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Problematic mobile phone and social media use
among adolescents and its relationship with
cyberbullying, cybervictimisation and social
anxiety
Scientic Reports
Received: 11 September 2025
Accepted: 8 January 2026
Cite this article as: GuisotL., AparisiD.,
DelgadoB.etal. Problematic mobile
phone and social media use among
adolescents and its relationship with
cyberbullying, cybervictimisation and
social anxiety. Sci Rep (2026). https://doi.
org/10.1038/s41598-026-35842-6
Laura Guisot, David Aparisi, Beatriz Delgado & María Carmen Martínez-Monteagudo
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ARTICLE IN PRESS
Problematic mobile phone and social media use among adolescents and
its relationship with cyberbullying, cybervictimisation and social anxiety
Laura Guisot1, David Aparisi1, Beatriz Delgado1 and María Carmen
Martínez-Monteagudo1
1 Department of Developmental Psychology and Didactics. Faculty of
Education. University of Alicante (Spain).
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Correspondence Author: David Aparisi (Department of Developmental
Psychology and Didactics. Faculty of Education. University of Alicante,
Alicante 03080, Spain. david.aparisi@ua.es)
Abstract
The use of mobile phone and social media has become a global and
unstoppable phenomenon, especially among adolescents, largely due to
the ease of access to numerous applications that facilitate
communication and social interaction via the Internet. This study
examines the relationship between problematic mobile phone and social
media use, cyberbullying, and social anxiety in a representative sample of
secondary school adolescents. A total of 1164 students with an age range
of 12 to 18 years (
M
= 14.56;
SD
= 1.4) completed a battery of self-
report measures to assess problematic mobile phone and social media
use and social anxiety. The results indicate that students with high
problematic use of mobile phone and social media have significantly
higher levels of cyberbullying and social anxiety compared to those with
low and medium problematic use. Furthermore, logistic regression
analyses showed that cyberbullying, cybervictimisation and social
anxiety, specifically, fear of negative evaluation were significant
predictors of problematic mobile phone and social media use, indicating
a higher probability of dependence as levels of cybervictimisation and
social anxiety increase. Furthermore, women are more likely than men to
experience PMPU and PSMU. The results suggest the need to implement
interventions aimed at improving emotional management and reducing
problematic behaviours related to technology use.
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Keywords: Mobile phone; social media; cyberbullying; social anxiety;
adolescents.
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Introduction
The use of mobile phone and social media has become a global
phenomenon, largely due to the ease of access to numerous applications
that facilitate communication via the internet and increase interpersonal
connections [1]. Their benefits are numerous and valuable, although
these digital tools have addictive potential due to their design and
characteristics [2]. In this regard, a large number of studies have
identified a growing problematic use of these devices among adolescents,
as well as an increase in conflicts with parents, emotional problems and
digital hygiene issues [3, 4]. Adolescents spend an average of four hours
on their mobile phones, with video games and social media being the
most common activities [5]. Recent studies confirm that problematic use
of mobile phones and social media is linked to changes in impulse control
and greater difficulty in stopping their use, characteristics typical of
addiction [6]. To counteract the negative effects, it would be advisable to
work on self-control in young people [7, 8, 9], good usage habits [10], and
better emotional management [11].
This study seeks to explore the problematic mobile phone use
(PMPU) and social media (PSMU) among adolescent students and
analyse its relationship with cyberbullying and social anxiety. This is
because the use of technology found in mobile phones can impact the
mental health, development and well-being of minors [12]. Furthermore,
it has been observed that problematic use of social media is closely
linked to the search for social validation and emotional dissatisfaction,
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which can exacerbate problems such as isolation and emotional
dependence in adolescents [13].
PMPU and PSMU
The conceptualisation of PMPU and PSMU use responds to risky
behavioural patterns, not clinically validated disorders. It is true that
studies such as that by [14] have used the diagnostic criteria for Internet
gaming disorder (IGD) to assess patterns of problematic mobile phone
and Internet use. This trend is observed in other research focused on
IGD, while problematic mobile phone or social media use still lacks a
formal diagnostic definition [15, 16]. This approach reflects a growing
need to differentiate between various forms of problematic technology-
related behaviour, including mobile phone use, social media use, and
online gaming.
PMPU is characterised by difficulty controlling its use,
which negatively affects daily activities and emotional well-being [16].
Social anxiety plays an important role in this behaviour, as many
adolescents turn to their mobile phones to avoid social interactions,
which exacerbates their isolation [17]. In terms of PSMU, the constant
search for validation is linked to greater emotional dissatisfaction and
dependence on virtual interactions [13]. These patterns of use affect not
only mental health, but also interpersonal relationships and academic
performance [16]. Given the prevalence of these behaviours, further
research is needed to develop diagnostic criteria that address both
problematic mobile phone and social media use [17].
Currently, there is a high prevalence of PMPU among adolescents,
ranging from 10% to 38.5% [18, 19]. Specifically, in Spain, the
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prevalence of inappropriate or PMPU is 15.4% [20]. This study obtains
results similar to those discussed in the scientific articles by [21] and
[22] with 13.54% and 12.5%, respectively.
Focusing on the adolescent
population, studies show variations in the prevalence of problematic
mobile phone use. The study by [23] included participants from non-
European countries. They examined cross-cultural differences in 1709
young adults from Spain, the United States, and Colombia in terms of
mobile phone use and its relationship to anxiety and depression. They
concluded that 56.6% could be classified as having ‘occasional problems
with mobile phone use’ and 7.7% as having ‘frequent problems with
mobile phone use’. In Nepal, the prevalence among adolescents was
21.7% [24]. In India, PMPU among adolescents reached 21% [25]. In
China, the study reported a prevalence of 27.92% among adolescents
[26].
PMPU manifests differently according to gender, age, and country
[27]. In terms of gender, women tend to have more problems with mobile
phone use and more dependency-related behaviours [28]. Women report
more difficulties with mobile phone use, as they spend a significant
amount of time on their phones, which leads to higher phone bills, while
men are significantly more likely to use social media passively [29, 30].
However, these findings are not conclusive, as other studies conclude
that men are more likely to exhibit this problematic use [31]. Similarly,
research conducted by [32] revealed that in a sample of adolescents, the
age group with the highest percentage of problematic mobile phone use
was the youngest, with a prevalence of approximately 80%.
As for the
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negative repercussions of PMPU and PSMU, both prolonged and
excessive use of mobile phones can lead to symptoms such as anxiety,
behavioural and emotional problems, behavioural addiction, poorer sleep
quality, bad moods and low psychological well-being [33]. In relation to
this, research carried out by [34] found that one-third of those surveyed
had nomophobia and one-tenth had high levels of phubbing, a term that
describes the act of ignoring people present in a social interaction by
paying more attention to one's mobile phone. In fact, adolescents feel
compelled to check their mobile phones to keep up to date, and this in
turn is linked to anxiety and depression, as there is also a significant
relationship between fear of missing out (FoMO) and problematic use of
mobile phones and social media [35].
Cyberbullying, cybervictimisation and PMPU and PSMU
Cyberbullying is considered intentional and repetitive harassment
perpetrated by a person or group and carried out through digital devices
such as mobile phones [36]. This phenomenon is most prevalent among
adolescents and young adults, who tend to be the main users of mobile
devices and social media. In particular, people who use mobile phones
and social media problematically are more vulnerable, as both
phenomena share a digital platform. Thus, greater use of digital media
translates into more risks encountered and less participation in
constructive socialisation, which can lead to aggressive and
inappropriate behaviour [37]. Furthermore, PMPU is positively
associated with participation in cyberbullying, increasing the rates of
perpetration of this behaviour and causing negative emotional states
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[38].
