Relationship between smartphone addiction, loneliness, and depression in adolescents: A correlational structural equation modeling study

Purpose: This study was aimed to investigate the relationship between smartphone addiction, loneliness, and depression in adolescents. Design and methods: This study was designed in a correlational-cross-sectional-descriptive model and was conducted with 1041 adolescents attending high schools in a provincial center in Eastern Turkey. The data were collected through face -to -face interviews using a personal information form, Smartphone Addiction Scale-Short Version for Adolescents, UCLA Loneliness Scale, and Kutcher Adolescent Depression Scale. Results: The average scores for smartphone addiction were found to be higher among females, individuals with low academic success, and those with a high-income level. Similarly, the average scores for loneliness were higher among individuals residing in broken families and those with parents who have limited literacy. Additionally, the mean scores for depression were higher among individuals with low academic success and those with a high-income level. Furthermore, a significant positive correlation was observed between the duration of smartphone use and levels of smartphone addiction, loneliness, and depression. Conclusion: Smartphone addiction, loneliness, and depression were found to be prevalent above the moderate level in adolescents. Additionally, a significant positive correlation was observed between the depression and loneliness scores of adolescents. Practice implications: Pediatric and school nurses should assess children's phone use. Nurses are well-positioned to establish a follow-up program aimed at monitoring adolescents' efforts in managing smartphone use, offering continuous support, and providing guidance when necessary. The implementation of such programs enables prompt intervention in addressing any arising issues. (c) 2024 Elsevier Inc. All rights reserved.