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Nomophobia [1] (short for "no mobile phobia") is a word for the fear of, or anxiety caused by, not having a working mobile phone. [2] [3] It has been considered a symptom or syndrome of problematic digital media use in mental health, the definitions of which are not standardized for technical and genetical reasons. [4] [5]
The use of mobile phones has increased substantially since 2005, especially in European and Asian countries. Nomophobia is usually considered a behavioral addiction; it shares many characteristics with drug addiction. The connection of mobile phones to the Internet is one of the causes of nomophobia. The symptoms of addiction may be the result of a need for comfort due to factors such as increased anxiety, poor self-esteem, insecure attachment, or emotional instability. Some people overuse mobile phones to gain comfort in emotional relationships. [6]
Although nomophobia does not appear in the current Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5), it has been proposed as a "specific phobia", based on definitions given in the DSM-IV. [7] [ dubious – discuss ] According to Bianchi and Philips (2005) psychological factors are involved in the overuse of a mobile phone. [8] These could include low self-esteem (when individuals looking for reassurance use the mobile phone in inappropriate ways) and extroverted personality (when naturally social individuals use the mobile phone to excess). It is also highly possible that nomophobic symptoms may be caused by other underlying and preexisting mental disorders, with likely candidates including social phobia or social anxiety disorder, social anxiety, [9] and panic disorder. [10]
The term, an abbreviation for "no-mobile-phone phobia", [11] was coined during a 2008 study by the UK Post Office who commissioned YouGov, a UK-based research organization, to evaluate anxieties experienced by mobile phone users. The study found that nearly 53% of mobile phone users in Britain tend to be anxious when they "lose their mobile phone, run out of battery or credit, or have no network coverage". The study, sampling 2,163 people, found that about 58% of men and 47% of women had the phobia, and an additional 9% feel stressed when their mobile phones are off. 55% of those surveyed cited keeping in touch with friends or family as the main reason that they got anxious when they could not use their mobile phones. [2] [12] The study compared stress levels induced by the average case of nomophobia to be on-par with those of "wedding day jitters" and trips to the dentist. [13]
More than one in two nomophobes never switch off their mobile phones. [14]
With the changes of technologies, new challenges are coming up on a daily basis. New kinds of phobias have emerged (the so-called techno-phobias). Since the first mobile phone was introduced to the consumer market in 1983, these devices have become significantly mainstream in the majority of societies. [15]
Shambare, Rugimbana & Zhowa (2012) claimed that cell phones are "possibly the biggest non-drug addiction of the 21st century", and that college students may spend up to nine hours every day on their phones, which can lead to dependence on such technologies as a driver of modern life and an example of "a paradox of technology" [16] that is both freeing and enslaving. [17]
A survey conducted by SecurEnvoy showed that young adults and adolescents are more likely to have nomophobia. The same survey reported that 77% of the teens reported anxiety and worries when they were without their mobile phones, followed by the 25-34 age group and people over 55 years old. Some psychological predictors to look for in a person who might have this phobia are "self negative views, younger age, low esteem and self-efficacy, high extroversion or introversion, impulsiveness and sense of urgency and sensation seeking". [8]
Among students, frequent cell phone usage has been correlated with decreases in grade point average (GPA) and increased anxiety that negatively impacts self-reported life satisfaction (well-being and happiness) in comparison to students with less frequent usage. GPA decreases may be due to the over-use of cell phone or computer usage consuming time and focus during studying, attending class, working on assignments, and the distraction of cell phones during class. Over-usage of cell phones may increase anxiety due to the pressure to be continually connected to social networks and could rob chances of perceived solitude, relieving daily stress, that has been linked as a component of well-being. [18] People can use mobile phones to connect with friends and family, to obtain interpersonal needs such as family affection and tolerance. Mobile phones can also allow users to get support and accompany on the Internet. People indeed use mobile phones to regulate emotions, and as a powerful tool for cyber-psychology, mobile phones are connected to people’s emotional life. [19]
Research suggests that mobile phone use is negatively associated with satisfaction with life. Although mobile phones can make life easier, they are also regarded as stressors. Reasons like high work pressure, frequent interpersonal communication, rapid information update and circulation, these reasons make mobile phones crucial tools for most people in their work and life. If a mobile phone is dead or a sudden drop in notification frequency occurs, some people will experience anxiety, irritability, depression, and other symptoms. The study shows that a wider range of mobile phone use is usually due to lower happiness, mindfulness, and life satisfaction. [20]