In this regard, a study conducted with adolescents found that
emotional regulation problems and psychiatric symptoms were risk
factors for PMPU and cyberbullying [39]. These data are also
corroborated by the research of [40], who identify that cybervictimisation
can drive problematic mobile phone use as a strategy to reduce the
negative feelings resulting from cyberbullying. This relationship can be
explained by the fact that adolescents, when experiencing negative
emotions as a result of online bullying, tend to use mobile phones and
social media excessively as a form of escape or emotional regulation,
which in turn increases their dependence on these devices [16, 17]. Thus,
recent research also highlights the role of psychological insecurity and
lack of family support as key factors in perpetuating this cycle of
victimisation and problematic social media use [18].
Furthermore, social
anxiety has been identified as a determining factor in the relationship
between problematic social media use and cyberbullying. Studies have
shown that adolescents with higher levels of social anxiety are more
likely to develop a dependence on social media, using these platforms as
a refuge from face-to-face social interactions [16]. This behaviour can
make them more vulnerable to cyberbullying and, as a result, intensify
their problematic use of these platforms as a way of coping with the
negative emotions that arise from these experiences. For example,
research by [34] found that social anxiety and the need for constant
validation on social media were highly correlated with fear of missing out
(FoMO), which, in turn, increased mobile phone dependence and
exposure to cyberbullying.
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On the other hand, it has been observed that age and gender
differences also influence the dynamics of PMPU and cyberbullying.
Adolescent girls tend to have more problems related to excessive use of
social media, which makes them more susceptible to cybervictimisation.
This could be due, in part, to the fact that young women are more likely
to seek emotional validation and social acceptance on digital platforms,
which increases their exposure to cyberbullying [28, 30]. On the other
hand, men tend to be more involved in passive behaviours on social
media, which could explain the weaker relationship between their
problematic use and online victimisation [16, 29].
In conclusion, all the
articles discussed agree on a link between problematic mobile phone use
and cyberbullying. To reduce the inappropriate use of cell phones and
social media, as well as cyberbullying, various studies have opted for
psychoeducational strategies focused on raising awareness and
promoting responsible use of cell phones and social media, as well as
educating about cyberbullying. Other specialists suggest limiting the use
of cell phones in classrooms or incorporating them for educational
purposes with the aim of minimizing adolescents' exposure to these risks
during school hours and encouraging healthier use of devices outside the
school environment [36]. This measure could help reduce the time
adolescents spend on their cell phones and social media, which would
reduce their exposure to victimization and improve their overall
psychological well-being.
Social anxiety and PMPU and PSMU
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Social anxiety is defined as the fear of negative social scrutiny and
evaluation, characterised by tension and nervousness in social settings
[41]. According to the revised version of the Diagnostic and Statistical
Manual of Mental Disorders (DSM-5-TR) of the American Psychiatric
Association [42], social anxiety disorder is characterised by an intense
and persistent fear of situations in which the person may be evaluated by
others. People with this disorder fear acting in ways that will be
negatively judged, which can lead to significant avoidance of social
situations or facing them with great distress.
Numerous studies have identified a significant relationship between
problematic mobile phone and social media use and social anxiety in
adolescents. This relationship may be mediated by factors such as
cybervictimisation, psychological insecurity, and unregulated social
media use [27].
Thus, [43] found in a sample of 14- and 17-year-old
students, using the Questionnaire for Adolescent Problematic Mobile
phone Use [44] and the Social Anxiety Scale for Adolescents [45], that
social anxiety affects dependence on mobile phones and social networks,
as people with social anxiety feel more protected and in a relatively safe
environment when interacting via mobile phone. [46] also found a
positive relationship between social anxiety and problematic mobile
phone use in a sample of students aged 10 to 14 using The Mobile phone
Addiction Scale [47] and The Liebowitz Social Anxiety Scale for Children
and Adolescents (LSAS-CA-SR) [48]. It follows that communication via
mobile phones allows adolescents with social anxiety to compensate for
their lower social skills [49].
A recent meta-analysis of these variables
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supported a significant positive correlation between social anxiety and
mobile phone addiction, suggesting that social anxiety is a predictor of
the development of mobile phone addiction in adolescents and adults
[50].
In summary, empirical evidence shows that mobile phones and
social media allow socially anxious individuals to find a safe place
through which they can communicate and, therefore, a way to avoid
offline social situations through problematic use of the same [41, 51].
The present Study
There is not much research analysing the relationship between
problematic mobile phone and social media use and its relationship with
cyberbullying, cybervictimisation and social anxiety, and most studies
used different population samples. Therefore, taking into account the
limitations of previous studies, the research objectives of this study are
to analyse the differences in cyberbullying, cybervictimisation and social
anxiety between adolescents with a problematic mobile phone use and
problematic social media use, to determine its impact on adolescents.
Based on the objectives described above, the following hypotheses are
proposed: on the one hand, differences are expected to be found in the
variables of cyberbullying, cybervictimisation and social anxiety between
students with different degrees of problematic mobile phone and social
media use, with students with more problematic use obtaining
significantly higher scores in cyberbullying, cybervictimisation, and
social anxiety (hypothesis 1); on the other hand, cyberbullying,
cybervictimisation and social anxiety will be significant predictors of both
problematic mobile phone use and social media use (hypothesis 2).
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Several studies conducted in different countries have shown that
cyberbullying and cybervictimisation are related to problematic use of
social media [52] and mobile phones among adolescents [37]. The study
justifies the need to investigate these variables due to the negative
repercussions associated with problematic use of both social media and
mobile phones in adolescence. These problematic behaviours are linked
to symptoms such as anxiety, behavioural and emotional problems,
addiction, impaired sleep quality, general malaise and low psychological
well-being [53]. Furthermore, excessive use of these devices can intensify
the experience of cyberbullying and exacerbate social anxiety, creating a
harmful cycle that profoundly affects the emotional and social
development of adolescents [41, 54]. In this context, understanding how
cyberbullying and social anxiety influence problematic mobile phone and
social media use is crucial to addressing and mitigating these adverse
effects.
Method
Participants
The reference population included students of Secondary Education
from the province of Alicante (Spain). The initial sample consisted of
1210 students from 1st year of Secondary Education to 1st
Baccalaureate, randomly selected from six secondary schools, specifically
five public and one private, with around 200 students per school. Of this
total, 46 (3.8%) were excluded due to omissions or errors in their
responses. Thus, the final sample consisted of 1164 students (599
females (52%) and 565 males (48%) aged between 12 and 18 (
M
= 14.56;
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SD
= 1.4), with 130 (11.2%) aged between 12 and 13; 301 (25.9%) aged
13 to 14; 333 (28.6%) aged 14 to 15; 250 (21.5%) aged 15 to 16, and 150
(12.9%) aged 16 to 18. The Chi-square test of homogeneity of frequency
distribution revealed that there were no statistically significant
differences between the ten groups of gender x year (
χ
² = 9.7;
p
= .28).
