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J Ment Health. 2019 Feb;28(1):11-16. doi: 10.1080/09638237.2017.1370641. Epub 2017 Sep 4.

Association between psychological and self-assessed health status and smartphone overuse among Korean college students.

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a Institute of Health and Environment, Seoul National University , Seoul , Republic of Korea and.
b Department of Preventive Medicine , College of Medicine, Seoul National University , Seoul , Republic of Korea.



Several studies suggest that subjective health status is closely related to various behavioral addictions, but there are few studies on smartphone overuse.


This study investigated the associations between psychological and subjective health conditions and smartphone overuse in Korean college students.


A total of 608 college students participated in this study. We investigated the perceived psychological factors, such as stress, depression symptoms and suicidal ideation. Overall health status was evaluated with self-assessed items, including usual health condition and EuroQol-visual analog scales (EQ-VAS) score. Smartphone overuse was evaluated as the Korean Smartphone Addiction Proneness Scale.


Students with psychotic anxiety (i.e. stress, depression and suicidal ideation) showed significant associations with smartphone overuse, indicating an approximately twofold increased risk compared to those without psychological anxiety (all p < 0.05). Students who reported feeling that their usual health is not good were more likely to overuse smartphones than those who are in good health (OR = 1.98; 95% CI = 1.22-3.21). The EQ-VAS score, which indicates current self-assessed health status, also showed a similar result with general health status (OR = 2.14; 95% CI = 1.14-4.02).


Negative conditions in self-perceived emotional or overall health condition are associated with the increased likelihood of smartphone overuse in Korean college students.


Korean college students; Psychological conditions; smartphone overuse; subjective health status

[Indexed for MEDLINE]

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