Associations of problematic smartphone use with depressive symptoms and suicidal ideation in university students before and after the COVID-19 outbreak: A meta-analysis

被引:0
|
作者
Tang, Siyao [1 ]
Chen, Rongning [1 ]
Ma, Zijie [2 ]
Li, Xueguo [1 ]
Chen, Jianbin [1 ]
Zhao, Jingbo [1 ,3 ]
机构
[1] Southern Med Univ, Mental Hlth Ctr, Sch Publ Hlth, Guangzhou 510515, Peoples R China
[2] Southern Med Univ, Sch Publ Hlth, Dept Psychol, Guangzhou 510515, Guangdong, Peoples R China
[3] Southern Med Univ, Mental Hlth Ctr, Sch Publ Hlth, 1023-1063 Shatai South Rd, Guangzhou 510515, Peoples R China
关键词
COVID-19; Depressive symptoms; Meta; -analysis; Problematic smartphone use; Suicidal ideation; MOBILE PHONE USE; COLLEGE-STUDENTS; SLEEP QUALITY; ANXIETY; ADDICTION; HEALTH;
D O I
10.1016/j.addbeh.2024.107969
中图分类号
B849 [应用心理学];
学科分类号
040203 ;
摘要
Background and aim: Problematic smartphone use (PSU) has been suggested to present with depressive symptoms and suicidal ideation (SI) as well as sleep disturbance, lack of social support, and emotional isolation. The aim of this systematic review and meta-analysis was to evaluate the association between PSU with depressive symptoms and SI in university students, and to determine the potential influence of the coronavirus disease 2019 (COVID-19) outbreak. Methods: Observational studies pertinent to our research were identified through comprehensive searches of the PubMed, Embase, Cochrane Library, and Web of Science databases. To account for potential heterogeneity, the random-effects models were employed to aggregate the findings. Results: Eighteen datasets from 17 case-control studies, including 24,019 university students, were included. Among them, 8,775 (36.5 %) had PSU. A higher prevalence of depressive symptoms (odds ratio [OR]: 2.40, 95 % confidence interval [CI]: 2.19 to 2.63, p < 0.001; prediction interval: 1.95 to 2.96) was observed in university students with higher scores for PSU measures. A subgroup analysis showed a stronger association between PSU and depressive symptoms after the COVID-19 outbreak as compared to that before the outbreak (OR: 2.76 versus 2.16, p for subgroup difference = 0.002), which explained the heterogeneity. The association between PSU and depressive symptoms in university students was similar to those reported in studies from China and other countries, and in studies with different quality scores. Finally, a meta-analysis of three studies suggested that PSU was also associated with the prevalence of SI (OR: 2.18, 95 % CI: 1.77 to 2.68, p < 0.001; I-2 = 0 %). Conclusion: In university students, PSU may be a risk factor for depressive symptoms and SI, and the association between PSU and depressive symptoms became stronger after the COVID-19 outbreak.
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页数:13
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