Laboratory of Epidemiology and Research in Health Sciences, Faculty of Medicine and Pharmacy, Sidi Mohamed Ben Abdellah University, Fez 30070, Morocco.
Faculty of Sciences and Techniques, Errachidia, Moulay Ismail University of Meknes, Errachidia 52000, Morocco.
Int J Environ Res Public Health. 2023 Feb 7;20(4):2891. doi: 10.3390/ijerph20042891.
Smartphones have become essential components of daily life, and research into the harmful effects of problematic smartphone use (PSU) on mental health is expanding in the Middle East and North Africa (MENA) region. This issue has yet to be synthesized and critically evaluated. To find quantitative observational studies on the relationship between PSU and mental health in the MENA region, we developed a search equation and adapted it for four databases. The Preferred Reporting Items for Systematic Review and Meta-Analysis (PRISMA) guidelines were followed during the selection process. This review included 32 cross-sectional studies and one cohort study. The available language was English. All identified studies published until 8 October 2021, were considered. A modified Newcastle-Ottawa scale was used to assess the quality of the included studies. The studies enrolled 21,487 people and had low-to-moderate methodological quality. The prevalence of PSU ranged from 4.3 to 97.8 percent. The time factor, type of application used on the smartphone, and sociodemographic characteristics were the determinants of PSU. Depression, anxiety, and stress were strongly correlated with PSU. Epidemiological longitudinal studies that respect the quality of evidence are needed in all MENA countries to better plan and implement preventive measures against PSU.
智能手机已成为日常生活的重要组成部分，针对中东和北非（MENA）地区问题性智能手机使用（PSU）对心理健康的有害影响的研究正在不断扩展。但该问题尚未得到综合和批判性评估。为了在 MENA 地区找到关于 PSU 与心理健康之间关系的定量观察性研究，我们制定了一个搜索方程，并将其适用于四个数据库。在选择过程中遵循了系统评价和荟萃分析的首选报告项目（PRISMA）准则。本综述包括 32 项横断面研究和一项队列研究。可用语言为英语。考虑了截至 2021 年 10 月 8 日发表的所有已确定的研究。使用改良的纽卡斯尔-渥太华量表评估纳入研究的质量。这些研究共纳入了 21487 人，其方法学质量为低到中等。PSU 的患病率从 4.3%到 97.8%不等。时间因素、智能手机上使用的应用类型和社会人口学特征是 PSU 的决定因素。抑郁、焦虑和压力与 PSU 密切相关。所有 MENA 国家都需要进行尊重证据质量的流行病学纵向研究，以便更好地规划和实施针对 PSU 的预防措施。
