Comparison of sustained and selective attention in nomophobic and normal subjects

Authors
Semnan University
Abstract
In recent years, the dramatic increase in the use of smartphones has led to the emergence of a psychological disorder called nomophobia, which can have consequences for individual's cognitive functions. The aim of this study was to compare sustained attention and selective attention between nomophobic and normal individuals. The research method was descriptive-comparative, and the sample included 60 students of Semnan University who were identified through screening among a group of 120 students and were divided into two groups of 30 nomophobic and normal. The research instruments included Nomophobia Questionnaire, Continuous Performance Test (CPT) and Stroop Test. Data were analyzed using two-way MANOVA in SPSS software version 26. The results of the Continuous Performance Test showed that the amount of Omission error and reaction time of nomophobic individuals was higher than normal performance individuals. In the Stroop test, the rate of errors and the interference score of nomophobic individuals were higher than normal individuals. Also, despite gender differences in some components of the continuous performance and Stroop tests, it was found that the interactive effect of nomophobia and gender on the results of these two tests is not significant. These results show that nomophobia can be involved in reducing sustained attention and impaired selective attention regardless of gender. Therefore, because of the continuous interaction of people with smartphones and the significant prevalence of nomophobia among young people, measures should be taken to prevent nomophobia and cognitive rehabilitation of nomophobic people.
Keywords

Aguilera-Manrique, G., Márquez-Hernández, V. V., Alcaraz-Córdoba, T., Granados-Gámez, G., Gutiérrez-Puertas, V., & Gutiérrez-Puertas, L. (2018). The relationship between nomophobia and the distraction associated with smartphone use among nursing students in their clinical practicum. PloS one, 13(8), e0202953.
Ahmed, S., Pokhrel, N., Roy, S., & Samuel, A. J. (2019). Impact of nomophobia: A nondrug addiction among students of physiotherapy course using an online cross-sectional survey. Indian journal of psychiatry, 61(1), 77.
Akbari, F., Rezai, A. M., & Delavarpour, M. A. (2019). The relationship between the nomophobia with cognitive engagement and learning agency in smartphone user. 3rd National Conference on Cognitive Educational Psychology, 29-40. [Persian]
Ansari, T. L., & Derakshan, N. (2010). Anxiety impairs inhibitory control but not volitional action control. Cognition and emotion, 24(2), 241-254.
Arpaci, I., Baloğlu, M., & Kesici, Ş. (2019). A multi-group analysis of the effects of individual differences in mindfulness on nomophobia. Information Development, 35(2), 333-341.
Ayar, D., Gerçeker, G. Ö., Özdemir, E. Z., & Bektas, M. (2018). The effect of problematic internet use, social appearance anxiety, and social media use on nursing students' nomophobia levels. CIN: Computers, Informatics, Nursing, 36(12), 589-595.
Azadbakht, M., Yazdanbakhsh, K., & Moradi, A. (2018).The Effectiveness of Cognitive Rehabilitation On Reducing Selective Attention Deficit In Obsessive compulsive Disorder. The Journal of Urmia University of Medical Sciences, Vol. 29(5): 381-388. [Persian]
Bragazzi, N. L., & Del Puente, G. (2014). A proposal for including nomophobia in the new DSM-V. Psychology research and behavior management, 7, 155.
Cheever, N. A., Rosen, L. D., Carrier, L. M., & Chavez, A. (2014). Out of sight is not out of mind: The impact of restricting wireless mobile device use on anxiety levels among low, moderate and high users. Computers in Human Behavior, 37, 290-297.
Chen, J., Liang, Y., Mai, C., Zhong, X., & Qu, C. (2016). General deficit in inhibitory control of excessive smartphone users: Evidence from an event-related potential study. Frontiers in psychology, 7, 511.
Cho, S., & Lee, E. (2016). Distraction by smartphone use during clinical practice and opinions about smartphone restriction policies: A cross-sectional descriptive study of nursing students. Nurse education today, 40, 128-133.
