Finding The "Sweet Spot" of Smartphone Use Reduction or Abstinence To Increase Well-Being and Healthy Lifestyle! An Experimental Intervention Study

You might also like

Download as pdf or txt
Download as pdf or txt
You are on page 1of 13

Journal of Experimental Psychology: Applied

© 2022 American Psychological Association 2023, Vol. 29, No. 1, 149–161


ISSN: 1076-898X https://doi.org/10.1037/xap0000430

Finding the “Sweet Spot” of Smartphone Use: Reduction or Abstinence to


Increase Well-Being and Healthy Lifestyle?! An Experimental
Intervention Study
Julia Brailovskaia, Jasmin Delveaux, Julia John, Vanessa Wicker, Alina Noveski, Seokyoung Kim,
Holger Schillack, and Jürgen Margraf
Mental Health Research and Treatment Center, Department of Psychology, Ruhr-Universität Bochum
This article is intended solely for the personal use of the individual user and is not to be disseminated broadly.

The present experimental study compared the impact of a total abstinence from smartphone use and of a
This document is copyrighted by the American Psychological Association or one of its allied publishers.

reduction of daily smartphone use by 1 hr on well-being and healthy lifestyle. Participants (Ntotal = 619) were
smartphone users in Germany. The first experimental group (N = 200) waived smartphone use for 7 days, the
second experimental group (N = 226) reduced its daily use by 1 hr, and the control group (N = 193) used
smartphone as usual. Variables of smartphone use (time, intensity, problematic tendencies), life satisfaction,
depressive symptoms, anxiety symptoms, physical activity, and smoking behavior were assessed via online
surveys at four measurement time points (baseline; postintervention; 1 and 4 months after postintervention).
Both interventions reduced smartphone use intensity, problematic use tendencies, depressive, and anxiety
symptoms. In both groups, life satisfaction and physical activity increased. Most effects were stronger and
remained more stable over 4 months in the reduction group than in the abstinence group. Moreover, in the
reduction group only, the number of daily smoked cigarettes decreased. Thus, less time spent on the
smartphone leads to more well-being and a healthier lifestyle; a complete smartphone abstinence is not
necessary. Programs that focus on the increase of well-being and a healthier lifestyle could benefit from the
integration of controlled reduction of smartphone use. A potential “sweet spot” of smartphone use is discussed.

Public Significance Statement


The present study suggests that conscious and controlled changes of daily time spent on smartphone use
can contribute to subjective well-being (less depressive and anxiety symptoms, less problematic use
tendencies, more life satisfaction) and to a healthier lifestyle (more physical activity, less smoking
behavior) in the longer term. Already, a reduction of daily smartphone use by 1 hr can result in this
positive effect, a complete abstinence is not necessary.

Keywords: abstinence from smartphone use, reduction of smartphone use, subjective well-being, physical
activity, smoking behavior

Supplemental materials: https://doi.org/10.1037/xap0000430.supp

In the past decade, the smartphone has become people’s “best online and offline applications, smartphone use makes our daily
friend.” Today, more than 3.5 billion people own a smartphone lives easier from work to leisure. In addition to permanent
and use it on average more than 3 hr daily (Kroker, 2020; Spajic, availability, it allows people to stay up-to-date about news,
2020). Through the mobile Internet access and the numerous to access emails and social media accounts, to play games, to

This article was published Online First April 7, 2022. Materials used in the present study are available on reasonable request
Julia Brailovskaia https://orcid.org/0000-0001-7607-1305 from the corresponding author.
Jasmin Delveaux https://orcid.org/0000-0001-8572-0506 The study design and hypotheses were not preregistered. The analytic plan
Alina Noveski https://orcid.org/0000-0001-7098-4242 was not preregistered.
Seokyoung Kim https://orcid.org/0000-0003-1110-1109 Julia Brailovskaia and Jasmin Delveaux conducted the study design. Julia
Holger Schillack https://orcid.org/0000-0001-5022-6970 Brailovskaia wrote the first draft of the article and conducted the statistical
This research did not receive any specific grant from funding agencies in analysis. Julia Brailovskaia and Holger Schillack conducted literature
the public, commercial, or not-for-profit sectors. The authors have no searches. Julia Brailovskaia, Jasmin Delveaux, Julia John, Vanessa Wicker,
conflicts of interest to disclose. Alina Noveski, and Seokyoung Kim conducted data collection and data
All data, program code, and other methods developed by others are preparation. Holger Schillack and Jürgen Margraf reviewed and edited the
appropriately cited in the text and listed in the References section. first draft. All authors contributed to and have approved the final article.
Data are available on reasonable request from the corresponding Correspondence concerning this article should be addressed to Julia
author. Brailovskaia, Mental Health Research and Treatment Center, Department
The analytic code that was used in the present study is available as of Psychology, Ruhr-Universität Bochum, Massenbergstr. 9–13, 44787
Supplemental Materials. Bochum, Germany. Email: Julia.Brailovskaia@rub.de

149
150 BRAILOVSKAIA ET AL.

watch videos, and to use web mapping services and organizers health can be protected in the age of the digital revolution. Available
(Elhai et al., 2019b). experimental research on social media use (e.g., Facebook, Insta-
However, despite the advantages, excessive smartphone use can gram, Twitter) that can also negatively impact subjective well-being
negatively impact subjective well-being, physical health state, and (Brailovskaia, Teismann, et al., 2020; Brailovskaia et al., 2019)
academic performance (Elhai et al., 2017; Sohn et al., 2019; Vahedi showed that individuals who completely waived the use for a
& Saiphoo, 2018). People often engage in excessive smartphone use 1-week period had higher levels of life satisfaction than those
to escape overwhelming problems and negative mood (Elhai et al., who maintained their usual usage time (Tromholt, 2016). Reduction
2019a). Active interaction with friends via social media or a passive of daily time spent on social media for 30 min—which is less
following of other-generated content can in the short term contribute challenging than complete abstinence—for 3 weeks resulted in a
to relief, mood improvement, and inspiration. But in the longer term, decrease of depressive and anxiety symptoms (Hunt et al., 2018).
time spent on smartphone use and the positive experiences can foster Reducing the daily social media time for 20 min over a 2-week
the development of a pathological emotional bond to the technical period contributed to an increase of life satisfaction and physical
device that is linked to an obsessive need to permanently continue activity (e.g., jogging, cycling), whereas the intensity of social
This article is intended solely for the personal use of the individual user and is not to be disseminated broadly.

the use (Elhai et al., 2018; Lapierre et al., 2019; Montag et al., 2015). media use, problematic use, depressive symptoms, and smoking
This document is copyrighted by the American Psychological Association or one of its allied publishers.

Nonuse can evoke physical and mental withdrawal symptoms and behavior decreased. The positive effects remained stable for up to
an often unconscious grasp of the smartphone (Cheever et al., 2014; 3 months (Brailovskaia, Ströse, et al., 2020). Thus, abstinence from
Sapacz et al., 2016). social media use as well as its reduction have positive effects on
This phenomenon is often termed as problematic, compulsive, or well-being and lifestyle.
addictive smartphone use (Elhai et al., 2017), but a consensus about a However, can these findings be applied to smartphone use? In the
standardized term is currently missing. In the present study, we will use past years, several experimental studies investigated the abstinence
the term “problematic smartphone use” (Ting & Chen, 2020). In from smartphone use. Most of them were conducted in laboratories
addition to withdrawal, problematic smartphone use is defined by where participants had to completely waive smartphone use for up to
characteristics like salience, tolerance, mood modification, lack of several hours while waiting or working on specific tasks (e.g.,
control and relapse, and conflicts (Elhai et al., 2017; Sohn et al., 2019). puzzles). Their results mostly reveal an increase of withdrawal and
So far, problematic smartphone use has not been recognized as a anxiety symptoms, especially in individuals who tend to excessive
formal psychiatric disorder in the Diagnostic and Statistical Manual smartphone use (Cheever et al., 2014; Clayton et al., 2015; Cutino &
of Mental Disorders (DSM-5; American Psychiatric Association, Nees, 2017). This corresponds to our knowledge about restrictive
2013) and in the International Classification of Diseases (ICD-11; interventions on addictive behavior such as alcohol, nicotine, and
World Health Organization, 2018). Nevertheless, available research drug use (Gawin, 1991; Wetterling et al., 1996). In the initial craving
emphasizes the negative effects of excessive smartphone use on stage that can continue for days or weeks, the individual typically
well-being (Thomée, 2018). Longitudinal correlation studies that experiences enhanced withdrawal and anxiety. In the later stage, the
investigated time periods up to 3 years described that both the time negative symptoms decrease. Because of the brief abstinence periods
spent on smartphone use in general and problematic smartphone use and lack of follow-up measurements in the available studies, it
are positively linked to depressive and anxiety symptoms (Bickham remains unclear how long the withdrawal and anxiety symptoms
et al., 2015; Lapierre et al., 2019; Rozgonjuk et al., 2018; Zhang could persist in the context of smartphone use. Also, the external
et al., 2020). In cross-sectional studies, their relationship with life validity of the effects outside the laboratory is unclear.
satisfaction was negative (Lachmann et al., 2018; Yang et al., 2019). Two experimental studies on the abstinence from smartphone use
Time spent on smartphone use was positively related to enhanced were conducted outside of the laboratory. In the first study, parti-
daytime sleepiness, and decreased sleep quality and sleepiness cipants of the experimental group (N = 67) who completely waived
during bedtime, especially when using blue light smartphones smartphone use for 72 hr had significantly higher withdrawal and
(Heo et al., 2017; Li et al., 2015; Ng et al., 2020). Furthermore, anxiety symptoms than the control group (N = 60) who used the
excessive smartphone use negatively impacts physical health. In- smartphone as usual (Eide et al., 2018). In the second study (N =
dividuals who engaged in excessive use had enhanced levels of 19), after a 10-day abstinence from smartphone use, withdrawal
muscle fatigue and pain in the neck–shoulder region caused by the symptoms decreased and experience of relief increased (Zinn &
forward-leaning head posture, decreased posture, and respiratory Rademacher, 2019). Thus, the craving stage seems to continue for at
function (Cuéllar & Lanman, 2017; İnal et al., 2015; Jung et al., least 3 days, but for less than 10 days.
2016; Kim & Koo, 2016; Xie et al., 2016). Time spent on smart- Considering the available experimental studies that lack follow-
phone use was associated with decreased physical activity and up measurements and focus on a small number of variables of well-
fitness, as well as enhanced obesity especially in adolescents and being, it can be concluded that the current state of research cannot
young adults (Fennell et al., 2019; Kenney & Gortmaker, 2017; answer the question of whether the findings with respect to social
Lepp et al., 2013). Moreover, smartphone use time and problematic media (Brailovskaia, Ströse, et al., 2020; Hunt et al., 2018;
use were negatively linked to academic performance in young Tromholt, 2016) are applicable to smartphone use: Abstinence
students (Lepp et al., 2014, 2015); their association with academic from and/or reduction of the use can positively influence well-
procrastination was positive (Yang et al., 2019). In a longitudinal being and lifestyle in the longer term. However, finding an answer to
study, an increase of smartphone use time positively predicted a this question is urgent considering the potential negative effects of
decrease in academic achievement of students over a 3-year period excessive smartphone use (Elhai et al., 2019a).
(Amez et al., 2019). Therefore, the present study aimed to investigate the influence of
Considering the described negative impact of smartphone use, it both the controlled experimental abstinence from smartphone use
seems highly desirable to understand how well-being and physical and the controlled experimental reduction of daily time spent on
LESS SMARTPHONE—MORE WELL-BEING 151

