Prevalence and correlates of problematic smartphone use in a large random sample of Chinese undergraduates

Jiang Long, Tie-Qiao Liu, Yan-Hui Liao, Chang Qi, Hao-Yu He, Shu-Bao Chen, Joël Billieux, Jiang Long, Tie-Qiao Liu, Yan-Hui Liao, Chang Qi, Hao-Yu He, Shu-Bao Chen, Joël Billieux

Abstract

Background: Smartphones are becoming a daily necessity for most undergraduates in Mainland China. Because the present scenario of problematic smartphone use (PSU) is largely unexplored, in the current study we aimed to estimate the prevalence of PSU and to screen suitable predictors for PSU among Chinese undergraduates in the framework of the stress-coping theory.

Methods: A sample of 1062 undergraduate smartphone users was recruited by means of the stratified cluster random sampling strategy between April and May 2015. The Problematic Cellular Phone Use Questionnaire was used to identify PSU. We evaluated five candidate risk factors for PSU by using logistic regression analysis while controlling for demographic characteristics and specific features of smartphone use.

Results: The prevalence of PSU among Chinese undergraduates was estimated to be 21.3%. The risk factors for PSU were majoring in the humanities, high monthly income from the family (≥1500 RMB), serious emotional symptoms, high perceived stress, and perfectionism-related factors (high doubts about actions, high parental expectations).

Conclusions: PSU among undergraduates appears to be ubiquitous and thus constitutes a public health issue in Mainland China. Although further longitudinal studies are required to test whether PSU is a transient phenomenon or a chronic and progressive condition, our study successfully identified socio-demographic and psychological risk factors for PSU. These results, obtained from a random and thus representative sample of undergraduates, opens up new avenues in terms of prevention and regulation policies.

Keywords: Mobile phone addiction; Mobile phone problematic use; Perceived stress; Perfectionism; Prediction; Problematic smartphone use; Risk factors; Smartphone addiction.

