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Article

Problematic Smartphone Use and Mental Health in Chinese Adults: A Population-Based Study

1
School of Nursing, University of Hong Kong, Hong Kong, China
2
School of Public Health, University of Hong Kong, Hong Kong, China
3
Department of Epidemiology and Biostatistics, Imperial College London, London W2 1PG, UK
4
School of Nursing, University of British Columbia, Vancouver, BC V6T 2B5, Canada
*
Author to whom correspondence should be addressed.
Int. J. Environ. Res. Public Health 2020, 17(3), 844; https://doi.org/10.3390/ijerph17030844
Received: 2 December 2019 / Revised: 20 January 2020 / Accepted: 24 January 2020 / Published: 29 January 2020
Problematic smartphone use (PSU) has been associated with anxiety and depression, but few explored its mental well-being correlates that could co-occur with or be independent of mental symptoms. We studied the associations of PSU with anxiety, depression, and mental well-being in Hong Kong Chinese adults in a probability-based survey (N = 4054; 55.0% females; mean age ± SD 48.3 ± 18.3 years). PSU was measured using Smartphone Addiction Scale-Short Version. Anxiety and depression symptoms were evaluated using General Anxiety Disorder screener-2 (GAD-2) and Patient Health Questionnaire-2 (PHQ-2). Mental well-being was measured using Subjective Happiness Scale (SHS) and Short Warwick-Edinburgh Mental Well-Being Scale (SWEMWBS). Multivariable regression analyzed associations adjusting for sociodemographic and lifestyle-related variables. Associations of PSU with mental well-being were stratified by symptom severity of anxiety (GAD-2 cutoff of 3) and depression (PHQ-2 cutoff of 3). We found that PSU was associated with higher odds of anxiety and depression symptom severity and lower scores of SHS and SWEMWBS. Associations of PSU with lower SHS and SWEMWBS scores remained in respondents who screened negative for anxiety or depression symptoms. To conclude, PSU was associated with anxiety, depression, and impaired mental well-being. Associations of PSU with impaired mental well-being could be independent of anxiety or depression symptoms. View Full-Text
Keywords: problematic smartphone use; smartphone addiction; anxiety; depression; mental well-being; population-based study problematic smartphone use; smartphone addiction; anxiety; depression; mental well-being; population-based study
MDPI and ACS Style

Guo, N.; Luk, T.T.; Ho, S.Y.; Lee, J.J.; Shen, C.; Oliffe, J.; Chan, S.S.-C.; Lam, T.H.; Wang, M.P. Problematic Smartphone Use and Mental Health in Chinese Adults: A Population-Based Study. Int. J. Environ. Res. Public Health 2020, 17, 844. https://doi.org/10.3390/ijerph17030844

AMA Style

Guo N, Luk TT, Ho SY, Lee JJ, Shen C, Oliffe J, Chan SS-C, Lam TH, Wang MP. Problematic Smartphone Use and Mental Health in Chinese Adults: A Population-Based Study. International Journal of Environmental Research and Public Health. 2020; 17(3):844. https://doi.org/10.3390/ijerph17030844

Chicago/Turabian Style

Guo, Ningyuan, Tzu T. Luk, Sai Y. Ho, Jung J. Lee, Chen Shen, John Oliffe, Sophia S.-C. Chan, Tai H. Lam, and Man P. Wang. 2020. "Problematic Smartphone Use and Mental Health in Chinese Adults: A Population-Based Study" International Journal of Environmental Research and Public Health 17, no. 3: 844. https://doi.org/10.3390/ijerph17030844

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