EXCLI Journal 2019;18:47-50 – ISSN 1611-2156

Received: December 14, 2018, accepted: January 24, 2019, published: February 04, 2019

Letter to the editor:

CELL PHONE ADDICTION AND PSYCHOLOGICAL AND

PHYSIOLOGICAL HEALTH IN ADOLESCENTS
Sehar Shoukat

Assistant Administrator at California Institute of Behavioral Neurosciences and Psychology,

4751, Mangels Boulevard, Fairfield, 94534, CA, USA
E-mail: [email protected], Tel: +92-3040489644

http://dx.doi.org/10.17179/excli2018-2006

This is an Open Access article distributed under the terms of the Creative Commons Attribution License
(http://creativecommons.org/licenses/by/4.0/).

“These days we have Smartphones, Smart cars, Smartboards, Smart everything, but consider
this: if the technology is getting smarter, does that mean humans are getting dumber?”
Rebecca McNutt

Dear Editor,
Research has been done on smartphone usage and its impact on all adolescents from so
many years. It is not a new issue at all. But the increasing trend of cell phone addiction and
poor psychological and physiological health of adolescents urged to write this letter. Many
studies have been done using different human behavior as dependent and independent variable.
Some researcher examined adolescent’s physical health or educational performance with
smartphone addiction and others analyzed psychological behavior and social relationship with
mobile phone addiction. In these articles, some of the latest studies were overviewed.
The rapid advancement in technology has made many gadgets, a smartphone is one of them
(Nishad and Rana, 2016). People spend their time more likely on social media, do business
emails, academic search, finding answers to questions, and playing games. Almost 95 percent
of Americans own cell phones and 77 percent own smartphones. Around the world,
smartphones were used by 1.85 billion people in 2014 which is expected to be 2.32 billion in
2017 and 2.87 billion in 2020 (Cha and Seo, 2018). Such too much dependency makes us “Mo-
bile addictive”. Mobile phones make our lives easier, but on the other hand, it ties us. Mobile
addiction not only has physical effects but also psychological and academics effect at the same
time. Sleep deficit, anxiety, stress, and depression which are all associated with internet abuse,
have been related to mobile phone usage too (De-Sola Gutiérrez et al., 2016). All entities which
can stimulate a person can be an addiction. Whenever a habit is converted into an obligation, it
becomes an addiction (Alavi et al., 2012). Few researchers believe that smartphone usage and
gender are not significantly associated (Nishad and Rana, 2016).
The major question is how do we get to know we are addicted to our cell phone? When a
person uses his/her cell phone most of the time, unable to cut back on cell phone usage, using
cell phones as a solution to boredom, feeling anxiety or depression when your phone is out of
your range, losing your relationships. Research says “when cell phone use becomes an addic-
tion, the behavior becomes stressful”. Salvatore Insiga, a neurosurgeon at Northwell Health's

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 EXCLI Journal 2019;18:47-50 – ISSN 1611-2156
Received: December 14, 2018, accepted: January 24, 2019, published: February 04, 2019