smartphone use on subjective well-being and lifestyle over a longer Analytic Methods
period of time (up to 4 months). Because of the limited experimental
findings on smartphone use, we formulated our hypotheses and The analytic code needed to reproduce current analyses is
designed our study mainly following the experimental research on included as Supplemental Materials Analytic Code.
social media (i.e., Brailovskaia, Ströse, et al., 2020; Hunt et al.,
2018; Tromholt, 2016). Materials
Regarding the smartphone use variables, we hypothesized that the
abstinence from/reduction of daily time spent on this technical Materials used in the present study are available on reasonable
device is accompanied by a reduction of smartphone use inten- request from the corresponding author.
sity/integration into daily life (Hypothesis 1a). Previous research
described time spent on smartphone use to foster problematic Procedure
tendencies (e.g., Lapierre et al., 2019). Therefore, we assumed
that abstinence from/reduction of daily smartphone use decreases The present study was designed as a randomized controlled trial
This article is intended solely for the personal use of the individual user and is not to be disseminated broadly.

the level of problematic smartphone use (Hypothesis 1b). that included two experimental groups (i.e., abstinence group,
This document is copyrighted by the American Psychological Association or one of its allied publishers.

Following the dual-factor models (e.g., Keyes, 2005), subjective reduction group) and a control group. Over a period of 7 days
well-being consists of two interrelated but distinct dimensions: (= experimental manipulation period), participants of the abstinence
positive and negative. Only the investigation of both dimensions in group waived their daily smartphone use (= first experimental
parallel enables a comprehensive picture of a person’s well-being. manipulation), participants of the reduction group reduced their
Thus, based on earlier findings (Brailovskaia, Ströse, et al., 2020; daily smartphone use time (= second experimental manipulation),
Hunt et al., 2018; Tromholt, 2016), we assumed that the abstinence and participants of the control group did not change their usual
from/reduction of smartphone use time contributes to an increase of smartphone use time. Smartphone use was defined as the use of all
internet-based and not internet-based applications and features on
life satisfaction (Hypothesis 2a) and a decrease of depressive
the smartphone, except the use of telephony service (i.e., calling
(Hypothesis 2b) and anxiety symptoms (Hypothesis 2c).
somebody, accepting incoming calls) in very urgent cases, such as
Brailovskaia, Ströse, et al. (2020) showed that the reduction of
for parents to find out whether a child has arrived at the place of
social media time influenced (un)healthy lifestyle—operationalized
destination.
as physical activity (e.g., jogging: healthy lifestyle) and smoking
In 2019, the mean daily smartphone use time ranged around 3 hr
behavior (consumed tobacco products: unhealthy lifestyle). They
(e.g., MacKay, 2019; Wurmser, 2019). Following Brailovskaia,
described that positive emotions experienced during physical
Ströse, et al. (2020), who chose a third of the mean social media
activity could replace positive emotions evoked by social media
use time for the reduction condition, we advised the reduction group
use. Furthermore, reduction in social media use, enhancement of
to reduce the duration of daily smartphone use time by 60 min (i.e.,
physical activity time and of well-being could contribute to the
one third of the 3 hr) over the 7 intervention days.
conscious striving for a healthier lifestyle in general, and thus at
Data of the three groups were collected at four measurement time
least partly explain the reduction of smoking behavior. On the points via online surveys in German language. Participants received
basis of this framework, we expected that the abstinence from/ the online links to the surveys by email. Measurements took place on
reduction of smartphone use time increases the frequency of the day prior to the beginning of the experimental manipulation
physical activity (Hypothesis 3a) and decreases smoking behavior period (baseline, day 0) to assess a baseline of the investigated
(Hypothesis 3b). variables, after the 7 days of the manipulation period (postinterven-
So far, no study on social media or smartphone use directly tion, Day 8), 1 and 4 months after the postintervention measurement
compared the effects of complete abstinence from the use and its (see Figure 1). This procedure enables an investigation of the short-
reduction. To avoid speculations, we additionally formulated two and long-term (up to 4 months) effects of the experimental manipu-
research questions: lation of smartphone use time.

Research Question 1: Do the effects of abstinence from smart-


Participants
phone use and of a reduction of time spent on smartphone use
on well-being and lifestyle differ? Data collection took place from April 2019 to November 2020.
Participants were recruited by invitations displayed at public places
Research Question 2: If they differ, how do the effects of in Germany, at German universities, and on social media such as
abstinence from smartphone use and of a reduction of time Facebook and Twitter. Persons who were interested in participation
spent on smartphone use on well-being and lifestyle differ? contacted the principal investigators by email. In addition to their
wish to participate, the email should include their mean daily
smartphone use time (in min). The requirements for participation
—voluntary and compensated by course credits for students—were
Materials and Method
the possession of a smartphone and its daily use for at least 75 min (to
Transparency and Openness prevent a complete abstinence in the reduction group). Participants
Data had to be at least 18 years old. All requirements were included in the
invitation. All participants fulfilled the requirements. No participants
Data used in the present study are available on reasonable request were excluded. Implementation of the present study was approved by
from the corresponding author. the responsible Ethics Committee. Persons who were interested in the
152 BRAILOVSKAIA ET AL.

Figure 1
Investigation Timeline (Measurement Time Points: Baseline, Day 0; Postintervention, Day 8; 1 Month After Postintervention; 4 Months After
Postintervention)
This article is intended solely for the personal use of the individual user and is not to be disseminated broadly.
This document is copyrighted by the American Psychological Association or one of its allied publishers.

participation received an email with the link to the baseline survey. of 226 participants, 77.9% women; Mage (SDage) = 25.38 (7.14),
At the beginning of the baseline survey, they were randomly assigned range: 18–57; occupation: 77% university students, 22.6% employ-
to one of the three groups. Participants were properly informed about ees, and one unemployed person; marital status: 42.5% single,
the study and provided informed consent to participate online. The 48.7% in a relationship but not married, 8.8% married; all Cauca-
same day, members of both experimental groups received an email, sian. Analyses of the compliance diaries revealed a compliance rate
including a Microsoft Word document (“Daily compliance diary”). of 92.9% (n = 210).
The document included a table where participants entered daily Following Tromholt (2016) and Brailovskaia, Ströse, et al.
whether they had complied with the instruction of their experimental (2020), noncompliers were kept in the samples.
condition (0 = no, 1 = yes). After the intervention period, the
compliance diary was sent back by email to the principal investiga-
tors. Compliance was assessed when participants reported to comply Control Group
with the group instruction for at least 5 of the 7 days of the
experimental period. In addition to the diary, in the email of the Overall, 232 persons were assigned to the control group. The
reduction group, participants were asked to cut down their daily dropout rate was 16.8% (n = 39). Thus, the control group consisted
smartphone use time by 1 hr a day. To clarify this instruction, each of 193 participants (75.1% women; Mage (SDage) = 27.15 (10.08),
participant was provided a concrete maximal time that he/her was range: 18–63; occupation: 69.4% university students, 29.5% em-
allowed to spend on daily smartphone use for the duration of the ployees, one unemployed person, and one retired person; marital
experimental period (= daily smartphone use time indicated by the status: 37.8% single, 45.6% in a relationship but not married, 16.6%
participants in their email to the principal investigators minus 60 married; all Caucasian).
min). For example, if a person usually used the smartphone for about Analyses of variance (ANOVAs) revealed no significant group
180 min a day, we calculated “180 min − 60 min = 120 min.” Thus, differences of demographic variables. Also, there were no signifi-
the person was allowed to engage in smartphone use for no longer cant differences of demographic variables between persons who
than 120 min daily. To prevent increased attention on smartphone dropped out and those who participated in all surveys. A priori
use, the control group did not receive a compliance diary. power analyses (G*Power program, Version 3.1) indicated that at
least a total sample size of N = 174 (n = 58 per group) was required
for valid results (repeated measure ANOVAs, within-between
Experimental Group Abstinence
factor-design; power ≥ 0.80, α = .05, effect size: f = 0.10; Mayr
Overall, 227 persons were assigned to the abstinence group. At et al., 2007). However, much more people revealed the wish to
different stages of the investigation, 27 persons (11.9%) dropped participate in the study. As the study aimed to improve subjective
out. Thus, the abstinence group consisted of 200 participants who well-being and lifestyle, each person was included in the study that
completed all surveys, 79.5% women; Mage (SDage) = 25.35 (8.91), wanted to participate based on ethical considerations.
range: 18–67; occupation: 78.5% university students, 20% employ-
ees, two unemployed persons, and one retired person; marital status:
41% single, 49.5% in a relationship but not married, 9.5% married; Measures
all Caucasian. Analyses of the compliance diaries revealed a
Smartphone Use
compliance rate of 89.5% (n = 179).
Duration of Smartphone Use. Participants indicated the dura-
tion of their daily smartphone use (in min; current mean test–retest
Experimental Group Reduction
reliability calculated over all four measurement time points [rmtrr]:
Overall, 242 persons were assigned to the reduction group. The abstinence group: rmtrr = .62, reduction group: rmtrr = .56, control
dropout rate was 6.6% (n = 16). Thus, the reduction group consisted group: rmtrr = .73).
LESS SMARTPHONE—MORE WELL-BEING 153

