Evidence map›Paper›PMID 41818479›Full record

ArticleJMIR aging2026

Smartphone Addiction, Use Preferences, and Depression Among Older Adults in the Digital Context: Machine Learning Analysis of Survey Data.

Sheng Chen, Yue Song, Chien-Chung Huang

Abstract read
In one paragraph

Article in JMIR aging, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from 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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Sheng ChenSchool of Public Administration, Guangdong University of Foreign Studies, 2 Baiyun Avenue, Baiyun District, Guangzhou, 510420, China, +86 13306695767.ORCID http://orcid.org/0009-0003-1877-1268
Yue SongSchool of Public Administration, Guangdong University of Foreign Studies, 2 Baiyun Avenue, Baiyun District, Guangzhou, 510420, China, +86 13306695767.ORCID http://orcid.org/0009-0002-9464-3623
Chien-Chung HuangSchool of Social Work, Rutgers University, New Brunswick, NJ, United States.ORCID http://orcid.org/0000-0003-2297-1468

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: The increasing use of smartphones among older adults offers new opportunities for social connection but may also pose risks associated with adverse mental health outcomes, including depression. Objective: This study examined the relationship between smartphone use and depression among older adults in Guangzhou, China, to identify key predictors and complex configurations associated with depression. Methods: Using a hybrid analytic approach applied to survey data from 2585 older adults in Guangzhou, machine learning methods first identified the strongest predictors of depression. Subsequent fuzzy-set qualitative comparative analysis delineated distinct configurations associated with depression. Results: The analysis identified high levels of smartphone addiction and a low preference for interactive use as central configurations associated with depression. These patterns appeared to operate through 2 distinct mechanisms: structural exclusion related to resource limitations and agentic maladaptation associated with relational deficiencies. This underlying vulnerability, in combination with specific sociodemographic factors, delineated distinct depression-related typologies. High-risk profiles included unmarried men with limited educational attainment and socially withdrawn individuals with greater socioeconomic resources. Conclusions: Problematic smartphone use, particularly when it displaces social interaction, is significantly associated with depression among older adults. Interventions should therefore promote healthier interactive digital behaviors and provide targeted support for high-risk groups.

Indexed as

Behavior, AddictiveDepressionInternet Addiction DisorderMachine LearningSmartphoneAgedChinaFemaleHumansMaleSurveys and Questionnairesdepressionfuzzy-set qualitative comparative analysismachine learningsmartphone addictionsmartphone use preference

Identifiers

PMID41818479
PMCPMC12981541

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

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.