{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,22]],"date-time":"2026-07-22T15:42:51Z","timestamp":1784734971924,"version":"3.55.0"},"reference-count":47,"publisher":"Elsevier BV","license":[{"start":{"date-parts":[[2026,4,1]],"date-time":"2026-04-01T00:00:00Z","timestamp":1775001600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2026,4,1]],"date-time":"2026-04-01T00:00:00Z","timestamp":1775001600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2026,4,1]],"date-time":"2026-04-01T00:00:00Z","timestamp":1775001600000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-017"},{"start":{"date-parts":[[2026,4,1]],"date-time":"2026-04-01T00:00:00Z","timestamp":1775001600000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-037"},{"start":{"date-parts":[[2026,4,1]],"date-time":"2026-04-01T00:00:00Z","timestamp":1775001600000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-012"},{"start":{"date-parts":[[2026,4,1]],"date-time":"2026-04-01T00:00:00Z","timestamp":1775001600000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-029"},{"start":{"date-parts":[[2026,4,1]],"date-time":"2026-04-01T00:00:00Z","timestamp":1775001600000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-004"}],"funder":[{"DOI":"10.13039\/501100007446","name":"King Khalid University","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100007446","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100023674","name":"King Khalid University Deanship of Scientific Research","doi-asserted-by":"publisher","award":["RGP2\/726\/46"],"award-info":[{"award-number":["RGP2\/726\/46"]}],"id":[{"id":"10.13039\/501100023674","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","psychiatricnursing.org","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Archives of Psychiatric Nursing"],"published-print":{"date-parts":[[2026,4]]},"DOI":"10.1016\/j.apnu.2026.152076","type":"journal-article","created":{"date-parts":[[2026,2,19]],"date-time":"2026-02-19T00:17:19Z","timestamp":1771460239000},"page":"152076","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":1,"special_numbering":"C","title":["Always online, still alone: A qualitative study of technology-facilitated loneliness and mood symptoms among university students"],"prefix":"10.1016","volume":"61","author":[{"given":"Rasha Sayed","family":"Ahmed","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7822-1653","authenticated-orcid":false,"given":"Mostafa","family":"Shaban","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"issue":"23","key":"10.1016\/j.apnu.2026.152076_bb0005","doi-asserted-by":"crossref","first-page":"3042","DOI":"10.3390\/healthcare13233042","article-title":"Navigating professional identity and cultural expectations: A phenomenological study of female Saudi nurses\u2019 experiences in mixed-gender healthcare settings","volume":"13","author":"Alshehri","year":"2025","journal-title":"Healthcare"},{"key":"10.1016\/j.apnu.2026.152076_bb0010","doi-asserted-by":"crossref","DOI":"10.1016\/j.ssaho.2025.101793","article-title":"A systematic review and meta-analysis of social media\u2019s influence on mental health, family functioning, and visual content","volume":"12","author":"Alwuqaysi","year":"2025","journal-title":"Social Sciences & Humanities Open"},{"issue":"3","key":"10.1016\/j.apnu.2026.152076_bb0015","doi-asserted-by":"crossref","first-page":"1604","DOI":"10.3390\/nursrep14030120","article-title":"Experiences of nursing students regarding challenges and support for resilience during clinical education: A qualitative study","volume":"14","author":"Aryuwat","year":"2024","journal-title":"Nursing Reports"},{"issue":"1","key":"10.1016\/j.apnu.2026.152076_bb0020","doi-asserted-by":"crossref","first-page":"28","DOI":"10.54660\/IJPGRR.2025.2.1.28-38","article-title":"Telepsychiatry and digital mental health interventions: The future of psychiatric nursing","volume":"2","author":"Ayoola","year":"2025","journal-title":"International Journal of Pharma Growth Research