Frontiers in Public Health (Jan 2023)

A bidirectional association between smartphone addiction and depression among college students: A cross-lagged panel model

  • Kexin Zhang,
  • Haiyun Guo,
  • Tianli Wang,
  • Jianghui Zhang,
  • Guojing Yuan,
  • Juan Ren,
  • Xueqing Zhang,
  • Huayu Yang,
  • Xiaoyan Lu,
  • Zhihui Zhu,
  • Jun Du,
  • Haiyan Shi,
  • Guifang Jin,
  • Jiahu Hao,
  • Ying Sun,
  • Puyu Su,
  • Zhihua Zhang

DOI
https://doi.org/10.3389/fpubh.2023.1083856
Journal volume & issue
Vol. 11

Abstract

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BackgroundSmartphone addiction (SA) is associated with adverse consequences, especially for freshmen. Evidence indicates that SA is associated with depression, and it is necessary to conduct a longitudinal study to explore the association further.MethodsSA (measured by the Smartphone Addiction Scale-Short Version) and depression (measured by the Zung's Self-Rating Depression Scale) among 1,186 freshmen were surveyed at baseline and a respective 12-month follow-up for each participant. The application of a cross-lagged panel model approach (CLPM) revealed an association between SA and depression after adjusting for demographic variables.ResultsThe CLPM results showed a significant path from baseline SA to follow-up depression (β = 0.08, P < 0.001) and a significant path from baseline depression to follow-up SA (β = 0.08, P < 0.001). Compared with the overall cross-lagged model, the cross-lagged coefficient of the path from baseline SA to follow-up depression increased in the female group (β = 0.10, P = 0.015), and the cross-lagged coefficient of the path from baseline depression to follow-up SA also increased significantly (β = 0.15, P < 0.001). In contrast, the cross-lagged model in the male group showed no predictive effect between SA and depression (P > 0.05).ConclusionsThe current study showed a significant bidirectional association between smartphone addiction and depression among freshmen, but only in the female population.

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