Intensity of Smartphone Use. Intensity of smartphone use and cycling, jogging)?” rated on a 5-point Likert-type scale (1 = never,
its integration into daily life was measured with a modified version of 5 = four times a week and more; current reliability: abstinence group:
the Facebook Intensity Scale (FIS; original version: Ellison et al., rmtrr = .61, reduction group: rmtrr = .47, control group: rmtrr = .71).
2007; German version: Brailovskaia, Rohmann, et al., 2018). The This brief instrument has been repeatedly reported to be a valid and
term “Facebook” was replaced by the term “Smartphone”; four of the reliable measure of physical activity (Brailovskaia, Teismann, et al.,
overall six items were included in the present investigation (i.e., 2018; Milton et al., 2011).
“Smartphone use is part of my everyday activity,” “Smartphone use Smoking Behavior. Following previous research (Brailovskaia,
has become part of my daily routine,” “I feel out of touch, when I Ströse, et al., 2020), participants were asked whether they regularly
haven’t used my Smartphone for a while,” and “I would be sorry, if consume any tobacco products, such as cigarettes (0 = no, 1 = yes).
my Smartphone malfunctioned”). Two items of the original FIS were Those who indicated to consume tobacco products were asked how
excluded because their content could not be transferred to smart- many of them they consume daily (current reliability: abstinence
phone use. The items are rated on a 5-point Likert-type scale (1 = group: rmtrr = .93, reduction group: rmtrr = .73, control group:
disagree strongly, 5 = agree strongly; current reliability: abstinence rmtrr = .76).
This article is intended solely for the personal use of the individual user and is not to be disseminated broadly.

group: Cronbach’s α = .72–.77, rmtrr = .63; reduction group: α = The time instructions (e.g., over the last week, over the last
This document is copyrighted by the American Psychological Association or one of its allied publishers.

.65–.69, rmtrr = .67; control group: α = .64–.76, rmtrr = .64). month) of the questionnaires were adapted to the requirements of the
Problematic Smartphone Use. The level of problematic smart- individual surveys. For all used instruments, higher scores indicated
phone use was measured with a modified version of the brief Bergen higher levels of the measured variable. Investigated variables were
Social Media Addiction Scale (BSMAS; original Version: assessed at all four measurement time points in all groups. Exception
Andreassen et al., 2016; German Version: Brailovskaia, was duration of daily smartphone use (only baseline, 1 and 4 months
Schillack, et al., 2020). In all six items that are formulated according after postintervention measurement). Note that between baseline
to the six characteristics of problematic media use (i.e., salience, and postintervention measurement, the duration of daily smartphone
tolerance, mood modification, relapse, withdrawal, conflict), the use of both experimental groups was experimentally manipulated.
term “Social Media” was replaced by “Smartphone” (e.g., “Felt
an urge to use the Smartphone more and more?”). Items are rated on
a 5-point Likert-type scale (1 = very rarely, 5 = very often; current Statistical Analysis
reliability: abstinence group: α = .83–.89, rmtrr = .56; reduction Statistical analyses were conducted with the Statistical Package
group: α = .81–.89, rmtrr = .63; control group: α = .83–.93, rmtrr for the Social Sciences (SPSS 26). There were no missing data.
= .51). After descriptive analyses, repeated measure analyses of variance
(ANOVAs; within-between factor-design) to test possible short-
Subjective Well-Being and long-term effects (up to four measurement time points) and to
compare the three investigated groups (abstinence group vs. reduc-
Life Satisfaction. The Satisfaction with Life Scale (SWLS; tion group; abstinence group vs. control group; reduction group vs.
original Version: Diener et al., 1985; German Version: Glaesmer control group) were calculated. For all variables, there was a
et al., 2011) was used to measure global life satisfaction. This violation of the assumption of sphericity (Mauchly’s test). Thus,
instrument includes five items that are rated on a 7-point Likert- the Greenhouse–Geisser correction (ε) was applied. Partial eta-
type scale (e.g., “In most ways, my life is close to my ideal”; 1 = squared (η2p ) was included as the effect–size measure of main effects
strongly disagree, 7 = strongly agree; current reliability: abstinence (measurement time point; group condition) and of interaction effect
group: α = .86–.89, rmtrr = .73; reduction group: α = .86–.89, rmtrr = (measurement time point × group condition), Cohen’s d was used
.76; control group: α = .84–.89, rmtrr = .70). as effect–size measure of post hoc comparisons between groups,
Depressive and Anxiety Symptoms. The depression and the Cohen’s dRepeated Measures (Morris, 2008) was assessed as effect–size
anxiety subscales of the Depression Anxiety Stress Scales 21 measure of post hoc comparisons within groups. All post hoc
(DASS-21; original Version: Lovibond & Lovibond, 1995; German comparisons were Bonferroni-corrected (level of significance:
Version: Nilges & Essau, 2015) measured depressive and anxiety p < .05, two-tailed).
symptoms with seven items, respectively, that are rated on a 4-point
Likert-type scale (depression subscale: e.g., “I couldn’t seem to
experience any positive feeling at all”; anxiety subscale: e.g., “I felt
Results
scared without any good reason”; 0 = did not apply to me at all; 3 =
applied to me very much or most of the time; current reliability: Table 1 summarizes descriptive statistics of the investigated
depression subscale: abstinence group: α = .86–.89, rmtrr = .65; variables in all groups at the four measurement time points.
reduction group: α = .79–.89, rmtrr = .55; control group: α = .84–.87, Note, 20.5% (n = 41) of the abstinence group, 15.9% (n = 36)
rmtrr = .60; anxiety subscale: abstinence group: α = .76–.86, rmtrr = of the reduction group, and 14.5% (n = 28) of the control group
.64; reduction group: α = .82–.84, rmtrr = .62; control group: α = regularly consumed tobacco products.
.77–.88, rmtrr = .64). Figures 2 (time and intensity of smartphone use) and 3 (variables
of well-being including problematic smartphone use and lifestyle)
(Un)healthy Lifestyle visualize the results of the ANOVAs.
The Supplemental Materials Table S1 presents results of pairwise
Physical Activity. Following Brailovskaia, Ströse, et al. (2020), comparisons within each group, whereas results of the pairwise
the frequency of physical activity was assessed with the item “How comparisons between the three groups are summarized in the
frequently do you engage in physical exercise (e.g., swimming, Supplemental Materials Table S2.
154 BRAILOVSKAIA ET AL.

Table 1
Descriptive Statistics of Investigated Variables (Baseline to 4 Months)

Baseline Postintervention One month Four months


Investigated variables Group M (SD) M (SD) M (SD) M (SD)

Smartphone use time (in min) Abstinence 199.74 (105.79) 157.43 (91.00) 162.02 (111.89)
Reduction 215.96 (84.78) 176.26 (80.88) 170.96 (80.81)
Control 202.75 (125.41) 198.20 (125.41) 187.33 (111.34)
Smartphone use intensity Abstinence 15.86 (2.80) 14.60 (3.42) 14.57 (3.42) 14.12 (3.44)
Reduction 16.03 (2.59) 14.92 (2.78) 14.78 (2.77) 14.51 (2.95)
Control 15.99 (2.56) 15.39 (2.96) 15.51 (2.56) 15.35 (2.80)
Life satisfaction Abstinence 26.33 (5.46) 26.92 (5.43) 27.14 (5.52) 27.10 (5.82)
Reduction 26.28 (5.35) 26.88 (5.23) 27.09 (5.06) 27.44 (5.18)
Control 26.33 (5.06) 26.16 (5.33) 26.15 (5.45) 26.09 (5.70)
This article is intended solely for the personal use of the individual user and is not to be disseminated broadly.

