Mediating Effect of Sleep Quality on the Relationship Between Problematic Mobile Phone Use and Depressive Symptoms in College Students

doi:10.3389/fpsyt.2019.00822

. 2019 Nov 13:10:822.

doi: 10.3389/fpsyt.2019.00822. eCollection 2019.

Mediating Effect of Sleep Quality on the Relationship Between Problematic Mobile Phone Use and Depressive Symptoms in College Students

Liwei Zou¹, Xiaoyan Wu^{1

2

3}, Shuman Tao⁴, Honglv Xu¹, Yang Xie¹, Yajuan Yang⁵, Fangbiao Tao^{1

2

3}

Affiliations

¹ Department of Maternal, Child and Adolescent Health, School of Public Health, Anhui Medical University, Hefei, China.
² Anhui Provincial Key Laboratory of Population Health and Aristogenics, Anhui Medical University, Hefei, China.
³ MOE Key Laboratory of Population Health Across Life Cycle, Hefei, China.
⁴ Department of Nephrology, the Second Hospital of Anhui Medical University, Hefei, China.
⁵ School of Nursing, Anhui Medical University, Hefei, China.

PMID: 31798473
PMCID: PMC6865206
DOI: 10.3389/fpsyt.2019.00822

Mediating Effect of Sleep Quality on the Relationship Between Problematic Mobile Phone Use and Depressive Symptoms in College Students

Liwei Zou et al. Front Psychiatry. 2019.

. 2019 Nov 13:10:822.

doi: 10.3389/fpsyt.2019.00822. eCollection 2019.

Authors

Liwei Zou¹, Xiaoyan Wu^{1

2

3}, Shuman Tao⁴, Honglv Xu¹, Yang Xie¹, Yajuan Yang⁵, Fangbiao Tao^{1

2

3}

Affiliations

¹ Department of Maternal, Child and Adolescent Health, School of Public Health, Anhui Medical University, Hefei, China.
² Anhui Provincial Key Laboratory of Population Health and Aristogenics, Anhui Medical University, Hefei, China.
³ MOE Key Laboratory of Population Health Across Life Cycle, Hefei, China.
⁴ Department of Nephrology, the Second Hospital of Anhui Medical University, Hefei, China.
⁵ School of Nursing, Anhui Medical University, Hefei, China.

PMID: 31798473
PMCID: PMC6865206
DOI: 10.3389/fpsyt.2019.00822

Abstract

Background and Aim: Problematic mobile phone use (PMPU) and depression are great public health concerns among adolescents. The aim of this study was to determine the association between PMPU and symptoms of depression, as well as the mediating role of sleep quality. Methods: A total of 4,624 college students participated in this study. The Self-rating Questionnaire for Adolescent Problematic Mobile Phone Use (SQAPMPU), Pittsburgh Sleep Quality Index (PSQI), and Patient Health Questionnaire-9 (PHQ-9) were administered to assess PMPU, sleep quality, and symptoms of depression. Mediation analysis was conducted using PROCESS macro in the SPSS software. Results: Of the participants, 27.5% were classified as PMPU, 44.9% exhibited symptoms of depression, and 15.6% reported sleep problems. Compared with those without PMPU, those with PMPU exhibited higher rates of sleep problems and depressive symptoms. The mediation analysis further revealed partial mediation effects of sleep quality on the association between PMPU and depression. Conclusions: This study demonstrated that PMPU was associated with mental health in college students, and sleep quality played a mediating role in this relationship. Our findings highlight the critical role of early intervention for depression with a focus on those with PMPU and, more specifically, on those with sleep problems.

Keywords: adolescents; depression; mediation; problematic mobile phone use; sleep quality.

PubMed Disclaimer

Figures

**Figure 1**
The estimated coefficients of mediation effects of sleep quality on problematic mobile phone use (PMPU) and depression. * p < 0.05.

See this image and copyright information in PMC

Cited by

Longitudinal relationships among problematic mobile phone use, bedtime procrastination, sleep quality and depressive symptoms in Chinese college students: a cross-lagged panel analysis.
Cui G, Yin Y, Li S, Chen L, Liu X, Tang K, Li Y. Cui G, et al. BMC Psychiatry. 2021 Sep 10;21(1):449. doi: 10.1186/s12888-021-03451-4. BMC Psychiatry. 2021. PMID: 34507561 Free PMC article.
Mobile phone addiction and depressive symptoms among Chinese University students: The mediating role of sleep disturbances and the moderating role of gender.
Liu M, Lu C. Liu M, et al. Front Public Health. 2022 Sep 20;10:965135. doi: 10.3389/fpubh.2022.965135. eCollection 2022. Front Public Health. 2022. PMID: 36203678 Free PMC article.
Does parental phubbing aggravates adolescent sleep quality problems?
Ding Q, Dong S, Zhang Y. Ding Q, et al. Front Psychol. 2023 Feb 6;14:1094488. doi: 10.3389/fpsyg.2023.1094488. eCollection 2023. Front Psychol. 2023. PMID: 36814669 Free PMC article.
The more academic burnout students got, the more problematic mobile phone use they suffered? A meta-analysis of mainland Chinese adolescents and young adults.
Li S, Xu M, Zhang Y, Wang X. Li S, et al. Front Psychol. 2023 Jan 16;13:1084424. doi: 10.3389/fpsyg.2022.1084424. eCollection 2022. Front Psychol. 2023. PMID: 36726513 Free PMC article.
Fear of COVID-19, prolonged smartphone use, sleep disturbances, and depression in the time of COVID-19: A nation-wide survey.
Li G, Liu H, Qiu C, Tang W. Li G, et al. Front Psychiatry. 2022 Oct 14;13:971800. doi: 10.3389/fpsyt.2022.971800. eCollection 2022. Front Psychiatry. 2022. PMID: 36311498 Free PMC article.

