A longitudinal study of the effects of problematic smartphone use on social functioning among people with schizophrenia: Mediating roles for sleep quality and self-stigma

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Chang, K. -CDepartment Of General Psychiatry, Jianan Psychiatric Center, Ministry Of Health And Welfare, Tainan, Taiwan (author)

A longitudinal study of the effects of problematic smartphone use on social functioning among people with schizophrenia : Mediating roles for sleep quality and self-stigma

Article/chapterEnglish2022

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Akademiai Kiado,2022
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LIBRIS-ID:oai:DiVA.org:hj-56439
https://urn.kb.se/resolve?urn=urn:nbn:se:hj:diva-56439URI
https://doi.org/10.1556/2006.2022.00012DOI

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Language:English
Summary in:English

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Subject category:art swepub-publicationtype

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Background and aims: Individuals with schizophrenia may often experience poor sleep, self-stigma, impaired social functions, and problematic smartphone use. However, the temporal relationships between these factors have not been investigated. The present study used a longitudinal design to examine potential mediating roles of poor sleep and self-stigma in associations between problematic smartphone use and impaired social functions among individuals with schizophrenia. Methods: From April 2019 to August 2021, 193 individuals with schizophrenia (mean [SD] age = 41.34 [9.01] years; 88 [45.6%] males) were recruited and asked to complete three psychometric scales: the Smartphone Application-Based Addiction Scale to assess problematic smartphone use; the Pittsburgh Sleep Quality Index to assess sleep quality; and the Self-Stigma Scale-Short Scale to assess self-stigma. Social functioning was evaluated by a psychiatrist using the Personal and Social Performance Scale. All measures were assessed five times (one baseline and four follow-ups) at three-month intervals between assessments. Results: General estimating equations found that problematic smartphone use (coefficient =-0.096, SE = 0.021; P < 0.001), sleep quality (coefficient =-0.134, SE = 0.038; P < 0.001), and self-stigma (coefficient =-0.612, SE = 0.192; P = 0.001) were significant statistical predictors for social functioning. Moreover, sleep quality and self-stigma mediated associations between problematic smartphone use and social functioning. Conclusion: Problematic smartphone use appears to impact social functioning longitudinally among individuals with schizophrenia via poor sleep and self-stigma concerns. Interventions aimed at reducing problematic smartphone use, improving sleep, and addressing self-stigma may help improve social functioning among individuals with schizophrenia.

Subject headings and genre

MEDICIN OCH HÄLSOVETENSKAP Klinisk medicin Psykiatri hsv//swe
MEDICAL AND HEALTH SCIENCES Clinical Medicine Psychiatry hsv//eng
addictive behaviors
internet addiction
schizophrenia
sleep
smartphone use
social function
stigma

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Chang, Y. -HInstitute Of Genomics And Bioinformatics, National Chung Hsing University, Taichung, Taiwan (author)
Yen, C. -FDepartment Of Psychiatry, School Of Medicine College Of Medicine, Kaohsiung Medical University, Kaohsiung, 802, Taiwan (author)
Chen, J. -SDepartment Of Medical Research, E-Da Hospital, Kaohsiung, 824, Taiwan (author)
Chen, P. -JDepartment Of Medical Research, E-Da Hospital, Kaohsiung City, 824005, Taiwan (author)
Lin, C. -YInstitute Of Allied Health Sciences, College Of Medicine, National Cheng Kung University, Tainan, 701401, Taiwan (author)
Griffiths, M. D.International Gaming Research Unit, Psychology Department, Nottingham Trent University, Nottingham, United Kingdom (author)
Potenza, M. N.Departments Of Psychiatry And Neuroscience, Child Study Center, School Of Medicine, Yale University, New Haven, CT, United States (author)
Pakpour, Amir H.Jönköping University,HHJ, Avdelningen för omvårdnad(Swepub:hj)pakpam (author)
Department Of General Psychiatry, Jianan Psychiatric Center, Ministry Of Health And Welfare, Tainan, TaiwanInstitute Of Genomics And Bioinformatics, National Chung Hsing University, Taichung, Taiwan (creator_code:org_t)

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In:Journal of Behavioral Addictions: Akademiai Kiado11:2, s. 567-5762062-58712063-5303

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By the author/editor: Chang, K. -C; Chang, Y. -H; Yen, C. -F; Chen, J. -S; Chen, P. -J; Lin, C. -Y; show more...; Griffiths, M. D.; Potenza, M. N.; Pakpour, Amir H.; show less...

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MEDICAL AND HEALTH SCIENCES: MEDICAL AND HEAL ...; and Clinical Medicin ...; and Psychiatry

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