Smartphone addiction, anxiety, depression and stress in Mexican nursing students

Authors

DOI:

https://doi.org/10.15649/cuidarte.3814

Keywords:

Smartphone Addiction, Students, Nursing, Depression, Anxiety, Emotional Stress

Abstract

Highlights

  • Moderate prevalence of cell phone addiction in university students.
  • High prevalence of depression, anxiety, and stress among the students who participated in the study.
  • We found a statistically significant relationship between smartphone addiction and anxiety, depression, and stress.
  • More research is needed on smartphone addiction in other age groups, such as teenagers in high school and middle school students and older adults.

Introduction: Cell phones have increased as a new communication technology in the modern world. Objective: To determine whether smartphone addiction is significantly associated with depression, anxiety, and stress among university nursing students in Acapulco, Guerrero, Mexico. Material and Methods: This descriptive and cross-sectional study involved 212 students who voluntarily participated. Data were collected using two questionnaires: the Smartphone Addiction Scale Short Version (SAS-SV) and the Depression Anxiety and Stress Scale (DASS-21). The information was then analyzed using descriptive statistics and linear and simple logistic regression models. Results: 46.70% (99) use their phones for more than 5 hours a day, and 38.20% (68) of the students presented smartphone addiction. Simple linear regression models showed a significant association between SAS-SV scores and DASS-21 subscale scores. Simple logistic regression models indicated that students with cell phone addiction are 2.57 times more likely to suffer from depression, 2.50 times more likely to experience anxiety, and 3.34 times more likely to suffer from stress compared to those without cell phone addiction. Discussion: Cell phone addiction was associated with such mental disorders among Mexican university students. Conclusions: These results could assist educational authorities in developing and implementing strategies to prevent depression, anxiety, and stress associated with smartphone use.

How to cite this article: Bueno-Brito Cornelio, Pérez-Castro Eduardo, Delgado-Delgado Josefina. Smartphone addiction, anxiety, depression and stress in Mexican nursing students. Revista Cuidarte. 2024;15(3):e3814.  https://doi.org/10.15649/cuidarte.3814

Author Biographies

Cornelio Bueno-Brito, Facultad de Enfermería No.2, Universidad Autónoma de Guerrero, Acapulco, Guerrero, México.

Facultad de Enfermería No.2, Universidad Autónoma de Guerrero, Acapulco, Guerrero, México.

Eduardo Pérez-Castro, Unidad de Investigación de Salud en el Trabajo, Instituto Mexicano del Seguro Social, Ciudad de México, México.

Unidad de Investigación de Salud en el Trabajo, Instituto Mexicano del Seguro Social, Ciudad de México, México.

Josefina Delgado-Delgado, Facultad de Enfermería No.2, Universidad Autónoma de Guerrero, Acapulco, Guerrero, México.

Facultad de Enfermería No.2, Universidad Autónoma de Guerrero, Acapulco, Guerrero, México.

References

Concepto. Smartphone. Equipo editorial, Etecé. Argentina. Última edición: 11 de junio de 2022. [Citado febrero 4 2024]. Disponible en: https://concepto.de/smartphone/

Taylor P. Number of smartphone mobile network subscriptions worldwide from 2016 to 2022, with forecasts from 2023 to 2028.[Internet] 2024 [cited 2024 Jan 13]. Available from: https://www.statista.com/statistics/330695/number-of-smartphone-users-worldwide/

Instituto Nacional de Estadística y Geografía. Encuesta Nacional sobre Disponibilidad y Uso de Tecnologías de la Información en los Hogares 2020 (ENDUTIH 2020). Consulta: Enero 10, 2024. Disponible en: https://www.gob.mx/cms/uploads/attachment/file/647466/ENDUTIH_2020_co.pdf

Sethuraman AR, Rao S, Charlette L, Thatkar PV, Vincent V. Smartphone addiction among medical college students in the Andaman and Nicobar Islands. Int J Community Med Public Heal. 2018;5(10):4273-4277.https://doi.org/10.18203/2394-6040.ijcmph20183867

Venkatesh E, Jemal MYA, Samani ASA. Smart phone usage and addiction among dental students in Saudi Arabia: a cross sectional study. Int J Adolesc Med Health. 2019;31(1):20160133 https://doi.org/10.1515/ijamh-2016-0133

Said AH, Mohd FN, Yusof MZ, Win NANM, Mazlan AN, Shaharudin AS. Prevalence of smartphone addiction and its associated factors among pre-clinical medical and dental students in a public university in Malaysia. Malaysian Fam Physician. 2022;17(3):64–73. https://doi.org/10.51866/oa.75

Sarhan AL. The relationship of smartphone addiction with depression, anxiety, and stress among medical students. SAGE Open Med. 2024;12. https://doi.org/10.1177/20503121241227367

Chen B, Liu F, Ding S, Ying X, Wang L, Wen Y. Gender differences in factors associated with smartphone addiction: A cross-sectional study among medical college students. BMC Psychiatry. 2017;17(1):1–9. https://doi.org/10.1186/s12888-017-1503-z

