Smartphone addiction, sleep quality, depression, anxiety, and stress among medical students
Nikolic A, Bukurov B, Kocic I, Vukovic M, Ladjevic N, Vrhovac M, Pavlović Z, Grujicic J, Kisic D, Sipetic S
Frontiers in public health · 123 citations
How it was studied
- Design
- Cross-sectional study (indexed by PubMed)
- Studied in
- People
- Main outcome
- Health markers and function
Who paid for it
- Funding
- Independent funding
- Government
- Ministarstvo Prosvete, Nauke i Tehnološkog Razvoja
- Government
- Ministry of Education, Science and Technological Development of the Republic of Serbia
- Grants
- Ministarstvo Prosvete, Nauke i Tehnološkog Razvoja (200110)
Based on 2 listed funder(s) and full-text disclosure statement.
Publication
- Published
- 2023-09-06 · Front Public Health · vol. 11 · p. 1252371
- Publisher
- Frontiers Media
- Cited
- 203 citations · more than 100% of similar papers · 92.1× the field average
- Impact
- Top 10% most cited in its field
- References
- 61 works
- Access
- Open access (journal) · CC-BY
- Research areas
- Impact of Technology on Adolescents · Perfectionism, Procrastination, Anxiety Studies · COVID-19 and Mental Health
- Keywords
- smartphone addiction, medical students, sleep quality, depression, anxiety, stress, physical activity, smartphone overuse, prevalence, sex differences
- MeSH
- humans, cross-sectional studies, depression, anxiety, students, medical, female, male, internet addiction disorder, sleep quality
10 authors
From RS, US
- Aleksandra NikolićUniversity of Belgrade
- Bojana M. BukurovUniversity of Belgrade; Univerzitetski Klinički Centar Srbije
- Ilija Kocić
- Milica VukovićUniversity of Belgrade
- Nikola LadjevicUniverzitetski Klinički Centar Srbije
- Miljana VrhovacUniversity of Belgrade
Abstract
Introduction
Studies consistently link excessive smartphone use to poor sleep quality, depression, anxiety, and stress. This study specifically aimed to investigate these associations among medical students in Belgrade and Nis (Central Serbia).
Materials and methods
The cross-sectional study included a sample of 761 students, who were selected from both the Faculties of Medicine at the University of Belgrade and the University of Nis. Questionnaires, including the International Physical Activity Questionnaire - Short Form (IPAQ-SF), Smartphone Addiction Scale - Short Version (SAS-SV), the Pittsburgh Sleep Quality Index (PSQI), and the Depression, Anxiety, and Stress Scale - 21 items (DASS-21), were completed by the participants. Statistical analysis techniques, such as the Chi-square test, student's t-test, and logistic regression, were employed to examine the relationship between smartphone addiction, physical activity, sleep quality, depression, anxiety, and stress.
Results
The findings indicated a prevalence of smartphone addiction among medical students at 21.7%, with rates of 22.9% among males and 21.1% among females. Females exhibited significantly higher scores on the SAS-SV scale compared to males (p = 0.032). Univariate logistic regression analysis revealed significant associations between smartphone addiction and spending over 4 h daily on smartphones (OR = 2.39; p p = 0,005), as well as elevated levels of stress (OR = 1.75; p = 0.003), anxiety (OR = 2.04; p p p p < 0.001) as independent significant factors associated with smartphone addiction.
Conclusion
This study sheds light on the prevalence of smartphone addiction among medical students, with spending excessive time on smartphones and higher levels of depression standing out as significant factors. Future research should delve into the underlying mechanisms and causal relationships between smartphone addiction and these psychosocial factors. Understanding these connections will aid in developing effective interventions and strategies to tackle this growing public health concern.
Abstract via Europe PMC. Copyright remains with the authors or publisher (CC BY).
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