Problematic smartphone use Abstinence 13.39 (5.15) 12.80 (4.81) 11.22 (4.80) 11.40 (4.83)
This document is copyrighted by the American Psychological Association or one of its allied publishers.

Reduction 12.91 (4.81) 13.01 (4.10) 10.96 (4.47) 11.05 (4.09)


Control 12.37 (4.74) 12.14 (4.54) 12.28 (5.05) 12.16 (4.95)
Depressive symptoms Abstinence 4.28 (4.05) 3.29 (3.80) 3.60 (4.14) 3.50 (3.77)
Reduction 3.81 (3.98) 3.09 (3.58) 3.19 (3.60) 2.92 (2.94)
Control 3.60 (3.50) 3.58 (3.87) 3.61 (3.63) 3.82 (4.07)
Anxiety symptoms Abstinence 3.39 (3.42) 2.38 (3.52) 2.47 (3.27) 2.53 (3.46)
Reduction 3.09 (3.63) 2.50 (3.33) 2.46 (3.23) 2.08 (2.70)
Control 2.88 (3.17) 2.81 (3.87) 2.76 (3.45) 2.89 (3.67)
Physical activity Abstinence 3.36 (1.15) 3.59 (1.06) 3.50 (1.08) 3.51 (1.07)
Reduction 3.39 (1.01) 3.58 (.97) 3.63 (.85) 3.77 (.87)
Control 3.35 (1.11) 3.38 (1.12) 3.41 (1.09) 3.27 (1.06)
Smoking behavior Abstinence 5.76 (5.41) 5.61 (5.13) 5.44 (5.60) 5.49 (6.83)
Reduction 5.50 (4.84) 3.89 (4.42) 3.75 (4.87) 3.39 (4.07)
Control 5.25 (4.67) 5.25 (5.03) 5.86 (5.83) 5.75 (5.23)
Note. M = mean; SD = standard deviation. Experimental Group Abstinence: N = 200, Experimental Group Reduction: N = 226, Control Group: N = 193,
exception: smoking behavior: Experimental Group Abstinence: n = 41, Experimental Group Reduction: n = 36, Control Group: n = 28; baseline to 4 months =
measurement time points; smoking behavior: number of daily consumed tobacco products.

The ANOVA for time spent daily on smartphone use revealed a smartphone use time was lower 1 and 4 months after postinterven-
significant main effect for measurement time point, F(1.93, 1186.95) tion measurement than at baseline. The within-group effects were
= 53.675, p < .001, η2p = .080, a significant main effect for group stronger in the reduction group than in the abstinence group (see
condition, F(2, 616) = 3.343, p = .036, η2p = .011, and a significant Supplemental Materials Table S1). Furthermore, pairwise compar-
interaction effect, F(3.85, 1186.95) = 6.754, p < .001, η2p = .021. isons indicated significant lower smartphone use time in the absti-
Pairwise comparisons indicated that in both experimental groups, nence group than in the control group 1 and 4 months after

Figure 2
Results of Repeated Measure Analyses of Variance (ANOVAs) for Smartphone Use: (A) Daily Time (in min), and (B) Intensity

Note. Experimental group abstinence: n = 200, Experimental group reduction: n = 226, Control group: n = 193; Baseline to 4 months = Measurement time
points.
LESS SMARTPHONE—MORE WELL-BEING 155

Figure 3
Results of Repeated Measure Analyses of Variance (ANOVAs) for Variables of Well-Being Including Problematic Smartphone Use and
Lifestyle: (A) Life Satisfaction, (B) Problematic Smartphone Use, (C) Depressive Symptoms, (D) Anxiety Symptoms, (E) Physical Activity,
(F) Smoking Behavior
This article is intended solely for the personal use of the individual user and is not to be disseminated broadly.
This document is copyrighted by the American Psychological Association or one of its allied publishers.

Note. Experimental group abstinence: N = 200, Experimental group reduction: N = 226, Control group: N = 193; Exception: Smoking behavior:
Experimental group abstinence: n = 41, Experimental group reduction: n = 36, Control group: n = 28; Baseline to 4 months = Measurement time points.
156 BRAILOVSKAIA ET AL.

postintervention measurement (see Supplemental Materials p < .001, η2p = .019, a non-significant main effect for group condition,
Table S2). F(2, 616) = .579, p = .561, and a significant interaction effect, F(5.79,
For intensity of smartphone use, the ANOVA revealed a signifi- 1782.09) = 3.422, p = .003, η2p = .011. As shown by pairwise
cant main effect for measurement time point, F(2.90, 1783.37) = comparisons, there was a significant decrease of anxiety symptoms in
64.236, p < .001, η2p = .094, a significant main effect for group both experimental groups between baseline and other measurement
condition, F(2, 616) = 4.802, p = .009, η2p = .015, and a significant time points (see Supplemental Materials Table S1). The effects were
interaction effect, F(5.79, 1783.37) = 3.999, p < .001, η2p = .013. stronger in the abstinence group than in the reduction group. More-
Pairwise comparisons revealed that use intensity was significantly over, anxiety symptoms were significantly lower in the reduction
lower at other measurement time points than at baseline in all three group than in the control group 4 months after postintervention
groups. The effects were stronger in both experimental groups than measurement (see Supplemental Materials Table S2).
in the control group. In addition, use intensity was significantly For physical activity, the ANOVA showed a significant main
lower 4 months after postintervention measurement than 1 month effect for measurement time point, F(2.75, 1691.22) = 8.261, p <
after it in the abstinence group (see Supplemental Materials .001, η2p = .013, a significant main effect for group condition,
This article is intended solely for the personal use of the individual user and is not to be disseminated broadly.

Table S1). Furthermore, pairwise comparisons revealed that use F(2, 616) = 3.988, p = .019, η2p = .013, and a significant interaction
This document is copyrighted by the American Psychological Association or one of its allied publishers.

intensity was significantly lower in the abstinence group (at post- effect, F(5.49, 1691.22) = 4.968, p < .001, η2p = .016. Pairwise
intervention, 1 and 4 months measurement) and in the reduction comparisons indicated a significant increase of physical activity
group (at 1 and 4 months measurements) than in the control group between baseline and postintervention measurement in the absti-
(see Supplemental Materials Table S2). nence group. In the reduction group, physical activity was signifi-
For problematic smartphone use, the ANOVA showed a signifi- cantly higher at all other measurement time points than at baseline.
cant main effect for measurement time point, F(2.93, 1805.79) = Also, it was significantly lower at postintervention measurement
34.504, p < .001, η2p = .053, a non-significant main effect for group than 4 months later (see Supplemental Materials Table S1). More-
condition, F(2, 616) = .274, p = .761, and a significant interaction over, physical activity was significantly higher in the reduction
effect, F(5.86, 1805.79) = 8.400, p < .001, η2p = .027. As shown by group than in the abstinence group and in the control group 4 months
pairwise comparisons, there was a significant decrease of problem- after postintervention measurement (see Supplemental Materials
atic smartphone use in both experimental groups between baseline Table S2).
and measurements 1 and 4 months after postintervention, as well as For smoking behavior, the ANOVA revealed a non-significant
between postintervention measurement and both later measurements. main effect for measurement time point, F(2.30, 234,59) = 1.761,
The effects were stronger in the reduction group than in the absti- p = .169, and a non-significant main effect for group condition,
nence group (see Supplemental Materials Table S1). Furthermore, F(2, 102) = 1.008, p = .368, but a significant interaction effect,
problematic smartphone use was significantly lower in the reduction F(4.60, 234.59) = 2.549, p = .033, η2p = .048. The non-significant
group than in the control group 1 and 4 months after postintervention main effects might be due to the fact that only a small percentage of
measurement (see Supplemental Materials Table S2). all three groups engaged in smoking behavior. A larger subsample
For life satisfaction, the ANOVA showed a significant main effect size could lead to a significant finding. As shown by pairwise
for measurement time point, F(2.69, 1657.78) = 4.860 p = .003, comparisons, smoking behavior was significantly lower at other
η2p = .008, a non-significant main effect for group condition, measurement time points than at baseline in the reduction group (see
F(2, 616) = 1.487, p = .227, and a significant interaction effect, Supplemental Materials Table S1). There were no significant differ-
F(5.38, 1657.78) = 2.625, p = .020, η2p = .008. Pairwise comparisons ences between groups (see Supplemental Materials Table S2).
showed that life satisfaction was significantly higher 1 month after
postintervention measurement than at baseline in the abstinence group.
Discussion
In the reduction group, life satisfaction was significantly higher at all
other measurement time points than at baseline (see Supplemental Smartphone use is a curse and a blessing in the age of the digital
Materials Table S1). Moreover, life satisfaction was significantly revolution. It enables a permanent access to information and social
higher in the reduction group than in the control group 4 months after interaction and facilitates many tasks of everyday life. However, an
postintervention measurement (see Supplemental Materials Table S2). excessive use of the many possibilities can negatively influence
For depressive symptoms, the ANOVA revealed a significant well-being, physical health, and different areas of a person’s offline
main effect for measurement time point, F(2.84, 1749.69) = 7.119, life (Amez et al., 2019; Elhai et al., 2019a; Xie et al., 2016).
p < .001, η2p = .011, a non-significant main effect for group Our findings reveal that abstinence from smartphone use, but also
condition, F(2, 616) = 1.206, p = .300, and a significant interaction already an 1-hr reduction of daily time spent on the smartphone use
effect, F(5.68, 1749.69) = 2.677, p = .016, η2p = .009. Pairwise over the period of 1 week significantly influences smartphone use
comparisons revealed that depressive symptoms were significantly habits. Moreover, both have a similar substantial positive effect on
lower at other measurement time points than at baseline in the subjective well-being and lifestyle for up to 4 months. Effects of the
abstinence group. In the reduction group, they were significantly reduction are even more stable than those of the abstinence with
lower at postintervention measurement and 4 months later than at respect to variables such as life satisfaction and physical activity (see
baseline (see Supplemental Materials Table S1). Furthermore, Research Questions 1 and 2).
depressive symptoms were significantly lower in the reduction Four months after the intervention, participants reduced their
group than in the control group 4 months after postintervention daily initial smartphone use time for about 38 min in the abstinence
measurement (see Supplemental Materials Table S2). group and for about 45 min in the reduction group. No significant
Considering anxiety symptoms, the ANOVA showed a significant longitudinal changes of usage time were found in the control group.
main effect for measurement time point, F(2.89, 1782.09) = 12.166, The intensity of smartphone use decreased in all three groups (partly
LESS SMARTPHONE—MORE WELL-BEING 157

