Relationship between the Manner of Mobile Phone Use and Depression, Anxiety, and Stress in University Students

Aleksandar Višnjić, Vladica Veličković, Dušan Sokolović, Miodrag Stanković, Kristijan Mijatović, Miodrag Stojanović, Zoran Milošević, Olivera Radulović, Aleksandar Višnjić, Vladica Veličković, Dušan Sokolović, Miodrag Stanković, Kristijan Mijatović, Miodrag Stojanović, Zoran Milošević, Olivera Radulović

Abstract

Objectives: There is insufficient evidence regarding the potential risk of mobile phone use on mental health. Therefore, the aim of this research was to examine the relationship between mobile phone use and mental health by measuring the levels of depression, anxiety, and stress among university students in Serbia and Italy. Methods: This cross-sectional study was carried out at two distinguished universities in Serbia and Italy from March to May of the 2015/2016 academic year and included 785 students of both genders. The questionnaire was compiled and developed from different published sources regarding the manner and intensity of mobile phone use, along with the Depression Anxiety Stress Scale (DASS 42) for measuring psychological health. The statistical analysis of the data included the application of binary logistic regression and correlation tests. Results: Statistical analysis indicates that anxiety symptoms are somewhat more present in younger students (odds ratio (OR) = 0.86, 95% confidence interval (CI): 0.76-0.96), in those who send more text messages SMSs (OR = 1.15, 95% CI: 1.11-1.31), and in those who browse the internet less frequently (OR = 0.84, 95% CI: 0.73-0.95). Stress is more common in students who make fewer calls a day (OR = 0.79, 95% CI: 0.64-0.97), as well in those who spend more time talking on the mobile phone per day (OR = 1.28, 95% CI: 1.12-1.56). The strongest predictor of high stress levels was keeping the mobile phone less than 1 m away during sleeping (OR = 1.48, 95% CI: 1.12-2.08). Conclusions: The results indicated that the intensity and modality of mobile phone use could be a factor that can influence causal pathways leading to mental health problems in the university student population.

Keywords: anxiety; depression; mental health; mobile phone; stress.

Conflict of interest statement

The authors declare no conflict of interest.

