Gendered digital coping and cultural moderation: developing the GDCAM model among university students in Makassar

IntroductionThis study examines the relationship between smartphone use and mental health among undergraduate students in Makassar, Indonesia, with particular attention to the moderating role of social support. The investigation is grounded in the Stress-Buffering Hypothesis and Uses and Gratifications Theory within the collectivistic cultural context of Indonesia.MethodsA stratified random sample of 400 undergraduate students from three universities in Makassar was surveyed. Standardized instruments were employed, including the Smartphone Use Scale, the Depression Anxiety Stress Scale (DASS-21), and the Multidimensional Scale of Perceived Social Support. Correlation and moderation analyses were conducted to test the study hypotheses.ResultsFindings reveal that general smartphone use showed only a weak positive correlation with psychological distress (r = 0.12, p < 0.05). In contrast, compulsive smartphone use demonstrated a stronger association with symptoms of depression, anxiety, and stress (r = 0.28, p < 0.001). Social support displayed a robust negative correlation with distress (r = −0.34, p < 0.001) and significantly moderated the negative effects of smartphone use on mental health (β = −0.09, p < 0.05).DiscussionThe results provide tentative support for extending existing theoretical frameworks into smartphone-mediated interactions among students in collectivistic contexts. Although the moderation effect of social support was modest and should be interpreted with caution, the findings highlight the practical importance of enhancing peer and community-based interventions to reduce risks associated with compulsive smartphone use. Limitations include the restriction of the sample to undergraduate students in Makassar, indicating the need for future research across different regions and age groups in Indonesia.

Association between prolonged use of smartphone and the incidence of dry eye among junior high school students

Background: Primary infertility is an emerging public health problem associated with immense social stigma and adverse mental health consequence. The impact associated with infertility different from culture to culture. There is a paucity of qualitative research in Indian culture. Hence we aimed to explore the quality of marital relationship, psychological distress and resilience in a sample of women with primary infertility.Methods: A cross sectional single group mixed design was used. Sample comprised of 30 adult women, in their late twenties, diagnosed with primary infertility- female factor, by practicing gynaecologist; recruited from a renowned infertility hospital in Bangalore. The participants were assessed on marital quality scale, domestic violence questionnaire, depression anxiety stress scale-21, and Connor Davidson resilience scale after obtaining written informed consent. Data analysis was carried out using descriptive and inferential statistics.Results: Findings indicate high rates of intimate partner violence (47%) in the sample. Poorer quality of marital relationship was associated with higher levels of psychological distress and lower resilience. Women who experienced violence were more likely to report poor quality of marital relationship, higher levels of distress, and lower resilience than women who did not. Experience of at least one form of intimate partner violence emerged as a significant predictor of psychological distress.Conclusions:The need for prevention and intervention service for infertility is at its peak. The findings of the present research have implications in mental health assessment and intervention in this vulnerable group of women.

This qualitative phenomenological study investigates the complex relationship between mental health conditions and smartphone-mediated interpersonal communication among university students in Makassar, Indonesia. Using in-depth interviews with 18 participants from three universities, categorized by their Depression Anxiety Stress Scale-21 (DASS-21) scores, the research explores how psychological well-being influences communication patterns. The study reveals five major themes: the smartphone as an emotional regulator, digital communication as a social safety net, technology-mediated relationship maintenance, anxiety-driven communication patterns, and cultural adaptation in digital spaces. The findings indicate that a student's mental health status is a crucial moderating factor that shapes how they engage with digital communication technologies. The study proposes a Digital Communication Adaptation Model (DCAM), a theoretical framework explaining how mental health conditions influence communication patterns. The research contributes to communication and mental health literature by offering a culturally sensitive model that bridges individual psychological factors with broader social contexts, providing insights for future research and practical interventions in this area.