Neuroscience Institute in Manhasset, New York, considered that nonetheless that there is no
solid proof between cell phone radiation and tumor risk but the possibility still exists. Adoles-
cents are at high risk of being smartphone addicts (Cha and Seo, 2018).
Excessive use of smartphone paired with negative attitude and feeling of anxiety and de-
pendency on gadgets may increase the risk of anxiety and depression (Rosen et al., 2013, Tho-
mée et al., 2011). Jones (2014) conducted a survey about Elon Students’ behavior along with
an online survey and found that students seemed to be addicted to their mobile phones. Never-
theless, it was concluded that the excessive smartphone use had a negative psychological effect.
Another research was conducted on mobile phone usage in adolescents. They recruited 439
students, aged 12-17 from Central Switzerland as their sample and distributed a questionnaire
among their parents first, then to the children (the procedure was repeated a year later on the
same sample). It was concluded that mobile phone usage during night hours was common
among youngsters and reported that poor perceived health was shown due to staying up all
night. No recordable association was found between memory performance and mobile phones
(Schoeni et al., 2015). Reinecke et al. (2017) investigated psychological health effects and stim-
ulator of digital stress. He surveyed 1,557 German internet users aged 14 to 85 and reported
that communication load was positively related to perceived stress and had an indirect impact
on depression and anxiety too.
Boumosleh & Jaalouk (2017) investigated whether anxiety and depression independently
contributed to smartphone addiction. Their sample was 668 random Lebanese undergraduate
students. Their cross-sectional study proposed that depression and anxiety were also a positive
predictor of smartphone addiction. They also revealed that with depression scores were a more
powerful predictor as compared to anxiety. A study of Brian (2013) subjected “Two days with-
out phone” and revealed that Kenny didn’t want to lose his cell ever but Franchesca was happy
to not have her cell phone and she decided to give up her phone. Researchers found an intensive
increase of cell phone usage among teenagers and the symptoms of depression, suicide risk
factors and suicide rate in the year 2012. Cell phone addiction is negatively correlated with
academic performance (Ng et al., 2017; Baert et al., 2018; Lepp et al., 2015; Boumosleh and
Jaalouk, 2018). Arefin et al. (2017) did a case study on business students in Bangladesh and
found that increased impatience and daily life disturbance negatively affected the academic
performance of students.
Negi and Godiyal (2016) observed HNBUG-SRT college students while walking around
the campus, along with a questionnaire and found 64 % of students used mobile phones in the
campus. A randomized sample of 100 students was collected. The survey showed that there
were negative psychological effects of smartphone usage on the young generation. They felt
depressed and anxious while using cell phones. On the other hand, some youngsters showed
relax behavior even without having a cell phone. A study investigated the addiction to the in-
ternet and personality traits and found that loyalty, emotional stability, and extroversion were
the major predictors of internet addiction (Zamani et al., 2011). Thomée et al. (2011) purposed
that high frequency of cell phone use had a risk of mental health outcomes when they had a 1-
year followed-up for young students aged 20-24. They concluded that high cell phone usage
was associated with sleep deprivation and symptoms of depression for both men and women.
An online study on Malaysian population stated that heavy mobile phone usage may lead
to physiological and psychological complications when a study was conducted on 409 respond-
ents (Parasuraman et al., 2017). A descriptive research suggested that internet addiction is sim-
ilar to drug addiction except behavioral addiction (internet addiction) doesn’t involve a sub-
stance. In addition, the physical symptoms are absent in behavioral addiction, but if internet
addiction continues, it will undergo the same results as alcohol addiction (Alavi et al., 2012).

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 EXCLI Journal 2019;18:47-50 – ISSN 1611-2156
Received: December 14, 2018, accepted: January 24, 2019, published: February 04, 2019

Another observational study reports that insomnia may lead to depression. Li et al. (2016)
did a prospective cohort and proposed that insomnia and risk of depression are associated. De-
Sola Gutiérrez et al. (2016) revealed that the problematic cell phone usage had been associated
with sleep deficit, depression, anxiety, and stress.
Cha and Seo (2018) aimed to examine the predictive factors of smartphone addiction in
middle school students in South Korea. Two groups were chosen, one risk group and another
normal group. The two groups expressed significantly different results. The predictive factors
for smart phone addiction were social networking and awareness of game overuse. A researcher
revealed that teenagers who spend more hours on their gadgets are highly likely more at risk of
suicide. Another study by Augner and Hacker (2012) examined an association between over
usage or dysfunctional usage of cell phones and psychological health. They indicated that low
emotional stability, chronic stress, and depression have a correlation with phone usage.
According to latest studies, it is come to know that there are two schools of thoughts. Some
researchers believe that there is a positive association between cell phone addiction and the
mental health of adolescence and some believe that there is a negative or indirect relation in
them.
It is confirmed that adolescent’s mental health and physical health is associated with cell
phone addiction. But we cannot say it with 100 % accuracy that mobile phone is the only cause
of poor mental or physiological health issues in adolescents. Reviewed articles of this study
showed dual results. The result comes in two different schools of thoughts. One opinion
emphasizes that cell phone addiction and psychological health has direct relation. Cell phone
usage badly affects mental health of adolescents and they look anxious, depressed and angry or
sometimes commit suicide. The suicidal rate is increasing in this era. Some studies also showed
a positive relation of cell phone addiction and physiological health.
The other school of thought reveals an indirect relation between cell phone usage and psy-
chological health. They say adolescents use cell phones at night, which leads to insomnia. And
insomnia ultimately results in depression, anxiety, and depression. Cell phone addiction has no
direct relation to mental health. After reviewing these results, it is concluded that there is a
relationship between cell phone addiction and adolescent’s mental or physical health whether
they have direct or indirect relation. We cannot neglect the relation and its adverse effects on
adolescents. It is suggested that more studies should be done in this regard to clarify their nature
of relations.

