https://dx.doi.org/10.24016/2025.v11.460
ORIGINAL ARTICLE
Psychometric Properties of the Test of Mobile Phone Dependence Brief (TMDBrief) in Peruvian College Students
Andrei Franco-Jimenez 1*,
Melisa Yedit Garcia-Rivera 1,
Rosa Maria Campos-Rosas 1
1 Universidad Nacional San Luis Gonzaga, Ica, Peru.
* Correspondence: andrei.francojimenez@gmail.com
Received: May 30, 2025 | Revised:
June 19, 2025 | Accepted: July 13, 2025
| Published Online:
July 26, 2025
CITE IT AS:
Franco-Jimenez, A., Garcia-Rivera
M., Campos-Rosas, R. (2025). Psychometric
Properties of the Test of Mobile Phone Dependence Brief (TMDBrief)
in Peruvian College Students. Interacciones,
11, e460. https://dx.doi.org/10.24016/2025.v11.460
ABSTRACT
Background: The increasing use of smartphones has raised concerns
about problematic use and its impact on mental health. Assessing smartphone
addiction requires valid and reliable instruments, such as the Test of Mobile
Phone Dependence Brief (TMDbrief), which has been
widely used in various cultural contexts. Objective: This study aimed to
evaluate the psychometric properties of the TMDbrief,
including its factorial structure, internal consistency, measurement invariance
across gender, and convergent validity with depression and phubbing behaviors
in Peruvian university students. Method: In this cross-sectional study,
a sample of 954 students completed the TMDbrief, the
PHQ-9 to assess depression, and the Phubbing Scale to measure phone-related
social disruptions. Confirmatory factor analysis (CFA) tested the four-factor
structure, and McDonald's omega assessed internal consistency. Measurement
invariance across gender was examined to ensure the instrument's applicability
in both male and female students. Result: CFA confirmed the four-factor
structure (χ²(48) = 320.31, CFI = .983, TLI = .977,
RMSEA = .077, SRMR = .029). Internal consistency was strong, with McDonald’s ω
between .80 and .85; CR ranged from .80 to .86 and AVE from .57 to .67,
indicating adequate convergence. Measurement invariance across gender was
confirmed, and convergent validity was supported by moderate correlations with
depression and phubbing behaviors. Conclusion: The TMDbrief
is a valid and reliable instrument for assessing smartphone addiction among
Peruvian university students, supporting its use in research, early detection,
and intervention development.
Keywords: Psychometrics; Smartphone; Mobile Phone Addiction; College Students;
Social Behavior; Peru.
INTRODUCTION
The widespread
adoption of mobile phones has revolutionized communication and access to
information. However, this surge has also raised concerns about problematic use
and its impact on mental health and well-being (Elhai et al., 2017). Smartphone
addiction, characterized by compulsive use that disrupts daily life and causes
distress when access is restricted (Billieux et al.,
2015), resembles behavioral patterns observed in substance addiction and
pathological gambling. Chóliz (2012) attributes this dependence to the demand
for immediate social interaction, gratification, and entertainment, facilitated
by the ubiquity of mobile devices. Symptoms include excessive use,
interpersonal conflicts, academic or work interference, tolerance, withdrawal,
and loss of control (Chóliz, 2010).
Research
indicates that problematic smartphone use is more common in younger individuals
(Alhassan et al., 2018). Excessive smartphone use among university students has
been linked to higher levels of depression, anxiety, sleep disturbances, and
perceived stress (Sohn et al., 2019). In the academic environment, smartphone
addiction negatively influences students by interfering with daily activities,
altering interpersonal relationships, and affecting overall health and
well-being (Rupert et al., 2016).
Moreover,
recent research in Latin America indicates high rates of problematic smartphone
use among young people. Among university students, reported prevalence ranges
from 19.97 % in Honduras (Hidalgo-Fuentes et al., 2025), to 38.2 % in Mexico
(Bueno-Brito et al., 2024), and 48.8 % in the Dominican Republic (Martínez et
al., 2025). In Peru, 21.7 % of adolescent girls met criteria for addiction, and
48.7 % were at high risk (Becerra-Canales et al., 2023), highlighting the need
for a validated, culturally appropriate tool for the Peruvian context.
Instruments
that assess smartphone addiction are critical for understanding the antecedents
and consequences of smartphone addiction and for developing effective
prevention and intervention strategies (Busch & McCarthy, 2021). Numerous
interventions have been implemented to address problematic smartphone use (Wu
& Chou, 2023), underscoring the importance of reliable tools for evaluating
and refining these approaches over time.
The Test of
Mobile Phone Dependence Brief (TMDbrief), originally
developed through a multicultural study that included samples from countries
such as Pakistan, India, Ireland, Spain, Peru, Mexico, and Guatemala (Chóliz et
al., 2016), is a widely used instrument for assessing smartphone addiction. The
TMDbrief consists of items that evaluate dimensions
representative of the addictive process, such as lack of control, abuse and
interference with other activities, withdrawal, and tolerance (Chóliz et al.,
2016). The instrument has demonstrated adequate psychometric properties in its
adaptations in countries like Italy (Cerutti et al., 2021; Everri
et al., 2022), Portugal (Dias et al., 2019), and Argentina (Durao
et al., 2021).
Durao et al. (2021) introduced a slightly revised version
of the TMDbrief, incorporating minor modifications to
better capture contemporary smartphone usage patterns. Specifically, outdated
items related to Short Message Service (SMS) communication were replaced with
those assessing social media usage, thereby aligning the tool with current
trends in mobile technology and user behavior. This update is particularly
relevant given the surge in popularity of social media platforms such as
TikTok, Snapchat, and Instagram among younger demographics (Ipsos Perú, 2021).
Additionally, the integration of advanced functionalities like digital payment
systems and AI-driven features including Siri, Google Assistant, and Alexa
(Purington et al., 2021) has significantly altered the landscape of smartphone
dependency. Consequently, it is essential to evaluate the psychometric
properties of the updated TMDbrief within the
Peruvian context to ensure its continued validity and reliability in accurately
measuring modern patterns of smartphone addiction.