The regularity of epidemic prevention and control measures in China has meant that nursing students have been exposed to more electronic devices, while problematic smartphone use has increased. The purpose of this study is to determine the prospective associations among time management tendency, negative emotions, and problematic smartphone use in nursing students during the COVID-19 pandemic. A longitudinal study was conducted between November 2021 and May 2022. A total of 989 nursing students participated. The convenience sampling method was adopted and the following tools were used: the Adolescence Time Management Disposition Scale, the Depression Anxiety Stress Scales - 21, and the Mobile Phone Addiction Index. Multiple parallel mediation models were used by Mplus. Time management tendency had a significantly negative effect on problematic smartphone use (p < 0.05). Further tests using mediation models showed that stress as a negative emotion mediated the relationship between time management tendency and problematic smartphone use (p < 0.05) over time. Nursing educators need to strengthen the stress resistance and time management ability of nursing students.

Background: Negative psychological outcomes, particularly among college students, have been linked with excessive smartphone use. Over-dependence on smartphones can result in emotional upheaval which can lead to unsatisfactory academic achievement not to mention overall wellbeing. Aim: The objective of this study is to assess the impact of smartphone addiction on depression, anxiety, and stress level among students of varying faculties and institutions in the country. Method: A cross-sectional descriptive study was conducted on 400 students from four major universities in Pakistan. The smartphone dependency was assessed using SAS (Smartphone Addiction Scale) while the psychologic distress was measured with DASS-21 (Depression Anxiety Stress Scales). The survey conducted was cross sectional and the analysis was conducted by correlation analysis and ANOVA to find out relationships or differences between groups. Results: The results showed that smartphone addiction is significantly positively correlated to depression (r = .68, p &lt; .001), anxiety (r = .63, p &lt; .001), and stress (r = .60, p &lt; .001). The higher the smartphone addiction levels, the increased psychological distress one faces. In all three areas, the students from Karachi were found to have greater smartphone addiction and more psychological distress than students from other cities. Students of computer science and engineering reported high levels of smartphone addiction and advanced psychological distress compared to inline Medical or Law students. Conclusion: The overuse of smartphones is a major contributing factor to emotional problems suffered by university students. To reduce irritation and aid in achieving digital wellness, specific initiatives, ‘detox’ programs, and information awareness campaigns should be prioritized.

Evidence supports predictive roles of non-social smartphone use for smartphone addiction, but the relationship of social smartphone use and smartphone addiction is unclear. This study explored whether social smartphone use has a double-edged impact on smartphone addiction. Using data from a sample of 909 Chinese undergraduates, we tested a parallel mediation model that considered online social support and realistic social support as mediators. As predicted, social smartphone use weakened smartphone addiction through realistic social support and contributed to smartphone addiction through online social support. Moreover, we tested the moderating role of agreeableness in the mediation path of online social support. Agreeableness only moderated the indirect effects. Specifically, the predictive effects of online social support on smartphone addiction was greater for lower rather than higher agreeableness. The results suggest that social needs play an important role in the formation of smartphone addiction. Several limitations and implications are also discussed herein.

Excessive smartphone use and dependence on social media give rise to multiple issues that negatively affect the overall well-being of individuals. Nomophobia is characterized as a "digital disease" due to the unlimited use of smartphone devices. The aim of this study is to examine smartphone use and social media involvement in association with nomophobia and psychological traits (i.e., depression, anxiety, stress, and self-esteem) of young adults. A cross-sectional investigation was conducted on 1408 Greek undergraduate students aged 18 to 25 years, using an anonymous self-reported questionnaire. Study data were collected through the Nomophobia Questionnaire (NMP-Q), Depression Anxiety Stress Scale (DASS-21), and Rosenberg Self-Esteem Scale (RSES). Participants' social media engagement was summarized through four variables: use of social media applications, number of friends, number of followers, and number of messages exchanged daily on social media. High levels of nomophobia were associated with high engagement in social media and, thereby, with a high number of friends. The same applies to participants with high/normal self-esteem compared to those with low. Regarding stress, anxiety and depression were not associated with digital network use, while elevated stress and anxiety seemed to play a negative role in the number of online followers. In addition, high levels of anxiety were correlated to an increased number of messages exchanged through social media applications.

