Association of problematic smartphone use with poor sleep quality, depression, and anxiety: A systematic review and meta-analysis

Nov 24, 2019Psychiatry research

Problematic smartphone use linked to poor sleep, depression, and anxiety: A review and combined analysis

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Abstract

Fourteen studies were included in the systematic review and meta-analysis assessing the impact of problematic smartphone use on mental health.

Problematic smartphone use is associated with significantly increased risks of poor sleep quality.
There is a notable association between problematic smartphone use and higher levels of depression.
Individuals with problematic smartphone use may experience increased anxiety.
High heterogeneity among studies indicates variability in findings and suggests caution in interpretation.
Methodological limitations in the studies necessitate further research to confirm these associations.

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To quantitatively assess the association of problematic smartphone use (PSU) with poor sleep quality, depression, and anxiety, we reviewed current evidence from observational studies and performed a systematic review and meta-analysis. The EBSCO PsycARTICLES, EMBASE, PubMed and Web of Science databases were searched, and 14 studies were included for the systematic review and meta-analysis. We calculated odds risk and 95% confidence intervals (CIs), using random-effect or fixed-effect models. Heterogeneity was assessed using Iand chistatistics. Subgroup analyses were conducted based on country, adjusted variables, the methods of statistical analysis, outcome measures and publication year. We found significantly increased risks of poor sleep quality, depression, and anxiety in people with PSU. Our findings highlight the necessity of managing the PSU. However, further studies are required to confirm the results due to the high heterogeneity and methodological limitations. 2 2

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