Relationship between Self-compassion and Symptoms of Psychosomatic Disorders Mediated by Smartphone Addiction in University Students

Document Type : Original Article

Authors

1 Department of Psychology, Science and Research Branch, Islamic Azad University, Tehran, Iran.

2 Department of Educational Psychology, Faculty of Psychology and Education, Allameh Tabatabai University, Tehran, Iran.

3 Department of Psychology, Ahvaz Branch, Islamic Azad University, Ahvaz, Iran.

4 Department of Assessment and Measurement, Faculty of Psychology and Education, Allameh Tabatabai University, Tehran, Iran.

Abstract

Introduction: The use of various information technologies such as smartphones has substantially increased in recent decades and has directly affected human health. The present study aimed to investigate the relationship between self-compassion and symptoms of psychosomatic disorders mediated by smartphone addiction in university students. 
Methods: This research was applied in terms of purpose and correlational descriptive study in terms of the data collection method. The study population consisted of all students studying in the academic year of 2020-2021 at Islamic Azad University, Ahvaz Branch, among whom 254 individuals were selected using convenience sampling. The data were collected using Neff’s Self-Compassion Scale, Somatic Symptoms Experiences Questionnaire (SSEQ), and Smartphone Addiction Scale (SAS); the collected data were analyzed using path analysis.
Results: The results showed a direct relationship between self-compassion and smartphone addiction (β=-0.32, P=0.001) and a significant relationship between smartphone addiction and symptoms of psychosomatic disorders (β=0.34, P=0.001). Smartphone addiction was directly associated with symptoms of psychosomatic disorders in the participants (β=-0.11, P=0.041). In addition, smartphone addiction fully mediated the relationship between selfcompassion
and symptoms of psychosomatic disorders (β=-0.28, P=0.001).
Conclusion: According to the results, the proposed model had a good fit. Therefore, authorities can organize training programs to improve self-compassion in young people, thereby helping them overcome their smartphone addiction. This can consequently reduce symptoms of psychosomatic disorders in these individuals.

