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Liu S, Xu B, Zhang D, Tian Y, Wu X. Core symptoms and symptom relationships of problematic internet use across early, middle, and late adolescence: A network analysis. COMPUTERS IN HUMAN BEHAVIOR 2022. [DOI: 10.1016/j.chb.2021.107090] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/29/2022]
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52
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Tso WW, Reichert F, Law N, Fu KW, de la Torre J, Rao N, Leung LK, Wang YL, Wong WH, Ip P. Digital competence as a protective factor against gaming addiction in children and adolescents: A cross-sectional study in Hong Kong. THE LANCET REGIONAL HEALTH. WESTERN PACIFIC 2022; 20:100382. [PMID: 35967602 PMCID: PMC9366955 DOI: 10.1016/j.lanwpc.2022.100382] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Indexed: 11/24/2022]
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53
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Bağatarhan T, Siyez DM. The Effectiveness of a Cognitive-Behavioral Prevention Program for Internet Addiction. JOURNAL OF RATIONAL-EMOTIVE AND COGNITIVE-BEHAVIOR THERAPY 2022. [DOI: 10.1007/s10942-021-00439-7] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/08/2023]
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54
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Li H, Gan X, Li X, Zhou T, Jin X, Zhu C. Diathesis stress or differential susceptibility? testing the relationship between stressful life events, neuroticism, and internet gaming disorder among Chinese adolescents. PLoS One 2022; 17:e0263079. [PMID: 35085357 PMCID: PMC8794087 DOI: 10.1371/journal.pone.0263079] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/12/2021] [Accepted: 01/11/2022] [Indexed: 11/19/2022] Open
Abstract
A previous study has documented that stressful life events is positively related to Internet gaming disorder (IGD) among adolescents. However, the mechanism underlying this relationship remains unclear. The current study examined whether the link between stressful life events and adolescent IGD was moderated by neuroticism and whether the interaction of stressful life events and neuroticism supported the diathesis stress model or differential susceptibility model. To this end, self-report questionnaires were distributed. Participants were 927 Chinese adolescents (meanage = 14.53 years, 51.02% male). After controlling for adolescent gender, age, family economic situation, and family socioeconomic status, the results revealed that stressful life events could be positively associated with adolescent IGD and that this link is moderated by neuroticism. Moreover, the results of interaction effects supported the "diathesis stress" model. The above findings contributed to a better understanding of how and when stressful life events increase the risk of IGD and provided new evidence for the diathesis stress hypothesis.
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Affiliation(s)
- Hao Li
- Department of Psychology, College of Education and Sports Sciences, Yangtze University, Jingzhou, China
| | - Xiong Gan
- Department of Psychology, College of Education and Sports Sciences, Yangtze University, Jingzhou, China
| | - Xin Li
- Xian Tao No.1 Middle School, XianTao, China
| | - Ting Zhou
- Department of Psychology, College of Education and Sports Sciences, Yangtze University, Jingzhou, China
| | - Xin Jin
- Yangtze University College of Technology and Engineering, Jingzhou, China
| | - Congshu Zhu
- Department of Psychology, College of Education and Sports Sciences, Yangtze University, Jingzhou, China
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Vessey JA, Difazio RL, Neil LK, Dorste A. Is There a Relationship Between Youth Bullying and Internet Addiction? An Integrative Review. Int J Ment Health Addict 2022; 21:1-25. [PMID: 35018144 PMCID: PMC8735727 DOI: 10.1007/s11469-021-00731-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Accepted: 12/03/2021] [Indexed: 12/02/2022] Open
Abstract
Youth bullying is a global public health problem; Internet addiction is on the rise globally among youths. Because the linkage between these behaviors has not been clearly explicated, this integrative review evaluated the relevant empirical evidence. A search of five electronic databases identified 2,761 original citations published between January 2000 and May 2019. After further abstract screening and detailed evaluation of 262 full-text articles, the final sample consisted of 14 prospective descriptive studies representing 10 countries. Review results clearly established that the relationship between bullying and Internet addiction is firmly supported; less is known as to the contribution of gender, age, and other demographic variables, their impact on health outcomes, problematic behaviors, and the role of parental mediation. Inconsistent definitions and instrumentation and lack of sophisticated study designs limited the synthesis of findings. Future research is needed to explicate these relationships, so data-driven interventions can be developed.
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Affiliation(s)
- Judith A. Vessey
- William F. Connell School of Nursing, Boston College, Chestnut Hill, MA USA
- Medicine Patient Services, Boston Children’s Hospital, Boston, MA USA
| | - Rachel L. Difazio
- Department of Orthopedic Surgery and Sports Medicine , Boston Children’s Hospital, 300 Longwood Avenue, Boston, MA 02115 USA
- Department of Orthopedic Surgery, Harvard Medical School, Boston, MA USA
| | - Laura K. Neil
- Hematology/Oncology Nursing, Boston Children’s Hospital, Boston, MA USA
| | - Anna Dorste
- Medical Library, Boston Children’s Hospital, Boston, MA USA
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56
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Hatakeyama N, Kamada M, Kondo N. Parental Working Hours and Children's Sedentary Time: A Cross-sectional Analysis of the J-SHINE. J Epidemiol 2022; 32:4-11. [PMID: 33012775 PMCID: PMC8666312 DOI: 10.2188/jea.je20200170] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022] Open
Abstract
BACKGROUND Sedentary behaviors are prevalent among children and can have a detrimental effect on their health. Little is known about the influence of parental time on children's sedentary behavior. This study examined the association between parental working hours and children's sedentary time. METHODS Cross-sectional data were drawn from the Japanese Study on Stratification, Health, Income, and Neighborhood (J-SHINE) in 2010 and 2011. Participants were 886 children aged 7-18 years and their parents. The primary outcome was self-reported sedentary time after school that comprised screen time and non-screen time. The main explanatory variable was parental working hours. We used multiple regression analysis adjusting for sociodemographic factors. RESULTS Children's mean sedentary time was 222 (standard deviation [SD], 123) min/day; 144 (SD, 108) min/day screen time and 78 (SD, 65) min/day non-screen time. Children whose mothers worked ≥20 hours/week had 28 (95% CI, 9 to 48) min/day longer sedentary time than children of homemakers (240 min/day vs 214 min/day). The longer maternal working hours, the longer sedentary time (P for trend <0.01). In contrast, children whose fathers worked ≥48 hours/week had 82 (95% CI, -156 to -7) min/day shorter sedentary time than children of non-working fathers (179 min/day vs 264 min/day). When limited to children whose fathers worked, there was no statistically significant association between children's sedentary time and paternal working hours. CONCLUSIONS Children with mothers who work long hours or fathers not working tend to sit more. Supplementing the shortages in resources for childcare may be necessary among those families.
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Affiliation(s)
- Naoko Hatakeyama
- Department of Health Education and Health Sociology, School of Public Health, Graduate School of Medicine, The University of Tokyo
| | - Masamitsu Kamada
- Department of Health and Social Behavior, School of Public Health, Graduate School of Medicine, The University of Tokyo
| | - Naoki Kondo
- Department of Health Education and Health Sociology, School of Public Health, Graduate School of Medicine, The University of Tokyo
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Sun Y, Shao J, Li J, Jiang Y. Internet addiction patterns of rural Chinese adolescents: Longitudinal predictive effects on depressive symptoms and problem behaviors. JOURNAL OF PACIFIC RIM PSYCHOLOGY 2022. [DOI: 10.1177/18344909221105351] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
Abstract
Few studies have systematically investigated the internal heterogeneity of internet addiction to determine the longitudinal predictive effects on depressive symptoms and problem behaviors, especially among the rural adolescents. Via two waves of data collection, this study conducted a survey among 1,194 rural adolescents in China ( Mage = 14.53, SD = 0.72). A latent profile analysis was conducted to explore the various patterns of behaviors and influential factors of internet addiction. These results were then used to predict the probability of depressive symptoms and problem behaviors. The findings are as follows: (1) According to the behavioral patterns uncovered, internet addiction among rural adolescents can be divided into four subgroups: normal internet use (41%), low internet addiction (39%), high internet addiction (9%), and overuse of online games (11%). (2) The distribution of internet addiction patterns among rural adolescents were significantly correlated with gender, deviant peer affiliation, and parental alienation. (3) Adolescents in the high internet addiction and overuse of online game categories generally had more depressive symptoms and problem behaviors than those in the normal-use category. These findings indicate considerable heterogeneity in internet addiction among rural adolescents in China. Specifically, gender, deviant peer affiliation, and parental alienation are the risk factors for the internet-addiction profiles.
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Affiliation(s)
- Yadong Sun
- Center for Mental Health Education, Faculty of Psychology, Southwest University, Chongqing, 400715, China
| | - JingJin Shao
- Center for Mental Health Education, Faculty of Psychology, Southwest University, Chongqing, 400715, China
| | - Jiamei Li
- Center for Mental Health Education, Faculty of Psychology, Southwest University, Chongqing, 400715, China
| | - Yue Jiang
- Center for Mental Health Education, Faculty of Psychology, Southwest University, Chongqing, 400715, China
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58
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Nguyen CTT, Yang HJ, Lee GT, Nguyen LTK, Kuo SY. Relationships of excessive internet use with depression, anxiety, and sleep quality among high school students in northern Vietnam. J Pediatr Nurs 2022; 62:e91-e97. [PMID: 34334256 DOI: 10.1016/j.pedn.2021.07.019] [Citation(s) in RCA: 7] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/26/2020] [Revised: 07/20/2021] [Accepted: 07/21/2021] [Indexed: 11/30/2022]
Abstract
PURPOSE To examine the associations of excessive internet use with depression, anxiety, and sleep quality among high school students in northern Vietnam, a country experiencing rapid economic growth. DESIGN AND METHODS A cross-sectional study was conducted in a high school in northern Vietnam from July to September 2019. Symptoms of depression and anxiety were respectively assessed using the Center for Epidemiological Studies Depression Scale and the Vietnamese Anxiety Scale. Sleep quality was measured using the Pittsburgh Sleep Quality Index. Internet use and demographic characteristics were obtained using structured questionnaires. A multiple logistic regression was performed. RESULTS In total, 678 participants with an average age of 16.1 (standard deviation 0.9) years were included. Nearly one-third of the adolescents (30.7%) exhibited excessive internet use (> 4 h/day), 19.6% experienced depressive symptoms, 14.5% presented anxiety symptoms, and 58.8% reported poor sleep quality. Compared to non-excessive internet users, excessive internet users (> 4 h/day) experienced significantly higher levels of depressive symptoms (p = .001), anxiety (p = .008), and poorer sleep quality (p < .001). Students who were female and with fair/poor self-rated health experienced higher depression, anxiety, and poor sleep quality (p < .05). After adjusting for demographic and health-related factors, students with excessive internet use were 58% more likely to experience poor sleep quality (odds ratio, 1.58, 95% confidence interval [1.06, 2.35]). CONCLUSIONS Excessive internet use in Vietnamese high school students was significantly associated with poor sleep quality, but not with depression or anxiety.
