Associations of problematic smartphone use with depressive symptoms and suicidal ideation in university students before and after the COVID-19 outbreak: A meta-analysis
•The meta-analysis evaluated association of PSU and depression in university students.•PSU was found to be associated with depression.•The association may become stronger after COVID-19 pandemic.•PSU was found to be associated with suicidal ideation in university students. Problematic smartphone use...
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| Veröffentlicht in: | Addictive behaviors 2024-05, Vol.152, p.107969, Article 107969 |
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| creator | Tang, Siyao Chen, Rongning Ma, Zijie Li, Xueguo Chen, Jianbin Zhao, Jingbo |
| description | •The meta-analysis evaluated association of PSU and depression in university students.•PSU was found to be associated with depression.•The association may become stronger after COVID-19 pandemic.•PSU was found to be associated with suicidal ideation in university students.
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.
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.
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 |
| doi_str_mv | 10.1016/j.addbeh.2024.107969 |
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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.
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.
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; I2 = 0 %).
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.</description><identifier>ISSN: 0306-4603</identifier><identifier>ISSN: 1873-6327</identifier><identifier>EISSN: 1873-6327</identifier><identifier>DOI: 10.1016/j.addbeh.2024.107969</identifier><identifier>PMID: 38290322</identifier><language>eng</language><publisher>England: Elsevier Ltd</publisher><subject>COVID-19 ; COVID-19 - epidemiology ; Depression - epidemiology ; Depression - psychology ; Depressive symptoms ; Humans ; Meta-analysis ; Observational Studies as Topic ; Problematic smartphone use ; Smartphone ; Students - psychology ; Suicidal Ideation ; Universities</subject><ispartof>Addictive behaviors, 2024-05, Vol.152, p.107969, Article 107969</ispartof><rights>2024 Elsevier Ltd</rights><rights>Copyright © 2024 Elsevier Ltd. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c311t-6b7b90fe8a4de3e44428dbcaa8a78a1e7f43351a513a0b67498e4efd4f53ee6c3</cites><orcidid>0000-0001-9035-3587</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S0306460324000182$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,776,780,3537,27901,27902,65306</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/38290322$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Tang, Siyao</creatorcontrib><creatorcontrib>Chen, Rongning</creatorcontrib><creatorcontrib>Ma, Zijie</creatorcontrib><creatorcontrib>Li, Xueguo</creatorcontrib><creatorcontrib>Chen, Jianbin</creatorcontrib><creatorcontrib>Zhao, Jingbo</creatorcontrib><title>Associations of problematic smartphone use with depressive symptoms and suicidal ideation in university students before and after the COVID-19 outbreak: A meta-analysis</title><title>Addictive behaviors</title><addtitle>Addict Behav</addtitle><description>•The meta-analysis evaluated association of PSU and depression in university students.•PSU was found to be associated with depression.•The association may become stronger after COVID-19 pandemic.•PSU was found to be associated with suicidal ideation in university students.
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.
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.
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; I2 = 0 %).
