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Mobile phone addiction and depression among adolescents

The moderation effect of family environment

Bibliographic Data

ID22069728
AuthorsYanlin Bai (National Institute of Mental Health), Xia Xu (0000-0002-3308-3047, Leshan Psychosomatic Hospital), X J Xu (Klinik für Psychosomatik), Weijie Jiang (0000-0003-0976-5299, Sichuan University), W W Jiang (Sichuan University), Yuting Yang (0000-0001-9844-5750, National Institute of Mental Health), Qi Li (0000-0003-3042-3584, Sichuan University), Qixi Li (Sichuan University), Xiaoli Li (0000-0002-4220-1746, Leshan Psychosomatic Hospital), Li X (0000-0003-1952-3445, Klinik für Psychosomatik), Qian Zhu (0000-0001-5108-3414, Klinik für Psychosomatik), Yajing Meng (0000-0002-9688-0000, National Institute of Mental Health, corresponding author), Changjian Qiu (0000-0002-1906-2530, National Institute of Mental Health, corresponding author)
Year2026
Volume14
Publication date2026-06-30
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueFrontiers in Public Health (JOURNAL)
Journal identifiersISSN: 2296-2565 • E-ISSN: 2296-2565
PublisherFrontiers Media SA (PUBLISHER • CH)
DOI10.3389/fpubh.2026.1863623
OpenAlexW7166662006
LanguageEN
References cited36

Background Mobile phone addiction (MPA) is positively associated with adolescent depressive symptoms, yet the moderating role of multidimensional family environments in this relationship remains poorly understood. This study aimed to identify distinct family environment typologies and examine their moderating effects on the MPA-depression association among Chinese adolescents. Methods A cross-sectional, school-based survey was conducted among middle and high school students in China. MPA and depressive symptoms were assessed using the Mobile Phone Addiction Index (MPAI) and the Patient Health Questionnaire-9 (PHQ-9), respectively. Latent class analysis (LCA) was employed to identify family environment typologies based on seven socioeconomic and structural indicators. Moderated regression analyses tested interaction effects, adjusting for age and gender. Results A total of 103,874 students (mean age 15.58 ± 1.74; 50.4% female) participated. LCA revealed three family clusters: “ High-Resource Stable Family ,” “ Low-Resource Cohesive Family ,” and “ Low-Resource Fragmented Family .” Adolescents in Low-Resource Fragmented family had significantly higher MPA and depression scores ( p < 0.001). MPA was positively correlated with depression across all groups ( p < 0.001). Family type significantly moderated this relationship, with stronger associations in both Low-Resource clusters ( p < 0.05). Subgroup analyses showed specific moderation effects by gender and school level. Conclusion Multidimensional family environments not only shape levels of MPA and depression but also amplify their association in socioeconomically disadvantaged and structurally fragmented contexts. Employing LCA to identify family typologies provides a nuanced, person-centered framework for targeting prevention efforts and identifying adolescents at elevated digital mental health risk

Addiction · Family income · Mental health · Moderation · Socioeconomic status · Impact of Technology on Adolescents · Perfectionism, Procrastination, Anxiety Studies

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