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Smartphone Addiction, Sleep Quality and Musculoskeletal Disorders in University Students

Year 2024, Volume: 13 Issue: 3, 589 - 594, 25.12.2024
https://doi.org/10.53424/balikesirsbd.1460631

Abstract

Objective: Smartphone addiction may lead to many health issues. Excessive smartphone usage has been linked to musculoskeletal disorders and sleep problems. We aimed to examine the correlation between smartphone addiction, sleep quality and musculoskeletal disorders. Materials and Methods: 60 university students were included in the study. Individuals' smartphone addiction, sleep quality and musculoskeletal disorders were evaluated with the Smartphone Addiction Scale (SAS), Pittsburgh Sleep Quality Index (PSQI) and Cornell Musculoskeletal Discomfort Questionnaire (CMDQ), respectively. Results: There was a weak correlation between SAS and PSQI’s sleep efficiency, sleep disturbance, daytime dysfunction subscales, PSQI total score, and CMDQ’s lower extremity and spine subscales (p=0.021, r=0.30; p=0.020, r=0.30; p=0.008, r=0.34; p=0.008, r=0.34; p=0.029, r=0.28; p=0.019, r=0.30). There was a well correlation between SAS and CMDQ’s upper extremity subscale and CMDQ total score (p=0.001, r=0.43; p=0.001, r=0.42).
Conclusion: It was concluded that as smartphone addiction increases in students, musculoskeletal disorders increase. Smartphone addiction was particularly associated with the neck, shoulder, back, upper arm, wrist and hip regions. It was also concluded that smartphone addiction worsens sleep efficiency and general sleep quality and leads to sleep disturbance and daytime dysfunction.