Instruments
To assess problematic mobile phone use, the Problematic Mobile
phone Use Scale from the
Problematic Use of New Technologies
Questionnaire
[55] was used. The scale consists of 10 items that assess
the frequency and intensity of problematic mobile phone use and
measure associated symptoms, such as recurrent thoughts of being
connected (e.g., ‘Are you thinking about using your mobile phone hours
before you actually use it?’), feelings of irritability or withdrawal (e.g.,
‘Do you feel nervous if it has been a long time since you last used your
mobile phone?’ or ‘Do you feel bad (sad, anxious or irritable) when you
cannot use your mobile phone?’), inattention to educational, family or
social activities (e.g. ’Do you continue to use your mobile phone even
though this causes problems with others, in your studies, with your
family...?’ or ‘Do you lie to your family or friends about how much time
you spend on your mobile phone?’), social isolation, among others, using
a 5-point Likert scale: 1 (never) to 5 (always). The subscale obtained an
adequate reliability index (
α
= .87) for the sample analysed. Recent
research has concluded that rates of PMPU among adolescents are
between 20–30% [56, 57].
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Problematic social media use was assessed using the
Problematic
Social Media Use Questionnaire
[58], which consists of 13 items that
measure the intensity of social media use. Respondents answered using a
Likert scale with five response options (1=never; 5=always) (e.g. ‘Do you
think in advance about when you will be able to connect to social media?’
or ‘Has the time you spend using social media affected your performance
(grades) or your motivation to study?’). The questionnaire allows for the
identification of the frequency of the main behaviours associated with
problematic social media use, such as dependence, interference with
daily activities, discomfort, and lack of control. The reliability index of the
test in this study was adequate (
α
= .86). Several studies have concluded
that between 25-30% of adolescents who use social media in a
problematic way say they spend a lot of time thinking about social media
apps and use social media apps very often to forget about their problems
[59].
Social anxiety was assessed using the
Social Anxiety Scale for
Adolescents
(SAS-A) [60], a self-report measure that assesses social fears
and concerns and avoidance in social situations in adolescents. It consists
of 18 items that measure social anxiety and 4 filler items. The SAS-A
includes three subscales: Fear of Negative Evaluation (FNE) consists of 8
items that assess fears, concerns, or worries regarding peers' negative
evaluations (e.g., ‘I worry about what others say about me’); Social
Avoidance and Distress in New Situations (SAD-N) consists of 6 items
that assess social avoidance and distress in new social situations or with
unfamiliar peers (e.g., ‘I get nervous when I talk to peers I do not know
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very well’); and Social Avoidance and Distress-General (SAD-G) consists
of 4 items that assess general social inhibition, distress, and discomfort
(e.g., “I am quiet when I am with a group of people”). Items from each
subscale are summed such that higher scores reflect greater social
anxiety. Reliability indices (α) were adequate for the FNE (.93), SAD-N
(.88) and SAD-G (.81) subscales, and the overall SAS-A score (.93).
Finally, the
Peer Bullying Screening
(2016) was used to assess
cyberbullying [61]. This is a self-report that assesses both face-to-face
bullying (Bullying subscale) and electronic bullying (Cyberbullying
subscale). In the present study, we only used the Cyberbullying subscale:
15 items of cyberbullying and 15 items of cybervictimization. This
assesses 15 electronic bullying behaviors (e.g., sending offensive and
insulting messages, making offensive calls, disseminating photos or
videos on YouTube, making frightening anonymous calls, blackmailing or
threatening someone) to identify victims and bullies in the past year. The
questionnaire is answered using a Likert scale with four response options
(1=never; 4=always). The psychometric studies carried out by the
original authors confirm the adequate internal consistency of the test (α
=. 91). The reliability indices of the subscales of the cyberbullying
questionnaire in the study sample were good: cybervictimization (
α
=
.87), and cyberbullying (
α
= .89).
Procedure
After obtaining approval for collaboration from the management and
guidance departments of the educational centres, as well as the informed
consent of the families of the participating students, the questionnaires
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were answered collectively and anonymously by the students in the
computer room using an online form. The researchers were present
during the administration of the tests to clarify any doubts and verify that
the students completed the questionnaires independently and voluntarily.
The average response time for the tests was 20 minutes. The study,
including the consent methods used, received approval from the
Research Ethics Committee (UA-2023-02-07). In addition, all regulations
concerning research involving human subjects were observed, in
accordance with the ethical principles set forth in the Declaration of
Helsinki.
Statistical analysis
First, the sample was grouped according to problematic mobile
phone/social media use scores into: (1) low problematic use (scores equal
to or below the 25 percentile), (2) medium problematic use, and (3) high
problematic use (scores equal to or above the 75 percentile). Secondly, to
analyse the differences in cyberbullying, cybervictimisation and social
anxiety between the three groups, an analysis of variance (ANOVA), once
the normality of the scores and the homogeneity of the variances has been
calculated using the Shapiro Wilk test, and Bonferroni post hoc test were
performed to identify between which groups these differences existed. In
addition, the effect size was calculated using the eta-squared index and
Cohen's
d
[62]. Regarding the interpretation of the effect size, values less
than or equal to .20 indicate a very small or insignificant effect size, those
between .20 and .49 are considered small, those between .50 and .79 are
moderate, and those above .80 are considered large. In addition,
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Spearman's correlations were calculated to measure the statistical
relationship between the different variables in the study. Finally, to
evaluate the explanation of cyberbullying and social anxiety on
problematic social media and mobile phone use, a stepwise forward
logistic regression analysis based on the Wald method was performed. To
estimate the fit of each model, the percentage of correctly matched cases
was calculated, as well as Nagelkerke's
R
2. The probability of an event
occurring was quantified using the odds ratio (
OR
). Thus,
OR
values
greater than 1 establish that the probability of an event (e.g., problematic
use of mobile phones/social media) is greater than that of no event, and
values from 0 to 0.99 indicate that the possibility of an event is lower than
the probability of no event. SPSS 23.0 (IBM Corporation) was used for
ANOVA and logistic regression analysis.
Results
Differences in cyberbullying, cybervictimisation and social anxiety in
students with low, medium, and high PMPU
The results obtained indicate that there are statistically significant
differences in cyberbullying and social anxiety scores between the
different groups of PMPU (see Table 1). Post hoc tests indicate that
students with high PMPU obtain significantly higher scores in
cybervictimisation than the low (
t
= 2.39,
p
= .00) and medium PMPU
groups (
t
= 1.78,
p
= .00). On the other hand, students with high PMPU
score significantly higher on cyberbullying than students with medium (
t
= 1.34,
p
= .00) and low (
t
= 1.98,
p
= .00) problematic mobile phone
use. In fact, students with medium PMPU had significantly higher scores
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for cyberbullying (
t
=.64,
p
= .02) than those with low PMPU. Effect sizes
were moderate for differences in cybervictimisation (
d
> .50) and small
for differences in cyberbullying (
d
> .20).
(Insert Table 1 here)
In addition, students with high PMPU use score significantly higher
on the scale of fear of negative evaluation, social avoidance and
discomfort in new situations, and social avoidance and discomfort in
social situations in general than students with average PMPU (FNE:
t
=
1.58,
p
= .00; SAD-N:
t
= 1.21,
p
= .01; SAD-G:
t
= 1.63,
p
= .00) and low
(FNE:
t
= 3.75,
p
= .00; SAD-N:
t
= 2.70,
p
= .00; SAD-G:
t
= 2.04,
p
=
.00). Additionally, students with moderate PMPU have significantly
higher scores in social anxiety in all its manifestations (FNE:
t
= 2.16,
p
= .00; SAD-N:
t
= 1.50,
p
= .00; SAD-G:
t
= 3.35,
p
= .00) than those with
low PMPU (see Table 2). The effect sizes for differences in social anxiety
were moderate between the high and low PMPU groups (
d
> .50) and
small between the medium group and the rest of the groups analysed (
d
> .20).