See all "Cited by" articles

References

1. Kessler RC, Bromet EJ. The epidemiology of depression across cultures. Annu Rev Public Health (2013) 34:119–38. 10.1146/annurev-publhealth-031912-114409. - DOI - PMC - PubMed
1. Stubbs B, Vancampfort D, Veronese N, Kahl KG, Mitchell AJ, Lin PY, et al. Depression and physical health multimorbidity: primary data and country-wide meta-analysis of population data from 190 593 people across 43 low- and middle-income countries. Psychol Med (2017) 47(12):2107–17. 10.1017/S0033291717000551 - DOI - PubMed
1. Whiteford HA, Degenhardt L, Rehm J, Baxter AJ, Ferrari AJ, Erskine HE, et al. Global burden of disease attributable to mental and substance use disorders: findings from the Global Burden of Disease Study 2010. Lancet (2013) 382(9904):1575–86. 10.1016/S0140-6736(13)61611-6 - DOI - PubMed
1. Gore FM, Bloem PJ, Patton GC, Ferguson J, Joseph V, Coffey C, et al. Global burden of disease in young people aged 10-24 years: a systematic analysis. Lancet (2011) 377(9783):2093–102. 10.1016/S0140-6736(11)60512-6 - DOI - PubMed
1. Ayuso-Mateos JL, Nuevo R, Verdes E, Naidoo N, Chatterji S. From depressive symptoms to depressive disorders: the relevance of thresholds. Br J Psychiatry: J Ment Sci (2010) 196(5):365–71. 10.1192/bjp.bp.109.071191 - DOI - PubMed

LinkOut - more resources

Full Text Sources

[1] Kessler RC, Bromet EJ. The epidemiology of depression across cultures. Annu Rev Public Health (2013) 34:119–38. 10.1146/annurev-publhealth-031912-114409. - DOI - PMC - PubMed

[2] Kessler RC, Bromet EJ. The epidemiology of depression across cultures. Annu Rev Public Health (2013) 34:119–38. 10.1146/annurev-publhealth-031912-114409. - DOI - PMC - PubMed

[3] Stubbs B, Vancampfort D, Veronese N, Kahl KG, Mitchell AJ, Lin PY, et al. Depression and physical health multimorbidity: primary data and country-wide meta-analysis of population data from 190 593 people across 43 low- and middle-income countries. Psychol Med (2017) 47(12):2107–17. 10.1017/S0033291717000551 - DOI - PubMed

[4] Stubbs B, Vancampfort D, Veronese N, Kahl KG, Mitchell AJ, Lin PY, et al. Depression and physical health multimorbidity: primary data and country-wide meta-analysis of population data from 190 593 people across 43 low- and middle-income countries. Psychol Med (2017) 47(12):2107–17. 10.1017/S0033291717000551 - DOI - PubMed

[5] Whiteford HA, Degenhardt L, Rehm J, Baxter AJ, Ferrari AJ, Erskine HE, et al. Global burden of disease attributable to mental and substance use disorders: findings from the Global Burden of Disease Study 2010. Lancet (2013) 382(9904):1575–86. 10.1016/S0140-6736(13)61611-6 - DOI - PubMed

[6] Whiteford HA, Degenhardt L, Rehm J, Baxter AJ, Ferrari AJ, Erskine HE, et al. Global burden of disease attributable to mental and substance use disorders: findings from the Global Burden of Disease Study 2010. Lancet (2013) 382(9904):1575–86. 10.1016/S0140-6736(13)61611-6 - DOI - PubMed

[7] Gore FM, Bloem PJ, Patton GC, Ferguson J, Joseph V, Coffey C, et al. Global burden of disease in young people aged 10-24 years: a systematic analysis. Lancet (2011) 377(9783):2093–102. 10.1016/S0140-6736(11)60512-6 - DOI - PubMed

[8] Gore FM, Bloem PJ, Patton GC, Ferguson J, Joseph V, Coffey C, et al. Global burden of disease in young people aged 10-24 years: a systematic analysis. Lancet (2011) 377(9783):2093–102. 10.1016/S0140-6736(11)60512-6 - DOI - PubMed

[9] Ayuso-Mateos JL, Nuevo R, Verdes E, Naidoo N, Chatterji S. From depressive symptoms to depressive disorders: the relevance of thresholds. Br J Psychiatry: J Ment Sci (2010) 196(5):365–71. 10.1192/bjp.bp.109.071191 - DOI - PubMed

[10] Ayuso-Mateos JL, Nuevo R, Verdes E, Naidoo N, Chatterji S. From depressive symptoms to depressive disorders: the relevance of thresholds. Br J Psychiatry: J Ment Sci (2010) 196(5):365–71. 10.1192/bjp.bp.109.071191 - DOI - PubMed

Save citation to file

Email citation

Add to Collections

Add to My Bibliography

Your saved search

Create a file for external citation management software

Your RSS Feed

Mediating Effect of Sleep Quality on the Relationship Between Problematic Mobile Phone Use and Depressive Symptoms in College Students

Affiliations

Mediating Effect of Sleep Quality on the Relationship Between Problematic Mobile Phone Use and Depressive Symptoms in College Students

Authors

Affiliations

Abstract

Figures

Similar articles

Cited by

References

LinkOut - more resources

Full Text Sources

Abstract

Figures

Similar articles

Cited by

References

Related information

LinkOut - more resources

Full Text Sources