References

  • Ağargün, M. Y., Kara, H., & Anlar, Ö. (1996). Pittsburgh uyku kalitesi indeksinin gecerligi ve guvenirligi. Turk Psikiyatri Dergisi, 7(2).
  • Akın, A., Altundağ, Y., Turan, M. E., & Akın, U. (2014). The validity and reliability of the Turkish version of the smart phone addiction scale-short form for adolescent. Procedia - Social and Behavioral Sciences, 152, 74–77. https://doi.org/https://doi.org/10.1016/j.sbspro.2014.09.157
  • Alsalameh, A. M., Harisi, M. J., Alduayji, M. A., Almutham, A. A., & Mahmood, F. M. (2019). Evaluating the relationship between smartphone addiction/overuse and musculoskeletal pain among medical students at Qassim University. Journal of Family Medicine and Primary Care, 8(9), 2953. https://doi.org/10.4103/JFMPC.JFMPC_665_19
  • Balagué, F., Troussier, B., & Salminen, J. J. (1999). Non-specific low back pain in children and adolescents: Risk factors. European Spine Journal, 8(6), 429–438. https://doi.org/10.1007/s005860050201
  • Bueno, G. R., Garcia, L. F., Bertolini, S. M. M. G., & Lucena, T. F. R. (2019). The Head down generation: Musculoskeletal symptoms and the use of smartphones among young university students. Telemedicine Journal and E-Health, 25(11), 1049–1056. https://doi.org/10.1089/TMJ.2018.0231
  • Buysse, D. J., Reynolds, C. F., Monk, T. H., Berman, S. R., & Kupfer, D. J. (1989). The Pittsburgh sleep quality index: A new instrument for psychiatric practice and research. Psychiatry Research, 28(2), 193–213. https://doi.org/10.1016/0165-1781(89)90047-4
  • Cain, N., & Gradisar, M. (2010). Electronic media use and sleep in school-aged children and adolescents: A review. Sleep Medicine, 11(8), 735–742. https://doi.org/10.1016/J.SLEEP.2010.02.006
  • Cha, S. S., & Seo, B. K. (2018). Smartphone use and smartphone addiction in middle school students in Korea: Prevalence, social networking service, and game use. Health Psychology Open, 5(1). https://doi.org/10.1177/2055102918755046
  • Demirci, K., Akgönül, M., & Akpinar, A. (2015). Relationship of smartphone use severity with sleep quality, depression, and anxiety in university students. Journal of Behavioral Addictions, 4(2), 85–92. https://doi.org/10.1556/2006.4.2015.010
  • Ding, D., & Li, J. (2017). Smartphone overuse – A growing public health issue. Journal of Psychology & Psychotherapy, 7(0), 289. https://doi.org/10.4172/2161-0487.1000289
  • Dolan, K. J., & Green, A. (2006). Lumbar spine reposition sense: the effect of a “slouched” posture. Manual Therapy, 11(3), 202–207. https://doi.org/10.1016/J.MATH.2006.03.003
  • Dworak, M., Schierl, T., Bruns, T., & Strüder, H. K. (2007). Impact of Singular Excessive Computer Game and Television Exposure on Sleep Patterns and Memory Performance of School-aged Children. Pediatrics, 120(5), 978–985. https://doi.org/10.1542/PEDS.2007-0476
  • Erdinc, O., Hot, K., & Ozkaya, M. (2011). Turkish version of the Cornell Musculoskeletal Discomfort Questionnaire: cross-cultural adaptation and validation. Work (Reading, Mass.), 39(3), 251–260. https://doi.org/10.3233/WOR-2011-1173
  • Fares, J., Fares, M., & Fares, Y. (2017). Musculoskeletal neck pain in children and adolescents: Risk factors and complications. Surgical Neurology International, 8, 72. https://doi.org/10.4103/SNI.SNI_445_16
  • Feise, R. J., & Menke, J. M. (2001). Functional rating index: a new valid and reliable instrument to measure the magnitude of clinical change in spinal conditions. Spine, 26(1), 78–87.
  • Grant, J. E., Potenza, M. N., Weinstein, A., & Gorelick, D. A. (2010). Introduction to behavioral addictions. The American Journal of Drug and Alcohol Abuse, 36(5), 233–241. https://doi.org/10.3109/00952990.2010.491884
  • Hedge, A., Morimoto, S., & Mccrobie, D. (1999). Effects of keyboard tray geometry on upper body posture and comfort. Ergonomics, 42(10), 1333–1349. https://doi.org/10.1080/001401399184983
  • Hysing, M., Pallesen, S., Stormark, K. M., Jakobsen, R., Lundervold, A. J., & Sivertsen, B. (2015). Sleep and use of electronic devices in adolescence: results from a large population-based study. BMJ Open, 5(1), e006748. https://doi.org/10.1136/BMJOPEN-2014-006748
  • Javaid, F., Ahmad, S., & Sharif, F. (2022). Effects of a sedentary lifestyle on hip extension among the general population. Pakistan Journal of Physical Therapy (PJPT), 5(4), 27–33. https://doi.org/10.52229/PJPT.V5I4.1997
  • Kim, D., Cho, M., Park, Y., & Yang, Y. (2015). Effect of an exercise program for posture correction on musculoskeletal pain. Journal of Physical Therapy Science, 27(6), 1791–1794. https://doi.org/10.1589/JPTS.27.1791
  • Kim, M. H., Min, S., Ahn, J. S., An, C., & Lee, J. (2019). Association between high adolescent smartphone use and academic impairment, conflicts with family members or friends, and suicide attempts. PloS One, 14(7), e0219831. https://doi.org/10.1371/JOURNAL.PONE.0219831
  • Kwon, M., Kim, D.-J., Cho, H., & Yang, S. (2013). The Smartphone Addiction Scale: Development and validation of a short version for adolescents. PLoS ONE, 8(12), e83558. https://doi.org/10.1371/journal.pone.0083558
  • LeBourgeois, M. K., Hale, L., Chang, A. M., Akacem, L. D., Montgomery-Downs, H. E., & Buxton, O. M. (2017). Digital media and sleep in childhood and adolescence. Pediatrics, 140(Supplement_2), S92–S96. https://doi.org/10.1542/PEDS.2016-1758J
  • Megna, M., Gisonni, P., Napolitano, M., Orabona, G. D. A., Patruno, C., Ayala, F., et al. (2018). The effect of smartphone addiction on hand joints in psoriatic patients: an ultrasound-based study. Journal of the European Academy of Dermatology and Venereology : JEADV, 32(1), 73–78. https://doi.org/10.1111/JDV.14380
  • Moattari, M., Moattari, F., Kaka, G., Kouchesfahani, H. M., Sadraie, S. H., & Naghdi, M. (2018). Smartphone addiction, sleep quality and mechanism. International Journal of Cognition and Behaviour, 1(1), 002. https://doi.org/10.23937/IJCB-2017/1710002
  • Mustafaoglu, R., Yasaci, Z., Zirek, E., Griffiths, M. D., & Ozdincler, A. R. (2021). The relationship between smartphone addiction and musculoskeletal pain prevalence among young population: a cross-sectional study. The Korean Journal of Pain, 34(1), 72–81. https://doi.org/10.3344/KJP.2021.34.1.72
  • Nikolic, A., Bukurov, B., Pavlović, Z., & Grujicic, J. (2023). Smartphone addiction, sleep quality, depression, anxiety, and stress among medical students. Frontiers in Public Health, 11, 1252371.
  • Prithika, S. I., Biju, B. S., Prathipaa, R. P., Ponnusankar, S., & Vishwas, H. N. (2022). Prevalence of smartphone addiction and its impact on sleep quality and associated neck disabilities among university students of
  • Ooty, India. Journal of Xi’an Shiyou University, Natural Science Edition, 17(7), 215-223.
  • Thomée, S., Härenstam, A., & Hagberg, M. (2011). Mobile phone use and stress, sleep disturbances, and symptoms of depression among young adults--a prospective cohort study. BMC Public Health, 11, 66. https://doi.org/10.1186/1471-2458-11-66
  • Yang, S. Y., Chen, M. D., Huang, Y. C., Lin, C. Y., & Chang, J. H. (2017). Association between smartphone use and musculoskeletal discomfort in adolescent students. Journal of Community Health, 42(3), 423–430. https://doi.org/10.1007/s10900-016-0271-x

