Mobile Phone Addiction and Mobile Phone Use in Dangerous Circumstances: Prevalence and Correlates in a Sample of Italian University Students

Authors

DOI:

https://doi.org/10.13129/2282-1619/mjcp-3014

Keywords:

Mobile phone addiction, Obsessive and compulsive behavior, Problematic use of mobile phone, Demographic factors, Young drivers.

Abstract

Background: Beyond unambiguous advantages of mobile phones (MP), growing evidences document its problematic use and association with mental health issues. Unintentional injuries, such as road traffic or pedestrian accidents, result from dangerous use of the MP (DUMP).

The aim of our study was to estimate the prevalence of DUMP and the addiction to MP in young while driving, cycling or walking (defined as DUMP) relating to some demographic and psychological factors.

Methods: A cross-sectional prevalence study was carried out on a sample of 1130 Italian university students.  The use and addiction to MP were studied with Italian version of the Mobile Phone Use Questionnaire (MPUQ) and Dependence test of MP (DTMP). The Cognitive Behavioral Assessment 2.0 (CBA 2.0) was used to investigate anxiety and obsessive-compulsive disorder.

Results: Result statistics showed a continuous use of MP. One third of subjects showed MP addiction, associated to female and younger students. Two thirds showed risk of DUMP, associated to male and older. The obsessive-compulsive disorder was estimated only in a small fraction and significantly correlated with DTMP.

Conclusions: Our study points out the importance that information and prevention campaigns targeting specific demographic subpopulations should be sought to raise young awareness for a safe use of MP.

Author Biographies

  • Enrico Perilli, Department M.E.S.V.A., University of L’Aquila

    Aggregate Professor and Researcher 

    Department M.E.S.V.A.

    University of L’Aquila 

  • Stefano Necozione, Department M.E.S.V.A., University of L’Aquila
    Full Professor, University of L’Aquila
  • Valeria Bianchini, Department M.E.S.V.A., University of L’Aquila
    MD, University of L’Aquila
  • Matteo Perazzini, Department M.E.S.V.A., University of L’Aquila
    Research Fellow, University of L’Aquila
  • Marta Grassi, Department M.E.S.V.A., University of L’Aquila
    Psy
  • Anna Americo, Department M.E.S.V.A., University of L’Aquila
    Psy
  • Mario Muselli, Department M.E.S.V.A., University of L’Aquila
    MD, University of L’Aquila
  • Stefano Cobianchi, Atanor Institute of Psychotherapy
    PhD
  • Vincenza Cofini, Department M.E.S.V.A., University of L’Aquila
    PhD, University of L’Aquila

References

Al-Jasser, F., Mohamed, A., Choudry, A., & Youssef, R. (2018). Mobile phone use while driving and the risk of collision: A study among preparatory year students at King Saud University, Riyadh, Saudi Arabia. Journal of Family and Community Medicine, 25(2), 102. https://doi.org/10.4103/jfcm.JFCM_139_17

Aljomaa, S. S., Al.Qudah, M. F., Albursan, I. S., Bakhiet, S. F., & Abduljabbar, A. S. (2016). Smartphone addiction among university students in the light of some variables. Computers in Human Behavior, 61, 155–164. https://doi.org/10.1016/j.chb.2016.03.041

Beranuy, M., Oberst, U., Carbonell, X., & Chamarro, A. (2009). Problematic Internet and mobile phone use and clinical symptoms in college students: The role of emotional intelligence. Computers in Human Behavior, 25(5), 1182–1187. https://doi.org/10.1016/j.chb.2009.03.001

Bertolotti, G., Michelin, P., Sanavio, E., Vidotto, G., & Zotti, A. (1997). Batteria CBA-2.0. In F. Del Corno & M. Lang (Eds.), La diagnosi testologica (2nd ed., pp. 437–459). Franco Angeli.