Review"},{"issue":"4","key":"10.1016\/j.apnu.2026.152076_bb0025","doi-asserted-by":"crossref","DOI":"10.2196\/40125","article-title":"Effectiveness of technology interventions in addressing social isolation, connectedness, and loneliness in older adults: Systematic umbrella review","volume":"5","author":"Balki","year":"2022","journal-title":"JMIR Aging"},{"issue":"3","key":"10.1016\/j.apnu.2026.152076_bb0030","doi-asserted-by":"crossref","first-page":"1","DOI":"10.11157\/fohpe.v20i3.387","article-title":"Focus on methodology: Eliciting rich data: A practical approach to writing semi-structured interview schedules","volume":"20","author":"Bearman","year":"2019","journal-title":"Focus on Health Professional Education: A Multi-Professional Journal"},{"issue":"2","key":"10.1016\/j.apnu.2026.152076_bb0035","doi-asserted-by":"crossref","first-page":"77","DOI":"10.1191\/1478088706qp063oa","article-title":"Using thematic analysis in psychology","volume":"3","author":"Braun","year":"2006","journal-title":"Qualitative Research in Psychology"},{"key":"10.1016\/j.apnu.2026.152076_bb0040","doi-asserted-by":"crossref","DOI":"10.1016\/j.ssmmh.2025.100459","article-title":"The effects of social media restriction: Meta-analytic evidence from randomized controlled trials","volume":"7","author":"Burnell","year":"2025","journal-title":"SSM - Mental Health"},{"issue":"3","key":"10.1016\/j.apnu.2026.152076_bb0045","doi-asserted-by":"crossref","first-page":"287","DOI":"10.3390\/bs15030287","article-title":"AI as the therapist: Student insights on the challenges of using generative AI for school mental health frameworks","volume":"15","author":"Chan","year":"2025","journal-title":"Behavioral Sciences"},{"issue":"4","key":"10.1016\/j.apnu.2026.152076_bb0050","doi-asserted-by":"crossref","first-page":"512","DOI":"10.1111\/camh.12614","article-title":"Review: Interventions addressing loneliness amongst university students: A systematic review","volume":"28","author":"Ellard","year":"2023","journal-title":"Child and Adolescent Mental Health"},{"key":"10.1016\/j.apnu.2026.152076_bb0055","doi-asserted-by":"crossref","DOI":"10.2196\/60410","article-title":"Loneliness and problematic media use: Meta-analysis of longitudinal studies","volume":"27","author":"Fam","year":"2025","journal-title":"Journal of Medical Internet Research"},{"key":"10.1016\/j.apnu.2026.152076_bb0060","doi-asserted-by":"crossref","DOI":"10.1007\/s10578-025-01918-z","article-title":"Psychoeducation in school-based mental health: Youth and caregiver insights for a digital app","author":"Gonzalez","year":"2025","journal-title":"Child Psychiatry & Human Development."},{"issue":"21","key":"10.1016\/j.apnu.2026.152076_bb0065","doi-asserted-by":"crossref","first-page":"2717","DOI":"10.3390\/healthcare13212717","article-title":"Implementation factors of digital health interventions in depression care\u2014The perspective of health professionals","volume":"13","author":"Hafner","year":"2025","journal-title":"Healthcare"},{"key":"10.1016\/j.apnu.2026.152076_bb0070","doi-asserted-by":"crossref","DOI":"10.1016\/j.invent.2025.100856","article-title":"Digital bridges to social connection: A systematic review and meta-analysis of digital interventions for loneliness and social isolation","volume":"41","author":"Hansen","year":"2025","journal-title":"Internet Interventions"},{"key":"10.1016\/j.apnu.2026.152076_bb0075","doi-asserted-by":"crossref","DOI":"10.3389\/fpsyg.2025.1553490","article-title":"Analysis of young students\u2019 perception of loneliness: A cross-sectional study","volume":"16","author":"Hern\u00e1ndez-D\u00edaz","year":"2025","journal-title":"Frontiers in Psychology"},{"issue":"1","key":"10.1016\/j.apnu.2026.152076_bb0080","doi-asserted-by":"crossref","first-page":"1155","DOI":"10.1186\/s12912-025-03789-0","article-title":"A comparison of the impact of nurse-led education and telehealth interventions on mental health outcomes for ambulatory patients in Saudi Arabia","volume":"24","author":"Ibrahim","year":"2025","journal-title":"BMC