Üniverstite Öğrencilerinde Akıllı Telefon Bağımlılığı, Uyku Kalitesi ve Kas-İskelet Sistemi Rahatsızlıkları

Year 2024, Volume: 13 Issue: 3, 589 - 594, 25.12.2024
https://doi.org/10.53424/balikesirsbd.1460631

Abstract

Amaç: Akıllı telefon bağımlılığı birçok sağlık sorununa yol açabilir. Aşırı akıllı telefon kullanımı kas-iskelet sistemi bozuklukları ve uyku sorunlarıyla ilişkilendirilmiştir. Akıllı telefon bağımlılığı ile uyku kalitesi ve kas-iskelet sistemi rahatsızlıkları arasındaki ilişkiyi incelemeyi amaçladık. Gereç ve Yöntem: Bu kesitsel çalışmaya 60 üniversite öğrencisi dâhil edildi. Bireylerin akıllı telefon bağımlılığı, uyku kalitesi ve kas-iskelet sistemi bozuklukları sırasıyla Akıllı Telefon Bağımlılığı Ölçeği (ATBÖ), Cornell Kas İskelet Rahatsızlığı Ölçeği (CKİRÖ) ve Pittsburgh Uyku Kalitesi İndeksi (PUKİ) ile değerlendirildi. Bulgular: ATBÖ ile PUKİ'nin uyku etkinliği, uyku bozukluğu, gündüz işlev bozukluğu alt ölçekleri, PUKİ toplam puanı ve CKİRÖ'nün alt ekstremite ve omurga alt ölçekleri arasında zayıf bir korelasyon vardı (p=0.021, r=0.30; p=0.020, r=0.30; p=0.008, r=0.34; p=0.008, r=0.34; p=0.029, r=0.28; p=0.019, r=0.30). ATBÖ ve CKİRÖ üst ekstremite alt ölçeği ile CKİRÖ toplam puanı arasında iyi bir korelasyon vardı (p=0.001, r=0.43; p=0.001, r=0.42). Sonuç: Öğrencilerde akıllı telefon bağımlılığı arttıkça kas-iskelet sistemi rahatsızlıklarının da arttığı sonucuna varıldı. Akıllı telefon bağımlılığı özellikle boyun, omuz, sırt, üst kol, bilek ve kalça bölgeleriyle ilişkiliydi. Ayrıca akıllı telefon bağımlılığının uyku verimliliğini ve genel uyku kalitesini kötüleştirdiği, uyku bozukluğuna ve gündüz işlev bozukluğuna yol açtığı sonucuna varıldı.