Clayton, R. B., Leshner, G., & Almond, A. (2015). The extended iSelf: The impact of iPhone separation on cognition, emotion, and physiology. Journal of Computer-Mediated Communication, 20(2), 119-135.
Delavarpour, M., Bahar, M., & Ghods, F. (2019). Predicting Nomophobia According to Mood Status and Anxiety Sensitivity: Analyzing the Moderating Role of Gender. Journal of Clinical Psychology, 11(2), 52-66. [Persian]
Dixit, S., Shukla, H., Bhagwat, A. K., Bindal, A., Goyal, A., Zaidi, A. K., & Shrivastava, A. (2010). A study to evaluate mobile phone dependence among students of a medical college and associated hospital of central India. Indian journal of community medicine: official publication of Indian Association of Preventive & Social Medicine, 35(2), 339.
Durak, H. Y. (2019). Investigation of nomophobia and smartphone addiction predictors among adolescents in Turkey: Demographic variables and academic performance. The Social Science Journal, 56(4), 492-517.
Fadardi JS, Ziaee SS. (2010). Implicit Cognitive Processes and Attention Bias Toward Addiction Behavior: Introdution, Development and Application of Addiction Stroop Test. Journal of Fundamentals of Mental Health; 12(1):358-89. [Persian]
Forster, S., Nunez Elizalde, A. O., Castle, E., & Bishop, S. J. (2015). Unraveling the anxious mind: anxiety, worry, and frontal engagement in sustained attention versus off-task processing. Cerebral Cortex, 25(3), 609-618.
Gezgin, D. M., & Çakır, Ö. (2016). Analysis of nomofobic behaviors of adolescents regarding various factors. Journal of Human Sciences, 13(2), 2504-2519.
Gezgin, D. M., Cakir, O., & Yildirim, S. (2018). The Relationship between Levels of Nomophobia Prevalence and Internet Addiction among High School Students: The Factors Influencing Nomophobia. International Journal of Research in Education and Science, 4(1), 215-225.
Gezgin, D. M., Şumuer, E., Arslan, O., & Yildirim, S. (2017). Nomophobia prevalence among pre-service teachers: A case of Trakya University. Trakya Üniversitesi Eğitim Fakültesi Dergisi, 7(1).
Hadianfard, H., Najarian, B., Shokrkon, H., & Mehrabizadeh, M. (2000). Preparation Persian form of CPT. Journal of Psychology, 4(4), 404-388. [Persian]
Hartanto, A., & Yang, H. (2016). Is the smartphone a smart choice? The effect of smartphone separation on executive functions. Computers in Human Behavior, 64, 329-336.
Ifeanyi, I. P., & Chukwuere, J. E. (2018). The Impact of Using Smartphones on the Academic Performance of Undergraduate Students. Knowledge Management & E-Learning, 10(3), 290-308.
Jo, H. S., Na, E., & Kim, D. J. (2018). The relationship between smartphone addiction predisposition and impulsivity among Korean smartphone users. Addiction Research & Theory, 26(1), 77-84.
Kaniaru, D., Karani, A., & Waithera, M. (2020). The Effect of Smartphones Use on Altering the Level of Attention and Learning Styles among Undergraduate Nursing Students in Kenya. stress, 13(17), 18.
King, A. L. S., Valença, A. M., & Nardi, A. E. (2010). Nomophobia: the mobile phone in panic disorder with agoraphobia: reducing phobias or worsening of dependence?. Cognitive and Behavioral neurology, 23(1), 52-54.
King, A. L. S., Valenca, A. M., Silva, A. C. O., Baczynski, T., Carvalho, M. R., & Nardi, A. E. (2013). Nomophobia: Dependency on virtual environments or social phobia?. Computers in Human Behavior, 29(1), 140-144.
Konok, V., Pogány, Á., & Miklósi, Á. (2017). Mobile attachment: Separation from the mobile phone induces physiological and behavioural stress and attentional bias to separation-related stimuli. Computers in Human Behavior, 71, 228-239.