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Affiliation(s)
- Cai Thi Thuy Nguyen
- Faculty of Nursing and Midwifery, Hanoi Medical University, Hanoi, Viet Nam; School of Nursing, College of Nursing, Taipei Medical University, Taipei, Taiwan.
| | - Hao-Jan Yang
- Department of Public Health, College of Health Care and Management, Chung Shan Medical University, Taichung, Taiwan.
| | - Gabrielle T Lee
- Applied Psychology, Faculty of Education, Western University, London, ON, Canada
| | | | - Shu-Yu Kuo
- School of Nursing, College of Nursing, Taipei Medical University, Taipei, Taiwan.
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59
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Mobile gaming and Internet addiction: When is playing no longer just fun and games? COMPUTERS IN HUMAN BEHAVIOR 2022. [DOI: 10.1016/j.chb.2021.106989] [Citation(s) in RCA: 4] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022]
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60
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Wang Z, Hong B, Zhang Y, Su Y, Li M, Zhao L, Jia P. Children and adolescents' positive youth development qualities and internet addiction during the COVID-19 pandemic: A longitudinal study in China. Front Psychiatry 2022; 13:1068737. [PMID: 36713917 PMCID: PMC9875032 DOI: 10.3389/fpsyt.2022.1068737] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/13/2022] [Accepted: 12/21/2022] [Indexed: 01/12/2023] Open
Abstract
BACKGROUNDS Recent studies have shown that the qualities of children and adolescents' positive youth development (PYD) enable them to cope with developmental challenges in an adaptive manner and maintain healthy functioning. During the COVID-19 pandemic, there is still a lack of reporting on changes in children and adolescents' PYD qualities and Internet addiction and their relationship. This study investigated the association between PYD qualities and Internet addiction among the children and adolescents who have experienced the COVID-19 lockdown. METHODS A school-based cohort survey was launched in December 2019 (Wave 1, before COVID-19 lockdown) and followed up in June 2020 (Wave 2, after COVID-19 lockdown). The Chinese PYD scale (80 items, scoring 80-480) and Young's Internet addiction test (20 items, scoring 20-100) were used to evaluate the children and adolescents' PYD qualities and the degree of their Internet addiction, respectively. Cross-sectional regressions, longitudinal regressions, and cross-lagged panel model were used to examine the association between PYD qualities and Internet addiction. RESULTS 7,985 children and adolescents completed both waves of surveys. Compared with children and adolescents before lockdown (Wave 1), their total PYD quality dropped from 4.99 to 4.96 after COVID-19 lockdown (Wave 2), and the mean score for Internet addiction rose from 35.56 to 36.16. Cross-sectional analysis showed that after controlling for basic characteristics such as age and gender, the total PYD quality of children and adolescents in two waves was negatively correlated with the degree of Internet addiction during the same period, with β of -6.10 and -6.95, respectively. Longitudinal analysis showed that after controlling for basic characteristics, children and adolescents' total PYD quality in Wave 1 was negatively correlated with the Wave 2 of Internet addiction and the change between the two waves of Internet addiction, with β of -3.35 and -0.26, respectively. Cross-lagged panel models showed a negative bilateral relationship between total PYD quality and Internet addiction. CONCLUSION During the COVID-19 pandemic, the qualities of children and adolescents' PYD declined, which makes children and adolescents more vulnerable to Internet addiction. Therefore, it is necessary to widely implement programs in China that can comprehensively improve the qualities of children and adolescents' positive development to prevent Internet addiction, especially after the blockade due to public health emergencies.
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Affiliation(s)
- Zhuo Wang
- Department of Chronic and Non-communicable Disease Control and Prevention, Sichuan Center of Disease Control and Prevention, Chengdu, China
| | - Binxue Hong
- Department of Health Policy and Management, West China School of Public Health, Sichuan University, Chengdu, China
| | - Yanyan Zhang
- Department of Chronic and Non-communicable Disease Control and Prevention, Sichuan Center of Disease Control and Prevention, Chengdu, China
| | - Ya Su
- Department of Sociology and Anthropology, Swarthmore College, Swarthmore, PA, United States
| | - Minghui Li
- Department of Chronic and Non-communicable Disease Control and Prevention, Sichuan Center of Disease Control and Prevention, Chengdu, China
| | - Li Zhao
- Department of Health Policy and Management, West China School of Public Health, Sichuan University, Chengdu, China.,Healthcare Evaluation and Organization Analysis (HEOA) Group, West China School of Public Health and West China Fourth Hospital, Sichuan University, Chengdu, China.,International Institute of Spatial Lifecourse Health (ISLE), Wuhan University, Wuhan, China
| | - Peng Jia
- International Institute of Spatial Lifecourse Health (ISLE), Wuhan University, Wuhan, China.,School of Resource and Environmental Sciences, Wuhan University, Wuhan, China
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61
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Tang Q, Wang Y, Li J, Luo D, Hao X, Xu J. Effect of Repeated Home Quarantine on Anxiety, Depression, and PTSD Symptoms in a Chinese Population During the COVID-19 Pandemic: A Cross-sectional Study. Front Psychiatry 2022; 13:830334. [PMID: 35651827 PMCID: PMC9149163 DOI: 10.3389/fpsyt.2022.830334] [Citation(s) in RCA: 5] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/07/2021] [Accepted: 04/25/2022] [Indexed: 11/13/2022] Open
Abstract
BACKGROUND Strict quarantines can prevent the spread of the COVID-19 pandemic, but also increase the risk of mental illness. This study examined whether the people who have experienced repeated home quarantine performance more negative emotions such as anxiety, depression, and post-traumatic stress disorder (PTSD) in a Chinese population. METHODS We collected data from 2,514 participants in Pi County, Chengdu City, and stratified them into two groups. Group 1 comprised 1,214 individuals who were quarantined only once in early 2020, while Group 2 comprised 1,300 individuals who were quarantined in early 2020 and again in late 2020. Both groups were from the same community. The GAD-7, PHQ-9, and PCL-C scales were used to assess symptoms of anxiety, depression, and PTSD between the two groups. RESULTS Analyses showed that total PHQ-9 scores were significantly higher in Group 2 than in Group 1 (p < 0.001) and the quarantine times and age are independent predictors of symptoms of depression (p < 0.001). The two groups did not differ significantly in total GAD-7 or PCL-C scores. CONCLUSION Increasing quarantine times was associated with moderate to severe depression symptoms, but not with an increase in symptoms of anxiety or PTSD.
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Affiliation(s)
- Qiao Tang
- Department of Psychiatry and Mental Health, West China Hospital and West China School of Clinical Medicine, Sichuan University, Chengdu, China
| | - Ya Wang
- Department of Nursing, West China Hospital and West China School of Nursing, Sichuan University, Chengdu, China
| | - Jing Li
- Department of Psychiatry and Mental Health, West China Hospital and West China School of Clinical Medicine, Sichuan University, Chengdu, China
| | - Dan Luo
- Department of Psychiatry and Mental Health, West China Hospital and West China School of Clinical Medicine, Sichuan University, Chengdu, China
| | - Xiaoting Hao
- Department of Neurology, West China Hospital and West China School of Clinical Medicine, Sichuan University, Chengdu, China
| | - Jiajun Xu
- Department of Psychiatry and Mental Health, West China Hospital and West China School of Clinical Medicine, Sichuan University, Chengdu, China
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Ab Mumin N, Yusof ZYM, Marhazlinda J, Obaidellah U. Adolescents’ opinions on the use of a smartphone application as an oral health education tool: A qualitative study. Digit Health 2022; 8:20552076221114190. [PMID: 35898290 PMCID: PMC9309770 DOI: 10.1177/20552076221114190] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/28/2022] [Accepted: 06/28/2022] [Indexed: 11/16/2022] Open
Abstract
Developing health-related smartphone applications for oral health education
should consider the end-user's perspectives to ensure they will be usable. This
study aimed to explore the opinions of secondary school students in Selangor,
Malaysia regarding the use of a smartphone application for oral health education
and to identify the features for an oral health education smartphone application
from the perspectives of adolescents. Focus group discussions were conducted
among Form Two (14-year-old) and Form Four (16-year-old) students from selected
government secondary schools in Selangor utilising a semi-structured topic guide
until data saturation was achieved. Data were analysed using framework analysis.
Ten focus group discussions were conducted involving 77 participants. Mixed
opinions were recorded on the use of health-related smartphone applications for
oral health education. The preferred features in a health-related smartphone
application are disease detection, have games and rewards, educational and fun,
access to a dentist, reminders, and user-friendliness. Adolescents are aware of
the positive aspect of using health-related smartphone applications for oral
health education; however, they are wary of the need to install one.
Nevertheless, identifying adolescents’ preferred features of an oral health
education app is the first step in developing an application tailored to their
needs. Smartphone application could be a timely strategy to improve oral health
education delivery and behaviour improvement for this age group.
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Affiliation(s)
- Nazirah Ab Mumin
- Department of Periodontology and Community Oral Health, Faculty of Dentistry, Universiti Sains Islam Malaysia (USIM), Kuala Lumpur, Malaysia
| | - Zamros Yuzadi Mohd Yusof
- Department of Community Oral Health and Clinical Prevention, Faculty of Dentistry, Universiti Malaya (UM), Kuala Lumpur, Malaysia
| | - Jamaludin Marhazlinda
- Department of Community Oral Health and Clinical Prevention, Faculty of Dentistry, Universiti Malaya (UM), Kuala Lumpur, Malaysia
| | - Unaizah Obaidellah
- Department of Artificial Intelligence, Faculty of Computer Science and Information Technology, Universiti Malaya (UM), Kuala Lumpur, Malaysia
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Sakamoto S, Miyawaki D, Goto A, Hirai K, Hama H, Kadono S, Nishiura S, Inoue K. Associations between Internet Addiction, Psychiatric Comorbidity, and Maternal Depression and Anxiety in Clinically Referred Children and Adolescents. Neuropsychiatr Dis Treat 2022; 18:2421-2430. [PMID: 36304993 PMCID: PMC9595056 DOI: 10.2147/ndt.s383160] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/21/2022] [Accepted: 09/30/2022] [Indexed: 11/06/2022] Open
Abstract
PURPOSE Internet addiction (IA) has become a global problem and is one of the most common reasons for children to be referred for intervention because IA results in social and educational dysfunction and conflict with parents. IA is associated with various comorbid psychiatric disorders, with notable association between IA and family factors. However, little is known about parental psychopathology. This study aimed to examine the prevalence of IA and association between IA and maternal depression and anxiety in clinical samples after adjusting for comorbidities. PATIENTS AND METHODS A cross-sectional study was conducted between April 2020 and August 2021 at the Department of Neuropsychiatry of Osaka Metropolitan University Hospital in Japan. A total of 218 clinically referred children and adolescents (aged 8 to 15 years) were assessed using the Internet Addiction Test, which is one of the most popular questionnaires to evaluate IA, the Child Behavior Checklist (CBCL), and The Kiddie Schedule for Affective Disorders and Schizophrenia for School-Age Children-Present and Lifetime Version. IA was defined as a total score on the Internet Addiction Test ≥ 50. Of those, for the evaluation of maternal depression and anxiety, the 132 mothers of the children who were referred after January 2021 completed K6 as well. RESULTS A total of 68 participants (31.2%) presented with IA and had higher total and externalizing scores of CBCL, social anxiety disorder, and oppositional defiant disorder compared to those without IA. IA was associated with the six-item Kessler scale scores of mothers, being raised by single parents, and anxiety disorders after adjusting for age, sex, and family income (95% CI: 1.023-1.215). CONCLUSION Maternal depression and anxiety may be one of the risk factors for children and adolescents to develop IA. Care for maternal depression and anxiety may contribute to intervention for children and adolescents with IA.
