Karila Laurent, Scher Nathaniel, Draghi Clement, Lichte Delphine, Darmon Ilan, Boudabous Hanene, Lamallem Hanah, Bauduceau Olivier, Bollet Marc, Toledano Alain
Center for Teaching, Research, and Treatment of Addictions, Paul Brousse University Hospital, Paris Saclay University - PSYCOMADD Research Unit, Villejuif, France.
Rafael Institute, Integrative Medicine Center, 3 boulevard Bineau, Levallois-Perret, 92300, France, 33 658312182.
JMIR Ment Health. 2025 Mar 6;12:e63431. doi: 10.2196/63431.
The Evaluation of Digital Addiction (EVADD) study investigates problematic smartphone use in the digital age, as global smartphone users reached 55.88 million in France in 2023. With increased screen time from digital devices, especially smartphones, the study highlights adult use issues and associated risks.
The aim of the study is to assess the prevalence of compulsive smartphone use among French adults and identify patterns of problematic behaviors, including their impact on daily activities, sleep, and safety.
The EVADD study used a cross-sectional, nonprobability sample design, conducted from May 3 to June 5, 2023. Participants were recruited through the French mutual insurance company PRO-BTP. Data were collected anonymously via a digital questionnaire, including the Smartphone Compulsive Use Test, capturing information on social network engagement, device ownership, and daily screen use.
A total of 21,244 adults (average age 53, SD 15 years; 9844 female participants) participated. Among 21,244 participants, 8025 of 12,034 (66.7%) respondents exhibited compulsive smartphone use (P<.001). Additionally, 7,020 (36.7%) participants scored ≥8 on the Smartphone Compulsion Test, indicating addiction. Younger participants (18-39 years) were significantly more likely to show signs of addiction (2504/4394, 57%; odds ratio 2.5, 95% CI 1.9-3.2) compared to participants aged ≥60 years. Problematic behaviors included unsafe smartphone use while driving (5736/12,953, 44.3%), frequent smartphone use before bedtime (9136/21,244, 43%), and using smartphones in the bathroom (7659/21,244, 36.1%). Sleep disturbances and risky behaviors correlated strongly with higher compulsion scores (P<.01).
The EVADD study highlights the complex relationship between adults and smartphones, revealing the prevalence of compulsive behaviors and their impact on daily life, sleep, and safety. These findings emphasize the need for public awareness campaigns, preventive strategies, and therapeutic interventions to mitigate health risks associated with excessive smartphone use.
数字成瘾评估（EVADD）研究调查了数字时代存在问题的智能手机使用情况，因为2023年法国的全球智能手机用户达到了5588万。随着数字设备，尤其是智能手机的屏幕使用时间增加，该研究突出了成年人的使用问题及相关风险。
该研究的目的是评估法国成年人中强迫性使用智能手机的患病率，并确定问题行为模式，包括其对日常活动、睡眠和安全的影响。
EVADD研究采用横断面、非概率抽样设计，于2023年5月3日至6月5日进行。参与者通过法国互助保险公司PRO-BTP招募。数据通过数字问卷匿名收集，包括智能手机强迫使用测试，获取有关社交网络参与度、设备拥有情况和每日屏幕使用情况的信息。
共有21244名成年人（平均年龄53岁，标准差15岁；9844名女性参与者）参与。在21244名参与者中，12034名受访者中有8025名（66.7%）表现出强迫性智能手机使用（P<0.001）。此外，7020名（36.7%）参与者在智能手机强迫测试中得分≥8分，表明成瘾。与60岁及以上的参与者相比，年轻参与者（18 - 39岁）表现出成瘾迹象的可能性显著更高（2504/4394，57%；优势比2.5，95%置信区间1.9 - 3.2）。问题行为包括开车时不安全地使用智能手机（5736/12953，44.3%）、睡前频繁使用智能手机（9136/21244，43%）以及在浴室使用智能手机（7659/21244，36.1%）。睡眠障碍和危险行为与较高的强迫得分密切相关（P<0.）。
EVADD研究突出了成年人与智能手机之间的复杂关系，揭示了强迫行为的患病率及其对日常生活、睡眠和安全的影响。这些发现强调需要开展公众意识宣传活动、预防策略和治疗干预措施，以减轻与过度使用智能手机相关的健康风险。
