Restriction of Mobile Phone Usage at Bed Time: Effect on Sleep Quality, Mood and Cognitive Function

Authors

  • Priyadharshini Sivagurunathan Vinayaka Mission’s College of Nursing, Vinayaka Mission’s Research Foundation -Deemed to be University, Salem, India https://orcid.org/0000-0002-2967-9200
  • Sasi Vaithilingan Vinayaka Mission’s College of Nursing, Vinayaka Mission’s Research Foundation -Deemed to be University, Salem, India https://orcid.org/0000-0002-4586-4254
  • Vinothkumar R Rajiv Gandhi College of Engineering and Technology, Puducherry, India

DOI:

https://doi.org/10.55489/njcm.151020244192

Keywords:

Bedtime mobile phone use, Cognitive function, Mood, Restriction of mobile phone, Lock my phone app, Sleep quality

Abstract

Introduction: Mobile phones are integral to modern life, but excessive use, particularly at night, can lead to disrupt well-being. Limiting mobile phone use before bedtime may improve individual well-being. This study aimed to evaluate whether restricting mobile phone use at bedtime enhances sleep quality, mood, and cognitive function.

Methodology: Undergraduate students from a selected engineering college were assessed for bedtime mobile phone use. Sixty-eight students were chosen via simple random sampling. A self-reported questionnaire including the Pittsburgh Sleep Quality Index, Positive and Negative Affect Scale, and Montreal Cognitive Assessment Scale evaluated sleep quality, mood, and cognitive function before implementing restrictions. The "Lock My Phone" app was used to enforce these restrictions. Post-intervention assessments were conducted on the 15th and 30th days.

Results: Before the intervention, all students reported poor sleep quality, 80.8% had reduced positive affect, 91.1% experienced high negative affect, and only 23.5% had normal cognitive function. Significant improvements were observed in sleep quality, mood, and cognitive function post-restriction (p<0.001).

Conclusion: Restricting mobile phone use before bedtime significantly improved sleep quality, mood, and cognitive function among undergraduate students.

References

Wikipedia Contributors. List of countries by smartphone penetration [Internet]. Wikipedia. Wikimedia Foundation; 2019. Available from:https://en.wikipedia.org/wiki/List_of_countries_by_smartphone_penetration

Parasuraman S, Sam A, Yee SK, Chuon BC, Ren L. Smartphone usage and increased risk of mobile phone addiction: A concurrent study. International Journal of Pharmaceutical Investigation [Internet]. 2017;7(3):125. Doi: https://doi.org/10.4103/jphi.JPHI_56_17

Statista. Number of Smartphone Users in India 2015-2022 | Statista [Internet]. Statista. Statista; 2022. Available from: https://www.statista.com/statistics/467163/forecast-of-smartphone-users-in-india/

Chun JW, Choi J, Kim JY, Cho H, Ahn KJ, Nam JH, et al. Altered brain activity and the effect of personality traits in excessive smartphone use during facial emotion processing. Sci Rep. 2017;7(1):1-13. Doi: https://doi.org/10.1038/s41598-017-08824-y

Okechukwu CE. The neurophysiologic basis of the human sleep-wake cycle and the physiopathology of the circadian clock: a narrative review. The Egyptian Journal of Neurology, Psychiatry and Neurosurgery. 2022 Mar 18;58(1). Doi: https://doi.org/10.1186/s41983-022-00468-8

Cain N, Gradisar M. Electronic media use and sleep in school-aged children and adolescents: A review. Sleep medicine [Internet]. 2010;11(8):735-42. Doi: https://doi.org/10.1016/j.sleep.2010.02.006

Wang Y, Zou Z, Song H, Xu X, Wang H, d'Oleire Uquillas F, Huang X. Altered Gray Matter Volume and White Matter Integrity in College Students with Mobile Phone Dependence. Front Psychol. 2016 May 4;7:597. Doi: https://doi.org/10.3389/fpsyg.2016.00597

Radesky JS, Schumacher J, Zuckerman B. Mobile and Interactive Media Use by Young Children: The Good, the Bad, and the Unknown. PEDIATRICS [Internet]. 2014 Dec 29;135(1):1-3. Doi: https://doi.org/10.1542/peds.2014-2251

Barr N, Pennycook G, Stolz JA, Fugelsang JA. The brain in your pocket: Evidence that Smartphones are used to supplant thinking. Computers in Human Behavior. 2015 Jul;48:473-80. Doi: https://doi.org/10.1016/j.chb.2015.02.029