Smartphone
penetration in Peru has grown rapidly in recent years (Instituto Nacional de Estadística e Informática, 2023),
underscoring the importance of understanding smartphone addiction in this
specific cultural context. Although the TMDbrief was
initially validated in a Peruvian sample as part of a broader multicultural
study (Chóliz et al., 2016), the technological landscape and user behaviors
have evolved substantially since then. Reassessing the instrument's validity
and reliability in the current context is crucial to ensure it accurately
captures contemporary patterns of smartphone dependency among Peruvian
university students.
Given
documented gender differences in smartphone addiction behaviors (Anshari et al., 2016), assessing the measurement invariance
of the TMDbrief across genders is essential to ensure
its validity and reliability for both males and females. Research shows that
females are more likely to develop addiction through social media and shopping
apps, often associated with anxiety (Wei et al., 2023), whereas males are
typically driven by gaming and information-seeking behaviors (Chen et al.,
2017). While Cerutti et al. (2021) demonstrated the gender invariance of the TMDbrief in an Italian sample of adolescents, no study has
yet examined this invariance in a college-aged population within the Peruvian
context. Addressing this gap will extend the evidence base for the TMDbrief's applicability across genders in a new
demographic and cultural setting.
For these
reasons, the present study seeks to evaluate the psychometric properties and
measurement invariance across genders of the updated TMDbrief
for its application among Peruvian university students. Specifically, four
objectives were defined: (1) confirmation of the TMDbrief’s
four-factor structure via confirmatory factor analysis; (2) assessment of
internal consistency using McDonald’s ω, composite
reliability and average variance extracted; (3) evaluation of convergent
validity through correlations with the PHQ-9 and the Phubbing Scale; and (4)
testing of measurement invariance across gender. This evaluation will
facilitate early detection of potential smartphone addiction and support the
instrument’s use as a diagnostic and monitoring tool, thereby contributing to
more effective preventive and therapeutic interventions tailored to this
demographic.
METHODS
Design
The study follows an instrumental design as it aims to analyze the
psychometric properties of a self-reported measurement instrument (Ato et al.,
2013).
Participants
The sample consisted of 954 students from three public and private
universities in the city of Ica, Peru. The questionnaires were completed
virtually using Google Forms. The sample included 616 women (64.6%) and 338 men
(35.4%), with ages ranging from 18 to 40 years (M = 21.80; SD = 3.54). Certain
exclusion criteria were applied, such as being under 18 years of age, failing
to complete all required information, and not currently being enrolled at a
Peruvian university. Fewer than 2% of cases were excluded for not meeting
inclusion criteria. Given this minimal proportion, a sensitivity analysis was
not considered necessary.
A non-probabilistic convenience sampling method was used, as
participants were selected based on the researcher’s accessibility and specific
needs (Kerlinger & Lee, 2002).
Measures
Test of Mobile Phone Dependence Questionnaire Brief (TMDbrief).
The instrument created by Chóliz et al. (2016) has
been employed to evaluate mobile phone dependence among university students.
This study uses an adaptation by Durao et al. (2021),
which updates some items by replacing references to SMS with actions like
checking social media, reflecting the decline of SMS and the dominance of
social media platforms as primary communication tools across Latin America. The
scale consists of 12 items with Likert-type response options ranging from one
(1) “completely disagree” to five (5) “completely agree.” It includes four
dimensions: abstinence, which describes the emotions triggered by being without
a phone (e.g., “if I don’t have my phone, I feel bad”); abuse and interference
with other activities, which pertains to challenges in completing tasks due to
phone use (e.g., “I spend more time on my phone than I would like”); tolerance,
indicating an increased urge to use the phone (e.g., “lately, I use my phone much
more”); and lack of control, referring to the difficulty in resisting phone use
(e.g., “I would grab my phone right now to check social media or send
messages”). This version of the instrument has demonstrated good internal
consistency in an Argentinian sample: abuse and interference with other
activities (α = .77), tolerance (α = .77), lack of control (α = .76), and
abstinence (α = .85) (Durao et al., 2021).
Patient Health Questionnaire- 9 (PHQ – 9). Depression was
evaluated using the Patient Health Questionnaire-9 (PHQ-9), a tool consisting
of nine items that correspond to the diagnostic criteria for major depression
outlined in the Diagnostic and statistical manual of mental disorders, 4th
Edition (DSM-IV) (American Psychiatric Association, 1994). The PHQ-9 has been
shown to have a unidimensional structure, as confirmed both in its original
validation (Kroenke et al., 2001) and in its Peruvian adaptation (Anicama et al., 2023). Responses are recorded on a
four-point Likert scale, ranging from "not at all" (0) to
"nearly every day" (3), producing a total score between 0 and 27,
where higher scores reflect more severe depression. Anicama
et al. (2023) found the scale to have satisfactory internal consistency (ω =
0.87) within the Peruvian population. In this study, the PHQ-9 also showed
strong internal consistency, with a Cronbach's alpha of α = .85.
Phubbing Scale. The Phubbing Scale (Karadağ et al., 2015) includes 10
items assessed using a five-point Likert scale, where responses range from 1
(never) to 5 (always). For this study, the Spanish version adapted by Blanca
and Bendayan (2018) was utilized. The scale consists of two dimensions:
Communication Disturbance, which measures how often individuals prioritize
using a mobile device over interacting with those around them (e.g., ““I am
busy with my mobile phone when I am with my friends”); and Phone Obsession,
which captures the urge to use the phone (e.g., “When I wake up in the morning,
I first check the messages on my phone”). In a sample from Peru, the scale
showed strong internal consistency for both factors, with omega coefficients of
ω = .83 for Communication Disturbance and ω = .83 for Phone Obsession (Correa-Rojas
et al., 2022). Likewise, in this study, the scale demonstrated adequate
internal consistency, with Cronbach's alpha coefficients of α = .84 for
Communication Disturbance and α = .78 for Phone Obsession.