In Australia, 946 adolescents and emerging adults between ages 15 and 24 participated in a mobile phone research study (387 males, 457 females, and 102 chose not to report a gender). [21] The study focused on the relationship between the participants' frequency of mobile phone use and psychological involvement with their mobile phone. Researchers assessed several psychological factors that might influence participants' mobile phone use with the following questionnaires: Mobile Phone Involvement Questionnaire (MPIQ), Frequency of Mobile Phone Use, Self Identity, and Validation from others. The MPIQ assessed behavioral addictions using a seven-point Likert scale (1 – strongly agree) and (7 – strongly disagree) that included statements such as: "I often think about my mobile phone when I am not using it... ... I feel connected to others when I use my mobile phone." [21]
The results demonstrated moderate difference between the participants' mobile phone use and their psychological relationships with the mobile phones. No pathological conditions were found, but there was an excessive use of mobile phone indicating signs of attachment. Participants who demonstrated signs of excessive mobile phone use were more likely to increase their use when receiving validation from others. Other factors considered, the population studied was focused on adolescents and emerging adults are more likely to develop mobile phone dependency because they may be going through a self-identity, self-esteem, and social identity. [21]
Those with panic disorders and anxiety disorders are prone to mobile phone dependency. A study in Brazil compared the symptoms experienced due to mobile phone use by heterosexual participants with panic disorders and a control group of healthy participants. Group 1 consisted of 50 participants with panic disorder and agoraphobia with an average age of 43, and group 2 consisted of 70 healthy participants with no disorders and an average age of 35. During the experiment participants were given a self-report mobile phone questionnaire which assessed the mobile phone use and symptoms reported by both groups.
About 44% of group 1 reported that they felt "secure" when they had their mobile phones versus 46% of group 2 reported they would not feel the same without their mobile phone. [22] The results demonstrated that 68% of all participants reported mobile phone dependency, but overall the participants with panic disorder and agoraphobia reported significantly more emotional symptoms and dependency on mobile phones when compared to the control group when access to the mobile phone was prohibited. [22]
Nomophobia occurs in situations when an individual experiences anxiety due to the fear of not having access to a mobile phone. The "over-connection syndrome" occurs when mobile phone use reduces the amount of face-to-face interactions thereby interfering significantly with an individual’s social and family interactions. The term "techno-stress" is another way to describe an individual who avoids face-to-face interactions by engaging in isolation including psychological mood disorders such as depression.
Anxiety is provoked by several factors, such as the loss of a mobile phone, loss of reception, and a dead mobile phone battery. [7] Some clinical characteristics of nomophobia include using the device impulsively, as a protection from social communication, or as a transitional object. Observed behaviors include having one or more devices with access to internet, always carrying a charger, and experiencing feelings of anxiety when thinking about losing the mobile. People usually reduce sleep when they overuse their mobile phones. Lack of sleep can lead to depression and lack of care, which makes people willing to indulge in mobile phones. Research shows that the dependence on mobile phones is due to adverse mental health. Compared to other people, their sleep time will be shorter, the longer they use the phone, the more severe their depression. The increase in mobile phone usage is related to the decline in self-esteem and coping ability. [23]
Other clinical characteristics of nomophobia are a considerably decreased number of face-to-face interactions with humans, replaced by a growing preference for communication through technological interfaces, keeping the device in reach when sleeping and never turned off, and looking at the phone screen frequently to avoid missing any message, phone call, or notification (also called ringxiety). Nomophobia can also lead to an increase of debt due to the excessive use of data and the different devices the person can have. [7] Nomophobia may also lead to physical issues such as sore elbows, hands, and necks due to repetitive use. [24]
Irrational reactions and extreme reactions due to anxiety and stress may be experienced by the individual in public settings where mobile phone use is restricted, such as in airports, academic institutions, hospitals and work. Overusing a mobile phone for day-to-day activities such as purchasing items can cause the individual financial problems. [7] Signs of distress and depression occur when the individual does not receive any contact through a mobile phone. Attachment signs of a mobile phone also include the urge to sleep with a mobile phone. The ability to communicate through a mobile phone gives the individual peace of mind and security.
