared to the control group. Self-control can completely mediate the efficacy of the mindfulness intervention in reducing problematic smartphone use.

Unique and interactive effects of parental neglect, school connectedness, and trait self-control on mobile short-form video dependence among Chinese left-behind adolescents

BACKGROUND

Mobile short-form video is becoming increasingly popular among Chinese adolescents. Mobile short-form video dependence has become a pressing issue in Chinese adolescents, especially in left-behind adolescents. Previous studies, however, have focused on general mobile phone dependence and neglected specific types of mobile phone dependence. Few studies have explored the environmental and individual predictors of mobile short-form video dependence.

OBJECTIVE

Based on theoretical and empirical evidence, the present study examined the unique and interactive effects of parental neglect, school connectedness, and trait self-control on mobile short-form video dependence among Chinese left-behind adolescents.

METHODS

A total of 618 left-behind adolescents between 11 and 15 years of age completed the anonymous self-report survey. The PROCESS macro for SPSS was applied for data analysis.

RESULTS

Parental neglect was positively associated with mobile short-form video dependence, whereas school connectedness and trait self-control were negatively associated with mobile short-form video dependence in left-behind adolescents. Examination of the two-way interactions indicated that school connectedness and trait self-control could buffer the association between parental neglect and left-behind adolescents' mobile short-form video dependence. However, self-control could not moderate the association between school connectedness and mobile short-form video dependence. In addition, the three-way interaction of parental neglect, school connectedness, and trait self-control showed a significant effect on mobile short-form video dependence. The moderating role of school connectedness was stronger for left-behind adolescents with low trait self-control than for those with high trait self-control, and the moderating role of trait self-control was stronger for left-behind adolescents with low school connectedness than for those with high school connectedness.

CONCLUSIONS

The findings contribute significantly to revealing the complex mechanisms of mobile short-form video dependence and providing comprehensive and specific practical suggestions for the prevention and intervention of mobile short-form video dependence among left-behind adolescents.

Perceived Parental Monitoring of Smartphones and Problematic Smartphone Use in Adolescents: Mediating Roles of Self-Efficacy and Self-Control

Adolescents are vulnerable for problematic smartphone use (PSU), which is associated with adverse psychological and physical health outcomes. Prior studies have debated whether the association between parental monitoring of smartphones and PSU is positive, negative, or nonsignificant. The present study investigated the relationship between parental monitoring of smartphones and PSU and the potential mediation mechanism involving self-efficacy and self-control. Eight hundred ninety-nine middle- and high-school students from a metropolitan city in China completed a questionnaire containing measurements of demographic information, perceived parental monitoring of smartphones, self-control, self-efficacy, and PSU. The results showed that (a) perceived parental monitoring of smartphones was negatively related to adolescent PSU; (b) self-control partially mediated the link between perceived parental monitoring of smartphones and adolescent PSU; and (c) self-efficacy and self-control sequentially mediated the link between parental monitoring of smartphones and PSU. The current study highlights the mediating mechanisms linking perceived parental monitoring of smartphones and adolescent PSU, and this may contribute to the development of family-based prevention and intervention strategies for adolescent PSU.

Association between Physical Activity, Sedentary Behavior, Satisfaction with Sleep Fatigue Recovery and Smartphone Dependency among Korean Adolescents: An Age- and Gender-Matched Study

The purpose of this study was to identify the association between physical activity (PA), sedentary behavior (SB), satisfaction with sleep fatigue recovery (SSFR), and smartphone dependency in South Korean adults. We analyzed data from the National Health and Nutrition Examination Survey 2020 data. We selected participants who answered Internet addiction-related questions as “Very much” (n = 241) and answered Internet addiction-related questions as “Not at all” (n = 241) in the questionnaire. The participants were matched by age and gender, then divided into two groups. Between the two groups, there were considerable differences in the number of days participating in moderate to vigorous PA (5 days or more, p = 0.01), the number of strength training days (1 day, p = 0.02), the number of light PA days for more than 60 min (every day for the last 7 days, p = 0.01), and the SSFR over the past 7 days (p < 0.05). Additionally, the mean smartphone usage time and mean sedentary behavior time between the two groups showed significant differences. The study demonstrated that there were significant associations between PA, SB, SSFR, and smartphone dependency among Korean adolescents matched by age and gender. Additionally, this study highlights the importance of increasing overall PA and number of days participating in MVPA, decreasing SB time and smartphone usage time could reduce the incidence of smartphone overdependence.

