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DOI 10.3390/healthcare14080990

Медицинская библиотека · Healthcare (Basel, Switzerland) · 2026

The Effects of Anxiety and Self-Control on Smartphone Addiction Among Children and Adolescents at Risk for Depression.

Kwak Miseon, Bae Eunju, Choi Wonjae, Lim Myung Ho

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Аннотация

Background/

Objectives

Research comprehensively analyzing the psychological characteristics and factors related to smartphone addiction in Korean children and adolescents at risk for depression remains scarce. This study utilized large-scale cohort data to examine the differences in psychological characteristics between an at-risk group for depression and a control group, and to identify the specific factors influencing smartphone addiction within the at-risk group.

Methods

Data were obtained from the school-based cohort of internet and smartphone users conducted by the National Center for Mental Health (NCMH), involving a total of 2294 children and adolescents (1009 in the at-risk for depression group and 1285 in the control group). Assessment tools included the Children's Depression Inventory (CDI), State-Trait Anxiety Inventory for Children (STAIC/TAIC), Self-Esteem Scale (SES), Self-Control Scale, Aggression Questionnaire (K-AQ), School Bullying (SB) scale, and the Smartphone Addiction Scale-Short Form (SAS-SV).

Results

Analysis of Covariance (ANCOVA) revealed that the at-risk group exhibited significantly higher levels of anxiety, aggression, involvement in school bullying, and smartphone addiction compared to the control group, while showing lower levels of self-esteem and self-control. Furthermore, multiple regression analysis indicated that higher anxiety and lower self-control were significant predictors of increased smartphone addiction levels.

Conclusions

These findings support the Interaction of Person-Affect-Cognition-Execution (I-PACE) model, which posits that emotional vulnerability and deficits in executive functions lead to addictive behaviors. The results suggest that reducing anxiety and enhancing self-control are critical factors in the prevention of smartphone addiction among children and adolescents.

Для цитирования: Kwak Miseon, Bae Eunju, Choi Wonjae, Lim Myung Ho. The Effects of Anxiety and Self-Control on Smartphone Addiction Among Children and Adolescents at Risk for Depression.. Healthcare (Basel, Switzerland). 2026. DOI: 10.3390/healthcare14080990.
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