Nursing"},{"issue":"1","key":"10.1016\/j.apnu.2026.152076_bb0085","first-page":"93","article-title":"Screen time and university students\u2019 life: Exploring the impact of smartphone usage on sleep quality, well-being, social behavior, and academic performance","volume":"8","author":"Kee","year":"2025","journal-title":"Asian Pacific Journal of Management and Education"},{"issue":"1","key":"10.1016\/j.apnu.2026.152076_bb0090","doi-asserted-by":"crossref","DOI":"10.1093\/sleepadvances\/zpad027","article-title":"Associations of smartphone usage patterns with sleep and mental health symptoms in a clinical cohort receiving virtual behavioral medicine care: A retrospective study","volume":"4","author":"Knights","year":"2023","journal-title":"Sleep Advances"},{"issue":"3","key":"10.1016\/j.apnu.2026.152076_bb0095","doi-asserted-by":"crossref","DOI":"10.1111\/eip.70017","article-title":"Digital mental health interventions for university students with mental health difficulties: A systematic review and meta-analysis","volume":"19","author":"Madrid-Cagigal","year":"2025","journal-title":"Early Intervention in Psychiatry"},{"issue":"3","key":"10.1016\/j.apnu.2026.152076_bb0100","doi-asserted-by":"crossref","first-page":"468","DOI":"10.1007\/s12529-023-10204-y","article-title":"The impact of digital mental health services on loneliness and mental health: Results from a prospective, observational study","volume":"31","author":"Magid","year":"2024","journal-title":"International Journal of Behavioral Medicine"},{"issue":"1","key":"10.1016\/j.apnu.2026.152076_bb0105","doi-asserted-by":"crossref","first-page":"194","DOI":"10.1111\/nyas.15370","article-title":"Social media use, online experiences, and loneliness among young adults: A cohort study","volume":"1548","author":"Matthews","year":"2025","journal-title":"Annals of the New York Academy of Sciences"},{"key":"10.1016\/j.apnu.2026.152076_bb0110","doi-asserted-by":"crossref","DOI":"10.2196\/78065","article-title":"Technology for mental health: Reflections on scope and future directions in institutes of higher education in India","volume":"17","author":"Mehrotra","year":"2025","journal-title":"Online Journal of Public Health Informatics"},{"key":"10.1016\/j.apnu.2026.152076_bb0115","doi-asserted-by":"crossref","DOI":"10.3389\/fpubh.2024.1459952","article-title":"Relationship of screen time with anxiety, depression, and sleep quality among adolescents: A cross-sectional study","volume":"12","author":"Mohd Saat","year":"2024","journal-title":"Frontiers in Public Health"},{"issue":"3","key":"10.1016\/j.apnu.2026.152076_bb0120","doi-asserted-by":"crossref","first-page":"245","DOI":"10.1007\/s41347-020-00134-x","article-title":"Social media and mental health: Benefits, risks, and opportunities for research and practice","volume":"5","author":"Naslund","year":"2020","journal-title":"Journal of Technology in Behavioral Science"},{"issue":"4","key":"10.1016\/j.apnu.2026.152076_bb0125","doi-asserted-by":"crossref","first-page":"337","DOI":"10.1007\/s40501-019-00186-8","article-title":"Digital innovations for global mental health: Opportunities for data science, task sharing, and early intervention","volume":"6","author":"Naslund","year":"2019","journal-title":"Current Treatment Options in Psychiatry"},{"issue":"2","key":"10.1016\/j.apnu.2026.152076_bb0130","doi-asserted-by":"crossref","first-page":"90","DOI":"10.1007\/S40037-019-0509-2","article-title":"How phenomenology can help us learn from the experiences of others","volume":"8","author":"Neubauer","year":"2019","journal-title":"Perspectives on Medical Education"},{"issue":"7","key":"10.1016\/j.apnu.2026.152076_bb0135","article-title":"Video calls for reducing social isolation and loneliness in older people: A rapid review","volume":"2020","author":"Noone","year":"2020","journal-title":"Cochrane Database of Systematic Reviews"},{"issue":"9","key":"10.1016\/j.apnu.2026.152076_bb0140","doi-asserted-by":"crossref","first-page":"1245","DOI":"10.1097\/ACM.0000000000000388","article-title":"Standards