Problematic smartphone use and anxiety in adolescents: survey study (Preprint)

BACKGROUND Smartphone overuse is a troubling issue to many, influencing psychological, social, and physical aspects. OBJECTIVE This study was conducted to investigate the association between risk of problematic smartphone use and anxiety in adolescents. METHODS A questionnaire-based observational study design was used. Revised Children’s Manifest Anxiety Scale was used to assess symptoms of anxiety, and Smartphone Addiction Proneness Scale index was used to evaluate the degree of high-risk or potential-risk for problematic smartphone use. RESULTS Analyses were conducted on 1,733 adolescents, including 771 boys and 962 girls. 20.1% of the studied population was classified as high-risk or potential-risk group for problematic smartphone use. Risk of problematic smartphone use exhibited statistically significant effects on the total anxiety scale, as well as physiological anxiety, oversensitivity, and social concern (all P-values < 0.0001). Multivariate analysis suggested that higher anxiety scales were associated with the higher risk of problematic smartphone use, as well as following factors: poor self-reported health, fewer number of close friends, caffeine beverage consumption, female sex, and alcohol use. CONCLUSIONS Our results suggested that higher risk of problematic smartphone use was associated with anxiety. Thus, management of problematic smartphone use seems necessary for the enhancement of psychological health.