Longitudinal Relationship Between Smartphone Dependence and Externalizing Behavior Problems: An Autoregressive Cross-Lagged Model
	    		
		   		
		   			
		   		
	    	
    	- Author:
	        		
		        		
		        		
			        		Ji Young CHOI
			        		
			        		
			        		
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			        		Ji Hyeon KANG
			        		
			        		
		        		
		        		
		        		
			        		
			        		Author Information
			        		
 - Publication Type:Original Article
 - From:Psychiatry Investigation 2025;22(3):287-292
 - CountryRepublic of Korea
 - Language:English
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		        	Abstract:
			       	
			       		
				        
				        	 Objective:This study investigates the reciprocal, longitudinal relationship between smartphone dependence and externalizing behavior problems in children. 
				        	
Methods:A total of 379 school-aged children (7–12 years old) were assessed using the Smartphone Overdependency Observer Scale and the Korean Version of the Child Behavior Checklist for Ages 6–18 at four six-month intervals from June 2021 to June 2022. Among them, 338 children completed at least two assessments. An autoregressive cross-lagged model was employed to examine the bidirectional relationships and temporal stability between smartphone overdependence and externalizing behavior problems while controlling for gender, age, and baseline internalizing behavior problems.
Results:Both variables demonstrated significant autoregressive effects, indicating stability over time. Cross-lagged analysis revealed that higher smartphone dependence predicted increased externalizing behavior problems in subsequent periods while externalizing behavior problems did not predict future smartphone dependence.
Conclusion:Smartphone dependence appears to contribute to externalizing behavior problems in children, highlighting the critical need for early interventions that promote healthy digital habits to mitigate behavioral challenges. 
            