Problematic smartphone usage was measured by the Mobile Phone Addiction Index Scale,51,52 the scale consists of 17 items. In the Mobile Phone Addiction Index Scale, eight items (ie, 3, 5, 6, 7, 8, 10, 15, 16) were revised from Young’s eight-item Diagnostic Questionnaire for Internet Addiction53 for screening addictive internet use. An example item is “When you’re down, you play with your cell phone to improve your mood”. Rated on a 5-point response scale (1=never,5= always), higher total scores indicate a higher tendency on problematic smartphone usage. The scale showed good reliability and validity in Chinese populations.54,55 Current reliability: CFA results showed that the loading range of all factors was 0.53 – 0.78, with good fitting:χ2/df = 4.28, TLI = 0.91, CFI = 0.93, RMSEA = 0.055 and SRMR = 0.048. The Cronbach’s α = 0.82.
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