医学生的智能手机成瘾、睡眠质量、抑郁、焦虑和压力。
Smartphone addiction, sleep quality, depression, anxiety, and stress among medical students.
机构信息
Faculty of Medicine, Institute of Epidemiology, University of Belgrade, Belgrade, Serbia.
Clinic of Otorhinolaryngology and Maxillofacial Surgery, Faculty of Medicine, University Clinical Center of Serbia, University of Belgrade, Belgrade, Serbia.
出版信息
Front Public Health. 2023 Sep 6;11:1252371. doi: 10.3389/fpubh.2023.1252371. eCollection 2023.
INTRODUCTION
Studies consistently link excessive smartphone use to poor sleep quality, depression, anxiety, and stress. This study specifically aimed to investigate these associations among medical students in Belgrade and Nis (Central Serbia).
MATERIALS AND METHODS
The cross-sectional study included a sample of 761 students, who were selected from both the Faculties of Medicine at the University of Belgrade and the University of Nis. Questionnaires, including the International Physical Activity Questionnaire - Short Form (IPAQ-SF), Smartphone Addiction Scale - Short Version (SAS-SV), the Pittsburgh Sleep Quality Index (PSQI), and the Depression, Anxiety, and Stress Scale - 21 items (DASS-21), were completed by the participants. Statistical analysis techniques, such as the Chi-square test, student's -test, and logistic regression, were employed to examine the relationship between smartphone addiction, physical activity, sleep quality, depression, anxiety, and stress.
RESULTS
The findings indicated a prevalence of smartphone addiction among medical students at 21.7%, with rates of 22.9% among males and 21.1% among females. Females exhibited significantly higher scores on the SAS-SV scale compared to males ( = 0.032). Univariate logistic regression analysis revealed significant associations between smartphone addiction and spending over 4 h daily on smartphones (OR = 2.39; < 0.001), poor sleep quality (OR = 1.65; = 0,005), as well as elevated levels of stress (OR = 1.75; = 0.003), anxiety (OR = 2.04; < 0.001), and depression (OR = 2.29; < 0.001). Multivariate regression analysis identified spending more than 4 h daily on smartphones (OR = 2.39; < 0.001) and increased levels of depression (OR = 2.51; < 0.001) as independent significant factors associated with smartphone addiction.
CONCLUSION
This study sheds light on the prevalence of smartphone addiction among medical students, with spending excessive time on smartphones and higher levels of depression standing out as significant factors. Future research should delve into the underlying mechanisms and causal relationships between smartphone addiction and these psychosocial factors. Understanding these connections will aid in developing effective interventions and strategies to tackle this growing public health concern.
引言
研究一致表明，过度使用智能手机与睡眠质量差、抑郁、焦虑和压力有关。本研究专门旨在调查贝尔格莱德和尼斯（塞尔维亚中部）的医学生中存在的这些关联。
材料和方法
这项横断面研究包括了 761 名学生的样本，他们是从贝尔格莱德大学和尼什大学的医学院中选择出来的。参与者填写了国际体力活动问卷-短表（IPAQ-SF）、智能手机成瘾量表-短版（SAS-SV）、匹兹堡睡眠质量指数（PSQI）和抑郁、焦虑和压力量表-21 项（DASS-21）。采用卡方检验、学生 t 检验和逻辑回归等统计分析技术，研究智能手机成瘾、体力活动、睡眠质量、抑郁、焦虑和压力之间的关系。
结果
研究结果表明，医学生中智能手机成瘾的患病率为 21.7%，男性为 22.9%，女性为 21.1%。女性在 SAS-SV 量表上的得分明显高于男性（ = 0.032）。单变量逻辑回归分析显示，智能手机成瘾与每天使用智能手机超过 4 小时（OR = 2.39； < 0.001）、睡眠质量差（OR = 1.65； = 0.005）以及压力（OR = 1.75； = 0.003）、焦虑（OR = 2.04； < 0.001）和抑郁（OR = 2.29； < 0.001）水平升高之间存在显著关联。多变量回归分析确定，每天使用智能手机超过 4 小时（OR = 2.39； < 0.001）和抑郁水平升高（OR = 2.51； < 0.001）是与智能手机成瘾相关的独立显著因素。
结论
本研究揭示了医学生中智能手机成瘾的流行程度，过度使用智能手机和更高水平的抑郁是重要因素。未来的研究应深入探讨智能手机成瘾与这些社会心理因素之间的潜在机制和因果关系。了解这些联系将有助于制定有效的干预措施和策略，以应对这一日益严重的公共卫生问题。
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