Procedures
The study employed online administration of the instruments via Google
Forms, ensuring easy and convenient access for participants. Recruitment was
conducted through social media, targeting students from two private
universities and one public university in Ica, Peru. While all participants
completed the TMDbrief, a subsample of 434 students
was asked to complete the additional questionnaires required for the convergent
validity analysis. The survey was designed to be concise and respectful of
participants’ time, requiring approximately 10 to 15 minutes to complete. All
items were mandatory to prevent missing data, and participants were instructed
to complete the survey only once. At the beginning, electronic informed consent
was obtained, outlining the study’s purpose, voluntary nature, and data
protection. Only those who consented could proceed. No personal identifiers
were collected, and responses were stored in a password-protected Google Drive
folder, accessible only to the research team.
Data Analysis
To ensure adequate power for the confirmatory factor analysis, a sample
size calculation was performed using Arifin’s (2025) online calculator, based
on Kim’s (2005) method. Assuming a CFI of .95 and power of .80, the required
sample was 229. The final sample (N = 954) exceeded this, indicating sufficient
statistical power.
The psychometric evaluation was performed utilizing the R statistical
software, version 4.1.2 (R Core Team, 2021), in conjunction with the lavaan package (Rosseel et al., 2012). Item interrelations
were examined through polychoric correlations, which
account for the ordinal nature of the data, thereby offering more accurate
estimations in the context of factor analysis (Pendergast et al., 2017).
Subsequently, confirmatory factor analysis (CFA) was conducted to assess
the fit of the proposed factor structure to the data. The weighted least
squares mean and variance adjusted (WLSMV) estimator
was employed, and fit indices such as RMSEA, SRMR, CFI, and TLI were examined.
Model fit was considered acceptable if the CFI and TLI values were ≥ 0.95, the
SRMR was ≤ 0.08 (Hu & Bentler, 1999), and the RMSEA was ≤ 0.08 (MacCallum
et al., 1996).
To examine measurement invariance across gender groups, the approach
recommended by Wu and Estabrook (2016) and Svetina et al. (2020) was followed.
Configural and threshold invariance tests (equal thresholds) were conducted
using the WLSMV estimator, with model fit changes evaluated based on ΔCFI <
.010, ΔRMSEA< .015 or ΔSRMR < .005 to confirm invariance (Chen, 2007).
Reliability was assessed through internal consistency using McDonald’s ω
(McDonald, 1999), a more robust alternative to Cronbach’s alpha when the
assumption of tau-equivalence is not met (Cho, 2016; Sijtsma,
2009). Additionally, composite reliability (CR) and average variance extracted
(AVE) were computed from standardized CFA loadings, following Fornell and
Larcker (1981). Thresholds of CR ≥ .70 and AVE ≥ .50 were used to evaluate
adequacy.
Convergent validity was further examined through Pearson correlations
between the TMDbrief and scores on the PHQ-9
(depression), as well as the two dimensions of the Phubbing Scale:
Communication Disturbance and Phone Obsession.
Ethical aspects
This study adhered to the ethical principles outlined by the American
Psychological Association (2017). At the beginning of the survey, participants
were presented with an informed consent form, which clearly stated the
voluntary nature of their participation, the anonymity of their responses, and
the exclusive academic use of the collected data. Ethical approval was granted
by the Ethics Committee of the Universidad Nacional San Luis Gonzaga (CEI-UNICA
No016).
RESULTS
A polychoric correlation analysis was
conducted on the instrument's items, as displayed in Table 1. The analysis
revealed that all correlations exceeded the threshold of .40, indicating a
satisfactory level of association among the items.
Table 1. Polychoric Correlation
Matrix of the TMDbrief Items.
|
1 |
2 |
3 |
4 |
5 |
6 |
7 |
8 |
9 |
10 |
11 |
12 |
1 |
- |
|
|
|
|
|
|
|
|
|
|
|
2 |
0.71 |
- |
||||||||||
3 |
0.60 |
0.58 |
- |
|||||||||
4 |
0.73 |
0.67 |
0.59 |
- |
||||||||
5 |
0.62 |
0.54 |
0.55 |
0.76 |
- |
|||||||
6 |
0.60 |
0.51 |
0.55 |
0.64 |
0.67 |
- |
||||||
7 |
0.59 |
0.60 |
0.56 |
0.62 |
0.56 |
0.56 |
- |
|||||
8 |
0.51 |
0.49 |
0.51 |
0.55 |
0.48 |
0.48 |
0.67 |
- |
||||
9 |
0.55 |
0.53 |
0.56 |
0.58 |
0.51 |
0.53 |
0.65 |
0.70 |
- |
|||
10 |
0.47 |
0.43 |
0.44 |
0.42 |
0.47 |
0.46 |
0.44 |
0.41 |
0.43 |
- |
||
11 |
0.48 |
0.46 |
0.45 |
0.48 |
0.53 |
0.54 |
0.44 |
0.39 |
0.48 |
0.75 |
- |
|
12 |
0.47 |
0.46 |
0.42 |
0.45 |
0.50 |
0.51 |
0.46 |
0.40 |
0.42 |
0.71 |
0.73 |
- |
The original four-dimensional model of the TMDbrief,
evaluated through confirmatory factor analysis (CFA), demonstrated good fit to
the data χ²(48) = 320.31, CFI = .983, TLI = .977,
RMSEA = .077, SRMR = .029.
Furthermore, Table 2 presents the factor loadings of the items in the TMDbrief. The factor loadings were all satisfactory,
exceeding .70, indicating strong relationships between the items and their
respective factors.
Table 2. Factor
Loadings of the TMDbrief Items
Item |
F1
|
F2
|
F3 |
F4 |
1. I
spend more time on my phone than I would like. |
0.85 |
|||
2. I
have gone to bed later or slept less because I was using my mobile phone. |
0.80 |
|||
3. I use
my mobile phone in situations where, even though not dangerous, it is not
appropriate to do so (eating, while other people are talking to me, etc.). |
0.75 |
|||
4.
