{"id":"HHS-OASH-2026-0397-5067","number":"5067","name":"Alex Andreasen","organization":"","posted":"2026-10-26T04:00Z","received":"2026-10-21T04:00Z","body":"https://link.springer.com/content/pdf/10.1186/s12888-019-2350-x.pdf\n\nPSU = Problematic\nSmartphone Use\n\n\"Nonetheless, recent years have seen an explosion\nin research considering the prevalence of problematic\nsmartphone use (PSU), which has been operationa-\nlised in such a way that it maps onto concepts of be-\nhavioural addiction: tolerance, withdrawal (dysphoria\nwhen the battery dies), preoccupation, neglect of\nother activities, subjective loss of control and contin-\nued use despite evidence of harm [13–18]. Other be-\nhavioural addictions, such as problem gambling, show\nrobust associations with common mental disorders\nsuch as depression [19],where sporadic gambling does\nnot. If a distinctive problematic pattern of smart-\nphone use can be demonstrated to be prevalent, and\nif this pattern of use is associated with harm, there is\nvalue in identifying children and young people with\nthis pattern of use and potentially addressing it clinic-\nally. Given the large increase in research studies using\ntools to estimate the prevalence of PSU (and examine\nmental health associations), it is now appropriate to\nevaluate the evidence\"\n\n...\n\n\"Prevalence of problematic smartphone\nusage and associated mental health\noutcomes amongst children and young\npeople: a systematic review, meta-analysis\nand GRADE of the evidence\"\n\n...\n\"...PSU associated with mental health outcomes\nPSU has been consistently associated with measures of\npoor mental health, in particular relating to depression,\nanxiety, stress, poor sleep quality, and day to day func-\ntional impairment demonstrated by poor educational at-\ntainment. Of the studies included, 20 investigated the\nrelationship between PSU and mental health amongst\nCYP. This is summarized in a qualitative synthesis (See\nAdditional file 1: Table S6)\"","attachments":[],"attachment_inventory":true,"withheld":false,"source":"https://www.regulations.gov/comment/HHS-OASH-2026-0397-5067","tags":["child-development","sleep-cognition","research-evidence"],"source_hash":"6bc44d228e7809001820284328b83155b979f6ffab9ec6466424ff84539df003","slug":"child-development-comment-5067","classification":{"id":"HHS-OASH-2026-0397-5067","body_sha256":"91d286ef9a31ba91b840c40978fda0ebc082b6db9739f7badf2d93b042ea73cc","status":"ai_reviewed","primary_topic":"research","topics":[{"id":"research","evidence":"utcomes amongst children and young\npeople: a systematic review, meta-analysis\nand GRADE of the evidence\"\n\n...\n\"...PSU associate"},{"id":"children","evidence":"ted with harm, there is\nvalue in identifying children and young people with\nthis pattern of use and potentially addressing it cl"},{"id":"neurological","evidence":"lar relating to depression,\nanxiety, stress, poor sleep quality, and day to day func-\ntional impairment demonstrated by poor edu"}],"summary":"Quotes research discussing problematic smartphone use, behavioral addiction and associations with mental health, sleep and functioning in young people.","reviewed_at":"2026-10-26T22:22:05Z","review_method":"Full comment-text review with exact source evidence; attachments not reviewed","review_source_sha256":"f4137e716725866acb35615ef7caba338defcb457282b2298eb89612aca53bef","source_url":"https://rfsafe.net/hhs-comments/data/catalog.json","scope":"Original comment body; attachments excluded"},"forum_topics":["research","children","neurological"],"primary_topic":"research","forum_title":"Quotes research discussing problematic smartphone use, behavioral addiction and associations with mental …"}