for reporting qualitative research","volume":"89","author":"O\u2019Brien","year":"2014","journal-title":"Academic Medicine"},{"key":"10.1016\/j.apnu.2026.152076_bb0145","doi-asserted-by":"crossref","DOI":"10.1016\/j.chbr.2021.100070","article-title":"Social media use, social anxiety, and loneliness: A systematic review","volume":"3","author":"O\u2019Day","year":"2021","journal-title":"Computers in Human Behavior Reports"},{"issue":"5","key":"10.1016\/j.apnu.2026.152076_bb0150","doi-asserted-by":"crossref","DOI":"10.2196\/35159","article-title":"Digital health interventions for delivery of mental health care: Systematic and comprehensive meta-review","volume":"9","author":"Philippe","year":"2022","journal-title":"JMIR Mental Health"},{"key":"10.1016\/j.apnu.2026.152076_bb0155","doi-asserted-by":"crossref","DOI":"10.1016\/j.ssmqr.2026.100706","article-title":"The clinic. An autoethnographic journey through emotions, conflict, and epistemic tensions in interdisciplinary research","volume":"9","author":"Porrovecchio","year":"2026","journal-title":"SSM - Qualitative Research in Health"},{"issue":"2","key":"10.1016\/j.apnu.2026.152076_bb0160","doi-asserted-by":"crossref","first-page":"183","DOI":"10.1007\/s00787-019-01469-4","article-title":"Why do children and adolescents (not) seek and access professional help for their mental health problems? A systematic review of quantitative and qualitative studies","volume":"30","author":"Radez","year":"2021","journal-title":"European Child & Adolescent Psychiatry"},{"key":"10.1016\/j.apnu.2026.152076_bb0165","doi-asserted-by":"crossref","DOI":"10.1016\/j.chb.2023.108072","article-title":"University students\u2019 opinions on using intelligent agents to cope with stress and anxiety in social situations","volume":"153","author":"Rasouli","year":"2024","journal-title":"Computers in Human Behavior"},{"issue":"1","key":"10.1016\/j.apnu.2026.152076_bb0170","doi-asserted-by":"crossref","DOI":"10.2174\/0117450179271467231231060255","article-title":"Understanding university students\u2019 perspectives towards digital tools for mental health support: A cross-country study","volume":"20","author":"Riboldi","year":"2024","journal-title":"Clinical Practice & Epidemiology in Mental Health"},{"key":"10.1016\/j.apnu.2026.152076_bb0175","doi-asserted-by":"crossref","first-page":"47","DOI":"10.1016\/j.rpsm.2022.04.005","article-title":"Digital mental health interventions for anxiety and depressive symptoms in university students during the COVID-19 pandemic: A systematic review of randomized controlled trials","volume":"16","author":"Riboldi","year":"2023","journal-title":"Revista de Psiquiatr\u00eda y Salud Mental"},{"key":"10.1016\/j.apnu.2026.152076_bb0180","doi-asserted-by":"crossref","DOI":"10.1016\/j.compedu.2019.103754","article-title":"Student loneliness: The role of social media through life transitions","volume":"146","author":"Thomas","year":"2020","journal-title":"Computers & Education"},{"issue":"1","key":"10.1016\/j.apnu.2026.152076_bb0185","doi-asserted-by":"crossref","first-page":"79","DOI":"10.1007\/s00779-021-01570-z","article-title":"Exploring digital support for the student transition to university through questionable concepts","volume":"26","author":"Thomas","year":"2022","journal-title":"Personal and Ubiquitous Computing"},{"issue":"1","key":"10.1016\/j.apnu.2026.152076_bb0190","doi-asserted-by":"crossref","DOI":"10.1016\/j.outlook.2024.102342","article-title":"Policy priorities to improve access to advanced practice nursing care for mental health and substance use problems: An American Academy of Nursing manuscript","volume":"73","author":"Tierney","year":"2025","journal-title":"Nursing Outlook"},{"issue":"2","key":"10.1016\/j.apnu.2026.152076_bb0195","doi-asserted-by":"crossref","first-page":"156","DOI":"10.1002\/wps.21299","article-title":"The evolving field of digital mental health: Current evidence and