The Cognitive and Psychomotor Performance of Medical Students Affected by Smartphone Use: A Cross-Sectional Study

Background: The proliferation of smartphones has rendered them essential to contemporary existence, thereby augmenting the duration of exposure to light emitted from screens. This phenomenon engenders significant public health considerations, as sustained usage is correlated with deleterious physica...

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Published inJournal of pharmacy & bioallied science Vol. 17; no. 2; pp. 90 - 92
Main Authors Leelabai, Bhavisha Sreenivasan, Krishnan, Prabhavathi, Deivendran, Gunaseelan, Sarathivarman, Sivaranjani, Kanagaraj, Thamarai Selvi, Ayyavoo, Saravanan, Periasamy, Panneerselvam
Format Journal Article
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Published India Wolters Kluwer - Medknow 01.04.2025
Medknow Publications and Media Pvt. Ltd
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Abstract Background: The proliferation of smartphones has rendered them essential to contemporary existence, thereby augmenting the duration of exposure to light emitted from screens. This phenomenon engenders significant public health considerations, as sustained usage is correlated with deleterious physical and psychological health outcomes, which include sleep disturbances, visual fatigue, and cognitive deficits, particularly among university students. In light of these hazards, this investigation aims to elucidate the effects of smartphone utilization on cognitive performance, with a specific focus on reaction time. Aim: To assess visual reaction time (VRT) and auditory reaction time (ART) among medical students who engage in regular smartphone usage. Materials and Methods: A cross-sectional analysis was performed at SRM Medical College and Hospital, Kattankulathur, encompassing participants aged 18-25 years. VRT and ART were quantified before and subsequent to smartphone engagement utilizing a digital chronoscope. Subjects participated in two ART and three VRT assessments. Informed consent was acquired before the commencement of testing. Results: Both ART and VRT exhibited a statistically significant increase following smartphone engagement, signifying prolonged reaction times and a potential decline in cognitive function. These outcomes imply that excessive screen exposure may detrimentally affect mental acuity and reaction velocity. Conclusion: Extended smartphone engagement adversely influences cognitive performance, as manifested by protracted reaction times. It is imperative that medical students and the broader populace receive education regarding the potential dangers associated with excessive screen exposure. Mitigating usage is essential for the preservation of cognitive health and overall mental well-being.
AbstractList The proliferation of smartphones has rendered them essential to contemporary existence, thereby augmenting the duration of exposure to light emitted from screens. This phenomenon engenders significant public health considerations, as sustained usage is correlated with deleterious physical and psychological health outcomes, which include sleep disturbances, visual fatigue, and cognitive deficits, particularly among university students. In light of these hazards, this investigation aims to elucidate the effects of smartphone utilization on cognitive performance, with a specific focus on reaction time. To assess visual reaction time (VRT) and auditory reaction time (ART) among medical students who engage in regular smartphone usage. A cross-sectional analysis was performed at SRM Medical College and Hospital, Kattankulathur, encompassing participants aged 18-25 years. VRT and ART were quantified before and subsequent to smartphone engagement utilizing a digital chronoscope. Subjects participated in two ART and three VRT assessments. Informed consent was acquired before the commencement of testing. Both ART and VRT exhibited a statistically significant increase following smartphone engagement, signifying prolonged reaction times and a potential decline in cognitive function. These outcomes imply that excessive screen exposure may detrimentally affect mental acuity and reaction velocity. Extended smartphone engagement adversely influences cognitive performance, as manifested by protracted reaction times. It is imperative that medical students and the broader populace receive education regarding the potential dangers associated with excessive screen exposure. Mitigating usage is essential for the preservation of cognitive health and overall mental well-being.
