ASSOCIATION OF ANXIETY AND DEPRESSION IN RELATION TO SMARTPHONE ADDICTION AMONG UNIVERSITY STUDENTS IN INDIA

  • Bharatesh Devendra Basti Department of Community Medicine, Melmaruvathur Adhiparaskthi Institute of Medical Sciences, Tamilnadu, India
  • Sharvanan Eshwaran Udayar Department of Community Medicine, Kodagu Institute of Medical Sciences, Madikeri City, Karnataka, India
  • Shashidharan Department of Community Medicine, Melmaruvathur Adhiparaskthi Institute of Medical Sciences , , Tamilnadu, India
  • Janakiraman Pichandi Kumar Department of Community Medicine, PES Institute of Medical Sciences, Kuppam City, Andhra Pradesh, India
  • Hariprasad Naidu Boyapati Boyapati Department of Community Medicine, PES Institute of Medical Sciences, Kuppam City, Andhra Pradesh, India
Keywords: Smartphone, Prevalence, Depression, Anxiety, Students

Abstract

Smartphone addiction results in mental health disorders, especially among youth. Only a few studies are done among youth in rural areas. This study was conducted to find the association of anxiety, depression and stress in relation to smartphone addiction in rural undergraduate students. A cross-sectional survey was done among university students in the rural part of south India in 2018. 684 students from four different colleges participated in the study, and Depression Anxiety Stress Scale (DASS-21) and Smartphone Addiction Scale – Shorted version questionnaire (SAS-SV) scales were used. Descriptive analysis in terms of mean, standard deviation and categorical analysis as percentages and frequencies were applied. Overall 413 (60.4%) students were using smartphones, and the prevalence of smartphone addiction was around 26.8% and was found to be common among males than females (p<<0.001). Depression and stress were progressively greater with increasing usage across the three groups (p<<0.001). There was statistically significant weak positive correlation between the total depression (r=0.16; p<0.001), anxiety (r=0.10; p<0.05), and stress scores (r=0.24; p<0.001) with total addiction scores. Simple linear regression showed that with one unit increase in addiction scores there was a significant increase in depression (β = 0.156, p = 0.002), anxiety (β=0.098,p=0.046), and stress scores (β=0.236,p<0.001) and multiple linear regression showed stress was more significantly associated with addiction than depression and anxiety (B= 0.243; p<0.001). Alarming higher prevalence of depression, anxiety and stress among rural college students is a serious concern. Life skills education would address these growing public health problems.

Author Biographies

Bharatesh Devendra Basti, Department of Community Medicine, Melmaruvathur Adhiparaskthi Institute of Medical Sciences, Tamilnadu, India

Professor

Department of Community Medicne

Melmaruvathur Adiparashakthi Institute Of Medical Sciences

Melmaruvathur City Tamil Nadu -603319 India

Janakiraman Pichandi Kumar, Department of Community Medicine, PES Institute of Medical Sciences, Kuppam City, Andhra Pradesh, India

Statician

Department of Community Medicne

PES Institute of Medical Sciences

Kuppam City  , Andhra Pradesh-517425  

Hariprasad Naidu Boyapati Boyapati, Department of Community Medicine, PES Institute of Medical Sciences, Kuppam City, Andhra Pradesh, India

Assistant Professor

Department of Community Medicne

PES Institute of Medical Sciences Kuppam City  , Andhra Pradesh-517425  India

References

Matar Boumosleh J, Jaalouk D. Depression, anxiety, and smartphone addiction in university students- A cross sectional study. PLoS One. 2017 Aug 4;12(8):e0182239. https://dx.doi:10.1371/journal.pone.0182239. PMID: 28777828; PMCID: PMC5544206.

Lei LY, Ismail MA, Mohammad JA, Yusoff MSB. The relationship of smartphone addiction with psychological distress and neuroticism among university medical students. BMC Psychol. 2020 Sep 11;8(1):97. https://dx.doi:10.1186/s40359-020-00466-6.PMID:32917268;PMCID: PMC7488412.

