Research in Community and Public Health Nursing

Original Articles

[English] The moderated mediating effect of parental smartphone addiction in the relationship between smartphone addiction, sleep duration, and depression among adolescents: Eunha Jeong; Res Community Public Health Nurs. 2024;35(3):216-225. Published online September 30, 2024; DOI: https://doi.org/10.12799/rcphn.2024.00549

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Purpose
This study aimed to examine whether sleep duration mediated the relationship between adolescent smartphone addiction and depression. Moreover, we investigated whether the mediating effects of sleep duration were moderated by parental smartphone addiction.
Methods
Wave 4(2021) data collected in 2021 from the Korean Children and Youth Panel Survey (KCYPS) 2018 was used. The data collected from 4,392 matched pairs of parents and their children was analyzed, using the SPSS PROCESS macro.
Results
Sleep duration partially mediated the relationship between adolescent smartphone addiction and depression. Also, parental smartphone addiction moderated the indirect effect of this mediation model.
Conclusion
This suggests that it is necessary to include content on the use of smartphones by adolescents as well as their parents when designing education and intervention programs to prevent depression in adolescents.

Citations

Citations to this article as recorded by

Parenting styles and suicidal probability of adolescents: the moderating role of social anxiety and smartphone addiction
Hassan Mohammed Sonbol, Alaa Salah Abd El Mawgoud, Mayar AlaaEldeen Aly, Eman Sameh AbdElhay
The Egyptian Journal of Neurology, Psychiatry and Neurosurgery.2025;[Epub] CrossRef

[English] Smartphone dependency latent profile classification and association with emotional and behavioral difficulties among high school students in Korea: Eunjoo Kim, Min Kyung Song; Res Community Public Health Nurs. 2024;35(1):84-98. Published online March 29, 2024; DOI: https://doi.org/10.12799/rcphn.2024.00465

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1 Citations

Abstract PDF

Purpose
The pervasive integration of smartphones into adolescents’ daily lives has resulted in a concerning upsurge in smartphone dependency among high school students. Due to the diverse types and severity levels of smartphone dependency, there is a critical need for research to explore its heterogeneity. This study aimed to identify latent profile of smartphone dependency in high school students based on the four subdomains of smartphone dependency: disturbance of adaptive functions, virtual life orientation, withdrawal, and tolerance. In addition, we explored how emotional and behavioral difficulties differ according to the profiles.
Methods
We used data from 2,195 Korean high school students from the Korean Children and Youth Panel Survey 2018. Latent profile analysis (LPA) was performed to identify smartphone dependency latent profile. Statistical analysis including chi-square test, Analysis of Variance (ANOVA), and ranked Analysis of Covariance (ANCOVA) confirmed differences in smartphone use characteristics and emotional-behavioral difficulties according to the classified latent profile.
Results
LPA identified four distinct latent profiles of smartphone dependency among high school students; 1) Underdependent type, 2) Moderate type, 3) Habitual user type, and 4) Virtual space dependent type. The results of ranked ANCOVA, controlling for gender, geographical location, economic status, parental smartphone dependency, and relational variables, revealed that habitual user type exhibited significantly higher rates of attention deficit hyperactivity disorder, social withdrawal, and depressive symptoms compared to other types.
Conclusion
The identification of these profiles provides a foundation for developing tailored intervention programs for adolescents with different levels and patterns of smartphone dependency.

Citations

Citations to this article as recorded by

Adolescent Smartphone Overdependence in South Korea: A Place-Stratified Evaluation of Conceptually Informed AI/ML Modeling
Andrew H. Kim, Uibin Lee, Yohan Cho, Sangmi Kim, Vatsal Shah
International Journal of Environmental Research and Public Health.2025; 22(10): 1515. CrossRef

[English] Factors Affecting the Quality of Sleep in Young Adults: Ae Kyung Chang, Kyung Hye Lee, Chong Mi Chang, Jin Yi Choi; J Korean Acad Community Health Nurs. 2021;32(4):497-505. Published online December 31, 2021; DOI: https://doi.org/10.12799/jkachn.2021.32.4.497