Background: The proliferation of smartphones has rendered them essential to contemporary existence, thereby augmenting the duration of exposure to light emitted from screens. This phenomenon engenders significant public health considerations, as sustained usage is correlated with deleterious physical and psychological health outcomes, which include sleep disturbances, visual fatigue, and cognitive deficits, particularly among university students. In light of these hazards, this investigation aims to elucidate the effects of smartphone utilization on cognitive performance, with a specific focus on reaction time. Aim: To assess visual reaction time (VRT) and auditory reaction time (ART) among medical students who engage in regular smartphone usage. Materials and Methods: A cross-sectional analysis was performed at SRM Medical College and Hospital, Kattankulathur, encompassing participants aged 18-25 years. VRT and ART were quantified before and subsequent to smartphone engagement utilizing a digital chronoscope. Subjects participated in two ART and three VRT assessments. Informed consent was acquired before the commencement of testing. Results: Both ART and VRT exhibited a statistically significant increase following smartphone engagement, signifying prolonged reaction times and a potential decline in cognitive function. These outcomes imply that excessive screen exposure may detrimentally affect mental acuity and reaction velocity. Conclusion: Extended smartphone engagement adversely influences cognitive performance, as manifested by protracted reaction times. It is imperative that medical students and the broader populace receive education regarding the potential dangers associated with excessive screen exposure. Mitigating usage is essential for the preservation of cognitive health and overall mental well-being.
Background:The proliferation of smartphones has rendered them essential to contemporary existence, thereby augmenting the duration of exposure to light emitted from screens. This phenomenon engenders significant public health considerations, as sustained usage is correlated with deleterious physical and psychological health outcomes, which include sleep disturbances, visual fatigue, and cognitive deficits, particularly among university students. In light of these hazards, this investigation aims to elucidate the effects of smartphone utilization on cognitive performance, with a specific focus on reaction time.Aim:To assess visual reaction time (VRT) and auditory reaction time (ART) among medical students who engage in regular smartphone usage.Materials and Methods:A cross-sectional analysis was performed at SRM Medical College and Hospital, Kattankulathur, encompassing participants aged 18-25 years. VRT and ART were quantified before and subsequent to smartphone engagement utilizing a digital chronoscope. Subjects participated in two ART and three VRT assessments. Informed consent was acquired before the commencement of testing.Results:Both ART and VRT exhibited a statistically significant increase following smartphone engagement, signifying prolonged reaction times and a potential decline in cognitive function. These outcomes imply that excessive screen exposure may detrimentally affect mental acuity and reaction velocity.Conclusion:Extended smartphone engagement adversely influences cognitive performance, as manifested by protracted reaction times. It is imperative that medical students and the broader populace receive education regarding the potential dangers associated with excessive screen exposure. Mitigating usage is essential for the preservation of cognitive health and overall mental well-being.
Background: The proliferation of smartphones has rendered them essential to contemporary existence, thereby augmenting the duration of exposure to light emitted from screens. This phenomenon engenders significant public health considerations, as sustained usage is correlated with deleterious physical and psychological health outcomes, which include sleep disturbances, visual fatigue, and cognitive deficits, particularly among university students. In light of these hazards, this investigation aims to elucidate the effects of smartphone utilization on cognitive performance, with a specific focus on reaction time. Aim: To assess visual reaction time (VRT) and auditory reaction time (ART) among medical students who engage in regular smartphone usage. Materials and Methods: A cross-sectional analysis was performed at SRM Medical College and Hospital, Kattankulathur, encompassing participants aged 18-25 years. VRT and ART were quantified before and subsequent to smartphone engagement utilizing a digital chronoscope. Subjects participated in two ART and three VRT assessments. Informed consent was acquired before the commencement of