有问题的智能手机使用与抑郁和焦虑有关：一个跨诊断和三样本网络分析

IF 3.6 2区医学 Q1 PSYCHOLOGY, CLINICAL

Addictive behaviors Pub Date : 2025-09-17 DOI:10.1016/j.addbeh.2025.108498

Zhihua Guo , Rui Qiu , Tianqi Yang , Yue Gong, Yushan Li, Xia Zhu

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引用次数: 0

摘要

有问题的智能手机使用（PSU）与抑郁症和焦虑症有关。然而，目前尚不清楚哪些PSU症状是导致抑郁、焦虑及其合并症的最重要因素。因此，我们检查了PSU与单独和共病的抑郁和焦虑的症状水平网络。对每个样本估计三个正则化的部分相关网络，包括psu -抑郁-焦虑（P-D- a）， psu -抑郁（P-D）和psu -焦虑（P-A）网络。在2022年、2023年和2024年分别招募了年龄在18-36岁、18-26岁和18-40岁的3个独立的中国样本，分别为325人、1047人和988人。PSU、抑郁和焦虑分别使用基于智能手机应用程序的成瘾量表、患者健康问卷-9和广泛性焦虑障碍-7进行评估。估计中心性和桥梁中心性指数，并进行网络比较检验（nct）以两两比较三个样本的网络。nct揭示了三个样本中可比较的网络结构和特定症状的一致作用。在P-D-A网络中，PSU症状“复发”和抑郁症状“抑郁或悲伤情绪”始终具有最高的中心性，而PSU症状“冲突”始终具有最高的桥性中心性。在P-D网络中，中心节点与在P-D- a网络中观察到的相同。在P-A网络中，PSU症状“复发”和焦虑症状“无法控制的担忧”始终作为中心节点。这些发现阐明了“复发”在抑郁、焦虑及其合并症的发展和维持中的一致性和核心作用，从而确立了其作为跨诊断风险因素的作用。此外，结果显示PSU症状“冲突”是导致合并症的桥梁节点。这些发现的可重复性得到了证实，并对其含义进行了深入讨论。

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Problematic smartphone use is related to depression and anxiety: A transdiagnostic and three-sample network analysis

Problematic smartphone use (PSU) is associated with depression and anxiety disorders. However, it remains unclear which PSU symptoms are the most important contributors to depression, anxiety, and their comorbidity. Therefore, we examined the symptom-level network of PSU and separate and comorbid depression and anxiety. Three regularized partial-correlation networks were estimated for each sample, including the PSU-depression-anxiety (P-D-A), PSU-depression (P-D), and PSU-anxiety (P-A) networks. Three independent Chinese samples encompassing 325 aged 18–36 years, 1047 aged 18–26 years, and 988 aged 18–40 years were recruited in 2022, 2023, and 2024, respectively. PSU, depression, and anxiety were assessed using Smartphone Application-Based Addiction Scale, Patient Health Questionnaire-9, and Generalized Anxiety Disorder-7, respectively. Centrality and bridge centrality indices were estimated, and network comparison tests (NCTs) were performed to compare the networks of the three samples pairwise. NCTs revealed comparable network structures and consistent roles of specific symptoms across three samples. In P-D-A networks, PSU symptom “relapse” and depression symptom “depressed or sad mood” consistently had the highest centrality, whereas PSU symptom “conflict” consistently presented the highest bridge centrality. In P-D networks, the central nodes were identical to those observed in the P-D-A networks. In P-A networks, PSU symptom “relapse” and anxiety symptom “uncontrollable worry” consistently functioned as the central nodes. These findings elucidated the consistent and central role of “relapse” in the development and maintenance of depression, anxiety, and their comorbidity, thus establishing its roles as transdiagnostic risk factor. Furthermore, the results showed that PSU symptom “conflict” was the bridge node responsible for comorbidity. The replicability of these findings was confirmed, and their implications were thoroughly discussed.

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来源期刊

Addictive behaviors 医学-药物滥用

CiteScore

8.40

自引率

4.50%

发文量

283

审稿时长

46 days

期刊介绍： Addictive Behaviors is an international peer-reviewed journal publishing high quality human research on addictive behaviors and disorders since 1975. The journal accepts submissions of full-length papers and short communications on substance-related addictions such as the abuse of alcohol, drugs and nicotine, and behavioral addictions involving gambling and technology. We primarily publish behavioral and psychosocial research but our articles span the fields of psychology, sociology, psychiatry, epidemiology, social policy, medicine, pharmacology and neuroscience. While theoretical orientations are diverse, the emphasis of the journal is primarily empirical. That is, sound experimental design combined with valid, reliable assessment and evaluation procedures are a requisite for acceptance. However, innovative and empirically oriented case studies that might encourage new lines of inquiry are accepted as well. Studies that clearly contribute to current knowledge of etiology, prevention, social policy or treatment are given priority. Scholarly commentaries on topical issues, systematic reviews, and mini reviews are encouraged. We especially welcome multimedia papers that incorporate video or audio components to better display methodology or findings. Studies can also be submitted to Addictive Behaviors? companion title, the open access journal Addictive Behaviors Reports, which has a particular interest in ''non-traditional'', innovative and empirically-oriented research such as negative/null data papers, replication studies, case reports on novel treatments, and cross-cultural research.