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517 Download
6 Citations

Abstract PDF

Purpose
The study aimed to identify the effects of sleep hygiene (use of caffeine, alcohol, night eating syndrome, stress, and coping styles), social network, and smartphone-related factors on quality of sleep in young adults.
Methods
This was a descriptive research design. Participants completed a questionnaire on evidence-based variables including caffeine intake, alcohol consumption, social network, night eating syndrome, stress, coping styles, and smartphone-related factors. Stepwise multiple regression was used for data analysis to identify factors that influenced the participants’ quality of sleep. This study included 288 young adults in South Korea.
Results
This study identified the factors affecting quality of sleep in young adults. Their average weekly sleep duration was 6.86 hours with low sleep quality, indicated by a score of 59.34 points (range 17-100). The predictors of sleep quality were sleep mood, sub-items of night eating syndrome, effects of pain over the last four weeks, and social networks, which explained 33% of the variance.
Conclusion
Sleep-induced diseases in young adults could be prevented by identifying sleep mood, pain, and social networks, which is important for health and using them as a basis for intervention.

Citations

Citations to this article as recorded by

Digital equity in nursing research: A methodological review of nursing studies requiring internet connection
Matthew S. Farmer, Drew Herbert, Christa Torrisi, Arthur Zacharjasz, Gerard Castaneda, Takara Schomberg, Michelle Dardis, Nicole Montgomery, Mary E. Melvin
Nursing Outlook.2026; 74(1): 102667. CrossRef
The multidimensional effects of sleep quality in young adults: the relationship between auditory performance, sound tolerance, and anxiety
Aysegul Esdogan, Beyza Demirtaş Yılmaz
European Archives of Oto-Rhino-Laryngology.2026; 283(3): 1969. CrossRef
Regular caffeine consumption & subjective sleep quality: A systematic review
Duc Minh Phan, My Yen Lam, Minh Nguyet Trang
The Journal of Aging Research & Lifestyle.2025; 14: 100005. CrossRef
Mediterranean Diet Compliance Is Related with Lower Prevalence of Perceived Stress and Poor Sleep Quality in University Students: A Cross-Sectional Study in Greece
Antonios Dakanalis, Konstantinos Papadimitriou, Olga Alexatou, Georgia-Eirini Deligiannidou, Myrsini Pappa, Sousana K. Papadopoulou, Aikaterini Louka, Georgios Paschodimas, Maria Mentzelou, Constantinos Giaginis
Nutrients.2025; 17(13): 2174. CrossRef
Short- and long-term neurobehavioural impairments in mice offspring following chronic perinatal caffeine exposure and withdrawal
Funmilayo Eniola Olopade, Oluwabusayo Racheal Folarin, Taidinda Tashara Gilbert, James Olukayode Olopade
BMC Neuroscience.2025;[Epub] CrossRef
Hubungan Coping Flexibility dengan Kualitas Tidur pada Dewasa Awal
Anugrah Qonita, Ahmad Ridfah, Rahmat Permadi
ULIL ALBAB : Jurnal Ilmiah Multidisiplin.2024; 4(1): 176. CrossRef

[English] Smartphone Addiction and Depression: The Mediating Effects of Self-esteem and Resilience among Middle School Students: Hye Jung Park, Eun Suk Choi; J Korean Acad Community Health Nurs. 2017;28(3):280-290. Published online September 30, 2017; DOI: https://doi.org/10.12799/jkachn.2017.28.3.280

3,468 View
26 Download
20 Citations

Abstract PDF

PURPOSE
The aim of this research is to examine the moderating effects of self-esteem and resilience in the relationship between smartphone addiction and depression among middle school students.
METHODS
Data were collected from 324 middle school students in D City during the period of July 1st-17th, 2015. Multiple regression analysis, the Baron & Kenny's mediation verification, and Sobel test were conducted to measure the mediating effects of self-esteem and resilience on depression.
RESULTS
There were significant correlations among the variables; smartphone addiction, self-esteem, resilience, and depression. Self-esteem had a complete mediating effect(Î²=-.40, p<.001) in the relationship between smartphone addiction and depression(Sobel test: Z=4.68, p<.001). Resilience had a partial mediating effect(Î²=-.15, p<.001) in the relationship between smartphone addiction and depression(Sobel test: Z=2.40, p<.001).
CONCLUSION
This study suggests to apply self-esteem and resilience in developing nursing intervention programs for adolescent depression caused by smartphone addiction.

