Effect of Smartphone Addiction, Self-Esteem, and Mental Health on Grit among Nursing Students: A Cross-Sectional Study
Keywords:
Grit, Mental health, Self-esteem, Smartphone addiction, Nursing studentAbstract
Grit is a sense of strength, patience, and persistence which helps students to overcome challenges. It is considered as an indicator of academic success and well-being. However, research on factors associated with grit is limited, especially among nursing students. This cross-sectional study examined the relationship of smartphone addiction, self-esteem, and mental health on grit and grade point average (GPA) among nursing students in Thailand. A total of 989 nursing students completed a paper-based survey measuring smartphone addiction, self-esteem, depression, anxiety, stress, grit, GPA along with demographic items. Grit is negatively related to depression, anxiety, stress, and smartphone addiction (r = -.51, r = -.37, r = -.42, r = -.36, respectively, with p < 0.001), but positively associated with self-esteem (r = .56, p <0.001). The GPA was higher among the participants who reported fewer depressive symptoms (r = -.09, p < 0.001), higher self-esteem (r = .13, p < 0.001), and higher grit (r = .17, p <0.001). Self-esteem, smartphone addiction, and depression are the significant predictors for grit with adjusted R2 = 0.379, F (5,985) = 121.11, p <0.001. Class level and grit significantly predicted G.P.A with adjusted R2 = 0.140, F (5,850) = 28.755, p <0.001. Nursing programs as well as mental health professionals may routinely screen for psychological disturbance in nursing students who have potential risks for mental health and smartphone addiction. Health promotion programs to help nursing students manage their physical and mental health while building stronger grit may be the key to nursing students’ success.
References
Duckworth AL, Peterson C, Matthews MD, Kelly DR. Grit: Perseverance and passion for long-term goals. J Pers Soc Psychol. 2007; 92(6): 1087-101. DOI: 10.1037/0022-3514.92.6.1087
Shih AF, Maroongroge S. The importance of grit in medical training. Journal of Graduate Medical Education. 2017; 9(3): 399. DOI: 10.4300/JGME-D-16-00852.1
Yaure RG, Murowchick E, Schwab JE, Jacoobson-McConnell L. How grit and resilience predict successful academic performance. J of Access, Retention, and Inclusion in Higher Education. 2020; 3(1), article 6. Available from: https://digitalcommons.wcupa.edu/jarihe/vol3/iss1/6, access 11 April, 2024.
Yang C, Yang L, Wu D. The influence of grit on nurse job satisfaction: Mediating effects of perceived stress and moderating effects of optimism. Front Psychol. 2023; 13: 1094031. DOI: 10.3389/fpsyg.2022.1094031
Jamshidi N, Molazem Z, Sharif F, Torabizadeh C, Kalyani MN. The challenges of nursing students in the clinical learning environment: A qualitative study. Sci World J 2016. Available from: https://doi.org/10.1155/2016/1846178, accessed 11 November, 2023.
Datu JAD. Beyond Passion and Perseverance: Review and Future Research Initiatives on the Science of Grit Front Front Psychol. 2021; 11: 545526. DOI:10.3389/fpsyg.2020.545526
Terry D, Peck B. Factors that impact measures of grit among nursing students: A journey emblematic of the Koi fish. Eur J Investig Health Psychol Educ. 2020; 10(2): 564-74. DOI: 10.3390/ejihpe10020041
Kuyucu M. (2017). Use of smartphone and problematic of smartphone addiction in young people: ‘Smartphone (Colic)” university youth. Global Media J. 2017; 7(14): 328-59.
Sahama M, Hawi NS. Relationships among smartphone addiction, stress, academic performance, and satisfaction with life. CHB Reports. 2016; 57(1): 321-25. DOI: 10.1016/j.chb.2015.12.045
Kazmi SAJ. Effect of internet addiction on academic performance and mental health of Medical students. JBUMDC. 2018; 9(1): 48-52.
Hashmi F, Aftab H, Martins JM, Mata MN, Qureshi HA, Abreu A, et al. The role of self-esteem, optimism, deliberative thinking and self-control in shaping the financial behavior and financial well-being of young adults. PLoS ONE. 2021; 16(9): e0256649.
DOI: 10.1371/journal.pone.0256649
Neroni J, Meijs C, Kirschner PA, Xu KM, de Groot R. Academic self-efficacy, self-esteem, and grit in higher online education: Consistency of interests predicting academic success Soc Psychol Educ. 2022; 25(4). Available from: http://dx.doi.org.libproxy.csudh.edu/10.1007/s11218-022-09696-5, accessed 11 November, 2023.
Campbell F, Blank L, Cantrell A, Baxter S, Blackmore C, Dixon J, Goyder E. Factors that influence mental health of university and college students in the UK: a systematic review. BMC Public Health. 2022; 22: 1778. DOI: 10.1186/s12889-022-13943-x
Zhang M, Mou N, Tong K, Wu A. Investigation of the effects of purpose in life, grit, gratitude, and school belonging on mental distress among Chinese emerging adults. Int J Environ Res Public Health. 2018;15(10):2147. Available from: http://dx.doi.org/10.3390/ijerph15102147, accessed 11 November, 2023.