Bianchi, A., & Phillips, J. G. (2005). Psychological Predictors of Problem Mobile Phone Use. CyberPsychology & Behavior, 8(1), 39–51. https://doi.org/10.1089/cpb.2005.8.39

Bianchi, S., Bernardi, S., Perilli, E., Cipollone, C., Di Biasi, J., & Macchiarelli, G. (2020). Evaluation of Effectiveness of Digital Technologies During Anatomy Learning in Nursing School. Applied Sciences, 10(7), 2357. https://doi.org/10.3390/app10072357

Bianchini, V., Cecilia, M. R., Roncone, R., & Cofini, V. (2017). Prevalence and factors associated with problematic internet use: an Italian survey among L’Aquila students. Rivista Di Psichiatria, 52(2), 90–93. https://rivistadipsichiatria.it/archivio/2679/articoli/27445/

Billieux, Joel. (2012). Problematic Use of the Mobile Phone: A Literature Review and a Pathways Model. Current Psychiatry Reviews, 8(4), 299–307. https://doi.org/10.2174/157340012803520522

Billieux, Joël, Maurage, P., Lopez-Fernandez, O., Kuss, D. J., & Griffiths, M. D. (2015). Can Disordered Mobile Phone Use Be Considered a Behavioral Addiction? An Update on Current Evidence and a Comprehensive Model for Future Research. Current Addiction Reports, 2(2), 156–162. https://doi.org/10.1007/s40429-015-0054-y

Can, L., & Kaya, N. (2016). Social networking sites addiction and the effect of attitude towards social network advertising. Procedia-Social and Behavioral Sciences, 235, 484-492. https://doi.org/10.1016/j.sbspro.2016.11.059

Carbonell, X., Fúster, H., Chamarro, A., & Oberst, U. (2012). Addiction and mobile internet addiction: A review of empirical Spanish. Papeles Del Psicologo, 33(2), 82–89.

Cazzulino, F., Burke, R. V., Muller, V., Arbogast, H., & Upperman, J. S. (2014). Cell Phones and Young Drivers: A Systematic Review Regarding the Association Between Psychological Factors and Prevention. Traffic Injury Prevention, 15(3), 234–242. https://doi.org/10.1080/15389588.2013.822075

Chambers, R. A., & Potenza, M. N. (2003). Neurodevelopment, impulsivity, and adolescent gambling. Journal of gambling Studies, 19(1), 53-84. https://doi.org/110.1023/a:1021275130071

Chen, P.-L., & Pai, C.-W. (2018). Pedestrian smartphone overuse and inattentional blindness: an observational study in Taipei, Taiwan. BMC Public Health, 18(1), 1342. https://doi.org/10.1186/s12889-018-6163-5

Choi, S. W., Kim, D. J., Choi, J. S., Ahn, H., Choi, E. J., Song, W. Y., Kim, S., & Youn, H. (2015). Comparison of risk and protective factors associated with smartphone addiction and Internet addiction. Journal of Behavioral Addictions, 4(4), 308–314. https://doi.org/10.1556/2006.4.2015.043

Chóliz, M. (2012). Mobile-Phone Addiction in Adolescence: The Test of Mobile Phone Dependence (TMD). Progress in Health Sciences, 2(1), 33–44. http://search.ebscohost.com/login.aspx?direct=true&profile=ehost&scope=site&authtype=crawler&jrnl=20831617&AN=78040680&h=wphb8c4wPyj5YcT1/vqPudXDBkNUljaaRiQjdQ6NKMAYG/VOmymP2FqL/WjgIEElaALzzXRkxi26TNJ9EtX4zQ==&crl=c

Chóliz, Mariano. (2010). MOBILE PHONE ADDICTION: A POINT OF ISSUE. Addiction, 105(2), 373–374. https://doi.org/10.1111/j.1360-0443.2009.02854.x

Cordellieri, P., Baralla, F., Ferlazzo, F., Sgalla, R., Piccardi, L., & Giannini, A. M. (2016). Gender Effects in Young Road Users on Road Safety Attitudes, Behaviors and Risk Perception. Frontiers in Psychology, 7. https://doi.org/10.3389/fpsyg.2016.01412

Crowley, P., Madeleine, P., & Vuillerme, N. (2019). The effects of mobile phone use on walking: a dual task study. BMC Research Notes, 12(1), 352. https://doi.org/10.1186/s13104-019-4391-0

