Cited by 11Impact of Technology on AdolescentsCOVID-19 and Mental HealthStudent Stress and Coping

The Association Between Intolerance of Uncertainty and Mobile Phone Addiction Among Overseas Chinese Students During COVID-19: The Mediating Roles of Perceived Stress and Rumination

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Sang, Ziyang, Chen, Hui-Fang, Yeung, Jerf, Xu, Leilei·2024·Psychology Research and Behavior Management

Abstract

Purpose: This study investigated the mechanism underlying the association between intolerance of uncertainty and mobile phone addiction among Chinese overseas students during the COVID-19 pandemic by examining the mediating roles of perceived stress and rumination. Patients and Methods: An online questionnaire survey was distributed via social media platforms popular in mainland China. The items collected demographic information and assessed intolerance of uncertainty, perceived stress, rumination, and mobile phone addiction. A total of 249 respondents completed the questionnaire. Results: The findings suggest a considerably high risk of mobile phone addiction in the study period among overseas Chinese students, as three-fourths of the participants may have been susceptible to mobile phone addiction according to the suggested cut-off point of the Chinese version of the Smartphone Addiction Scale-Short Form. Intolerance of uncertainty showed a significant positive direct effect on mobile phone addiction. The mediation analyses suggest that intolerance of uncertainty affected mobile phone addiction mainly through three pathways: the mediating effect of perceived stress, the mediating effect of rumination, and the chain mediating effect of perceived stress and rumination. Conclusion: This study enhances understanding of mobile phone addiction among Chinese overseas students and suggests the mediating roles of rumination and perceived stress in the relationship between intolerance of uncertainty and mobile phone addiction. The study also provides suggestions for interventions among Chinese students overseas.

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  • A direct effect of IU on problematic social media use and mobile addiction was found.

    “A direct effect of IU on problematic social media use [98] and mobile addiction [99]”

    From Impact of Media-Induced Uncertainty on Mental Health: Narrative-Based Perspective. (2025) · cites this paper as [99]

    The Discussion reports a positive association between intolerance of uncertainty (IU) and mobile phone addiction among overseas Chinese students during COVID-19. But it explicitly says the direct effect was not significant after perceived stress and rumination were included in the model. Citation [99] is attached to the mobile-addiction claim, not the separate social-media-use claim. (LLM, conf=0.91)

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Research works printed but not linked: 7

  1. [30]Demirtas AS, Yildiz B. Hopelessness and perceived stress: the mediating role of cognitive flexibility and intolerance of uncertainty. Dusunen Adam. 2019; 32(3): 259– 267.
  2. [53]Wu LJ, Wang JN, Qi XD. Validity and reliability of the Intolerance of Uncertainty Scale-12 in middle school students. Chin Ment Health J. 2016; 30(09): 700– 705.
  3. [55]Xiang MQ, Wang ZR, Ma B. Reliability and validity of Chinese version of the smartphone addiction scale in adolescents. Chin J Clin Psychol. 2019; 27(05): 959– 964.
  4. [60]Han X, Yang HF. Chinese version of Nolen-Hoeksema ruminative responses scale (RRS) used in 912 college students: reliability and validity. Chin J Clin Psychol. 2009; 17(5): 550– 551.
  5. [68]Dhanalakshmi D. Perceived stress, cognitive distortion, sense of coherence and health among college students. Indian J Health Wellbeing. 2015; 6(3): 287– 291.
  6. [74]Mittelmeier J, Cockayne H. Global depictions of international students in a time of crisis: a thematic analysis of Twitter data during COVID-19. Int Stud Sociol Educ. 2020; 2020: 1.
  7. [77]Chen JJ, Li HP, Yang YJ. Mediation effect of psychological resilience in the relationship between mobile phone addiction and mental health in college students. Mod Prevent Med. 2020; 47(01): 93– 96.

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Authors
Sang, Z., Chen, H.-F., Yeung, J., & Xu, L.
Affiliations
City University of Hong Kong (HK)
Corresponding author
  • Sang, Ziyang
  • Chen, Hui-Fang
  • Yeung, Jerf
  • Xu, Leilei
Venue
Psychology Research and Behavior Management
Published
2024-07
Volume
Volume 17
Pages
2573-2585
ISSN
1179-1578 (ISSN-L)
OpenAlex
W4400300655
Cited by
11
References
74
Citations by year
2026: 4 · 2025: 6 · 2024: 1
FWCI
7.89
Type
journal article
Language
en
Open access
Locations
  • Psychology Research and Behavior Management (publishedVersion, cc-by-nc)
  • PubMed Central (publishedVersion, cc-by-nc)
  • PubMed (publishedVersion)
  • Dove Medical Press (Taylor and Francis Group) (submittedVersion, cc-by-nc)
  • CityU Scholars (submittedVersion, cc-by-nc)
Funders
City University of Hong Kong
Topics
  • Social Sciences › Sociology and Political Science › Impact of Technology on Adolescents
  • Social Sciences › Psychology › Clinical Psychology › COVID-19 and Mental Health
  • Social Sciences › Psychology › Developmental and Educational Psychology › Student Stress and Coping
Keywords
intolerance of uncertainty, mobile phone addiction, smartphone addiction, perceived stress, rumination, Chinese overseas students, COVID-19 pandemic, mediation, Chinese international students

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