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Affiliation(s)
- Shoko Sakamoto
- Department of Neuropsychiatry, Osaka Metropolitan University Graduate School of Medicine, Osaka, Japan.,Department of Neuropsychiatry, Osaka City University Graduate School of Medicine, Osaka, Japan
| | - Dai Miyawaki
- Department of Neuropsychiatry, Osaka Metropolitan University Graduate School of Medicine, Osaka, Japan
| | - Ayako Goto
- Department of Neuropsychiatry, Osaka Metropolitan University Graduate School of Medicine, Osaka, Japan
| | - Kaoru Hirai
- Department of Neuropsychiatry, Osaka Metropolitan University Graduate School of Medicine, Osaka, Japan.,Department of Pediatrics, Osaka Metropolitan University Graduate School of Medicine, Osaka, Japan
| | - Hiroki Hama
- Department of Neuropsychiatry, Osaka Metropolitan University Graduate School of Medicine, Osaka, Japan.,Department of Neuropsychiatry, Osaka City University Graduate School of Medicine, Osaka, Japan
| | - Shin Kadono
- Department of Neuropsychiatry, Osaka Metropolitan University Graduate School of Medicine, Osaka, Japan.,Department of Neuropsychiatry, Osaka City University Graduate School of Medicine, Osaka, Japan
| | - Sayaka Nishiura
- Department of Neuropsychiatry, Osaka Metropolitan University Graduate School of Medicine, Osaka, Japan.,Department of Neuropsychiatry, Osaka City University Graduate School of Medicine, Osaka, Japan
| | - Koki Inoue
- Department of Neuropsychiatry, Osaka Metropolitan University Graduate School of Medicine, Osaka, Japan
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Mak KK, Scheer B, Yeh CH, Ohno S, Nam JK. Associations of Personality Traits with Internet Addiction: A Cross-Cultural Meta-Analysis with a Multilingual Approach. CYBERPSYCHOLOGY, BEHAVIOR AND SOCIAL NETWORKING 2021; 24:777-798. [PMID: 34788555 DOI: 10.1089/cyber.2021.0071] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/08/2023]
Abstract
With a novel multilingual approach, this cross-cultural meta-analysis study investigated the associations between personality traits and Internet addiction. Articles were identified and retrieved by searching through general and language-specific databases, and thereafter reviewed for inclusion based on the selection criteria. Random effects models with the Hartung-Knapp-Sidik-Jonkman method were used to examine the associations of Internet addiction with seven personality traits: Openness, Conscientiousness, Extraversion, Agreeableness, Neuroticism, Psychoticism, and Lie (OCEAN-PL). Forest plots with summary statistics were produced to inspect the between-study heterogeneity. Subgroup analysis was performed to further determine the contributions of moderators (geographic region, population subgroup, scales for assessing personality traits and Internet addiction, and language of publication) to the observed between-study heterogeneity. Funnel plots and Egger's test were used to detect possible small-study effects. A sample of 34,438 participants from 37 studies (24 from Asia) were included for data analysis. The major languages of publications of the selected articles were English and Asian languages. According to the pooled results, Internet addiction was associated positively with Neuroticism and Psychoticism, but negatively with Conscientiousness, Extraversion, Agreeableness, and Lie. Geographic region and language of publication significantly moderated the associations of Internet addiction with Agreeableness and Neuroticism, and Openness and Extraversion, respectively. No significant small-study effect was present for all OCEAN-PL personality traits, except Neuroticism. In conclusion, the Internet addiction group is relatively more neurotic and psychotic, and less conscientious, extraverted, agreeable, and untruthful than the nonaddiction group. A multilingual approach is useful for improving the search strategies for systematic reviews, cross-cultural meta-analyses in particular.
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Affiliation(s)
- Kwok Kei Mak
- Department of Statistics, Keimyung University, Daegu, Republic of Korea
| | - Ben Scheer
- Department of Statistics, Keimyung University, Daegu, Republic of Korea
| | - Chen-Hui Yeh
- School of Computer Science, University of Birmingham, Birmingham, United Kingdom
| | - Shiroh Ohno
- Graduate School of Interdisciplinary Information Studies, University of Tokyo, Tokyo, Japan
| | - JeeEun Karin Nam
- Graduate School of Education, Ewha Womans University, Seoul, Republic of Korea
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Rashid SMM, Mawah J, Banik E, Akter Y, Deen JI, Jahan A, Khan NM, Rahman MM, Lipi N, Akter F, Paul A, Mannan A. Prevalence and impact of the use of electronic gadgets on the health of children in secondary schools in Bangladesh: A cross-sectional study. Health Sci Rep 2021; 4:e388. [PMID: 34622022 PMCID: PMC8485597 DOI: 10.1002/hsr2.388] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/16/2021] [Revised: 08/09/2021] [Accepted: 08/26/2021] [Indexed: 12/03/2022] Open
Abstract
BACKGROUND AND AIMS Use of technological gadgets has rapidly been increasing among adolescents, which may result in health issues and technology addiction. This study focuses on the prevalence of usage of technological gadgets and health-related complications among secondary school-going children of Bangladesh. METHODS A total of 1803 secondary school students from 21 different districts of Bangladesh participated in the study. The children were asked questions relating to their access to electronic gadgets, time spent on outdoor activities, and whether they experienced any health-complications as an after-effect of the usage. A binary logistic regression model was adapted considering time spent on gadgets as an independent variable and health problems (physical and mental) as the dependent variable. RESULTS Among all the gadgets, 67.11% of the participants were reported to use mobile phones on a daily basis. Due to the ongoing COVID-19 pandemic, 24.48% of respondents used electronic gadgets for attending online classes. The participants were reported to use gadgets significantly more (P < .05) in 2020 as compared to 2019. Children showed less tendency to spend time in outdoor activities. More than 50% of the participants spend time doing outdoor activities for less than 1 hour daily. An association between gadget use and health problems like headache, backache, visual disturbance, and sleeping disturbance has been observed in our study. CONCLUSION This study demonstrates that different socio-demographic factors have influence on the use of gadgets by children, and this use has greatly been affecting both the physical and mental health of the secondary school-going students of Bangladesh.
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Affiliation(s)
- S M Mahbubur Rashid
- Department of Genetic Engineering & Biotechnology University of Dhaka Dhaka Bangladesh
| | - Jannatul Mawah
- Disease Biology & Molecular Epidemiology Research Group Chattogram Bangladesh
| | - Ema Banik
- Disease Biology & Molecular Epidemiology Research Group Chattogram Bangladesh
| | - Yasmin Akter
- Disease Biology & Molecular Epidemiology Research Group Chattogram Bangladesh
| | - Jobaier Ibne Deen
- Disease Biology & Molecular Epidemiology Research Group Chattogram Bangladesh
| | - Amina Jahan
- Disease Biology & Molecular Epidemiology Research Group Chattogram Bangladesh
| | - Navid Mahmood Khan
- Disease Biology & Molecular Epidemiology Research Group Chattogram Bangladesh
| | - Md Mofijur Rahman
- Disease Biology & Molecular Epidemiology Research Group Chattogram Bangladesh
| | - Nasrin Lipi
- Institute of Statistical Research and Training University of Dhaka Dhaka Bangladesh
| | - Farhana Akter
- Disease Biology & Molecular Epidemiology Research Group Chattogram Bangladesh
- Department of Endocrinology Chittagong Medical College Chattogram Bangladesh
| | - Alak Paul
- Department of Geography and Environmental Studies, Faculty of Biological Sciences University of Chittagong Chattogram Bangladesh
| | - Adnan Mannan
- Disease Biology & Molecular Epidemiology Research Group Chattogram Bangladesh
- Department of Genetic Engineering & Biotechnology, Faculty of Biological Sciences University of Chittagong Chattogram Bangladesh
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Prevalence and risk factors of hypertension among college freshmen in China. Sci Rep 2021; 11:23075. [PMID: 34845309 PMCID: PMC8630049 DOI: 10.1038/s41598-021-02578-4] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/24/2021] [Accepted: 11/10/2021] [Indexed: 11/08/2022] Open
Abstract
Hypertension is the leading single contributor to all-cause death and disability worldwide. However, there is scarce evidence on the prevalence and risk factors of hypertension for Chinese youth. This study aimed to investigate the prevalence of hypertension among Chinese college freshmen and to identify the influencing factors. We conducted a cross-sectional study of all freshmen from 2015 to 2017 at a university in Wuhan, China by physical examination and standard-structured questionnaire. The Pearson chi-square test was used to compare categorical variables. Forward stepwise logistic regression method was used in the multivariate analysis to identify independent predictors of hypertension in youth. A total of 12,849 participants were included, and the prevalence of hypertension of Chinese college freshmen was 4.3% (7.9% in men and 1.6% in women). Men had a higher risk of hypertension than women (odds ratio [OR]: 5.358, 95% confidence interval [CI]: 4.345-6.607, P < 0.001). Obese people were more likely to develop hypertension than those with normal body mass index (OR: 10.465, 95% CI: 8.448-12.964, P < 0.001). People with elevated resting heart rate (RHR) had a higher prevalence of hypertension (OR: 4.987, 95% CI: 3.641-6.832, P < 0.001). Staying up late (OR: 2.957, 95% CI: 2.482-3.523, P < 0.001), physical inactivity (OR: 4.973, 95% CI: 4.141-5.972, P < 0.001), living in urban district (OR: 1.864, 95% CI: 1.493-2.329, P < 0.001) and family history of cardiovascular diseases (CVDs) (OR: 2.685, 95% CI: 2.108-3.421, P < 0.001) were related to higher prevalence of hypertension in youth. Male, obesity, elevated RHR, physical inactivity and family history of CVDs were identified as important risk factors of hypertension in youth. These risk factors should be given more attention when designing and implementing the interventional programs.
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Castrén S, Järvinen-Tassopoulos J, Raitasalo K. Money used in gaming is associated with problem gambling: Results of the ESPAD 2019 Finland. J Behav Addict 2021; 10:932-940. [PMID: 34797777 PMCID: PMC8987419 DOI: 10.1556/2006.2021.00076] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/11/2021] [Revised: 08/11/2021] [Accepted: 10/14/2021] [Indexed: 11/19/2022] Open
Abstract
BACKGROUND AND AIMS The convergence of gaming and gambling may pose a risk for adolescents. Thus, it is important to find out how these behaviours are associated with other addictive behaviours in order to develop efficient preventive measures for youth. The aim of this study was to examine 1) whether problematic gaming and money used for gaming activities are risk factors for gambling, and 2) what kind of impact adolescents' substance use along with other factors related to friends and parents have on this association. METHODS The European School Survey Project on Alcohol and Other Drugs data, 2019 of Finnish adolescents aged 15 to 16 (N = 4595). Cross-tabulations with Rao-Scott's chisquare tests were applied to study the associations of the background factors with gambling in the past 12 months. A multinomial logistic regression model was fitted for the outcome variable (gambling in the past 12 months) adjusted for all independent and background variables. RESULTS Problematic gaming alone was not associated with gambling participation, whereas using money for digital games increased the risk of gambling. Boys gamble more than girls. The use of alcohol and drugs increased the risk of gambling. Parental monitoring reduced the risk of gambling, whereas hanging around weekly with friends increased the risk. DISCUSSION AND CONCLUSIONS Using money on gaming sites may put some adolescents at risk of developing problems with either gaming or gambling. The link between using money in digital games and gambling participation calls for preventive measures, intervention and regulatory acts.