Citations

Citations to this article as recorded by

Relationships between smartphone overdependence, self-concept, and mental health among Korean adolescents: Structural equation modelling
Mi-Young Choi, Ju-Yeon Uhm
BMC Psychology.2026;[Epub] CrossRef
Parenting styles and problematic WeChat use: the mediating roles of conscientiousness and Chinese values
Ting Li, Ke Chen
Current Psychology.2026;[Epub] CrossRef
The Association between Problematic Internet Use, Resilience, and Fatigue in First-Year Medical College Students in China: A Moderated Mediation Model
Yufu Ning, Lifeng Wang, Xiumei Chen, Xiaobing Lu, Jeffrey H. Gamble, Xianhe Chen, Xingyong Jiang, I-Hua Chen, Peijin Lin
International Journal of Mental Health Promotion.2025; 27(1): 51. CrossRef
Let me check my phone: smartphone addiction and its links to life satisfaction and psychological resilience
Aslı Kartol, Servet Üztemur
British Journal of Guidance & Counselling.2025; 53(2): 167. CrossRef
The Influence of Interpersonal Conflict on Smartphone Addiction Among Adolescents: An Examination of the Roles of Relatedness Need Satisfaction and Conflict Management
Shan Jiang, Chaoxin Jiang, Yuhang Cheng
Child Abuse Review.2025;[Epub] CrossRef
The role of psychological flexibility and emotion regulation in the relationship between smartphone addiction and psychological wellbeing in adolescents: three-wave longitudinal serial mediation study
Ahmet Alkal
Health and Quality of Life Outcomes.2025;[Epub] CrossRef
Üniversite Öğrencilerinde Akıllı Telefon Bağımlılığı, Öznel Zindelik ve Mutluluğun İncelenmesi
Mehmet Enes Sağar
Karadeniz Sosyal Bilimler Dergisi.2024; 16(30): 126. CrossRef
Impact of COVID-19 on Adolescents’ Smartphone Addiction in South Korea
JongSerl Chun, Hae Kook Lee, HyeSook Jeon, Jinyung Kim, Serim Lee
Social Work in Public Health.2023; 38(4): 268. CrossRef
Investigation Psychological Factors Effecting the Phubbing Behavior of Young Adults with Different Structural Equation Models
Faruk Caner YAM, Hatice KUMCAĞIZ
MANAS Sosyal Araştırmalar Dergisi.2023; 12(3): 1087. CrossRef
The Effect of Children’s Smartphone Overdependence on Problem Behaviors: The Mediating Effect of Sleep Problems
Bokyung Park, Seolheui Yoo
Korean Journal of Child Studies.2023; 44(3): 309. CrossRef
Mediating Effect of Stress Recognition on the Effect of Generalized Anxiety Disorder on Smartphone Dependence
Se Ryeon Lee, Eun-Yeob Kim, Seunghan Ha, Jaeyoung Kim
Journal of Clinical Medicine.2023; 12(23): 7359. CrossRef
ERGENLERDE DUYGU DÜZENLEME, PSİKOLOJİK SAĞLAMLIK VE OKULDA ÖZNEL İYİ OLUŞUN AKILLI TELEFON BAĞIMLILIĞI ÜZERİNDEKİ YORDAYICI ROLÜ
Mehmet Enes Sağar
Elektronik Sosyal Bilimler Dergisi.2022; 21(83): 926. CrossRef
Prospective Association Between Problematic Mobile Phone Use and Eating Disorder Symptoms and the Mediating Effect of Resilience in Chinese College Students: A 1-Year Longitudinal Study
Shaojie Li, Guanghui Cui, Yongtian Yin, Kaixuan Tang, Lei Chen, Xinyao Liu
Frontiers in Public Health.2022;[Epub] CrossRef
Mediating role of psychological resilience in the relationship between mindfulness and nomophobia
Ibrahim Arpaci, Selim Gundogan
British Journal of Guidance & Counselling.2022; 50(5): 782. CrossRef
Effects of a group mindfulness-based cognitive programme on smartphone addictive symptoms and resilience among adolescents: study protocol of a cluster-randomized controlled trial
Anson Chui Yan Tang, Regina Lai Tong Lee
BMC Nursing.2021;[Epub] CrossRef
Exploring psychosocial factors that influence smartphone dependency among Korean adolescents
Hyeon Sik Chu, Young Ran Tak, Hanyi Lee, Geilson Lima Santana
PLOS ONE.2020; 15(5): e0232968. CrossRef
Psychometric Properties of the Smartphone Addiction Scale – Short Version (SAS-SV) in a Sample of Iranian Adolescents
Sadeq Fallahtafti, Nikzad Ghanbaripirkashani, Seyed Shahram Alizadeh, Ramin Safiyari Rovoshi
International Journal of Developmental Science: Biopsychosocial Mechanisms of Change, Human Development, and Psychopathology - Perspectives from Psychology, Neuroscience, and Genetics.2019; 14(1-2): 19. CrossRef
Predicting the Time Spent Playing Computer and Mobile Games among Medical Undergraduate Students Using Interpersonal Relations and Social Cognitive Theory: A Cross-Sectional Survey in Chongqing, China
Li Chen, Ruiyi Liu, Huan Zeng, Xianglong Xu, Rui Zhu, Manoj Sharma, Yong Zhao
International Journal of Environmental Research and Public Health.2018; 15(8): 1664. CrossRef
Short version of the Smartphone Addiction Scale in Chinese adults: Psychometric properties, sociodemographic, and health behavioral correlates
Tzu Tsun Luk, Man Ping Wang, Chen Shen, Alice Wan, Pui Hing Chau, John Oliffe, Kasisomayajula Viswanath, Sophia Siu-chee Chan, Tai Hing Lam
Journal of Behavioral Addictions.2018; 7(4): 1157. CrossRef
The Role of Empathy and Life Satisfaction in Internet and Smartphone Use Disorder
Bernd Lachmann, Cornelia Sindermann, Rayna Y. Sariyska, Ruixue Luo, Martin C. Melchers, Benjamin Becker, Andrew J. Cooper, Christian Montag
Frontiers in Psychology.2018;[Epub] CrossRef

