Effect of smartphone use on sleep and mental health status of Indian medical students: a cross-sectional study

Authors

  • Shiraza Haque Department of Physiology, King George’s Medical University, Lucknow, Uttar Pradesh, India https://orcid.org/0009-0004-7799-1276
  • Shraddha Singh Department of Physiology, King George’s Medical University, Lucknow, Uttar Pradesh, India
  • Jagdish Narayan Department of Physiology, King George’s Medical University, Lucknow, Uttar Pradesh, India
  • Adarsh Tripathi 2Department of Psychiatry, King George’s Medical University, Lucknow, Uttar Pradesh, India
  • Manzoor Ahmad Department of General Surgery, TSM, Lucknow, Uttar Pradesh, India
  • Toyaj Kumar Department of Physiology, King George’s Medical University, Lucknow, Uttar Pradesh, India
  • Shivam Verma Department of Physiology, Prasad Institute of Medical Sciences, Lucknow, Uttar Pradesh, India

DOI:

https://doi.org/10.18203/2320-6012.ijrms20242934

Keywords:

Screen time, Sleep quality, Mental health, Smartphone addiction

Abstract

Background: In today's digital era, technology plays an integral role in daily life, particularly among students facing significant health challenges associated with increased screen time. The increased screen usage has been linked to deteriorating physiological and psychological well-being, contributing to physical inactivity, and a sedentary lifestyle, leading to serious health conditions such as obesity, depression, and disrupted sleep patterns. Medical students are particularly susceptible to these effects due to prolonged screen use, which compromises both their mental and physical health and increases the risk of addiction. This study aims to explore the impact of digital screen time on sleep quality, cardiometabolic health, and mental health conditions such as depression, anxiety, and stress among medical students.

Method: A cross-sectional study was conducted at the Department of Physiology, KGMU, Lucknow, involving 113 medical students. Data collection utilized a structured questionnaire alongside validated instruments: PSQI for sleep quality assessment, DASS21 for psychological distress evaluation, and SAS-SV for smartphone addiction screening.

Results: The findings revealed that participants reported high average smartphone usage (8.84±10.62 years) and screen time (49.98±15.17 hours weekly). Statistical analysis demonstrated significant associations between smartphone dependency (p<0.0001), psychological distress (p<0.0001), and compromised sleep quality (Global PSQI score: 6.87±3.84) highlighting prevalence of disrupted circadian rhythms and compromised health.

Conclusion: This study highlights the critical need for guidelines on screen usage based on age, lifestyle, and professional demands and regulating screen use early can mitigate its detrimental health consequences, including disturbed sleep and mental health.

References

Henderson M, Benedetti A, Barnett TA, Mathieu ME, Deladoëy J, Gray-Donald K. Influence of adiposity, physical activity, fitness, and screen time on insulin dynamics over 2 years in children. JAMA Pediatrics. 2016;170(3):227-35.

Reid CYL, Radesky J, Christakis D, Moreno MA, Cross C, Hill D, et al. Children and adolescents and digital media. Pediatrics. 2016;138:5.

Magee CA, Lee JK, Vella SA. Bidirectional relationships between sleep duration and screen time in early childhood. JAMA Pediatrics. 2014;168(5):465-70.

Lauricella AR, Wartella E, Rideout VJ. Young children's screen time: The complex role of parent and child factors. Journal of Applied Developmental Psychology. 2015;36:11-7.

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. Journal of youth and adolescence. 2015;44(2):405-18.

Lissak G. Adverse physiological and psychological effects of screen time on children and adolescents: Literature review and case study. Environ Res. 2018;164:149-57.

Staiano AE, Martin CK, Champagne CM, Rood JC, Katzmarzyk PT. Sedentary time, physical activity, and adiposity in a longitudinal cohort of nonobese young adults. The American Journal of Clinical Nutrition. 2018;108(5):946-52.

Lunden I. 6.1 b smartphone users globally by 2020, overtaking basic fixed phone subscriptions. Tech Crunch. 2015;2:34

Kolovos S, Jimenez MAC, Pinedo VR, Cassidy S, Zavala GA. Association of sleep, screen time and physical activity with overweight and obesity in Mexico. Eat. Weight Disord. 2019:1-11.

Ghekiere A, Van CJ, Vandendriessche A, Inchley J, Gaspar de MM, Borraccino A, et al. Trends in sleeping difficulties among European adolescents: Are these associated with physical inactivity and excessive screen time? Int J Pub Heal. 2019;64:487-98.

Panahi S, Tremblay A. Sedentariness and health: is sedentary behavior more than just physical inactivity? Frontiers in public health. 2018;6:389159.

Barkley JE, Lepp A. Mobile phone use among college students is a sedentary leisure behaviour which may interfere with exercise. Computers in Human Behavior. 2016;56:29-33.

Lepp A, Barkley JE, Karpinski AC. The relationship between cell phone use, academic performance, anxiety, and satisfaction with life in college students. Computers in human behavior. 2014;31:343-50.

Castro O, Bennie J, Vergeer I, Bosselut G, Biddle SJ. How sedentary are university students? A systematic review and meta-analysis. Prevention science. 2020;21:332-43.

Kerrigan DJ, Rukstalis MR, Ehrman JK, Keteyian SJ, She R, Alexander GL. 5‐2‐1‐0 Lifestyle risk factors predict obesity in Millennials. Clinical obesity. 2019;9(3):12306.