confirmation of Hypothesis 1a). Thus, the regular completion of our 2019b; Liu et al., 2019). To break the vicious circle without external
survey could increase awareness of one’s own smartphone use in all support is often impossible (Wang et al., 2019). Our present study
participants, which might contribute to a more conscious and that requested abstinence from or reduction of daily smartphone use
reflected consideration of its meaning for one’s own life (Hunt et time controlled by compliance diaries provided the required external
al., 2018). However, the effect was stronger in the experimental support to break the vicious circle. The experimental manipulation
groups than in the control group. This underlines that filling out of contributed to the decrease of smartphone use intensity and of
surveys can be the first step to increase awareness for one’s own problematic tendencies. The restricted online time enabled partici-
smartphone use intensity, but the conscious manipulation of usage pants to consider functional coping strategies such as a direct facing
time is necessary to increase and consolidate the effect. of daily challenges, and provided time to consciously enjoy offline
Withdrawal symptoms belong to main characteristics of addictive social interactions without a permanent disruption by smartphone
behavior (Elhai et al., 2017). Following previous research, complete use. This could foster the well-being of participants in both experi-
abstinence from smartphone use increases withdrawal symptoms at mental groups. A comparison between the experimental groups
least in the first 3 days (Eide et al., 2018); after 10 days of abstinence, revealed that some effects were stronger in the abstinence group, but
This article is intended solely for the personal use of the individual user and is not to be disseminated broadly.

they decrease (Zinn & Rademacher, 2019). Our present findings the long-term positive changes of well-being (especially 4 months
This document is copyrighted by the American Psychological Association or one of its allied publishers.

refer to problematic smartphone use in general. The level of after the intervention) were more stable in the reduction group (see
problematic tendencies did not significantly change between base- Research Questions 1 and 2).
line and postintervention measurement in all groups. Because of The experimental manipulations contributed to significant
missing between-intervention measurements, for example, at Day 3, changes in (un)healthy lifestyle. In line with research on social
the present study design does not allow conclusions about potential media (Brailovskaia, Ströse, et al., 2020), in both experimental
changes of problematic smartphone use within the intervention groups, physical activity increased (confirmation of Hypothesis 3a).
week. But in both experimental groups, problematic tendencies Physical activity is an important protective factor of physical health
decreased 1 and 4 months after the intervention (confirmation of and subjective well-being (Eime et al., 2013). It fosters resilience
Hypothesis 1b), with a stronger long-term effect in the reduction and reduces suicide-related outcomes (Vancampfort et al., 2018). At
group than in the abstinence group (see Research Questions 1 and 2). least 150 min moderate physical activity throughout a week con-
Thus, our results emphasize the positive long-term effect of the use tributes to significant positive effects (World Health Organization,
time manipulation. 2020). Smartphone use is negatively linked to physical activity and
Moreover, our present results show that abstinence from and fitness. Furthermore, it is positively associated with obesity, muscle
reduction of daily smartphone use contribute to a significant fatigue, and pain (Kenney & Gortmaker, 2017; Kim & Koo, 2016;
improvement in both dimensions of subjective well-being: Life Lepp et al., 2013). We did not advice our participants to engage in
satisfaction increases, whereas depressive and anxiety symptoms physical activity. But the conscious dealing with one’s own smart-
decrease (confirmation of Hypothesis 2a to Hypothesis 2c). Fol- phone activity and well-being by answering the surveys and the
lowing considerations may at least partly explain the findings. experimental manipulation of smartphone use time seem to foster
Smartphones belong to the main technical devices used to enter the individual to strive for a healthier lifestyle. In addition, physical
the online world (Kemp, 2019; Vahedi & Saiphoo, 2018). Humans activity can provide positive emotions through the achievement of
are social beings, and thus social interaction is one of the main self-determined goals and social support when engaging in individ-
reasons for online activity (Brailovskaia, Schillack, et al., 2020). ual activities with a friend (e.g., jogging) or in team activities (e.g.,
Users engage in intensive social interactions on their smartphones football) (Vancampfort et al., 2018). Such positive experiences can
via social platforms such as Facebook and Instagram, as well as replace the positive effects of smartphone use (Brailovskaia, Ströse,
messenger services such as WhatsApp and Telegram (Elhai et al., et al., 2020). This could explain why participants in the experimental
2018). Online interaction contributes to perception of social support groups used the newly available time to engage in physical activity.
and increases the sense of belonging in the short term (Brailovskaia, In the reduction group, we found a significant reduction of
Schillack, et al., 2020). However, in the longer term, smartphone smoking behavior (partly confirmation of Hypothesis 3b). Prior
interaction cannot serve as “a favorable surrogate compared to to our investigation, participants consumed on average five to six
offline interaction in terms of social support” (Lapierre et al., tobacco products daily; 4 months after the intervention, the consume
2019, p. 10). Written smartphone interaction—even enriched by was reduced to an average of three to four products. This result
photos and emoticons—and voice messages often do not tend to provides further evidence for the assumption of striving for a
achieve the same level of intimacy and attachment as offline healthier lifestyle by our participants. The striving could be evoked
interaction (Lapierre et al., 2019). Furthermore, permanent smart- by the conscious consideration of one’s own smartphone use and the
phone use—often performed in parallel with offline interactions— support to break the vicious circle. Moreover, the results underline
contributes to an alienation from social contacts in the offline world, the close interplay between the different factors of health-related
a neglect of responsibilities, and an increase of interpersonal con- behavior and well-being. Interventions that focus on one of the
flicts (Thomée, 2018). As a consequence, life satisfaction decreases, factors can significantly influence the other factors. In our study, the
whereas depressive and anxiety symptoms increase (Bickham et al., reduction of smartphone use time, improved well-being, enhanced
2015; Lapierre et al., 2019; Yang et al., 2019). physical activity, and reduced smoking behavior. This finding is of
Further enhancement of smartphone use intensity is a common great importance considering the negative consequences of smoking
way to cope with negative offline experiences and emotions, behavior for the individual and for the community caused by the
especially in individuals with increased levels of addictive tenden- substantial costs of morbidity and mortality. Also, specific anti-
cies. However, this dysfunctional strategy contributes to further smoking companies are often cost-intensive (Ghenadenik et al.,
offline conflicts, and thus closes the vicious circle (Elhai et al., 2020; Leventhal et al., 2015).
158 BRAILOVSKAIA ET AL.

It is noteworthy that long-term effects on well-being, time spent All participants of the reduction group reduced their smartphone
on smartphone use, and problematic smartphone use were more use time by 1 hr daily. Considering that the individual “sweet spot”
stable in the reduction group than in the abstinence group. Further- of smartphone use time can depend on different variables (e.g.,
more, only in the reduction group, the increase of physical activity personality traits, well-being, life conditions), we surely were not
remained stable 1 and 4 months after postintervention measurement. able to reach the “sweet spot” for all participants. This goes beyond
In the abstinence group, the increase was only significant between the aim of our present study. However, our findings show that we
baseline and postintervention measurement. Moreover, there were took a step into the right direction. On this background, we
no changes of smoking behavior in the abstinence group, whereas recommend future studies to explicitly investigate the “sweet
there was a long-term decrease of smoking behavior in the reduction spot” of smartphone use time for different population groups.
group. Thus, it seems that abstinence from smartphone use is an Furthermore, our findings emphasize the necessity to discuss the
effective method to improve well-being and lifestyle. But a moder- time spent on smartphone use and to determine how much of its
ate reduction of use time has a similar or even more stable long-term reduction is most beneficial during treatments of depressive and
effect. Following considerations contribute to the explanation of this anxiety symptoms within the therapeutic setting. Moreover, consid-
This article is intended solely for the personal use of the individual user and is not to be disseminated broadly.

phenomenon. ering the positive effects of the reduction of smartphone use on


This document is copyrighted by the American Psychological Association or one of its allied publishers.