Differences in cyberbullying, cybervictimisation and social anxiety
among students with low, medium, and high PSMU
The results of the variance analyses indicate that there are
statistically significant differences in cyberbullying and social anxiety
scores between groups (see Table 2). Specifically, post-hoc tests detected
that students with high scores in PSMU had significantly higher scores in
cyberbullying and cybervictimisation than groups with low scores (
t
=
1.53,
p
= .00, ;
t
= 3.35,
p
= .00) and average scores on PSMU (
t
= 1.37,
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p
= .00;
t
= 2.57,
p
= .00). Effect sizes were moderate in all cases (
d
>
.50).
In addition, students with high scores on PSMU obtained
significantly higher scores than students with average and low scores on
the fear of negative evaluation (
t
= 4.71,
p
= .00 ;
t
= 8.12,
p
= .00) and
social avoidance and discomfort in new situations (SAD-N) scales (
t
=
3.28,
p
= .00;
t
= 4.81,
p
= .00). In fact, students with moderate PSMU
scored significantly higher than those with low PSMU (
t
= 3.41,
p
= .00;
t
= 3.35,
p
= .00) on the SAD-N subscale. On the other hand, adolescents
with high PSMU use exhibit significantly more social avoidance and
discomfort in situations in general than students with medium (
t
= 1.78,
p
= .00) and low (
t
= 2.36,
p
= .00) PSMU. All effect sizes for differences
in social anxiety were moderate (
d
> .50).
Regarding correlations between variables (see Table 3), most were
moderate to high, highlighting the relationship between PMPU and
PSMU (
r
= .68), the relationship between cyberbullying and
cybervictimization (
r
= .46), cyberbullying and the FNE scale of social
anxiety (
r
= .70), PMPU and PSMU and social anxiety, especially on the
FNE scale (
r
= .31 and
r
= .39).
(Insert Table 2 here)
(Insert Table 3 here)
Association between PMPU, cyberbullying, cybervictimisation and
social anxiety
Logistic regression analyses yielded five explanatory models for
PMPU based on the scores of the predictor variables analysed (see Table
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4). All AUC values were in the range of 0.75 to 0.80, indicating that the
models were able to distinguish between classes well. Thus, one model
was created using cyberbullying scores and another using
cybervictimisation scores, with 62.3% (
χ
²=51.34;
p
=.00) and 63%
(
χ
²=54.87;
p
=.00) of cases correctly classified by the models. The
goodness of fit (Nalgerkerke's
R
²) was .09 and .10, respectively. The
OR
indicate that adolescents are 19% and 16% more likely to exhibit high
PMPU as their cyberbullying and cybervictimisation scores increase by
one unit, respectively.
Social anxiety symptoms also significantly explain PMPU. The model
based on fear of negative evaluation (
χ
²=81.07;
p
=.00) correctly
classified 64.8% of cases, the model based on social avoidance and
discomfort in new situations classified 60.7% (
χ
²=45.87;
p
=.00), and the
model of social avoidance and discomfort in social situations in general
classified 65.9% (
χ
²=95.15;
p
=.00) of cases correctly. The Nagelkerke
R
²
fit indices for the models were .14, .08, and .16, respectively. The
OR
indicate that students are 13%, 10%, and 16% more likely to maintain
PMPU as the FNE, SAD-N, and SAD-G social anxiety subscales increase
by one unit, respectively.
Finally, logistic regression was calculated taking into account the
variables of gender and age. The data allowed us to create a model for
the age variable (
χ
²=15.92;
p
=.00) with 63% of cases classified correctly,
and Nalgerkerke's
R
² indicators was .07. The
OR
indicate that the
probability of high PSPU increases by 2.59 in the case of women.
(Insert Table 4 here)
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Association between PSMU, cyberbullying, cybervictimisation, and
social anxiety
Based on the logistic regression analyses, it was possible to create
five explanatory models of PSMU based on cyberbullying and social
anxiety (see Table 5). Likewise, all AUC values were in the range of 0.75
to 0.80, indicating that the models were able to distinguish between
classes well. Thus, a model was also obtained to predict the probability of
PSMU through cyberbullying, with 65.9% (
χ
²=32.14;
p
=.00) of cases
correctly classified, and a Nalgerkerke's
R
² of .08. The
OR
indicates that
the probability of high PSMU in adolescents is 1.27 times higher for each
unit increase in cyberbullying. Likewise, a predictive model of PSMU
through cybervictimisation was created, with 66.5% (
χ
²=70.93;
p
=.00) of
cases correctly classified. The goodness of fit (Nalgerkerke's
R
²) was .16.
The
OR
indicates that the probability of high PSMU is 1.25 times greater
as cybervictimisation increases by one unit.
With regard to social anxiety, three explanatory models were
created for PSMU based on scores for fear of negative evaluation
(
χ
²=49.06;
p
=.00), social avoidance and discomfort in new situations
(
χ
²=38.66;
p
=.00), and social avoidance and general discomfort
(
χ
²=27.99;
p
=.00), with 70%, 70%, and 67.5% of cases classified
correctly, respectively. Nalgerkerke's
R
² indicators were adequate for the
models: .25, .20, and .15. The
OR
indicate that the probability of high
PSMU increases by 1.12 as the fear of negative evaluation score
increases, by 1.16 as social avoidance and discomfort in new social
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situations increases by one unit, and by 1.25 as social avoidance and
discomfort in social situations in general increases by one unit.
Finally, logistic regression was calculated taking into account the
variables of sex and age. The data allowed us to create a model for the
gender and age variable (
χ
²=11.50;
p
=.00) with 56.1% of cases classified
correctly, and Nalgerkerke's
R
² indicators was .02. The
OR
indicate that
the probability of high PSMU increases by 1.56 in the case of women and
the probability of high PSMU decreases by 5% as age increases.
(Insert Table 5 here)
Discussion
The results of this study show a relationship between problematic
mobile phone and social media use and cyberbullying and social anxiety
in adolescents, confirming the proposed hypotheses. The first hypothesis
suggested that students with higher problematic use of social media and
mobile phones would score significantly higher on cyberbullying,
cybervictimisation, and social anxiety, which was verified through the
analyses. These results are consistent with previous research
highlighting the role of technology in the development of problematic
behaviours among young people. Studies such as that by [13] suggest
that excessive use of social media exacerbates the search for emotional
validation, which in turn contributes to a cycle of dependence and
unregulated use, which can lead to behaviours such as cyberbullying.
This coincides with the findings of this research, where students with
more problematic social media use scored higher on cyberaggression and
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cybervictimisation, which could be associated with lower self-control and
increased impulsivity [7].
On the other hand, in relation to social anxiety, it was found that
adolescents with high levels of problematic mobile phone and social
media use also scored higher on fear of negative evaluation and social
avoidance, which reinforces the findings of studies such as that by [17],
who stated that problematic mobile phone use is mediated by social
anxiety. These results underscore the idea that the use of technology
offers a space perceived as safe for adolescents who experience
difficulties in face-to-face interactions, serving as a way to avoid direct
social contact and exacerbating their technological dependence.
Furthermore, the relationship between problematic mobile phone
and social media use and cyberbullying and cybervictimisation, as
proposed in hypothesis 2, was supported by logistic regression analyses.
