Mobile phone use addiction, insomnia, and depressive symptoms in adolescents from ethnic minority areas in China: A latent variable mediation model

Although previous studies have discussed the association between mobile phone use addiction (MPUA) and depressive symptoms in adolescents, studies on Chinese adolescents are limited, with no studies being reported on adolescents from ethnic minority areas within Yunnan. This study aimed to explore t...

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Bibliographic Details
Published in:Journal of affective disorders 2023-01, Vol.320, p.381-389
Main Authors: Xu, Honglv, Tao, Jian, Yang, Jiaxing, Su, Yunpeng, Xu, Chuanzhi, Hu, Mengdie, Lum, Gillian Gianna Anne, Hu, Dongyue, Lu, Lin
Format: Article
Language:English
Subjects:
Adolescent
Cell Phone
Cell Phone Use
China - epidemiology
College students
Depression - epidemiology
Depressive symptoms
Ethnic and Racial Minorities
Ethnicity
Humans
Insomnia
Minority Groups
Mobile phone use addiction
Sleep Initiation and Maintenance Disorders - epidemiology
Structural equation model
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Summary:Although previous studies have discussed the association between mobile phone use addiction (MPUA) and depressive symptoms in adolescents, studies on Chinese adolescents are limited, with no studies being reported on adolescents from ethnic minority areas within Yunnan. This study aimed to explore the mediating mechanism of insomnia in the association between MPUA and depressive symptoms among Yunnan college students. A sample survey was conducted among 10,121 college students from four colleges in Yunnan province, China, from November to December 2021 via cluster sampling. Insomnia was assessed using the Insomnia Severity Index Scale, MPUA was assessed using the Self-Rating Questionnaire for Adolescent Problematic Mobile Phone Use, and depressive symptoms were assessed using the Patient Health Questionnaire-9 items. A generalized linear model was used to analyze the association between MPUA, insomnia, and depressive symptoms. The structural equation model was used to analyze the mediating effect of insomnia. The positive rates of depressive symptoms, MPUA, and insomnia were 39.2 %, 30.8 %, and 22.3 %, respectively. After adjusting for the demographic and confounding variables, MPUA (β = 0.14, 95 % CI: 0.13–0.15, P 
ISSN:0165-0327
1573-2517
1573-2517
DOI:10.1016/j.jad.2022.09.156