References

    1. The Ministry of Industry and Information Technology of China. General situation of communication industry in 2015. In: Official statistics for Industry and Information Technology 2016. . Accessed 15 Mar 2016.
    1. International Data Corporation. The China Smartphone Market Picks Up Slightly in 2014q4, IDC Reports. In: Press Release of IDC. 2015. . Accessed 25 Oct 2016.
    1. Billieux J. Problematic use of the mobile phone: a literature review and a pathways model. Curr Psychiatry Rev. 2012;8:299–307. doi: 10.2174/157340012803520522.
    1. Billieux J, Maurage P, Lopez-Fernandez O, Kuss DJ, Griffiths MD. Can disordered mobile phone use be considered a behavioral addiction? an update on current evidence and a comprehensive model for future research. Curr Addict Rep. 2015;2:156–162. doi: 10.1007/s40429-015-0054-y.
    1. Enez Darcin A, Noyan C, Nurmedov S, Yilmaz O, Dilbaz N. Smartphone addiction in relation with social anxiety and loneliness among University Students in Turkey. Eur Psychiatry. 2015;30:505. doi: 10.1016/S0924-9338(15)30398-9.
    1. Chiu SI. The relationship between life stress and smartphone addiction on taiwanese university student: A mediation model of learning self-Efficacy and social self-Efficacy. Comput Human Behav. 2014;34(4):49–57. doi: 10.1016/j.chb.2014.01.024.
    1. Billieux J, Schimmenti A, Khazaal Y, Maurage P, Heeren A. Are we overpathologizing everyday life? A tenable blueprint for behavioral addiction research. J Behav Addict. 2015;4(3):119–123. doi: 10.1556/2006.4.2015.009.
    1. Yang YS, Yen JY, Ko CH, Cheng CP, Yen CF. The association between problematic cellular phone use and risky behaviors and low self-esteem among Taiwanese adolescents. BMC Public Health. 2010;10:217. doi: 10.1186/1471-2458-10-217.
    1. Hong FY, Chiu SI, Huang DH. A model of the relationship between psychological characteristics, mobile phone addiction and use of mobile phones by Taiwanese university female students. Comput Human Behav. 2012;28(6):2152–2159. doi: 10.1016/j.chb.2012.06.020.
    1. Lepp A, Barkley JE, Sanders GJ, Rebold M, Gates P. The relationship between cell phone use, physical and sedentary activity, and cardiorespiratory fitness in a sample of US college students. Int J Behav Nutr Phys Act. 2013;10(1):79. doi: 10.1186/1479-5868-10-79.
    1. Lepp A, Barkley JE, Karpinski AC. The relationship between cell phone use, academic performance, anxiety, and Satisfaction with Life in college students. Comput Human Behav. 2014;31:343–350. doi: 10.1016/j.chb.2013.10.049.
    1. Meo SA, Al-Drees AM. Mobile phone related-hazards and subjective hearing and vision symptoms in the Saudi population. Int J Occup Med Environ Health. 2005;18(1):53–57.
    1. Mild KH, Hardell L, Carlberg M. Pooled analysis of two Swedish case-control studies on the use of mobile and cordless telephones and the risk of brain tumours diagnosed during 1997-2003. Int J Occup Saf Ergon. 2007;13(1):63–71. doi: 10.1080/10803548.2007.11076709.
    1. Kim D, Lee Y, Lee J, Nam JK, Chung Y. Development of Korean Smartphone addiction proneness scale for youth. PLoS One. 2014;9(5):e97920. doi: 10.1371/journal.pone.0097920.
    1. Smetaniuk P. A preliminary investigation into the prevalence and prediction of problematic cell phone use. J Behav Addict. 2014;3(1):41–53. doi: 10.1556/JBA.3.2014.004.
    1. Bianchi A, Phillips JG. Psychological predictors of problem mobile phone use. Cyberpsychol Behav. 2005;8(1):39–51. doi: 10.1089/cpb.2005.8.39.
    1. Haverila M. Cell phone usage and broad feature preferences: A study among Finnish undergraduate students. Telematics Informatics. 2013;30(2):177–188. doi: 10.1016/j.tele.2012.05.002.
    1. Tao S, Wu X, Wan Y, Zhang S, Hao J, Tao F. Interactions of problematic mobile phone use and psychopathological symptoms with unintentional injuries: a school-based sample of Chinese adolescents. BMC Public Health. 2016;16(1):1–10.
    1. Thomas AC, Allen FL, Phillips J, Karantzas G. Gaming machine addiction: The role of avoidance, accessibility and social support. Psychol Addict Behav. 2011;25(4):738. doi: 10.1037/a0024865.
    1. Bachman JG, O’Malley PM, Johnston LD. Drug use among young adults: the impacts of role status and social environment. J Pers Soc Psychol. 1984;47(3):629. doi: 10.1037/0022-3514.47.3.629.
    1. Van der Linden M. Commentary on: Are we overpathologizing everyday life? A tenable blueprint for behavioral addiction research. J Behav Addict. 2015;4(3):145–147. doi: 10.1556/2006.4.2015.025.
