DOI: http://dx.doi.org/10.18203/2320-6012.ijrms20170142

Prevalence of smart phone addiction, sleep quality and associated behaviour problems in adolescents

Ruchi Soni, Ritesh Upadhyay, Mahendra Jain

Abstract


Background: World is ever changing due to advancement in realm of science and technology, one such advancement is in field of smart phones. The ubiquity of smart phone technology raises concern for its addiction among adolescents and its relationship with quality of sleep, mental and physical health problems. Objective of the study was to investigate magnitude of smart phone addiction and evaluate the impact of smart phone addiction on their mental health and sleep quality.

Methods: A cross‑sectional study was conducted on sample comprising of 587 students of repudiated school. Students were assessed with a specially designed proforma and Smart phone addiction scale (SAS) which was self‑administered by the students. Subjects were classified into smartphone non-user group, a low smartphone user group and a high smartphone user group. Subsequently depression anxiety and stress sub scores (DASS-21) scale were administered to asses associated behaviour problems, investigate sleep quality Pittsburgh sleep quality inventory was administered (PSQI).

Results: Out of 587 subjects who completed the questionnaires 12.9% (n=76) were not using smart phones, (n=315) 53.62% were low users and (n=196) 33.3% were high users of Smart phone as estimated by Smart Phone addiction scale. Those who used smart phone excessively had high Global PSQI scores and DASS-21scores in terms of depression, anxiety and stress.

Conclusions: With increasing popularity of smart phones, youths spend significant time on smart phone thereby developing addictive tendencies. This study concludes that youths are not only addicted but are also developing significant sleep and behaviour problems owing to excessive smart phone usage.

Keywords


Behaviour problems, Smart phone addiction, Sleep quality

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References


WHO. Management of substance abuse: Dependence Syndrome. [Last updated on 2014 Mar 26; Last cited on 2014 Mar 26]. Available from: http://www.who.int/ substance_abuse/ terminology/ definition1/en.

Kim H. Exercise rehabilitation for smartphone addiction. J Exerc Rehabil. 2013;9:500-5.

Kuss DJ, Griffiths MD. Online social networking and addiction—a review of the psychological literature. Inter J Environ Res Pub Health. 2011;8(9):3528-52.

Kwon M, Lee JY, Won WY, Park JW, Min JA, Hahn C, et al. Development and validation of a smartphone addiction scale (SAS). PloS One. 2013;8(2):e56936.

Demirci K, Orhan H, Demirdas A, Akpınar A, Sert H. Validity and reliability of the Turkish Version of the Smartphone Addiction Scale in a younger population. Bulletin Clin Psychopharma. 2014;24(3):226-34.

Buysse DJ, Reynolds CF III, Monk TH, Berman SR, Kupfer DJ. The Pittsburgh Sleep Quality Index: A new instrument for psychiatric practice and research. Psychiatry Research. 1989;28(2):193-213.

Lovibond SH, Lovibond PF. Manual for the Depression Anxiety Stress Scales" (2nd ed.). Sydney: Psychology Foundation. (Available from The Psychology Foundation, Room 1005 Mathews Building, University of New South Wales, NSW 2052, Australia). 1995.

Goldberg D, William P. Windsor, Berkshire, England: NFER-NELSON Publishing Co., Ltd. A User's Guide to General Health Questionnaire (GHQ). 1998.

Dworak M, Schierl T, Bruns T, Strüder HK. Impact of singular excessive computer game and television exposure on sleep patterns and memory performance of school-aged children. Pediatrics. 2007;120(5):978-85.

Higuchi S, Motohashi Y, Liu Y, Maeda A. Effects of playing a computer game using a bright display on presleep physiological variables, sleep latency, slow wave sleep and REM sleep. J Sleep Res. 2005;14(3):267-73.

Higuchi S, Motohashi Y, Liu Y, Ahara M, Kaneko Y. Effects of VDT tasks with a bright display at night on melatonin, core temperature, heart rate, and sleepiness. J Applied Physiology. 2003;94(5):1773-6.

Cain N, Gradisar M. Electronic media use and sleep in school-aged children and adolescents: A review. Sleep Medicine. 2010;11(8):735-42.

Huber R, Treyer V, Borbely AA, Schuderer J, Gottselig JM, Landolt HP, et al. Electromagnetic fields, such as those from mobile phones, alter regional cerebral blood flow and sleep and waking EEG. J Sleep Res. 2002;11(4):289-95.

Thomée S, Härenstam 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(1):66.

Lemola S, Perkinson-Gloor N, Brand S, Dewald-Kaufmann JF, Grob A. Adolescents’ electronic media use at night, sleep disturbance, and depressive symptoms in the smartphone age. J Youth Adol. 2014;1-14.

Hwang KH, Yoo YS, Cho OH. Smartphone overuse and upper extremity pain, anxiety, depression, and interpersonal relationships among college students. J Korea Contents Asso. 2012;12(10):365-75.

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. Cyberpsychology, Behavior, and Social Networking. 2013;16(4):272-8.

Park N, Lee H. Social implications of smartphone use: Korean college students’ smartphone use and psychological well-being. Cyberpsychology, Behavior, and Social Networking. 2012;15(9):491-7.

Adams SK, Kisler TS. Sleep quality as a mediator between technology-related sleep quality, depression, and anxiety. Cyberpsychology, Behavior, Social Networking. 2013;16(1):25-30.