Seong Su Jeong, Hong Jin Pyo, Hahm Bong-Jin, Chang Sung Man, Kim Byung-Soo, Lee Dong-Woo, Cho Seong-Jin, Park Jong-Ik, Park Jee Eun, Jeon Hong Jin
Department of Psychiatry, Kangdong Sacred Heart Hospital, Seoul, Republic of Korea.
Department of Psychiatry, Sungkyunkwan University School of Medicine, Seoul, Republic of Korea.
Psychiatry Investig. 2025 Jul;22(7):813-820. doi: 10.30773/pi.2025.0011. Epub 2025 Jul 16.
Although many studies have demonstrated the association between depression and problematic smartphone use (PSU), temporal precedence of this relationship remains controversial. This study aimed to investigate the relationship between present PSU and both past and current major depressive disorder (MDD) among adults.
We utilized data from the Korean Epidemiologic Catchment Area study, a nationwide epidemiologic survey that employed a multistage cluster sampling method. Participants were assessed using the Korean version of the Composite International Diagnostic Interview to diagnose MDD and the Smartphone Overuse Screening Questionnaire to identify PSU.
Of a total of 916 subjects, 139 (15.2%) belonged to the PSU group. The prevalence of PSU in older adults was substantial: 9.3% in the age group of 36-50 years and 5.4% in the age group of over 50 years. We found a significant association between MDD and PSU. Both current and previous MDD episodes were associated with an increased risk of PSU.
This study confirmed the association of PSU and depression among general adult population and the precedence of MDD to PSU. Even previously resolved depression was found to affect current PSU.
尽管许多研究已证明抑郁症与问题性智能手机使用(PSU)之间存在关联,但这种关系的时间先后顺序仍存在争议。本研究旨在调查成年人当前的PSU与过去及当前的重度抑郁症(MDD)之间的关系。
我们使用了韩国流行病学集水区研究的数据,这是一项采用多阶段整群抽样方法的全国性流行病学调查。使用韩国版的综合国际诊断访谈来诊断MDD,并使用智能手机过度使用筛查问卷来识别PSU,对参与者进行评估。
在总共916名受试者中,139名(15.2%)属于PSU组。老年人中PSU的患病率相当高:36 - 50岁年龄组为9.3%,50岁以上年龄组为5.4%。我们发现MDD与PSU之间存在显著关联。当前和既往的MDD发作均与PSU风险增加有关。
本研究证实了普通成年人群中PSU与抑郁症之间的关联以及MDD先于PSU出现。即使是之前已缓解的抑郁症也被发现会影响当前的PSU。