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Affiliation(s)
- Sari Castrén
- Department of Public Health and Welfare, Finnish Institute for Health and Welfare, Helsinki, Finland
- Department of Medicine, University of Helsinki, Helsinki, Finland
- Social Sciences Department of Psychology and Speech-Language Pathology, University of Turku, Turku, Finland
| | - Johanna Järvinen-Tassopoulos
- Department of Public Health and Welfare, Finnish Institute for Health and Welfare, Helsinki, Finland
- Faculty of Social Sciences, Social and Public Policy, University of Helsinki, Helsinki, Finland
| | - Kirsimarja Raitasalo
- Department of Public Health and Welfare, Finnish Institute for Health and Welfare, Helsinki, Finland
- Department of Social Sciences, University of Eastern Finland, Kuopio, Finland
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The Relationship between Internet Addiction, Internet Gaming and Anxiety among Medical Students in a Malaysian Public University during COVID-19 Pandemic. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:ijerph182211870. [PMID: 34831627 PMCID: PMC8618673 DOI: 10.3390/ijerph182211870] [Citation(s) in RCA: 21] [Impact Index Per Article: 7.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 08/13/2021] [Revised: 10/15/2021] [Accepted: 11/03/2021] [Indexed: 02/06/2023]
Abstract
The internet has become an important medium for learning and communication during the COVID-19 pandemic, particularly for university students. Nevertheless, an increase in internet usage could predispose people to internet addiction (IA) and internet gaming (IG). Equally, there is concern that anxiety levels have increased during the pandemic. The aim of this study is to determine the prevalence of IA and IG, and their associations with anxiety among medical students during the pandemic. Data were collected during the second wave of the “Conditional Movement Control Order” (CMCO) in Malaysia between 12 November and 10 December 2020. A total of 237 students participated through proportionate stratified random sampling in this cross-sectional study. They completed a set of online questionnaires which consisted of a sociodemographic profile, the Malay version of the internet addiction test (MVIAT), the Malay version of the internet gaming disorder-short form (IGDS9-SF) and the Malay version of the depression, anxiety and stress scale (DASS-21). The prevalence of IA and internet gaming disorder (IGD) were 83.5% and 2.5%, respectively. A multiple logistic regression showed that those in pre-clinical years had a greater risk of anxiety than those in clinical years [(AOR) = 2.49, p-value 0.01, 95% CI = 1.22–5.07]. In contrast, those who scored high on IA were protected against anxiety [AOR = 0.100, p-value 0.03, 95% CI = 0.01–0.76)]. In conclusion, IA was highly prevalent during the COVID-19 pandemic and its high usage might serve as a protective factor against anxiety among the medical students in this study sample.
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Lu GL, Ding YM, Zhang YM, Huang HT, Liang YP, Chen CR. The correlation between mobile phone addiction and coping style among Chinese adolescents: a meta-analysis. Child Adolesc Psychiatry Ment Health 2021; 15:60. [PMID: 34654451 PMCID: PMC8520246 DOI: 10.1186/s13034-021-00413-2] [Citation(s) in RCA: 21] [Impact Index Per Article: 7.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/17/2021] [Accepted: 10/11/2021] [Indexed: 11/30/2022] Open
Abstract
BACKGROUND Mobile phone addiction has become a social problem that affects the healthy growth of adolescents, and it may be correlated with coping style. The aim of this study was to investigate the relationship between mobile phone addiction and coping style and the influencing factors for adolescents. METHODS A meta-analysis was conducted by searching China National Knowledge Infrastructure (CNKI), WANFANG DATA and Chongqing VIP Information Co., Ltd. (VIP), PubMed, Web of Science, Embase, and PsycINFO. Stata 16.0 was used to analyse the overall effect and test the moderating effect. RESULTS Thirty-three studies were included, involving a total of 20,349 subjects. There was no significant correlation between adolescents' mobile phone addiction and positive coping style (r = - 0.02, 95% CI = - 0.06 to 0.02, P > 0.05), but there was a moderate positive correlation between adolescents' mobile phone addiction and negative coping style (r = 0.31, 95% CI = 0.26 to 0.36, P < 0.001). The moderating effect analysis showed that the effect of dissertations on mobile phone addiction and positive coping style among adolescents was significantly larger than that of journal articles. The Smartphone Addiction Scale for College Students (SAS-C) showed the largest effect on mobile phone addiction and positive coping style among adolescents. The time of publication significantly positively moderated the relationship between mobile phone addiction and negative coping style among adolescents. The Simplified Coping Style Questionnaire (SCSQ) showed the largest effect on adolescents' mobile phone addiction and negative coping style. However, the correlation between adolescents' mobile phone addiction and coping style was not affected by age or gender. CONCLUSIONS There was a close relationship between mobile phone addiction and coping style among adolescents. In the future, longitudinal research should be carried out to better investigate the dynamic changes in the relationship between mobile phone addiction and coping style.
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Affiliation(s)
- Guang-Li Lu
- grid.256922.80000 0000 9139 560XInstitute of Business Administration, School of Business, Henan University, Kaifeng, Henan China
| | - Yue-Ming Ding
- grid.256922.80000 0000 9139 560XInstitute of Nursing and Health, School of Nursing and Health, Henan University, Jinming Avenue, Kaifeng, 475004 Henan China
| | - Yi-Ming Zhang
- grid.256922.80000 0000 9139 560XInstitute of Nursing and Health, School of Nursing and Health, Henan University, Jinming Avenue, Kaifeng, 475004 Henan China
| | - Hai-Tao Huang
- grid.256922.80000 0000 9139 560XInstitute of Nursing and Health, School of Nursing and Health, Henan University, Jinming Avenue, Kaifeng, 475004 Henan China
| | - Yi-Pei Liang
- grid.256922.80000 0000 9139 560XInstitute of Business Administration, School of Business, Henan University, Kaifeng, Henan China
| | - Chao-Ran Chen
- Institute of Nursing and Health, School of Nursing and Health, Henan University, Jinming Avenue, Kaifeng, 475004, Henan, China.
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Fernandes B, Uzun B, Aydin C, Tan-Mansukhani R, Vallejo A, Saldaña-Gutierrez A, Nanda Biswas U, Essau CA. Internet use during COVID-19 lockdown among young people in low- and middle-income countries: Role of psychological wellbeing. Addict Behav Rep 2021; 14:100379. [PMID: 34608443 PMCID: PMC8481788 DOI: 10.1016/j.abrep.2021.100379] [Citation(s) in RCA: 12] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/13/2021] [Revised: 08/15/2021] [Accepted: 09/23/2021] [Indexed: 12/14/2022] Open
Abstract
Problematic internet use in adolescents has been shown to significantly increase over the past few years, with COVID-19 pandemic lockdowns reinforcing this phenomena globally. We sought to explore whether problematic internet use in specific countries was related to emotional well-being and importantly whether this is predicted by psychological distress. There is a growing number of studies showing that problematic internet use is increasingly prevalent in countries with emerging economies, however we have yet to find out to what extent other factors are influencing this behaviour in adolescents and young people. This study invited young people from countries such India, Mexico, Philippines and Turkey to complete a set of self-reports on their daily internet habits, social media use, alongside questions on psychological distress, self-esteem, loneliness and escapism. A total of 1182 young people aged between 16 and 25 years old completed these questionnaires online. The results showed that there were significant difference in problematic internet use scores among adolescents in the Philippines and Turkey. More specifically, social media use was significantly higher amongst young people from the Philippines whereas gaming addiction was significantly high in the Turkish sample. These findings also revealed that psychological distress, loneliness, and low self-esteem consistently predicted problematic internet use. Taken together these results emphasise that there are several factors underlying growing figures of problematic internet use in young people, these factors include emotional distress, need for escapism, loneliness, and social media use, however, going forward more nuanced cultural differences should also be considered.
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Singh YM, Prakash J, Chatterjee K, Khadka B, Shah A, Chauhan VS. Prevalence and risk factors associated with Internet gaming disorder: A cross-sectional study. Ind Psychiatry J 2021; 30:S172-S177. [PMID: 34908685 PMCID: PMC8611597 DOI: 10.4103/0972-6748.328810] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/23/2021] [Revised: 05/19/2021] [Accepted: 07/07/2021] [Indexed: 11/04/2022] Open
Abstract
BACKGROUND Internet gaming disorder (IGD) is an entity of clinical attention prominent among schoolgoing students. The reported nature and extent of Internet gaming varies widely, as does the extent of its effects. AIM This study aimed to assess the prevalence of IGD and factors associated with it. METHODS After institution ethics approval, individual assent, and parental consent, a cross-sectional study was conducted among 142 students of a school in western Maharashtra. A specially designed sociodemographic pro forma and IGD Scale were administered to the students. Data thus generated were statistically analyzed and compared with published literature. RESULTS The prevalence of IGD was 10.6% among 13-19-year-old students. It was significantly higher among male students (15.3%) than female students (3.5%). Multivariate logistic regression found IGD to be significantly associated with male gender and lower age at first gameplay. CONCLUSIONS IGD affects a tenth of our schoolgoing population with a male preponderance. Lower age at first gameplay had an adverse association.