A Longitudinal Relationship Between Mother's Smartphone Addiction to Child's Smartphone Addiction

Children are more likely to become addicted as they become accustomed to using smartphones, and as they observe and imitate their parents using smartphones. This study aims to confirm longitudinally the effect of mother's smartphone addiction on children's smartphone addiction. Latent growth modeling was used to analyze longitudinal relationships between 3615 pairs of children and their mothers from the Korean Children and Youth Panel Survey (KCYPS) (2018-2020). As a result, both the mothers and children's smartphone addiction significantly increased over time. The initial value of the mother's smartphone addiction was found to have a significant effect on the child's initial value and the change rate. Moreover, children's smartphone addiction change rate was significantly affected by the change rate of the mother's smartphone addiction. To intervene in children's smartphone addiction, a family-level approach, as well as parental addiction, must also be addressed, and a preventive approach should focus on those with a low risk of addiction.

Exploring the connection between parental bonding and smartphone addiction in Chinese medical students

BACKGROUND

Smartphone addiction bodes adverse consequences, affecting different populations, including medical students. Parental bonding in childhood had been associated with addiction and recovery in later life. Therefore, this study aimed to examine the associations between parental bonding and smartphone addiction among Chinese medical students.

METHOD

Binary logistic regressions were used to investigate the associations between parental bonding with mothers and fathers, respectively, and smartphone addiction. Interaction terms of care and protection were included in the models.

RESULTS

A total of 517 medical students were included in the study. The prevalence of smartphone addiction was 48.16% (n = 249). The estimated effects of maternal and paternal parenting on smartphone addiction differed. Maternal protection was positively associated with smartphone addiction (OR, 1.046;95% CI, 1.005-1.087), and maternal care enhanced the estimated effect of protection on smartphone addiction. Paternal care was negatively associated with smartphone addiction (OR, 0.954;95% CI, 0.919-0.989).

CONCLUSIONS

Chinese medical students with overprotective mothers or with indifferent fathers tended to exhibit traits of smartphone addiction. Further studies on factors influencing the associations between parental bonding and smartphone addiction may pave the way for potential family-oriented interventions for smartphone addiction.

Exploring the relationship between social exclusion and smartphone addiction: The mediating roles of loneliness and self-control

Previous studies have identified many antecedents of smartphone addiction. However, social exclusion as a risk factor for smartphone addiction has not been widely studied, and little is known concerning the psychological mechanism underlying this association. The present study tested the influence of social exclusion on smartphone addiction as well as the mediating roles of loneliness and self-control in this relationship. An online survey was conducted, and the sample consisted of 573 university students (323 females). The results revealed that (1) social exclusion was a positive predictor of smartphone addiction; (2) loneliness and self-control separately mediated the association between social exclusion and smartphone addiction; and (3) loneliness and self-control sequentially mediated the relation between social exclusion and smartphone addiction. Possible explanations were discussed. The findings of the current study would contribute to understanding the relationships between these study variables as well as the psychological mechanisms underlying these associations.

Parent-child relationship and problematic smartphone use among chinese adolescents: a moderated mediation model

To explore the influence and mechanism of parent-child relationship on adolescents' problematic smartphone use, a sample of 3355 Chinese adolescents (M age=16.93, SD = 0.49, range: 14-19 years old; 48% boys) is recruited to measure parent-child relationship, problematic smartphone use, personal growth initiative, and school belonging. The results are as follows. (1) After controlling for gender, age and time spent online per day, parent-child relationship is negatively correlated with problematic smartphone use, and the negative association between parent-child relationship and problematic smartphone use is mediated by the personal growth initiative. (2) The association between parent-child relationship and problematic smartphone use, the association between parent-child relationship and personal growth initiative, and the association between personal growth initiative and problematic smartphone use are all moderated by school belonging and are stronger in adolescents with a high level of school belonging. The present study highlights the mediating role of personal growth initiative and the moderating role of school belonging in the association between parent-child relationship and problematic smartphone use. This study also contributes to a better understanding of the effects, paths, and conditions of parent-child relationship on the problematic smartphone use of adolescents and provides constructive suggestions for preventing adolescents' problematic smartphone use in the mobile Internet era.

