Multiple Screen Addiction Part 1
Multiple Screen Addiction Part 1
Multiple Screen Addiction Part 1
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ITALL
Mustafa SARITEPECİ *1
1. Introduction
Today, devices with screens (TV, Smart Phone, Tablet, PC, etc.) that enable us to reach various multimedia media
have become the most important tools of our daily life (Lin, Kononova, & Chiang, 2019). The use of these devices
for a wide variety of activities and tasks in daily life causes an increase in the dependence of individuals on mobile
devices (Lin et al., 2019) and the Internet service accessed by these devices. Smartphone/Mobile phone and
Internet addiction are described as a type of behavioral addiction (Bianchi & Phillips, 2005; Cha & Seo, 2018; Jun
& Choi, 2015; Kwon, Lee, et al., 2013) and in the literature, there are numerous studies to understand the
structures they are related to have been conducted (Aljomaa, Qudah, Albursan, Bakhiet, & Abduljabbar, 2016;
Yildiz Durak & Saritepeci, 2019; Gökçearslan, Uluyol, & Şahin, 2018; Kwon, Kim, Cho, & Yang, 2013; Yildiz
Durak, 2019; Young, 1998). However, there are a few studies about multi-screen addiction or screen addiction
(Balhara, Verma, & Bhargava, 2018; Din & Isam, 2019; Khalili-Mahani, Smyrnova, & Kakinami, 2019; Lin et al.,
2019; Lucena, Cheng, Cavalcante, Silva, & Farias Júnior, 2015). In this study, multiple screen addiction is
addiction can be expressed as excessive and obsessive media consumption with more than one device with
screens (Balhara et al., 2018; Bölükbaşı-Macit & Kavafoğlu, 2019; Lin et al., 2019). The most important difference
between multi-screen addiction and smartphone addiction or Internet addiction is that it does not express a
situation limited to a single tool or service. One of the important indicators of behavioral addiction is that the
person's lack or restriction of access to an object or situation creates discomfort. In multi-screen addiction, not
having access to only one device with a screen such as a phone, tablet, computer or TV is not an important
indicator on its own. It expresses the status that an individual experiences discomfort and deprivation when they
lose access to all or several of these devices at the same time (Lin, Kononova & Chiang, 2019).
In the Digital-2020 report, in Turkey, the 16-64 age range in which Internet users watch TV for 3 hours per day,
use 7.5 hours of Internet, and it is understood that an average 1-hour play console games (We Are Social, 2020).
Watching various video content is not just limited to TV. Therewithal, the behavior of watching videos over the
Internet with various mobile devices is closely related to this situation. In support of this, when the data related
to monitoring online daily video published by Statista (2019) are analyzed, Turkey and Saudi Arabia with a daily
rate of 64% watch online videos are the countries with the highest rate. Accordingly, it can be said that university
students whose social interaction has been limited due to the Covid-19 epidemic have increased or increase the
time they spend with multiple screens (Phone, Tablet, PC, TV) and they face the risk of turning into an addiction.
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This situation, in which interaction with people other than family members is limited, may cause individuals to
experience stress from various angles and spend more time on screens to overcome this stress. Although screens
help overcome the stress experienced in such a situation, it can be said that the individual can significantly
increase the risk of developing multiple screen addiction (Khalili-Mahani et al., 2019). This type of addiction may
have several negative behavioral, social, and health consequences for individuals (Chang et al., 2018; Kardaras,
2016; Mozafarian et al., 2017; Sarojini, Gayathri, & Priya, 2019; Seaward, 2020). Accordingly, it can be said that it
is important to determine the level of multiple screen addiction, which is an important risk factor for university
students. In this context, this study, it is aimed to create a valid and reliable measurement tool that can be used
2. Method
This research is a valid and reliable scale development study to determine the multiple screen addiction levels of
university students.
2.1. Participant
This study was carried out with the voluntary participation of students who continue their undergraduate
education in various higher education institutions in Turkey. Appropriate/purposeful sampling method, which
is more convenient for voluntary participation, was used in determining the study group. 69% of the 216 students
included in the study were women and 31% were men (See Table 1). When the distribution of the participant
group, which has an average age of 21.72, according to the class level is examined, the highest participation is
composed of the first-grade students with a rate of 39.4%. When the time spent by the participants with devices
with screens is examined, it is seen that they use mobile phones for an average of 6.10 hours per day and a PC or
Tablet PC for 3.00 hours per day and watch TV for an average of 1.63 hours per day.
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Table 1.
