Effects of Excessive Mobile Phone Use on Physical and Mental Health: A Systematic Review
DOI:
https://doi.org/10.53926/YNJR/0029Keywords:
excessive mobile phone use, smartphone addiction, nomophobia, text neck syndrome, digital eye strain, sleep disturbance, mental health, digital detox, nursing management, problematic smartphone useAbstract
Background: The smartphone has transitioned from a communication instrument into an inescapable mediator of daily life, and the consequent health burden of excessive use is now receiving serious scholarly and public health attention. Evidence on physical and psychological sequelae has accumulated rapidly but remains dispersed across heterogeneous study designs and populations.
Objective: To systematically review and synthesise peer-reviewed evidence on the physical and mental health effects of excessive mobile phone use across adolescent, student, and working-adult populations, with attention to vulnerable subgroups including nurses, and to appraise the available evidence on digital-wellness interventions.
Methods: A PRISMA 2020-compliant systematic review was conducted across PubMed/MEDLINE, Scopus, CINAHL, and Google Scholar (January 2019–June 2026). Studies were eligible if they involved human participants with quantifiable outcomes relating to physical or mental health effects of excessive smartphone use or tested a smartphone-reduction intervention. Title/abstract and full-text screening were conducted independently. Quality was appraised using validated tools stratified by study design.
Results: Thirty-four studies met inclusion criteria. Thematic synthesis identified four domains: (i) musculoskeletal and sensory consequences; (ii) sleep disruption; (iii) psychiatric and cognitive outcomes; and (iv) prevention and intervention evidence. Consistent associations were identified between excessive use and text neck syndrome, digital eye strain, sleep-onset delay, anxiety, depression, nomophobia, and attention decrements. Adolescents, university students, and shift-working nurses emerged as particularly vulnerable groups. Structured digital detox programmes and screen-time behavioural interventions demonstrated measurable benefit.
Conclusion: Excessive smartphone use is associated with a broad and clinically meaningful spectrum of adverse health outcomes. Nurses and educators occupy a strategic position to lead screening, counselling, and the design of evidence-informed digital wellness programmes within healthcare and educational settings.
References
1. Zhu W, Zhang Y, Lan Y, Song X. Smartphone dependence and its influence on physical and mental health. Front Psychiatry. 2025;16:1281841.
2. Khan A, McLeod G, Hidajat T, Edwards EJ. Excessive smartphone use is associated with depression, anxiety, stress, and sleep quality of Australian adults. Med Syst. 2023;47:109.
3. Page MJ, McKenzie JE, Bossuyt PM, Boutron I, Hoffmann TC, Mulrow CD, et al. The PRISMA 2020 statement: an updated guideline for reporting systematic reviews. BMJ. 2021;372:n71.
4. Al-Mamun F, Mamun MA, Kaggwa MM, Mubarak M, Hossain MS, ALmerab MM, et al. The prevalence of nomophobia: a systematic review and meta-analysis. Psychiatry Res. 2025;349:116521.
5. Piruta J, Kulak W. Physiotherapy in text neck syndrome: a scoping review of current evidence and future directions. J Clin Med. 2025;14(4):1386.
6. Hohn C, Hahn MA, Gruber G, Pletzer B, Cajochen C, Hoedlmoser K. Effects of evening smartphone use on sleep and declarative memory consolidation in male adolescents and young adults. Brain Commun. 2024;6(3):fcae173.
7. Wolffsohn JS, Arita R, Bhagat N, Craig JP, Dogru M, Downie LE, et al. TFOS Lifestyle: impact of the digital environment on the ocular surface. Ocul Surf. 2023;28:213–52.
8. Yang J, Fu X, Liao X, Li Y. Association of problematic smartphone use with poor sleep quality, depression, and anxiety: a systematic review and meta-analysis. Psychiatry Res. 2020;284:112686.
9. Liu X, Huang L, Ward McIntosh CM, Liu J, McDonald CC. Association between smartphone attachment and mental health in adolescents. Child Adolesc Psychiatr Nurs. 2025;38(3):e70030.
10. El-Sayed AAI, Goda SFD, Elbialy GG. Threats of nursing productivity in the digital era: investigating the interplay between smartphones addiction and procrastination behavior among nurses. BMC Nurs. 2024;23:577.
11. Upendra S, Kaur J. Break from digital screen using digital detox program in nursing students. Nurs Health Sci. 2024;26(3):e13157.
12. Chen YJ, Hu CY, Wu WT, Lee RP, Peng CH, Yao TK, et al. Association of smartphone overuse and neck pain: systematic review and meta-analysis. Postgrad Med J. 2025;101(1197):620–6.
13. Das T, Chaliha A. Impacts of smartphone usage on the digital wellbeing of university students: a systematic review. Int J Multidiscip Res. 2025;7(4).
14. Gajendran A, Devi Rajendiran G, Prateep A, et al. Prevalence of high-frequency noise-induced hearing loss among medical students using personalized listening devices. J Clin Med. 2025;14(1):49.
15. Zhang Z, Zeng Y. Effect of college students' smartphone addiction on academic achievement: the mediating role of academic anxiety and moderating role of sense of academic control. Psychol Res Behav Manag. 2024;17:933–44.
16. Hsieh CY. The impact of smartphone usage frequency on university students' academic performance: meta-analysis of moderating factors. Acta Psychol (Amst). 2025;259:105374.
17. Bottger T, Zierer K. To ban or not to ban? Rapid review on the impact of smartphone bans in schools on social well-being and academic performance. Educ Sci. 2024;14(8):906.
18. le Roux DB, Parry DA, Feldman J. Does the mere presence of smartphones impact cognition in the high school classroom? Cyberpsychology (Brno). 2025;19(4):Article 1.
19. Radtke T, Apel T, Schenkel K, Keller J, von Lindern E. Digital detox: an effective solution in the smartphone era? A systematic literature review. Mobile Media Commun. 2022;10(2):190–215.
20. Brockmeier LC, Keller J, Dingler T, Paduszynska N, Luszczynska A, Radtke T. Planning a digital detox: findings from a randomized controlled trial to reduce smartphone usage time. Comput Human Behav. 2025;168:108624.
21. Upendra S, Kaur J. Break from digital screen using digital detox program in nursing students. Nurs Health Sci. 2024;26(3):e13157.