Lately I use my cell phone a lot more |
0.89 |
|||
5. I
need to use my mobile phone more and more often. |
0.83 |
|||
6. When
I have my mobile phone with me, I can't stop using it. |
0.79 |
|||
7. As
soon as I get up in the morning, the first thing I do is check if I’ve
received any WhatsApp messages and/or browse social media, etc. |
0.85 |
|||
8. When
I feel lonely, I check social media, send a WhatsApp message to someone, etc. |
|
|
0.79 |
|
9. I
would grab my mobile phone and send a message or make a call right now. |
0.82 |
|||
10. If
my mobile phone were broken for an extended period of time
and took a long time to fix, I would feel very bad. |
0.84 |
|||
11. If I
don't have my mobile phone, I feel bad |
0.89 |
|||
12. I
don't think I could stand spending a week without a mobile phone. |
0.84 |
McDonald’s ω, composite reliability (CR), and average variance extracted
(AVE) were calculated for each latent factor. As shown in Table 3, internal
consistency was high across all factors (ω = .80–.85; CR = .80–.86), and
indicator convergence was adequate (AVE = .57–.67), with all values exceeding
the recommended thresholds (CR ≥ .70; AVE ≥ .50).
Table 3. Internal
Consistency and Factor Reliability Indices for the TMDbrief
Subscales
Factor |
ω |
CR |
AVE |
Abuse and interference in other
activities |
0.80 |
0.80 |
0.57 |
Tolerance |
0.84 |
0.84 |
0.63 |
Loss of Control |
0.82 |
0.82 |
0.61 |
Abstinence |
0.85 |
0.86 |
0.67 |
Measurement invariance analysis was conducted across two groups,
categorized by gender, as presented in Table 4. Configurational invariance was
confirmed, as evidenced by the fit indices: χ2(96) = 418.768, CFI = .981,
RMSEA = .084, SRMR = .034. It should be noted, however, that the RMSEA value
was marginally high; the other fit indices supported adequate model fit.
Further evaluations sought to explore more stringent invariance levels,
specifically testing for equal threshold and equal loading and threshold across
genders. These subsequent analyses met the established benchmarks for
acceptable criteria for changes in CFI, RMSEA, and SRMR (Chen, 2007).
Table 4. Measurement
invariance of the final model regarding gender
Model invariance |
χ² (df) |
CFI |
RMSEA |
SRMR |
ΔCFI |
ΔRMSEA |
ΔSRMR |
Configural |
418.768(96) |
0.981 |
0.084 |
0.034 |
|||
Equal thresholds |
428.503(120) |
0.982 |
0.073 |
0.034 |
0.001 |
0.011 |
0.000 |
Equal loadings and thresholds |
422.735(128) |
0.983 |
0.07 |
0.034 |
0.001 |
0.003 |
0.000 |
Finally, Table 5 presents the correlations between the TMDbrief dimensions, depression (measured using the PHQ-9),
and the Phubbing Scale dimensions (Communication Disturbance and Phone
Obsession). Moderate to high correlations were
observed among the TMDbrief dimensions. Moderate
correlations were found between the TMDbrief
dimensions and depression, while moderate to high correlations were identified
with both Communication Disturbance and Phone Obsession.
Table 5. Correlations
between the dimensions of the TMDbrief, Depression,
Communication disturbance and Phone Obsession.
|
1 |
2 |
3 |
4 |
5 |
6 |
7 |
1. Abuse and interference with other
activities |
- |
||||||
2. Tolerance |
0.72 |
- |
|||||
3. Lack of control |
0.69 |
0.62 |
- |
||||
4. Abstinence |
0.55 |
0.54 |
0.48 |
- |
|||
5. Depression |
0.35 |
0.38 |
0.36 |
0.36 |
- |
||
6. Communication disturbance |
0.42 |
0.48 |
0.38 |
0.50 |
0.41 |
- |
|
7. Phone obsession |
0.57 |
0.61 |
0.58 |
0.54 |
0.40 |
0.59 |
- |
DISCUSSION
The present
study sought to assess the psychometric properties of the TMDbrief
in a sample of Peruvian university students. In response to the evolving
patterns of smartphone use—marked by a decline in SMS messaging and a rise in
social media engagement—this study utilized a slightly revised version of the
scale proposed by Durao et al. (2021). These minor
updates, which replaced SMS-related items with ones addressing social media
browsing behaviors, ensure that the scale remains relevant and accurately
reflects contemporary smartphone usage trends among young adults in Peru while
maintaining its original structure and intent.
Confirmatory
factor analysis (CFA) supported the originally proposed four-dimensional
structure of the TMDbrief, validating its
applicability in this new context. Measurement invariance across genders was
established through multi-group CFA, demonstrating that the TMDbrief
performs consistently for both male and female participants. This finding is
significant as it enables unbiased comparisons of smartphone addiction levels
across genders, free from measurement-related distortions. This result is
particularly important considering the documented differences in smartphone use
patterns between genders (Anshari et al., 2016; Wei
et al., 2024; Chen et al., 2017). Furthermore, Cerutti et al. (2021)
corroborated the invariance of the TMDbrief in an
Italian sample of adolescents, reinforcing the scale's robustness across
diverse contexts and developmental stages. The consistency of these findings
supports the scale's validity for comparative studies within different
demographic groups, including college students, as observed in the present
Peruvian sample.
Additionally,
moderate to high correlations between factors suggest that, while they are
related dimensions, they capture distinct aspects of smartphone addiction. The
internal consistency of the TMDbrief factors was
adequate, with McDonald's omega coefficients ranging between .80 and .85,
indicating reliable measurement across the scale's dimensions. Complementing
these results, composite reliability values were likewise high (CR =.80–.86),
and the average variance extracted for each factor exceeded the .50 benchmark
(AVE =.57–.67), showing that each construct explains a substantial share of its
items’ variance (Fornell & Larcker, 1981).
