Impact of problematic mobile phone use and insufficient physical activity on depression symptoms: a college-based follow-up study

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Abstract

Background

Insufficient physical activity (IPA) and mobile phone dependence are common coexisting behaviors among college students. However, the impact of the synergies between the two behaviors on depression has yet to be validated. Therefore, this study evaluated independent and interactive associations of problematic mobile phone use (PMPU) and IPA with depression symptoms and increased depressive symptoms among Chinese college students.

Methods

In total, 2134 college students participated in this follow-up study, which was conducted between June 2014 (wave 1) and December 2014 (wave 2) at Anhui Medical University. The Self-rating Questionnaire for Adolescent Problematic Mobile Phone Use and the Center for Epidemiologic Studies Depression Scale were used to assess PMPU and depression symptoms, respectively. Physical activity (PA) was assessed with a reliable question from the Youth Risk Behavior Survey. Joint effects of PMPU and PA were calculated, and increased depressive symptoms were assessed. We used multivariable-adjusted odds ratios (OR) with 95% confidence intervals (CI) to evaluate associations between depression symptoms and PMPU, IPA, and the PMPU/IPA joint effect, estimated by binary logistic regression models.

Results

PMPU and high PMPU/IPA joint effect scores were significantly associated with depression symptoms in waves 1 ( OR 7.36, 95% CI: 5.09, 10.66) and 2 ( OR 3.74, 95% CI: 2.56, 5.48). IPA was significantly associated with depression symptoms in wave 1 ( OR 1.40, 95% CI: 1.09, 1.79) but not wave 2 ( OR 1.24, 95% CI: 0.95, 1.62). PMPU and high PMPU/IPA joint effect scores were also significantly associated with increased depressive symptoms ( OR 2.36, 95% CI: 1.55, 3.60).

Conclusions

These results suggest that PMPU is an important factor for depression in college students, and IPA may be a synergistic factor.

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Impact of screen time on mental health problems progression in youth: a 1-year follow-up study

Xiaoyan Wu, Shuman Tao, Shichen Zhang … (2016)

Objectives We examined the relationships between screen time (ST) and mental health problems and also increment of ST and progression of mental health problems in a college-based sample of Chinese youth. Methods We assessed 2521 Chinese college freshmen from October 2013 to December 2014. At baseline, the mean age of participants was 18.43 years (SD 0.96 years), and 1215 (48.2%) participants reported ST >2 h/day. We estimated multivariable-adjusted ORs by using logistic regression models for the risk of developing mental health problems (anxiety, depression and psychopathological symptoms) and/or progression of these problems, according to baseline ST exposure and changes in exposure at follow-up. Results At baseline, when ST >2 h/day was compared with ST ≤2 h/day, the OR was 1.38 (95% CI 1.15 to 1.65) for anxiety, 1.55 (95% CI 1.25 to 1.93) for depression and 1.49 (95% CI 1.22 to 1.83) for psychopathological symptoms. The results remained unchanged for depressive and psychopathological symptoms but not for anxiety, after additional adjustment for sex, age, residential background, body mass index, perceived family economy, sleep quality, smoking, alcohol intake, exercise after school and physical activity. When participants who had increased their ST exposure to >2 h/day were compared with those with no change and ST ≤2 h/day, the OR was 1.78 (95% CI 1.12 to 2.83) for anxiety, 1.92 (95% CI 1.23 to 2.83) for depression and 1.93 (95% CI 1.16 to 3.21) for psychopathological symptoms. These associations also remained after additional adjustment. Conclusions The overall effects are consistent yet small for ST/ST increment on mental health problems and its progression. Given the small effect size of the current results, it remains unclear the degree to which ST is a practically significant risk factor for mental health outcomes. Future studies of high quality are necessary to further examine this association and the direction of causality.

