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Based on a Decision Tree Model for Exploring the Risk Factors of Smartphone Addiction Among Children and Adolescents in China During the Covid-19 Pandemic

Bibliographic Data

ID15525522
AuthorsLi Duan (0000-0003-0072-5442, China Medical University), Juan He (0000-0002-3819-9006, China Medical University), Min Li (0000-0002-1163-8961, China Medical University), Jiali Dai (0000-0002-4533-9185, China Medical University), Yurong Zhou (0000-0002-1483-9742, China Medical University), Feiya Lai (China Medical University), Gang Zhu (0000-0001-6967-8336, China Medical University, corresponding author)
Year2021
Volume12
Pages652356-652356
Publication date2021-06-08
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueFrontiers in Psychiatry (JOURNAL)
Journal identifiersISSN: 1664-0640 • E-ISSN: 1664-0640
PublisherFrontiers Media (PUBLISHER • CH)
DOI10.3389/fpsyt.2021.652356
PMID34168575
OpenAlexW3167882504
LanguageEN
Citations received22
References cited28

Background: Smartphone addiction has emerged as a major concern among children and adolescents over the past few decades and may be heightened by the outbreak of COVID-19, posing a threat to their physical and mental health. Then we aimed to develop a decision tree model as a screening tool for unrecognized smartphone addiction by conducting large sample investigation in mainland China. Methods: The data from cross-sectional investigation of smartphone addiction among children and adolescents in mainland China ( n = 3,615) was used to build models of smartphone addiction by employing logistic regression, visualized nomogram, and decision tree analysis. Results: Smartphone addiction was found in 849 (23.5%) of the 3,615 respondents. According to the results of logistic regression, nomogram, and decision tree analyses, Internet addiction, hours spend on smartphone during the epidemic, levels of clinical anxiety symptoms, fear of physical injury, and sex were used in predictive model of smartphone addiction among children and adolescents. The C-index of the final adjusted model of logistic regression was 0.804. The classification accuracy, sensitivity, specificity, positive predictive value, negative predictive value, and AUC area of decision tree for detecting smartphone addiction were 87.3, 71.4, 92.1, 73.5, 91.4, and 0.884, respectively. Conclusions: It was found that the incidence of smartphone addiction among children and adolescents is significant during the epidemic. The decision tree model can be used to screen smartphone addiction among them. Findings of the five risk factors will help researchers and parents assess the risk of smartphone addiction quickly and easily

Addiction · Anxiety · Behavioral addiction · China · Decision tree · Geography · Logistic regression · Machine learning · Mainland China · Moderation · Psychiatry · Smartphone addiction · Child Development and Digital Technology · Clinical Psychology · Computer Science · COVID-19 and Mental Health · Impact of Technology on Adolescents · Medicine · Psychology · Social Psychology

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Unique citing works22
Citations per year5,5
Citation span2022 - 2026 (5)
Citation velocitycurrent
Highly citedNo
Citation typesNeutral: 22

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