This study investigated the relationship between phubbing, online social support, trait anxiety, and some demographic factors among nurses. Phubbing, or socializing through online smartphone applications, has become increasingly prevalent in healthcare environments, potentially threatening real-life interactions. We aimed to explore the use of smartphones among nurses, both professionally and socially, and to determine if increased usage was leading to interaction problems. This cross-sectional study was conducted using a digital survey completed by 384 nurses between May and November 2021. The survey included an individual descriptive form, the generic scale of phubbing, the online social support scale, and the trait anxiety inventory. Mann-Whitney U, Kruskal-Wallis H, t test, Pearson, and the Spearman rank correlation coefficient were used for analysis. A backward selection method regression analysis was performed to determine the variables affecting the phubbing score. The "STROBE checklist" for cross-sectional studies was utilized in order to report the findings of the study. The participants had a moderate level of trait anxiety. The study found that marital status, having WhatsApp groups with teammates, and being warned about phone use from teammates were significantly related to phubbing. A moderate positive correlation was found between the phubbing score and the online social support score. Additionally, a weak positive correlation was found between the general phubbing and trait anxiety scores. Perceived online social support significantly influenced the phubbing behavior of nurses and trait anxiety played a mediating role in this relationship. Nurses frequently use smartphones for professional purposes, but this study found that excessive phone use can be detrimental to their social interactions. Moreover, phubbing could also be problematic for patients. Therefore, healthcare professionals need to be aware of the potential consequences of smartphone usage and the importance of limiting excessive use during patient care.

Background: This study aimed to identify the factors influencing health promotion behaviors for infants and toddler, focusing on the time spent by mothers using smartphone, eHealth literacy, maternal role performance confidence, and online social support.Methods: This study surveyed 136 women who gave birth to a child in 2023. For this study, recruitment announcements were made on popular parenting websites. Multiple regression analysis was performed to identify the factors affecting health promotion behaviors.Results: The mean age of the participants was 33.8 years, and the mean age of the children was 13.3 months old. Mothers spent 20.2 hours weekly on smartphone to access health information. A total of 86.7% of the respondents indicated that they primarily used the Internet to make health decisions. Factors that influenced health promotion behaviors were role performance confidence (β=0.54, P&lt;0.001), eHealth literacy (β=0.18, P=0.015), online social support (β=0.16, P=0.022), and time spent on smartphone (β=-0.17, P=0.006), with an explanatory power of 51.3% (F=29.43, P&lt;0.001).Conclusions: To improve the health promotion behaviors of mothers for their infants and young children, it is believed that interventions that increase confidence in their roles, online social support, and eHealth literacy are required, and that smartphone screen time should be limited. These baseline data can guide the development of effective intervention programs to improve healthcare for infants and toddlers.

Problematic smartphone use (PSU) has been linked with stress. Higher levels of stress likely increased problematic smartphone use. We investigated relations between stress, fear of missing out, and problematic smartphone use. The aim of the current study was to analyze the mediating role of fear of missing out (FOMO) and smartphone use frequency (SUF) between stress and PSU. We surveyed a broad sample of 2,276 Chinese undergraduate students in July 2019, using the FOMO Scale, Smartphone Addiction Scale-Short Version, Smartphone Use Frequency Scale, and Depression Anxiety Stress Scale-21. The results showed that stress was associated with PSU severity. Gender differences were found in PSU severity. Furthermore, FOMO was positively associated with SUF and PSU severity. Structural equation modeling demonstrated that FOMO acted as a mediator between stress and PSU severity. FOMO and SUF acted as a chain of mediators between stress and PSU severity. SUF did not account for relations between stress and PSU severity. The study indicates that FOMO may be an important variable accounting for why some people with increased stress levels may overuse their smartphones.

