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Background <p>Nurses are critical front-line members of the healthcare workforce in China. Investigating mobile phone addiction (MPA) among nursing undergraduates is essential, as it may hinder their professional development and exacerbate the current nursing shortage. Understanding this issue is crucial for safeguarding future healthcare workforce sustainability. Therefore, it is necessary to examine the contributing factors of MPA and clarify their interrelationships.</p> Objectives <p>This study aims to investigate the serial multiple mediating effect of perceived stress and depression in the relationship between childhood trauma to MPA among undergraduate nursing students.</p> Methods <p>A cross-sectional study was conducted among 1,249 undergraduate nursing students in Xi’an, Shaanxi Province, China, between November 2023 and April 2024, using a multistage sampling approach. Validated scales were used: the Childhood Trauma Questionnaire (CTQ), Perceived Stress Scale (PSS), Self-Rating Depression Scale (SDS), and Mobile Phone Addiction Tendency Scale (MPATS). The serial mediation was analyzed using the SPSS PROCESS macro by Hayes. The statistical analysis included descriptive analysis, independent samples t-tests, Pearson correlation analysis, and bootstrap methodology.</p> Results <p>MPA was positively correlated with childhood trauma (<i>r</i> = 0.237, <i>p</i> &lt; 0.001), and was positively correlated with perceived stress (<i>r</i> = 0.391, <i>p</i> &lt; 0.001) and depression (<i>r</i> = 0.337, <i>p</i> &lt; 0.001). In the model of childhood trauma → perceived stress → depression → MPA, the overall mediated effect was 0.106 (95%Cl: 0.082– 0.131), and the mediating effect of perceived stress was 0.065 (95%Cl: 0.047–0.083), accounting for 38.92% of total effect. The mediating effect of depression was 0.028 (95%Cl: 0.011–0.046), accounting for 16.77% of total effect. The serial mediating effect of perceived stress and depression was 0.013 (95%Cl: 0.005–0.023), accounting for 7.78% of total effect.</p> Conclusions <p>Childhood trauma influences MPA through the chain-mediating effects of perceived stress and depression in undergraduate nursing students. These findings demonstrate that early detection of trauma-exposed nursing students, combined with evidence-based stress reduction and emotion regulation strategies, could reduce MPA risk in this population.</p> Clinical trial number <p>Not applicable.</p>

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Serial mediation of perceived stress and depression in the relationship between childhood trauma and mobile phone addiction among undergraduate nursing students in China: a cross-sectional questionnaire survey

  • 期刊论文

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  • 发表日期：

    2025年10月21日

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  • Hongna Li,
  • Xiuhuan Wang,
  • Wenjin Chen,
  • Na Li,
  • Jinghui Tong,
  • Jiao Fang,
  • Haitao Wen,
  • Jue Wang,
  • Chunni Heng,
  • Xiujuan Feng,
  • Meifang Wang,
  • Qing Zhao,
  • Wenkai Zheng

摘要

Background

Nurses are critical front-line members of the healthcare workforce in China. Investigating mobile phone addiction (MPA) among nursing undergraduates is essential, as it may hinder their professional development and exacerbate the current nursing shortage. Understanding this issue is crucial for safeguarding future healthcare workforce sustainability. Therefore, it is necessary to examine the contributing factors of MPA and clarify their interrelationships.

Objectives

This study aims to investigate the serial multiple mediating effect of perceived stress and depression in the relationship between childhood trauma to MPA among undergraduate nursing students.

Methods

A cross-sectional study was conducted among 1,249 undergraduate nursing students in Xi’an, Shaanxi Province, China, between November 2023 and April 2024, using a multistage sampling approach. Validated scales were used: the Childhood Trauma Questionnaire (CTQ), Perceived Stress Scale (PSS), Self-Rating Depression Scale (SDS), and Mobile Phone Addiction Tendency Scale (MPATS). The serial mediation was analyzed using the SPSS PROCESS macro by Hayes. The statistical analysis included descriptive analysis, independent samples t-tests, Pearson correlation analysis, and bootstrap methodology.

Results

MPA was positively correlated with childhood trauma (r = 0.237, p < 0.001), and was positively correlated with perceived stress (r = 0.391, p < 0.001) and depression (r = 0.337, p < 0.001). In the model of childhood trauma → perceived stress → depression → MPA, the overall mediated effect was 0.106 (95%Cl: 0.082– 0.131), and the mediating effect of perceived stress was 0.065 (95%Cl: 0.047–0.083), accounting for 38.92% of total effect. The mediating effect of depression was 0.028 (95%Cl: 0.011–0.046), accounting for 16.77% of total effect. The serial mediating effect of perceived stress and depression was 0.013 (95%Cl: 0.005–0.023), accounting for 7.78% of total effect.

Conclusions

Childhood trauma influences MPA through the chain-mediating effects of perceived stress and depression in undergraduate nursing students. These findings demonstrate that early detection of trauma-exposed nursing students, combined with evidence-based stress reduction and emotion regulation strategies, could reduce MPA risk in this population.

Clinical trial number

Not applicable.