Options f %
Male 67 31.0
2 60 27.8
3 22 10.2
4 49 22.7
In the development of the multi-screen addiction scale, first of all, international studies on screen addiction were
examined. Following this, various research and various measurement tools developed regarding smartphone
addiction, Internet addiction, problematic technology usage, etc., which have various similarities, have no clear
boundaries between them, and are even transient in certain situations, are examined. In addition, the Diagnostic
and Statistical Manual of Mental Disorders DSM-V Internet Gaming Disorder addiction indicators (American
Psychiatric Association, 2013) and Internet addiction, some of the indicators associated with smartphone
addiction have been thought to be important factors for screen addiction. In this context, various smartphone
addiction (Kwon et al., 2013; Lin et al., 2014) and Internet addiction scales (Chen, Weng, Su, Wu, & Yang, 2003;
Young, 1998) and studies on screen addiction instruments (Lin, Kononova, & Chiang, 2019) used were studied.
Within the scope of the literature review by the researcher, an item pool of 18 items was created to take into
consideration DSM-V Internet Gaming Disorder indicators, the biopsychosocial framework presented by
Griffiths (2005), and internet addiction diagnostic criteria determined by Young (1998). The pool of draft items
was examined in terms of clarity, language, suitability to the target audience, and spelling check by a linguist.
Following this, a draft scale form was sent to 3 volunteer university students, and the compliance of the items
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with the target audience was checked with an online focus group interview. As a result of the focus group
interview, one item that was not found to be understandable due to its leading to different implications was
removed from the scale. The 17-item draft "Multi-Screen Addiction Scale Expert Opinion" form was sent to 3
experts related to scale development and the research topic. They examined each item in terms of “appropriate”,
“not appropriate”, “should be corrected” options and added their opinions about the items as “explanation”
where they deemed necessary. In line with expert opinions, two experts shared the opinion that an item should
be corrected, and one expert shared the opinion that it was not a necessary item. Therefore, it was decided that it
would be more appropriate to remove this controversial item from the scale form. In addition, various correction
suggestions were made for 5 items and changes were made in the items in line with these suggestions by the
researcher. As a result, a 5-point Likert type Multiple Screen Addiction Scale form consisting of 16 items was
created.
With the data collection tool consisting of personal information form and MSAS, data from university students
were collected online on a voluntary basis. A “Participant Consent Form” was presented before the data collection
tool to ensure voluntary participation and provide detailed information to the participants regarding attendance
and leaving the study. If the participant approves this form, the data collection tool was automatically sent to
her/him. Otherwise, no data collection tool was sent to the participant, and it was provided to leave the
implementation process. The implementation of the data collection tool covers 3-5 minutes. 227 students
continuing their education at different universities responded to the data collection tool consisting of 22 items, 6
in the personal information form and 16 in the MSAS scale. For various reasons (having extreme values or giving
the same answer to all items) 11 participants' data were extracted and analyzed were carried out with data
In this study, the scope and construct validity of the multi-screen addiction scale were tried to be determined. For
this purpose, exploratory and confirmatory factor analyzes were conducted. In addition, 3 field experts, who have
at least a doctorate degree and experienced in scale development and problematic technology use, were examined
the scale in terms of content validity. Cronbach alpha reliability coefficient was calculated to determine the
reliability level of the final scale form created with EFA and CFA. The prevalence of multiple screen addiction
among the participants was determined within the framework of polythetic and monothetic criteria.
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3. Result
The Kaiser Meyer Olkin coefficient of the data collected for MSAS was calculated as .92 and this value is above
the acceptable value of .6 (Field, 2009; Tabachnick, Fidell, & Ullman, 2007), and Bartlett's Test of Sphericity is
significant at the p <.01 level (𝑥 2 =1874.02, p=.00). Accordingly, it can be said that the MSAS data set is suitable for
EFA (Cohen, Manion, & Morrison, 2007). In order to determine the 16-item MSAS factor structure, factors with
an eigenvalue greater than 1 and at least 5% (Seçer, 2013) were taken into account within the framework of the
Kaiser-Guttman principle. In addition, the lower limit of item factor load was determined as .30. It was decided
to exclude items with a factor loading of less than .30 from the scale (Büyüköztürk, Kılıç-Çakmak, Akgün,
Karadeniz, & Demirel, 2017). In determining the construct validity with EFA, starting from the prediction that
possible factors of the MSAS scale would be related, the direct-oblimin rotation technique was used. The reason
for using direct-oblimin as a rotation technique is the prediction that the factors that made up the multiple screen
dependency will be related (Büyüköztürk, 2002; Saritepeci, 2018). As a result of the analysis, it was determined
that there are three factors (Factor 1: 7.63, Factor 2: 1.48; Factor 3: 1.07) with an eigenvalue greater than 1 and at
least 5% explanation. According to the factor analysis result, item-7 overlapped in two factors (Factor 2 and Factor
3). Therefore, this item was removed from the scale, and EFA was repeated. When examined to the line chart
presented in Figure 1 regarding the factor eigenvalues of the MSAS scale, it is understood that there are 3 factors
(Factor1: 7.12, Factor2: 1.44, Factor3: 1.04) with an eigenvalue higher than 1.