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Affiliation(s)
- Yujal Man Singh
- Department of Psychiatry, Armed Forces Medical College, Pune, Maharashtra, India
| | - Jyoti Prakash
- Department of Psychiatry, Armed Forces Medical College, Pune, Maharashtra, India
| | - Kaushik Chatterjee
- Department of Psychiatry, Armed Forces Medical College, Pune, Maharashtra, India
| | - Bharat Khadka
- Department of Psychiatry, Shree Birendra Hospital, Kathmandu, Nepal
| | - Ayushma Shah
- Department of Psychiatry, Armed Forces Medical College, Pune, Maharashtra, India
| | - Vinay Singh Chauhan
- Department of Psychiatry, Armed Forces Medical College, Pune, Maharashtra, India
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Cai H, Xi HT, Zhu Q, Wang Z, Han L, Liu S, Bai W, Zhao YJ, Chen L, Ge ZM, Ji M, Zhang H, Yang BX, Chen P, Cheung T, Ungvari GS, An F, Xiang YT. Prevalence of problematic Internet use and its association with quality of life among undergraduate nursing students in the later stage of COVID-19 pandemic era in China. Am J Addict 2021; 30:585-592. [PMID: 34532935 PMCID: PMC8652965 DOI: 10.1111/ajad.13216] [Citation(s) in RCA: 17] [Impact Index Per Article: 5.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/01/2021] [Revised: 07/12/2021] [Accepted: 08/11/2021] [Indexed: 12/02/2022] Open
Abstract
Background and Objectives The prevalence of problematic Internet use (PIU) in the post‐COVID‐19 pandemic era is not known. This cross‐sectional study aimed to determine the prevalence of PIU among baccalaureate nursing students (hereafter: nursing students) in the post‐COVID‐19 era. Methods A total of 1070 nursing students were consecutively invited to participate in this study from the nursing schools of five universities. PIU and quality of life (QOL) were assessed using the Internet Addiction Test (IAT) and the World Health Organization Quality of Life Scale Brief Version (WHOQOL‐BREF), respectively. t Tests, χ2, tests, and Kruskal–Wallis tests were used to compare basic demographic and clinical characteristics between participants with and without PIU. Binary logistic regression analysis was used to examine independent correlates. Results The prevalence of PIU was 23.3% (95% confidence interval [CI]: 20.7%–25.8%). Multiple logistic regression analysis revealed that second‐ (p = .024) and third‐year (p = .012) students were more likely to suffer from PIU compared with first year students. Students with more severe depressive (p = .014) and anxiety symptoms (p = .011) were independently and significantly associated with more severe PIU. After controlling for covariates, nursing students with PIU had a lower overall QOL score (p = .002). Conclusion and Scientific Significance Problematic Internet use (PIU) was common among nursing students in the post‐COVID‐19 era. Considering the negative impact of PIU on QOL and academic performance, regular screening should be conducted and effective interventions implemented for nursing students with PIU. This was the first study on the prevalence of PIU among nursing students in the post‐COVID‐19 era. The findings of this study could help health professionals and education authorities to understand the patterns of PIU and its influence on QOL among nursing students and to allocate health resources and develop effective measures to reduce the risk of PIU in this population.
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Affiliation(s)
- Hong Cai
- Unit of Psychiatry, Department of Public Health and Medicinal Administration & Institute of Translational Medicine, Faculty of Health Sciences, University of Macau, Macao SAR, China.,Centre for Cognitive and Brain Sciences, University of Macau, Macao SAR, China.,Institute of Advanced Studies in Humanities and Social Sciences, University of Macau, Macao SAR, China
| | - Hai-Tao Xi
- Jilin University Nursing College, Changchun, Jilin, China
| | - Qianqian Zhu
- School of Nursing, Capital Medical University, Beijing, China.,Beijing Key Laboratory of Mental Disorders, School of Mental Health, The National Clinical Research Center for Mental Disorders, Beijing Anding Hospital, The Advanced Innovation Center for Human Brain Protection, Capital Medical University, Beijing, China
| | - Zhiwen Wang
- Peking University School of Nursing, Beijing, China
| | - Lin Han
- Lanzhou University School of Nursing, Lanzhou, Gansu, China
| | - Shuo Liu
- School of Health Sciences, Wuhan University, Wuhan, Hubei, China
| | - Wei Bai
- Unit of Psychiatry, Department of Public Health and Medicinal Administration & Institute of Translational Medicine, Faculty of Health Sciences, University of Macau, Macao SAR, China.,Centre for Cognitive and Brain Sciences, University of Macau, Macao SAR, China.,Institute of Advanced Studies in Humanities and Social Sciences, University of Macau, Macao SAR, China
| | - Yan-Jie Zhao
- Unit of Psychiatry, Department of Public Health and Medicinal Administration & Institute of Translational Medicine, Faculty of Health Sciences, University of Macau, Macao SAR, China.,Centre for Cognitive and Brain Sciences, University of Macau, Macao SAR, China.,Institute of Advanced Studies in Humanities and Social Sciences, University of Macau, Macao SAR, China
| | - Li Chen
- Jilin University Nursing College, Changchun, Jilin, China
| | - Zong-Mei Ge
- Jilin University Nursing College, Changchun, Jilin, China
| | - Mengmeng Ji
- Peking University School of Nursing, Beijing, China
| | - Hongyan Zhang
- Lanzhou University School of Nursing, Lanzhou, Gansu, China
| | - Bing Xiang Yang
- School of Health Sciences, Wuhan University, Wuhan, Hubei, China
| | - Pan Chen
- School of Health Sciences, Wuhan University, Wuhan, Hubei, China
| | - Teris Cheung
- School of Nursing, Hong Kong Polytechnic University, Hong Kong SAR, China
| | - Gabor S Ungvari
- Division of Psychiatry, School of Medicine, University of Western Australia, Perth, Western Australia, Australia.,University of Notre Dame Australia, Fremantle, Western Australia, Australia
| | - Fengrong An
- Beijing Key Laboratory of Mental Disorders, School of Mental Health, The National Clinical Research Center for Mental Disorders, Beijing Anding Hospital, The Advanced Innovation Center for Human Brain Protection, Capital Medical University, Beijing, China
| | - Yu-Tao Xiang
- Unit of Psychiatry, Department of Public Health and Medicinal Administration & Institute of Translational Medicine, Faculty of Health Sciences, University of Macau, Macao SAR, China.,Centre for Cognitive and Brain Sciences, University of Macau, Macao SAR, China.,Institute of Advanced Studies in Humanities and Social Sciences, University of Macau, Macao SAR, China
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Walia B, Kim J, Ijere I, Sanders S. Video Game Addictive Symptom Level, Use Intensity, and Hedonic Experience: An Empirical Analysis of a Novel Survey Instrument (Preprint). JMIR Serious Games 2021; 10:e33661. [PMID: 35471995 PMCID: PMC9227790 DOI: 10.2196/33661] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/17/2021] [Revised: 01/25/2022] [Accepted: 04/22/2022] [Indexed: 11/13/2022] Open
Abstract
Background The effects of behavioral addiction to video games has received increasing attention in the literature, given increased use intensity among subgroups of video game players. Objective This study seeks to empirically determine the relationship between intensity of video gaming and hedonic experience of the player. Methods We conducted a survey of 835 individuals who regularly play video games to determine the relationship between intensity of use and hedonic experience. We divided the sample into quartiles by self-reported video game addictive symptom level (from the Internet Gaming Disorder Scale) and conducted polynomial regressions separately for each quartile. Results We found that the higher video game addictive symptom level groups experienced a U-shaped (curvilinear) relationship between hedonic experience and intensity of play, whereas groups with lower video game addictive symptom levels exhibited no such relationship. The coefficients for the highest addictive symptom level group (quartile 4) for marginal effects for hours played per week and hours played per week squared were significantly negative (P=.005) and significantly positive (P=.004), respectively. Conclusions Our results are consistent with sensitization and tolerance theories, which suggest that high-symptom groups experience frustration and disappointment until they achieve excessive dopamine release, at which point their hedonic experience is expected to improve with additional play. Conversely, low-symptom groups experience no such fall-and-rise pattern. This result is consistent with the outcome that members of the latter group play the game for the direct experience, such that their hedonic experience is more directly related to events occurring in the game than to the increasingly elusive pursuit of excessive dopamine release. We also find that high-symptom groups spend substantially more time and money to support video game use and are much more likely to engage in video game use at the expense of other important activities, such as working, sleeping, and eating.
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Affiliation(s)
- Bhavneet Walia
- Department of Public Health, Falk College, Syracuse University, Syracuse, NY, United States
| | - Jeeyoon Kim
- Department of Sport Management, Falk College, Syracuse University, Syracuse, NY, United States
| | - Ignatius Ijere
- Department of Public Health, Falk College, Syracuse University, Syracuse, NY, United States
| | - Shane Sanders
- Department of Sport Management, Falk College, Syracuse University, Syracuse, NY, United States
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Problematic internet use in children according to maternal depression trajectories: A population-based cohort study with 9-year follow-up. J Psychiatr Res 2021; 141:364-369. [PMID: 34304042 DOI: 10.1016/j.jpsychires.2021.07.025] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/31/2020] [Revised: 06/15/2021] [Accepted: 07/13/2021] [Indexed: 11/22/2022]
Abstract
OBJECTIVES We investigated the association between maternal depression trajectories from pregnancy until 2 years postpartum, and problematic internet use in children at nine years of age. METHODS A total of 1132 mother-child pairs from the Panel Korea Study for Children were used. Maternal depression was assessed repeatedly using the Kessler scale (K-scale) (during pregnancy, and at 6, 12, and 24 months of age). Problematic internet use was assessed in children 9 years old using the K-scale. The children's behavioral problems were assessed using the Child Behavior Checklist at nine years old. Latent profile analysis was used to identify the group trajectories of maternal depression. We compared the severity of problematic internet use of the children according to the maternal depression trajectories. We also identified behavioral problems in children with problematic internet use in each maternal depression trajectory. RESULTS Trajectory analysis identified three group trajectories of maternal depression: no symptoms (n = 478), mild symptoms (n = 534), and moderate symptoms (n = 120). The mild and moderate maternal depression trajectory groups were more associated with high-risk internet use in 9-year-old children compared to the non-depressed group. In children with high-risk internet use, more severe behavioral problems were reported when their mothers had depression. CONCLUSION Maternal depression up to two years after childbirth affected problematic internet use in middle childhood.
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Joseph J, Varghese A, VR V, Dhandapani M, Grover S, Sharma S, Khakha D, Mann S, Varkey BP. Prevalence of internet addiction among college students in the Indian setting: a systematic review and meta-analysis. Gen Psychiatr 2021; 34:e100496. [PMID: 34504996 PMCID: PMC8381302 DOI: 10.1136/gpsych-2021-100496] [Citation(s) in RCA: 18] [Impact Index Per Article: 6.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/25/2021] [Accepted: 07/22/2021] [Indexed: 11/16/2022] Open
Abstract
BACKGROUND The internet is an integral part of everyone's life. College going adolescents are highly vulnerable to the misuse of the internet. AIMS To estimate the pooled prevalence of internet addiction (IA) among college students in India. METHODS Literature databases (PubMed, Web of Science, Scopus, EMBASE, PsycINFO and Google Scholar) were searched for studies assessing IA using the Young Internet Addiction Test (Y-IAT) among adolescents from India, published in the English language up to December 2020. We included studies from 2010 to 2020 as this is the marked era of momentum in wireless internet connectivity in India. The methodological quality of each study was scored, and data were extracted from the published reports. Pooled prevalence was estimated using the fixed-effects model. Publication bias was evaluated using Egger's test and visual inspection of the symmetry in funnel plots. RESULTS Fifty studies conducted in 19 states of India estimated the prevalence of IA and the overall prevalence of IA as 19.9% (95% CI: 19.3% to 20.5%) and 40.7% (95% CI: 38.7% to 42.8%) based on the Y-IAT cut-off scores of 50 and 40, respectively. The estimated prevalence of severe IA was significantly higher in the Y-IAT cut-off points of 70 than 80 (12.7% (95% CI: 11.2% to 14.3%) vs 4.6% (95% CI: 4.1% to 5.2%)). The sampling method and quality of included studies had a significant effect on the estimation of prevalence in which studies using non-probability sampling and low risk of bias (total quality score ≥7) reported lower prevalence. The overall quality of evidence was rated as 'moderate' based on the Grading of Recommendations Assessment, Development and Evaluation criteria. CONCLUSIONS Our nationally representative data suggest that about 20% to 40% of college students in India are at risk for IA. There is a need for further research in the reconsideration of Y-IAT cut-off points among Indian college students. PROSPERO REGISTRATION NUMBER CRD42020219511.