Jonsson P, Johnson P, Hagberg M, Forsman M. Thumb joint movement and muscular activity during mobile phone texting-a methodological study.J ElectromyogrKinesiol. 2011; 21(2): 363-70.

Government of India (GOI): Youth in India: Central Statistics Office Ministry of Statistics &Programme Implementation. GOI: 2017: P 12.

Statista Research Department.Smartphone Users across India In 2019, By Age Group.https://www.statista.com/statistics/1135692/india-smartphone-users-by-age-group. (Accessed 20 Feb 2021).

Chen B, Liu F, Ding S, Ying X, Wang L, Wen Y. Gender differences in factors associated with smartphone addiction: a cross-sectional study among medical college students. BMC Psychiatry. 2017 Oct 10;17(1):341. doi: 10.1186/s12888-017-1503-z. PMID: 29017482; PMCID: PMC5634822.

Cazzulino F, Burke RV, Muller V, Arbogast H, Upperman JS. Cell phones and young drivers: a systematic review regarding the association between psychological factors and prevention. Traffic Inj Prev. 2014;15(3):234–42.

Aggarwal M, Grover S, Basu D. Mobile Phone Use by Resident Doctors: Tendency to Addiction-Like Behaviour. German J Psychiatry 2012; 15(2): 50-55.

Kwon M, Kim D-J, Cho H, Yang S. The Smartphone Addiction Scale: Development and Validation of a Short Version for Adolescents. PLoS One: 2013; 8(12): e83558. doi:10.1371/journal.pone.0083558.

WHO. Management of substance abuse: Dependence Syndrome. Last updated on 2014 Mar 26: Last cited on 2016 mar 26. Available from: https://www.who.int/substance_abuse/terminology/en/.

Kish L. Survey Sampling. New York: John Wiley and Sons, Inc; 1965:p. 643.

Lovibond SH, Lovibond PF. Manual for the Depression Anxiety Stress Scales. 2nd ed. Sydney: Psychology Foundation of Australia; 1995.

Overview of Depression Anxiety Stress Scale (DASS) and its Uses. http://www2.psy.unsw.edu.au/dass/over.htmLast updated on 2018 July 26: Website accessed on 12-10-2018 11:48 AM.

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

Nikhita C S, Jadhav P R, Aajinkya S. Prevalence of Mobile Phone Dependence in Secondary School Adolescents. JouCli and Dia Res. 2015; 9 (11): 6-9.

Lopez-Fernandez O. Short version of the Smartphone Addiction Scale adapted to Spanish and French: Towards a cross-cultural research in problematic mobile phone use. Addict Behav. 2017 Jan;64:275-280. https://dx.doi:10.1016/j.addbeh.2015.11.013. Epub2015 Nov 27. PMID: 26685805.

Haug S. Smartphone use and smart phone addiction among young people in Switzerland. Journal of Behavioral Addictions. 2015; 4 (4): 299–307.

Young-Sook Kwon, Kyung -Shin Paek. The Influence of Smartphone Addiction on Depression and Communication Competence among College Students. Indian Journal of Science and Technology. 2016; 9(41):1-8

Alageel AA, Alyahya RA, A Bahatheq Y et al.Smartphone addiction and associated factors among postgraduate students in an Arabic sample: a cross-sectional study. BMC Psychiatry. 2021 Jun 10;21(1):302. https://dx.doi:10.1186/s12888-021-03285-0. PMID: 34112121; PMCID: PMC8193897.

MatarBoumosleh J, Jaalouk D. Depression, anxiety, and smartphone addiction in university students- A cross sectional study. PLoS One. 2017 Aug 4;12(8):e0182239. https://dx.doi:10.1371/journal.pone.0182239. PMID: 28777828; PMCID: PMC5544206.

Alosaimi FD, Alyahya H, Alshahwan H, Al Mahyijari N, Shaik SA. Smartphone addiction among university students in Riyadh, Saudi Arabia. Saudi Med J. 2016 Jun;37(6):675-83. https://dx.doi:10.15537/Smj.2016.6.14430. PMID: 27279515; PMCID: PMC4931650.

