COVID-19 anxiety symptoms associated with problematic smartphone use severity in Chinese adults

COVID-19 anxiety symptoms associated with problematic smartphone use severity in Chinese adults
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DOI:
10.1016/j.jad.2020.05.080
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发表时间:
2020-09-01
影响因子:
6.6
通讯作者:
Asmundson, Gordon J. G.
Asmundson, Gordon J. G.
中科院分区:
医学2区
文献类型:
--
作者:
Elhai, Jon D.;Yang, Haibo;Asmundson, Gordon J. G.

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背景:Covid-19是快速发展且可能致命的,在全球范围内引入家庭隔离,社交疏远和增加的互联网使用情况。我们调查了COVID-19焦虑,一般焦虑和抑郁症状及其对有问题的智能手机使用(PSU)严重性方法的影响:参与者是908个大型东部中国城市的居民,在2020年3月下旬至2020年中期进行了调查。我们。采取了在线措施,包括抑郁焦虑应力量表21,智能手机成瘾量表量表,以及与COVID-19相关的新闻曝光和死亡威胁的项目。此外,参与者使用普遍的焦虑症量表-7对COVID-19对焦虑进行了评分。结果:Covid-19焦虑与PSU,抑郁和焦虑的严重程度相关。使用已建立的截止分数,至少有中度抑郁症的参与者中有12%的参与者被确定,而24%的参与者患有中度焦虑。使用结构方程建模,与PSU严重程度有关的Covid-19焦虑,介导一般焦虑与PSU严重程度之间的关系。但是,控制PSU的一般焦虑和抑郁严重程度,Covid-19焦虑不再预测PSU的严重性。局限性:局限性包括横断面研究设计以及仅来自一个国家的数据的依赖。结论:结果将以互联网过度使用的I-PACE模型进行讨论。尽管Covid-19焦虑症可能是全球焦虑症的事件,但其他日常忧虑和焦虑在推动过度使用互联网使用方面在临床上也很重要。
Background: COVID-19 is fast-spreading and potentially fatal, introducing home quarantine, social distancing, and increased internet usage globally. We investigated COVID-19 anxiety, general anxiety and depression symptoms, and their impact on problematic smartphone use (PSU) severity Methods: Participants were 908 residents of a large Eastern Chinese city, surveyed from late-February to mid-March, 2020. We administered online measures including the Depression Anxiety Stress Scale-21, Smartphone Addiction Scale-Short Version, and items querying COVID-19-related news exposure and threat of death. Additionally, participants rated anxiety using the Generalized Anxiety Disorder Scale-7 with reference to COVID-19. Results: COVID-19 anxiety correlated with severity of PSU, depression and anxiety. Using established cut-off scores, 12% of participants were identified with at least moderate depression, and 24% with moderate anxiety. Using structural equation modeling, COVID-19 anxiety related to PSU severity, mediating relations between general anxiety and PSU severity. However, controlling PSU for general anxiety and depression severity, COVID-19 anxiety no longer predicted PSU severity. Limitations: Limitations include the cross-sectional research design and reliance on data from only one country. Conclusions: Results are discussed in context of the I-PACE model of excessive internet use. While COVID-19 anxiety is likely a global anxiety-provoking event, other everyday worries and anxiety are additionally clinically important in driving excessive internet use.