Adolescents who reported being victims of cyberbullying showed a
greater tendency towards problematic use of their devices, which
coincides with the findings of [39], who identified cybervictimisation as a
factor that drives the use of mobile phones and social media as a
mechanism for coping with the emotional distress caused by bullying.
This phenomenon is also addressed by [27], who argue that excessive use
of mobile phones and social media can contribute to perpetuating online
aggression, creating a cycle of dependency and cyberbullying.
The results also confirmed that social anxiety is a significant
predictor of problematic mobile phone and social media use. Previous
studies such as that by [50] support this claim, showing that social
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anxiety has a significant positive correlation with problematic mobile
phone use, suggesting that socially anxious adolescents turn to
technology to avoid face-to-face interactions, increasing their
dependence on these devices. This behaviour is particularly relevant in
adolescence, a critical stage for the development of social skills, where
problematic use of technologies can interfere with adolescents' social
and emotional development. Adolescents with higher levels of social
anxiety tend to use mobile phones to meet their psychological needs,
which ultimately increases their dependence [63]. In addition,
adolescents tend to have a fairly low level of self-control and are
susceptible to external distractions (such as mobile phones and social
media), making them a ‘vulnerable group’ for problematic use of these
devices.
Therefore, this study provides new evidence on the relationship
between problematic mobile phone and social media use, cyberbullying,
and social anxiety in adolescents, expanding current knowledge in these
areas. It is important to note that adolescents with more problematic use
of these technologies also reported greater difficulties in emotional
regulation, reinforcing the need to implement intervention programmes
that promote self-control and appropriate management of emotions in
this population, as suggested by [8].
Limitations and Practical Implications
Despite the significant contribution of these findings, the study has
some limitations. One of them is the lack of a longitudinal assessment
that would allow us to observe the development of these behaviours over
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time, which would be necessary to better understand the underlying
dynamics of problematic mobile phone and social media use. In this
regard, most studies analyse the issue in a cross-sectional manner, but
few studies, mostly involving university students [64, 65], investigate the
dynamic associations between changes in cyberbullying,
cybervictimisation and social anxiety and the PSPU and PSMU over time
using latent growth models. Latent growth curve models allow us to
estimate intra-individual fluctuations in the trajectory of change over
time and assess how changes in social anxiety symptoms and PSMU, for
example, may be interrelated.
Furthermore, although the study explored gender differences, it did
not go beyond pointing out general differences, so future research could
analyze in greater detail how these variables interact according to
gender and other sociodemographic characteristics. It would also be
valuable to extend the study to other populations beyond the
geographical and school environment of the sample, as results may vary
in different cultural or educational contexts.
Likewise, it would be useful to analyse in detail the mediating effect
of cyberbullying and cybervictimisation on problematic mobile phone and
social media use on social anxiety.
Finally, this study suggests that interventions should focus on
developing digital and emotional skills in adolescents, promoting healthy
use of technology and addressing the root causes of social anxiety and
cyberbullying. Educational policies that limit the use of mobile devices in
school settings could also contribute to reducing these problematic
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behaviours, as proposed by [36]. It would also be relevant to involve
families in these interventions, as emotional support at home has been
shown to be a key protective factor against problematic technology use
[18].
Conclusions
The results of this study show that students with high scores in
PMPU obtained significantly higher scores in cyberbullying and
cybervictimisation. In addition, students with high PMPU score
significantly higher on the scale of fear of negative evaluation, social
avoidance and discomfort in new situations, and social avoidance and
discomfort in social situations in general.
In the case of adolescents with high scores in PSMU had
significantly higher scores in cyberbullying and cybervictimisation than
groups with low scores. Also, students with high scores on PSMU
obtained significantly higher scores than students with average and low
scores on the fear of negative evaluation and social avoidance and
discomfort in new situations scales. On the other hand, adolescents with
high problematic social media use exhibit significantly more social
avoidance and discomfort in situations in general. Logistic regression
analyses showed that cyberbullying, cybervictimization, and social
anxiety are significant predictors of PMPU and PSMU. Furthermore,
women are more likely than men to experience PMPU and PSMU.
These results point to the need to take preventive measures against
cyberbullying and cybervictimization, which are closely related to the
problematic use of new technologies. In addition, intervening in
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psychological variables such as social anxiety may be key to preventing
potentially harmful situations for adolescents in the future, teaching
them psychoeducational strategies that promote the responsible use of
both mobile phones and social media.
Conflict of interest and other declarations: The authors declare no
conflict of interest.
Ethics approval and consent to participate: Standards regarding
research on humans were respected, in accordance with the ethical
principles of the Declaration of Helsinki and the Ethics Committee (UA-
2022-03-21).
Consent for publication: The authors consent to the publication of the
manuscript.
Availability of data and material: Data available if required
(beatriz.delgado@ua.es).
Competing interests: Not applicable.
Funding: This research was funded by the Ministry of Science and
Innovation, the Agency and the European Regional Development Fund
(Project PID123118NA-100 funded by MCIN /AEI
/10.13039/501100011033 / FEDER, EU).
Acknowledgements Not applicable.
Authors contributions section: DA and BD conceived of the study,
participated in its design and coordination, and drafted the manuscript;
DA and BD performed a critical review of the manuscript and assisted
with interpretation of the findings; BD assisted with the study conception
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and participated in the statistical analyses; LG and MCMM participated
in the design of the study, data interpretation, and assisted in drafting
the manuscript. All authors read and approved of the final manuscript.
References
1. Näher, A. F., Vorisek, C. N., Klopfenstein, S. A., Lehne, M., Thun, S.,
Alsalamah, S., & Grabenhenrich, L. Secondary data for global health
digitalisation.
The Lancet Digital Health
, 5(2), e93-e101;
10.1016/S2589-7500(22)00195-9 (2023).
2. Zhong, L., Huang, V., & Guo, S. Mobile phone paradox: A two-path
model connecting mobile phone use and feeling of loneliness for
Filipino domestic workers in Hong Kong.
Mobile Media & Comm.
,
10(3), 448-467 (2022).
3. Nawaz, S. & Ahmad, Z. Statistical study of impact of mobile on
student’s life.
IOSR J. Hum. and Soc. Science (JHSS)
, 2(1), 43-49
(2012).
4. Pearson A. D., Young C. M., Shank F. & Neighbors, C. Flow mediates
the relationship between problematic mobile phone use and
satisfaction with life among college students
.
J. American Coll. Health,
71(4), 1018–1026 (2021).
5. Marciano, L., & Camerini, A. L. Duration, frequency, and time
distortion: Which is the best predictor of problematic mobile phone use
in adolescents? A trace data study.
PloS One
, 17(2), e0263815;
10.1371/journal.pone.0263815 (2022).
ACCEPTED MANUSCRIPT
ARTICLE IN PRESS
ARTICLE IN PRESS
6. Zhang, Y., Mei, S., Chai, J., & Zhou, Z. Problematic mobile phone use
and addiction: A comprehensive review of neurobiological mechanisms.
Neuro. Biobehav. Rev.
, 144, 104951; 10.1016/j.neubiorev.2023.104951
(2023).
7. Deng, X., Gao, Q., Hu, L., Zhang, L., Li, Y., & Bu, X. Differences in
Reward Sensitivity between High and Low Problematic Mobile phone
Use Adolescents: An ERP Study.
Int. J. Envirom. Res. Public Health
,
18(18), 9603; 10.3390/ijerph18189603 (2021).
