Problematic mobile phone use is excessive dependence and use of electronic products and their functions, which affects the daily life of users. Previous studies have shown that mobile phone addiction is related to depression, anxiety severity, and stress, and it is negatively correlated with sleep quality. For hospitalized patients in the mental health department, symptoms such as anxiety, depression, and poor sleep are very common. Cognitive behavioral therapy has been widely applied in online gaming addiction and is also effective in intervening in mobile phone addiction. Therefore, Hospitalized patients in the mental health department will be randomized to either the CBT interventions or an control group. The main outcome measure is the Simplified Smartphone Addiction Scale (SAS-SV), measured before intervention and after the completion of the last brief intervention.
Age ≥ 14 years old.
Willingness to treat problematic mobile phone usage behavior.
Voluntarily participate in this study and sign an informed consent form. If the subject is unable to read and sign the informed consent form due to reasons such as lack of legal capacity, or if the subject is a minor, their guardian must act as a proxy for the informed process and sign the informed consent form. If the subject lacks the ability to read the informed consent form (such as illiterate subjects), a witness must witness the informed process and sign the informed consent form.
Having serious physical or mental illnesses (such as ongoing psychotic symptoms, manic episodes, or severely disabling neurological and psychiatric disorders), unable to cooperate with intervention.
Previously received or currently undergoing CBT intervention for mobile phone addiction.
Cognitive impairment patients, critically ill patients, pregnant women, etc.
There are other situations that researchers consider unsuitable to participate in this study.
Parallel
Cognitive-behavioral therapy
Other intervention5 CBT intervention: the first intervention was conducted after the patient was hospitalized, completed relevant informed consent and pre-test, and lasted for about 30 minutes once; Follow up intervention 4 times: once a day for about 20 minutes. Traditional treatment in the ward includes drug therapy based on the different conditions of hospitalized patients, physical therapy such as work entertainment, Morita, biofeedback therapy, etc. Some patients may also receive transcranial magnetic stimulation therapy and psychological therapy.
Traditional treatment in the ward
Other interventionTraditional treatment in the ward includes drug therapy based on the different conditions of hospitalized patients, physical therapy such as work entertainment, Morita, biofeedback therapy, etc. Some patients may also receive transcranial magnetic stimulation therapy and psychological therapy.
Simplified version of the Smartphone Addiction Scale (SAS-SV)
The SAS-SV scale was developed by Min Kwon et al. in 2013, consisting of 10 items, and using a 6-level scoring method.
Generalized Anxiety Disorder-7 （GAD7）
The scale consists of 7 items and uses a 4-level scoring system. The higher the total score, the higher the level of anxiety.
Pittsburgh Sleep Quality Index (PSQI)
Used to evaluate the sleep quality over the past month. This scale consists of 19 self-evaluation items and 5 self-evaluation items. Among them, the 19th self-evaluation item and 5 other evaluation items do not participate in scoring. The 18 self-evaluation items participating in the scoring process constitute 7 components, each of which is scored using a 4-point scoring method ranging from 0-3 points. The sum of the scores for each factor is the total PSQI score. A total score greater than 7 indicates the presence of sleep quality issues.
IAT Internet Addiction Questionnaire
The scale consists of 20 items and is rated on a 5-point scale.
General Self Efficacy Scale (GSES)
The scale consists of 10 items and is rated on a 4-point scale.
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