Reactions to Naturalistic Smartphone Deprivation Among Psychiatrically Hospitalized Adolescents

Overview

Journal J Psychiatr Res

Specialty Psychiatry

Date 2022 Aug 17

PMID 35977433

Authors

Taylor A Burke

Sarah E Domoff

Paul E Croarkin

Magdalena Romanowicz

Aubrey Borgen

Jennifer Wolff

Jacqueline Nesi

Affiliations

Soon will be listed here.

Abstract

The standard of care among youth who are psychiatrically hospitalized typically involves smartphone confiscation for the duration of treatment. However, very little is known regarding how youth respond to this period of smartphone "deprivation," factors that may influence this response, and ensuing clinical effects. The present exploratory mixed-methods study sought to elucidate the experience of psychiatrically hospitalized adolescents as it relates to smartphone deprivation, and to evaluate the impact of this widespread treatment approach. Psychiatrically hospitalized adolescents (N = 181; Mean age = 15.29 years) completed qualitative and quantitative measures assessing the experience of smartphone deprivation during hospitalization. Associations among reactions to smartphone deprivation and smartphone and social media use patterns were explored. Analyses additionally evaluated whether reactions to smartphone deprivation were associated with clinical symptom severity (e.g., suicidal ideation, internalizing and externalizing symptoms) and readiness for psychotherapy. Negative reactions to smartphone deprivation were significantly positively correlated with daily smartphone hours, addictive patterns of use, and both negative and positive emotional responses to social media use. Reactions to smartphone deprivation were not associated with clinical symptom severity. However, negative reactions to smartphone deprivation were associated with lower readiness for therapy, while positive reactions were associated with greater readiness. This preliminary work illustrates the complexities of smartphone use in adolescents and the potential positive and negative effects of smartphone deprivation during psychiatric hospitalization. Future prospective research with adolescents should clarify optimal smartphone access during inpatient hospitalization.

References

Eide T, Aarestad S, Andreassen C, Bilder R, Pallesen S . Smartphone Restriction and Its Effect on Subjective Withdrawal Related Scores. Front Psychol. 2018; 9:1444. PMC: 6099124. DOI: 10.3389/fpsyg.2018.01444. View

OConnor N, Zantos K, Sepulveda-Flores V . Use of personal electronic devices by psychiatric inpatients: benefits, risks and attitudes of patients and staff. Australas Psychiatry. 2018; 26(3):263-266. DOI: 10.1177/1039856218758564. View

Calati R, Ferrari C, Brittner M, Oasi O, Olie E, Carvalho A . Suicidal thoughts and behaviors and social isolation: A narrative review of the literature. J Affect Disord. 2018; 245:653-667. DOI: 10.1016/j.jad.2018.11.022. View

Firat S, Gul H, Sertcelik M, Gul A, Gurel Y, Kilic B . The relationship between problematic smartphone use and psychiatric symptoms among adolescents who applied to psychiatry clinics. Psychiatry Res. 2018; 270:97-103. DOI: 10.1016/j.psychres.2018.09.015. View

Nesi J, Wolff J, Hunt J . Patterns of Social Media Use Among Adolescents Who Are Psychiatrically Hospitalized. J Am Acad Child Adolesc Psychiatry. 2019; 58(6):635-639.e1. DOI: 10.1016/j.jaac.2019.03.009. View

Weinstein E, Kleiman E, Franz P, Joyce V, Nash C, Buonopane R . Positive and negative uses of social media among adolescents hospitalized for suicidal behavior. J Adolesc. 2021; 87:63-73. DOI: 10.1016/j.adolescence.2020.12.003. View

Nesi J, Rothenberg W, Bettis A, Massing-Schaffer M, Fox K, Telzer E . Emotional Responses to Social Media Experiences Among Adolescents: Longitudinal Associations with Depressive Symptoms. J Clin Child Adolesc Psychol. 2021; 51(6):907-922. PMC: 8863992. DOI: 10.1080/15374416.2021.1955370. View

Parry D, Davidson B, Sewall C, Fisher J, Mieczkowski H, Quintana D . A systematic review and meta-analysis of discrepancies between logged and self-reported digital media use. Nat Hum Behav. 2021; 5(11):1535-1547. DOI: 10.1038/s41562-021-01117-5. View

Brown L, Kuss D . Fear of Missing Out, Mental Wellbeing, and Social Connectedness: A Seven-Day Social Media Abstinence Trial. Int J Environ Res Public Health. 2020; 17(12). PMC: 7345987. DOI: 10.3390/ijerph17124566. View

10.

Shafi R, Nakonezny P, Romanowicz M, Nandakumar A, Suarez L, Croarkin P . Suicidality and self-injurious behavior among adolescent social media users at psychiatric hospitalization. CNS Spectr. 2020; 26(3):275-281. PMC: 7606292. DOI: 10.1017/S1092852920001108. View

11.

Gardner W, Lucas A, Kolko D, Campo J . Comparison of the PSC-17 and alternative mental health screens in an at-risk primary care sample. J Am Acad Child Adolesc Psychiatry. 2007; 46(5):611-618. DOI: 10.1097/chi.0b013e318032384b. View

12.

Morris N . Internet Access for Patients on Psychiatric Units. J Am Acad Psychiatry Law. 2018; 46(2):224-231. DOI: 10.29158/JAAPL.003760-18. View

13.

Graham S, Mason A, Riordan B, Winter T, Scarf D . Taking a Break from Social Media Improves Wellbeing Through Sleep Quality. Cyberpsychol Behav Soc Netw. 2021; 24(6):421-425. DOI: 10.1089/cyber.2020.0217. View

14.

Paschke K, Austermann M, Thomasius R . ICD-11-Based Assessment of Social Media Use Disorder in Adolescents: Development and Validation of the Social Media Use Disorder Scale for Adolescents. Front Psychiatry. 2021; 12:661483. PMC: 8100192. DOI: 10.3389/fpsyt.2021.661483. View

15.

Stieger S, Lewetz D . A Week Without Using Social Media: Results from an Ecological Momentary Intervention Study Using Smartphones. Cyberpsychol Behav Soc Netw. 2018; 21(10):618-624. DOI: 10.1089/cyber.2018.0070. View

16.

Burke T, Nesi J, Domoff S, Romanowicz M, Croarkin P . Titrating Social Media Use During Adolescent Inpatient Psychiatric Hospitalization. J Am Acad Child Adolesc Psychiatry. 2020; 59(9):1007-1009. PMC: 8105959. DOI: 10.1016/j.jaac.2020.06.008. View

17.

Ogrodniczuk J, Joyce A, Piper W . Development of the Readiness for Psychotherapy Index. J Nerv Ment Dis. 2009; 197(6):427-33. DOI: 10.1097/NMD.0b013e3181a61c56. View

18.

Kuscu T, Gumustas F, Rodopman Arman A, Goksu M . The relationship between nomophobia and psychiatric symptoms in adolescents. Int J Psychiatry Clin Pract. 2020; 25(1):56-61. DOI: 10.1080/13651501.2020.1819334. View