Datu JAD, King RB, Valdez JPM, Eala MSM. Grit is associated with Lower Depression via Meaning in Life among Filipino High School Students. Y & S. 2018; 51(6): 865–76. DOI: 10.1177/0044118X18760402
Sharkey CM, Bakula DM, Baraldi AN, Perez MN, Suorsa KI, Chaney JM, et al. Grit, illness-related distress, and psychosocial outcomes in college students with a chronic medical condition: A path analysis. J Pediatr Psychol. 2017; 43(5): 52–560. DOI: 10.1093/jpepsy/jsx145
Faul F, Erdfelder E, Buchner A, Lang AG. Statistical power analyses using G*Power 3.1: Tests for correlation and regression analyses. Behav Res Methods. 2009; 41: 1149-60. DOI:10.3758/BRM.41.4.1149
Ferguson CJ. An effect size primer: a guide for clinicians and researchers. Professional Psychology: Research Practice. 2009; 40(5): 532-38. DOI: 10.1037/a0015808
Lovibond SH, Lovibond PF. Manual for the Depression, Anxiety and Stress Scales. 2nd ed. Sydney: Psychology Foundation. 1995.
Wittayapun Y., Summart U, Polpanadham P, Direksunthorn T, Paokanha R, Judabood N, Zulfatul A’la F. Validation of depression, anxiety, and stress scales (DASS-21) among Thai nursing students in an online learning environment during the COVID-19 outbreak. A multi-center study. 2023; 18(6): e0288041. DOI: 10.1371/journal.pone.0288041
Charoenwanit S, Soonthornchaiya R. Development of Smartphone Addiction Scale: Thai Short Version (SAS-SV-TH). J Ment Health Thai. 2019; 27(1): 25-36. (In Thai)
Rosenberg M. Rosenberg self-esteem scale (RSE). Acceptance and commitment therapy. Measures Package. 1965; 61(52): 18.
Wongpakaran T, Wongpakaran N. A Comparison of Reliability and Construct Validity between the Original and the revised version of the Rosenberg Self Esteem Scale. Psychiatry Investig. 2012;9(1):54-8. DOI: 10.4306/pi.2012.9.1.54
Duckworth AL, Quinn PD. Development and validation of the short grit scale (grit-s).
J Pers Assess. 2009; 91(2): 166–74. DOI: 10.1080/00223890802634290
Musumari PM, Tangmunkongvorakul A, Srithanaviboonchai K, Techasrivichien T, Suguimoto SP, Ono-Kihara M, et al. Grit is associated with lower level of depression and anxiety among university students in Chiang Mai, Thailand: A cross-sectional study. PLoS ONE. 2018; 13(12): e0209121. DOI: 10.1371/journal.pone.0209121
Shin E. The relationship between nursing students’ academic achievement, depression, anxiety and Grit. J. Korean Soc Sch Health. 2020; 33(3): 156-63. DOI: 10.15434/kssh.2020.33.3.156
Yoo, K, & Choi, Y. Effects of academic stress on smartphone addiction in university students: Grit’s mediation effect. J Humanit and Soc Sci. 2019; 10(5): 635-50.
Yang H, Tng GYQ, Khoo SS, et al. Multidimensional profiles of addictive smartphone use: a latent profile analysis. Curr Psychol. 2022;114. DOI:10.1007/s12144-022-02881-x
Wacks Y, Weinstein AM. Excessive smartphone use is associated with health problems in adolescents and young adults. Front Psychiatry. 2021; 12: e669042: 1-7. DOI: 10.3389/fpsyt.2021.669042
Wan Ismail SW, Sim ST, Tan KA, Bahar NB, Ibrahim N, Mahadevan R, Jaafar NRN, Baharudin A, Aziz MA. The relations of internet and smartphone addictions to depression, anxiety, stress, and suicidality among public university students in Klang Villey, Malaysia. Perspect Psychiatr Care. 2020; 56(1): 949-95. DOI: 10.1111/ppc.12517
Spiratos K, Ratanasiripong P. Problematic smartphone use among high school students. J Sch Adm Res. Dev. 2023; 8(2): 76-86. DOI: 10.32674/jsard.v8i2.4893
Konan N, Durmus E, Turkoglu D, & Bakir AA. How is smartphone addiction related to interaction anxiety of prospective teachers?. Educ Sci. 2018; 8(1): 186. DOI: 10.3390/educsci8040186
Satici B, Deniz ME. Modeling emotion regulation and subjective happiness: smartphone addiction as a mediator. Addicta. 2020; 7(10): 146-52. DOI: 10.5152/ADDICTA.2020.20035
Isenberg G, Brown A, DeSantis J, Veloski J, Hojat M. The relationship between grit and selected personality measures in medical students. Int J Med Educ. 2020; 11(1): 25-30. DOI: 10.5116/ijme.5e01.f32d
Ruz MEA, Al-Akash HY, Jarrah S. Persistent (anxiety and depression) affected academic achievement and absenteeism in nursing students. Open Nurs J. 2018; 12: 171-79. DOI: 10.2174/1874434601812010171
Attia NM, Abdelwahid AEA. Grit, self-regulation and self-efficacy as predictors of academic procrastination among nursing students. Int J Nurs Educ. 2020; 12(1): 130-35. DOI: 10.37506/ijone.v12i1.3720
Downloads
Published
Issue
Section
License

This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
Creative Commons License CC-BY-ND