The mediation effects of smartphone addiction, negative emotion and psychological resilience in the relationship between social support and sleep quality among medical students - Report - MDSpire

The mediation effects of smartphone addiction, negative emotion and psychological resilience in the relationship between social support and sleep quality among medical students

  • By

  • Yanrong Zhang

  • Min Liu

  • Wenxin Yu

  • Zihang Gao

  • Dan Zhao

  • Wenjun Yan

  • Wei Wang

  • Xiuyin Gao

  • Qingzhi Wang

  • June 10, 2026

  • 0 min

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Clinical Report: Exploring the Mediating Roles of Smartphone Addiction

Overview

This study investigates the relationships between social support, smartphone addiction, negative emotions, psychological resilience, and sleep quality among medical students. Findings indicate that social support and psychological resilience are negatively correlated with poor sleep quality, while smartphone addiction and negative emotions are positively correlated.

Background

Poor sleep quality is a significant public health concern, particularly among adolescents and young adults, including medical students. The interplay of psychological factors such as social support and resilience with behavioral factors like smartphone addiction can influence sleep quality. Understanding these relationships is crucial for developing targeted interventions to improve sleep health in this vulnerable population.

Data Highlights

VariableCorrelation Coefficient (r)p-value
Social Support-0.386< 0.01
Psychological Resilience-0.383< 0.01
Smartphone Addiction0.447< 0.01
Negative Emotion0.551< 0.01

Key Findings

  • Social support is negatively correlated with poor sleep quality (r=-0.386, p < 0.01).
  • Psychological resilience is also negatively correlated with poor sleep quality (r=-0.383, p < 0.01).
  • Smartphone addiction is positively correlated with poor sleep quality (r=0.447, p < 0.01).
  • Negative emotions are positively correlated with poor sleep quality (r=0.551, p < 0.01).
  • Social support has both direct and indirect effects on sleep quality through smartphone addiction and negative emotions.
  • Psychological resilience indirectly affects sleep quality via the same mediating pathways.

Clinical Implications

Healthcare professionals should consider the impact of social support and psychological resilience on sleep quality among medical students. Interventions aimed at reducing smartphone addiction and negative emotions may enhance sleep quality and overall well-being in this population.

Conclusion

This study highlights the complex relationships between social support, psychological resilience, smartphone addiction, and sleep quality. Targeted interventions addressing these factors may improve sleep health among medical students.

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  16. Effects of a Guided Digital Intervention on Sleep and Mental Health Outcomes in University Students - A Randomized Controlled Trial - PubMed
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  18. Frontiers | Effect of mind–body therapies on anxiety, depression and sleep quality in college students: a network meta-analysis
  19. The Effect of Digital Addiction Training on University Students’ Digital Addiction, Sleep Quality, and Orexin-A Levels: Randomized Controlled Trial | BMC Psychology | Springer Nature Link
  20. The effect of resilience training on resilience and stress in medical students: a systematic review and meta-analysis - PMC
  21. A systematic review on the impact of social support on college students’ wellbeing and mental health | PLOS One

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