8. Hu, Y. T., & Wang, Q. Self-control, parental monitoring, and adolescent
problematic mobile phone use: testing the interactive effect and its
gender differences.
Front. in Psych.
, 13, 1554;
10.3389/fpsyg.2022.846618 (2022).
9. Wang, D., Nie, X., Zhang, D., & Hu, Y. The relationship between
parental psychological control and problematic mobile phone use in
early Chinese adolescence: A repeated-measures study at two time-
points.
Addict. Behav.
, 125, 107142; 10.1016/j.addbeh.2021.107142
(2022).
10. Ong, N. C., Kee, Y. H., Pillai, J. S., Lim, H. B., & Chua, J. H.
Problematic mobile phone use among youth athletes: a topic modelling
approach.
Int. J. Sport and Exercise Psych.
, 21(4), 616-637 (2022).
11. Nagata, J. M., Lee, C. M., Yang, J., Al-Shoaibi, A. A., Ganson, K. T.,
Testa, A., & Jackson, D. B. Associations between sexual orientation and
early adolescent screen use: Findings from the Adolescent Brain
Cognitive Development (ABCD) Study.
Annals Epid.
, 82, 54-58 (2023).
ACCEPTED MANUSCRIPT
ARTICLE IN PRESS
ARTICLE IN PRESS
12. Świątek, A. H., Szcześniak, M., Aleksandrowicz, B., Zaczkowska, D.,
Wawer, W., & Ścisłowska, M. Problematic Mobile phone Use and
Social Media Fatigue: The Mediating Role of Self-Control.
Psych. Res.
Behav. Management
, 16, 211-222 (2023).
13. Worsley, J. D., McIntyre, J. C., Bentall, R. P., & Corcoran, R.
Problematic social media use and associations with mental health and
wellbeing: A systematic review.
Clin. Psych. Rev.
, 85, 102002;
10.1016/j.cpr.2021.102002 (2022).
14. Jo, G., Kim, H., Jang, W., & Lee, S. The relationship between internet
gaming disorder and problematic mobile phone use: A systematic
review.
Cyberpsych., Behav., and Social Netw.,
23(6), 388–393 (2020).
15. Darvesh, N., Hides, L., Kavanagh, D. J., Young, R. M., & Connor, J. P.
(2020). The prevalence and correlates of problematic mobile phone
use: A meta-analysis of 24 studies.
J. Affect. Disorders,
274, 275–285.
16. Liu, Q., Wu, Y., Lin, S., & Liu, X. Network analysis of social anxiety
and problematic mobile phone use in Chinese adolescents: A
longitudinal study.
J. Behav. Addictions,
11(3), 716–726 (2022).
17. Longobardi, C., Settanni, M., & Fabris, M. A. The association between
cybervictimization and problematic mobile phone use: A longitudinal
study of adolescents.
Addict. Behav.,
113, 106699;
10.1016/j.addbeh.2020.106699 (2020).
18. Gao, L., Zhang, J., Xie, H., Nie, Y., Zhao, Q., y Zhou, Z. Effect of the
mobile phone-related background on inhibitory control of problematic
mobile phone use: An event-related potentials study.
Addic. Behav.
,
108, 106363; 10.1016/j.addbeh.2020.106363 (2020).
ACCEPTED MANUSCRIPT
ARTICLE IN PRESS
ARTICLE IN PRESS
19. Sohn, S. Y., Rees, P., Wildridge, B., Kalk, N. J., & Carter, B.
Prevalence of problematic mobile phone usage and associated mental
health outcomes amongst children and young people: a systematic
review, meta-analysis and GRADE of the evidence.
BMC Psychiatry
,
19(1), 1-10 (2019).
20. De-Sola, J., Rubio, G., Talledo, H., Pistoni, L., Van Riesen, H., &
Rodríguez de Fonseca, F. Cell phone use habits among the Spanish
population: contribution of applications to problematic use.
Front.
Psychiatry
, 10, 883; 10.3389/fpsyt.2019.00883 (2019).
21. Romero-Rodríguez, J. M., Marín-Marín, J. A., Hinojo-Lucena, F. J., &
Gómez-García, G. An explanatory model of problematic Internet use of
Southern Spanish university students.
Social Science Comput. Rev,
,
40(5), 1171-1185 (2022).
22. López-Fernández, O. Short version of the Mobile phone Addiction
Scale adapted to Spanish and French: Towards a cross-cultural
research in problematic mobile phone use.
Addic. Behav.
, 64, 275-280
(2017).
23. Panova, T., Carbonell, X., Chamarro, A., & Puerta-Cortés, D. X.
Specific smartphone uses and how they relate to anxiety and
depression in university students: A cross-cultural perspective.
Behav.
Inf. Tech.,
39(9), 944–956 (2020).
24. Thapa, K., Lama, S., Pokharei, R., Sigdel, R., & Rimal, S. P. Mobile
phone dependence among Undergraduate Students of a Medical
College of Eastern Nepal: a descriptive cross-sectional study.
JNMA: J.
Nepal Med. Assoc.
, 58(224), 234; 10.31729/jnma.4787 (2020).
ACCEPTED MANUSCRIPT
ARTICLE IN PRESS
ARTICLE IN PRESS
25. Bhatt, N., Muninarayanappa, N. V., & Nageshwar, V. A Study to
Assess the Mobile phone Dependence Level and Sleep Quality among
Students of Selected Colleges of Moradabad.
Indian J. Public Health
Res. & Dev.
, 8(1), 41-45 (2017).
26. Yuchang, J., Cuicui, S., Junxiu, A., & Junyi, L. Attachment styles and
mobile phone addiction in Chinese college students: The mediating
roles of dysfunctional attitudes and self-esteem.
Int. J. Mental Health
Addic.
, 15(5), 1122-1134 (2017).
27. Li, D. L., Wang, S., Zhang, D., Yang, R., Hu, J., Xue, Y., & Zhang, S.
Gender difference in the associations between health literacy and
problematic mobile phone use in Chinese middle school students.
BMC
Public Health
, 23(1), 1-8 (2023).
28. Marín, V., Sampedro, B. E., Ortega, J. M., & Figueroa, J. Predictive
factors of problematic mobile phone use in young Spanish university
students.
Heliyon,
8(9), e10429; 10.1016/j.heliyon.2022.e10429 (2022).
29. Oviedo-Trespalacios, O., Nandavar, S., Newton, J. D. A., Demant, D.,
& Phillips, J. G. Problematic Use of Mobile Phones in Australia…Is It
Getting Worse?
Front. Psychiatry
, 10, 105; 10.3389/fpsyt.2019.00105
(2019).
30. Stieger, L., & Wunderl, S. The role of online social anxiety in
problematic social networking site use: A longitudinal study.
Social
Science & Med.
, 297, 114805; 10.1016/j.socscimed.2022.114805
(2022).
31. Li, D. J., Chang, Y. P., Chen, Y. L., & Yen, C. F. Mediating effects of
emotional symptoms on the association between homophobic bullying
ACCEPTED MANUSCRIPT
ARTICLE IN PRESS
ARTICLE IN PRESS
victimization and problematic internet/mobile phone use among gay
and bisexual men in Taiwan.
Int. J. Env. Research and Public Health,
17(10), 3386; 10.3390/ijerph17103386 (2020).
32. Vally, Z., & El Hichami, F. An examination of problematic mobile
phone use in the United Arab Emirates: Prevalence, correlates, and
predictors in a college-aged sample of young adults.
