Problematic smartphone use among Lebanese adults aged 18-65 years using MPPUS-10

Abstract Background While substance abuse and other forms of addiction are well established in the medical literature, problematic smartphone use is still under-diagnosed and potentially a widespread and serious form of addiction. Most of the literature is focused on adolescents and university students. We aimed to determine the extent of problematic smartphone use among adults aged 18 to 65. Methodology This study is a cross-sectional study among Lebanese adults (18-65y) using a phone-based survey. The questionnaire included basic demographics, types of smartphone use, the validated MPPUS-10, and questions screening for depression and obsessive-compulsive disorder. Results A total of 207 adults participated with a response rate of 69%. The mean score on the MPPUS-10 questionnaire was 44.3 ± 17.3. The prevalence of problematic smartphone use among Lebanese adults was found to be 20.2% with 95% CI [14.7,25.7]. Chatting was the most used smartphone function on a typical day. Higher MPPUS score was associated with people who were younger (mainly 18–34 years), unmarried, and had mobile data subscription. The internal reliability and consistency of the MPPUS-10 in our sample was acceptable. Exploratory factor analysis revealed three components that explained 59.3% of the total variance with intrinsic value above 1. Conclusion This eye-opening study reveals that smartphone problematic use among older adults is considerable and warrants further exploration. Smartphones are turning into essential accessible communication tools of daily life. Adults should be aware when to draw the line to avoid problematic use of their smartphones.

[1]  C. Montag,et al.  Smartphone usage in the 21st century: who is active on WhatsApp? , 2015, BMC Research Notes.

[2]  S. Walsh,et al.  Needing to connect: The effect of self and others on young people's involvement with their mobile phones , 2010 .

[3]  Sung-Ja Koo,et al.  Effect of duration of smartphone use on muscle fatigue and pain caused by forward head posture in adults , 2016, Journal of physical therapy science.

[4]  Jung-Seok Choi,et al.  Latent class analysis on internet and smartphone addiction in college students , 2014, Neuropsychiatric disease and treatment.

[5]  Naeema H. Jabur,et al.  Smartphone Addiction among University Undergraduates: A Literature Review , 2015 .

[6]  J. Billieux,et al.  Prevalence and correlates of problematic smartphone use in a large random sample of Chinese undergraduates , 2016, BMC Psychiatry.

[7]  M. Röösli,et al.  Problematic mobile phone use in adolescents: derivation of a short scale MPPUS-10 , 2015, International Journal of Public Health.

[8]  G. Rubio,et al.  Cell-Phone Addiction: A Review , 2016, Front. Psychiatry.

[9]  Jung-Seok Choi,et al.  Comparison of risk and protective factors associated with smartphone addiction and Internet addiction , 2015, Journal of behavioral addictions.

[10]  M. Albuquerque,et al.  Assessment of the accuracy of a new tool for the screening of smartphone addiction , 2017, PloS one.

[11]  M. Hagberg,et al.  Mobile phone use and stress, sleep disturbances, and symptoms of depression among young adults - a prospective cohort study , 2011, BMC public health.

[12]  S. Davey,et al.  Assessment of Smartphone Addiction in Indian Adolescents: A Mixed Method Study by Systematic-review and Meta-analysis Approach , 2014, International journal of preventive medicine.

[13]  Jung-Hyun Kim,et al.  Alleviating depression only to become problematic mobile phone users: Can face-to-face communication be the antidote? , 2015, Comput. Hum. Behav..

[14]  Mark Asbridge,et al.  A meta-analysis of the effects of texting on driving. , 2014, Accident; analysis and prevention.

[15]  Jung-Hyun Kim,et al.  Smartphone-mediated communication vs. face-to-face interaction: Two routes to social support and problematic use of smartphone , 2017, Comput. Hum. Behav..

[16]  T. Kowatsch,et al.  Smartphone use and smartphone addiction among young people in Switzerland , 2015, Journal of behavioral addictions.

[17]  Mohammad Reza Mohammadi,et al.  Validation and Psychometric Properties of Mobile Phone Problematic Use Scale (MPPUS) in University Students of Tehran , 2015, Iranian journal of psychiatry.

