Cross-cultural Comparison of nomophobia, netlessphobia and anxiety among nursing students in Iran and Türkiye: A mediation analysis

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dc.authorid0000-0001-8433-9455
dc.authorid0000-0003-2265-5641
dc.authorid0000-0002-9281-1614
dc.authorid0000-0002-8025-9877
dc.authorid0000-0003-2908-8395
dc.contributor.authorArdakani, Mohsen S.
dc.contributor.authorAsadollahi, Abdolrahim
dc.contributor.authorÇınar Özbay, Sevil
dc.contributor.authorKanbay, Yalçın
dc.contributor.authorBakhtiar, Maryam
dc.date.accessioned2025-09-30T12:19:13Z
dc.date.available2025-09-30T12:19:13Z
dc.date.issued2025
dc.departmentAÇÜ, Sağlık Bilimleri Fakültesi, Acil Yardım ve Afet Yönetimi Bölümü
dc.departmentAÇÜ, Sağlık Bilimleri Fakültesi, Hemşirelik Bölümü
dc.description.abstractObjectives: In the digital era, excessive reliance on smartphones and internet access has led to emerging psychological concerns, including nomophobia (fear of being without a mobile phone) and netlessphobia (fear of being without internet), which are increasingly linked to anxiety among students. This study aimed to compare the prevalence and psychological impact of these phobias among nursing students in Iran and Türkiye. Methods: This cross-sectional study was included nursing students; participants completed validated questionnaires assessing nomophobia, netlessphobia and anxiety. Data were collected from June to July 2024 via paper-based and electronic surveys. Statistical analyses included independent t-tests, multiple regression and mediation modeling. Results: A total of 697 nursing students were included (mean age = 21.94 years, 96.4% were single) from in Iran (n = 381) and Türkiye (n = 316). No significant gender differences were found in terms of nomophobia, netlessphobia or anxiety levels in either country. However, Turkish students reported higher netlessphobia (mean = 37.43) than Iranian students, while Iranians showed slightly higher anxiety (mean = 17.32). Both phobias strongly predicted anxiety in both samples (R2 >0.3, f2 >0.4). Mediation analysis revealed that 77% of the effect of smartphone overuse on anxiety was indirectly explained by netlessphobia, suggesting anxiety stems more from fear of losing internet access than from phone absence. Conclusions: This study’s findings underscore the need for targeted mental health interventions in nursing education, such as digital wellness programmes, mindfulness training and awareness campaigns. Culturally sensitive strategies to promote healthy tech habits could mitigate anxiety related to these phobias in an increasingly connected world.
dc.identifier.doi10.18295/2075-0528.2901
dc.identifier.endpage730
dc.identifier.issn2075051X
dc.identifier.issue1
dc.identifier.pmid40979610
dc.identifier.scopus2-s2.0-105013494147
dc.identifier.scopusqualityQ2
dc.identifier.startpage720
dc.identifier.urihttps://hdl.handle.net/11494/5922
dc.identifier.volume25
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.institutionauthorÇınar Özbay, Sevil
dc.institutionauthorKanbay, Yalçın
dc.institutionauthorid0000-0002-9281-1614
dc.institutionauthorid0000-0002-8025-9877
dc.language.isoen
dc.publisherSultan Qaboos University
dc.relation.ispartofSultan Qaboos University Medical Journal
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/openAccess
dc.subjectAnxiety
dc.subjectCross-Cultrual Comparison
dc.subjectIran
dc.subjectMediation Analysis
dc.subjectNursing
dc.subjectPhobias
dc.subjectStudents
dc.subjectTurkiye
dc.titleCross-cultural Comparison of nomophobia, netlessphobia and anxiety among nursing students in Iran and Türkiye: A mediation analysis
dc.typeArticle

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