Department of Communication, University of Arizona, Tucson, Arizona.
Department of Communication, University of Arizona, Tucson, Arizona.
J Adolesc Health. 2019 Nov;65(5):607-612. doi: 10.1016/j.jadohealth.2019.06.001. Epub 2019 Aug 31.
PURPOSE: The aim of the study was to determine the short-term longitudinal pathways between smartphone use, smartphone dependency, depressive symptoms, and loneliness among late adolescents. METHODS: A two-wave longitudinal survey was used using adolescents between the ages of 17 and 20 years. The interval between wave 1 and wave 2 was between 2.5 and 3 months. Using convenience sampling, the total number of participants who completed both waves of data collection was 346. Validated measures assessed smartphone dependency, smartphone use, depressive symptoms, and loneliness. The longitudinal model was tested using path modeling techniques. RESULTS: Among the 346 participants (33.6% male, mean [standard deviation] age at wave 1, 19.11 [.75] years, 56.9% response rate), longitudinal path models revealed that wave 1 smartphone dependency predicted loneliness (β = .08, standard error [SE] = .05, p = .043) and depressive symptoms (β = .11, SE = .05, p = .010) at wave 2, loneliness at wave 1 predicted depressive symptoms at wave 2 (β = .21, SE = .05, p < .001), and smartphone use at wave 1 predicted smartphone dependency at wave 2 (β = .08, SE = .05, p = .011). CONCLUSIONS: Considering the rates of smartphone ownership/use among late adolescents (95%), the association between smartphone use and smartphone dependency, and the deleterious effects of loneliness and depression within this population, health practitioners should communicate with patients and parents about the links between smartphone engagement and psychological well-being.
目的:本研究旨在确定青少年晚期智能手机使用、智能手机依赖、抑郁症状和孤独感之间的短期纵向关系。
方法:本研究采用两波纵向调查,研究对象为 17 至 20 岁的青少年。第 1 波和第 2 波之间的间隔为 2.5 至 3 个月。采用便利抽样,共有 346 名完成两波数据收集的参与者。使用验证过的测量工具评估了智能手机依赖、智能手机使用、抑郁症状和孤独感。使用路径建模技术测试了纵向模型。
结果:在 346 名参与者中(男性占 33.6%,第 1 波时的平均[标准差]年龄为 19.11[.75]岁,应答率为 56.9%),纵向路径模型显示,第 1 波的智能手机依赖可预测第 2 波的孤独感(β=0.08,标准误[SE]=0.05,p=0.043)和抑郁症状(β=0.11,SE=0.05,p=0.010),第 1 波的孤独感可预测第 2 波的抑郁症状(β=0.21,SE=0.05,p<0.001),第 1 波的智能手机使用可预测第 2 波的智能手机依赖(β=0.08,SE=0.05,p=0.011)。
结论:考虑到青少年晚期的智能手机拥有率/使用率(95%)、智能手机使用与智能手机依赖之间的关联,以及该人群中孤独感和抑郁的不良影响,临床医生应与患者和家长沟通智能手机使用与心理健康之间的联系。
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