Cited by 213Impact of Technology on AdolescentsSexuality, Behavior, and TechnologyChild Development and Digital Technology

The DOI matches its Crossref record; 43 of the 47 references it cites were found in a registry or an index; none of the 34 sources its claims cite is checked for support yet.

Comparing generalized and specific problematic smartphone/internet use: Longitudinal relationships between smartphone application-based addiction and social media addiction and psychological distress

Open access

Abstract

Background and aims: The literature has proposed two types of problematic smartphone/internet use: generalized problematic use and specific problematic use. However, longitudinal findings on the associations between the two types of problematic use and psychological distress are lacking among East-Asians. The present study examined temporal associations between both generalized and specific problematic use of the smartphone/internet, and psychological distress. Methods: Hong Kong University students ( N = 308; 100 males; mean age = 23.75 years; SD ± 5.15) were recruited with follow-ups at three, six, and nine months after baseline assessment. All participants completed the Smartphone Application-Based Addiction Scale (for generalized problematic smartphone/internet use), the Bergen Social Media Addiction Scale (for specific problematic smartphone/internet use), and the Hospital Anxiety and Depression Scale (for psychological distress) in each assessment. Latent growth modeling (LGM) was constructed to understand temporal associations between generalized/specific problematic use and psychological distress. Results: The LGM suggested that the intercept of generalized problematic use was significantly associated with the intercept of psychological distress (standardized coefficient [ β ] = 0.32; P < 0.01). The growth of generalized problematic use was significantly associated with the growth of psychological distress ( β = 0.51; P < 0.01). Moreover, the intercept of specific problematic use was significantly associated with the intercept of psychological distress ( β = 0.28; P < 0.01) and the growth of psychological distress ( β = 0.37; P < 0.01). Conclusion: The initial level of problematic use of smartphone/internet increased the psychological distress among university students. Helping young adults address problematic use of the smartphone/internet may prevent psychological distress.

Overview

AI snapshot

Written from the paper’s full text.

TL;DR

In a longitudinal sample of Hong Kong university students, both generalized and specific problematic smartphone/internet use were positively associated with psychological distress over nine months. Initial social media addiction predicted both initial and growth in distress, while growth in generalized problematic use predicted growth in distress.

Key findings

  • Generalized problematic use: intercept associated with psychological distress intercept (β = 0.32, P < 0.01); growth associated with growth of psychological distress (β = 0.51, P < 0.01).
  • Specific problematic use (social media): intercept associated with psychological distress intercept (β = 0.28, P < 0.01) and with growth of psychological distress (β = 0.37, P < 0.01).
  • SABAS, BSMAS, and HADS scores were significantly correlated across all four time points (r = 0.174 to 0.854; all P < 0.01).
  • The LGM models supported the direction from problematic use to psychological distress more than the reverse direction; the reverse-direction models had fit concerns, including a Heywood case in the third model and an RMSEA 90% CI of 0.110 in the fourth model.

Methods

  • Longitudinal online survey of Hong Kong university students: N = 308 at baseline (mean age = 23.75 years, SD = 5.15); follow-ups at three, six, and nine months; 114 completed all follow-ups, 58 completed two, and 40 completed one.
  • Measures: Smartphone Application-Based Addiction Scale (SABAS) for generalized problematic smartphone/internet use, Bergen Social Media Addiction Scale (BSMAS) for specific problematic use, and Hospital Anxiety and Depression Scale (HADS) for psychological distress.
  • Analysis: latent growth modeling (LGM) within structural equation modeling, adjusting for age and gender; full information maximum likelihood (FIML) for missing data; four models tested problematic use → distress and distress → problematic use.

Limitations

  • The paper states: no data on when participants began using social media/smartphones; mental illness was self-reported and not confirmed by psychiatric interview or records; convenience sampling of university students, mostly from one university, limits generalizability; missing data appeared not to be missing at random, with completers differing from non-completers in age and hours of smartphone/social media use; Hong Kong-specific findings may not generalize; impactful life events between assessments were not collected; all data were self-reported and subject to recall and social desirability biases; only one specific form of problematic use (social media) was assessed.
  • Evident in the text: attrition was substantial (114 of 308 completed all follow-ups), and the reverse-direction LGM models had fit problems, including a Heywood case and an RMSEA confidence interval exceeding the acceptable cutoff in one model.

