title: Effects of Sleep Quality on the Association between Problematic Mobile Phone Use and Mental Health Symptoms in Chinese College Students.
abstract: Problematic mobile phone use (PMPU) is a risk factor for both adolescents' sleep quality and mental health. It is important to examine the potential negative health effects of PMPU exposure. This study aims to evaluate PMPU and its association with mental health in Chinese college students. Furthermore, we investigated how sleep quality influences this association. In 2013, we collected data regarding participants' PMPU, sleep quality, and mental health (psychopathological symptoms, anxiety, and depressive symptoms) by standardized questionnaires in 4747 college students. Multivariate logistic regression analysis was applied to assess independent effects and interactions of PMPU and sleep quality with mental health. PMPU and poor sleep quality were observed in 28.2% and 9.8% of participants, respectively. Adjusted logistic regression models suggested independent associations of PMPU and sleep quality with mental health (p< 0.001). Further regression analyses suggested a significant interaction between these measures (p< 0.001). The study highlights that poor sleep quality may play a more significant role in increasing the risk of mental health problems in students with PMPU than in those without PMPU.
authors.affiliation: Department of Maternal, Child & Adolescent Health, School of Public Health, Anhui Medical University, Hefei 230032, China. shumantao@126.com.
authors.forename: Shuman
authors.initials: S
authors.lastname: Tao
authors.affiliation: Department of Maternal, Child & Adolescent Health, School of Public Health, Anhui Medical University, Hefei 230032, China. xywu85@126.com.|Anhui Provincial Key Laboratory of Population Health & Aristogenics, Hefei 230032, China. xywu85@126.com.
authors.forename: Xiaoyan
authors.initials: X
authors.lastname: Wu
authors.affiliation: Department of Maternal, Child & Adolescent Health, School of Public Health, Anhui Medical University, Hefei 230032, China. zhangyukun1106@gmail.com.
authors.forename: Yukun
authors.initials: Y
authors.lastname: Zhang
authors.affiliation: Department of Maternal, Child & Adolescent Health, School of Public Health, Anhui Medical University, Hefei 230032, China. season0724@gmail.com.|Anhui Provincial Key Laboratory of Population Health & Aristogenics, Hefei 230032, China. season0724@gmail.com.
authors.forename: Shichen
authors.initials: S
authors.lastname: Zhang
authors.affiliation: Anhui Provincial Key Laboratory of Population Health & Aristogenics, Hefei 230032, China. s.tong@qut.edu.au.|School of Public Health and Social Work, Queensland University of Technology, Kelvin Grove, QLD 4059, Australia. s.tong@qut.edu.au.
authors.forename: Shilu
authors.initials: S
authors.lastname: Tong
authors.affiliation: Department of Maternal, Child & Adolescent Health, School of Public Health, Anhui Medical University, Hefei 230032, China. fbtao@ahmu.edu.cn.|Anhui Provincial Key Laboratory of Population Health & Aristogenics, Hefei 230032, China. fbtao@ahmu.edu.cn.
authors.forename: Fangbiao
authors.initials: F
authors.lastname: Tao
mesh_terms: D000293:Adolescent; D000328:Adult; D001008:Anxiety Disorders / Q000209:etiology*; D044466:Asian People / Q000523:psychology; D001292:Attitude to Computers; D040421:Cell Phone; D003430:Cross-Sectional Studies; D003863:Depression / Q000209:etiology*; D005260:Female; D006801:Humans; D016015:Logistic Models; D008297:Male; D008603:Mental Health / Q000706:statistics & numerical data*; D012307:Risk Factors; D012893:Sleep Wake Disorders / Q000209:etiology*; D013334:Students / Q000523:psychology* / Q000706:statistics & numerical data*; D011795:Surveys and Questionnaires; D014495:Universities; D055815:Young Adult
keywords: anxiety; cellular phone; cross-sectional studies; depression; sleep