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Prevalence and co-occurrence of compulsive buying, problematic Internet and mobile phone use in college students in Yantai, China: relevance of self-traits

ZHAOCAI JIANG, Mingyan Shi (2016)

Background Until now, most research in the prevalence of compulsive buying (CB) has been developed from samples in western developed countries, this study aimed to estimate the prevalence and co-morbidities of CB, problematic Internet use (PIU) and problematic mobile phone use (PMPU) in college students in Yantai, China. Moreover, based on the lack of research focusing on differences between CB and addiction, we will explore whether CB and PIU/PMPU individuals are characterized by the same self-traits (i. e., self-control, self-esteem and self-efficacy) related profile. Methods A total of 601 college students were involved in this cross-sectional study. Compulsive buying, problematic Internet and mobile phone use and self-traits were assessed by self-reported questionnaires. The demographic information and use characteristics were included in the questionnaires. Results The incidence of CB, PIU and PMPU were 5.99, 27.8 and 8.99% respectively. In addition, compared with rural students, students from cities are more likely to get involved in CB. Students using mobile phone to surf the Internet displayed higher risk of PIU than counterparts using computer. Students using Internet or mobile phone longer are more prone to problematic use. Furthermore, we found the strong correlations and high co-morbidities of CB, PIU and PMPU and self-control was the most significant predictor for all three disorders. However, self-esteem and self-efficacy were significant predictors only for CB. Conclusions Our findings indicated that with the prevalence of CB and PMPU roughly equivalent to that demonstrated in previous studies, PIU in Chinese college students is serious and deserves more attention. Furthermore, besides the impulsive aspect common with addiction, CB is also driven by painful self-awareness derived from low self-regard which implies the obsessive-compulsive aspect.

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Transitional Age Youth and College Mental Health

Vivien Chan, Jessica Moore, Jennifer Derenne … (2019)

Transitional age youth with a history of mood disorders, such as major depressive disorder, are uniquely vulnerable to clinical destabilization and relapse in the context of life transition. Moving from a structured adolescence to a more independent and potentially more demanding young adult life can result in worsening symptoms and barriers to effective help-seeking. Transitional age youth newly diagnosed are exposed to their first course of treatment of a potentially chronic condition. This article describes the challenges inherent in navigating this life transition, and also offers strategies to promote a successful "launch" into adulthood.

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Author and article information

Contributors

Haibo Xie: xiehaibo666@163.com

Shuman Tao: shumantao@126.com

Yukun Zhang: zhangyukun1106@gmail.com

Fangbiao Tao: fbtao@ahmu.edu.cn

Xiaoyan Wu: xywu85@126.com

Journal

Journal ID (nlm-ta): BMC Public Health

Journal ID (iso-abbrev): BMC Public Health

Title: BMC Public Health

Publisher: BioMed Central (London )

ISSN (Electronic): 1471-2458

Publication date (Electronic): 5 December 2019

Publication date PMC-release: 5 December 2019

Publication date Collection: 2019

Volume: 19

Electronic Location Identifier: 1640

Affiliations

[1 ]ISNI 0000 0000 9490 772X, GRID grid.186775.a, Department of Maternal, Child & Adolescent Health, School of Public Health, , Anhui Medical University, ; 81 Meishan Road, Hefei, 230032 Anhui Province China

[2 ]ISNI 0000 0004 1771 3402, GRID grid.412679.f, Department of Dermatology, , The First Affiliated Hospital of Anhui Medical University, ; Hefei, China

[3 ]GRID grid.452696.a, Department of Nephrology, , The Second Hospital of Anhui Medical University, ; Hefei, China

[4 ]ISNI 0000 0000 9490 772X, GRID grid.186775.a, Anhui Provincial Key Laboratory of Population Health & Aristogenics, ; Hefei, China

Article

Publisher ID: 7873

DOI: 10.1186/s12889-019-7873-z

PMC ID: 6896767

PubMed ID: 31805915

SO-VID: 611cfb54-e893-4a60-be37-ee3845b45b6a

License:

Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License ( http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver ( http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.

History

Date received : 27 March 2019

Date accepted : 30 October 2019

Funding

Funded by: FundRef http://dx.doi.org/10.13039/501100001809, National Natural Science Foundation of China;

Award ID: 81773455

Award ID: 81302448

Award Recipient : Xiaoyan Wu

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ScienceOpen disciplines: Public health

Keywords: problematic mobile phone use,physical activity,depression,college students

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ScienceOpen disciplines: Public health

Keywords: problematic mobile phone use, physical activity, depression, college students

Impact of problematic mobile phone use and insufficient physical activity on depression symptoms: a college-based follow-up study

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Most cited references 8

Impact of screen time on mental health problems progression in youth: a 1-year follow-up study

Prevalence and co-occurrence of compulsive buying, problematic Internet and mobile phone use in college students in Yantai, China: relevance of self-traits

Transitional Age Youth and College Mental Health

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