Model-written summary. Check it against the paper before relying on it.

Integrity signals

Registry

Crossref · 10.1556/2006.2020.00023

Cites

43 of 43 references verified0 citation errors · 0 not checkable

Statistics

Nothing to recompute.

Verification

Claims the paper makes

0 of 34 cited sources checked · 0 supported · 0 flagged

Show all 25 claims

  • Probably not a substantial claim. 21
  • It may state two separate claims as one. 12
  • The quote only partly states this claim. 1
29 of 29
  • The paper relies on this without support.

    Rarely has research used a longitudinal design to examine relationships between problematic smartphone/internet use and poor mental health in an East-Asian context.

    “rarely has research used a longitudinal design to examine such relationships in an East-Asian context.”
  • The paper relies on this without support.

    The direction between problematic use and psychological distress is still a matter of debate in the literature.

    “given that the direction between problematic use and psychological distress is still a matter of debate in the literature”
  • The paper relies on this without support.

    Missing data in SABAS, BSMAS, and HADS scores were missing at random.

    “A full information maximum likelihood (FIML) method was used to impute missing data in SABAS, BSMAS, and HADS scores for all the participants.”
  • The paper relies on this without support.

    The convenience sample of Hong Kong university students is representative of university students in general.

    “Convenience sampling was used and 400 students were invited to participate (response rate = 77%).”
  • The paper relies on this without support.

    The association between problematic use and psychological distress is not confounded by unmeasured variables.

    “two models were constructed adjusting for age and gender.”
5 of 5

Claims other papers make about this one

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Self-check

Percentages, sums and reported differences re-computed from the paper’s own numbers.

Each contradiction between two passages listed here was confirmed by an independent check.

  • Female proportion is reported as the male proportion

    Minor

    The results say 32.5% of participants were female, but Table 1 identifies 100 of 308 participants (32.5%) as male.

1 of 1

Citations

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Show all 47 references

4 of the 47 references couldn’t be matched to a known paper.

Research works printed but not linked: 44

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Cited by

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Metadata

Authors
Chen, I.-H., Pakpour, A. H., Leung, H., Potenza, M. N., Su, J.-A., Lin, C.-Y., & Griffiths, M. D.
Affiliations
  • Minnan Normal University (CN)
  • Qazvin University of Medical Sciences (IR)
  • City University of Hong Kong (HK)
  • Yale University (US)
  • Chang Gung University (TW)
  • Hong Kong Polytechnic University (HK)
  • Nottingham Trent University (GB)
Corresponding author
Lin, Chung-Ying
Venue
Journal of Behavioral Addictions
Published
2020-06
Volume
9
Issue
2
Pages
410-419
ISSN
  • 2062-5871 (ISSN-L)
  • 2063-5303
OpenAlex
W3037865145
Cited by
213
References
47
Citations by year
2026: 23 · 2025: 38 · 2024: 35 · 2023: 33 · 2022: 47 · 2021: 32 · 2020: 5
FWCI
39.10
Type
journal article
Language
en
Open access
Locations
  • Journal of Behavioral Addictions (publishedVersion, cc-by-nc)
  • PubMed Central (publishedVersion, cc-by-nc)
  • PubMed (publishedVersion)
  • Nottingham Trent University's Institutional Repository (Nottingham Trent Repository) (acceptedVersion)
  • Repository of the Academy's Library (Library of the Hungarian Academy of Sciences) (acceptedVersion)
  • CityU Scholars (submittedVersion, cc-by-nc)
  • PolyU Institutional Research Archive (Hong Kong Polytechnic University) (submittedVersion, cc-by-nc)
Funders
Hong Kong Polytechnic University
Topics
  • Social Sciences › Sociology and Political Science › Impact of Technology on Adolescents
  • Social Sciences › Psychology › Clinical Psychology › Sexuality, Behavior, and Technology
  • Social Sciences › Education › Child Development and Digital Technology
Keywords
smartphone addiction, problematic internet use, social media addiction, psychological distress, anxiety, depression, university students, young adults, longitudinal associations
MeSH terms
Smartphone, Psychological Distress, Internet Addiction Disorder, Adolescent, Adult, Anxiety, Depression, Female, Hong Kong, Humans, Longitudinal Studies, Male, Stress, Psychological, Students, Universities, Young Adult, Social Media

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