De-Sola Gutiérrez, J., Rodríguez de Fonseca, F., & Rubio, G. (2016). Cell-Phone Addiction: A Review. Frontiers in Psychiatry, 7. https://doi.org/10.3389/fpsyt.2016.00175

De-Sola, J., Talledo, H., Rubio, G., & de Fonseca, F. R. (2017). Psychological Factors and Alcohol Use in Problematic Mobile Phone Use in the Spanish Population. Frontiers in Psychiatry, 8. https://doi.org/10.3389/fpsyt.2017.00011

Di Giacomo, D., Guerra, F., Perilli, E., & Ranieri, J. (2020). Technophobia as emerging risk factor in aging: Investigation on computer anxiety dimension. Health Psychology Research, 8(1). https://doi.org/10.4081/hpr.2020.8207

Elhai, J. D., Dvorak, R. D., Levine, J. C., & Hall, B. J. (2016). Problematic smartphone use: A conceptual overview and systematic review of relations with anxiety and depression psychopathology. Journal of Affective Disorders, 207(1), 251–259. https://doi.org/10.1016/j.jad.2016.08.030

Ferentzy, P., & Turner, N. (2009). Gambling and organized crime -A review of the literature. Journal of gambling Issues, (23), 111-155. https://doi.org/10.4309/jgi.2009.23.6

Fernández, C., Vicente, M. A., Carrillo, I., Guilabert, M., & Mira, J. J. (2020). Factors Influencing the Smartphone Usage Behavior of Pedestrians: Observational Study on “Spanish Smombies.” Journal of Medical Internet Research, 22(8), e19350. https://doi.org/10.2196/19350

Frisone, F., Alibrandi, A., & Settineri, S. (2020a). Problem gambling during Covid-19. Mediterranean Journal of Clinical Psychology, 8(3). https://doi.org/10.6092/2282-1619/mjcp-2457

Frisone, F., Settineri, S., Sicari, P. F., & Merlo, E. M. (2020b). Gambling in adolescence: a narrative review of the last 20 years. Journal of Addictive Diseases, 38(4), 438-457. https://doi.org/10.1080/10550887.2020.1782557

Fullana, M. A., Abramovitch, A., Via, E., López-Sola, C., Goldberg, X., Reina, N., Fortea, L., Solanes, A., Buckley, M. J., Ramella-Cravaro, V., Carvalho, A. F., Tortella-Feliu, M., Vieta, E., Soriano-Mas, C., Lázaro, L., Stein, D. J., Fernández de la Cruz, L., Mataix-Cols, D., & Radua, J. (2020). Diagnostic biomarkers for obsessive-compulsive disorder: A reasonable quest or ignis fatuus? Neuroscience & Biobehavioral Reviews, 118, 504–513. https://doi.org/10.1016/j.neubiorev.2020.08.008

Grant, J. E., Lust, K., & Chamberlain, S. R. (2019). Problematic smartphone use associated with greater alcohol consumption,mental health issues, poorer academic performance, and impulsivity. Journal of Behavioral Addictions, 8(2), 335–342. https://doi.org/10.1556/2006.8.2019.32

Graydon, F. X., Young, R., Benton, M. D., Genik, R. J., Posse, S., Hsieh, L., & Green, C. (2004). Visual event detection during simulated driving: Identifying the neural correlates with functional neuroimaging. Transportation Research Part F: Traffic Psychology and Behaviour, 7(4–5), 271–286. https://doi.org/10.1016/j.trf.2004.09.006

Griffiths, M. (1995). Technological addictions. Clinical Psychology Forum, 76, 14–19.

Guo, F., Klauer, S. G., Fang, Y., Hankey, J. M., Antin, J. F., Perez, M. A., Lee, S. E., & Dingus, T. A. (2016). The effects of age on crash risk associated with driver distraction. International Journal of Epidemiology, dyw234. https://doi.org/10.1093/ije/dyw234

Harris, B., Regan, T., Schueler, J., & Fields, S. A. (2020). Problematic Mobile Phone and Smartphone Use Scales: A Systematic Review. Frontiers in Psychology, 11. https://doi.org/10.3389/fpsyg.2020.00672