Healy GN, Clark BK, Winkler EA, Gardiner PA, Brown WJ, Matthews CE. Measurement of adults' sedentary time in population-based studies. Am J Prev Med. 2011;41(2):216-27.

Hashmi AM, Khawaja IS, Butt Z, Umair M, Naqvi SH, Ul-Haq J. The Pittsburgh sleep quality index: validation of the Urdu translation. J Coll Physicians Surg Pak. 2014;24(2):123-6.

Moutinho IL, Maddalena NC, Roland RK, Lucchetti AL, Tibiriçá SH, Ezequiel OD, et al. Depression, stress and anxiety in medical students: A cross-sectional comparison between students from different semesters. Rev Assoc Med Bras (1992). 2017;63(1):21-8.

Basudan S, Binanzan N, Alhassan A. Depression, anxiety and stress in dental students. Int J Med Educ. 2017;8:179-86.

Kwon M, Kim DJ, Cho H, Yang S. The smartphone addiction scale: development and validation of a short version for adolescents. PloS one. 2013;8(12):83558.

Wu X, Tao S, Zhang Y, Zhang S, Tao F. Low physical activity and high screen time can increase the risks of mental health problems and poor sleep quality among Chinese college students. PloS one. 2015;10(3):119607.

Haug S, Castro RP, Kwon M, Filler A, Kowatsch T, Schaub MP. Smartphone use and smartphone addiction among young people in Switzerland. J Behav Add. 2015;4(4):299-307.

Christensen MA, Bettencourt L, Kaye L, Moturu ST, Nguyen KT, Olgin JE, et al. Direct measurements of smartphone screen-time: relationships with demographics and sleep. PloS one. 2016;11(11):165331.

Wu X, Tao S, Zhang S, Zhang Y, Chen K, Yang Y, et al. Impact of screen time on mental health problems progression in youth: a 1-year follow-up study. BMJ open. 2016;6(11):11533.

Soni R, Upadhyay R, Jain M. Prevalence of smart phone addiction, sleep quality and associated behaviour problems in adolescents. Int J of Res Med Sci. 2017;5(2):515-9.

Domingues MS. Clinical and psychological effects of excessive screen time on children. J Paed Child Health. 2017;53(4):333-8.

Desouky DE, Abu-Zaid H. Mobile phone use pattern and addiction in relation to depression and anxiety. Eastern Mediterranean Health J. 2020;26(6):692-9.

Grimaldi PM, Fernández BJM, Fennell C, Sañudo B. Associations of objectively-assessed smartphone use with physical activity, sedentary behavior, mood, and sleep quality in young adults: A cross-sectional study. International J Environ Res Pub Health. 2020;17(10):3499.

Yuan Y, Heizhati M, Wang L, Li M, Lin M, Gan L, et al. Poor sleep quality is associated with new-onset hypertension in a diverse young and middle-aged population. Sleep Medicine. 2021;88:189-96.

Girela-Serrano BM, Spiers AD, Ruotong L, Gangadia S, Toledano MB, Di Simplicio M. Impact of mobile phones and wireless devices use on children and adolescents’ mental health: a systematic review. European child and adolescent psychiatry. 2022:1-31.

Maurya C, Muhammad T, Maurya P, Dhillon P. The association of smartphone screen time with sleep problems among adolescents and young adults: cross-sectional findings from India. BMC public health. 2022;22(1):1686.

Lavados RP, Andrade MO, Morales G, Muñoz S, Balboa CT. Association of screen time and physical activity with health-related quality of life in college students. J Am Coll Health. 2023;71(5):1504-9.

Santos RM, Mendes CG, Sen Bressani GY, Alcantara VS, Almeida NYJ, Miranda DM, et al. The associations between screen time and mental health in adolescents: a systematic review. BMC psychology. 2023;11(1):1-21.

Haug S, Castro RP, Kwon M, Filler A, Kowatsch T, Schaub MP. Smartphone use and smartphone addiction among young people in Switzerland. J Behav Add. 2015;4(4):299-307.

Salfi F, Amicucci G, Corigliano D, D’Atri A, Viselli L, Tempesta D, et al. Changes of evening exposure to electronic devices during the COVID-19 lockdown affect the time course of sleep disturbances. Sleep. 2021;44(9):80.

Souza TC, Oliveira LA, Daniel MM, Ferreira LG, Della Lucia CM, Liboredo JC, et al. Lifestyle and eating habits before and during COVID-19 quarantine in Brazil. Public health nutrition. 2022;25(1):65-75.

Long J, Liu TQ, Liao YH, Qi C, He HY, Chen SB, Billieux J. Prevalence and correlates of problematic smartphone use in a large random sample of Chinese undergraduates. BMC psychiatry. 2016;16:1-2.

Downloads

Published

2024-09-30

How to Cite

Haque, S., Singh, S., Narayan, J., Tripathi, A., Ahmad, M., Kumar, T., & Verma, S. (2024). Effect of smartphone use on sleep and mental health status of Indian medical students: a cross-sectional study. International Journal of Research in Medical Sciences, 12(10), 3737–3746. https://doi.org/10.18203/2320-6012.ijrms20242934

Issue

Section

Original Research Articles