Study2016Open access

Proposed Diagnostic Criteria for Smartphone Addiction

Lin YH, Chiang CL, Lin PH, Chang LR, Ko CH, Lee YH, Lin SH

PloS one · 114 citations

How it was studied

Design
Cross-sectional study (classified by our AI screen)
Studied in
People
Main outcome
Health markers and function

Who paid for it

Funding
Independent funding
University or hospital
National Taiwan University Hospital
University or hospital
National Taiwan University

Based on 2 listed funder(s) and full-text disclosure statement.

Publication

Published
2016-11-15 · PLoS One · vol. 11 · issue 11 · p. e0163010
Publisher
Public Library of Science
Cited
310 citations · more than 100% of similar papers · 42.9× the field average
Impact
Top 10% most cited in its field
References
31 works
Access
Open access (journal) · CC-BY
Research areas
Impact of Technology on Adolescents · Workaholism, burnout, and well-being · Eating Disorders and Behaviors
Keywords
smartphone addiction, diagnostic criteria, functional disability, impaired control, university students, diagnostic accuracy, symptom criteria, exclusion criteria, substance-related and addictive disorders
MeSH
humans, logistic models, behavior, addictive, models, psychological, female, male, young adult, smartphone

7 authors

From TW, US

  • Yu‐Hsuan LinNational Taiwan University Hospital
  • C. Nora ChiangShin Kong WHS Memorial Hospital
  • Po‐Hsien LinKoo Foundation Sun Yat-Sen Cancer Center
  • Li‐Ren ChangNational Taiwan University
  • Chih‐Hung KoKaohsiung Medical University; Kaohsiung Municipal Hsiao-Kang Hospital
  • Yang-Han LeeTamkang University

Abstract

Background

Global smartphone penetration has led to unprecedented addictive behaviors. The aims of this study are to develop diagnostic criteria of smartphone addiction and to examine the discriminative ability and the validity of the diagnostic criteria.

Methods

We developed twelve candidate criteria for characteristic symptoms of smartphone addiction and four criteria for functional impairment caused by excessive smartphone use. The participants consisted of 281 college students. Each participant was systematically assessed for smartphone-using behaviors by psychiatrist's structured diagnostic interview. The sensitivity, specificity, and diagnostic accuracy of the candidate symptom criteria were analyzed with reference to the psychiatrists' clinical global impression. The optimal model selection with its cutoff point of the diagnostic criteria differentiating the smartphone addicted subjects from non-addicted subjects was then determined by the best diagnostic accuracy.

Results

Six symptom criteria model with optimal cutoff point were determined based on the maximal diagnostic accuracy. The proposed smartphone addiction diagnostic criteria consisted of (1) six symptom criteria, (2) four functional impairment criteria and (3) exclusion criteria. Setting three symptom criteria as the cutoff point resulted in the highest diagnostic accuracy (84.3%), while the sensitivity and specificity were 79.4% and 87.5%, respectively. We suggested determining the functional impairment by two or more of the four domains considering the high accessibility and penetration of smartphone use.

Conclusion

The diagnostic criteria of smartphone addiction demonstrated the core symptoms "impaired control" paralleled with substance related and addictive disorders. The functional impairment involved multiple domains provide a strict standard for clinical assessment.

Abstract via Europe PMC. Copyright remains with the authors or publisher (CC BY).

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