Department of Epidemiology and Biostatistics, School of Public Health, Anhui Medical University, Hefei, China.
Hefei Center for Disease Control and Prevention, Hefei, China.
Front Public Health. 2023 Jan 24;11:1083856. doi: 10.3389/fpubh.2023.1083856. eCollection 2023.
Smartphone addiction (SA) is associated with adverse consequences, especially for freshmen. Evidence indicates that SA is associated with depression, and it is necessary to conduct a longitudinal study to explore the association further.
SA (measured by the Smartphone Addiction Scale-Short Version) and depression (measured by the Zung's Self-Rating Depression Scale) among 1,186 freshmen were surveyed at baseline and a respective 12-month follow-up for each participant. The application of a cross-lagged panel model approach (CLPM) revealed an association between SA and depression after adjusting for demographic variables.
The CLPM results showed a significant path from baseline SA to follow-up depression (β = 0.08, < 0.001) and a significant path from baseline depression to follow-up SA (β = 0.08, < 0.001). Compared with the overall cross-lagged model, the cross-lagged coefficient of the path from baseline SA to follow-up depression increased in the female group (β = 0.10, = 0.015), and the cross-lagged coefficient of the path from baseline depression to follow-up SA also increased significantly (β = 0.15, < 0.001). In contrast, the cross-lagged model in the male group showed no predictive effect between SA and depression ( > 0.05).
The current study showed a significant bidirectional association between smartphone addiction and depression among freshmen, but only in the female population.
智能手机成瘾(SA)与不良后果相关,尤其是对新生而言。有证据表明,SA 与抑郁有关,有必要进行一项纵向研究来进一步探讨这种关联。
在基线和每位参与者的 12 个月随访时,通过智能手机成瘾量表-短版(SA 测量)和 Zung 氏抑郁自评量表(抑郁测量)对 1186 名新生进行了调查。交叉滞后面板模型方法(CLPM)的应用表明,在调整人口统计学变量后,SA 与抑郁之间存在关联。
CLPM 结果显示,从基线 SA 到随访抑郁存在显著路径(β=0.08,<0.001),从基线抑郁到随访 SA 也存在显著路径(β=0.08,<0.001)。与整体交叉滞后模型相比,女性组中从基线 SA 到随访抑郁的交叉滞后系数增加(β=0.10,=0.015),从基线抑郁到随访 SA 的交叉滞后系数也显著增加(β=0.15,<0.001)。相比之下,男性组中的交叉滞后模型在 SA 和抑郁之间没有预测作用(>0.05)。
本研究显示,新生中智能手机成瘾与抑郁之间存在显著的双向关联,但仅在女性群体中存在。