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Affiliation(s)
- Jaison Joseph
- College of Nursing, Department of Psychiatric Nursing, Pandit Bhagwat Dayal Sharma University of Health Sciences, Rohtak, Haryana, India
| | - Abin Varghese
- College of Nursing, Bhopal Memorial Hospital and Research Centre, Bhopal, India
| | - Vijay VR
- College of Nursing, All India Institute of Medical Sciences, Bhubaneswar, Orissa, India
| | - Manju Dhandapani
- National Institute of Nursing Education, Post Graduate Institute of Medical Education and Research, Chandigarh, India
| | - Sandeep Grover
- Department of Psychiatry, Post Graduate Institute of Medical Education and Research, Chandigarh, India
| | - Suresh Sharma
- College of Nursing, All India Institute of Medical Sciences, Jodhpur, Rajasthan, India
| | - Deepika Khakha
- College of Nursing, AIl India Institute of Medical Sciences, New Delhi, India
| | - Sucheta Mann
- College of Nursing, Department of Psychiatric Nursing, Pandit Bhagwat Dayal Sharma University of Health Sciences, Rohtak, Haryana, India
| | - Biji P Varkey
- Post Graduate Institute of Medical Sciences, Pandit Bhagwat Dayal Sharma University of Health Sciences, Rohtak, Haryana, India
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Li Y, Sun Y, Meng S, Bao Y, Cheng J, Chang X, Ran M, Sun Y, Kosten T, Strang J, Lu L, Shi J. Internet Addiction Increases in the General Population During COVID-19: Evidence From China. Am J Addict 2021; 30:389-397. [PMID: 33738888 PMCID: PMC8251395 DOI: 10.1111/ajad.13156] [Citation(s) in RCA: 89] [Impact Index Per Article: 29.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/16/2020] [Revised: 01/03/2021] [Accepted: 01/26/2021] [Indexed: 11/21/2022] Open
Abstract
BACKGROUND AND OBJECTIVES COVID-19-related quarantine and stress have likely escalated the crisis of Internet addiction. This study aimed to determine the impact of the COVID-19 pandemic on Internet use and related risk factors among the general public in China. METHODS A large-sample cross-sectional online survey was conducted from March 24 to April 30, 2020, in China, and 20,472 participants completed the survey. We investigated the prevalence and severity of Internet addiction based on the Internet Addiction Test (IAT), and explored the risk factors related to increases in time spent on Internet use and severity of Internet addiction, as well as severe Internet addiction. RESULTS The overall prevalence of Internet addiction was 36.7% among the general population during the pandemic, and that of severe Internet addiction was 2.8%, according to IAT scores. Time spent on recreational Internet use had significantly increased during the pandemic, and almost half of participants reported increases in the severity of Internet addiction. Risk factors for increases in time spent on Internet use and severity of Internet addiction and severe Internet addiction included having fewer social supporters, perceiving pressure and impact on mental health status due to COVID-19, and being over-engaged in playing videogames. DISCUSSION AND CONCLUSIONS The COVID-19 pandemic adversely impacted Internet use and increased the prevalence and severity of Internet addiction among the general population in China, especially in vulnerable populations. SCIENTIFIC SIGNIFICANCE This study provides evidence for policymakers to refine public health policies to control the pandemic and make efforts to provide population-specific prevention and interventions for people at risk of developing Internet addiction. (Am J Addict 2021;00:00-00).
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Affiliation(s)
- Yang‐Yang Li
- Beijing Key Laboratory of Drug Dependence, National Institute on Drug DependencePeking UniversityBeijingChina
| | - Yan Sun
- Beijing Key Laboratory of Drug Dependence, National Institute on Drug DependencePeking UniversityBeijingChina
| | - Shi‐Qiu Meng
- Beijing Key Laboratory of Drug Dependence, National Institute on Drug DependencePeking UniversityBeijingChina
| | - Yan‐Ping Bao
- Beijing Key Laboratory of Drug Dependence, National Institute on Drug DependencePeking UniversityBeijingChina
| | - Jia‐Lu Cheng
- Beijing Key Laboratory of Drug Dependence, National Institute on Drug DependencePeking UniversityBeijingChina
| | - Xiang‐Wen Chang
- Beijing Key Laboratory of Drug Dependence, National Institute on Drug DependencePeking UniversityBeijingChina
| | - Mao‐Sheng Ran
- Department of Social Work and Social AdministrationUniversity of Hong KongHong KongChina
| | - Yan‐Kun Sun
- NHC Key Laboratory of Mental Health (Peking University), National Clinical Research Center for Mental Disorders (Peking University Sixth Hospital), Peking University Sixth Hospital, Peking University Institute of Mental HealthBeijingChina
| | - Thomas Kosten
- Division of Alcohol and Addiction PsychiatryBaylor College of MedicineHoustonTexas
| | - John Strang
- Department of AddictionInstitute of Psychiatry, Psychology & Neuroscience, King's College LondonLondonUK
| | - Lin Lu
- Beijing Key Laboratory of Drug Dependence, National Institute on Drug DependencePeking UniversityBeijingChina
- NHC Key Laboratory of Mental Health (Peking University), National Clinical Research Center for Mental Disorders (Peking University Sixth Hospital), Peking University Sixth Hospital, Peking University Institute of Mental HealthBeijingChina
| | - Jie Shi
- Beijing Key Laboratory of Drug Dependence, National Institute on Drug DependencePeking UniversityBeijingChina
- Peking University Shenzhen HospitalBeijingChina
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Liu J, Ahmed MZ, Ahmed O, Griffiths MD, Chen L. Development and Psychometric Assessment of the Problematic QQ Use Scale among Adolescents. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:ijerph18136744. [PMID: 34201555 PMCID: PMC8268458 DOI: 10.3390/ijerph18136744] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 04/21/2021] [Revised: 06/15/2021] [Accepted: 06/16/2021] [Indexed: 02/07/2023]
Abstract
The QQ social media platform is very popular among Chinese adolescents. As with other social media platforms (e.g., Facebook, Instagram, YouTube, etc.), there have been increasing reports that the use of QQ can be potentially problematic to a minority of users. However, unlike these other social media platforms, there is currently no scale to assess the risk of problematic QQ use. The present study developed the Problematic QQ Use Scale (PQQUS) among Chinese adolescents based on six core criteria of behavioral addiction (salience, tolerance, mood modification, loss of control, withdrawal, and conflict) that have been used in the development of other social media addiction scales. The scale was administered to a sample of 1008 Chinese school children to assess its psychometric properties, utilizing both classical test theory and item response theory. The analysis demonstrated that the PQQUS had good item discrimination indices relating to both CTT and IRT. The CFA results and Loevinger’s H-coefficient suggested the PQQUS had a unidimensional factor structure. The PQQUS had good internal reliability, good composite reliability, and good concurrent validity (based on correlations with measures of anxiety, depression, self-esteem, and life satisfaction). The invariance testing between boys and girls suggested this scale is a valid assessment tool for both groups. Overall, the PQQUS is a psychometrically robust tool for assessing problematic QQ use and will have a key role in further research on problematic QQ use among Chinese adolescents.
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Affiliation(s)
- Jintao Liu
- Research Center for Urban Social Psychology, School of Education, Lanzhou City University, Lanzhou 730070, China
- School of Psychology, Northwest Normal University, Lanzhou 730070, China; (M.Z.A.); (L.C.)
- Correspondence:
| | - Md Zahir Ahmed
- School of Psychology, Northwest Normal University, Lanzhou 730070, China; (M.Z.A.); (L.C.)
| | - Oli Ahmed
- Department of Psychology, University of Chittagong, Chattogram 4331, Bangladesh;
| | - Mark D. Griffiths
- Psychology Department, Nottingham Trent University, Nottingham NG1 4FQ, UK;
| | - Lili Chen
- School of Psychology, Northwest Normal University, Lanzhou 730070, China; (M.Z.A.); (L.C.)
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Son HG, Cho HJ, Jeong KH. The Effects of Korean Parents' Smartphone Addiction on Korean Children's Smartphone Addiction: Moderating Effects of Children's Gender and Age. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:ijerph18136685. [PMID: 34206185 PMCID: PMC8297017 DOI: 10.3390/ijerph18136685] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 03/29/2021] [Revised: 06/07/2021] [Accepted: 06/07/2021] [Indexed: 11/16/2022]
Abstract
Background: Smartphone addiction among children and adolescents has a negative effect, as excessive use of smartphones can cause physical symptoms, such as fatigue, indigestion, and sleep problems, as well as psychopathological problems, such as depression, anxiety, and impulsiveness. Materials and Methods: This study was carried out using the Korean Children and Youth Panel Survey 2019 conducted by the National Youth Policy Institute. The total number of participants was 4656 youths (2290 in grade 5 and 2366 in grade 8), and the dependent and independent variables were smartphone addiction in children and parents, respectively. Multiple regression analysis was conducted by Stata 15.0 SE. Results: First, the level of parents' smartphone addiction affected that of children and adolescents. Second, the children's and adolescents' age affected the level of smartphone addiction, while their gender did not affect it. Third, the relationship between the levels of parents' and children's smartphone addiction was not moderated by the genders and ages of the children and adolescents. Conclusions: It was confirmed that as parents' smartphone addiction increased, that of children increased, and smartphone addiction was found to increase in the second grade of middle school (12 years old) rather than grade 5 of elementary school (10 years old). Parents' and children's smartphone addiction was not moderated by children's and adolescents' gender and age.
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Affiliation(s)
- Hye-Gyeong Son
- College of Nursing, Kosin University, Busan 49104, Korea;
| | - Heeran J. Cho
- Department of Health Administration, Yonsei University, Seoul 03021, Korea
- Correspondence:
| | - Kyu-Hyoung Jeong
- Department of Social Welfare, Semyung University, Jecheon 27136, Korea;
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Application of the health action process approach model for reducing excessive internet use behaviors among rural adolescents in China: a school-based intervention pilot study. BMC Public Health 2021; 21:986. [PMID: 34039318 PMCID: PMC8152115 DOI: 10.1186/s12889-021-10999-z] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/04/2021] [Accepted: 04/29/2021] [Indexed: 11/22/2022] Open
Abstract
Objective There are few studies regarding Internet use behaviors of Chinese rural adolescents based on behavioral theory. The aim of this study is to examine the applicability and effectiveness of the health action process approach model (HAPA) in the intervention of excessive Internet use behaviors among rural adolescents in China. Methods Three hundred twenty-seven participants who met the excessive Internet use criteria were involved in this study. Four interventions based on the HAPA model were conducted during 2015–2017. The structural equation model (SEM) was applied to fit the HAPA model. Results The rate of average daily time spent online on weekends more than 4 h dropped from 57.2 to 39.1% (P < 0.001). The rate of daily game time more than 2 h decreased from 51.1 to 35.2% (P < 0.001). The result of SEM showed that both the applicability and effectiveness of the HAPA model were well in the intervention of excessive Internet use behaviors with good fitted indicators (χ2/df = 2.066, GFI = 0.889, CFI = 0.938, TLI = 0.928, IFI = 0.938, RMSEA = 0.057). The direct and indirect effects of the main pathways in the HAPA model were statistically significant (P < 0.05). The comparison analysis of HAPA model variables identified that outcome expectancy, intention, maintenance self-efficacy had been improved significantly after interventions. Conclusion The intervention measures based on the HAPA model can effectively reduce excessive Internet use behaviors of Chinese rural adolescents, mainly through strengthen outcome expectancy, intention, and maintenance self-efficacy. Supplementary Information The online version contains supplementary material available at 10.1186/s12889-021-10999-z.