References

  • Ağargün, M. Y., Kara, H., & Anlar, Ö. (1996). Pittsburgh uyku kalitesi indeksinin gecerligi ve guvenirligi. Turk Psikiyatri Dergisi, 7(2).
  • Akın, A., Altundağ, Y., Turan, M. E., & Akın, U. (2014). The validity and reliability of the Turkish version of the smart phone addiction scale-short form for adolescent. Procedia - Social and Behavioral Sciences, 152, 74–77. https://doi.org/https://doi.org/10.1016/j.sbspro.2014.09.157
  • Alsalameh, A. M., Harisi, M. J., Alduayji, M. A., Almutham, A. A., & Mahmood, F. M. (2019). Evaluating the relationship between smartphone addiction/overuse and musculoskeletal pain among medical students at Qassim University. Journal of Family Medicine and Primary Care, 8(9), 2953. https://doi.org/10.4103/JFMPC.JFMPC_665_19
  • Balagué, F., Troussier, B., & Salminen, J. J. (1999). Non-specific low back pain in children and adolescents: Risk factors. European Spine Journal, 8(6), 429–438. https://doi.org/10.1007/s005860050201
  • Bueno, G. R., Garcia, L. F., Bertolini, S. M. M. G., & Lucena, T. F. R. (2019). The Head down generation: Musculoskeletal symptoms and the use of smartphones among young university students. Telemedicine Journal and E-Health, 25(11), 1049–1056. https://doi.org/10.1089/TMJ.2018.0231
  • Buysse, D. J., Reynolds, C. F., Monk, T. H., Berman, S. R., & Kupfer, D. J. (1989). The Pittsburgh sleep quality index: A new instrument for psychiatric practice and research. Psychiatry Research, 28(2), 193–213. https://doi.org/10.1016/0165-1781(89)90047-4
  • Cain, N., & Gradisar, M. (2010). Electronic media use and sleep in school-aged children and adolescents: A review. Sleep Medicine, 11(8), 735–742. https://doi.org/10.1016/J.SLEEP.2010.02.006
  • Cha, S. S., & Seo, B. K. (2018). Smartphone use and smartphone addiction in middle school students in Korea: Prevalence, social networking service, and game use. Health Psychology Open, 5(1). https://doi.org/10.1177/2055102918755046
  • Demirci, K., Akgönül, M., & Akpinar, A. (2015). Relationship of smartphone use severity with sleep quality, depression, and anxiety in university students. Journal of Behavioral Addictions, 4(2), 85–92. https://doi.org/10.1556/2006.4.2015.010
  • Ding, D., & Li, J. (2017). Smartphone overuse – A growing public health issue. Journal of Psychology & Psychotherapy, 7(0), 289. https://doi.org/10.4172/2161-0487.1000289
  • Dolan, K. J., & Green, A. (2006). Lumbar spine reposition sense: the effect of a “slouched” posture. Manual Therapy, 11(3), 202–207. https://doi.org/10.1016/J.MATH.2006.03.003
  • Dworak, M., Schierl, T., Bruns, T., & Strüder, H. K. (2007). Impact of Singular Excessive Computer Game and Television Exposure on Sleep Patterns and Memory Performance of School-aged Children. Pediatrics, 120(5), 978–985. https://doi.org/10.1542/PEDS.2007-0476
  • Erdinc, O., Hot, K., & Ozkaya, M. (2011). Turkish version of the Cornell Musculoskeletal Discomfort Questionnaire: cross-cultural adaptation and validation. Work (Reading, Mass.), 39(3), 251–260. https://doi.org/10.3233/WOR-2011-1173
  • Fares, J., Fares, M., & Fares, Y. (2017). Musculoskeletal neck pain in children and adolescents: Risk factors and complications. Surgical Neurology International, 8, 72. https://doi.org/10.4103/SNI.SNI_445_16
  • Feise, R. J., & Menke, J. M. (2001). Functional rating index: a new valid and reliable instrument to measure the magnitude of clinical change in spinal conditions. Spine, 26(1), 78–87.
  • Grant, J. E., Potenza, M. N., Weinstein, A., & Gorelick, D. A. (2010). Introduction to behavioral addictions. The American Journal of Drug and Alcohol Abuse, 36(5), 233–241. https://doi.org/10.3109/00952990.2010.491884
  • Hedge, A., Morimoto, S., & Mccrobie, D. (1999). Effects of keyboard tray geometry on upper body posture and comfort. Ergonomics, 42(10), 1333–1349. https://doi.org/10.1080/001401399184983
