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March 30, 2026BMC Psychology0 citationsOpen Access

Smartwatch use intensity and social physique anxiety: the moderating role of neuroticism and conscientiousness

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HLHaolan LiYFYu FangBLBingshan Li

Key Points

  • This research explores how smartwatch use intensity influences social physique anxiety and the moderating roles of personality traits.
  • Cross-sectional survey design with 486 adult exercisers in China
  • Participants completed measures including Smartwatch Use Intensity Scale and Social Physique Anxiety Scale
  • Harman’s single-factor test assessed common method bias
  • Hierarchical regression and moderation analyses were conducted using the PROCESS macro
  • Smartwatch use intensity positively associated with social physique anxiety (β = 0.29, p < .001)
  • Neuroticism moderated the relationship, strengthening the association among high neuroticism individuals (ΔR² = 0.028, p < .001)
  • Conscientiousness moderated the relationship, weakening the association among high conscientiousness individuals (ΔR² = 0.012, p = .008)
  • Moderation effects indicate individual differences significantly affect the relationship despite being small

Abstract

The widespread adoption of smartwatch technology has fundamentally transformed how individuals engage with physical activity. However, limited research has examined the psychological implications of intensive smartwatch use during exercise. This study investigated the cross-sectional relationship between smartwatch use intensity and social physique anxiety among adult exercisers in China, and examined whether personality traits moderate this relationship. A cross-sectional survey was conducted with 486 regular exercisers (mean age = 28.73 years, standard deviation = 7.42; 52.1% female) recruited from fitness centres in Hefei, Anhui Province, China. Participants completed validated measures including the Chinese 7-item Social Physique Anxiety Scale (C-SPAS-7), a purpose-developed Smartwatch Use Intensity Scale (SUIS), and the Big Five Inventory. Common method bias was assessed using Harman’s single-factor test. Hierarchical regression and moderation analyses were conducted using the PROCESS macro. Smartwatch use intensity was positively associated with social physique anxiety (β = 0.29, p < .001), controlling for demographic and exercise-related covariates. Neuroticism significantly moderated this association (ΔR² = 0.028, p < .001), with the association being stronger among individuals high in neuroticism. Conscientiousness also moderated the association (ΔR² = 0.012, p = .008), with the association being weaker among individuals high in conscientiousness. These findings highlight the importance of individual differences in understanding the psychological correlates of wearable technology use. Given the cross-sectional design, causality cannot be established; it remains possible that pre-existing anxiety drives more intensive technology use rather than the reverse. Individuals high in neuroticism may be particularly vulnerable to anxiety associated with intensive smartwatch use, while conscientiousness may serve as a protective factor. Although the moderation effect sizes were small (2.8% and 1.2% additional variance), they represent potentially meaningful individual differences that could accumulate over time. These results have implications for personalised fitness technology design and user wellbeing interventions.

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Cite This Study

Li et al. (2026) studied this question.

synapsesocial.com/papers/69c9c57ff8fdd13afe0bd520https://doi.org/10.1186/s40359-026-04436-2
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