Haug, S., Castro, R. P., Kwon, M., Filler, A., Kowatsch, T., & Schaub, M. P. (2015). Smartphone use and smartphone addiction among young people in Switzerland. Journal of Behavioral Addictions, 4(4), 299–307. https://doi.org/10.1556/2006.4.2015.037

Huemer, A. K., Schumacher, M., Mennecke, M., & Vollrath, M. (2018). Systematic review of observational studies on secondary task engagement while driving. Accident Analysis & Prevention, 119, 225–236. https://doi.org/10.1016/j.aap.2018.07.017

ISTAT. (2018). Road accidents in Italy. https://www.istat.it/it/archivio/219637

Kardefelt-Winther, D., Heeren, A., Schimmenti, A., Rooij, A. Van, Maurage, P., Carras, M., Edman, J., Blaszczynski, A., & Khazaal, Y. (2017). How can we conceptualize behavioural addiction without pathologizing common behaviours ? Addiction, 112(10), 1709–1715. https://doi.org/10.1111/add.13763

Kim, H. J., Min, J. Y., Kim, H. J., & Min, K. B. (2017). Accident risk associated with smartphone addiction: A study on university students in Korea. Journal of Behavioral Addictions, 6(4), 699–707. https://doi.org/10.1556/2006.6.2017.070

Kim, M., Kim, H., Kim, K., Ju, S., Choi, J., & Yu, M. (2015). Smartphone Addiction: (Focused Depression, Aggression and Impulsion) among College Students. Indian Journal of Science and Technology, 8(25). https://doi.org/10.17485/ijst/2015/v8i25/80215

Kim, S.-G., Park, J., Kim, H.-T., Pan, Z., Lee, Y., & McIntyre, R. S. (2019). The relationship between smartphone addiction and symptoms of depression, anxiety, and attention-deficit/hyperactivity in South Korean adolescents. Annals of General Psychiatry, 18(1), 1. https://doi.org/10.1186/s12991-019-0224-8

Klauer, S. G., Ehsani, J. P., McGehee, D. V., & Manser, M. (2015). The Effect of Secondary Task Engagement on Adolescents’ Driving Performance and Crash Risk. Journal of Adolescent Health, 57(1), S36–S43. https://doi.org/10.1016/j.jadohealth.2015.03.014

Kuss, D. J., Kanjo, E., Crook-Rumsey, M., Kibowski, F., Wang, G. Y., & Sumich, A. (2018). Problematic Mobile Phone Use and Addiction Across Generations: the Roles of Psychopathological Symptoms and Smartphone Use. Journal of Technology in Behavioral Science, 3(3), 141–149. https://doi.org/10.1007/s41347-017-0041-3

Lamberg, E. M., & Muratori, L. M. (2012). Cell phones change the way we walk. Gait and Posture, 35(4), 688–690. https://doi.org/10.1016/j.gaitpost.2011.12.005

Lepp, A., Li, J., Barkley, J. E., & Salehi-Esfahani, S. (2015). Exploring the relationships between college students’ cell phone use, personality and leisure. Computers in Human Behavior, 43, 210–219. https://doi.org/10.1016/j.chb.2014.11.006

Li, L., Shults, R. A., Andridge, R. R., Yellman, M. A., Xiang, H., & Zhu, M. (2018). Texting/Emailing While Driving Among High School Students in 35 States, United States, 2015. Journal of Adolescent Health, 63(6), 701–708. https://doi.org/10.1016/j.jadohealth.2018.06.010

Liu, C.-H., Lin, S.-H., Pan, Y.-C., & Lin, Y.-H. (2016). Smartphone gaming and frequent use pattern associated with smartphone addiction. Medicine, 95(28), e4068. https://doi.org/10.1097/MD.0000000000004068

Lopez-Fernandez, O., Kuss, D. J., Romo, L., Morvan, Y., Kern, L., Graziani, P., Rousseau, A., Rumpf, H.-J., Bischof, A., Gässler, A.-K., Schimmenti, A., Passanisi, A., Männikkö, N., Kääriänen, M., Demetrovics, Z., Király, O., Chóliz, M., Zacarés, J. J., Serra, E., … Billieux, J. (2017). Self-reported dependence on mobile phones in young adults : A European cross-cultural empirical survey. Journal of Behavioral Addictions, 6(2), 168–177. https://doi.org/10.1556/2006.6.2017.020

