Author:
Xie Haibo,Tao Shuman,Zhang Yukun,Tao Fangbiao,Wu Xiaoyan
Abstract
Abstract
Background
Insufficient physical activity (IPA) and mobile phone dependence are common coexisting behaviors among college students. However, the impact of the synergies between the two behaviors on depression has yet to be validated. Therefore, this study evaluated independent and interactive associations of problematic mobile phone use (PMPU) and IPA with depression symptoms and increased depressive symptoms among Chinese college students.
Methods
In total, 2134 college students participated in this follow-up study, which was conducted between June 2014 (wave 1) and December 2014 (wave 2) at Anhui Medical University. The Self-rating Questionnaire for Adolescent Problematic Mobile Phone Use and the Center for Epidemiologic Studies Depression Scale were used to assess PMPU and depression symptoms, respectively. Physical activity (PA) was assessed with a reliable question from the Youth Risk Behavior Survey. Joint effects of PMPU and PA were calculated, and increased depressive symptoms were assessed. We used multivariable-adjusted odds ratios (OR) with 95% confidence intervals (CI) to evaluate associations between depression symptoms and PMPU, IPA, and the PMPU/IPA joint effect, estimated by binary logistic regression models.
Results
PMPU and high PMPU/IPA joint effect scores were significantly associated with depression symptoms in waves 1 (OR 7.36, 95% CI: 5.09, 10.66) and 2 (OR 3.74, 95% CI: 2.56, 5.48). IPA was significantly associated with depression symptoms in wave 1 (OR 1.40, 95% CI: 1.09, 1.79) but not wave 2 (OR 1.24, 95% CI: 0.95, 1.62). PMPU and high PMPU/IPA joint effect scores were also significantly associated with increased depressive symptoms (OR 2.36, 95% CI: 1.55, 3.60).
Conclusions
These results suggest that PMPU is an important factor for depression in college students, and IPA may be a synergistic factor.
Funder
National Natural Science Foundation of China
Publisher
Springer Science and Business Media LLC
Subject
Public Health, Environmental and Occupational Health
Reference46 articles.
1. World Health Organization. Depression and Other Common Mental Disorders Global Health Estimates. WHO press. Geneva. 2017.
2. Chan V, Moore J, Derenne J, Fuchs DC. Transitional age youth and college mental health. Child AdolescPsychiatrClin N Am. 2019;28(3):363–75.
3. Wu XY, Tao SM, Zhang SC, Zhang YK, Chen KH, Yang YJ, et al. Impact of screen time on mental health problems progression in youth: a 1-yearfollow-up study. BMJ Open. 2016;6:e011533.
4. Haghighatdoost F, Feizi A, Esmaillzadeh A, Christine FB, Ammar Hassanzadeh K, Hamid A, et al. Association between the dietary inflammatory index and common mental health disorders profile scores. ClinNutr. 2019;38(4):1643–50.
5. Frank E, Anderson B, Reynolds CF, Ritenour A, Kupfer DJ. Life events and the research diagnostic criteria endogenous subtype. A confirmation of the distinction using the Bedford college methods. Arch Gen Psychiatry. 1994;51(7):519–24.