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Mobile phone addiction and self-injury in adolescents with MDD: mediation by self-esteem and depression, and the failure of usage restrictions

文献类型：期刊论文

作者Liu, Xiaoqian5; Yan, Nan4; Wang, Lan4; He, Kongliang3; Zhang, Wei7; Zhang, Xuankun2; Lan, Tian1; Wang, Jiesi6; Zhou, Yongjie7
刊名BMC PSYCHIATRY
出版日期2024-10-22
卷号24期号:1页码:10
关键词Non-suicidal self-injury Mobile phone addiction Self-esteem Depression Adolescent Mobile phone usage restriction
DOI10.1186/s12888-024-06184-2
通讯作者Wang, Jiesi(wangjs@psych.ac.cn) ; Zhou, Yongjie(qingzhu1108@126.com)
英文摘要BackgroundPrevious studies have suggested a significant association between mobile phone addiction (MPA) and non-suicidal self-injury (NSSI) in general adolescents. However, limited research has analyzed this relationship in clinical populations, such as those with major depressive disorder (MDD), and the potential mediation mechanisms remain unclear.MethodsThis cross-sectional observational study analyzed data from 2343 adolescents with MDD (77.9% females; mean age = 14.99 years, SD = 1.65). Using mediation models, we explored the roles of self-esteem and depression severity (measured by Patient Health Questionnaire-9) in the relationship between MPA and NSSI. Additionally, we evaluated the associations between existing school-implemented mobile phone usage policies and levels of MPA, self-esteem, depression symptoms, and NSSI.ResultsMPA was significantly associated with NSSI, with low self-esteem and increased depression severity almost entirely mediating this effect (log-odds = 0.016, 95%CI = 0.02-0.013). Subdomains of MPA, including inability to control craving, feelings of anxiety, and productivity loss, followed similar mediation models, while the subdomain of withdrawal/escape had a partial effect mediated by depression severity. Additionally, enforced restrictions on mobile phone usage in schools did not show positive effects on related variables and even exacerbated MPA by increasing cravings and reducing productivity.ConclusionOur study suggests that MPA in adolescents with MDD may be an important risk factor for NSSI occurrence, and that reducing the negative impact of mobile phone usage on self-esteem and depressive symptoms, rather than simply restricting usage, may be crucial for effective intervention.
收录类别SCI
WOS关键词STUDENTS ; SYMPTOMS ; VALIDITY ; CHILDREN ; PHQ-9
资助项目R&D Program of Beijing Municipal Education Commission[SM202210037001] ; Research Program of Beijing Association of Higher Education[MS2022338] ; Guangdong Provincial Foundation for Basic and Applied Basic Research (Guangdong Natural Science Foundation)[2023A1515010840] ; National Natural Science Foundation of China (NSFC)[U23B2018] ; Sanming Project of Medicine in Shenzhen[SZSM202011014] ; Shenzhen Fund for Guangdong Provincial High-level Clinical Key Specialties[SZGSP013]
WOS研究方向Psychiatry
语种英语
WOS记录号WOS:001337765800001
出版者BMC
资助机构R&D Program of Beijing Municipal Education Commission ; Research Program of Beijing Association of Higher Education ; Guangdong Provincial Foundation for Basic and Applied Basic Research (Guangdong Natural Science Foundation) ; National Natural Science Foundation of China (NSFC) ; Sanming Project of Medicine in Shenzhen ; Shenzhen Fund for Guangdong Provincial High-level Clinical Key Specialties
源URL[http://ir.psych.ac.cn/handle/311026/49167]  
专题心理研究所_中国科学院心理健康重点实验室
通讯作者Wang, Jiesi; Zhou, Yongjie
作者单位1.Shenzhen Univ, Hlth Sci Ctr, Shenzhen, Guangdong, Peoples R China
2.Southern Univ Sci & Technol, Sch Med, Shenzhen, Guangdong, Peoples R China
3.Fourth Peoples Hosp Hefei, Hefei, Anhui, Peoples R China
4.Chinese Acad Sci, Shenzhen Inst Adv Technol, CAS Key Lab Human Machine Intelligence Synergy Sys, Shenzhen, Peoples R China
5.Beijing Wuzi Univ, Student Counseling & Mental Hlth Ctr, Beijing, Peoples R China
6.Chinese Acad Sci, Inst Psychol, Key Lab Mental Hlth, 16 Lincui Rd, Beijing 100101, Peoples R China
7.Shenzhen Kangning Hosp, Shenzhen Mental Hlth Ctr, 77 Zhenbi Rd, Guangzhou 518118, Peoples R China
推荐引用方式
GB/T 7714		 Liu, Xiaoqian,Yan, Nan,Wang, Lan,et al. Mobile phone addiction and self-injury in adolescents with MDD: mediation by self-esteem and depression, and the failure of usage restrictions[J]. BMC PSYCHIATRY,2024,24(1):10.
APA Liu, Xiaoqian.,Yan, Nan.,Wang, Lan.,He, Kongliang.,Zhang, Wei.,...&Zhou, Yongjie.(2024).Mobile phone addiction and self-injury in adolescents with MDD: mediation by self-esteem and depression, and the failure of usage restrictions.BMC PSYCHIATRY,24(1),10.
MLA Liu, Xiaoqian,et al."Mobile phone addiction and self-injury in adolescents with MDD: mediation by self-esteem and depression, and the failure of usage restrictions".BMC PSYCHIATRY 24.1(2024):10.

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来源：心理研究所

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