Nomophobia may act as a proxy to other disorders. [7] Those with an underlying social disorder are likely to experience nervousness, anxiety, anguish, perspiration, and trembling when separated or unable to use their digital devices due to low battery, out of service area, no connection, etc. Such people will often insist on keeping their devices on hand at all times, typically returning to their homes to retrieve forgotten cell phones.
Nomophobic behavior may reinforce social anxiety tendencies and dependency on using virtual and digital communications as a method of reducing stress generated by social anxiety and social phobia. [9] Those with panic disorders may also show nomophobic behavior, however, they will probably report feelings of rejection, loneliness, insecurity, and low self-esteem in regard to their cell phones, especially when times with little to no contact (few incoming calls and messages). Those with panic disorder will probably feel significantly more anxious and depressed with their cellphone use. Despite this, those with panic disorder were significantly less likely to place voice calls. [22]
Nomophobia has also been shown to increase the likelihood of problematic mobile phone use such as dependent use (i.e. never turning the device off), prohibited use (i.e. use in any environment where it is forbidden to do so), and dangerous use (i.e. use while driving or crossing a road). [25] Additionally, nomophobia's third factor—the fear of not being able to access information—has the greatest impact on the likelihood of engaging in illegal use while driving. [26]
Currently, scholarly accepted and empirically proven treatments are very limited due to its relatively new concept. However, promising treatments include cognitive-behavioral psychotherapy, EMDR, and combined with pharmacological interventions. Part of the treatment solution could involve increasing the availability of mobile phone charging stations to address aspects of nomophobia related to battery anxiety, enhancing individuals' sense of security about their device's power status. [7] Treatments using tranylcypromine and clonazepam were successful in reducing the effects of nomophobia. [10]
Cognitive behavioral therapy seems to be effective by reinforcing autonomous behavior independent from technological influences, however, this form of treatment lacks randomized trials. Another possible treatment is "Reality Approach," or Reality therapy asking patient to focus behaviors away from cell phones.[ citation needed ] In extreme or severe cases, neuropsychopharmacology may be advantageous, ranging from benzodiazepines to antidepressants in usual doses.[ citation needed ] Patients were also successfully treated using tranylcypromine combined with clonazepam. However, it is important to note that these medications were designed to treat social anxiety disorder and not nomophobia directly. [9] It may be rather difficult to treat nomophobia directly, but more plausible to investigate, identify, and treat any underlying mental disorders if any exist.
Even though nomophobia is a fairly new concept, there are validated psychometric scales available to help in the diagnostic, an example of one of these scales is the "Questionnaire of Dependence of Mobile Phone/Test of Mobile Phone Dependence (QDMP/TMPD)". [27]
Anxiety is an emotion which is characterised by an unpleasant state of inner turmoil and includes feelings of dread over anticipated events. Anxiety is different from fear in that fear is defined as the emotional response to a present threat, whereas anxiety is the anticipation of a future one. It is often accompanied by nervous behavior such as pacing back and forth, somatic complaints, and rumination.
A phobia is an anxiety disorder, defined by an irrational, unrealistic, persistent and excessive fear of an object or situation. Phobias typically result in a rapid onset of fear and are usually present for more than six months. Those affected go to great lengths to avoid the situation or object, to a degree greater than the actual danger posed. If the object or situation cannot be avoided, they experience significant distress. Other symptoms can include fainting, which may occur in blood or injury phobia, and panic attacks, often found in agoraphobia and emetophobia. Around 75% of those with phobias have multiple phobias.
