Smartphone Addiction, Daytime Sleepiness and Depression among Undergraduate Medical Students: A Cross-sectional Study in a Medical College of Kolkata, India
DOI:
https://doi.org/10.33192/smj.v75i11.265331Keywords:
Depression, Excessive sleepiness, Medical students, Smartphone addictionAbstract
Objective: Smartphone addiction has become an emerging problem among the youth, especially among medical students in India. It has the potential to hamper their sleep quality as well act as a precipitating factor for depression. This study thus assessed the magnitude of smartphone addiction, excessive daytime sleepiness and depression among undergraduate medical students in Kolkata and elicited its determinants.
Materials and Methods: This cross-sectional study was conducted among 204 undergraduate medical students in a selected medical college of Kolkata from March to June 2023. Smartphone addiction, daytime sleepiness and depression was assessed using the SAS-SV, EPSS and PHQ-9 questionnaires. Logistic regression analysis was undertaken to determine the associated factors of smartphone addiction, while Spearman’s correlation coefficient was estimated to find the relationship of smartphone addiction with depression and daytime sleepiness.
Results: Approximately 29.4% participants were addicted to smartphone, 45.5% were suffering from excessive daytime sleepiness. The depression scores on the PHQ-9 scale showed a mean value of 8.15 (±4.72). Factors significantly associated with smartphone addiction were increasing age (AOR=1.23, 95%CI=1.12-2.21), male gender (AOR=2.12, 95% CI=1.36-3.45) and duration of smart phone usage >6 hours per day (AOR=1.92, 95%CI=1.23-2.45). Smartphone addiction showed positive correlation with both daytime sleepiness (ρ =0.5, p-value<0.05) and depression (ρ=0.23, p-value=0.001)
Conclusion: Utmost care should be taken for promoting good mental health and wellbeing among medical students. Motivation and counselling sessions along with peer support groups can help in combating this addictive behaviour and depressive symptoms.
References
Government of India, Telecom Regulatory Authority of India. Telecom-subscription reports [Internet] Available from: https://www.trai.gov.in/release‑publication/reports/telecom‑subscriptions‑reports [last accessed on 2023, Mar 28]
Mordor Intelligence. Smartphone Market Size & Share Analysis - Growth Trends & Forecasts (2023 - 2028) [Internet] Available from: https://www.mordorintelligence.com/industry-reports/smartphones-market [last accessed on 2023, July 28]
Government of India, Digital India. [Internet] Available from: http://digitalindia.gov.in/. [last accessed on 2023, Mar 28]
Nowreen N, Ahad F. Effect of smartphone usage on quality of sleep in medical students. National Journal of Physiology, Pharmacy and Pharmacology. 2018;8(9):1366.
American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders. 5th ed. Washington DC: American Psychiatric Association; 2013.
Lin YH, Lin YC, Lee YH, Lin PH, Lin SH, Chang LR, et al. Time distortion associated with smartphone addiction: Identifying smartphone addiction via a mobile application(App). J Psychiatr Res. 2015;65:139-45.
Walsh SP, White KM. Me, my mobile and I: The role of self and prototypical identity influences in the prediction of mobile phone behavior. J Appl Soc Psychol. 2007;37:2405-34.
Roberts JA, Yaya LH, Manolis C. The invisible addiction: Cell‑phone activities and addiction among male and female college students. J Behav Addict. 2014;3:254‑65.
Haug S, Castro RP, Kwon M, Filler A, Kowatsch T, Schaub MP. Smartphone use and smartphone addiction among young people in Switzerland. J Behav Addictions. 2015;4:299-307.
Kuss DJ, Griffiths MD. Online social networking and addiction - A review of the psychological literature. Int J Environ Res Publ Health. 2011;8:3528-52.
Sahin S, Ozdemir K, Unsal A, Temiz N. Evaluation of mobile phone addiction level and sleep quality in university students. Pak J Med Sci. 2013;29:913-8.
Yogesh S, Abha S, Priyanka S. Short communication mobile usage and sleep patterns among medical students. Indian J Physiol Pharmacol. 2014;58:100-3.
Chatlaong T, Pitanupong J, Wiwattanaworaset P. Sleep Quality and Burnout Syndrome among Residents in Training at the Faculty of Medicine, Prince of Songkla University. Siriraj Med J. 2020;72(4):307-14.
Norphun N, Pitanupong J, Jiraphan A. Stress and Coping Strategies among Thai Medical Students in a Southern Medical School. Siriraj Med J. 2020;72(3):238-44.
Pitanupong J, Sathaporn K. The Prevalence and Factors Associated with Mistreatment Perception among Thai Medical Students in a Southern Medical School. Siriraj Med J. 2019;71(4):310-7.
Charan J, Biswas T. How to calculate sample size for different study designs in medical research?. Indian J Psychol Med. 2013;35(2):121-126.
Kwon M, Kim DJ, Cho H, Yang S. The smartphone addiction scale: Development and validation of a short version for adolescents. PLoS One. 2013;8:e83558.
Kwon M, Lee JY, Won WY, Park JW, Min JA, Hahn C, et al. Development and validation of a smartphone addiction scale (SAS). PLoS One. 2013;8:e56936.
Johns MW. A new method for measuring daytime sleepiness: The Epworth Sleepiness Scale. Sleep. 1991; 14(6):540-5.
Dagnew B, Andualem Z, Dagne H. Excessive daytime sleepiness and its predictors among medical and health science students of University of Gondar, Northwest Ethiopia: institution-based cross-sectional study. Health Qual Life Outcomes. 2020;18(1):299.
Kroenke K, Spitzer RL, Williams JB. The PHQ-9: validity of a brief depression severity measure. J Gen Intern Med. 2001;16(9):606-13.
Pentapati SSK, Debnath DJ. Updated BG Prasad's classification for the year 2022. J Family Med Prim Care. 2023;12(1):189-90
Choudhury S, Saha I, Som TK, Ghose G, Patra M, Paul B. Mobile phone involvement and dependence among undergraduate medical students in a Medical College of West Bengal, India. J Educ Health Promot. 2019;8:1.
Ghosh T, Sarkar D, Sarkar K, Dalai CK, Ghosal A. A study on smartphone addiction and its effects on sleep quality among nursing students in a municipality town of West Bengal. J Family Med Prim Care. 2021;10(1):378-86.
Sethuraman AR, Rao S, Charlette L, Thatkar PV, Vincent V. Smartphone addiction among medical college students in the Andaman and Nicobar Islands. Int J Community Med Public Health. 2018;5:4273-7.
Chatterjee S, Kar SK. Smartphone addiction and quality of sleep among Indian medical students. Psychiatry. 2021;84(2):182-91.
Dutta G, Rajendran N, Kumar T, Varthya SB, Rajendran V. Prevalence of Depression Among Undergraduate Medical Students in India: A Systemic Review and Meta-Analysis. Cureus. 2023;15(1):e33590.
Santander-Hernández FM, Peralta CI, Guevara-Morales MA, Díaz-Vélez C, Valladares-Garrido MJ. Smartphone overuse, depression & anxiety in medical students during the COVID-19 pandemic. PLoS One. 2022;17(8):e0273575.
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