The TMDbrief demonstrated convergent validity through
significant correlations with depression, as measured by the PHQ-9. This aligns
with existing literature linking excessive smartphone use to mental health
challenges. Studies have consistently shown that problematic smartphone use
correlates with higher levels of anxiety and depression, particularly among
university students. In this population, such usage disrupts sleep and
exacerbates stress and depressive symptoms (Li et al., 2020; Kaya et al.,
2020). Factors such as academic pressure, a demanding university environment,
adverse social relationships, and pre-existing mental health conditions further
influence this relationship (Desouky & Abu-zaid, 2020; Višnjić et al., 2018). Moreover, the
bidirectional nature of depression and smartphone addiction suggests that
depressive symptoms may lead to excessive use as a coping mechanism. In turn,
this behavior intensifies emotional distress, creating a self-perpetuating
cycle (Elhai et al., 2017; Zhang et al., 2023).
In addition,
adequate convergent validity was demonstrated for the two dimensions of the
Phubbing Scale: Communication Disturbance, which measures the extent to which
individuals prioritize mobile device use over face-to-face interactions,
thereby disrupting interpersonal communication, and Phone Obsession, which
reflects the compulsive urge to use the phone. This is significant, as phubbing
is consistently linked to smartphone addiction in the literature, undermines
face-to-face social interactions (Chotpitayasunondh
& Douglas, 2016), and negatively impacts well-being (Ivanova et al., 2020).
These relationships support the TMDbrief's validity
in capturing relevant aspects of smartphone addiction.
These findings
align with previous studies conducted in countries such as Italy (Cerutti et
al., 2021; Everri et al., 2022), Portugal (Dias et
al., 2019), and Argentina (Durao et al., 2021), where
the TMDbrief also demonstrated robust psychometric
properties. This cross-cultural consistency highlights the instrument’s
reliability for assessing mobile phone dependence in diverse contexts.
Validating the TMDbrief within the Peruvian
population further supports its utility as a reliable tool for early detection
and monitoring of smartphone addiction among university students.
Practical
Implications and Prevention Strategies
Evidence from
recent studies and systematic reviews highlights several effective
interventions to reduce smartphone addiction among university students. These
include aerobic exercise (Liu et al., 2019; Pirwani
& Szabo, 2024), cognitive-behavioral therapy (Khalily et al., 2020; Liu et
al., 2022), mindfulness-based approaches, group counseling, app restriction
tools, and cognitive training (Liu, 2021; Liu et al., 2022). Such interventions
have shown promising results in reducing compulsive use, improving emotional
regulation, and enhancing concentration and logical thinking (Liu, 2021).
Universities could implement multi-component prevention programs based on these
approaches, using tools like the TMDbrief for early
screening and ongoing evaluation.
Limitations
This study has
several limitations that should be considered. First, the sample consisted
solely of university students from a specific region of Peru, and
non-probabilistic sampling was used, which limits the generalizability of the
findings to other populations or educational contexts. Second, the
self-reported nature of the data introduces potential biases, such as social
desirability or inaccuracies in self-assessment. Third, the
cross-sectional design does not allow for causal inferences between
mobile phone dependence and variables such as depression or academic
performance. Future research should address these issues by including larger
and more diverse samples from various regions and educational levels.
Longitudinal studies could provide insights into the evolution of mobile phone
dependence and its long-term effects on mental health and academic performance.
These steps would help to validate and expand the current findings across more
diverse populations.
Conclusion
The present
study confirms that the TMDbrief is a valid and
reliable instrument for assessing mobile phone dependence among Peruvian
university students. Its psychometric robustness and ability to function
equitably across genders make it a valuable tool for detection, monitoring, and
evaluation of interventions in this area. Early identification of smartphone
addiction can significantly contribute to promoting healthier technology use
and improving the overall well-being of university students.
ORCID
Andrei Franco-Jimenez: https://orcid.org/0000-0001-8648-834X
Melisa Yedit Garcia-Rivera: https://orcid.org/0009-0004-1450-6958
Rosa Maria Campos-Rosas: https://orcid.org/0009-0001-9634-7732
AUTHORS’
CONTRIBUTION
Andrei Franco-Jimenez: Conceptualization,
methodology, formal analysis, review, supervision and writing – original draft.
Melisa Yedit Garcia-Rivera: Investigation,
writing – review & editing, visualization and project administration.
Rosa Maria Campos-Rosas:
Conceptualization, validation, investigation, writing – review & editing,
visualization, project administration.
FUNDING SOURCE
This research was self-funded.
CONFLICT OF INTEREST
The authors declare that there were no conflicts
of interest in the collection of data, analysis of information, or writing of the
manuscript.
ACKNOWLEDGMENTS
Not applicable.
REVIEW PROCESS
This study has been reviewed by external peers in double-blind mode. The
editor in charge was David Villarreal-Zegarra. The review process is included as
supplementary material 1.
DATA AVAILABILITY STATEMENT
The database is available as supplementary material 2.
DECLARATION OF THE USE OF GENERATIVE ARTIFICIAL INTELLIGENCE
We used ChatGPT to translate specific sections of the manuscript. The
final version of the manuscript was reviewed and approved by all authors.
DISCLAIMER
The authors are responsible for all statements made in this article.
REFERENCES
Alhassan, A.
A., Alqadhib, E. M., Taha, N. W., Alahmari,
R. A., Salam, M., & Almutairi, A. F. (2018). The relationship between
addiction to smartphone usage and depression among adults: a cross-sectional
study. BMC Psychiatry, 18(1), 148. https://doi.org/10.1186/s12888-018-1745-4.
American Psychiatric Association. (1994). Diagnostic
and statistical manual of mental disorders (4th ed.). American
Psychiatric Publishing, Inc.