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81
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Toozandehjani A, Mahmoodi Z, Rahimzadeh M, Jashni Motlagh A, Akbari Kamrani M, Esmaelzadeh Saeieh S. The predictor role of Internet addiction in high- risk behaviors and general health status among Alborz students: A structural equation model. Heliyon 2021; 7:e06987. [PMID: 34036189 PMCID: PMC8134985 DOI: 10.1016/j.heliyon.2021.e06987] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/23/2021] [Revised: 04/16/2021] [Accepted: 04/29/2021] [Indexed: 11/30/2022] Open
Abstract
Background Internet addiction has become more prevalent in Adolescents. Some adolescents who tend to use Internet excessively have a poorer health status, and engage in more risky behaviors than others. Therefore, the aim of this study was to investigate the predictor role of Internet addiction in high- risk behaviors and the general health status among adolescences. Methods This was a descriptive-analytical study of structural equation modeling, conducted on 300 students of Alborz University of Medical Sciences. The multi-stage sampling method was used to identify the number of students aged 19–21 years studying in each faculty in the first stage and convenience sampling was used in the second stage. Data were collected using Iranian Adolescents Risk-taking Scale (IARS), the General Health Questionnaire (GHQ-28) and the Young's Internet Addiction Test (YIAT). The data were analyzed using LISREL version 8.8. Results The results of the measurement model using LISREL software showed a goodness of fit for the conceptual model. Internet addiction had a significant direct positive effect on the adolescents' high-risk behaviors (β = 0.17). Also, Internet addiction had a significant positive effect on the adolescents' general health status (β = 0.33) and general health problems increased by 0.33 per unit of Internet use. The result of structural model revealed no significant effects of general health on high-risk behaviors. Based on the value of the variance determined, Internet addiction could predict 11% of general health. Also, general health and Internet addiction together could predict 2.7% of high- risk behaviors. Conclusion Given the effect of Internet addiction on the general health and high-risk behavior, it is recommended that adolescents will be screened about internet addiction and the necessary training is given to the adolescents on the appropriate use of Internet. All necessary information should be given to the parents regarding Internet risks and dangers.
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Affiliation(s)
- Azam Toozandehjani
- Student Research Committee, Alborz University of Medical Sciences, Karaj, Iran
| | - Zohreh Mahmoodi
- Social Determinants of Health Research Center, Alborz University of Medical Sciences, Karaj, Iran
| | - Mitra Rahimzadeh
- Social Determinants of Health Research Center, School of Public Health, Alborz University of Medical Sciences, Karaj, Iran
| | - Alireza Jashni Motlagh
- Neonatal-Perinatal Medicine Department of Pediatrics, School of Medicine, Alborz University of Medical Sciences, Karaj, Iran
| | - Mahnaz Akbari Kamrani
- Social Determinants of Health Research Center, Alborz University of Medical Sciences, Karaj, Iran
| | - Sara Esmaelzadeh Saeieh
- Social Determinants of Health Research Center, Alborz University of Medical Sciences, Karaj, Iran
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82
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Seo EH, Kim SG, Lee SK, Park SC, Yoon HJ. Internet Addiction and Its Associations with Clinical and Psychosocial Factors in Medical Students. Psychiatry Investig 2021; 18:408-416. [PMID: 33910324 PMCID: PMC8169337 DOI: 10.30773/pi.2020.0405] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/10/2020] [Accepted: 02/16/2021] [Indexed: 01/19/2023] Open
Abstract
OBJECTIVE Excessive internet use has been associated with various psychiatric symptoms and psychosocial factors. This study aimed to investigate the prevalence of internet addiction (IA) and its associations with clinical (depression/social anxiety) and psychosocial (self-esteem/perceived social support) factors in medical students. METHODS In total, 408 medical students at one university in Korea were included in this study. IA symptoms were assessed with Young's Internet Addiction Test, and scores of 50 or higher were considered to indicate IA. Participants were asked to complete the Beck Depression Inventory, Social Phobia Inventory, Rosenberg Self-Esteem Scale, and Duke-University of North Carolina Functional Social Support Questionnaire. A logistic regression model was constructed to examine the impact of clinical and psychosocial factors on IA. RESULTS Forty-seven participants (11.5%) were identified as having IA. Self-esteem was associated with a lower risk of IA, whereas depression and social anxiety were associated with a higher risk of IA. Depression, social anxiety, low self-esteem, and low perceived social support were found to be significant correlates of IA. Young's Internet Addiction Test score positively correlated with Beck Depression Inventory and Social Phobia Inventory scores, but negatively correlated with Rosenberg Self-Esteem Scale and Duke-University of North Carolina Functional Social Support Questionnaire scores. Furthermore, the prevalence of IA was highest in first-year medical students. CONCLUSION This study revealed the possible risk and protective factors of IA. Our findings indicate that strengthening self-esteem and reducing depression and social anxiety may contribute to the prevention and management of IA in medical students.
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Affiliation(s)
- Eun Hyun Seo
- Premedical Science, College of Medicine, Chosun University, Gwangju, Republic of Korea
| | - Seung-Gon Kim
- Department of Psychiatry, College of Medicine, Chosun University, Gwangju, Republic of Korea
| | - Sang-Kyu Lee
- Department of Psychiatry, College of Medicine, Hallym University, Chuncheon, Republic of Korea
| | - Seon-Cheol Park
- Department of Psychiatry, Hanyang University Guri Hospital, Guri, Republic of Korea
| | - Hyung-Jun Yoon
- Department of Psychiatry, College of Medicine, Chosun University, Gwangju, Republic of Korea
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Siste K, Wiguna T, Bardasono S, Sekartini R, Pandelaki J, Sarasvita R, Suwartono C, Murtani BJ, Damayanti R, Christian H, Sen LT, Nasrun MW. Internet addiction in adolescents: Development and validation of Internet Addiction Diagnostic Questionnaire (KDAI). Psychiatry Res 2021; 298:113829. [PMID: 33662841 DOI: 10.1016/j.psychres.2021.113829] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/27/2020] [Accepted: 02/21/2021] [Indexed: 11/16/2022]
Abstract
Internet addiction (IA) is an emerging behavioral problem that constitutes a major health threat to vulnerable populations, including adolescents. However, there is a paucity of IA screening tools specifically designed for adolescents, especially in Indonesia. Therefore, the current study developed and validated the IA Diagnostic Questionnaire (KDAI) in adolescents while acknowledging local cultural influences. The KDAI was conceived through extensive literature reviews, expert discussions based on Delphi methods, a face validity study, focus group discussion (N = 31) for initial reliability testing, and a recruited pilot study (N = 385) and main study (N = 643) for exploratory and confirmatory factor analyses, respectively. The multi-sample analyses demonstrated that the KDAI model with the best fit and reliability comprised a seven-factor structure, including withdrawal, loss of control, increase of priority, negative consequences, mood modification, salience, and impairment. These factors were scrutinized against domains of IA Test, and concurrent validity was ascertained. Subsequently, a receiver operating characteristic curve and area under the curve determined a cutoff score of 108 to discern adolescents with IA. Taken together, the KDAI displayed excellent psychometric indices and sensitivity as a screening tool for IA in adolescents.
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Affiliation(s)
- Kristiana Siste
- Department of Psychiatry, Faculty of Medicine, Universitas Indonesia- dr. Cipto Mangunkusumo General Hospital, Jakarta, Indonesia
| | - Tjhin Wiguna
- Department of Psychiatry, Faculty of Medicine, Universitas Indonesia- dr. Cipto Mangunkusumo General Hospital, Jakarta, Indonesia
| | - Saptawati Bardasono
- Department of Nutrition, Faculty of Medicine, Universitas Indonesia- dr. Cipto Mangunkusumo General Hospital, Jakarta, Indonesia
| | - Rini Sekartini
- Department of Child Health, Faculty of Medicine, Universitas Indonesia- dr. Cipto Mangunkusumo General Hospital, Jakarta, Indonesia
| | - Jacub Pandelaki
- Department of Radiology, Faculty of Medicine, Universitas Indonesia- dr. Cipto Mangunkusumo General Hospital, Jakarta Indonesia
| | - Riza Sarasvita
- Indonesia National Narcotics Board, Jakarta, Indonesia; Department of Psychology, Soegijapranata Catholic University, Semarang, Central Java, Indonesia
| | - Christiany Suwartono
- Faculty of Psychology, Atma Jaya Catholic University of Indonesia, Jakarta, Indonesia
| | - Belinda Julivia Murtani
- Department of Psychiatry, Faculty of Medicine, Universitas Indonesia- dr. Cipto Mangunkusumo General Hospital, Jakarta, Indonesia
| | - Reza Damayanti
- Department of Psychiatry, Faculty of Medicine, Universitas Indonesia- dr. Cipto Mangunkusumo General Hospital, Jakarta, Indonesia
| | - Hans Christian
- Department of Psychiatry, Faculty of Medicine, Universitas Indonesia- dr. Cipto Mangunkusumo General Hospital, Jakarta, Indonesia
| | - Lee Thung Sen
- Department of Psychiatry, Faculty of Medicine, Universitas Indonesia- dr. Cipto Mangunkusumo General Hospital, Jakarta, Indonesia
| | - Martina Wiwie Nasrun
- Department of Psychiatry, Faculty of Medicine, Universitas Indonesia- dr. Cipto Mangunkusumo General Hospital, Jakarta, Indonesia.
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Pirdehghan A, Khezmeh E, Panahi S. Social Media Use and Sleep Disturbance among Adolescents: A Cross-Sectional Study. IRANIAN JOURNAL OF PSYCHIATRY 2021; 16:137-145. [PMID: 34221039 PMCID: PMC8233562 DOI: 10.18502/ijps.v16i2.5814] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 05/05/2020] [Revised: 09/28/2020] [Accepted: 10/05/2020] [Indexed: 12/16/2022]
Abstract
Objective: Recently, social media use has become prevalent in the daily lives of many adolescents. This study was performed to address adolescents' sleep quality and depression in relation to social media use. Method : This cross-sectional cluster-sampling study was directed on 576 high school students in 2019 in Hamadan, Iran. Three standard self-reported questionnaires were used for recording sleep patterns (Pittsburgh Sleep Questionnaire Index (PSQI)), depression (Beck), and Electronic Media Use. Data was analyzed using SPSS. P-values less than 0.05 were considered as being significant. Results: Among the adolescents 290 (50.3%) were female and the age median was 17. The average time of all Smart devices used was 7.5±4.4 hours per day. Among all students 62.3 % (359) said that they had their cell phone on in their bedroom when they sleep. In boys, the amount of social media use was significantly more than girls and poor sleep quality had a statically significant relationship with social media use (P-Value = 0.02). Additionally, there was a reverse correlation between the average use of electronic devices and sleep duration (Spearman's rho = 0.17; P-Value = 0.03), and a direct correlation between the average use in social media and depression (Spearman's rho = 0.171; P-Value < 0.001). Conclusion: In this important age group a high level of electronic devices use and its relationship with sleep quality, daily dysfunction, sleep duration and depression is worthy of issue awareness among health managers, parents and teachers for providing interventional programs, based on standard updated guidelines, in order to reduce the problem and familiarize adolescents and their parents, at home or school, with restrictions on using devices to view and participate in social media.