REFERENCES Baert S, Vujić S, Amez S, Claeskens M, Daman T,

Maeckelberghe A, et al. Smartphone use and academic
Alavi SS, Ferdosi M, Jannatifard F, Eslami M, Alaghe- performance: correlation or causal relationship? Bonn:
mandan H, Setare M. Behavioral asddiction versus IZA, Institute of Labor Economics, 2018. (Discussion
substance addiction: correspondence of psychiatric and paper series, IZA DP No. 11455).
psychological views. Int J Prev Med. 2012;3:290-4.
Boumosleh JM, Jaalouk D. Depression, anxiety, and
Arefin S, Islam R, Mustafi MAA, Afrin S, Islam N. smartphone addiction in university students- a cross-
Impact of smartphone addiction on business students’ sectional study. PLos ONE. 2017;12(8):e0182239.
academic performance: a case study. Independ J Man-
age Prod. 2017;8:955-75. Boumosleh J, Jaalouk D. Smartphone addiction among
university students and its relationship with academic
Augner C, Hacker GW. Associations between prob- performance. Global J Health Sci. 2018;10:48-59.
lematic mobile phone use and psychological parame-
ters in young adults. Int J Public Health. 2012;57:437- Brian SJ. Two days with no phone. Scholastic Action.
41. 2013;(Sept 2):4-6.

49
 EXCLI Journal 2019;18:47-50 – ISSN 1611-2156
Received: December 14, 2018, accepted: January 24, 2019, published: February 04, 2019

Cha S-S, Seo B-K. Smartphone use and smartphone Parasuraman S, Sam AT, Yee SW, Chuon BL, Ren LY.
addiction in middle school students in Korea: preva- Smartphone usage and increased risk of mobile phone
lence, social networking service, and game use. Health addiction: A concurrent study. Int J Pharma Investig
Psychology Open. 2018;2018:1-5. 2017;7:125-31.

De-Sola Gutiérrez J, Rodríguez de Fonseca F, Rubio Reinecke L, Aufenanger S, Beutel ME, Dreier M,
G. Cell-phone addiction: a review. Front Psychiatry. Quiring O, Stark B, et al. Digital stress over the life
2016;7:175. span: the effects of communication load and internet
multitasking on perceived stress and psychological
Jones T. Students’ cell phone addiction and their opin- health impairments in a German probability sample.
ions. Elon J Undergrad Res Commun. 2014;5(1):74- Media Psychol. 2017;20:90-115.
80.
Rosen LD, Whaling K, Carrier LM, Cheever NA, Rok-
Lepp A, Barkley JE, Karpinski AC. The relationship kum J. The media and technology usage and attitudes
between cell phone use and academic performance in a scale: an empirical investigation. Comput Human Be-
sample of U.S. college students. Sage Open. 2015; hav. 2013;29:2501-11.
2015:1-9.
Schoeni A, Roser K, Röösli M. Symptoms and cogni-
Li L, Wu C, Gan Y, Qu X, Lu Z. Insomnia and the risk tive functions in adolescents in relation to mobile
of depression: a meta-analysis of prospective cohort phone use during night. PLoS ONE. 2015;10(7):
studies. BMC Psychiatry. 2016;16:375. e0133528.
Negi KS, Godiyal S. College students’ opinion about Thomée S, Härenstam A, Hagberg M. Mobile phone
cell phone usage. Int Educ Sci Res J. 2016;2(10):35-8. use and stress, sleep disturbance, and symptoms of de-
pression among young adults-a prospective and cohort
Ng FS, Hassan NSIC, Nor NHM, Malek NAA. The re- study. BMC Public Health. 2011;11:66.
lationship between smartphone use and academic per-
formance: a case of students in a Malaysian tertiary in- Zamani BE, Abedini Y, Kheradmand A. Internet ad-
stitution. Malaysian Online J Educ Technol. 2017;5(4): diction based on personality characteristics of high
58-70. school students in Kerman, Iran. Addict Health.
2011;3(3-4):85-91.
Nishad P, Rana AS. Impact of mobile phone addiction
among college going students: A literature review. Adv
Res J Soc Sci. 2016;7(1):111-5.

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