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大学生智能手机成瘾与抑郁的双向关联:交叉滞后面板模型。

A bidirectional association between smartphone addiction and depression among college students: A cross-lagged panel model.

机构信息

Department of Epidemiology and Biostatistics, School of Public Health, Anhui Medical University, Hefei, China.

Hefei Center for Disease Control and Prevention, Hefei, China.

出版信息

Front Public Health. 2023 Jan 24;11:1083856. doi: 10.3389/fpubh.2023.1083856. eCollection 2023.

Abstract

BACKGROUND

Smartphone addiction (SA) is associated with adverse consequences, especially for freshmen. Evidence indicates that SA is associated with depression, and it is necessary to conduct a longitudinal study to explore the association further.

METHODS

SA (measured by the Smartphone Addiction Scale-Short Version) and depression (measured by the Zung's Self-Rating Depression Scale) among 1,186 freshmen were surveyed at baseline and a respective 12-month follow-up for each participant. The application of a cross-lagged panel model approach (CLPM) revealed an association between SA and depression after adjusting for demographic variables.

RESULTS

The CLPM results showed a significant path from baseline SA to follow-up depression (β = 0.08, < 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).

CONCLUSIONS

The current study showed a significant bidirectional association between smartphone addiction and depression among freshmen, but only in the female population.

摘要

背景

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。

方法

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。

结果

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)。

结论

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。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7a0f/9902510/253ba33401e1/fpubh-11-1083856-g0001.jpg

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