testing. Results: Both ART and VRT exhibited a statistically significant increase following smartphone engagement, signifying prolonged reaction times and a potential decline in cognitive function. These outcomes imply that excessive screen exposure may detrimentally affect mental acuity and reaction velocity. Conclusion: Extended smartphone engagement adversely influences cognitive performance, as manifested by protracted reaction times. It is imperative that medical students and the broader populace receive education regarding the potential dangers associated with excessive screen exposure. Mitigating usage is essential for the preservation of cognitive health and overall mental well-being. Keywords: Auditory reaction time, cognitive function, medical students, smartphone usage, visual reaction time
Audience Academic
Author Leelabai, Bhavisha Sreenivasan
Sarathivarman, Sivaranjani
Periasamy, Panneerselvam
Deivendran, Gunaseelan
Krishnan, Prabhavathi
Ayyavoo, Saravanan
Kanagaraj, Thamarai Selvi
AuthorAffiliation 1 Department of Physiology, SRM Medical College Hospital and Research Centre, Kattankulathur, Tamil Nadu, India
2 Department of Physiology, Govt Erode Medical College, Erode, Tamil Nadu, India
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Cites_doi 10.3389/fphys.2022.943108
10.1007/s004210050611
10.4103/2229-516X.157168
10.3390/sports6020045
10.4314/ahs.v18i3.42
10.15171/jcs.2017.030
10.1037/h0034147
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Issue 2
Keywords cognitive function
smartphone usage
medical students
visual reaction time
Auditory reaction time
Language English
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References Yagi (R7-20250728) 1999; 80
Silvani (R5-20250728) 2022; 13
Kemp (R6-20250728) 1973; 8
Padhy (R2-20250728) 2022; 12
Kasozi (R4-20250728) 2018; 18
Badau (R3-20250728) 2018; 6
Jain (R1-20250728) 2015; 5
Mishra (R8-20250728) 2017; 6
References_xml – volume: 12
  start-page: 1639
  year: 2022
  ident: R2-20250728
  article-title: Duration of screen time and its effect on reaction time in 1st year MBBS students in a medical college of Southern Odisha
  publication-title: Natl J Physiol Pharm Pharmacol
– volume: 13
  start-page: 943108
  year: 2022
  ident: R5-20250728
  article-title: The influence of blue light on sleep, performance and wellbeing in young adults: A systematic review
  publication-title: Front Physiol
  doi: 10.3389/fphys.2022.943108
– volume: 80
  start-page: 402
  year: 1999
  ident: R7-20250728
  article-title: Effects of aerobic exercise and gender on visual and auditory P300, reaction time, and accuracy
  publication-title: Eur J Appl Physiol
  doi: 10.1007/s004210050611
– volume: 5
  start-page: 124
  year: 2015
  ident: R1-20250728
  article-title: A comparative study of visual and auditory reaction times on the basis of gender and physical activity levels of medical first year students
  publication-title: Int J Appl Basic Med Res
  doi: 10.4103/2229-516X.157168
– volume: 6
  start-page: 45
  year: 2018
  ident: R3-20250728
  article-title: Differences among three measures of reaction time based on hand laterality in individual sports
  publication-title: Sports (Basel)
  doi: 10.3390/sports6020045
– volume: 18
  start-page: 828
  year: 2018
  ident: R4-20250728
  article-title: A study on visual, audio and tactile reaction time among medical students at Kampala International University in Uganda
  publication-title: Afr Health Sci
  doi: 10.4314/ahs.v18i3.42
– volume: 6
  start-page: 315
  year: 2017
  ident: R8-20250728
  article-title: Sleeping habits among school children and their effects on sleep pattern
  publication-title: J Caring Sci
  doi: 10.15171/jcs.2017.030
– volume: 8
  start-page: 268
  year: 1973
  ident: R6-20250728
  article-title: Reaction time of young and elderly subjects in relation to perceptual deprivation and signal-on versus signal-off conditions
  publication-title: Dev Psychol
  doi: 10.1037/h0034147
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The proliferation of smartphones has rendered them essential to contemporary existence, thereby augmenting the duration of exposure to light emitted from...
Background:The proliferation of smartphones has rendered them essential to contemporary existence, thereby augmenting the duration of exposure to light emitted...
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StartPage 90
SubjectTerms Acuity
Analysis
Cognitive ability
Health aspects
Medical students
Mental health
Original Research
Public health
Sleep
Sleep disorders
Smart phones
Smartphones
Statistical analysis
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Title The Cognitive and Psychomotor Performance of Medical Students Affected by Smartphone Use: A Cross-Sectional Study
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