Chae SG. A survey on the use of mobile phones due to COVID-19. International Journal of Internet, Broadcasting and Communication [Internet]. 2020 [cited 2021 Jan 4];12(3):233-43.doi:10.7236/IJIBC.2020.12.3.233

Choudrie J, Pheeraphuttranghkoon S, Davari S. The digital divide and older adult population adoption, use and diffusion of mobile phones: A quantitative study. Information Systems Frontiers. 2018 Aug 18;22:673-695. Doi: https://doi.org/10.1007/s10796-018-9875-2

Babadi-Akashe Z, Zamani BE, Abedini Y, Akbari H, Hedayati N. 'The Relationship between Mental Health and Addiction to Mobile Phones among University Students of Shahrekord, Iran'. Addict Health. Summer-Autumn; 2014 6(3-4):93-9. PMID: 25984275; PMCID: PMC4354213.

Dewi R, Efendi F, Has E, Gunawan J. Adolescents' smartphone use at night, sleep disturbance and depressive symptoms. International Journal of Adolescent Medicine and Health. 2018;33(2).). Doi: https://doi.org/10.1515/ijamh-2018-0095

Tavernier R, Willoughby T. Bidirectional associations between sleep (quality and duration) and psychosocial functioning across the university years. Developmental Psychology. 2014 Mar;50(3):674-82. Doi: https://doi.org/10.1037/a0034258

H GJ, Sowmiya K, Vidya DC, A ALP, William RF, Jh G, et al. 'A study of mobile phone usage on sleep disturbance, stress and academic performance among medical students in Tamil Nadu'. 2018 5(1):365-8. Doi: https://doi.org/10.18203/2394-6040.ijcmph20175814

Do cell phones affect cognitive function NutritionFacts.org. Available at: https://nutritionfacts.org/blog/do-cell-phones-affect-cognitive-function/ (Accessed: 22 May 2024).

He J, Tu Z, Xiao L, Su T, Tang Y. Effect of restricting bedtime mobile phone use on sleep, arousal, mood, and working memory: A randomized pilot trial. Garbarino S, editor. PLOS ONE [Internet]. 2020 Feb 10;15(2):e0228756. Doi: https://doi.org/10.1371/journal.pone.0228756

Exelmans L. Bedtime Mobile Phone Use and Sleep in Adults. Social Science & Medicine. 2016; 148: 93-101. Doi: https://doi.org/10.1016/j.socscimed.2015.11.037

Buysse DJ, Reynolds CF 3rd, Monk TH, Berman SR, Kupfer DJ. The Pittsburgh Sleep Quality Index: a new instrument for psychiatric practice and research. Psychiatry Res. 1989 May;28(2):193-213. Doi: https://doi.org/10.1016/0165-1781(89)90047-4

Watson D, Clark LA, Tellegen A. Development and validation of brief measures ofpositive and negativeaffect: the PANAS scales. J Pers Soc Psychol. 1988; 54(6):10631070. Doi: https://doi.org/10.1037//0022-3514.54.6.1063

Nasreddine ZS, Phillips NA, Bédirian V, Charbonneau S, Whitehead V, Collin I, Cummings JL, Chertkow H. The Montreal Cognitive Assessment, MoCA: a brief screening tool for mild cognitive impairment. J Am Geriatr Soc. 2005 Apr;53(4):695-9. Doi: https://doi.org/10.1111/j.1532-5415.2005.53221.x

Christensen MA, Bettencourt L, Kaye L, Moturu ST, Nguyen KT, Olgin JE, et al. Direct Measurements of Smartphone Screen-Time: Relationships with Demographics and Sleep. Romigi A, editor. PLOS ONE. 2016 Nov 9;11(11):e0165331. Doi: https://doi.org/10.1371/journal.pone.0165331

Amra B, Shahsavari A, Shayan-Moghadam R, Mirheli O, Moradi-Khaniabadi B, Bazukar M, et al. The association of sleep and late-night cell phone use among adolescents. Jornal de Pediatria [Internet]. 2017 Nov 1;93(6):560-7. Doi: https://doi.org/10.1016/j.jped.2016.12.004

Alshobaili F, AlYousefi N. The effect of smartphone usage at bedtime on sleep quality among Saudi non- medical staff at King Saud University Medical City. Journal of Family Medicine and Primary Care. 2019 Jun;8(6):1953. Doi: https://doi.org/10.4103/jfmpc.jfmpc_269_19