As Generation Z youth grow up with the Internet, problematic smartphone use is growing more prevalent. This study administered questionnaires containing measures such as the Mobile Phone Addiction Index, the Research Self-Efficacy Scale, the Depression Anxiety Stress Scale, and the Stress Mindset Measure. The survey targeted 2278 graduate students and explored the mechanism through which problematic smartphone use affects research self-efficacy (RSE). The results reveal that problematic smartphone use has significant negative effects on self-efficacy, with mental stress playing a mediating role in this process; that is, problematic smartphone use lowers RSE by increasing mental stress. Meanwhile, the aforementioned negative impacts caused by problematic smartphone use are moderated by stress mindsets: the “stress-is-enhancing” mindset reduces the negative effects of smartphone use on RSE, whereas the “stress-is-debilitating” mindset amplifies these negative effects by enhancing the mediating effect of mental stress.

With the popularity of smartphones, their impact on the physical and mental health of left-behind adolescents has become the focus of social attention. Some believe that smartphone use will provide emotional compensation for left-behind adolescents, while others believe that the lack of supervision of smartphone use among left-behind adolescents will exacerbate their psychological problems. To explore the mechanisms of the dual effects, we conducted a field survey of 848 left-behind adolescents (male = 446, age between 12 and 19) in Shicheng County in Gannan Region of China. It was found that social smartphone use, recreational smartphone use, frequency, and duration of smartphone use, mediated by smartphone dependence, were positively associated with social anxiety, stress perception, and sleep disorder, and further with depression of left-behind adolescents. Although social uses of smartphones were positively associated with online social support, they were not related to loneliness and depression. Based on our results, left-behind adolescents’ smartphone use habits have shown more harmful than good effects on their psychological well-being.

BackgroundSuicidal ideation was proved to be a critical precondition leading to the occurrence of subsequent suicidal behavior. Studies have confirmed that negative life events and forms of social support that youth are experiencing in the current socio-cultural context might have unique impacts on their suicidal ideation. However, the specific mechanism is relatively underexplored.ObjectiveWe sought to investigate the impacts of offline and online social supports on Chinese students’ suicidal ideation under the pressure of various negative life events, as well as potential gender differences in these relationships.MethodsParticipants were 2,018 middle – high school and university students from Northwestern China, who completed a demographics questionnaire and self-report measures of negative life events, social support, and suicidal ideation.ResultsOffline social support had a significant direct effect on suicidal ideation across genders. Among male youth, offline social support only had a moderating effect on the relationship between punitive negative life events and suicidal ideation. Among female youth, offline social support had a significant moderating effect on suicidal ideation under the pressure of all types of negative life events; Online social support only had a significant direct effect on female youth’s suicidal ideation, although it did significantly moderate the relationship between all types of negative life events and suicidal ideation, across genders.ConclusionOur findings revealed direct and moderating effects of offline and online social support on suicidal ideation among youth under the pressure of different types of negative life events, as well as gender-specific patterns in these relationships.

Background & aim: One third of people suffer from chronic a condition frequently associated with decreased quality of life and high levels of psychological distress. This study was conducted to examine the effectiveness of Meditation for pain management on pscho-social performance of 18-65 years old women with chronic low back pain )CLBP(.Materials and method: In this Qusi experimental study, 26 volunteer female patients with CLBP referred to physical therapy, Akhavan hospital, attending a clinical assessment for treatment of chronic pain recruited using convenience sampling. Then they were randomly assigned to experimental and control groups (13 persons in each group). Both groups completed Roland and Morris Disability Questionnaire, Self-efficacy Questionnaire )PSEQ( and Depression Stress Scale)Dass-21(. Meditation for pain management intervention was lasted approximately 8 weeks. focus of this program is on awareness enhancement, attention to cognitive and emotional factors and behavioral activation finally. control group did not receive any psychological intervention..Data was analyzed by spss-15.Finding: The result of covariance analysis indicated that the disability caused by pain significantly reduced )p=0/00( and pain self-efficacy increased in intervention group (p=0/04(. There was no statistically significant difference in depression scores between two groups (p=0/2).Conclusion: Results from the present investigation demonstrate that “Mindfulness Meditation for pain management” can enhanced the psychosocial function of patients with chronic pain by reducing the anxiety sensitivity and selective attention to pain stimuli.Keywords: Psychotherapy, Cognitive Therapy , Self-Efficacy, Performance. 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