In addition to its social function, the smartphone combines many lifestyle, its incorporation into specific intervention programs aim-
functions of other devices such as an alarm clock, navigator, ing to enhance physical activity or to reduce smoking behavior is
organizer, electronic book reader, music, and video player. A recommended. In addition, it should be investigated whether the
complete “smartphone detox” seems to be effective after an initial reduction of smartphone use can positively influence further
craving phase (Eide et al., 2018; Zinn & Rademacher, 2019). But unhealthy behavior, such as alcohol consumption and overeating.
strictly maintaining abstinence over several weeks or months can be If our results can be confirmed by future research, incorporating the
too demanding, especially for people who use the smartphone as a aspect of time spent on smartphone use into health prevention and
substitute for other devices in everyday life. Furthermore, face-to- treatment programs may increase their effectivity and reduce their
face interaction is not always possible, and a complete deprivation of costs. This is important considering that an increase of online media
online social interaction over a longer period of time can negatively use is accompanied by a decrease in well-being, especially in
impact people’s social and/or working life (Brailovskaia, Ströse, adolescents and young adults in the last decade (Brailovskaia &
et al., 2020). Moreover, it is well-known that very restrictive diets Margraf, 2020; Twenge et al., 2018).
contribute to a quick weight loss, but often are followed by an yo-yo
effect and weight gain in the longer term (Amigo & Fernández,
Limitations and Further Research
2007). Considering the current lack of evidence on the effects of
abstinence from smartphone use for time periods longer than It is important to consider some limitations when interpreting our
4 months, we cannot exclude similar consequences with respect findings. First, the mostly young, female, and well-educated com-
to smartphone deprivation. position of the investigated samples limits the findings’ generaliz-
The controlled reduction of time spent on smartphone use is less ability. Future studies should replicate the present results in more
invasive and easier to maintain than a complete abstinence. It evokes population representative groups. Second, future research is
less resistance and can contribute to a better understanding of the suggested to include between-measurement time points (e.g.,
sense of the intervention. Notably, the present compliance rate was Days 3 and 5), a longer intervention period (e.g., 2 weeks), and
slightly higher in the reduction group than in the abstinence group. longer follow-up periods (e.g., 12 months, 18 months) than those in
Also, the reduction group had the lowest dropout rate. The limitation our study. Third, following previous experimental research on
of daily smartphone time can foster a more conscious and efficient problematic social media use (Brailovskaia, Ströse, et al., 2020),
handling of this technical device, and reduce the “just to beat we assessed problematic smartphone use with a modified version of
boredom” use. Time spent on smartphone use may become more the BSMAS (Andreassen et al., 2016). Despite the similarity
appreciated. Furthermore, the limitation provides smartphone-free between both forms of problematic behavior, future studies are
time for offline activities, their conscious perception, and enjoyment. recommended to replicate our results with other measures of
Against this background, it can be assumed that we got closer to a problematic smartphone use such as the Smartphone Addiction
“sweet spot” of smartphone use by reducing the time spent on Scale-Short Version (SAS-SV; Kwon et al., 2013) to establish their
smartphone. A “sweet spot” is a state when “a combination of validity. Fourth, all data including smartphone use time and physical
factors comes together to produce the best results with greatest activity were assessed by self-report measures that are prone to
efficiency” (Killion & Kennedy, 2012, p. 10). Excessive smart- social desirability, distortions of perception, and same-source bias
phone use negatively impacts well-being (Lapierre et al., 2019). A (Conway & Lance, 2010; Musch et al., 2002). To tackle this
complete nonuse over a longer time period is rather unrealistic and limitation at least partly, participants were asked to provide the
can overwhelm users (Brailovskaia, Ströse, et al., 2020). In contrast, daily smartphone use time that was tracked by their smartphone
as shown by our results, the average moderate reduction contributes when completing the surveys. However, we did not assess how
to better well-being and a healthier lifestyle for at least 4 months. many participants had a smartphone with this feature. Therefore, the
This corresponds to previous research that described that the best present data should be interpreted with caution. Fifth, future studies
way to reach a “sweet spot” is a moderate change of the present state are suggested to additionally assess the time spent on other technical
to the novel direction, instead of too little or too much novelty (He & devices (e.g., laptops, tablets) that enable the use of the online world
Luo, 2017). Reaching of the individual “sweet spot” would allow to to control for a potential replacement of the smartphone use during
gain the advantages of smartphone use without experiencing its the experimental abstinence or reduction period. Sixth, data were
negative effects. assessed between April 2019 and November 2020. Thus, the data
LESS SMARTPHONE—MORE WELL-BEING 159

collection took partly place during the global outbreak of the coro- insomnia, and positive mental health in an inpatient sample: A German
navirus disease 2019 (COVID-19; World Health Organization, longitudinal study. Journal of Behavioral Addictions, 8(4), 703–713.
2021). To fight the pandemic spread, people had to reduce offline https://doi.org/10.1556/2006.8.2019.63
social contacts (“social distancing”). As a consequence, online Brailovskaia, J., Schillack, H., & Margraf, J. (2020). Tell me why are you
activity as well as problematic smartphone use increased (Elhai et using social media (SM)! Relationship between reasons for use of SM, SM
flow, daily stress, depression, anxiety, and addictive SM use—An explor-
al., 2021; Lemenager et al., 2021), whereas well-being decreased (Liu
atory investigation of young adults in Germany. Computers in Human
et al., 2020; Rajkumar, 2020). The conceptualization of the present Behavior, 113, Article 106511. https://doi.org/10.1016/j.chb.2020.106511
study was completed previously to the pandemic outbreak and it was Brailovskaia, J., Ströse, F., Schillack, H., & Margraf, J. (2020). Less Face-
not changed during the data collection to enable data comparability. book use—More well-being and a healthier lifestyle? An experimental
Therefore, we did not assess specific data on the impact of COVID-19 intervention study. Computers in Human Behavior, 108, Article 106332.
on smartphone use, well-being, or lifestyle. And we also did not https://doi.org/10.1016/j.chb.2020.106332
assess the participants’ location or whether they were affected by Brailovskaia, J., Teismann, T., & Margraf, J. (2018). Physical activity
COVID-19 due to health-related issues. Thus, we cannot clarify mediates the association between daily stress and Facebook addiction
This article is intended solely for the personal use of the individual user and is not to be disseminated broadly.

whether and how our findings were influenced by the COVID-19 disorder (FAD): A longitudinal approach among German students. Com-
This document is copyrighted by the American Psychological Association or one of its allied publishers.

outbreak. Nevertheless, it is important to mention that the positive puters in Human Behavior, 86, 199–204. https://doi.org/10.1016/j.chb
.2018.04.045
effect of smartphone abstinence and reduced smartphone use time
Brailovskaia, J., Teismann, T., & Margraf, J. (2020). Positive mental health
was significant despite the pandemic and its consequences for
mediates the relationship between Facebook addiction disorder and
everyday life. suicide-related outcomes: A longitudinal approach. Cyberpsychology,
Behavior and Social Networking, 23(5), 346–350. https://doi.org/10
Conclusion .1089/cyber.2019.0563
Cheever, N. A., Rosen, L. D., Carrier, L. M., & Chavez, A. (2014). Out of
Smartphones can be very useful in everyday life, but their sight is not out of mind: The impact of restricting wireless mobile device
excessive use can negatively influence well-being and physical use on anxiety levels among low, moderate and high users. Computers in
health (Elhai et al., 2019a). The experimental design of our study Human Behavior, 37, 290–297. https://doi.org/10.1016/j.chb.2014.05.002
adds to the causal interpretation of available correlational findings. Clayton, R. B., Leshner, G., & Almond, A. (2015). The extended iSelf: The
Our results indicate that abstinence from smartphone use could impact of iPhone separation on cognition, emotion, and physiology.
Journal of Computer-Mediated Communication, 20(2), 119–135.
contribute to the protection of subjective well-being and to a
https://doi.org/10.1111/jcc4.12109
healthier lifestyle. However, a moderate and controlled reduction Conway, J. M., & Lance, C. E. (2010). What reviewers should expect from
of daily time spent on smartphone use could be even more effective authors regarding common method bias in organizational research. Jour-
and provide more stable effects over a longer period of time. nal of Business and Psychology, 25(3), 325–334. https://doi.org/10.1007/
s10869-010-9181-6
Cuéllar, J. M., & Lanman, T. H. (2017). “Text neck”: An epidemic of the
References
modern era of cell phones? The Spine Journal, 17(6), 901–902. https://
American Psychiatric Association. (2013). Diagnostic and Statistical man- doi.org/10.1016/j.spinee.2017.03.009
ual of mental disorders (5th ed.). Cutino, C. M., & Nees, M. A. (2017). Restricting mobile phone access during
Amez, S., Vujic, S., De Marez, L., & Baert, S. (2019). Smartphone use and homework increases attainment of study goals. Mobile Media & Com-
academic performance: First evidence from longitudinal data. IZA dis- munication, 5(1), 63–79. https://doi.org/10.1177/2050157916664558
cussion paper no. 12862. Institute of Labor Economics (IZA). https:// Diener, E., Emmons, R. A., Larsen, R. J., & Griffin, S. (1985). The
www.econstor.eu/handle/10419/215258 satisfaction with life scale. Journal of Personality Assessment, 49(1),
Amigo, I., & Fernández, C. (2007). Effects of diets and their role in weight 71–75. https://doi.org/10.1207/s15327752jpa4901_13
control. Psychology Health and Medicine, 12(3), 321–327. https://doi.org/ Eide, T. A., Aarestad, S. H., Andreassen, C. S., Bilder, R. M., & Pallesen, S.
10.1080/13548500600621545 (2018). Smartphone restriction and its effect on subjective withdrawal
Andreassen, C. S., Billieux, J., Griffiths, M. D., Kuss, D. J., Demetrovics, Z., related scores. Frontiers in Psychology, 9, Article 1444. https://doi.org/10
Mazzoni, E., & Pallesen, S. (2016). The relationship between addictive use .3389/fpsyg.2018.01444
of social media and video games and symptoms of psychiatric disorders: A Eime, R. M., Young, J. A., Harvey, J. T., Charity, M. J., & Payne, W. R.
large-scale cross-sectional study. Psychology of Addictive Behaviors, (2013). A systematic review of the psychological and social benefits of
30(2), 252–262. https://doi.org/10.1037/adb0000160 participation in sport for adults: Informing development of a conceptual
Bickham, D. S., Hswen, Y., & Rich, M. (2015). Media use and depression: model of health through sport. The International Journal of Behavioral
Exposure, household rules, and symptoms among young adolescents in Nutrition and Physical Activity, 10(1), 135–148. https://doi.org/10.1186/
the USA. International Journal of Public Health, 60(2), 147–155. https:// 1479-5868-10-135
doi.org/10.1007/s00038-014-0647-6 Elhai, J. D., Dvorak, R. D., Levine, J. C., & Hall, B. J. (2017). Problematic
Brailovskaia, J., & Margraf, J. (2020). Decrease of well-being and increase of smartphone use: A conceptual overview and systematic review of relations
online media use: Cohort trends in German university freshmen between with anxiety and depression psychopathology. Journal of Affective Dis-
2016 and 2019. Psychiatry Research, 290, Article 113110. https://doi.org/ orders, 207, 251–259. https://doi.org/10.1016/j.jad.2016.08.030
10.1016/j.psychres.2020.113110 Elhai, J. D., Levine, J. C., Alghraibeh, A. M., Alafnan, A. A., Aldraiweesh,
Brailovskaia, J., Rohmann, E., Bierhoff, H.-W., & Margraf, J. (2018). The A. A., & Hall, B. J. (2018). Fear of missing out: Testing relationships with
brave blue world: Facebook flow and Facebook addiction disorder (FAD). negative affectivity, online social engagement, and problematic smart-
PLOS ONE, 13(7), Article e0201484. https://doi.org/10.1371/journal phone use. Computers in Human Behavior, 89, 289–298. https://doi.org/
.pone.0201484 10.1016/j.chb.2018.08.020
Brailovskaia, J., Rohmann, E., Bierhoff, H.-W., Margraf, J., & Köllner, V. Elhai, J. D., Levine, J. C., & Hall, B. J. (2019a). Problematic smartphone use
(2019). Relationships between addictive Facebook use, depressiveness, and mental health problems: Current state of research and future
160 BRAILOVSKAIA ET AL.