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.</description><subject>COVID-19</subject><subject>COVID-19 - epidemiology</subject><subject>Depression - epidemiology</subject><subject>Depression - psychology</subject><subject>Depressive symptoms</subject><subject>Humans</subject><subject>Meta-analysis</subject><subject>Observational Studies as Topic</subject><subject>Problematic smartphone use</subject><subject>Smartphone</subject><subject>Students - psychology</subject><subject>Suicidal Ideation</subject><subject>Universities</subject><issn>0306-4603</issn><issn>1873-6327</issn><issn>1873-6327</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kU1v1DAQhi0EokvhHyDkI5cs_soXB6TV8lWpUi_A1ZrYE62XJF48Tqv9R_xM0qZw5DTS6HlnNPMw9lqKrRSyenfcgvcdHrZKKLO06rZqn7CNbGpdVFrVT9lGaFEVphL6gr0gOgohVV2a5-xCN6oVWqkN-70jii5ADnEiHnt-SrEbcFwajtMIKZ8OcUI-E_K7kA_c4ykhUbhFTufxlONIHCbPaQ4ueBh48PgwjYeJz9PCJQr5zCnPHqdMvMM-JnzIQJ8x8XxAvr_5cfWxkC2Pc-4Sws_3fMdHzFDABMOZAr1kz3oYCF891kv2_fOnb_uvxfXNl6v97rpwWspcVF3dtaLHBoxHjcYY1fjOATRQNyCx7o3WpYRSahBdVZu2QYO9N32pESunL9nbde7yiF8zUrZjIIfDABPGmaxqlShrU5lmQc2KuhSJEvb2lMLysrOVwt47ske7OrL3juzqaIm9edwwdyP6f6G_UhbgwwrgcudtwGTJBZwc-pDQZetj-P-GPzxDqFE</recordid><startdate>202405</startdate><enddate>202405</enddate><creator>Tang, Siyao</creator><creator>Chen, Rongning</creator><creator>Ma, Zijie</creator><creator>Li, Xueguo</creator><creator>Chen, Jianbin</creator><creator>Zhao, Jingbo</creator><general>Elsevier Ltd</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0001-9035-3587</orcidid></search><sort><creationdate>202405</creationdate><title>Associations of problematic smartphone use with depressive symptoms and suicidal ideation in university students before and after the COVID-19 outbreak: A meta-analysis</title><author>Tang, Siyao ; Chen, Rongning ; Ma, Zijie ; Li, Xueguo ; Chen, Jianbin ; Zhao, Jingbo</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c311t-6b7b90fe8a4de3e44428dbcaa8a78a1e7f43351a513a0b67498e4efd4f53ee6c3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2024</creationdate><topic>COVID-19</topic><topic>COVID-19 - epidemiology</topic><topic>Depression - epidemiology</topic><topic>Depression - psychology</topic><topic>Depressive symptoms</topic><topic>Humans</topic><topic>Meta-analysis</topic><topic>Observational Studies as Topic</topic><topic>Problematic smartphone use</topic><topic>Smartphone</topic><topic>Students - psychology</topic><topic>Suicidal Ideation</topic><topic>Universities</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Tang, Siyao</creatorcontrib><creatorcontrib>Chen, Rongning</creatorcontrib><creatorcontrib>Ma, Zijie</creatorcontrib><creatorcontrib>Li, Xueguo</creatorcontrib><creatorcontrib>Chen, Jianbin</creatorcontrib><creatorcontrib>Zhao, Jingbo</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Addictive behaviors</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Tang, Siyao</au><au>Chen, Rongning</au><au>Ma, Zijie</au><au>Li, Xueguo</au><au>Chen, Jianbin</au><au>Zhao, Jingbo</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Associations of problematic smartphone use with depressive symptoms and suicidal ideation in university students before and after the COVID-19 outbreak: A meta-analysis</atitle><jtitle>Addictive behaviors</jtitle><addtitle>Addict Behav</addtitle><date>2024-05</date><risdate>2024</risdate><volume>152</volume><spage>107969</spage><pages>107969-</pages><artnum>107969</artnum><issn>0306-4603</issn><issn>1873-6327</issn><eissn>1873-6327</eissn><abstract>•The meta-analysis evaluated association of PSU and depression in university students.•PSU was found to be associated with depression.•The association may become stronger after COVID-19 pandemic.•PSU was found to be associated with suicidal ideation in university students.
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.
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.
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; I2 = 0 %).
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.</abstract><cop>England</cop><pub>Elsevier Ltd</pub><pmid>38290322</pmid><doi>10.1016/j.addbeh.2024.107969</doi><orcidid>https://orcid.org/0000-0001-9035-3587</orcidid></addata></record> |
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| subjects | COVID-19 COVID-19 - epidemiology Depression - epidemiology Depression - psychology Depressive symptoms Humans Meta-analysis Observational Studies as Topic Problematic smartphone use Smartphone Students - psychology Suicidal Ideation Universities |
| title | Associations of problematic smartphone use with depressive symptoms and suicidal ideation in university students before and after the COVID-19 outbreak: A meta-analysis |
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