Matar Boumosleh, J., & Jaalouk, D. (2017). Depression, anxiety, and smartphone addiction in university students- A cross sectional study. PLOS ONE, 12(8), e0182239. https://doi.org/10.1371/journal.pone.0182239

Ng, B. D., & Wiemer-Hastings, P. (2005). Addiction to the internet and online gaming. Cyberpsychology & behavior, 8(2), 110-113. https://doi.org/10.1089/cpb.2005.8.110

Olsson, B., Pütz, H., Reitzug, F., & Humphreys, D. K. (2020). Evaluating the impact of penalising the use of mobile phones while driving on road traffic fatalities, serious injuries and mobile phone use: a systematic review. Injury Prevention, 26(4), 378–385. https://doi.org/10.1136/injuryprev-2019-043619

Osiceanu, M.-E. (2015). Psychological Implications of Modern Technologies: “Technofobia” versus “Technophilia.” Procedia - Social and Behavioral Sciences, 180, 1137–1144. https://doi.org/10.1016/j.sbspro.2015.02.229

Palmiero, M., Piccardi, L., Boccia, M., Baralla, F., Cordellieri, P., Sgalla, R., Guidoni, U., & Giannini, A. M. (2019). Neural Correlates of Simulated Driving While Performing a Secondary Task: A Review. Frontiers in Psychology, 10. https://doi.org/10.3389/fpsyg.2019.01045

Panova, T., & Carbonell, X. (2018). Is smartphone addiction really an addiction? Journal of Behavioral Addictions, 7(2), 252–259. https://doi.org/10.1556/2006.7.2018.49

Parisi, M. R., & Cantelmi, T. (2009). L’immaginario prigioniero. Oscar Mondadori.

Pastore, V., & Chóliz, M. (2011). Uso e abuso del telefono cellulare in adolescenti e giovani italiani. Modelli per La Mente, 4(2–3), 23–36.

Pedrero Pérez, E. J., Rodríguez Monje, M. T., & Ruiz Sánchez De León, J. M. (2012). Adicción o abuso del teléfono móvil. Revisión de la literatura. Adicciones, 24(2), 139. https://doi.org/10.20882/adicciones.107

Pundir, P., Andrews, T., Binu, V. S., & Kamath, R. (2016). Association of problematic mobile phone use with psychological distress and self-esteem among college students in South India : a cross-sectional study. International Journal of Community Medicine and Public Health, 3(10), 2841–2849.

Quon, P., Lahey, K., Grisdale, M., Hagel, B., Frost, G., Belton, K., & Elliott, A. (2019). Prevalence of distracted walking with mobile technology: an observational study of Calgary and Edmonton high school students. Canadian Journal of Public Health, 110(4), 506–511. https://doi.org/10.17269/s41997-019-00200-9

Ranaiey, S., Taghavi, M. R., & Goodarzi, M. A. (2016). Development of a Measure: Internet Behaviors Scale. Modern Applied Science, 10(7). https://doi.org/10.5539/mas.v10n7p124

Rosen, L. D., Lim, A. F., Felt, J., Carrier, L. M., Cheever, N. A., Lara-Ruiz, J. M., Mendoza, J. S., & Rokkum, J. (2014). Media and technology use predicts ill-being among children, preteens and teenagers independent of the negative health impacts of exercise and eating habits. Computers in Human Behavior, 35, 364–375. https://doi.org/10.1016/j.chb.2014.01.036

Sanavio, E., Bertolotti, G., Michelin, P., Vidotto, G., & Zotti, A. (1998). CBA-2.0 Scale Primarie: Manuale (2nd ed.). Organizzazioni Speciali.