American Psychological Association. (2017). Ethical principles of
psychologists and code of conduct (2002, amended effective June 1,
2010, and January 1, 2017). https://www.apa.org/ethics/code/
Anicama, J., Caballero, N., Talla, K., & Bruno, B.
(2023). Propiedades psicométricas del Cuestionario de Salud del Paciente
(PHQ-9) en universitarios de Lima. Revista De Psicología, 12(2), 99-112.
https://doi.org/10.36901/psicologia.v12i2.1573.
Anshari, M., Alas, Y., Hardaker, G., Jaidin,
J. H., Smith, M., & Ahad, A. D. (2016). Smartphone
habit and behavior in Brunei: Personalization, gender, and generation gap. Computers
in Human Behavior, 64, 719-727. https://doi.org/10.1016/j.chb.2016.07.063
Ato, M.,
López-García, J. J., & Benavente, A. (2013). Un sistema de clasificación de los diseños de investigación en
psicología. Anales de Psicología/Annals of Psychology, 29(3),
1038–1059. https://doi.org/10.6018/analesps.29.3.178511
Arifin, W. N.
(2025). Sample size calculator (Web). Retrieved
from http://wnarifin.github.io
Becerra-Canales, B., Hernández-Huaripaucar,
E., Becerra-Huamán, D., Laos-Anchante, C., Dávalos-Almeyda, M., Cevallos-Cardenas, M. J., & del Rio-Mendoza, J. (2023). Adicción
a los teléfonos inteligentes en adolescentes tras la pandemia por la COVID‑19. Revista
Cubana De Medicina Militar, 52(4), e023010141. https://revmedmilitar.sld.cu/index.php/mil/article/view/10141
Billieux, J., Maurage, P.,
Lopez-Fernandez, O., Kuss, D. J. & Griffiths, M. D. (2015). Can Disordered
Mobile Phone Use Be Considered a Behavioral Addiction? An Update on Current
Evidence and a Comprehensive Model for Future Research. Curr Addict Rep, 2, 156–162. https://doi.org/10.1007/s40429-015-0054-y
Blanca, M. J. & Bendayan, R., Muñoz-Miralles, R.,
Ortega-González, R., Griffiths, M. D., Chóliz, M., & Ballesta-Martínez, J.
(2018). Spanish version of the Phubbing Scale: Internet addiction,
Facebook intrusion, and fear of missing out as correlates. Psicothema, 30(4), 449–454. https://doi.org/10.7334/psicothema2018.153
Bueno-Brito, C., Pérez-Castro, E., & Delgado-Delgado,
J. (2024). Smartphone addiction, anxiety,
depression and stress in Mexican nursing students. Revista Cuidarte, 15(3), e3814. https://doi.org/10.15649/cuidarte.3814
Busch, P. A., & McCarthy, S. (2021). Antecedents and consequences of
problematic smartphone use: A systematic literature review of an emerging
research area. Computers in Human Behavior, 114, Article 106414. https://doi.org/10.1016/j.chb.2020.106414
Cerutti, R., Presaghi, F., Spensieri,
V., Fontana, A., & Amendola, S. (2021). Adaptation and psychometric
analysis of the test of Mobile phone dependence—brief version in Italian
adolescents. International Journal of Environmental Research and Public
Health, 18(5), 2612. https://doi.org/10.3390/ijerph18052612
Chen, B.,
Liu, F., Ding, S., Ying, X., Wang, L., & Wen, Y. (2017). Gender differences
in factors associated with smartphone addiction: a cross-sectional study among
medical college students. BMC Psychiatry, 17(1), 341. https://doi.org/10.1186/s12888-017-1503-z
Chen, F. F.
(2007). Sensitivity of goodness of fit indexes to lack of measurement
invariance. Structural Equation Modeling: A Multidisciplinary Journal, 14(3),
464–504. https://doi.org/10.1080/10705510701301834
Choliz, M. (2010). Adicción
al teléfono móvil: un tema de debate. Addiction, 105(2), 373–374.
https://doi.org/10.1111/j.1360-0443.2009.02854.x
Chóliz M.
(2012). Mobile-phone addiction in adolescence: the test of mobile phone
dependence (TMD). Progr. Health Sci, 2(1),
33–44. https://www.umb.edu.pl/photo/pliki/progress-file/phs/phs_2012_1/33-44_choliz.pdf
Chóliz, M., Pinto, L., Phansalkar,
S. S., Corr, E., Mujjahid,
A., Flores, C., & Barrientos, P. E. (2016). Development of a brief
multicultural version of the test of mobile phone dependence (TMDbrief) questionnaire. Frontiers in Psychology, 7,
650. https://doi.org/10.3389/fpsyg.2016.00650
Chotpitayasunondh, V., & Douglas, K. M. (2016).
How “phubbing” becomes the norm: The antecedents and consequences of snubbing
via smartphone. Computers in Human Behavior, 63, 9–18. https://doi.org/10.1016/j.chb.2016.05.018
Correa-Rojas,
J., Grimaldo-Muchotrigo, M., & Cambillo-Moyano, E. (2022). Propiedades psicométricas de la Escala de Phubbing:
Modelo Bifactor e Invarianza factorial en
universitarios peruanos. Health and Addictions: Salud Y Drogas, 22(2), 227–243.
