Department of Social Medicine, Faculty of Medicine, University of Niš, 18000 Niš, Serbia.
Institute of Public Health of Niš, 18000 Niš, Serbia.
Int J Environ Res Public Health. 2018 Apr 8;15(4):697. doi: 10.3390/ijerph15040697.
: There is insufficient evidence regarding the potential risk of mobile phone use on mental health. Therefore, the aim of this research was to examine the relationship between mobile phone use and mental health by measuring the levels of depression, anxiety, and stress among university students in Serbia and Italy. : This cross-sectional study was carried out at two distinguished universities in Serbia and Italy from March to May of the 2015/2016 academic year and included 785 students of both genders. The questionnaire was compiled and developed from different published sources regarding the manner and intensity of mobile phone use, along with the Depression Anxiety Stress Scale (DASS 42) for measuring psychological health. The statistical analysis of the data included the application of binary logistic regression and correlation tests. Statistical analysis indicates that anxiety symptoms are somewhat more present in younger students (odds ratio (OR) = 0.86, 95% confidence interval (CI): 0.76-0.96), in those who send more text messages SMSs (OR = 1.15, 95% CI: 1.11-1.31), and in those who browse the internet less frequently (OR = 0.84, 95% CI: 0.73-0.95). Stress is more common in students who make fewer calls a day (OR = 0.79, 95% CI: 0.64-0.97), as well in those who spend more time talking on the mobile phone per day (OR = 1.28, 95% CI: 1.12-1.56). The strongest predictor of high stress levels was keeping the mobile phone less than 1 m away during sleeping (OR = 1.48, 95% CI: 1.12-2.08). The results indicated that the intensity and modality of mobile phone use could be a factor that can influence causal pathways leading to mental health problems in the university student population.
关于手机使用与心理健康潜在风险的证据不足。因此，本研究旨在通过测量塞尔维亚和意大利大学生的抑郁、焦虑和压力水平，来研究手机使用与心理健康之间的关系。
这是一项在塞尔维亚和意大利两所知名大学进行的横断面研究，于 2015/2016 学年 3 月至 5 月进行，共有 785 名男女学生参与。该问卷由不同来源的有关手机使用方式和强度的已发表资料编制而成，同时还使用了用于测量心理健康的抑郁、焦虑和压力量表（DASS 42）。数据分析包括二项逻辑回归和相关检验。
统计分析表明，焦虑症状在年龄较小的学生中更为常见（比值比（OR）=0.86，95%置信区间（CI）：0.76-0.96）、发送更多短信的学生中更为常见（OR=1.15，95%CI：1.11-1.31）以及上网频率较低的学生中更为常见（OR=0.84，95%CI：0.73-0.95）。每天通话次数较少的学生中更常见的是压力（OR=0.79，95%CI：0.64-0.97），每天使用手机通话时间较长的学生中更常见的是压力（OR=1.28，95%CI：1.12-1.56）。导致高压力水平的最强预测因素是在睡觉时将手机放置在距离身体不到 1 米处（OR=1.48，95%CI：1.12-2.08）。
结果表明，手机使用的强度和方式可能是影响大学生群体心理健康问题因果途径的一个因素。
