Smartphone addiction in COVID-19 pandemic times
a longitudinal study with brazilian dental students
DOI:
https://doi.org/10.30979/revabeno.v22i2.1547Keywords:
Addictive Behavior, Smartphone, Quarantine, Sleep, Quality of LifeAbstract
This study aimed to evaluate smartphone addiction, sleep quality, quality of life and depression among dental students before and during the first wave COVID-19 pandemic lockdown and explore how smartphone addiction influences the other variables. 57 dental students answered the smartphone addiction inventory, Pittsburg sleep quality index, WHOQOL-bref and research diagnosis criteria for temporomandibular disorders axis II questionnaires before and during lockdown. Statistical analysis was conducted using Wilcoxon test, Mann-Whitney U test, Spearman tests and linear regression models considering the smartphone addiction inventory total score as the independent variable. The high mean scores on smartphone addiction on both times are remarkable. The smartphone addiction prevalence was also high on both times (68.66% and 71.92% respectively). Overall sleep quality improved. However, there was no significant change on overall smartphone addiction, quality of life and depression grade during lockdown. Tolerance using smartphones increased during lockdown, especially for women. Smartphone addiction showed negative correlation to quality of life and positive correlation to depression, subjective sleep quality and sleep medication use. Smartphone addiction was a predictor to total WHOQOL-bref score, all WHOQOL bref domains, sleep medication use and to depression on both times, before and during lockdown. Smartphone addiction was directly affecting quality of life. Despite the growing smartphone use among university students due to the pandemic restrictions, this study showed that the overall smartphone addiction, quality of life and depression grade were not influenced by the lockdown restrictions. However, it was observed an improvement on sleep quality during this period among dental students.
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References
World Health Organization. WHO Director-General’s opening remarks at the media briefing on COVID-19. Geneva: World Health Organization; 2020.
Brasil. Decretos do governo do Ceará com ações contra o coronavírus [Internet]. 2020 [Accessed October 10, 2020]. Available on: https://www.ceara.gov.br/decretos-do-governo-do-ceara-com-acoes-contra-o-coronavirus/.
Mental health & COVID-19. https://www.who.int/teams/mental-health-and-substance-use/covid-19. Accessed October 10, 2020.
Wang X, Lei SM, Le S, et al. Bidirectional Influence of the COVID-19 Pandemic Lockdowns on Health Behaviors and Quality of Life among Chinese Adults. Int J Environ Res. 2020;17: 5575.
Gualano MR, Moro G Lo, Voglino G. Effects of Covid-19 Lockdown on Mental Health and Sleep Disturbances in Italy. Int J Environ Res Public Heal. 2020;17. doi:10.3390/ijerph17134779
Kaparounaki CK, Patsali ME, Mousa D V, Papadopoulou EVK, Papadopoulou KKK, Fountoulakis KN. University students’ mental health amidst the COVID-19 quarantine in Greece. Psychiatry Res. 2020; 290(May):113111. doi:10.1016/j.psychres.2020.113111
Kantermann T. How a global social lockdown helps to unlock time for sleep. Curr Biol. 2020. doi:10.1016/j.cub.2020.06.037
Blume C. Effects of the COVID-19 lockdown on human sleep and rest-activity rhythms. Curr Biol. 2020;30(July):R795-797. doi:10.1016/j.cub.2020.06.021
Jr KPW, Linton SK, Withrow D. Sleep in university students prior to and during COVID-19 Stay-at- Home orders. Curr Biol. 2020;30(July):R797-798. doi:10.1016/j.cub.2020.06.022
Huang Y, Zhao N. Generalized anxiety disorder , depressive symptoms and sleep quality during COVID-19 outbreak in China : a web-based cross-sectional survey. Psychiatry Res. 2020;288(March):112954. doi:10.1016/j.psychres.2020.112954
Khoury JM, De Freitas AAC, Roque MAV, Albuquerque MR, Das Neves MDCL, Garcia FD. Assessment of the accuracy of a new tool for the screening of smartphone addiction. PLoS One. 2017;12(5):1-13. doi:10.1371/journal.pone.0176924
Elhai JD, Yang H, Mckay D, Asmundson GJG. COVID-19 anxiety symptoms associated with problematic smartphone use severity in Chinese adults. J Affect Disord. 2020;274(May):576-582. doi:10.1016/j.jad.2020.05.080
Brasil. CETIC. TIC domicílios 2019 [Internet].2019 [Accessed October 25, 2020]. Available on: https://cetic.br/media/analises/tic_domicilios_2019_coletiva_imprensa.pdf.
