Distress tolerance and mindfulness mediate relations between depression and anxiety sensitivity with problematic smartphone use
Distress tolerance and mindfulness mediate relations between depression and anxiety sensitivity with problematic smartphone use
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DOI：
10.1016/j.chb.2018.03.026
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发表时间：
2018-07-01
影响因子：
9.9
通讯作者：
Armour, Cherie
中科院分区：
文献类型：
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作者：
Elhai, Jon D.;Levine, Jason C.;Armour, Cherie
研究表明，过度的、有问题的智能手机使用（PSU）与抑郁和焦虑的严重程度有关。然而，对于可能介导抑郁/焦虑与PSU之间关系的精神病理学相关变量，特别是涉及情绪调节过程的变量，了解较少。我们招募了261名大学生进行重复测量的网络调查，管理抑郁、焦虑敏感性、痛苦耐受性、正念、智能手机使用频率和PSU的自我报告测量；一个月后，参与者再次完成这些测试。我们测试了一个模型，其中抑郁严重程度和焦虑敏感性预测了痛苦耐受力和正念，进而预测了智能手机使用频率，以及一个月PSU严重程度，并根据年龄和性别进行了调整。痛苦耐受力和正念与PSU水平呈负相关。焦虑敏感性与PSU水平之间的中介关系。正念介导抑郁和焦虑敏感性与PSU严重程度的关系。在情绪调节理论和代偿性网络使用理论的背景下讨论了结果，并对情绪调节技能训练和正念在抵消PSU中的临床意义进行了探讨。(C) 2018 Elsevier Ltd.版权所有。
Excessive, problematic smartphone use (PSU) has demonstrated relationships with depression and anxiety severity across studies. However, less is known about psychopathology-related variables that may mediate relations between depression/anxiety with PSU especially variables involving emotional regulation processes. We recruited 261 college students for a repeated-measures web survey, administered self-report measures of depression, anxiety sensitivity, distress tolerance, mindfulness, smartphone use frequency, and PSU; one month later, participants completed these measures again. We tested a model where depression severity and anxiety sensitivity predicted distress tolerance and mindfulness, in turn predicting smartphone use frequency, and one-month PSU severity, adjusting for age and sex. Distress tolerance and mindfulness were inversely associated with levels of PSU. Distress tolerance mediated relations between anxiety sensitivity and levels of PSU. Mindfulness mediated relations between both depression and anxiety sensitivity with PSU severity. Results are discussed in the context of emotion regulation theory and compensatory internet use theory, with clinical implications for emotion regulation skills training and mindfulness in offsetting PSU. (C) 2018 Elsevier Ltd. All rights reserved.