Bouazza S, Abbouyi S, El Kinany S, El Rhazi K, Zarrouq B. Association between Problematic Use of Smartphones and Mental Health in the Middle East and North Africa (MENA) Region: A Systematic Review. Int J Environ Res Public Health. 2023;20(4):2891. https://doi.org/10.3390/ijerph20042891

Wang J, Li M, Zhu D, Cao Y. Smartphone overuse and visual impairment in children and young adults: Systematic review and meta-analysis. J Med Internet Res. 2020;22(12):e21923.https://doi.org/10.2196/21923

Alosaimi FD, Alyahya H, Alshahwan H, Al Mahyijari N, Shaik SA. Smartphone addiction among university students in Riyadh, Saudi Arabia. Saudi Med J. 2016;37(6):675–83. https://doi.org/10.15537/Smj.2016.6.14430

Hanphitakphong P, Keeratisiroj O, Thawinchai N. Smartphone addiction and its association with upper body musculoskeletal symptoms among university students classified by age and gender. J Phys Ther Sci. 2021;33(5):394–400. https://doi.org/10.1589/jpts.33.394

Alzhrani AM, Aboalshamat KT, Badawoud AM, Abdouh IM, Badri HM, Quronfulah BS, et al. The association between smartphone use and sleep quality, psychological distress, and loneliness among health care students and workers in Saudi Arabia. PLoS One. 2023;18(1):e0280681. https://doi.org/10.1371/journal.pone.0280681

Nikolic A, Bukurov B, Kocic I, Vukovic M, Ladjevic N, Vrhovac M, et al. Smartphone addiction, sleep quality, depression, anxiety, and stress among medical students. Front Public Heal. 2023;11:1–10.https://doi.org/10.3389/fpubh.2023.1252371

Ou-Yang Q, Liu Q, Song P-Y, Wang J-W, Yang S. The association between academic achievement, psychological distress, and smartphone addiction: A cross-sectional study among medical students. Psychol Health Med. 2023;28(5):1201–14. https://doi.org/10.1080/13548506.2022.2148697

Fekih-Romdhane F, Jahrami H, Away R, Trabelsi K, Pandi-Perumal SR, Seeman M V, et al. The relationship between technology addictions and schizotypal traits: mediating roles of depression, anxiety, and stress. BMC Psychiatry. 2023;23(1):1–9. https://doi.org/10.1186/s12888-023-04563-9

Hashemi S, Ghazanfari F, Ebrahimzadeh F, Ghavi S, Badrizadeh A. Investigate the relationship between cell-phone over-use scale with depression, anxiety and stress among university students. BMC Psychiatry. 2022;22(1):1–9. https://doi.org/10.1186/s12888-022-04419-8

Lovibond SH, Lovibond PF. Manual for the depression anxiety stress scales. Australia: Psychology Foundation of Australia; 1996.

Henry JD, Crawford JR. The short-form version of the depression anxiety stress scales (DASS-21): construct validity and normative data in a large non-clinical sample. Br J Clin Psychol. 2005;44(2):227–39. https://doi.org/10.1348/014466505X29657

Lopez-Fernandez O. Short version of the Smartphone Addiction Scale adapted to Spanish and French: Towards a cross-cultural research in problematic mobile phone use. Addictive behaviors. 2017;64:275-80. . https://doi.org/10.1016/j.addbeh.2015.11.013

Kwon M, Kim DJ, Cho H, Yang S. The Smartphone Addiction Scale: Development and Validation of a Short Version for Adolescents. PLoS One. 2013;8(12):e83558.https://doi.org/10.1371/journal.pone.0083558

Bueno-Brito C, Pérez-Castro E, Delgado-Delgado J. Adicción a teléfonos inteligentes, ansiedad, depresión y estrés en estudiantes universitarios mexicanos. 2024. Mendeley Data, V1. https://doi.org/10.17632/tftbm7ktfp.1

Meneses M de O, Andrade EMLR. Relationship between depression, anxiety, stress and smartphone addiction in COVID-19 nursing students. Rev Lat Am Enfermagem. 2024;32:e4056. https://doi.org/10.1590/1518-8345.6764.4056

Trunce Morales ST, Villarroel Quinchalef GDP, Arntz Vera JA, Muñoz Muñoz SI, Werner Contreras KM. Niveles de depresión, ansiedad, estrés y su relación con el rendimiento académico en estudiantes universitarios. Investig educ médica. 2020;9(36):8–16. https://doi.org/10.22201/fm.20075057e.2020.36.20229

Mohamed SM, Mostafa MH. Impact of smartphone addiction on depression and self‐esteem among nursing students. Nurs Open. 2020;7(5):1346–53.https://doi.org/10.1002/nop2.506

Published

2024-10-17

How to Cite

1.
Bueno-Brito C, Pérez-Castro E, Delgado-Delgado J. Smartphone addiction, anxiety, depression and stress in Mexican nursing students. Revista Cuidarte [Internet]. 2024 Oct. 17 [cited 2024 Dec. 22];15(3). Available from: https://revistas.udes.edu.co/cuidarte/article/view/3814

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