SynthesisBMC psychiatry2019
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.
Synthesis in BMC psychiatry, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 317 papers, 8 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
317 citing papers in PubMed, 8 syntheses or guidelines pooled it.
- Associations of Problematic Smartphone Use and Smartphone Screen Time With Eating Disorder Psychopathology in Non-Clinical Samples: A Systematic Review.JMIR mental health · 2026Pooled it
- Association between smartphone addiction, suicidal ideation and suicide attempt: a systematic review.PeerJ · 2026Pooled it
- Parental Technoference and Child Problematic Media Use: Meta-Analysis.Journal of medical Internet research · 2025Pooled it
- Preventive Interventions for Internet Addiction in Young Children: Systematic Review.JMIR mental health · 2024Pooled it
- Impact of mobile phones and wireless devices use on children and adolescents' mental health: a systematic review.European child & adolescent psychiatry · 2024Pooled it
- Exploring the perception of parents on children's screentime: a systematic review and meta-synthesis of qualitative studies.Pediatric research · 2023Pooled it
- Dose-response analysis of smartphone usage and self-reported sleep quality: a systematic review and meta-analysis of observational studies.Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2023Pooled it
- Association between Problematic Use of Smartphones and Mental Health in the Middle East and North Africa (MENA) Region: A Systematic Review.International journal of environmental research and public health · 2023Pooled it
- Effects of a Short Mobile Intervention on Digital Health Literacy in Adolescents and Teachers: Randomized Controlled Trial.Journal of medical Internet research · 2026Trial
- The Effect of Digital Addiction Training on University Students' Digital Addiction, Sleep Quality, and Orexin-A Levels: Randomized Controlled Trial.BMC psychology · 2025Trial
- Efficacy of neurofeedback-assisted mindfulness for anxiety and nomophobia in Spanish young adults: a randomized controlled trial.Frontiers in public health · 2025Trial
- Effects of a 14-day social media abstinence on mental health and well-being: results from an experimental study.BMC psychology · 2024Trial
- Prevalence of Problematic Internet Use and Sociodemographic Correlates Among Undergraduate Students in Northern Bangladesh: A Cross-Sectional Study.Health science reports · 2026Article
- The interplay between mental health, ecological factors, and problematic smartphone use: a network analysis in adolescents with major depressive disorder.European archives of psychiatry and clinical neuroscience · 2026Article
- Digital Behavior Change Interventions for Digital Overuse: Scoping Review of Current Approaches and Emerging AI-Enabled Systems.Journal of medical Internet research · 2026Article
- Beyond Screen Time: Smartphone Dependency, Sleep Disruption, and Emotional Regulation Among Young Adults-A Cross-Sectional Web-Based Survey.Healthcare (Basel, Switzerland) · 2026Article
- The Relationship Between Physical Activity and Mobile Phone Addiction Among Adolescents: A Cross-Lagged Study.Behavioral sciences (Basel, Switzerland) · 2026Article
- Does Timing Matter? Age of First Mobile Phone Acquisition and Psychological Outcomes in Middle and Late Adolescence.Journal of youth and adolescence · 2026Article
- Secondary benefits of residential treatment camp for parents of adolescents with problematic internet use.PCN reports : psychiatry and clinical neurosciences · 2026Article
- Motivation Profiles Towards Academic Reading, Substance-Related and Problematic Behaviors in Future Teachers.European journal of investigation in health, psychology and education · 2026Article
257 more citing papers are in PubMed but not listed here.
Corrections and comments
- Erratum issued
- Erratum issued
Authors and funding
5 authors.
Funding
Abstract
backgroundOver the past decade, smartphone use has become widespread amongst today's children and young people (CYP) which parallels increases in poor mental health in this group. Simultaneously, media concern abounds about the existence of 'smartphone addiction' or problematic smartphone use. There has been much recent research concerning the prevalence of problematic smartphone use is in children and young people who use smartphones, and how this syndrome relates to mental health outcomes, but this has not been synthesized and critically evaluated.
aimsTo conduct a systematic review and meta-analysis to examine the prevalence of PSU and quantify the association with mental health harms.
methodsA search strategy using Medical Subject Headings was developed and adapted for eight databases between January 1, 1st 2011 to October 15th 2017. No language restriction was applied. Of 924 studies identified, 41 were included in this review, three of which were cohort studies and 38 were cross sectional studies. The mental health outcomes were self-reported: depression; anxiety; stress; poor sleep quality; and decreased educational attainment, which were synthesized according to an a priori protocol.
resultsThe studies included 41,871 CYP, and 55% were female. The median prevalence of PSU amongst CYP was 23.3% (14.0-31.2%). PSU was associated with an increased odds of depression (OR = 3.17;95%CI 2.30-4.37;I
conclusionsPSU was reported in approximately one in every four CYP and accompanied by an increased odds of poorer mental health. PSU is an evolving public health concern that requires greater study to determine the boundary between helpful and harmful technology use. Policy guidance is needed to outline harm reduction strategies.
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What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.