References

    1. Al-Khlaiwi T., Meo S.A. Association of mobile phone radiation with fatigue, headache, dizziness, tension and sleep disturbance in Saudi population. Saudi Med. J. 2004;25:732–736.
    1. Chiu C.T., Chang Y.H., Chen C.C., Ko M.C., Li C.Y. Mobile phone use and health symptoms in children. J. Formos. Med. Assoc. 2015;114:598–604. doi: 10.1016/j.jfma.2014.07.002.
    1. Melton B.F., Bigham L.E., Bland H.W., Bird M., Fairman C. Health-related behaviors and technology usage among college students. Am. J. Health Behav. 2014;38:510–518. doi: 10.5993/AJHB.38.4.4.
    1. Roosli M., Moser M., Baldinini Y., Meier M., Braun-Fahrlander C. Symptoms of ill health ascribed to electromagnetic field exposure—A questionnaire survey. Int. J. Hyg. Environ. Health. 2004;207:141–150. doi: 10.1078/1438-4639-00269.
    1. Višnjić A., Veličković V., Stojanović M., Milošević Z., Rangelov T., Bulatović K., Stanković M., Miljković S. The frequency of using screen-based media among children and adolescents and its impact on health-related behaviors. Acta Med. Med. 2015;54:64–73. doi: 10.5633/amm.2015.0311.
    1. Curcio G., Ferrara M., De Gennaro L., Cristiani R., D’Inzeo G., Bertini M. Time-course of electromagnetic field effects on human performance and tympanic temperature. Neuroreport. 2004;15:161–164. doi: 10.1097/00001756-200401190-00031.
    1. Van Leeuwen G.M., Lagendijk J.J., Van Leersum B.J., Zwamborn A.P., Hornsleth S.N., Kotte A.N. Calculation of change in brain temperatures due to exposure to a mobile phone. Phys. Med. Biol. 1999;44:2367–2379. doi: 10.1088/0031-9155/44/10/301.
    1. Croft R.J., Hamblin D.L., Spong J., Wood A.W., McKenzie R.J., Stough C. The effect of mobile phone electromagnetic fields on the alpha rhythm of human electroencephalogram. Bioelectromagnetics. 2008;29:1–10. doi: 10.1002/bem.20352.
    1. D’Costa H., Trueman G., Tang L., Abdel-Rahman U., Abdel-Rahman W., Ong K., Cosic I. Human brain wave activity during exposure to radiofrequency field emissions from mobile phones. Australas Phys. Eng. Sci. Med. 2003;26:162–167. doi: 10.1007/BF03179176.
    1. Ghosn R., Yahia-Cherif L., Hugueville L., Ducorps A., Lemarechal J.D., Thuroczy G., de Seze R., Selmaoui B. Radiofrequency signal affects alpha band in resting electroencephalogram. J. Neurophysiol. 2015;113:2753–2759. doi: 10.1152/jn.00765.2014.
    1. Loughran S.P., Wood A.W., Barton J.M., Croft R.J., Thompson B., Stough C. The effect of electromagnetic fields emitted by mobile phones on human sleep. Neuroreport. 2005;16:1973–1976. doi: 10.1097/01.wnr.0000186593.79705.3c.
    1. Payne K.B., Wharrad H., Watts K. Smartphone and medical related App use among medical students and junior doctors in the United Kingdom (UK): A regional survey. BMC Med. Inform. Decis. Mak. 2012;12:121. doi: 10.1186/1472-6947-12-121.
    1. Roggeveen S., van Os J., Viechtbauer W., Lousberg R. EEG Changes Due to Experimentally Induced 3G Mobile Phone Radiation. PLoS ONE. 2015;10:e0129496. doi: 10.1371/journal.pone.0129496.
    1. Zivin K., Eisenberg D., Gollust S.E., Golberstein E. Persistence of mental health problems and needs in a college student population. J. Affect. Disord. 2009;117:180–185. doi: 10.1016/j.jad.2009.01.001.
    1. Bayram N., Bilgel N. The prevalence and socio-demographic correlations of depression, anxiety and stress among a group of university students. Soc. Psychiatry Psychiatr. Epidemiol. 2008;43:667–672. doi: 10.1007/s00127-008-0345-x.
    1. Wittmann-Price R.A., Kennedy L.D., Godwin C. Use of personal phones by senior nursing students to access health care information during clinical education: Staff nurses’ and students’ perceptions. J. Nurs. Educ. 2012;51:642–666. doi: 10.3928/01484834-20120914-04.
    1. Crawford J.R., Henry J.D. The Depression Anxiety Stress Scales (DASS): Normative data and latent structure in a large non-clinical sample. Br. J. Clin. Psychol. 2003;42:111–131. doi: 10.1348/014466503321903544.
    1. Lovibond S.H. Manual for the Depression Anxiety Stress Scales. 2nd ed. Psychology Foundation; Sydney, Australia: 1995.
    1. Oshima N., Nishida A., Shimodera S., Tochigi M., Ando S., Yamasaki S., Okazaki Y., Sasaki T. The suicidal feelings, self-injury, and mobile phone use after lights out in adolescents. J. Pediatr. Psychol. 2012;37:1023–1030. doi: 10.1093/jpepsy/jss072.
    1. Ezoe S., Toda M. Relationships of loneliness and mobile phone dependence with Internet addiction in Japanese medical students. Open J. Prev. Med. 2013;3:407–412. doi: 10.4236/ojpm.2013.36055.
    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;4:85–92. doi: 10.1556/2006.4.2015.010.
