Yang Chao, Wenying Huang, Chang Hu, W. W. Zhang, Bin Chen, Chi Zhou, Dong Zhu, Bo Xu
Objectives This study explores how negative life events relate to problematic smartphone use among university students and examines whether self-efficacy acts as a mediator and physical activity as a moderator in this relationship. Methods A cross-sectional survey was conducted among undergraduates at eight universities in Nanchang, China, from November 2024 to March 2025. Validated instruments were used to assess negative life events (ASLEC), self-efficacy (GSES), physical activity (PARS), and problematic smartphone use (SAS-SV). The sample included 2,680 participants (47.6% male, 52.4% female; mean age = 19.60 years). Statistical analyses included Pearson correlation analysis and PROCESS models for mediation and moderation. Results Negative life events were positively correlated with problematic smartphone use and negatively correlated with self-efficacy and physical activity. Self-efficacy partially mediated the relationship between negative life events and problematic smartphone use [indirect effect β = 0.05, 95% CI (0.04, 0.07)], with a significant direct effect. Physical activity attenuated the positive correlation between negative life events and problematic smartphone use (interaction β = −0.01, p < 0.001). Conclusions Negative life events, self-efficacy, physical activity, and problematic smartphone use are interrelated among university students. Enhancing self-efficacy and promoting physical activity may help mitigate problematic smartphone use. However, the cross-sectional design and reliance on self-reports limit causal inference.