Boumosleh JM, Jaalouk D. Depression, anxiety and smartphone addiction. PLoS One. 2017;12(8):214-222. doi:10.1371/ journal.pone.0182239
Choi S, Kim D, Choi J, Ahn H, Choi E, Song W. Comparison of risk and protective factors associated with smartphone addiction and Internet addiction. J Behav Addict. 2015;4(4):308-314. doi:10.1556/2006.4.2015.043
Elhai JD, Dvorak RD, Levine JC, Hall BJ. Problematic smartphone use: a conceptual overview and systematic review of relations with anxiety and depression psycopathology. J Affect Disord. 2016. doi:10.1016/j.jad.2016.08.030
Chen B, Liu F, Ding S, Ying X, Wang L, Wen Y. Gender differences in factors associated with smartphone addiction : a cross- sectional study among medical college students. BMC Psychiatry. 2017;17(341):1-9. doi:10.1186/s12888-017-1503-z
Huang Q, Li Y, Huang S, Qi J, Shao T, Chen X. Smartphone Use and Sleep Quality in Chinese College Students : A Preliminary Study. Front Psychiatry. 2020;11(May):1-7. doi:10.3389/fpsyt.2020.00352
Demirci K, Akgönül M, Akpinar A. Relationship of smartphone use severity with sleep quality, depression, and anxiety in university students. J Behav Addict. 2015;4(2):85-92. doi:10.1556/2006.4.2015.010
Ibrahim N K, Baharoon B S, Banjar W F, Jar A A, Ashor R M, Aman A A A-AJR. Mobile Phone Addiction and Its Relationship to Sleep Quality and Academic Achievement of Medical Students at King Abdulaziz University, Jeddah, Saudi Arabia. 2018;18(3):3-7.
Xie X, Dong YAN, Wang J. Sleep quality as a mediator of problematic smartphone use and clinical health symptoms. J Behav Addict. 2018;7(59):466-472. doi:10.1556/2006.7.2018.40
Dharmadhikari SP, Harshe SD, Bhide PP. Prevalence and Correlates of Excessive Smartphone Use among Medical Students: A Cross-sectional Study. Indian J Psychol Med. 2019;41(6):549-555. doi:10.4103/IJPSYM.IJPSYM_75_19
Kumar, Vivek Arun; Chandrasekaran, Vigneshvar; Brahadeeswari H. Prevalence of smartphone addiction and its effects on sleep quality: A cross-sectional study among medical students. Ind Psychiatrry J. 2019;28(1):82-85.
Liu S, Xiao T, Yang L. Exercise as an Alternative Approach for Treating Smartphone Addiction : A Systematic Review and Meta-Analysis of Random Controlled Trials. Int J Environ Res Public Heal. 2019;16(3912). doi:10.3390/ijerph16203912
Gao T, Xiang Y, Zhang H, Zhang Z, Mei S. Neuroticism and quality of life : Multiple mediating e ff ects of smartphone addiction and depression. Psychiatry Res. 2017;258(August):457-461. doi:10.1016/j.psychres.2017.08.074
Solis AC, Lotufo-Neto F. Predictors of quality of life in brazilian medical students: A systematic review and meta-analysis. Brazilian J Psychiatry. 2019;41(6):556-567. doi:10.1590/1516-4446-2018-0116
Silva PG de B, de Oliveira CAL, Borges MMF, et al. Distance learning during social seclusion by COVID-19: Improving the quality of life of undergraduate dentistry students. Eur J Dent Educ. 2020;(July):1-11. doi:10.1111/eje.12583
Lin P, Lee Y, Chen K, Hsieh P, Yang S, Lin Y. The Relationship Between Sleep Quality and Internet Addiction Among Female College Students. Front Neuroscince. 2019;13(June):1-9. doi:10.3389/fnins.2019.00599
Fleck MP de A. O instrumento de avaliação de qualidade de vida da Organização Mundial da Saúde ( WHOQOL-100 ): características e perspectivas The World Health Organization instrument to evaluate quality of life ( WHOQOL-100 ): characteristics and perspectives. Cien Saude Colet. 2000;5(1):33-38.
Bertolazi AN, Fagondes SC, Hoff LS, et al. Validation of the Brazilian Portuguese version of the Pittsburgh Sleep Quality Index. Sleep Med. 2011;12(1):70-75. doi:10.1016/j.sleep.2010.04.020
Manfredini D, Winocur E, Ahlberg J, Guarda-Nardini L, Lobbezoo F. Psychosocial impairment in temporomandibular disorders patients. RDC/TMD axis II findings from a multicentre study. J Dent. 2010;38(10):765-772. doi:10.1016/j.jdent.2010.06.007
Pereira F, Favilla E, Dworkin S, Huggins K. Critérios de diagnóstico para pesquisa das desordens temporomandibulares RDC/TMD. line. 2009:27.
Samaha M, Hawi NS. Relationships among smartphone addiction, stress, academic performance, and satisfaction with life. Comput Human Behav. 2016;57:321-325. doi:10.1016/j.chb.2015.12.045
Cellini N, Canale N, Mioni G, Costa S. Changes in sleep pattern , sense of time and digital media use during COVID-19 lockdown in Italy. J Sleep Res. 2020;(April):1-5. doi:10.1111/jsr.13074
Pagnin D, de Queiroz V. Influence of burnout and sleep difficulties on the quality of life among medical students. Springerplus. 2015;4(676):1-7. doi:10.1186/s40064-015-1477-6
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