Parental Efficacy in Managing Smartphone Use of Adolescents with Attention-Deficit/Hyperactivity Disorder: Parental and Adolescent Related Factors

Parental management has an important role in preventing problematic smartphone use among adolescents with attention-deficit/hyperactivity disorder (ADHD). This study aimed to examine the parental factors (e.g., demographics, depressive symptoms and parenting styles) and adolescent factors (e.g., demographics, ADHD and oppositional defiant disorder [ODD] symptoms, and problematic smartphone use) related to parental efficacy in managing adolescent smartphone use (PEMASU) among 237 parents of adolescents with ADHD. PEMASU was measured by the Parental Smartphone Use Management Scale. Parental depressive symptoms and parenting styles (parental affection/care and overprotection) were measured by the Center for Epidemiologic Studies—Depression Scale and Parental Bonding Instrument, respectively. Adolescent ADHD and ODD symptoms and problematic smartphone use were measured by the Swanson, Nolan, and Pelham, version IV scale and Problematic Smartphone Use Questionnaire, respectively. Three models of hierarchical linear regression were performed to examine the parental and adolescent factors related to PEMASU. The results indicated that adolescent older age and more severe ODD symptoms and problematic smartphone use were significantly associated with lower PEMASU, whereas greater parental affection/care was significantly associated with higher PEMASU. This study demonstrated that both parental and adolescent factors contribute to PEMASU among parents of adolescents with ADHD. Intervention programs aiming to enhancing PEMASU need to take these related factors into consideration.

The Relationship between Cellphone Usage on the Physical and Mental Wellbeing of University Students: A Cross-Sectional Study

(1) Background: The study aims to examine the use of cell phones on physical and mental health status and their impact on personality among university students. (2) Methods: A cross-sectional study was conducted using a semi-structured questionnaire. The association of physical and mental health variables with the demographic variables was examined using Pearson’s correlation and χ2-test. The binary logistic regression model was further used to predict the probabilities of negative impact on personality due to excessive use of cell phones. (3) Results: A total of 400 participants participated with a mean age of 24.45 ± 3.45 years. The average eye strain was more in High cell phone users HCPU than in LCPU and that difference was significant p = 0.000. The average neck pain was more in (HCPU) than Low cell phone users (LCPU) and there was a significant difference between the two groups with p = 0.006. The average weight gain was more in HCPU than LCPU and that difference was significant p = 0.000. Considering back pain, back pain was found more in HCPU as compared to LCPU with a statistical difference at p = 0.027. Cell phone usage significantly correlated with eye strain (r = 0.577, p = 0.000), neck pain (r = 0.543, p = 0.000), back pain (r = 0.611, p = 0.000), weight gain (r = 0.423, p = 0.000), depression (r = 0.430, p = 0.000), loneliness (r = −0.276, p = 0.002), and mood disorder (r = 0.608, p = 0.000). Eye strain, neck pain, and back pain was observed more in HCPU than in LCPU. HCPU felt they gained more weight when compared to the respondents in the LCPU group. HCPU felt more changes in mood and feeling low when compared to the LCPU, while LCPU group felt more lonelier when compared to the HCPU group. (4) Conclusions: The study highlights a significant association between excess use of cell phones and negative effects on physical and mental health wellbeing. Based on the results, it is recommended that more physical activities and alternative to minimize cell phone usage should be planned for the students. Public health policy makers and stakeholder need to address the ill effects of excessive use of cell phones through novel policies., especially young students, and alternatives to reduce their cell phone activities.

Family Factors Associated with Problematic Use of the Internet in Children: A Scoping Review

Background

Problematic use of the internet (PUI) is a growing concern, particularly in the young population. Family factors influence internet use among children in negative ways. This study examined the existing literature on familial or parental factors related to PUI in children.

Methods

A scoping review was conducted in EBSCOhost, PubMed, ScienceDirect, JSTOR, Biomed Central, VHL Regional Portal, Cochrane Library, Emerald Insight, and Oxford Academic Journal databases. Studies reporting data on family factors associated with PUI in children, published in English in the 10 years to July 2020 were included. The following data were extracted from each paper by two independent reviewers: methodology and demographic, familial, psychiatric, and behavioral correlates of PUI in children.

Results

Sixty-nine studies fulfilled the eligibility criteria. Three themes emerged: parenting, parental mental health, and intrafamilial demographic correlates of PUI in children. Parenting styles, parental mediation, and parent-child attachment were the major parenting correlates.

Conclusion

Literature on significant familial and parental factors associated with PUI in children is scarce. More research is required to identify the interactions of familial and parental factors with PUI in children, to develop informed management strategies to address this issue.

Smartphone addiction and its associated factors among freshmen medical students in China: a cross-sectional study

BACKGROUND

With smartphone use widespread worldwide, smartphone addiction is an emerging epidemic. This study aims to investigate the prevalence of smartphone addiction among freshmen medical students and to explore its association with personal factors, mental health, and professional identity.