https://doi.org/10.21134/haaj.v22i2.691
Desouky, D. E. S., & Abu-Zaid, H. (2020). Mobile
phone use pattern and addiction in relation to depression and anxiety. Eastern
Mediterranean Health Journal, 26(6), 692-699. https://doi.org/10.26719/emhj.20.043
Dias, P.,
Gonçalves, S., Cadime, I., & Chóliz, M. (2019). Adaptação do teste de dependência do telemóvel para adolescentes e jóvens
portugueses. Psicologia, Saúde & Doenças, 20(3),
569-580. https://doi.org/10.15309/19psd200302
Durao, M., Etchezahar, E., Ungaretti, J., & Calligaro, C. (2021). Propiedades psicométricas del Test de
Dependencia al Teléfono Móvil (TDMB) en Argentina y sus relaciones con la
impulsividad. Actualidades en Psicología, 35(130), 1-18. https://doi.org/10.15517/ap.v35i130.41963
Elhai, J. D., Dvorak, R. D., Levine, J. C., & Hall, B. J. (2017). Problematic
smartphone use: A conceptual overview and systematic review of relations with
anxiety and depression psychopathology. Journal of Affective Disorders, 207,
251-259. https://doi.org/10.1016/j.jad.2016.08.030
Everri, M., Messena, M., & Mancini, T. (2022). Analisi
preliminare della validità della Brief
Multicultural Version of the Test of Mobile Phone Dependence (TMDbrief) su un campione di adolescenti italiani. QWERTY- Open and Interdisciplinary Journal of
Technology, Culture and Education, 17(1), 86-102. https://doi.org/10.30557/QW000051
Fornell, C., & Larcker, D. F. (1981). Evaluating
structural equation models with unobservable variables and measurement
error. Journal
of Marketing Research, 18(1), 39–50. https://doi.org/10.2307/3151312
Hidalgo-Fuentes, S., Llamas-Salguero, F.,
Martínez-Álvarez, I. y Pineda-Zelaya, I. S. (2025). Prevalencia y factores asociados al uso problemático
del smartphone en estudiantes universitarios de Honduras. Revista Española
de Drogodependencias, 50(1), 114-128. https://doi.org/10.54108/10106
Hu, L., & Bentler, P. M. (1999). Cutoff
criteria for fit indexes in covariance structure analysis: Conventional
criteria versus new alternatives. Structural Equation Modeling:
A Multidisciplinary Journal,
6(1), 1–55. https://doi.org/10.1080/10705519909540118
Instituto Nacional de Estadística e Informática. (27
de junio de 2023). El 91,3% de la población de 6 y más años de edad que usa
internet accedió a través de un teléfono celular. Nota de Prensa. https://m.inei.gob.pe/media/MenuRecursivo/noticias/nota-de-prensa-no-098-2023-inei.pdf
Ipsos Perú – Informe Redes Sociales 2021. (2021). Redes
sociales 2021. https://www.ipsos.com/es-pe/redes-sociales-2021
Ivanova, A., Gorbaniuk, O., Błachnio, A., Przepiórka, A., et
al. (2020).
Mobile Phone Addiction, Phubbing, and Depression Among Men and Women: A
Moderated Mediation Analysis. Psychiatric Quarterly, 91, 655–668. https://doi.org/10.1007/s11126-020-09723-8
Karadağ, E., Tosuntaş, Ş. B., Erzen, E., Duru, P., Bostan, N., Şahin, B.
M., Çulha, İ., & Babadağ, B. (2015). Determinants
of phubbing, which is the sum of many virtual addictions: a structural equation
model. Journal of Behavioral Addictions, 4(2), 60–74. https://doi.org/10.1556/2006.4.2015.005
Kaya, F.,
Bostanci Daştan, N., & Durar, E. (2021). Smart
phone usage, sleep quality and depression in university students. International
Journal of Social Psychiatry, 67(5), 407-414. https://doi.org/10.1177/0020764020960207
Kerlinger, F.
N., & Lee, H. B. (2002). Investigación del
comportamiento: Métodos de investigación en ciencias sociales (4.ª ed.). McGraw-Hill Interamericana. https://padron.entretemas.com.ve/INICC2018-2/lecturas/u2/kerlinger-investigacion.pdf
Khalily, M.
T., Bhatti, M. M., Ahmad, I., Saleem, T., Hallahan, B., Ali, S. A.-e-Z., Khan,
A. A., & Hussain, B. (2021). Indigenously adapted cognitive–behavioral
therapy for excessive smartphone use (IACBT-ESU): A randomized controlled
trial. Psychology of Addictive Behaviors, 35(1), 93–101. https://doi.org/10.1037/adb0000677
Kim, K. H. (2005). The relation among fit indexes,
power, and sample size in structural equation modeling. Structural Equation Modeling, 12(3), 368-390. https://doi.org/10.1207/s15328007sem1203_2
Li, K.,
Spitzer, R. L., & Williams, J. B. (2001). The PHQ-9:
validity of a brief depression severity measure. Journal of General Internal
Medicine, 16(9), 606-613. https://doi.org/10.1046/j.1525-1497.2001.016009606.x
Li, Y., Li,
G., Liu, L., & Wu, H. (2020). Correlations between mobile phone addiction
and anxiety, depression, impulsivity, and poor sleep quality among college
students: A systematic review and meta-analysis. Journal of Behavioral
Addictions, 9(3), 551-571. https://doi.org/10.1556/2006.2020.00057
Liu, S.,
Xiao, T., Yang, L., & Loprinzi, P. D. (2019). Exercise as an Alternative
Approach for Treating Smartphone Addiction: A Systematic Review and
Meta-Analysis of Random Controlled Trials. International Journal of
Environmental Research and Public Health, 16(20), 3912. https://doi.org/10.3390/ijerph16203912
Liu, X. X. (2021). A systematic review of prevention
and intervention strategies for smartphone addiction in students: Applicability
during the COVID-19 pandemic. Journal of Evidence-Based Psychotherapies,
21(2), 3-36. https://doi.org/10.24193/jebp.2021.2.9
Liu, H., Soh, K. G., Samsudin, S., Rattanakoses,
W., & Qi, F. (2022). Effects of exercise and psychological interventions on
smartphone addiction among university students: a systematic review. Frontiers
In Psychology, 13, 1021285. https://doi.org/10.3389/fpsyg.2022.1021285
MacCallum, R.
C., Browne, M. W., & Sugawara, H. M. (1996). Power Analysis and
Determination of Sample Size for Covariance Structure Modeling. Psychological
Methods, 1(2), 130-49. https://doi.org/10.1037/1082-989X.1.2.130
Martínez, N., Vidal, M., Ureña, P., & Rosado, F.