    1. Kawasaki N, Tanei S, Ogata F, Burapadaja S, Loetkham C, Nakamura T, et al. Survey on cellular phone usage on students in Thailand. J Physiol Anthropol. 2006;25(6):377–382. doi: 10.2114/jpa2.25.377.
    1. Billieux J, Van der Linden M, Rochat L. The role of impulsivity in actual and problematic use of the mobile phone. Appl Cogn Psychol. 2008;22(9):1195–1210. doi: 10.1002/acp.1429.
    1. Sánchez-Martínez M, Otero A. Factors associated with cell phone use in adolescents in the community of Madrid (Spain) Cyberpsychol Behav. 2009;12(2):131–137. doi: 10.1089/cpb.2008.0164.
    1. Leung L. Linking psychological attributes to addiction and improper use of the mobile phone among adolescentsin Hong Kong. J Child Media. 2008;2(2):93–113. doi: 10.1080/17482790802078565.
    1. Sahin S, Ozdemir K, Unsal A, Temiz N. Evaluation of mobile phone addiction level and sleep quality in university students. Pak J Med Sci. 2013;29(4):913–918. doi: 10.12669/pjms.294.3686.
    1. Zulkefly SN, Baharudin R. Mobile Phone use amongst students in a University in Malaysia: its correlates and relationship to psychological health. Eur J Sci Res. 2009;27(2):206–218.
    1. Brown K, Campbell SW, Ling R. Mobile phones bridging the digital divide for teens in the US? Future Internet. 2011;3(2):144–158. doi: 10.3390/fi3020144.
    1. Rice RE, Katz JE. Comparing internet and mobile phone usage: digital divides of usage, adoption, and dropouts. Telecommun Policy. 2003;27(8):597–623. doi: 10.1016/S0308-5961(03)00068-5.
    1. Abu-Jedy A. Mobile phone addiction and its relationship with self-discloser among sample of students from University of Jordan and Amman Al-Ahliyya University. Jordan J Educ Sci. 2008;4(2):137–50.
    1. Jacobs DF. A general theory of addictions: A new theoretical model. J Gambl Behav. 1986;2(1):15–31. doi: 10.1007/BF01019931.
    1. Kardefelt-Winther D. A conceptual and methodological critique of internet addiction research: Towards a model of compensatory internet use. Comput Human Behav. 2014;31(2):351–354. doi: 10.1016/j.chb.2013.10.059.
    1. Wang H, Huang H, Wu HM. Relationship between personality and mobile phone addiction: a mediating role of social anxiety. Chin J Clin Psych. 2014;22(3):447–450.
    1. Ehrenberg A, Juckes S, White KM, Walsh SP. Personality and self-esteem as predictors of young people’s technology use. Cyberpsychol Behav. 2008;11:739–741. doi: 10.1089/cpb.2008.0030.
    1. Wu AM, Cheung VI, Ku L, Hung EP. Psychological risk factors of addiction to social networking sites among Chinese smartphone users. J Behav Addict. 2013;2(3):160–166. doi: 10.1556/JBA.2.2013.006.
    1. Billieux J, Van der Linden M, d’Acremont M, Ceschi G, Zermatten A. Does impulsivity relate to perceived dependence and actual use of the mobile phone? Appl Cogn Psychol. 2007;21:527–537. doi: 10.1002/acp.1289.
    1. Billieux J, Gay P, Rochat L, Van der Linden M. The role of urgency and its underlying psychological mechanisms in problematic behaviours. Behav Res Ther. 2010;48(11):1085–1096. doi: 10.1016/j.brat.2010.07.008.
    1. Maria MK, Jorm AF, Helena R, Olsson CA, Patton GC. Association of adolescent symptoms of depression and anxiety with alcohol use disorders in young adulthood: Findings from the Victorian Adolescent Health Cohort Study. Med J Australia. 2011;195(3):27–30.
    1. Mckenzie M, Olsson CA, Jorm AF, Romaniuk H, Patton GC. Association of adolescent symptoms of depression and anxiety with daily smoking and nicotine dependence in young adulthood: findings from a 10-year longitudinal study. Addiction. 2010;105(9):1652–1659. doi: 10.1111/j.1360-0443.2010.03002.x.
    1. Akin A, Iskenderr M. Internet addiction and depression, anxiety and stress. Int Online J Educ Sci. 2011;3(1):138–148.
    1. Dalbudak E, Evren C, Aldemir S, Coskun KS, Ugurlu H, Yildirim FG. Relationship of internet addiction severity with depression, anxiety, and alexithymia, temperament and character in university students. Cyberpsychol Behav Soc Netw. 2013;16(4):272–278. doi: 10.1089/cyber.2012.0390.
    1. Demirci K, Akgonul M, Akpinar A. Relationship of smartphone use severity with sleep quality, depression, and anxiety in university students. J Behav Addict. 2015;4(2):85–92. doi: 10.1556/2006.4.2015.010.
    1. Yen CF, Tang TC, Yen JY, Lin HC, Huang CF, Liu SC, et al. Symptoms of problematic cellular phone use, functional impairment and its association with depression among adolescents in Southern Taiwan. J Adolesc. 2009;32(4):863–873. doi: 10.1016/j.adolescence.2008.10.006.