Addict. Behav.
Reports
, 9, 100185; 10.1016/j.abrep.2019.100185 (2019).
33. Kliesener, T., Meigen, C., Kiess, W. y Poulain, T. Associations
between problematic mobile phone use and behavioural difficulties,
quality of life, and school performance among children and
adolescents.
BMC Psychiatry
, 22(1), 1-12 (2022).
34. Tomczyk, Ł., & Lizde, E. S. Nomophobia and Phubbing: Wellbeing
and new media education in the family among adolescents in Bosnia
and Herzegovina.
Children and Youth Services Rev.
, 137, 106489;
10.1016/j.childyouth.2022.106489 (2022).
35. Sun, C., Sun, B., Lin, Y., & Zhou, H. Problematic Mobile phone Use
Increases with the Fear of Missing Out Among College Students: The
Effects of Self-Control, Perceived Social Support and Future
Orientation.
Psych. Res. Behav. Manag.
, 15, 1-8 (2022).
36. Selwyn, N., & Aagaard, J. Banning mobile phones from classrooms—
An opportunity to advance understandings of technology addiction,
distraction and cyberbullying.
British Journal of Educational
Technology,
52(1), 8-19 (2021).
37. Blinka, L., Stašek, A., Šablatúrová, N., Ševčíková, A., & Husarova, D.
Adolescents' problematic internet and mobile phone use in (cyber)
ACCEPTED MANUSCRIPT
ARTICLE IN PRESS
ARTICLE IN PRESS
bullying experiences: A network analysis.
Child Adolesc. Mental
Health
, 28(1), 60-66 (2023).
38. Shin, W., & Kim, H. W. Problematic mobile phone use and
cyberbullying perpetration in adolescents.
Behav. & Inf. Tech.
, 1-20
(2022).
39. Gül, H., Fırat, S., Sertçelik, M., Gül, A., Gürel, Y., & Kılıç, B. G.
Cyberbullying among a clinical adolescent sample in Turkey: effects of
problematic mobile phone use, psychiatric symptoms, and emotion
regulation difficulties.
Psychiatry and Clinical Psychopharmacology,
29(4), 547-557 (2023).
40. Peláez-Fernández, M. A., Chamizo-Nieto, M. T., Rey, L., & Extremera,
N. How do cyber victimization and low core self-evaluations interrelate
in predicting adolescent problematic technology use?.
Int. J. Env. Res.
Public Health,
18(6), 3114; 10.3390/ijerph18063114 (2021).
41. Annoni, A. M., Petrocchi, S., Camerini, A. L., & Marciano, L. The
relationship between social anxiety, mobile phone use, dispositional
trust, and problematic mobile phone use: A moderated mediation
model.
Int. J. Env. Research and Public Health
, 18(5), 2452;
10.3390/ijerph18052452 (2021).
42. American Psychiatric Association.
Diagnostic and Statistical Manual
of Mental Disorders
(5th text rev.) (American Psychiatric Association,
2022).
43. Kong, F., Lan, N., Zhang, H., Sun, X., & Zhang, Y. How does social
anxiety affect mobile phone dependence in adolescents? The mediating
ACCEPTED MANUSCRIPT
ARTICLE IN PRESS
ARTICLE IN PRESS
role of self-concept clarity and self-esteem.
Current Psych.
, 41, 8070-
8077 (2021).
44. Tao, S. M., Fu, J. L., Wang, H., Hao, J. H., & Tao, F. B. Development
of self-rating questionnaire for adolescent problematic mobile phone
use and the psychometric evaluation in undergraduates.
Chinese J.
School Health,
34(1), 26–29 (2013).
45. Aritzeta, A., Soroa, G., Balluerka, N., Muela, A., Gorostiaga, A., &
Aliri, J. Reducing Anxiety and Improving Academic Performance
Through a Biofeedback Relaxation Training Program.
Applied
Psychophysiology and Biofeedback,
42(3), 193–202 (2017).
46. Przepiorka, A., Błachnio, A., Cudo, A., & Kot, P. (2021). Social anxiety
and social skills via problematic mobile phone use for predicting
somatic symptoms and academic performance at primary school.
Comp. & Educ.
, 173
,
104286; 10.1016/j.compedu.2021.104286 (2021).
47. Kwon, M., Kim, D. J., Cho, H., & Yang, S. The mobile phone addiction
scale: development and validation of a short version for adolescents.
PloS One,
8(12), e83558; 10.1371/journal.pone.0083558 (2013).
48. Shachar, I., Aderka, I. M., & Gilboa-Schechtman, E. The factor
structure of the Liebowitz social anxiety scale for children and
adolescents: Development of a brief version.
Child Psychiatry &
Human Develop.
, 45, 285-293 (2014).
49. Kim, M. H., Min, S., Ahn, J. S., An, C., & Lee, J. Association between
high adolescent mobile phone use and academic impairment, conflicts
with family members or friends, and suicide attempts.
PloS One,
14(7),
e0219831; 10.1371/journal.pone.0219831 (2019).
ACCEPTED MANUSCRIPT
ARTICLE IN PRESS
ARTICLE IN PRESS
50. Ran, G., Li, J., Zhang, Q., & Niu, X. The association between social
anxiety and mobile phone addiction: A three-level meta-analysis.
Comp.
Human Behav.,
130, 107198; 10.1016/j.chb.2022.107198 (2022).
51. Lee, J. I., Yen, C. F., Hsiao, R. C., & Hu, H. F. Relationships of
homophobic bullying during childhood and adolescence with
problematic internet and mobile phone use in early adulthood among
sexual minority men in Taiwan.
Archives of Clinical Psychiatry (São
Paulo),
46, 97-102 (2019).
52. Doğan, E., Şen, İ.E.Y., & Şahin, Y.L. The relationship between cyber
victimization, social media addiction, social media literacy, and
platform usage in adolescents.
Current Psych.,
44, 13859–13871
(2025).
53. Luengo‐González, R., Noriega‐Matanza, M. C., Espín‐Lorite, E. J.,
García‐Sastre, M. M., Rodríguez‐Rojo, I. C., Cuesta‐Lozano, D., &
Peñacoba‐Puente, C. The role of life satisfaction in the association
between problematic technology use and anxiety in children and
adolescents during the COVID‐19 pandemic.
Int. J. Mental Health
Nursing,
32(1), 212-222 (2023).
54. Wang, A., Wang, Z., Zhu, Y., & Shi, X. The prevalence and
psychosocial factors of problematic mobile phone use among Chinese
college students: a three-wave longitudinal study.
Front. Psych.
, 13,
1476; 10.3389/fpsyg.2022.877277 (2022).
55. Delgado, B., León, M. J., & Martínez-Monteagudo, M. C.
Cuestionario
de Uso Problemático de las Nuevas Tecnologías
. (University of
Alicante, 2021).
ACCEPTED MANUSCRIPT
ARTICLE IN PRESS
ARTICLE IN PRESS
56. Cali, M. A. A., Fernández-López, L., Navarro-Zaragoza, J., Caravaca-
Sánchez, F., & Falcon, M. Smartphone Addiction among Adolescents in
Southern Italy and Correlation with Other Risky Behaviors.
Actas
españolas de Psiquiatría
, 52(5), 632–640 (2024).
57. Kumar, S., Rajasegaran, R., Prabhakaran, S., & Mani, T. Extent of
Smartphone Addiction and its Association with Physical Activity Level,
Anthropometric Indices, and Quality of Sleep in Young Adults: A Cross-
Sectional Study.