METHODS

This cross-sectional study was conducted from October 10th to November 10th, 2020 and included 2,182 first-year college students at Wannan Medical College, China. The smartphone addiction test, professional identity, and a 12-item general health questionnaire were used for this cross-sectional survey. Pearson's correlation coefficient (r) was employed to examine the correlations between smartphone addiction and mental health and professional identity. Binary logistic regression analysis was carried out to assess the factors influencing smartphone addiction. Of the 2,182 students, 866 (39.7%) were identified as having smartphone addiction. The logistic regression analysis shows that four factors (professional identity scale, poor mental health, smartphone use before sleep, and perceived study pressure) were significantly associated with smartphone addiction.

CONCLUSIONS

This cross-sectional study suggests that smartphone addiction is common among Chinese freshmen medical students. Smartphone addiction was common among the freshmen medical students surveyed. The findings imply that promotional programs, aimed at enhancing mental health and professional identity among freshmen medical students, help to reduce smartphone addiction in this population.

The Prevalence and Psychosocial Factors of Problematic Smartphone Use Among Chinese College Students: A Three-Wave Longitudinal Study

Problematic smartphone use (PSU) in college students has been a major public health concern in modern society, which may also lead to adverse health outcomes. Using a three-wave longitudinal study design, the current study aimed to examine the prevalence and psychosocial factors of PSU in a large sample of Chinese college students. The data used in this study was obtained from an ongoing longitudinal study in Guangdong, China. In the current study, a total of 7,434 freshmen and sophomores who completed the first three surveys were included. Self-administered questionnaires were used to assess PSU, possible social anxiety disorders, depressive symptoms, loneliness, family conflicts, academic stress, and some demographic characteristics. Generalized estimating equation (GEE) models were performed to determine the risk factors associated with PSU. The results showed that 65.8, 58.1, and 52.8% of college students reported PSU at three waves, with an apparent downward trend. Female students reported higher prevalence rates of PSU than males. Depressive symptoms, possible social anxiety disorders, loneliness, family conflicts, and high academic pressure were important risk factors for PSU. Early intervention and identification of those who show signs of PSU may prevent the development of maladaptive coping responses and addictive behaviors, so as to prevent future negative psychosocial consequences.

The Influence of Sociodemographic Factors on Mobile Device Use among Young Children in Putrajaya, Malaysia

Technology is evolving rapidly around the world, and the use of mobile devices is increasing every day. Today, everyone owns a mobile device, including young children. Parents provide and allow young children to use mobile devices for various purposes. Due to the fact of these circumstances, children begin to become comfortable with the use of mobile devices, and they are prone to excessive use. Therefore, the purpose of this study was to examine the influence of sociodemographic factors on excessive mobile device use among young children. Sociodemographic variables, including the child’s gender, the child’s age when starting to use a mobile device, the parent’s educational level, household income, type of application used, and the purpose of giving a mobile device to the child, were selected as predictive factors. A cross-sectional survey study design with a quantitative approach was conducted. A simple random sampling technique was employed, and a total of 364 parents completed the adapted questionnaire, namely, the Problematic Mobile Phone Use Scale (PMPUS). Data were statistically analyzed using descriptive and binary logistic regression analysis. The findings revealed that gender, age of the child when starting to use mobile devices, and purpose of parents providing mobile devices significantly contributed to 77.7% of the variance to make children users with a problem. However, the parent’s educational level, household income, and type of application did not significantly contribute to the problem of mobile device use. Later, this study discusses the research implication, limitation, and recommendation for future research based on the finding.

Exploring Stress and Problematic Use of Short-Form Video Applications among Middle-Aged Chinese Adults: The Mediating Roles of Duration of Use and Flow Experience

The pervasiveness of smartphones and the popularity of short-form video applications (SVAs), such as TikTok, among middle-aged Chinese adults have raised concerns about problematic SVAs use. Although a plethora of research has examined problematic smartphone use among teenagers and young adults, scarce attention has been paid to the middle-aged group. This study integrates the psychopathological approach and the compensatory use approach to explicate problematic SVAs use among middle-aged Chinese adults. We aim to examine the relationship between stress and problematic SVAs use via the mediating roles of duration of use and flow experience. A total of 194 middle-aged adults from across the nation participated in an online survey. The results showed that stress was positively associated with problematic SVAs use. We also found that duration of use positively mediated the relationship between stress and problematic SVAs use. Furthermore, a serial mediation effect of duration of use and flow experience was found. The findings suggest that the aforementioned two approaches are complementary to each other in explicating problematic SVAs use, but the compensatory use approach explains more than the psychopathological approach does. Flow experience extends the original compensatory use approach and demonstrates the importance of incorporating techno-psychological predictors in understanding problematic SVAs use.