  • Hysing, M., Pallesen, S., Stormark, K. M., Jakobsen, R., Lundervold, A. J., & Sivertsen, B. (2015). Sleep and use of electronic devices in adolescence: results from a large population-based study. BMJ Open, 5(1), e006748. https://doi.org/10.1136/BMJOPEN-2014-006748
  • Javaid, F., Ahmad, S., & Sharif, F. (2022). Effects of a sedentary lifestyle on hip extension among the general population. Pakistan Journal of Physical Therapy (PJPT), 5(4), 27–33. https://doi.org/10.52229/PJPT.V5I4.1997
  • Kim, D., Cho, M., Park, Y., & Yang, Y. (2015). Effect of an exercise program for posture correction on musculoskeletal pain. Journal of Physical Therapy Science, 27(6), 1791–1794. https://doi.org/10.1589/JPTS.27.1791
  • Kim, M. H., Min, S., Ahn, J. S., An, C., & Lee, J. (2019). Association between high adolescent smartphone use and academic impairment, conflicts with family members or friends, and suicide attempts. PloS One, 14(7), e0219831. https://doi.org/10.1371/JOURNAL.PONE.0219831
  • Kwon, M., Kim, D.-J., Cho, H., & Yang, S. (2013). The Smartphone Addiction Scale: Development and validation of a short version for adolescents. PLoS ONE, 8(12), e83558. https://doi.org/10.1371/journal.pone.0083558
  • LeBourgeois, M. K., Hale, L., Chang, A. M., Akacem, L. D., Montgomery-Downs, H. E., & Buxton, O. M. (2017). Digital media and sleep in childhood and adolescence. Pediatrics, 140(Supplement_2), S92–S96. https://doi.org/10.1542/PEDS.2016-1758J
  • Megna, M., Gisonni, P., Napolitano, M., Orabona, G. D. A., Patruno, C., Ayala, F., et al. (2018). The effect of smartphone addiction on hand joints in psoriatic patients: an ultrasound-based study. Journal of the European Academy of Dermatology and Venereology : JEADV, 32(1), 73–78. https://doi.org/10.1111/JDV.14380
  • Moattari, M., Moattari, F., Kaka, G., Kouchesfahani, H. M., Sadraie, S. H., & Naghdi, M. (2018). Smartphone addiction, sleep quality and mechanism. International Journal of Cognition and Behaviour, 1(1), 002. https://doi.org/10.23937/IJCB-2017/1710002
  • Mustafaoglu, R., Yasaci, Z., Zirek, E., Griffiths, M. D., & Ozdincler, A. R. (2021). The relationship between smartphone addiction and musculoskeletal pain prevalence among young population: a cross-sectional study. The Korean Journal of Pain, 34(1), 72–81. https://doi.org/10.3344/KJP.2021.34.1.72
  • Nikolic, A., Bukurov, B., Pavlović, Z., & Grujicic, J. (2023). Smartphone addiction, sleep quality, depression, anxiety, and stress among medical students. Frontiers in Public Health, 11, 1252371.
  • Prithika, S. I., Biju, B. S., Prathipaa, R. P., Ponnusankar, S., & Vishwas, H. N. (2022). Prevalence of smartphone addiction and its impact on sleep quality and associated neck disabilities among university students of
  • Ooty, India. Journal of Xi’an Shiyou University, Natural Science Edition, 17(7), 215-223.
  • Thomée, S., Härenstam, A., & Hagberg, M. (2011). Mobile phone use and stress, sleep disturbances, and symptoms of depression among young adults--a prospective cohort study. BMC Public Health, 11, 66. https://doi.org/10.1186/1471-2458-11-66
  • Yang, S. Y., Chen, M. D., Huang, Y. C., Lin, C. Y., & Chang, J. H. (2017). Association between smartphone use and musculoskeletal discomfort in adolescent students. Journal of Community Health, 42(3), 423–430. https://doi.org/10.1007/s10900-016-0271-x
There are 31 citations in total.

Details

Primary Language English
Subjects Physical Activity and Health
Journal Section Articles
Authors

Erkan Erol 0000-0002-0087-1821

Publication Date December 25, 2024
Submission Date March 28, 2024
Acceptance Date September 5, 2024
Published in Issue Year 2024 Volume: 13 Issue: 3

Cite

APA Erol, E. (2024). Smartphone Addiction, Sleep Quality and Musculoskeletal Disorders in University Students. Balıkesir Sağlık Bilimleri Dergisi, 13(3), 589-594. https://doi.org/10.53424/balikesirsbd.1460631

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