directions. Dusunen Adam The Journal of Psychiatry and Neurological Killion, J., & Kennedy, J. (2012). The sweet spot in professional learning.
Sciences, 32(1), 1–3. https://doi.org/10.14744/DAJPNS.2019.00001 The Learning Professional, 33(5), 10–17. https://learningforward.org/wp-
Elhai, J. D., Levine, J. C., & Hall, B. J. (2019b). The relationship between content/uploads/2016/12/jsd335.pdf
anxiety symptom severity and problematic smartphone use: A review of Kim, S.-Y., & Koo, S.-J. (2016). Effect of duration of smartphone use on
the literature and conceptual frameworks. Journal of Anxiety Disorders, muscle fatigue and pain caused by forward head posture in adults. Journal
62, 45–52. https://doi.org/10.1016/j.janxdis.2018.11.005 of Physical Therapy Science, 28(6), 1669–1672. https://doi.org/10.1589/
Elhai, J. D., McKay, D., Yang, H., Minaya, C., Montag, C., & Asmundson, jpts.28.1669
G. J. G. (2021). Health anxiety related to problematic smartphone use and Kroker, M. (2020). Die smartphone-trends 2020: Zahl der Nutzer wächst um
gaming disorder severity during COVID-19: Fear of missing out as a 300 Millionen auf 3,5 Milliarden. https://blog.wiwo.de/look-at-it/2020/
mediator. Human Behavior and Emerging Technologies, 3(1), 137–146. 05/13/die-smartphone-trends-2020-zahl-der-nutzer-waechst-um-300-
https://doi.org/10.1002/hbe2.227 millionen-auf-35-milliarden/
Ellison, N. B., Steinfield, C., & Lampe, C. (2007). The benefits of Facebook Kwon, M., Kim, D.-J., Cho, H., & Yang, S. (2013). The smartphone
“friends:” Social capital and college students’ use of online social network addiction scale: Development and validation of a short version for
sites. Journal of Computer-Mediated Communication, 12(4), 1143–1168. adolescents. PLOS ONE, 8(12), Article e83558. https://doi.org/10.1371/
This article is intended solely for the personal use of the individual user and is not to be disseminated broadly.

https://doi.org/10.1111/j.1083-6101.2007.00367.x journal.pone.0083558
This document is copyrighted by the American Psychological Association or one of its allied publishers.

Fennell, C., Lepp, A., & Barkley, J. (2019). Smartphone use predicts being Lachmann, B., Sindermann, C., Sariyska, R. Y., Luo, R., Melchers, M. C.,
an “active couch potato” in sufficiently active adults. American Journal of Becker, B., Cooper, A. J., & Montag, C. (2018). The role of empathy and
Lifestyle Medicine, 15, 673–681. https://doi.org/10.1177/15598276198 life satisfaction in internet and smartphone use disorder. Frontiers in
61383 Psychology, 9, Article 398. https://doi.org/10.3389/fpsyg.2018.00398
Gawin, F. H. (1991). Cocaine addiction: Psychology and neurophysiology. Lapierre, M. A., Zhao, P., & Custer, B. E. (2019). Short-term longitudinal
Science, 251(5001), 1580–1586. https://doi.org/10.1126/science.2011738 relationships between smartphone use/dependency and psychological
Ghenadenik, A. E., Gauvin, L., & Frohlich, K. L. (2020). Smoking in young well-being among late adolescents. The Journal of Adolescent Health,
adults: A study of 4-year smoking behavior patterns and residential 65(5), 607–612. https://doi.org/10.1016/j.jadohealth.2019.06.001
presence of features facilitating smoking using data from the interdisci- Lemenager, T., Neissner, M., Koopmann, A., Reinhard, I., Georgiadou, E.,
plinary study of inequalities in smoking cohort. Nicotine & Tobacco Müller, A., Kiefer, F., & Hillemacher, T. (2021). COVID-19 lockdown
Research: Official Journal of the Society for Research on Nicotine and restrictions and online media consumption in Germany. International
Tobacco, 22(11), 1997–2005. https://doi.org/10.1093/ntr/ntaa035 Journal of Environmental Research and Public Health, 18(1), 14–26.
Glaesmer, H., Grande, G., Braehler, E., & Roth, M. (2011). The German https://doi.org/10.3390/ijerph18010014
version of the satisfaction with life scale (SWLS): Psychometric proper- Lepp, A., Barkley, J. E., & Karpinski, A. C. (2014). The relationship between
ties, validity, and population-based norms. European Journal of Psycho- cell phone use, academic performance, anxiety, and satisfaction with life in
logical Assessment, 27, 127–132. https://doi.org/10.1027/1015-5759/ college students. Computers in Human Behavior, 31, 343–350. https://
a000058 doi.org/10.1016/j.chb.2013.10.049
He, Y., & Luo, J. (2017). The novelty ‘sweet spot’ of invention. Design Lepp, A., Barkley, J. E., & Karpinski, A. C. (2015). The relationship between
Science, 3, 1–21. https://doi.org/10.1017/dsj.2017.23 cell phone use and academic performance in a sample of US college
Heo, J.-Y., Kim, K., Fava, M., Mischoulon, D., Papakostas, G. I., Kim, M.-J., students. SAGE Open, 5(1), 1–9. https://doi.org/10.1177/21582440
Chang, K. A. J., Oh, Y., Yu, B. H., & Jeon, H. J. (2017). Effects of 15573169
smartphone use with and without blue light at night in healthy adults: A Lepp, A., Barkley, J. E., Sanders, G. J., Rebold, M., & Gates, P. (2013). The
randomized, double-blind, cross-over, placebo-controlled comparison. relationship between cell phone use, physical and sedentary activity, and
Journal of Psychiatric Research, 87, 61–70. https://doi.org/10.1016/j cardiorespiratory fitness in a sample of U.S. college students. The Inter-
.jpsychires.2016.12.010 national Journal of Behavioral Nutrition and Physical Activity, 10(1),
Hunt, M. G., Marx, R., Lipson, C., & Young, J. (2018). No more FOMO: Article 79. https://doi.org/10.1186/1479-5868-10-79
Limiting social media decreases loneliness and depression. Journal of Leventhal, A. M., Strong, D. R., Kirkpatrick, M. G., Unger, J. B., Sussman,
Social and Clinical Psychology, 37(10), 751–768. https://doi.org/10.1521/ S., Riggs, N. R., Stone, M. D., Khoddam, R., Samet, J. M., & Audrain-
jscp.2018.37.10.751 McGovern, J. (2015). Association of electronic cigarette use with initiation
İnal, E. E., Demİrcİ. K., Çetİntürk, A., Akgönül, M., & Savaş, S. (2015). of combustible tobacco product smoking in early adolescence. Journal of
Effects of smartphone overuse on hand function, pinch strength, and the the American Medical Association, 314(7), 700–707. https://doi.org/10
median nerve. Muscle & Nerve, 52(2), 183–188. https://doi.org/10.1002/ .1001/jama.2015.8950
mus.24695 Li, J., Lepp, A., & Barkley, J. E. (2015). Locus of control and cell phone use:
Jung, S. I., Lee, N. K., Kang, K. W., Kim, K., & Lee, D. Y. (2016). The effect Implications for sleep quality, academic performance, and subjective well-
of smartphone usage time on posture and respiratory function. Journal of being. Computers in Human Behavior, 52, 450–457. https://doi.org/10
Physical Therapy Science, 28(1), 186–189. https://doi.org/10.1589/jpts .1016/j.chb.2015.06.021
.28.186 Liu, C. H., Zhang, E., Wong, G. T. F., Hyun, S., & Hahm, H. C. (2020).
Kemp, S. (2019). Digital 2019: Global Internet use accelerates. https://wea Factors associated with depression, anxiety, and PTSD symptomatology
resocial.com/uk/blog/2019/01/digital-in-2019-global-internet-use-accele during the COVID-19 pandemic: Clinical implications for U.S. young
rates/ adult mental health. Psychiatry Research, 290, Article 113172. https://
Kenney, E. L., & Gortmaker, S. L. (2017). United States adolescents’ doi.org/10.1016/j.psychres.2020.113172
television, computer, videogame, smartphone, and tablet use: Associations Liu, J., Liu, C. X., Wu, T., Liu, B.-P., Jia, C.-X., & Liu, X. (2019). Prolonged
with sugary drinks, sleep, physical activity, and obesity. Journal of mobile phone use is associated with depressive symptoms in Chinese
Pediatrics, 182, 144–149. https://doi.org/10.1016/j.jpeds.2016.11.015 adolescents. Journal of Affective Disorders, 259, 128–134. https://doi.org/
Keyes, C. L. (2005). Mental illness and/or mental health? Investigating 10.1016/j.jad.2019.08.017
axioms of the complete state model of health. Journal of Consulting and Lovibond, P. F., & Lovibond, S. H. (1995). The structure of negative
Clinical Psychology, 73(3), 539–548. https://doi.org/10.1037/0022-006X emotional states: Comparison of the Depression Anxiety Stress Scales
.73.3.539 (DASS) with the Beck Depression and Anxiety Inventories. Behaviour
LESS SMARTPHONE—MORE WELL-BEING 161