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Figure 1.
Detailed findings of EFA are presented in Table 2. As a result of the analysis, the factor load values of the items
in the scale vary between .48 and .86. Factor 1 was named as "Compulsive Behavior", Factor 2 as "Loss of Control"
and Factor 3 as "Excessive Screen Time", considering the factors that emerged as a result of EFA. There are 8-items
in the compulsive behavior sub-dimension, explaining 47.47% of the total variance. The loss of control factor has
9.62% explanatory and contains 3-items. There are 4-items in the excessive screen time factor and the contribution
of this factor to the total variance was found to be 6.94%. Accordingly, the total explanatory of the 3-factor
structure is 64.03%.
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Table 2.
Descriptive findings obtained regarding the sub-dimensions and items of the MSAS scale are presented in Table
3 and Table 4. According to Table 3, the average of the items varies between 1.57-3.02. On the MSAS scale, item-
8 ("I control the screen of my mobile devices (phone, tablet, PDA, etc.) even though I do not receive any
notification.") has had the highest score average (3.02), and item-14 ("I lie to my relatives (family members, friends,
etc.) about the time I spend on a screen.") has had the lowest average score (1.57).
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Table 3.
According to Table 4, the MSAS average score of the participants is 37.85. Accordingly, it can be said that the
participants' scores indicate a relatively low level of multi-screen addiction. When the situation is examined in
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terms of scale sub-dimensions, the highest mean score is Excessive Screen Time (M / k = 2.71), while the lowest
Table 4.
As a result of EFA, the construct conformity of the 3-factor 15-item MSAS scale was tested with CFA using AMOS
24.0 application. Due to the "normal distribution" of the data, the "maximum likelihood" method was used
(Gürbüz & Şahin, 2016). As a result of the analysis, it was observed that some goodness of fit values were outside
the reference range (𝑥 2 ∕ ⅆ𝑓=2.552, RMSEA=.085, GFI=.882, CFI=.919). Thereupon, the modification suggestions
were examined, and the analysis was repeated by combining the i01-i02 and i06-i08 error variances (See Figure
2). According to the goodness of fit values (𝑥 2 ∕ ⅆ𝑓=2.206, RMSEA= .075, GFI=.901, CFI=.938) obtained as a result
of CFA, the structure of the 3-factor multiple screen dependency scale has an acceptable fit. According to Figure
1, the standardized factor loads of MSAS items vary between .49 and .88.
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Figure 2.
3.3. Reliability
After the construct validity of the scale was checked with CFA, the internal consistency coefficients of the final
fomat of the multiple screen addiction scale consisting of three dimensions and 15 items and its sub-dimensions
were calculated. Accordingly, the internal consistency coefficient of the MSAS scale was calculated as .92.
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Reliability coefficients in the subscales were calculated as excessive screen time .83, compulsive behavior .90, and
loss of control .71. The fact that the Cronbach alpha internal consistency coefficient is above .70 in the MSAS scale
and its sub-dimensions (Büyüköztürk, 2018) indicates that the scale and its sub-dimensions have a reliable
structure. After determining the internal consistency coefficients for the scale and its sub-dimensions, item
analyzes were carried out and the obtained findings are presented in Table 5. According to Table 5, corrected
item-total correlation values are above .30. This situation indicates that the substances have good compatibility
with other substances (Büyüköztürk, 2018). In all of the item distinctiveness comparisons presented in Table 5, it
is seen that there was a significant difference in favor of the upper group. Accordingly, it can be said that the
Table 5.