Understanding Adolescents' Perceptions and Aspirations Towards Their Relationship With Personal Technology: Survey Study

BACKGROUND

Understanding adolescents' relationship with technology is a pressing topic in this digital era. There seem to be both beneficial and detrimental implications that originate from use of technology by adolescents. Approximately 95% of adolescents have access to a smartphone, and several studies show a positive correlation between screen addiction and trends of anxiety and depression. At the same time, research shows that two-thirds of adolescents believe that technology is a necessity for connecting and making new friends.

OBJECTIVE

The aim of this formative study was to understand adolescents' perception of their own and others' relationship with personal technology.

METHODS

A survey was conducted with 619 adolescents ranging in age from 13 to 19 years. Adolescents were asked how they perceived the relationship with their personal technology, how they perceived others' (parents, siblings, or friends) relationship with personal technology, and how they wish to relate to their personal technology in the future.

RESULTS

"Essential," "Distractive," and "Addictive" were the most commonly selected descriptors to describe both adolescents' own relationship with technology (essential: 106/619, 17.1%; distractive: 105/619, 17%; addictive: 88/619, 14.2% ) and others' relationship as well (essential: 96/619, 15.6%; distractive: 88/619, 14.3%; addictive: 90/619, 14.5%). Adolescents selected "Provides an escape" more to describe their own relationship with technology. Whereas, they selected "It's just a tool" and "Creates Barrier" more to describe others' relationship with technology. These trends are consistent across ages and genders. In addition, adolescents' aspirations for their relationship with their personal technology varied across ages: 13 to 15-year olds' top choice was "best friend", 16 to 17-year olds' top choice was "I don't believe in personal connection with mobile technology," and 18 to 19-year olds' top choice was "My personal assistant."

CONCLUSIONS

Our 3-lens method allows us to examine how adolescents perceive their relationship with personal technology in comparison to others, as well as their future technological aspirations. Our findings suggest that adolescents see both communalities as well as differences in their own and others' relationships with technology. Their future aspirations for personal technology vary across age and gender. These preliminary findings will be examined further in our follow-up research.

Problematic smartphone use: The role of reward processing, depressive symptoms and self-control

The widespread adoption of smartphones has been associated with the emergence of problematic smartphone use. Problematic smartphone use is consistently associated with increased levels of depression and lower self-control, and pathological technology use more generally may be associated with reduced activity in the reward system, an effect that is also observed in depression and with poor self-control. The current study sought to examine the association between problematic smartphone use and event-related potentials (ERPs) related to reward processing, and to determine whether reward processing, depressive symptoms and self-control have shared or unique influences on problematic smartphone use. The sample was drawn from a university student population (N = 94, age M = 19.34, SD = 1.23 years, 67 female, 25 male, 1 gender non-conforming, 1 unidentified). Participants performed a gambling task while EEG was recorded and completed measures of smartphone pathology, depressive symptoms and self-control. The ERP data revealed that increasing problematic smartphone use was associated with reduced ERP amplitude for gains and losses when individuals were the agent of choice, but not when the computer chose. This may reflect a selective association between problematic smartphone use and neural prediction errors. Regression analyses revealed that reward processing, depressive symptoms and self-control were predictors of problematic smartphone use, possibly revealing multiple pathways to problematic smartphone use.

Self-injury and Smartphone Addiction: Age and gender differences in a community sample of adolescents presenting self-injurious behavior

This study aimed to identify the variables (i.e., internalizing, and externalizing problems, self-control, emotion dysregulation, and alexithymia) relevant for Smartphone Addiction and non-suicidal self-injury (NSSI), conceptualized as emotion-regulation strategies, also assessing age and gender differences. Based on power analysis, N = 78 Italian adolescents (11-19 years; M_age = 14.24; SD = 1.56; 73.1% females) were considered. Step-wise multivariate linear regressions evidence a mutual association between NSSI and Smartphone Addiction, particularly relevant in pre-adolescence. Low self-control is significantly associated with the Smartphone Addiction, while emotion dysregulation and alexithymia with NSSI. This study supports NSSI and Smartphone Addiction conceptualization as emotion-regulation strategies and the importance of prevention interventions.