implementation issues for smartphone apps, generative artificial intelligence, and virtual reality","volume":"24","author":"Torous","year":"2025","journal-title":"World Psychiatry"},{"key":"10.1016\/j.apnu.2026.152076_bb0200","series-title":"Loneliness - The ultimate suffering in modern society [working title]","article-title":"Loneliness and solitude in the digital age","author":"Tsang","year":"2025"},{"issue":"1","key":"10.1016\/j.apnu.2026.152076_bb0205","doi-asserted-by":"crossref","first-page":"11","DOI":"10.26420\/annnursrespract.2023.1056","article-title":"Digital mental health and use in psychiatric nursing","volume":"8","author":"Uzun","year":"2023","journal-title":"Annals of Nursing Research & Practice"},{"issue":"1","key":"10.1016\/j.apnu.2026.152076_bb0210","doi-asserted-by":"crossref","first-page":"858","DOI":"10.1186\/s12889-024-18366-4","article-title":"Relationship between loneliness and internet addiction: a meta-analysis","volume":"24","author":"Wang","year":"2024","journal-title":"BMC Public Health"},{"key":"10.1016\/j.apnu.2026.152076_bb0215","doi-asserted-by":"crossref","DOI":"10.2196\/76642","article-title":"The digital therapeutic alliance with mental health chatbots: Diary study and thematic analysis","volume":"12","author":"Xu","year":"2025","journal-title":"JMIR Mental Health"},{"key":"10.1016\/j.apnu.2026.152076_bb0220","doi-asserted-by":"crossref","first-page":"261","DOI":"10.2147\/JMDH.S400779","article-title":"Nursing intervention for preventing cyberbullying and reducing its negative impact on students: A scoping review","volume":"16","author":"Yosep","year":"2023","journal-title":"Journal of Multidisciplinary Healthcare"},{"key":"10.1016\/j.apnu.2026.152076_bb0225","doi-asserted-by":"crossref","DOI":"10.1016\/j.addbeh.2026.108625","article-title":"Problematic smartphone use and disengagement in first-year college students: A daily diary study of between- and within-person differences","volume":"176","author":"Yu","year":"2026","journal-title":"Addictive Behaviors"},{"key":"10.1016\/j.apnu.2026.152076_bb0230","doi-asserted-by":"crossref","first-page":"1571","DOI":"10.2147\/PRBM.S522652","article-title":"The effects of social media addiction, academic stress, and sleep quality on anxiety symptoms: A cross-sectional study of Chinese vocational students","volume":"18","author":"Zheng","year":"2025","journal-title":"Psychology Research and Behavior Management"},{"issue":"4","key":"10.1016\/j.apnu.2026.152076_bb0235","doi-asserted-by":"crossref","first-page":"875","DOI":"10.1097\/MS9.0000000000000112","article-title":"Link between excessive social media use and psychiatric disorders","volume":"85","author":"Zubair","year":"2023","journal-title":"Annals of Medicine & Surgery"}],"container-title":["Archives of Psychiatric Nursing"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0883941726000269?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0883941726000269?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T19:01:48Z","timestamp":1777575708000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S0883941726000269"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,4]]},"references-count":47,"alternative-id":["S0883941726000269"],"URL":"https:\/\/doi.org\/10.1016\/j.apnu.2026.152076","relation":{},"ISSN":["0883-9417"],"issn-type":[{"value":"0883-9417","type":"print"}],"subject":[],"published":{"date-parts":[[2026,4]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Always online, still alone: A qualitative study of technology-facilitated loneliness and mood symptoms among university students","name":"articletitle","label":"Article Title"},{"value":"Archives of Psychiatric Nursing","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.apnu.2026.152076","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2026 Elsevier Inc. All rights are reserved, including those for text and data mining, AI training, and similar technologies.","name":"copyright","label":"Copyright"}],"article-number":"152076"}}