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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
Department Of General Psychiatry, Jianan Psychiatric Center, Ministry Of Health And Welfare, Tainan, Taiwan.
Institute Of Genomics And Bioinformatics, National Chung Hsing University, Taichung, Taiwan.
Department Of Psychiatry, School Of Medicine College Of Medicine, Kaohsiung Medical University, Kaohsiung, 802, Taiwan.
Department Of Medical Research, E-Da Hospital, Kaohsiung, 824, Taiwan.
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2022 (English)In: Journal of Behavioral Addictions, ISSN 2062-5871, E-ISSN 2063-5303, Vol. 11, no 2, p. 567-576Article in journal (Refereed) Published
Abstract [en]

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.

Place, publisher, year, edition, pages
Akademiai Kiado, 2022. Vol. 11, no 2, p. 567-576
Keywords [en]
addictive behaviors, internet addiction, schizophrenia, sleep, smartphone use, social function, stigma
National Category
Psychiatry
Identifiers
URN: urn:nbn:se:hj:diva-56439DOI: 10.1556/2006.2022.00012ISI: 000829214700003PubMedID: 35394922Scopus ID: 2-s2.0-85128835404Local ID: GOA;intsam;811444OAI: oai:DiVA.org:hj-56439DiVA, id: diva2:1657348
Available from: 2022-05-10 Created: 2022-05-10 Last updated: 2022-08-10Bibliographically approved

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Pakpour, Amir H.

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