    1. Çağan Ö, Ünsal A, Çelik N. Evaluation of college students’ the level of addiction to cellular phone and investigation on the relationsship between the addiction and the level of depression. Procedia Soc Behav Sci. 2014;114:831–839. doi: 10.1016/j.sbspro.2013.12.793.
    1. Jie T, Yu YZ, Du YK, Ying M, Zhang DY, Wang JJ. Prevalence of internet addiction and its association with stressful life events and psychological symptoms among adolescent internet users. Addict Behav. 2014;39(3):744–747. doi: 10.1016/j.addbeh.2013.12.010.
    1. Cohen S. A global measure of perceived stress. J Health Soc Behav. 1983;24(4):385–396. doi: 10.2307/2136404.
    1. Wang JL, Wang HZ, Gaskin J, Wang LH. The role of stress and motivation in problematic smartphone use among college students. Comput Human Behav. 2015;53:181–188. doi: 10.1016/j.chb.2015.07.005.
    1. Flett GL, Hewitt PL. Perfectionism and maladjustment: An overview of theoretical, definitional, and treatment issues. In: Flett GL, Hewitt PL, editors. Perfectionism: Theory, research, and treatment. Washington, DC: American Psychological Association; 2002. pp. 5–31.
    1. Amaral AP, Bos SC, Marques M, Nogueira JVV, Macedo A, Soares MJ, et al. Perfectionism and stress – a study in college students. Eur Psychiatry. 2014;28(13):151–163.
    1. Besharat MA, Nadali H, Zebardast A, Salehi M. Perfectionism and coping styles with stress. Dev Psychol. 2008;5(17):7–17.
    1. Dunkley DM, Sanislow CA, Grilo CM, Mcglashan TH. Perfectionism and depressive symptoms 3 years later: negative social interactions, avoidant coping, and perceived social support as mediators. Compr Psychiatry. 2006;47(2):106–115. doi: 10.1016/j.comppsych.2005.06.003.
    1. Ashby JS, Bruner LP. Multidimensional perfectionism and obsessive-compulsive behaviors. J Coll Couns. 2005;8(1):31–40. doi: 10.1002/j.2161-1882.2005.tb00070.x.
    1. Stoeber J, Davis CR, Townley J. Perfectionism and workaholism in employees: The role of work motivation. Pers Individ Dif. 2013;55(7):733–738. doi: 10.1016/j.paid.2013.06.001.
    1. Hagan AL, Hausenblas HA. The relationship between exercise dependence symptoms and perfectionism. Am J Health Stud. 2003;18(2/3):133.
    1. Frost RO, Marten P, Lahart C, Rosenblate R. The dimensions of perfectionism. Cognit Ther Res. 1990;14(5):449–468. doi: 10.1007/BF01172967.
    1. Park HJ, Jeong DY. Psychological well-being, life satisfaction, and self-esteem among adaptive perfectionists, maladaptive perfectionists, and nonperfectionists. Pers Individ Dif. 2015;72:165–170. doi: 10.1016/j.paid.2014.08.031.
    1. Saw A, Berenbaum H, Okazaki S. Influences of personal standards and perceived parental expectations on worry for Asian American and White American College Students. Anxiety Stress Coping. 2012;26(2):187–202. doi: 10.1080/10615806.2012.668536.
    1. Frost RO, Steketee G. Perfectionism in obsessive-compulsive disorder patients. Behav Res Ther. 1997;35(4):291–296. doi: 10.1016/S0005-7967(96)00108-8.
    1. Wang PW, Liu TL, Ko CH, Lin HC, Huang MF, Yeh YC, et al. Association between problematic cellular phone use and suicide: the moderating effect of family function and depression. Compr Psychiatry. 2014;55(2):342–348. doi: 10.1016/j.comppsych.2013.09.006.
    1. Cheng SK, Chong GH, Wong CW. Chinese frost multidimensional perfectionism scale: A validation and prediction of self-esteem and psychological distress. J Clin Psychol. 1999;55(9):1051–1061. doi: 10.1002/(SICI)1097-4679(199909)55:9<1051::AID-JCLP3>;2-1.
    1. Zi F, Zhou X. The Chinese frost multidimensional perfectionism scale: an examination of its reliability and validity. Chin J Clin Psych. 2006;14(6):560–563.
    1. Zung WWK. A self-rating depression scale. Arch Gen Psychiat. 1965;12(1):63–70. doi: 10.1001/archpsyc.1965.01720310065008.
    1. Biggs JT, Wylie LT, Ziegler VE. Validity of the Zung Self-rating Depression Scale. Brit J Psychiatry. 1978;132:381–385. doi: 10.1192/bjp.132.4.381.
    1. Knight RG, Waal-Manning HJ, Spears GF. Some norms and reliability data for the State--Trait Anxiety Inventory and the Zung Self-Rating Depression scale. Br J Clin Psychol. 1983;22(4):245–249. doi: 10.1111/j.2044-8260.1983.tb00610.x.
    1. Gabrys JB, Peters K. Reliability, discriminant and predictive validity of the Zung Self-rating Depression Scale. Psychol Rep. 1985;57(3Pt2):1091–1096. doi: 10.2466/pr0.1985.57.3f.1091.
