{
  "abstract": "ObjectiveTo examine the moderating effect of smartphone addiction on the relationship between social skills and anxiety among left-behind secondary school students.MethodsA cross-sectional questionnaire survey was conducted among 1 522 students from six secondary schools in Jiangsu Province between November 2023 and April 2024. According to left-behind status, students were classified into a left-behind group (n=550, 36.14%) and a non-left-behind group (n=972, 63.86%). Social skills, anxiety, and smartphone addiction were assessed using the Chinese version of the Social Skills Improvement System Rating Scales (SSIS-RS-C), the Screen for Child Anxiety Related Emotional Disorders (SCARED), and the Smartphone Addiction Scale-Short Version (SAS-SV), respectively, and differences between the two groups were compared. Latent profile analysis was used to identify latent profiles of social skills among left-behind students. Hierarchical linear regression and the Johnson-Neyman method were used to examine the moderating effect of smartphone addiction on the relationship between social skills and anxiety.ResultsCompared with the non-left-behind group, the left-behind group had higher scores for smartphone addiction and anxiety and lower scores for social skills (P<0.05). The total SSIS-RS-C score negatively predicted the total SCARED score (β=-0.305, P<0.05), whereas the total SAS-SV score positively predicted the total SCARED score (β=0.189, P<0.05). The interaction between the total SSIS-RS-C score and the total SAS-SV score negatively predicted the total SCARED score (β=-0.138, P<0.05). Latent profile analysis identified three profiles of social skills among left-behind students: good, average, and deficient. In the average and deficient profiles, when the total SAS-SV score exceeded 24.37 and 31.27, respectively, the total SSIS-RS-C score was negatively associated with the total SCARED score (B=-0.027 and -0.030, respectively; both P<0.05), and this negative association strengthened as the total SAS-SV score increased.ConclusionsSmartphone addiction moderates the relationship between social skills and anxiety among left-behind secondary school students; anxiety is more pronounced in those with poorer social skills and higher levels of smartphone addiction.",
  "abstract_shown": true,
  "affiliations": [
    "First Clinical College of Xuzhou Medical University, Xuzhou, Jiangsu 221004, China"
  ],
  "article_type": null,
  "arxiv": null,
  "author_total": 7,
  "authors": [
    {
      "affs": [
        0
      ],
      "name": "LIU Jia-Xue"
    },
    {
      "name": "LI Xiao-Wu"
    },
    {
      "name": "ZHOU Qin"
    },
    {
      "affs": [
        0
      ],
      "name": "SONG Li"
    },
    {
      "name": "YUE Zeng-He"
    },
    {
      "name": "QIAN Yu-Xin"
    },
    {
      "affs": [
        0
      ],
      "name": "KE Xiao-Yan"
    }
  ],
  "bibtex": "https://research.draconitic.com/paper/1nsjptt0mbr4k.bib",
  "cited_by": 0,
  "doi": "10.7499/j.issn.1008-8830.2603084",
  "fulltext_url": "https://www.zgddek.com/fileup/1008-8830/HTML_EN/2026-10-1193.html",
  "id": "1nsjptt0mbr4k",
  "issns": [
    "1008-8830",
    "2096-9228"
  ],
  "landing_url": "https://doi.org/10.7499/j.issn.1008-8830.2603084",
  "language": "zh",
  "licence": "CC-BY-NC-ND",
  "licence_label": "CC BY-NC-ND",
  "licence_source": "journal",
  "licence_url": "https://creativecommons.org/licenses/by-nc-nd/4.0/",
  "metadata_licence": null,
  "native_subjects": [
    [
      "lcc",
      "RJ1-570"
    ],
    [
      "openalex",
      "3312|Impact of Technology on Adolescents"
    ]
  ],
  "openalex": "W7223208023",
  "pdf_url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC13684091/pdf/ZGDDEKZZ-28-10-1193.pdf",
  "pmcid": null,
  "pmid": null,
  "published": "2026-10-23",
  "publisher": "Hunan Xiangya Medical Periodical Press Co., Ltd.",
  "ris": "https://research.draconitic.com/paper/1nsjptt0mbr4k.ris",
  "sources": [
    {
      "first_seen": "2026-10-30T13:43:38Z",
      "native_id": "fb2db42bf9b14ec0b7ebb7193044f996",
      "source": "doaj",
      "url": "https://doi.org/10.7499/j.issn.1008-8830.2603084"
    }
  ],
  "subjects": [
    {
      "field": "medicine",
      "origin": "lcc:RJ1-570",
      "subfield": "reproductive-child"
    }
  ],
  "title": "The moderating effect of smartphone addiction on the relationship between social skills and anxiety among left-behind secondary school students",
  "title_text": "The moderating effect of smartphone addiction on the relationship between social skills and anxiety among left-behind secondary school students",
  "type": "peer-reviewed",
  "updated_at": "2026-10-30T13:43:38Z",
  "url": "https://research.draconitic.com/paper/1nsjptt0mbr4k",
  "venue": "中国当代儿科杂志",
  "versions": []
}