Lee, S., Kim, M., Mendoza, J. S., & McDonough, I. M. (2018). Addicted to cellphones: Exploring the psychometric properties between the nomophobia questionnaire and obsessiveness in college students. Heliyon, 4(11), e00895.
Lin, C. Y., Griffiths, M. D., & Pakpour, A. H. (2018). Psychometric evaluation of Persian Nomophobia Questionnaire: Differential item functioning and measurement invariance across gender. Journal of Behavioral Addictions, 7(1), 100-108.
Luijten, M., Littel, M., & Franken, I. H. (2011). Deficits in inhibitory control in smokers during a Go/NoGo task: an investigation using event-related brain potentials. PloS one, 6(4), e18898.
Lukacs, A., Tavolacci, M. P., Kiss-Toth, E., Sasvar, P., & Ladner, J. (2016). Internet addiction in university students: Cross-border study in Algeria, France, Hungary. In 5th European Symposium on Substance Use, other Health Behaviours in Students Conference 30th June, 1st July.
Mahmoudiaghdam, M., Soleymani, E., & Isazadegan, A. (2020). The Effectiveness of Rehabilitation of Cognitive-Metacognitive Strategies on Dorsolateral Frontal Lobe Functions in Elderly. Aging Psychology, 6(1), 79-92. [Persian]
Mendoza, J. S., Pody, B. C., Lee, S., Kim, M., & McDonough, I. M. (2018). The effect of cellphones on attention and learning: The influences of time, distraction, and nomophobia. Computers in Human Behavior, 86, 52-60.
Moisala, M., Salmela, V., Hietajärvi, L., Salo, E., Carlson, S., Salonen, O., ... & Alho, K. (2016). Media multitasking is associated with distractibility and increased prefrontal activity in adolescents and young adults. NeuroImage, 134, 113-121.
Nejati, V., Zabihzade, A. & ,Nikfarjam, M. (2013). The relationship between mindfulness and functions of sustained and selective attention Journal of Cognitive and Behavioral Sciences, 2, 31-42. [Persian]
Park, J., Kim, J., Kim, J., Kim, K., Kim, N., Choi, I., ... & Yim, J. (2015). The effects of heavy smartphone use on the cervical angle, pain threshold of neck muscles and depression. Advanced Science and Technology Letters, 91(3), 12-17.
Ralph, B. C., Thomson, D. R., Seli, P., Carriere, J. S., & Smilek, D. (2015). Media multitasking and behavioral measures of sustained attention. Attention, Perception, & Psychophysics, 77(2), 390-401.
Rodríguez-García, A. M., Moreno-Guerrero, A. J., & Lopez Belmonte, J. (2020). Nomophobia: An individual’s growing fear of being without a smartphone—a systematic literature review. International journal of environmental research and public health, 17(2), 580.
Samaha, M., & Hawi, N. S. (2016). Relationships among smartphone addiction, stress, academic performance, and satisfaction with life. Computers in human behavior, 57, 321-325.
Tams, S., Legoux, R., & Léger, P. M. (2018). Smartphone withdrawal creates stress: A moderated mediation model of nomophobia, social threat, and phone withdrawal context. Computers in Human Behavior, 81, 1-9.
Tanoto, K., Suryani, E., & Joewana, S. (2020). Relationship between Nomophobia and Attention among Medical Students. Althea Medical Journal, 7(4), 211-215.
Yildirim, C., & Correia, A. P. (2015). Exploring the dimensions of nomophobia: Development and validation of a self-reported questionnaire. Computers in Human Behavior, 49, 130-137.
Zarghi, A., Zali, A., Tehranidost, M., Zarindast, M. R., & Khodadadi, S. M. (2011). Application of cognitive computerized test in assessment of neuro-cognitive domain. Pajoohandeh Journal, 16(5), 341-245. [Persian]