Research and Therapy, 33(3), 335–343. https://doi.org/10.1016/0005- Tromholt, M. (2016). The facebook experiment: Quitting facebook leads to
7967(94)00075-U higher levels of well-being. Cyberpsychology, Behavior and Social Net-
MacKay, J. (2019). Screen time stats 2019: Here’s how much you use your working, 19(11), 661–666. https://doi.org/10.1089/cyber.2016.0259
phone during the workday. https://blog.rescuetime.com/screen-time-sta Twenge, J. M., Joiner, T. E., Rogers, M. L., & Martin, G. N. (2018).
ts-2018/ Increases in depressive symptoms, suicide-related outcomes, and suicide
Mayr, S., Erdfelder, E., Buchner, A., & Faul, F. (2007). A short tutorial of rates among US adolescents after 2010 and links to increased new media
GPower. Tutorials in Quantitative Methods for Psychology, 3(2), 51–59. screen time. Clinical Psychological Science, 6(1), 3–17. https://doi.org/10
https://doi.org/10.20982/tqmp.03.2.p051 .1177/2167702617723376
Milton, K., Bull, F. C., & Bauman, A. (2011). Reliability and validity testing Vahedi, Z., & Saiphoo, A. (2018). The association between smartphone use,
of a single-item physical activity measure. British Journal of Sports stress, and anxiety: A meta-analytic review. Stress and Health, 34(3), 347–
Medicine, 45(3), 203–208. https://doi.org/10.1136/bjsm.2009.068395 358. https://doi.org/10.1002/smi.2805
Montag, C., Błaszkiewicz, K., Lachmann, B., Sariyska, R., Andone, I., Vancampfort, D., Hallgren, M., Firth, J., Rosenbaum, S., Schuch, F. B.,
Trendafilov, B., & Markowetz, A. (2015). Recorded behavior as a valuable Mugisha, J., Probst, M., Van Damme, T., Carvalho, A. F., & Stubbs, B.
resource for diagnostics in mobile phone addiction: Evidence from (2018). Physical activity and suicidal ideation: A systematic review and
This article is intended solely for the personal use of the individual user and is not to be disseminated broadly.

psychoinformatics. Behavioral Sciences (Basel, Switzerland), 5(4), meta-analysis. Journal of Affective Disorders, 225, 438–448. https://
This document is copyrighted by the American Psychological Association or one of its allied publishers.

434–442. https://doi.org/10.3390/bs5040434 doi.org/10.1016/j.jad.2017.08.070


Morris, S. B. (2008). Estimating effect sizes from pretest–posttest-control Wang, P., Liu, S., Zhao, M., Yang, X., Zhang, G., Chu, X., Wang, X., Zeng,
group designs. Organizational Research Methods, 11(2), 364–386. https:// P., & Lei, L. (2019). How is problematic smartphone use related to
doi.org/10.1177/1094428106291059 adolescent depression? A moderated mediation analysis. Children and
Musch, J., Brockhaus, R., & Bröder, A. (2002). An inventory for the Youth Services Review, 104, Article 104384. https://doi.org/10.1016/j
assessment of two factors of social desirability. Diagnostica, 48, 121– .childyouth.2019.104384
129. https://doi.org/10.1026//0012-1924.48.3.121 Wetterling, T., Veltrup, C., & Junghanns, K. (1996). Craving-ein ausrei-
Ng, K. C., Wu, L. H., Lam, H. Y., Lam, L. K., Nip, P. Y., Ng, C. M., Leung, chend fundiertes Konzept? Fortschritte der Neurologie· Psychiatrie,
K. C., & Leung, S. F. (2020). The relationships between mobile phone use 64(4), 142–152. https://doi.org/10.1055/s-2007-996380
and depressive symptoms, bodily pain, and daytime sleepiness in Hong World Health Organization. (2018). International classification of diseases
Kong secondary school students. Addictive Behaviors, 101, Article for mortality and morbidity statistics (11th revision). https://icd.who.int/
105975. https://doi.org/10.1016/j.addbeh.2019.04.033 browse11/l-m/en
Nilges, P., & Essau, C. (2015). Die Depressions-Angst-Stress-Skalen: Der World Health Organization. (2020). Physical activity. https://www.who.int/
DASS—ein Screeningverfahren nicht nur für Schmerzpatienten. Schmerz news-room/fact-sheets/detail/physical-activity
(Berlin, Germany), 29(6), 649–657. https://doi.org/10.1007/s00482-015- World Health Organization. (2021). Coronavirus disease (COVID-19)
0019-z pandemic. https://www.who.int/emergencies/diseases/novel-coronavirus-
Rajkumar, R. P. (2020). COVID-19 and mental health: A review of the 2019
existing literature. Asian Journal of Psychiatry, 52, Article 102066. https:// Wurmser, Y. (2019). US time spent with mobile 2019. https://www.emarkete
doi.org/10.1016/j.ajp.2020.102066 r.com/content/us-time-spent-with-mobile-2019
Rozgonjuk, D., Levine, J. C., Hall, B. J., & Elhai, J. D. (2018). The Xie, Y., Szeto, G. P. Y., Dai, J., & Madeleine, P. (2016). A comparison of
association between problematic smartphone use, depression and anxiety muscle activity in using touchscreen smartphone among young people
symptom severity, and objectively measured smartphone use over one with and without chronic neck–shoulder pain. Ergonomics, 59(1), 61–72.
week. Computers in Human Behavior, 87, 10–17. https://doi.org/10.1016/ https://doi.org/10.1080/00140139.2015.1056237
j.chb.2018.05.019 Yang, Z., Asbury, K., & Griffiths, M. D. (2019). An exploration of
Sapacz, M., Rockman, G., & Clark, J. (2016). Are we addicted to our cell problematic smartphone use among Chinese university students: Associa-
phones? Computers in Human Behavior, 57, 153–159. https://doi.org/10 tions with academic anxiety, academic procrastination, self-regulation and
.1016/j.chb.2015.12.004 subjective wellbeing. International Journal of Mental Health and Addic-
Sohn, S., Rees, P., Wildridge, B., Kalk, N. J., & Carter, B. (2019). Prevalence tion, 17(3), 596–614. https://doi.org/10.1007/s11469-018-9961-1
of problematic smartphone usage and associated mental health outcomes Zhang, G., Yang, X., Tu, X., Ding, N., & Lau, J. T. F. (2020). Prospective
amongst children and young people: A systematic review, meta-analysis relationships between mobile phone dependence and mental health status
and GRADE of the evidence. BMC Psychiatry, 19(1), Article 356. https:// among Chinese undergraduate students with college adjustment as a
doi.org/10.1186/s12888-019-2350-x mediator. Journal of Affective Disorders, 260, 498–505. https://doi.org/
Spajic, D. J. (2020). How much time does the average person spend on their 10.1016/j.jad.2019.09.047
phone? https://kommandotech.com/statistics/how-much-time-does-the- Zinn, C. T., & Rademacher, U. (2019). Switching off—Is intentional
average-person-spend-on-their-phone/ smartphone abstinence a strategy for recovery? Wirtschaftspsychologie,
Thomée, S. (2018). Mobile phone use and mental health. A review of the 21(1–2), 28–39.
research that takes a psychological perspective on exposure. International
Journal of Environmental Research and Public Health, 15(12), Article
2692. https://doi.org/10.3390/ijerph15122692
Ting, C. H., & Chen, Y. Y. (2020). Smartphone addiction. In N. Levy (Ed.), Received February 25, 2021
Adolescent addiction (pp. 215–240). Elsevier. https://doi.org/10.1016/ Revision received February 25, 2022
B978-0-12-818626-8.00008-6 Accepted February 26, 2022 ▪

You might also like