    1. Minagawa Y., Saito Y. An analysis of the impact of cell phone use on depressive symptoms among Japanese elders. Gerontology. 2014;60:539–547. doi: 10.1159/000363059.
    1. Silva D.F., Barros W.R., Almeida Mda C., Rego M.A. Exposure to non-ionizing electromagnetic radiation from mobile telephony and the association with psychiatric symptoms. Cad. Saude Publica. 2015;31:2110–2126. doi: 10.1590/0102-311X00104114.
    1. Thomee S., Harenstam A., Hagberg M. Mobile phone use and stress, sleep disturbances, and symptoms of depression among young adults—A prospective cohort study. BMC Public Health. 2011;11:66. doi: 10.1186/1471-2458-11-66.
    1. Augner C., Hacker G.W. Associations between problematic mobile phone use and psychological parameters in young adults. Int. J. Public Health. 2012;57:437–441. doi: 10.1007/s00038-011-0234-z.
    1. Konok V., Gigler D., Bereczky B., Miklósi Á. Humans’ attachment to their mobile phones and its relationship with interpersonal attachment style. Comput. Hum. Behav. 2016;61:537–547. doi: 10.1016/j.chb.2016.03.062.
    1. Baan R., Grosse Y., Lauby-Secretan B., El Ghissassi F., Bouvard V., Benbrahim-Tallaa L., Guha N., Islami F., Galichet L., Straif K. Carcinogenicity of radiofrequency electromagnetic fields. Lancet Oncol. 2011;12:624–626. doi: 10.1016/S1470-2045(11)70147-4.
    1. Borbely A.A., Huber R., Graf T., Fuchs B., Gallmann E., Achermann P. Pulsed high-frequency electromagnetic field affects human sleep and sleep electroencephalogram. Neurosci. Lett. 1999;275:207–210. doi: 10.1016/S0304-3940(99)00770-3.
    1. Haarala C., Takio F., Rintee T., Laine M., Koivisto M., Revonsuo A., Hämäläinen H. Pulsed and continuous wave mobile phone exposure over left versus right hemisphere: Effects on human cognitive function. Bioelectromagnetics. 2007;28:289–295. doi: 10.1002/bem.20287.
    1. Huber R., Graf T., Cote K.A., Wittmann L., Gallmann E., Matter D., Schuderer J., Kuster N., Borbély A.A., Achermann P. Exposure to pulsed high-frequency electromagnetic field during waking affects human sleep EEG. Neuroreport. 2000;11:3321–3325. doi: 10.1097/00001756-200010200-00012.
    1. Huber R., Treyer V., Schuderer J., Berthold T., Buck A., Kuster N., Landolt H.P., Achermann P. Exposure to pulse-modulated radio frequency electromagnetic fields affects regional cerebral blood flow. Eur. J. Neurosci. 2005;21:1000–1006. doi: 10.1111/j.1460-9568.2005.03929.x.
    1. Bachmann M., Lass J., Kalda J., Sakki M., Tomson R., Tuulik V., Hinrikus H. Integration of differences in EEG analysis reveals changes in human EEG caused by microwave. Conf. Proc. IEEE Eng. Med. Biol. Soc. 2006;1:1597–1600. doi: 10.1109/IEMBS.2006.259234.
    1. Andrzejak R., Poreba R., Poreba M., Derkacz A., Skalik R., Gac P., Beck B., Steinmetz-Beck A., Pilecki W. The influence of the call with a mobile phone on heart rate variability parameters in healthy volunteers. Ind. Health. 2008;46:409–417. doi: 10.2486/indhealth.46.409.
    1. Frewen P.A., Schmittmann V.D., Bringmann L.F., Borsboom D. Perceived causal relations between anxiety, posttraumatic stress and depression: Extension to moderation, mediation, and network analysis. Eur. J. Psychotraumatol. 2013;4 doi: 10.3402/ejpt.v4i0.20656.
    1. Abramson M.J., Benke G.P., Dimitriadis C., Inyang I.O., Sim M.R., Wolfe R.S., Croft R.J. Mobile telephone use is associated with changes in cognitive function in young adolescents. Bioelectromagnetics. 2009;30:678–686. doi: 10.1002/bem.20534.
    1. Kemker B.E., Stierwalt J.A., LaPointe L.L., Heald G.R. Effects of a cell phone conversation on cognitive processing performances. J. Am. Acad. Audiol. 2009;20:582–588. doi: 10.3766/jaaa.20.9.6.
    1. Thomas S., Benke G., Dimitriadis C., Inyang I., Sim M.R., Wolfe R., Croft R.J., Abramson M.J. Use of mobile phones and changes in cognitive function in adolescents. Occup. Environ. Med. 2010;67:861–866. doi: 10.1136/oem.2009.054080.
    1. American Psychiatric Association . Diagnostic and Statistical Manual of Mental Disorders. 5th ed. American Psychiatric Association, American Psychiatric Publishing; Arlington, VA, USA: 2013.
    1. King A.L., Valenca A.M., Silva A.C., Sancassiani F., Machado S., Nardi A.E. “Nomophobia”: Impact of cell phone use interfering with symptoms and emotions of individuals with panic disorder compared with a control group. Clin. Pract. Epidemiol. Ment. Health. 2014;10:28–35. doi: 10.2174/1745017901410010028.
    1. Sheikh M.A., Abelsen B., Olsen J.A. Differential Recall Bias, Intermediate Confounding, and Mediation Analysis in Life Course Epidemiology: An Analytic Framework with Empirical Example. Front. Psychol. 2016;7:1828. doi: 10.3389/fpsyg.2016.01828.

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