Anxiety disorders are a group of mental disorders characterized by significant and uncontrollable feelings of anxiety and fear such that a person's social, occupational, and personal functions are significantly impaired. Anxiety may cause physical and cognitive symptoms, such as restlessness, irritability, easy fatigue, difficulty concentrating, increased heart rate, chest pain, abdominal pain, and a variety of other symptoms that may vary based on the individual.
Agoraphobia is a mental and behavioral disorder, specifically an anxiety disorder characterized by symptoms of anxiety in situations where the person perceives their environment to be unsafe with no easy way to escape. These situations can include public transit, shopping centers, crowds and queues, or simply being outside their home on their own. Being in these situations may result in a panic attack. Those affected will go to great lengths to avoid these situations. In severe cases, people may become completely unable to leave their homes.
Panic attacks are sudden periods of intense fear and discomfort that may include palpitations, otherwise defined as a fluttering, rapid, irregular heartbeat, sweating, chest pain or chest discomfort, shortness of breath, trembling, dizziness, numbness, confusion, or a sense of impending doom or loss of control. Typically, these symptoms peak within ten minutes of onset and can last for roughly 30 minutes, though their duration can vary anywhere from seconds to even hours. While they can be extremely frightening and distressing, panic attacks themselves are not physically dangerous.
Self-medication, sometime called do-it-yourself (DIY) medicine, is a human behavior in which an individual uses a substance or any exogenous influence to self-administer treatment for physical or psychological conditions, for example headaches or fatigue.
Generalized anxiety disorder (GAD) is a mental and behavioral disorder, specifically an anxiety disorder characterized by excessive, uncontrollable and often irrational worry about events or activities. Worry often interferes with daily functioning, and individuals with GAD are often overly concerned about everyday matters such as health, finances, death, family, relationship concerns, or work difficulties. Symptoms may include excessive worry, restlessness, trouble sleeping, exhaustion, irritability, sweating, and trembling.
Cocaine dependence is a neurological disorder that is characterized by withdrawal symptoms upon cessation from cocaine use. It also often coincides with cocaine addiction which is a biopsychosocial disorder characterized by persistent use of cocaine and/or crack despite substantial harm and adverse consequences. The Diagnostic and Statistical Manual of Mental Disorders, classifies problematic cocaine use as a stimulant use disorder. The International Classification of Diseases, includes "Cocaine dependence" as a classification (diagnosis) under "Disorders due to use of cocaine".
Psychological dependence is a cognitive disorder and a form of dependence that is characterized by emotional–motivational withdrawal symptoms upon cessation of prolonged drug use or certain repetitive behaviors. Consistent and frequent exposure to particular substances or behaviors is responsible for inducing psychological dependence, requiring ongoing engagement to prevent the onset of an unpleasant withdrawal syndrome driven by negative reinforcement. Neuronal counter-adaptation is believed to contribute to the generation of withdrawal symptoms through changes in neurotransmitter activity or altered receptor expression. Environmental enrichment and physical activity have been shown to attenuate withdrawal symptoms.
Social anxiety is the anxiety and fear specifically linked to being in social settings. Some categories of disorders associated with social anxiety include anxiety disorders, mood disorders, autism spectrum disorders, eating disorders, and substance use disorders. Individuals with higher levels of social anxiety often avert their gazes, show fewer facial expressions, and show difficulty with initiating and maintaining a conversation. Social anxiety commonly manifests itself in the teenage years and can be persistent throughout life; however, people who experience problems in their daily functioning for an extended period of time can develop social anxiety disorder. Trait social anxiety, the stable tendency to experience this anxiety, can be distinguished from state anxiety, the momentary response to a particular social stimulus. Half of the individuals with any social fears meet the criteria for social anxiety disorder. Age, culture, and gender impact the severity of this disorder. The function of social anxiety is to increase arousal and attention to social interactions, inhibit unwanted social behavior, and motivate preparation for future social situations.