Akcay D, Akcay B. The effect of mobile phone usage on sleep quality in adolescents. The Journal of Neurobehavioral Sciences. 2018;1. Doi: https://doi.org/10.5455/JNBS.1519129764

Orzech KM, Grandner MA, Roane BM, Carskadon MA. Digital media use in the 2 h before bedtime is associated with sleep variables in university students. Computers in Human Behavior. 2016 Feb;55:43-50. Doi: https://doi.org/10.1016/j.chb.2015.08.049

Tamura H, Nishida T, Tsuji A, Sakakibara H. Association between Excessive Use of Mobile Phone and Insomnia and Depression among Japanese Adolescents. International Journal of Environmental Research and Public Health [Internet]. 2017 Jun 29;14(7):701. Doi: https://doi.org/10.3390/ijerph14070701

Lemola S, Perkinson-Gloor N, Brand S, Dewald-Kaufmann JF, Grob A. Adolescents' Electronic Media Use at Night, Sleep Disturbance, and Depressive Symptoms in the Smartphone Age. Journal of Youth and Adolescence [Internet]. 2014 Sep 10;44(2):405-18. Doi: https://doi.org/10.1007/s10964-014-0176-x

Ikeda K, Nakamura K. Association between mobile phone use and depressed mood in Japanese adolescents: a cross-sectional study. Environmental Health and Preventive Medicine. 2013 Dec 18;19(3):187-93. Doi: https://doi.org/10.1007/s12199-013-0373-3

Thomée S, Härenstam A, Hagberg M. Mobile phone use and stress, sleep disturbances, and symptoms of depression among young adults - a prospective cohort study. BMC Public Health [Internet]. 2011 Jan 31;11(1):11. Doi: https://doi.org/10.1186/1471-2458-11-66

Morales Rodríguez FM, Lozano JMG, Linares Mingorance P, Pérez-Mármol JM. Influence of Smartphone Use on Emotional, Cognitive and Educational Dimensions in University Students. Sustainability. 2020 Aug 17;12(16):6646. Doi: https://doi.org/10.3390/su12166646

Schoeni A, Roser K, Röösli M. Symptoms and Cognitive Functions in Adolescents in Relation to Mobile Phone Use during Night. McCormick CM, editor. PLOS ONE. 2015 Jul 29;10(7):e0133528. Doi: https://doi.org/10.1371/journal.pone.0133528

Tanil CT, Yong MH. Mobile phones: The effect of its presence on learning and memory. PLOS ONE [Internet]. 2020 Aug 13;15(8):e0219233. Doi: https://doi.org/10.1371/journal.pone.0219233

Ragupathi D, Ibrahim N, Tan KA, Andrew BN. Relations of Bedtime Mobile Phone Use to Cognitive Functioning, Academic Performance, and Sleep Quality in Undergraduate Students. International Journal of Environmental Research and Public Health. 2020 Sep 29;17(19):7131. Doi: https://doi.org/10.3390/ijerph17197131

Scott AJ, Webb TL, Rowse G. Does improving sleep lead to better mental health? A protocol for a meta-analytic review of randomised controlled trials. BMJ Open [Internet]. 2017 Sep;7(9):e016873. Doi: https://doi.org/10.1136/bmjopen-2017-016873

Ward A, Duke K, Gneezy A, Bos M. Brain Drain: the Mere Presence of One's Own Smartphone Reduces Available Cognitive Capacity. Journal of the Association for Consumer Research [Internet]. 2017 Apr;2(2). Doi: https://doi.org/10.1086/691462

Bartel K, Scheeren R, Gradisar M. Altering Adolescents' Pre-Bedtime Phone Use to Achieve Better Sleep Health. Health Communication. 2018 Jan 9;34(4):456-62. Doi: https://doi.org/10.1080/10410236.2017.1422099

Eide TA, Aarestad SH, Andreassen CS, Bilder RM, Pallesen S. Smartphone Restriction and Its Effect on Subjective Withdrawal Related Scores. Frontiers in Psychology. 2018 Aug 13;9. Doi: https://doi.org/10.3389/fpsyg.2018.01444

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Published

2024-10-01

How to Cite

1.
Sivagurunathan P, Vaithilingan S, Vinothkumar R. Restriction of Mobile Phone Usage at Bed Time: Effect on Sleep Quality, Mood and Cognitive Function . Natl J Community Med [Internet]. 2024 Oct. 1 [cited 2024 Oct. 16];15(10):785-91. Available from: https://njcmindia.com/index.php/file/article/view/4192

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Original Research Articles