[English] The Effect of Depression and Smartphone Dependency on Female College Students' Career Decision-making Self Efficacy: Hee Jung Choi, Jang Hak Yoo; J Korean Acad Community Health Nurs. 2016;27(1):43-50. Published online March 31, 2016; DOI: https://doi.org/10.12799/jkachn.2016.27.1.43

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7 Download
1 Citations

Abstract PDF

PURPOSE
The purpose of this study was to investigate the relationship of depression and smartphone dependency with female college students' career decision-making self efficacy.
METHODS
This was a descriptive study. The survey participants were 497 female college students in M City and S City. Data were collected from November 16 to December 4, 2015 using self-report questionnaires including BDI (Beck Depression Inventory), Smartphone Dependency Scale, and CDMSES-SF (Career Decision-Making Self Efficacy Scale-Short Form). Data were analyzed through descriptive statistics, independent-samples t-test, ANOVA, and stepwise multiple regression.
RESULTS
Career decision-making self efficacy showed significant differences according to religion. Smartphone dependency was found to have a statistically significant negative correlation with career decision-making self efficacy and a positive correlation with depression. Depression was found to have a statistically significant negative correlation with career decision-making self efficacy. Stepwise multiple regression analysis revealed that the predictors of career decision-making self efficacy were depression (7.1%), religion (1.8%), and smartphone dependency (1.3%), accounting for a total of 10.6% of the variance.
CONCLUSION
This study suggests that interventions to promote female college students' career decision-making self efficacy should consider their depression, religion, and smartphone dependency.

Citations

Citations to this article as recorded by

A Study on the Structural Analysis of Factors Influencing Career Maturity in High School Students: Focusing on Reading Activities and Smartphone Dependency
Ha-Jeong KIM, Hyo-Heon WON
THE JOURNAL OF FISHERIES AND MARINE SCIENCES EDUCATION.2026; 38(1): 183. CrossRef

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