Social anxiety disorder (SAD), also known as social phobia, is an anxiety disorder characterized by sentiments of fear and anxiety in social situations, causing considerable distress and impairing ability to function in at least some aspects of daily life. These fears can be triggered by perceived or actual scrutiny from others. Individuals with social anxiety disorder fear negative evaluations from other people.
Panic disorder is a mental and behavioral disorder, specifically an anxiety disorder characterized by reoccurring unexpected panic attacks. Panic attacks are sudden periods of intense fear that may include palpitations, sweating, shaking, shortness of breath, numbness, or a feeling that something terrible is going to happen. The maximum degree of symptoms occurs within minutes. There may be ongoing worries about having further attacks and avoidance of places where attacks have occurred in the past.
Experts from many different fields have conducted research and held debates about how using social media affects mental health. Research suggests that mental health issues arising from social media use affect women more than men and vary according to the particular social media platform used, although it does affect every age and gender demographic in different ways. Psychological or behavioural dependence on social media platforms can result in significant negative functions in individuals' daily lives. Studies show there are several negative effects that social media can have on individuals' mental health and overall well-being. While researchers have attempted to examine why and how social media is problematic, they still struggle to develop evidence-based recommendations on how they would go about offering potential solutions to this issue. Because social media is constantly evolving, researchers also struggle with whether the disorder of problematic social media use would be considered a separate clinical entity or a manifestation of underlying psychiatric disorders. These disorders can be diagnosed when an individual engages in online content/conversations rather than pursuing other interests.
Separation anxiety disorder (SAD) is an anxiety disorder in which an individual experiences excessive anxiety regarding separation from home and/or from people to whom the individual has a strong emotional attachment. Separation anxiety is a natural part of the developmental process. It is most common in infants and little children, typically between the ages of six to seven months to three years, although it may pathologically manifest itself in older children, adolescents and adults. Unlike SAD, normal separation anxiety indicates healthy advancements in a child's cognitive maturation and should not be considered a developing behavioral problem.
Problematic smartphone use is psychological or behavioral dependence on cell phones. It is closely related to other forms of digital media overuse such as social media addiction or internet addiction disorder.
Safety behaviors are coping behaviors used to reduce anxiety and fear when the user feels threatened. An example of a safety behavior in social anxiety is to think of excuses to escape a potentially uncomfortable situation. These safety behaviors, although useful for reducing anxiety in the short term, might become maladaptive over the long term by prolonging anxiety and fear of nonthreatening situations. This problem is commonly experienced in anxiety disorders. Treatments such as exposure and response prevention focus on eliminating safety behaviors due to the detrimental role safety behaviors have in mental disorders. There is a disputed claim that safety behaviors can be beneficial to use during the early stages of treatment.
The Screen for Child Anxiety Related Emotional Disorders (SCARED) is a self-report screening questionnaire for anxiety disorders developed in 1997. The SCARED is intended for youth, 9–18 years old, and their parents to complete in about 10 minutes. It can discriminate between depression and anxiety, as well as among distinct anxiety disorders. The SCARED is useful for generalized anxiety disorder, social anxiety disorder, phobic disorders, and school anxiety problems. Most available self-report instruments that measure anxiety in children look at general aspects of anxiety rather than Diagnostic and Statistical Manual of Mental Disorders (DSM) categorizations. The SCARED was developed as an instrument for both children and their parents that would encompass several DSM-IV and DSM-5 categorizations of the anxiety disorders: somatic/panic, generalized anxiety, separation anxiety, social phobia, and school phobia.
The relationships between digital media use and mental health have been investigated by various researchers—predominantly psychologists, sociologists, anthropologists, and medical experts—especially since the mid-1990s, after the growth of the World Wide Web and rise of text messaging. A significant body of research has explored "overuse" phenomena, commonly known as "digital addictions", or "digital dependencies". These phenomena manifest differently in many societies and cultures. Some experts have investigated the benefits of moderate digital media use in various domains, including in mental health, and the treatment of mental health problems with novel technological solutions.