    1. de Jonghe JF, Baneke JJ. The Zung Self-Rating Depression Scale: A replication study on reliability, validity, and prediction. Psychol Rep. 1989;64(3):833–834. doi: 10.2466/pr0.1989.64.3.833.
    1. Liu XC, Tang MQ, Chen K, Hu L, Wang AZ. Comparative study between SDS and CES-D among Chinese undergraduates. Chin Mental Health J. 1995;1:19–20.
    1. Zung WWK. A rating instrument for anxiety disorders. Psychosomatics. 1971;12(6):371–379. doi: 10.1016/S0033-3182(71)71479-0.
    1. Olatunji BO, Deacon BJ, Abramowitz JS, Tolin DF. Dimensionality of somatic complaints: factor structure and psychometric properties of the Self-Rating Anxiety Scale. J Anxiety Disord. 2006;20(5):543–561. doi: 10.1016/j.janxdis.2005.08.002.
    1. Jegede RO. Psychometric attributes of the Self-Rating Anxiety Scale. Psychol Rep. 1977;40(1):303–306. doi: 10.2466/pr0.1977.40.1.303.
    1. Tao M, Gao JF. The reliability and validity of Chinese version of self-rating anxiety scale. Chin J Nerv Mental Dis. 1994;5:301–303.
    1. Cohen S, Williamson G. Perceived Stress in a Probability Sample of the United States. In: Spacapan S, Oskamp S, editors. Social psychology of health. Newbury Park: Sage; 1988. pp. 31–67.
    1. Lee EH. Review of the psychometric evidence of the perceived stress scale. Asian Nurs Res. 2012;6(6):121–127. doi: 10.1016/j.anr.2012.08.004.
    1. Yang YZ, Huang HT. An epidemiological study on stress among urban residents in social transition period. Chin J Epidemiol. 2003;9:760–764.
    1. National Information Society Agency . Report on the Development of Korean Smartphone Addiction Proneness Scale for Youth and Adults. Seoul: The Agency; 2011.
    1. Kotar AB. A comparative study of psychological well-being among arts and science college students. Acme Int J Multidiscipl Res. 2013;1(9):9–12.
    1. Fard AE, Rajabi H, Delgoshad A, Rad SA, Akbari S. The possible relationship between university students’ personality traits, psychological well-being and addiction potential. Int J Soc Sci Stud. 2014;2(2):120–125.
    1. Williamson PK. The creative problem solving skills of arts and science students—The two cultures debate revisited. Think Skills Creat. 2011;6(1):31–43. doi: 10.1016/j.tsc.2010.08.001.
    1. North S. Different values, different skills? A comparison of essay writing by students from arts and science backgrounds. Stud Higher Educ. 2005;30(5):517–533. doi: 10.1080/03075070500249153.
    1. Lee BW, Stapinski LA. Seeking safety on the internet: Relationship between social anxiety and problematic internet use. J Anxiety Disord. 2012;26(1):197–205. doi: 10.1016/j.janxdis.2011.11.001.
    1. Moylan S, Jacka FN, Pasco JA, Berk M. Cigarette smoking, nicotine dependence and anxiety disorders: A systematic review of population-based, epidemiological studies. BMC Med. 2012;10(1):1–14. doi: 10.1186/1741-7015-10-123.
    1. Kedzior KK, Laeber LT. A positive association between anxiety disorders and cannabis use or cannabis use disorders in the general population- a meta-analysis of 31 studies. BMC Psychiatry. 2014;14(1):1–22. doi: 10.1186/1471-244X-14-136.
    1. Pedersen W, Soest TV. Smoking, nicotine dependence and mental health among young adults: a 13-year population-based longitudinal study. Addiction. 2009;104(1):129–137. doi: 10.1111/j.1360-0443.2008.02395.x.
    1. Clark DB, Bukstein OG. Psychopathology in adolescent alcohol abuse and dependence. Alcohol Health Res World. 1998;22(2):117–121.
    1. Leung L. Stressful life events, motives for Internet use, and social support among digital kids. Cyberpsychol Behav. 2007;10(2):204–214. doi: 10.1089/cpb.2006.9967.
    1. Burns DD. The perfectionist’s script for self-defeat. Psychol Today. 1980;14(6):34–52.
    1. Hamachek DE. Psychodynamics of normal and neurotic perfectionsm. Psychology. 1978;15(1):27–33.
    1. Flett GL, Druckman T, Hewitt PL, Wekerle C. Perfectionism, coping, social support, and depression in maltreated adolescents. J Ration Emot Cogn Behav Ther. 2012;30(2):1–14.
    1. Roser K, Schoeni A, Foerster M, Röösli M. Problematic mobile phone use of Swiss adolescents: is it linked with mental health or behaviour? Int J Public Health. 2016;61(3):307–315. doi: 10.1007/s00038-015-0751-2.
    1. Ashby JS. Perfectionism, dysfunctional attitudes, and self-esteem: a structural equations analysis. J Couns Dev. 2002;80(2):197–203. doi: 10.1002/j.1556-6678.2002.tb00183.x.

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