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. 2021 Nov 22;18(22):12257. doi: 10.3390/ijerph182212257

Table 2.

Summary of outcomes.

Author and Reference Outcomes Specific Outcome Quality
HYE-JIN KIM [21]
  • Smartphone addiction was significantly associated with total accidents, falling/slipping, and bumps/collisions

Accident Fair
Yeon-Jin Kim [22]
  • SA had a stronger relationship with depression and anxiety, stronger than IA

Depression and anxiety Fair
DEOKJONG LEE [23]
  • Small GMV in the lateral orbitofrontal cortex (OFC) was correlated with an increasing tendency to be immersed in smartphone use

Gray matter abnormalities Fair
JeonHyeong Lee [24]
  • Significant differences in the cervical repositioning errors of flexion, extension, and right and left lateral flexion were found among the Normal Group, Moderate Addiction Group, and Severe Addiction Group

Musculoskeletal problems Fair
Kyung Eun Lee [25]
  • For both men and women, increases in smartphone dependency were associated with increased anxiety scores

Anxiety Fair
Yeon-Seop Lee [26]
  • Using smartphones continuously over long periods raises pressure on the median nerve and increases the probability of occurrence of CTS

Carpal tunnel syndrome Poor
Mi Jung Rho [27] Mental health problems were related to problematic smartphone use: (1) self-control (66%), (2) anxiety (25%), (3) depression (7%), and (4) dysfunctional impulsivities (3%) Psychiatric symptoms Fair
Aljohara A. Alhassan [28]
  • Significantly higher smartphone addiction scores were associated with younger aged users.

Factors associated with higher depression scores were high school-educated users (β = −2.03, adj. p = 0.01) compared to the university educated group and users with higher smart phone addiction scores (β = 0.194, adj. p < 0.001).
Depression Fair
Alosaimi, F. D. [29]
  • At least 43% had decreased sleeping hours and experienced a lack of energy the next day, 30% had an unhealthy lifestyle (ate more fast food, gained weight, and exercised less)

Risk of sedentary behavior Fair
Dalia El-Sayed [30]
  • A significant positive correlation was found between PUMP score and depression and trait anxiety scores, duration of owning a smartphone, and average duration of each daily call.

Depression and trait anxiety Good
Jon D. Elhai [31]
  • 35.9% of our sample reported that they felt tired during day due to late-night smartphone use,

  • 38.1% of them acknowledged that their sleep quality decreased, and

  • 35.8% admitted that they slept less than four hours due to smartphone use more than once

Anxiety Good
Yuanming Hu [32]
  • A primary understanding of white matter characteristics in SPD indicated that the structural deficits might link to behavioral impairments

Lower white matter integrity Fair
Jon D. Elhai [33]
  • COVID-19 anxiety correlated with severity of PSU, depression, and anxiety

  • 12% of participants were identified with at least moderate depression, and 24% with moderate anxiety

COVID-19 anxiety Good
Linbo Zhuang [34]
  • Cervical disc degeneration may be associated with excessive smartphone use

cervical disc degeneration Good
Yasemin P. Demir [35]
  • There was a negative correlation between MPPUS and PSQI (r = −0.367, p less than 0.05); a strong positive correlation between MPPUS and ESS (r = 0.675, p less than 0.05); and a negative correlation between MPPUS and 24-h MQoLQ (r = −0.508, p less than 0.05)

Increased headache duration, poor sleep quality Fair
KADİR DEMİRCİ [36]
  • Smartphone Addiction Scale scores of females were significantly higher than those of males

  • Depression, anxiety, and daytime dysfunction scores were higher in the high smartphone use group than in the low smartphone use group

Depression, anxiety, and daytime dysfunction Fair
Ayse Gokce [37]
  • There is a mild, significant, positive correlation between the PU and LSAS scores of the students who participated in the study

  • No significant relationship was found between the PU and EAT scores in the study group

  • Problematic Mobile Phone Use Scale total scores showed a significant correlation with smoking

Increased smoking Fair
Betul Ozcan [38]
  • Frequency of poor sleep quality was significantly higher in students with smartphone addiction compared to others

Poor sleep quality Good
S HariPriya [39]
  • A moderately positive significant correlation between smartphone addiction and sleep quality was shown

Poor sleep quality, less physical activity Good
Hsien-Yuan Lane [40]
  • With addiction to smartphones, higher risk of psychological distress and poor sleep quality was found, which is inconsistent with a previous report that more and more young adults report poor sleep quality in a higher percentage when they become addicted to smartphones

Psychological distress, poor sleep quality Good
Anna Maria [41]
  • Social anxiety was significantly and positively related to PSU

Social anxiety Fair
Jon D. Elhai [42]
  • Worry and anger may be helpful constructs in understanding the phenomenology of PSU, and psychological interventions for worry and anger may offset PSU

Worry and anger Good
Matteo Megna [43]
  • Smartphone overuse was found to be linked with higher signs of inflammation

Psoriatic arthritis Fair
Arunrat TangmunkongvorakulI [44]
  • Female students had scores for psychological well-being that were, on average, 1.24 points higher than the scores of male students (p < 0.001)

Psychological well-being Fair
Zaheer Hussain [45]
  • The average time spent on a smartphone per day was 190.6 min (SD = 138.6)

  • Problematic smartphone use was positively related to time spent on the smartphone and anxiety

Anxiety Good
MILES RICHARDSON [46]
  • PSUS was not found to have diagnostic ability for high levels of anxiety

Connectedness with nature and anxiety Fair
Asem A. Alageel [47]
  • 65.9% of the participants who were identified as having high smartphone use had no depression, whereas 10.3% had severe depression, 16.1% had moderately severe depression, and 7.7% had moderate depression

  • A significant correlation between the severity of insomnia and smartphone use

  • 47.8% of the participants with high smartphone use had ADHD symptoms

Insomnia, depression, adult ADHD Fair