[18]  Niko Männikkö,et al.  Self-reported dependence on mobile phones in young adults: A European cross-cultural empirical survey , 2017, Journal of behavioral addictions.

[19]  C. L. Bolle Who is a smartphone addict? The impact of personal factors and type of usage on smartphone addiction in a Dutch population , 2014 .

[20]  Sang Hyun Kim,et al.  An Introduction to Current Trends and Benefits of Mobile Wireless Technology Use in Higher Education , 2006 .

[21]  Andrew Lepp,et al.  The relationship between cell phone use, academic performance, anxiety, and Satisfaction with Life in college students , 2014, Comput. Hum. Behav..

[22]  William Gibson,et al.  Prevalence of Problematic Mobile Phone Use in British Adolescents , 2014, Cyberpsychology Behav. Soc. Netw..

[23]  Mehmet Barış Horzum,et al.  Smartphone addiction proneness in relation to sleep and morningness–eveningness in German adolescents , 2016, Journal of behavioral addictions.

[24]  M. Griffiths,et al.  An investigation into problematic smartphone use: The role of narcissism, anxiety, and personality factors , 2017, Journal of Behavioral Addictions.

[25]  Andrew Lepp,et al.  Mobile phone use among college students is a sedentary leisure behavior which may interfere with exercise , 2016, Comput. Hum. Behav..

[26]  Chih-Hung Ko,et al.  Proposed Diagnostic Criteria for Smartphone Addiction , 2016, PloS one.

[27]  R. Spitzer,et al.  The Patient Health Questionnaire-2: Validity of a Two-Item Depression Screener , 2003, Medical care.

[28]  G. Rubio,et al.  Prevalence of problematic cell phone use in an adult population in Spain as assessed by the Mobile Phone Problem Use Scale (MPPUS) , 2017, PloS one.

[29]  Thomas F. Nugent,et al.  Dynamic mapping of human cortical development during childhood through early adulthood. , 2004, Proceedings of the National Academy of Sciences of the United States of America.

[30]  JinSeop Kim,et al.  The relationship between smartphone use and subjective musculoskeletal symptoms and university students , 2015, Journal of physical therapy science.

[31]  James G. Phillips,et al.  Psychological Predictors of Problem Mobile Phone Use , 2005, Cyberpsychology Behav. Soc. Netw..

[32]  Suliman S. Aljomaa,et al.  Smartphone addiction among university students in the light of some variables , 2016, Comput. Hum. Behav..

[33]  M. Chóliz Mobile-phone addiction in adolescence : The Test of Mobile Phone Dependence ( TMD ) , 2012 .

[34]  Nahla Nola Bacha,et al.  Foreign Language Education in Lebanon: A Context of Cultural and Curricular Complexities , 2011 .

[35]  K. Demi̇rci̇,et al.  Relationship of Smartphone Use Severity with Sleep Quality, Depression, and Anxiety in University Students , 2015, Journal of behavioral addictions.

[36]  Namsu Park,et al.  Is Smartphone Addiction Comparable between Adolescents and Adults? Examination of the Degree of Smartphone Use, Type of Smartphone Activities, and Addiction Levels Among Adolescents and Adults , 2017 .

[37]  L. Korpinen,et al.  Self‐report of physical symptoms associated with using mobile phones and other electrical devices , 2009, Bioelectromagnetics.

[38]  D. Jaalouk,et al.  Depression, anxiety, and smartphone addiction in university students- A cross sectional study , 2017, PloS one.

[39]  M. Griffiths,et al.  Online Social Networking and Addiction—A Review of the Psychological Literature , 2011, International journal of environmental research and public health.

[40]  J. Elhai,et al.  Problematic smartphone use: A conceptual overview and systematic review of relations with anxiety and depression psychopathology. , 2017, Journal of affective disorders.

[41]  P. Maurage,et al.  Can Disordered Mobile Phone Use Be Considered a Behavioral Addiction? An Update on Current Evidence and a Comprehensive Model for Future Research , 2015, Current Addiction Reports.

[42]  Attila Körmendi,et al.  Smartphone use can be addictive? A case report , 2016, Journal of behavioral addictions.