Yongjie Zhou, Jian Gong, Jing Shao, Nan Yan, Linlin Meng, Kongliang He, Ying Shen, Qian Wei, Chunyan Zhang, Xuan Lei, Yuehua Cao, Yanni Wang
{"title":"青少年抑郁症患者智能手机使用问题与睡眠质量差之间的症状网络。","authors":"Yongjie Zhou, Jian Gong, Jing Shao, Nan Yan, Linlin Meng, Kongliang He, Ying Shen, Qian Wei, Chunyan Zhang, Xuan Lei, Yuehua Cao, Yanni Wang","doi":"10.1186/s12888-025-06920-2","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>This study established a network structure between problematic smartphone use (PSU) and poor sleep quality (PSQ) to explore their symptomatic relationship in adolescents with depression.</p><p><strong>Methods: </strong>The data were obtained from the baseline data of the Chinese Adolescent Depression Cohort, which included depressed adolescents aged between 12 and 18 years. PSU and PSQ were assessed via the Mobile Phone Addiction Index (MPAI) and Pittsburgh Sleep Quality Index (PSQI). This study utilized network analysis to identify the core and bridge symptoms between PSU and PSQ.</p><p><strong>Results: </strong>The core symptom of the network was 'Anxiety and craving' in the PSU. The symptoms 'Anxiety and craving', 'Daytime dysfunction' and 'Sleep disturbances' could function as bridges between PSU and PSQ. The symptom 'Anxiety and craving' played the most important role in the interaction between PSU and PSQ. It affects 'Sleep disturbances' that contribute to the harm of problematic smartphone use to sleep quality. The symptom 'Daytime dysfunction' of PSQ was the most severely affected by PSU.</p><p><strong>Conclusions: </strong>Interventions that target regulating negative emotion and reducing daytime tiredness would be more effective in managing problematic smartphone use and improving sleep quality.</p><p><strong>Clinical trial number: </strong>Not applicable.</p>","PeriodicalId":9029,"journal":{"name":"BMC Psychiatry","volume":"25 1","pages":"482"},"PeriodicalIF":3.4000,"publicationDate":"2025-05-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12077027/pdf/","citationCount":"0","resultStr":"{\"title\":\"Symptom network between problematic smartphone use and poor sleep quality in adolescents with depression.\",\"authors\":\"Yongjie Zhou, Jian Gong, Jing Shao, Nan Yan, Linlin Meng, Kongliang He, Ying Shen, Qian Wei, Chunyan Zhang, Xuan Lei, Yuehua Cao, Yanni Wang\",\"doi\":\"10.1186/s12888-025-06920-2\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>This study established a network structure between problematic smartphone use (PSU) and poor sleep quality (PSQ) to explore their symptomatic relationship in adolescents with depression.</p><p><strong>Methods: </strong>The data were obtained from the baseline data of the Chinese Adolescent Depression Cohort, which included depressed adolescents aged between 12 and 18 years. PSU and PSQ were assessed via the Mobile Phone Addiction Index (MPAI) and Pittsburgh Sleep Quality Index (PSQI). This study utilized network analysis to identify the core and bridge symptoms between PSU and PSQ.</p><p><strong>Results: </strong>The core symptom of the network was 'Anxiety and craving' in the PSU. The symptoms 'Anxiety and craving', 'Daytime dysfunction' and 'Sleep disturbances' could function as bridges between PSU and PSQ. The symptom 'Anxiety and craving' played the most important role in the interaction between PSU and PSQ. It affects 'Sleep disturbances' that contribute to the harm of problematic smartphone use to sleep quality. The symptom 'Daytime dysfunction' of PSQ was the most severely affected by PSU.</p><p><strong>Conclusions: </strong>Interventions that target regulating negative emotion and reducing daytime tiredness would be more effective in managing problematic smartphone use and improving sleep quality.</p><p><strong>Clinical trial number: </strong>Not applicable.</p>\",\"PeriodicalId\":9029,\"journal\":{\"name\":\"BMC Psychiatry\",\"volume\":\"25 1\",\"pages\":\"482\"},\"PeriodicalIF\":3.4000,\"publicationDate\":\"2025-05-13\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12077027/pdf/\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"BMC Psychiatry\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1186/s12888-025-06920-2\",\"RegionNum\":2,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q2\",\"JCRName\":\"PSYCHIATRY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"BMC Psychiatry","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1186/s12888-025-06920-2","RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"PSYCHIATRY","Score":null,"Total":0}
Symptom network between problematic smartphone use and poor sleep quality in adolescents with depression.
Background: This study established a network structure between problematic smartphone use (PSU) and poor sleep quality (PSQ) to explore their symptomatic relationship in adolescents with depression.
Methods: The data were obtained from the baseline data of the Chinese Adolescent Depression Cohort, which included depressed adolescents aged between 12 and 18 years. PSU and PSQ were assessed via the Mobile Phone Addiction Index (MPAI) and Pittsburgh Sleep Quality Index (PSQI). This study utilized network analysis to identify the core and bridge symptoms between PSU and PSQ.
Results: The core symptom of the network was 'Anxiety and craving' in the PSU. The symptoms 'Anxiety and craving', 'Daytime dysfunction' and 'Sleep disturbances' could function as bridges between PSU and PSQ. The symptom 'Anxiety and craving' played the most important role in the interaction between PSU and PSQ. It affects 'Sleep disturbances' that contribute to the harm of problematic smartphone use to sleep quality. The symptom 'Daytime dysfunction' of PSQ was the most severely affected by PSU.
Conclusions: Interventions that target regulating negative emotion and reducing daytime tiredness would be more effective in managing problematic smartphone use and improving sleep quality.
期刊介绍：
BMC Psychiatry is an open access, peer-reviewed journal that considers articles on all aspects of the prevention, diagnosis and management of psychiatric disorders, as well as related molecular genetics, pathophysiology, and epidemiology.
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