Please use this identifier to cite or link to this item: http://hdl.handle.net/10397/115008
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Title: The relationship between smartphone addiction and sleep quality in older adults: the mediating role of loneliness and depression
Authors: Lai, HJ
Mei, XX 
Huang, SJ
Wu, XN
Liang, JY
Zhou, LM
Ye, ZJ
Issue Date: 2025
Source: BMC nursing, 2025, v. 24, no. 1, 253
Abstract: Background This study explores the relationship between smartphone addiction and sleep quality, and to further assess the mediating role of loneliness and depression.
Methods A survey of 200 older adults individuals was conducted using the Smartphone Addiction Scale-Short Version (SAS-SV) for smartphone addiction, Pittsburgh Sleep Quality Index (PSQI) for sleep quality, Geriatric Depression Scale-15 (GDS-15) for depression, and DeJong Gierveld Loneliness Scale (DGLS) for loneliness. Linear regression and mediation analysis were performed for statistical analysis.
Results A negative causal relationship was observed between smartphone addiction and sleep quality in the older adults (p < 0.05). Depression and loneliness in the older adults may potentially exacerbate the effect of smartphone addiction on sleep quality (p < 0.05).
Conclusion Individuals with smartphone addiction appeared to have poorer sleep quality, psychological factors play a mediating role in the association between smartphone addiction and sleep quality in the older adults. This emphasizes the importance of care for the mental health of the older adults and recognizes the negative impact of smartphone addiction on their quality of life.
Keywords: Older adults
Smartphone addiction
Sleep quality
Depression
Loneliness
Social support
Nursing strategies
Mental health
Publisher: BioMed Central
Journal: BMC nursing 
EISSN: 1472-6955
DOI: 10.1186/s12912-025-02883-7
Rights: © The Author(s) 2025. Open Access This article is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License, which permits any non-commercial use, sharing, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if you modified the licensed material. You do not have permission under this licence to share adapted material derived from this article or parts of it. The images or other third party material in this article are included in the article’s Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by-nc-nd/4.0/.
The following publication Lai, HJ., Mei, XX., Huang, SJ. et al. The relationship between smartphone addiction and sleep quality in older adults: the mediating role of loneliness and depression. BMC Nurs 24, 253 (2025) is available at https://dx.doi.org/10.1186/s12912-025-02883-7.
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