(2025). Prevalencia de
adicción a teléfonos inteligentes en estudiantes de medicina. Ciencia Y Salud, 9(2), 19–28. https://doi.org/10.22206/cysa.2025.v9i2.3113
McDonald, R. P. (1999). Test theory:
A unified treatment. Lawrence Erlbaum Associates Publishers.
Pendergast,
L. L., Von der Embse, N., Kilgus, S. P., &
Eklund, K. R. (2017). Measurement equivalence: A non-technical primer on
categorical multi-group confirmatory factor analysis in school psychology. Journal
of School Psychology, 60, 65-82. https://doi.org/10.1016/j.jsp.2016.11.002
Pirwani, N., & Szabo, A. (2024). Could physical
activity alleviate smartphone addiction in university students? A systematic
literature review. Preventive Medicine Reports, 36, 102744. https://doi.org/10.1016/j.pmedr.2024.102744
Purington,
A., Taft, J. G., Sannon, S., Bazarova, N. N., &
Taylor, S. H. (2021). Alexa is my new BFF: Social roles, user satisfaction, and
personification of the Amazon Echo. Journal of Human-Computer Interaction,
1853-2859. https://doi.org/10.1145/3027063.3053246
R Core Team.
(2021). R: A Language and environment for statistical computing. R
Foundation for Statistical Computing. https://www.R-project.org/
Rosseel, Y.
(2012). Iavaan: An R Package for Structural Equation
Modeling. Journal of Statistical Software, 48(2), 1–36. https://doi.org/10.18637/JSS.V048.I02
Rupert, M.,
& Hawi, N. (2016). Relationships among smartphone addiction, stress,
academic performance, and satisfaction with life. Computers in Human
Behavior, 57, 321-325. https://doi.org/10.1016/j.chb.2015.12.045
Sijtsma, K. (2009). On the Use, the Misuse, and the
Very Limited Usefulness of Cronbach’s Alpha. Psychometrika, 74(1),
107–120. https://doi.org/10.1007/s11336-008-9101-0
Sohn, S. Y.,
Rees, P., Wildridge, B., Kalk, N. J., & Carter, B. (2019). Prevalence of
problematic smartphone usage and associated mental health outcomes amongst
children and young people: A systematic review, meta-analysis and GRADE of the
evidence. BMC Psychiatry, 19(1), 1-10. https://doi.org/10.1186/s12888-019-2350-x
Svetina, D.,
Rutkowski, L., & Rutkowski, D. (2020). Multiple-group invariance with
categorical outcomes using updated guidelines. Structural Equation Modeling,
27(1), 111–130. https://doi.org/10.1080/10705511.2019.1602776
Višnjić, A., Veličković, V., Sokolović, D., Stanković, M., Mijatović,
K., Stojanović, M., Milošević, Z., & Radulović, O. (2018). Relationship
between the Manner of Mobile Phone Use and Depression. International Journal
of Environmental Research and Public Health, 15(4), 697. https://doi.org/10.3390/ijerph15040697
Wei, X. Y.,
Liang, H. Y., Gao, T., Gao, L. F., Zhang, G. H., Chu, X. Y., & Lei, L.
(2024). Preference for Smartphone-Based Internet Applications. Social
Science Computer Review, 42(5), 1266-1281. https://doi.org/10.1177/08944393231222680
Wu, H., &
Estabrook, R. (2016). Identification of confirmatory factor analysis models. Psychometrika,
81(4), 1014–1045. https://doi.org/10.1007/s11336-016-9506-0
Wu, Y. Y.,
& Chou, W. H. (2023). A bibliometric analysis. International Journal of
Environmental Research and Public Health, 20(5), 3840. https://doi.org/10.3390/ijerph20053840
Análisis exploratorio de las competencias psicológicas en el ámbito
clínico de estudiantes universitarios desde una perspectiva interconductual.
RESUMEN
Antecedentes: El uso creciente de los smarphones ha generado preocupaciones sobre su uso
problemático y su impacto en la salud mental. La evaluación de la adicción a
los smartphones requiere instrumentos válidos y confiables, como el Test de
Dependencia al Móvil Breve (TMDbrief), ampliamente
utilizado en diversos contextos culturales. Objetivo: Este estudio tuvo
como objetivo evaluar las propiedades psicométricas del TMDbrief,
incluyendo su estructura factorial, consistencia interna, invarianza de
medición según el género y validez convergente con la depresión y el phubbing en estudiantes universitarios peruanos. Método:
En este estudio transversal, se evaluó a una muestra de 954 estudiantes
mediante el TMDbrief, el PHQ-9 para medir la
depresión y la Escala de Phubbing para evaluar la
interferencia del uso del teléfono en la interacción social. Se realizó un
análisis factorial confirmatorio (AFC) para evaluar la estructura de cuatro
factores, y la consistencia interna se midió con el coeficiente omega de McDonald.
La invarianza de medición según el género fue analizada para garantizar la
aplicabilidad del instrumento en hombres y mujeres. Resultados: El AFC
confirmó la estructura de cuatro factores (χ²(48) =
320.31, CFI = .983, TLI = .977, RMSEA = .077, SRMR = .029). La consistencia
interna fue alta, con el coeficiente ω de McDonald entre .80 y .85; la
fiabilidad compuesta (CR) estuvo entre .80 y .86 y la varianza media extraída
(AVE) entre .57 y .67, lo que indica una convergencia adecuada. Se confirmó la
invarianza de medición según el género, y la validez convergente fue respaldada
por correlaciones moderadas con la depresión y el phubbing.
Conclusión: El TMDbrief es un instrumento
válido y confiable para evaluar la adicción a los teléfonos inteligentes en
estudiantes universitarios peruanos, lo que respalda su uso en investigación,
detección temprana y desarrollo de intervenciones.
Palabras claves: Psicometría; Smartphone; Adicción al Teléfono Móvil; Phubbing;
Estudiantes Universitarios; Perú.