Sicari, F., Frisone, F., Alibrandi, A., & Settineri, S. (2021). Validation of the Italian version of the Internet Behaviors Scale. Mediterranean Journal of Clinical Psychology, 9(1). https://doi.org/10.6092/2282-1619/mjcp-2990

Simmons, S. M., Caird, J. K., Ta, A., Sterzer, F., & Hagel, B. E. (2020). Plight of the distracted pedestrian: a research synthesis and meta-analysis of mobile phone use on crossing behaviour. Injury Prevention, 26(2), 170–176. https://doi.org/10.1136/injuryprev-2019-043426

Shaw, M., & Black, D. W. (2008). Internet addiction. CNS drugs, 22(5), 353-365. https://doi.org/10.2165/00023210-200822050-00001

Sohn, S., Rees, P., Wildridge, B., Kalk, N. J., & Carter, B. (2019). Prevalence of problematic smartphone usage and associated mental health outcomes amongst children and young people: a systematic review, meta-analysis and GRADE of the evidence. BMC Psychiatry, 19(1), 356. https://doi.org/10.1186/s12888-019-2350-x

Souza Silva, W., McFadyen, B., Kehayia, E., Azevedo, N., Fung, J., & Lamontagne, A. (2019). Phone messages affect the detection of approaching pedestrians in healthy young and older adults immersed in a virtual community environment. PLOS ONE, 14(5), e0217062. https://doi.org/10.1371/journal.pone.0217062

Stachl, C., Au, Q., Schoedel, R., Gosling, S. D., Harari, G. M., Buschek, D., Völkel, S. T., Schuwerk, T., Oldemeier, M., Ullmann, T., Hussmann, H., Bischl, B., & Bühner, M. (2020). Predicting personality from patterns of behavior collected with smartphones. Proceedings of the National Academy of Sciences, 117(30), 17680–17687. https://doi.org/10.1073/pnas.1920484117

Stavrinos, D., Byington, K. W., & Schwebel, D. C. (2011). Distracted walking: Cell phones increase injury risk for college pedestrians. Journal of Safety Research, 42(2), 101–107. https://doi.org/10.1016/j.jsr.2011.01.004

Tao, S., Wu, X., Wan, Y., Zhang, S., Hao, J., & Tao, F. (2016). Interactions of problematic mobile phone use and psychopathological symptoms with unintentional injuries: A school-based sample of Chinese adolescents. BMC Public Health, 16(1), 1–10. https://doi.org/10.1186/s12889-016-2776-8

Toda, M., Nishio, N., & Takeshita, T. (2015). Predictive Factors for Smartphone Dependence: Relationship to Demographic Characteristics, Chronotype, and Depressive State of University Students. Open Journal of Preventive Medicine, 05(12), 456–462. https://doi.org/10.4236/ojpm.2015.512051

Truong, L. T., Nguyen, H. T. T., & De Gruyter, C. (2019). Mobile phone use while riding a motorcycle and crashes among university students. Traffic Injury Prevention, 20(2), 204–210. https://doi.org/10.1080/15389588.2018.1546048

Valent, F., Del Pin, M., Mattiussi, E., & Palese, A. (2020). Prevalence of mobile phone use among drivers: direct observation in Udine (Northern Italy). Epidemiologia & Prevenzione, 44(2–3), 171–178. https://doi.org/https://doi.org/10.19191/EP20.2-3.P171.040

Van Deursen, A. J. A. M., Bolle, C. L., Hegner, S. M., & Kommers, P. A. M. (2015). Modeling habitual and addictive smartphone behavior: The role of smartphone usage types, emotional intelligence, social stress, self-regulation, age, and gender. Computers in Human Behavior, 45, 411–420. https://doi.org/10.1016/j.chb.2014.12.039

Vitaro, F., Ferland, F., Jacques, C., & Ladouceur, R. (1998). Gambling, substance use, and impulsivity during adolescence. Psychology of Addictive Behaviors, 12(3), 185-194. https://doi.org/10.1037/0893-164X.12.3.185

Vollrath, M., Huemer, A. K., Teller, C., Likhacheva, A., & Fricke, J. (2016). Do German drivers use their smartphones safely?—Not really! Accident Analysis and Prevention, 96, 29–38. https://doi.org/10.1016/j.aap.2016.06.003

Zhang, K. Z. K., Chen, C., & Lee, M. K. O. (2014). Understanding the role of motives in smartphone addiction. http://aisel.aisnet.org/pacis2014/131

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