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Peer-reviewedCC BY-NC-ND中国当代儿科杂志

The moderating effect of smartphone addiction on the relationship between social skills and anxiety among left-behind secondary school students

  1. 1First Clinical College of Xuzhou Medical University, Xuzhou, Jiangsu 221004, China

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.

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BibTeX
@article{jiaxue2026moderating,
  title = {{The moderating effect of smartphone addiction on the relationship between social skills and anxiety among left-behind secondary school students}},
  author = {LIU Jia-Xue and LI Xiao-Wu and ZHOU Qin and SONG Li and YUE Zeng-He and QIAN Yu-Xin and KE Xiao-Yan},
  journal = {中国当代儿科杂志},
  year = {2026},
  month = oct,
  doi = {10.7499/j.issn.1008-8830.2603084},
  url = {https://doi.org/10.7499/j.issn.1008-8830.2603084},
  note = {CC BY-NC-ND},
}
RIS
TY  - JOUR
TI  - The moderating effect of smartphone addiction on the relationship between social skills and anxiety among left-behind secondary school students
AU  - LIU Jia-Xue
AU  - LI Xiao-Wu
AU  - ZHOU Qin
AU  - SONG Li
AU  - YUE Zeng-He
AU  - QIAN Yu-Xin
AU  - KE Xiao-Yan
PY  - 2026
DA  - 2026/10/23
JO  - 中国当代儿科杂志
DO  - 10.7499/j.issn.1008-8830.2603084
UR  - https://doi.org/10.7499/j.issn.1008-8830.2603084
AB  - 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.
SN  - 1008-8830
SN  - 2096-9228
ER  -