Item Analysis
Item Distinctiveness
Corrected Item-
Factor Items (%27 lower group - %27 upper group)
Total Correlation
t p
i01 .75 18.15 .000
Excessive Screen i02 .83 22.22 .000
Time i03 .79 15.64 .000
i04 .73 16.05 .000
i05 .73 14.05 .000
i06 .75 12.76 .000
i08 .85 18.93 .000
Compulsive i09 .88 20.91 .000
Behavior i10 .87 20.25 .000
i11 .83 19.49 .000
i13 .81 15.06 .000
i15 .70 10.30 .000
i12 .57 17.22 .000
Loss of Control i14 .60 11.49 .000
i16 .66 18.59 .000
The final form of the three-factor structure of the MSAS scale exhibited acceptable reliability and validity. Both
monothetic and polythetic formats were used as addiction criteria. In the monothetic criterion, all criteria related
to multi-screen dependency must be met. In the polythetic criterion, at least half of the addiction indicators must
be met. In this study, the 5-point Likert type was determined as 3 (sometimes) cut-off point on this scale and it
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was accepted that the item related to this cut-off point and the answers above it was met. Accordingly, responding
to all items within the scope of the monothetic criterion and to at least 8 items within the scope of the polythetic
criterion in MSAS, which consists of 15 items, is defined as an indicator of dependence. Accordingly, it was
determined that 4.63% of the participants within the scope of the monothetic criterion and 50% of the participants
within the framework of the polythetic criterion were multiple screen addicts.
This study aims to develop a valid and reliable scale to measure the multi-screen addiction level of university
students. In this context, an item pool was constituted by examining (1) studies in the literature on multi-screen
addiction and screen addiction, (2) APA DSM-V Internet Gaming Disorder indicators, which are thought to be
closely related to multi-screen addiction, (3) developed scales and researches on issues such as internet addiction,
mobile game addiction, problematic social media use. After various pre-examination and structuring activities, a
EFA was applied to determine the factor structure of the scale, and as a result, it was found that one item
overlapped in more than one factor. This item was removed from the scale form and EFA was repeated, and a
three-factor structure with an eigenvalue greater than 1 was formed. The compulsive behavior sub-dimension
alone explains 48.19% of the total variance. loss of control explains 10.08% of the total variance and 7.21% of
excessive screen time. It has been determined that the structure created as a result of EFA has an acceptable
harmony with the performed CFA. When the internal consistency of the final format of the scale was examined,
it was determined that the Cronbach Alpha value in the overall and sub-dimensions of the scale was between .71
and 92.
Each item in the scale created within the scope of this study was scored from 1 (Never) to 5 (Always). Responses
of 3 (sometimes) and above to items in the scale were considered to be met in terms of addiction. Monothetic and
polythetic formats were used together to determine the addiction criteria. It has been determined that 4.63% of
the participants according to the monothetic format (participants who gave at least 3-sometimes answers to all 15
items) are multi-screen addicts, while according to the polythetic format 50% of the participants (participants who
answered at least 8 of the 15 items 3-sometimes) are multi-screen addicts. This finding supports the digital-2020
report prepared by the We Are Social (2020), individuals in the 16-65 age range in Turkey daily 7H as 29M Internet
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use, 3H 4M television and 58M gaming average, including console 11H 31M has been reported that spent time
with several screens. Accordingly, it can be said that a significant portion of the individuals in society carry
various risks in the context of screen addiction and excessive time spent in front of the screens.
In this study, a three-dimensional scale with proven validity and reliability was developed to determine the
multiple screen addiction levels of university students. In future studies, screening studies can be conducted to
determine the variables that affect the multiple screen addiction levels of university students. In addition,
qualitative and mixed studies can be organized to examine in more depth the causes of screen addiction and what
MSAS scale was developed for university students. On the other hand, screen addiction is not only a significant
threat for university students, but it also concerns a significant part of society. Therefore, it is important to conduct
In this study, it was determined that 50% of the participants showed multi-screen addiction according to the
polythetic format. In this case, it can be said that a significant number of individuals are connected to screens,
especially mobile device screens, in a long and obsessive manner during the day. In the context of this study, it is
recommended to organize various activities that will raise awareness about the time spent by university students
4.2. Limitations
It is generally recommended that EFA and DFA be carried out with different working groups in scale
development studies. In this study, data obtained from a single group in EFA and CFA studies were used, and
this is seen as an important limitation. Since the data collection process came to summer with the Covid-19
outbreak, participation in the study was limited and the data collection process took much longer than expected.
In addition, it is thought that differences in the interaction of individuals with screens during the epidemic period
may cause higher scores for multiple screen addiction. In this case, it is seen as a factor that limits the
All stages of the study were organized and conducted by the author. In addition, the authors declare that they
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Ethics
In this study, all scientific ethical rules were followed. For the study, 2020-SBB-0114 ethics committee approval
was obtained from Bartın University Social Sciences and Humanities Ethics Committee.
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Appendix
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