Indian J. Comm. Medicine
, 49(1), 199–202 (2024).
58. Delgado, B., & Martínez-Monteagudo, M. C.
Cuestionario sobre el uso
problemático de las redes sociales en adolescentes
. (University of
Alicante, 2023).
59. Nagata, J. M., Memon, Z., Talebloo, J., Li, K., Low, P., Shao, I. Y.,
Ganson, K. T., Testa, A., He, J., Brindis, C. D., & Baker, F. C.
Prevalence and Patterns of Social Media Use in Early Adolescents.
Academic Pediatrics
, 25(4), 102784; 10.1016/j.acap.2025.102784
(2025).
60. Olivares, J., Ruiz, J., Hidalgo, M. D., García-López, L. J., Rosa, A. I., &
Piqueras, J. A. Social Anxiety Scale for Adolescents (SAS-A):
Psychometric properties in a Spanish-speaking population.
Int. J.
Clinical and Health Psych.,
5(1), 85-97 (2005).
61. Garaigordobil, M. Screening de acoso entre iguales. En M.
Garaigordobil & J. Martínez-Vicente (Eds.),
Instrumentos de evaluación
en Psicología
(pp. 105-120) (Editorial Síntesis, 2016).
62. Cohen, J.
Statistical power analysis for the behavioral sciences
(2nd
Ed.). (Erlbaum, 1988).
ACCEPTED MANUSCRIPT
ARTICLE IN PRESS
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63. Wu, Q., Luo, J., Bai, J., Hou, M., & Li, X. Effect of security on mobile
addiction: Mediating role of actual social avoidance.
Psych. Dev..
Educ.
, 35(5), 589-596 (2019).
64. Li, T., Xie, J., Shan, Y., & Chen, K. The longitudinal relationships of
problematic social media use, self-transcendence values and school
adaptation: a two-wave study.
BMC Psych.,
13, 67; 10.1186/s40359-
025-02356-1 (2025).
65. Shen, G., Huang, G., Wang, M., Jian, W., Pan, H., Dai, Z., Wu, A. M.
S., & Chen, L. The longitudinal relationships between problematic
mobile phone use symptoms and negative emotions: a cross-lagged
panel network analysis.
Comprehensive Psychiatry
, 135, 152530;
10.1016/j.comppsych.2024.152530 (2024).
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Table 1
Differences in cyberbullying, cybervictimisation and social anxiety
traits among students with low, medium, and high PMPU
Low PMPU
Medium PMPU
High PMPU
Statistical
significance
C.I.
(95%)
F
p
η²
Cyberbullying
13.08-
13.53
30.1
7
.0
0
.06
Cybervictimisati
on
13.85-
14.40
34.6
0
.0
0
.08
Social Anxiety
FNE
16.71-
17.52
45.0
8
.0
0
.12
SAD-N
13.83-
14.59
25.3
8
.0
0
.07
SAD-G
15.51-
16.22
54.5
9
.0
0
.05
Note
. PMPU: Problematic Mobile Phone Use; FNE: Fear of Negative Evaluation;
SAD-N: Social Anxiety and Distress-New; SAD-G: Social Anxiety and Distress-
General; M: Mean; SD: Standard Deviation.
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Table 2
Differences in cyberbullying, cybervictimisation, and social anxiety
among students with low, medium, and high PSMU
Low PSMU
Medium PSMU
High PSMU
Statistical
significance
C.I.
(95%)
F
p
η²
Cyberbullying
15.52-
15.74
25.7
9
.0
0
.06
Cybervictimisati
on
16.76-
17.28
44.9
3
.0
0
.08
Social Anxiety
FNE
16.71-
18.65
27.4
0
.0
0
.09
SAD-N
12.49-
13.74
23.3
8
.0
0
.08
SAD-G
6.52-7.29
16.3
3
.0
0
.06
Note
. PSMU: Problematic Social Media Use; FNE: Fear of Negative Evaluation;
SAD-N: Social Anxiety and Distress-New; SAD-G: Social Anxiety and Distress-
General; M: Mean; SD: Standard Deviation.
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Table 3
Correlations between PMPU, PSMU, cyberbullying,
cybervictimisation and social anxiety
PMPU
PSMU
Cyberbullyi
ng
Cyberv
ic
SA-FNE
PMPU
-
.68**
.19**
.19**
.31**
PSMU
.68**
-
.28**
.33**
.39**
Cyberbullying
.19**
.28**
-
.46**
.10*
Cybervictimisation
.19**
.33**
.46**
-
.35**
Social Anxiety-
FNE
.31**
.39**
.10*
.35**
-
Social Anxiety
SAD-N
.29**
.32**
.70**
.20**
.70**
Social Anxiety
SAD-G
.19**
.31**
.07
.25**
.69**
Note
. PMPU: Problematic Mobile Phone Use; PSMU: Problematic Social Media
Use; FNE: Fear of Negative Evaluation; SAD-N: Social Anxiety and Distress-New;
SAD-G: Social Anxiety and Distress-General.
**Correlation is significant at the .01 level (bilateral).
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Table 4
Association between PMPU, cyberbullying, cybervictimisation, and
social anxiety
Predictor
variable
B
S.E.
Wald
p
OR
C.I.
95%
Cyberbullying
.18
.03
33.67
.00
1.19
1.12-
1.27
Constant
-2.39
.41
34.35
.00
0.09
Cybervictimisat
ion
.14
.02
40.76
.00
1.16
1.11-
1.21
Constant
-2.11
.33
40.81
.00
0.21
FNE
.12
.01
71.27
.00
1.13
1.10-
1.17
Constant
-2.12
.26
65.97
.00
0.12
SAD-N
.10
.01
42.66
.00
1.10
1.07-
1.13
Constant
-1.37
.22
38.64
.00
0.25
SAD-G
.15
.02
81.53
.00
1.16
1.13-
1.20
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Constant
-2.38
.27
75.69
.00
0.09
Gender
.95
.24
15.59
.00
2.59
1.61-
4.16
Note
. FNE: Fear of Negative Evaluation; SAD-N: Social Anxiety and Distress-New;
SAD-G: Social Anxiety and Distress-General; CI: Confidence Interval; OR: Odds
Ratio.
Table 5
Association between PSMU, cyberbullying, cybervictimisation and
social anxiety
Predictor variable
B
S.E.
Wald
p
OR
C.I. 95%
Cyberbullying
.24
.06
15.55
.00
1.27
1.13-1.44
Constant
-.22
.09
5.18
.02
.80
Cybervictimisation
.22
.03
40.25
.00
1.25
1.17-1.34
Constant
-.52
.11
22.02
.00
.59
FNE
.12
.02
37.76
.00
1.12
1.08-1.17
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Constant
-2.18
.36
36.74
.00
.11
SAD-N
.15
.03
31.22
.00
1.16
1.10-1.22
Constant
-2.17
.39
30.59
.00
.11
SAD-G
.22
.05
22.48
.00
1.25
1.14-1.37
Constant
-.1.71
.36
22.53
.00
.18
Gender
.44
.16
7.44
.00
1.59
1.13-2.14
Age
-.05
.03
3.86
.00
.95
.90-1.00
Note. FNE: Fear of Negative Evaluation; SAD-N: Social Anxiety and Distress-New;
SAD-G: Social Anxiety and Distress-General; CI: Confidence Interval; OR: Odds
Ratio.
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