Demirci K, Akgönül M, Akpinar A. Relationship of smartphone use severity with sleep quality, depression, and anxiety in university students. J Behav Addict. 2015 Jun;4(2):85-92. https://dx.doi:10.1556/2006.4.2015.010. PMID: 26132913; PMCID: PMC4500888.

Lopez-Fernandez,O. Short version of the Smartphone Addiction Scale adapted to Spanish and French:Towards a cross-cultural research in problematic mobile phone use. Addictive Behaviours(2015). https://dx.doi.org/10.1016/ j.addbeh.2015.11.013.

Bhutia Y, Tariang A. Mobile Phone Addiction among college going students in Shillong. IntJouEduPsy Res. 2016; 5 (2): 29-35.

Choi SW, Kim DJ, Choi JS, Ahn H, Choi EJ, Song WY, Kim S, Youn H. Comparison of risk and protective factors associated with smartphone addiction and Internet addiction. J Behav Addict. 2015 Dec;4(4):308-14. https://dx.doi:10.1556/2006.4.2015.043. PMID: 26690626; PMCID: PMC4712765.

Tao S, Wu X, Wan Y, Zhang S, Hao J, Tao F. Interactions of problematic mobile phone use and psychopathological symptoms with unintentional injuries: a school-based sample of Chinese adolescents. BMC Public Health. 2016 Jan 28;16:88. doi: 10.1186/s12889-016-2776-8. PMID: 26821534; PMCID: PMC4731912.

Kumar KS,Akoijam B S.Depression, Anxiety and stress among higher secondary school students of Imphal, Manipur. Indian J Community Med 2017;42:94-6.

Jeong, Y. J., Suh, B., & Gweon, G. Is smartphone addiction different from internet addiction? Comparison of addiction-risk factors among adolescents. Behav Inform Technol 2019; 39(5): 578-593. https://doi.org/10.1080/0144929x.2019.1604805.

Ithnain N, Ghazali SE, Jaafar N. Relationship between smart phone addiction with anxiety and depression among undergraduate students in Malaysia. Int J Health Sci Res. 2018; 8(1):163-171.

Alhassan AA, Alqadhib EM, Taha NW, Alahmari RA, Salam M, Almutairi AF. The relationship between addiction to smartphone usage and depression among adults: a cross sectional study. BMC Psychiatry. 2018 May 25;18(1):148. https://dx.doi:10.1186/s12888-018-1745-4. PMID: 29801442; PMCID: PMC5970452.

Murdock, K. K. Texting while stressed: Implications for students’ burnout, sleep, and well-being. Psychology of Popular Media Culture.2013;2(4):207–221. https://doi.org/10.1037/ppm0000012.

Chiu S-I. The relationship between life stress and smartphone addiction onTaiwanese university student: a mediation model of learning self-efficacy and social self-efficacy. Comput Hum Behav. 2014;34:49–57.

Kim M, Kim H, Kim K, Ju S, Choi J, Yu M. Smartphone Addiction: (Focused Depression, Aggression and Impulsion) among College Students. Indian J Sci Technol. 2015; 8(25). https://doi.org/10.17485/ijst/2015/v8i25/80215.

Bian M, Leung L. Linking Loneliness, Shyness, Smartphone Addiction Symtpoms, and Patterns of Smartphone Use to Social Capital. Soc Sci Comput Rev. 2015; 33(1): p. 61-79.

Published
2021-12-28
How to Cite
Bharatesh Devendra Basti, Sharvanan Eshwaran Udayar, Shashidharan, Janakiraman Pichandi Kumar, & Boyapati, H. N. B. (2021). ASSOCIATION OF ANXIETY AND DEPRESSION IN RELATION TO SMARTPHONE ADDICTION AMONG UNIVERSITY STUDENTS IN INDIA. Malaysian Journal of Public Health Medicine, 21(3), 71-78. https://doi.org/10.37268/mjphm/vol.21/no.3/art.943