Keywords


1. Bransfield RC, Friedman KJ. Differentiating Psychosomatic, Somatopsychic, Multisystem Illnesses, and Medical Uncertainty. Healthcare (Basel). 2019;7(4). doi: 10.3390/healthcare7040114.
2. Mijiti A, Huojia M. Psychosomatic problems. Br Dent J. 2020;228(10):738. doi: 10.1038/s41415-020-1688-2.
3. Chinawa JM, Nwokocha AR, Manyike PC, Chinawa AT, Aniwada EC, Ndukuba AC. Psychosomatic problems among medical students: a myth or reality? Int J Ment Health Syst. 2016;10:72. doi: 10.1186/s13033-016-0105-3.
4. Satsangi AK, Brugnoli MP. Anxiety and psychosomatic symptoms in palliative care: from neuro-psychobiological response to stress, to symptoms’ management with clinical hypnosis and meditative states. Ann Palliat Med. 2018;7(1):75-111. doi: 10.21037/apm.2017.07.01.
5. Busch IM, Moretti F, Purgato M, Barbui C, Wu AW, Rimondini M. Psychological and Psychosomatic Symptoms of Second Victims of
Adverse Events: a Systematic Review and Meta-Analysis. J Patient Saf. 2020;16(2):e61-e74. doi: 10.1097/PTS.0000000000000589.
6. Kavosi Z, Ranaei Kordshouli H, Zare Saadabadi M, Ghorbanian A. The factors related to the
employees’ job stress: A meta-analysis. Journal of Health Management & Information Science. 2018;5(4):145-51.
7. Betke K, Basinska MA, Andruszkiewicz A. Sense of coherence and strategies for coping with stress among nurses. BMC Nurs. 2021;20(1):107. doi: 10.1186/s12912-021-00631-1.
8. Yaribeygi H, Panahi Y, Sahraei H, Johnston TP, Sahebkar A. The impact of stress on body function: A review. EXCLI J. 2017;16:1057-72. doi: 10.17179/excli2017-480.
9. Adamsson A, Bernhardsson S. Symptoms that may be stress-related and lead to exhaustion disorder: a retrospective medical chart review in Swedish primary care. BMC Fam Pract. 2018;19(1):172. doi: 10.1186/s12875-018-0858-7.
10. Senjam SS. The current advances in humansmartphone user interface design: An opportunity for people with vision loss. Indian J Ophthalmol. 2021;69(9):2544-5. doi: 10.4103/ijo.IJO_835_21.
11. Odgers C. Smartphones are bad for some teens, not all. Nature. 2018;554(7693):432-4. doi: 10.1038/d41586-018-02109-8.
12. Joshi SV, Stubbe D, Li ST, Hilty DM. The Use of Technology by Youth: Implications for Psychiatric Educators. Acad Psychiatry. 2019;43(1):101-9. doi:10.1007/s40596-018-1007-2.
13. Abi-Jaoude E, Naylor KT, Pignatiello A. Smartphones, social media use and youth mental health. CMAJ. 2020;192(6):E136-E41. doi: 10.1503/cmaj.190434.
14. Villani D, Grassi A, Cognetta C, Toniolo D, Cipresso P, Riva G. Self-help stress management training through mobile phones: an experience with oncology nurses. Psychol Serv. 2013;10(3):315-22. doi: 10.1037/a0026459.
15. Amiri M, Dowran B. Smartphone Overuse from Iranian University Students’ Perspective: A Qualitative Study. Addict Health. 2020;12(3):205-15. doi: 10.22122/ahj.v12i3.271.
16. Rathakrishnan B, Bikar Singh SS, Kamaluddin MR, Yahaya A, Mohd Nasir MA, Ibrahim F, et al. Smartphone Addiction and Sleep Quality on Academic Performance of University Students: An Exploratory Research. Int J Environ Res Public Health. 2021;18(16). doi: 10.3390/ijerph18168291.
17. Dewsaran-van der Ven C, van Broeckhuysen- Kloth S, Thorsell S, Scholten R, De Gucht V, Geenen R. Self-compassion in somatoform disorder. Psychiatry Res. 2018;262:34-9. doi: 10.1016/j.psychres.2017.12.013.
18. Lopez A, Sanderman R, Ranchor AV, Schroevers MJ. Compassion for Others and Self-Compassion: Levels, Correlates, and Relationship with Psychological Well-being. Mindfulness (N Y). 2018;9(1):325-31. doi: 10.1007/s12671-017-0777-z.
19. Misurya I, Misurya P, Dutta A. The Effect of Self-Compassion on Psychosocial and Clinical Outcomes in Patients With Medical Conditions: A Systematic Review. Cureus. 2020;12(10):e10998. doi: 10.7759/cureus.10998.
20. Homan KJ, Sirois FM. Self-compassion and physical health: Exploring the roles of perceived stress and health-promoting behaviors. Health Psychol Open. 2017;4(2):2055102917729542. doi: 10.1177/2055102917729542.
21. Pyszkowska A, Ronnlund M. Psychological Flexibility and Self-Compassion as Predictors of Well-Being: Mediating Role of a Balanced Time Perspective. Front Psychol. 2021;12:671746. doi: 10.3389/fpsyg.2021.671746.
22. McLean CL, Fiorillo D, Follette VM. Self-Compassion and Psychological Flexibility in a Treatment-Seeking Sample of Women Survivors of Interpersonal Violence. Violence Vict. 2018;33(3):472-85. doi: 10.1891/0886-6708.v33.i3.472.
23. Amiri S, Jamali Y. Psychometric assessment of somatic symptoms experiences instrument based on DSM-5. Koomesh. 2018;20(4).
24. Kwon M, Lee JY, Won WY, Park JW, Min JA, Hahn C, et al. Development and validation of a smartphone addiction scale (SAS). PLoS One. 2013;8(2):e56936. doi: 10.1371/journal.pone.0056936.
25. Yahyazadeh S, Fallahi-Khoshknab M, Norouzi K, Dalvandi A. The prevalence of smart phone addiction among students in medical sciences universities in Tehran 2016. Advances in Nursing and Midwifery. 2017;26(94):1-10.
26. Neff KD. The development and validation of a scale to measure self-compassion. Self and identity. 2003;2(3):223-50. doi: 10.1080/15298860309027.
27. Azizi A, Mohammadkhani P, Lotfi S, Bahramkhani M. The validity and reliability of the Iranian version of the Self-Compassion Scale. Practice in Clinical Psychology. 2013;1(3):149-55.
28. Krieger T, Hermann H, Zimmermann J, grosse Holtforth M. Associations of self-compassion and global self-esteem with positive and negative affect and stress reactivity in daily life: Findings from a smart phone study. Personality and individual differences. 2015;87:288-92. doi: 10.1016/j.paid.2015.08.009.
29. Abdolpour G, Shalchi B, Hamzezadeh S, Salehi A. The mediating role of self-esteem on the relationship between emotional dysregulation and compassion with Internet addiction. Shenakht journal of psychology & psychiatry. 2019;6(3):129-43. doi: 10.29252/shenakht.6.3.129.
30. Hodes LN, Oosthuizen J, Henry M, Thomas KG. Smartphones and psychosocial development: Selfcompassion mediates the association between trait anxiety and smartphone attachment in digital natives but not digital immigrants. Development Southern Africa. 2021:1-17. doi: 10.1080/0376835X.2021.2003757.
31. Yeshua M, Zohar AH, Berkovich L. “Silence! The body is speaking” - a correlational study of personality, perfectionism, and selfcompassion as risk and protective factors for psychosomatic symptoms distress. Psychol Health Med. 2019;24(2):229-40. doi: 10.1080/13548506.2018.1546016.
32. Ferrari M, Yap K, Scott N, Einstein DA, Ciarrochi J. Self-compassion moderates the perfectionism
and depression link in both adolescence and adulthood. PLoS One. 2018;13(2):e0192022. doi: 10.1371/journal.pone.0192022.
33. Demir YP, Sumer MM. Effects of smartphone overuse on headache, sleep and quality of life in migraine patients. Neurosciences (Riyadh). 2019;24(2):115-21. doi: 10.17712/nsj.2019.2.20180037.
34. Wacks Y, Weinstein AM. Excessive Smartphone Use Is Associated With Health Problems in Adolescents and Young Adults. Front Psychiatry. 2021;12:669042. doi: 10.3389/fpsyt.2021.669042.
35. Thomee S, Harenstam A, Hagberg M. Mobile phone use and stress, sleep disturbances, and symptoms of depression among young adults-a prospective cohort study. BMC Public Health. 2011;11:66. doi: 10.1186/1471-2458-11-66.