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Affiliation(s)
- Azar Pirdehghan
- School of Public Health and Research Center for Health Sciences, Hamadan University of Medical Sciences, Hamadan, Iran
| | - Edris Khezmeh
- Department of Community and Preventive Medicine, School of Public Health and Research Center for Health Sciences, Hamadan University of Medical Sciences, Hamadan, Iran
| | - Soheila Panahi
- Department of Psychiatry, School of Medicine, Hamadan University of Medical Sciences, Hamadan, Iran
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85
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Chen Y, Zhang L, Liu Y, Yang Y, Qiu M, Wang Y, Peng W, Li H, Zhu T. Acupuncture for Internet addiction: A protocol for systematic review. Medicine (Baltimore) 2021; 100:e24872. [PMID: 33761645 PMCID: PMC9281904 DOI: 10.1097/md.0000000000024872] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/31/2021] [Accepted: 02/02/2021] [Indexed: 01/05/2023] Open
Abstract
BACKGROUND Internet addiction (IA) has become a global problem characterized by excessive use of the internet, compulsive, and deleterious personal behaviors. Acupuncture has gained more and more attention in the treatment of IA. However, evidence of its effectiveness is lacking. The purpose of this systematic review is to evaluate the efficacy and safety of acupuncture in the treatment of IA. METHODS The following databases will be searched from the inception to September 30, 2020: the Cochrane Library, PubMed, Embase, Web of Science, China National Knowledge Infrastructure, Wan-fang database, Chinese Biomedical Literature Database, and Chinese Scientific Journal Database. The research on acupuncture and IA meets the screening criteria, and two independent reviewers performed citation screening, data extraction, and risk assessment of bias. We used Cochrane Review Manager 5.3 software for statistical analysis. RESULTS The findings will be published at scientific conferences or in a peer-reviewed journal. This study is based on the existing research, so there is no need for ethical approval. CONCLUSION This systematic review provides evidence for the efficacy of acupuncture in treating IA disorder, and it is of great significance for effective clinical routine treatment of IA. TRIAL REGISTRATION NUMBER INPLASY 2020120099.
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Affiliation(s)
- Yalin Chen
- School of Rehabilitation and Health Preservation, Chengdu University of Traditional Chinese Medicine, Chengdu
| | - Lingrui Zhang
- Department of Medicine, Leshan Vocational and Technical College, Leshan
| | | | | | - Mimi Qiu
- School of Rehabilitation and Health Preservation, Chengdu University of Traditional Chinese Medicine, Chengdu
| | - Yang Wang
- School of Acupuncture and Tuina, Chengdu University of Traditional Chinese Medicine
| | - Wei Peng
- School of Acupuncture and Tuina, Chengdu University of Traditional Chinese Medicine
| | - Hui Li
- School of Medicine, Chengdu University, Chengdu, China
| | - Tianmin Zhu
- School of Rehabilitation and Health Preservation, Chengdu University of Traditional Chinese Medicine, Chengdu
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Hayixibayi A, Strodl E, Chen WQ, Kelly AB. School-based relationships and problematic internet use amongst Chinese students. PLoS One 2021; 16:e0248600. [PMID: 33760872 PMCID: PMC7990311 DOI: 10.1371/journal.pone.0248600] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/20/2020] [Accepted: 02/27/2021] [Indexed: 11/29/2022] Open
Abstract
The potential for adolescent mental health problems arising from heavy internet use is significant. There is a need to better understand the risk and protective factors related to problematic internet use (PIU) amongst adolescents. This study examined the role of adolescents’ perceptions of school-based relationships as potential contextual antecedents to problematic internet use. Specifically, 6552 adolescent students (55.9% boys, 13.51 ± 2. 93 years) from 22 primary and middle schools in southern China completed questionnaires to measure the degree of adolescent conflict with peers, teachers and other staff, school connectedness, perceived classroom atmosphere and problematic internet use. Self-reported data was collected using a two-level stratified sampling. Multiple regression analyses showed that conflict with peers and teachers was positively associated with higher levels of PIU, while school connectedness and perceived classroom atmosphere were negatively associated with PIU. An interaction effect was found for conflict with peers and grade level, such that the association between conflict with peers and PIU was stronger for secondary students compared to primary school students. The results support the need for school-based interventions for PIU to include a focus on conflict with peers and teachers, and for a focus on the enhancement of school connectedness and classroom atmosphere.
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Affiliation(s)
- Alimila Hayixibayi
- School of Psychology and Counselling, Queensland University of Technology, Brisbane, Queensland, Australia
- * E-mail:
| | - Esben Strodl
- School of Psychology and Counselling, Queensland University of Technology, Brisbane, Queensland, Australia
| | - Wei-Qing Chen
- Department of Epidemiology, School of Public Health, Sun Yat-sen University, Guangzhou, China
| | - Adrian B. Kelly
- School of Psychology and Counselling, Queensland University of Technology, Brisbane, Queensland, Australia
- Centre for Inclusive Education, Queensland University of Technology, Brisbane, Queensland, Australia
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87
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Ma H, He J, Zou J, Zhong Y. Mobile phone addiction and its association with burnout in Chinese novice nurses: A cross-sectional survey. Nurs Open 2021; 8:688-694. [PMID: 33570286 PMCID: PMC7877152 DOI: 10.1002/nop2.673] [Citation(s) in RCA: 11] [Impact Index Per Article: 3.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/14/2020] [Revised: 09/03/2020] [Accepted: 10/15/2020] [Indexed: 12/17/2022] Open
Abstract
AIM To explore the levels of mobile phone addiction and burnout and their relationships among novice nurses. DESIGN A cross-sectional investigation design. METHODS Questionnaires were distributed to 400 novice nurses in five public hospitals in China. A total of 366 participants completed the survey. Data collected in 2020 were analysed by using descriptive statistics, an independent t test and Pearson's correlation analysis. RESULTS The results showed that the frequency of nursing adverse events was associated with higher level of mobile phone addiction in novice nurses, and 52.46% of the participants (N = 366) presented a high level of occupational burnout. Moreover, the results indicated that there was a positive correlation between the novice nurses' mobile phone addiction level and burnout (r = .33, p < .01). CONCLUSION The level of mobile phone addiction may affect nursing adverse events and nurses' burnout. Education on novice nurses' mobile phone use seems necessary to ensure patient safety and burnout prevention. IMPACT Findings of this study expanded important knowledge about mobile phone addiction and its potential influence on nursing safety and nurse burnout and may place significant implications to staff nurse management and in-service education.
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Affiliation(s)
- Huan Ma
- Xiangya Nursing SchoolCentral South UniversityChangshaChina
| | - Ji‐Qun He
- Xiangya Hospital of Central South UniversityChangshaChina
| | - Jin‐Mei Zou
- Nursing DepartmentSichuan Vocational College of Health and RehabilitationZigongChina
| | - Ying Zhong
- Xiangya Nursing SchoolCentral South UniversityChangshaChina
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88
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Lo CKM, Ho FK, Emery C, Chan KL, Wong RS, Tung KTS, Ip P. Association of harsh parenting and maltreatment with internet addiction, and the mediating role of bullying and social support. CHILD ABUSE & NEGLECT 2021; 113:104928. [PMID: 33429283 DOI: 10.1016/j.chiabu.2021.104928] [Citation(s) in RCA: 18] [Impact Index Per Article: 6.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/06/2020] [Revised: 12/23/2020] [Accepted: 12/30/2020] [Indexed: 05/21/2023]
Abstract
Growing evidence has shown that exposure to harsh parenting and child maltreatment elevate the risk of Internet addiction in adolescence. Yet, limited research has examined the mechanisms underlying this association. The present study was a cross-sectional school survey of 1204 adolescents (52.2 % male and 47.8 % female; mean age, 13.36 years) in Hong Kong. The adolescents completed a self-reported questionnaire about their exposure to bullying victimization, bullying perpetration, child maltreatment, Internet addiction, and social support. The findings showed that harsh parenting and maltreatment was significantly associated with Internet addiction. After controlling for a number of confounding factors, the results of the mediation analyses showed that family support and bullying perpetration, and family support and bullying victimization accounted for 36 % and 25 % of the effect of harsh discipline and maltreatment on Internet addiction, respectively. Effective prevention and intervention strategies for Internet addiction should target family and social vulnerabilities in adolescents.
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Affiliation(s)
- Camilla K M Lo
- Department of Applied Social Sciences, The Hong Kong Polytechnic University, Hong Kong.
| | - Frederick K Ho
- Institute of Health and Wellbeing, University of Glasgow, UK.
| | - Clifton Emery
- Department of Social Work and Social Administration, The University of Hong Kong, Hong Kong.
| | - Ko Ling Chan
- Department of Applied Social Sciences, The Hong Kong Polytechnic University, Hong Kong.
| | - Rosa S Wong
- Department of Paediatrics & Adolescent Medicine, The University of Hong Kong, Hong Kong.
| | - Keith T S Tung
- Department of Paediatrics & Adolescent Medicine, The University of Hong Kong, Hong Kong.
| | - Patrick Ip
- Department of Paediatrics & Adolescent Medicine, The University of Hong Kong, Hong Kong.
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89
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Shao T, Chen X, Huang S, Liao Z, Lin S, Qi J, Cai Y, Huang Q, Shen H. The recognition of gaming disorder in China: a case series of 223 patients. PeerJ 2021; 9:e10827. [PMID: 33604193 PMCID: PMC7868065 DOI: 10.7717/peerj.10827] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/18/2020] [Accepted: 01/03/2021] [Indexed: 12/30/2022] Open
Abstract
Background Internet gaming disorder (IGD) was listed in the appendix of the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5) as a condition requiring further study in 2013, and gaming disorder (GD) was considered a mental disorder and listed in the 11th International Classification of Diseases Manual (ICD-11) in 2018. The study aims to obtain preliminary knowledge of the recognition of GD in China. Methods A total of 223 Chinese patients who met both the ICD-11 and DSM-5 criteria for GD participated in the study, and a self-administered questionnaire was used to collect demographic information, gaming use characteristics, and previous diagnoses. Results The average age of patients with GD was 20.5 years, and 71.3% were male. Most patients were diagnosed with emotion-related disorders at their first psychiatric visit: mood disorders (59.2%), bipolar affective disorder (18.4%), depressive episode (12.6%), and anxiety disorder (4.9%). Among the adolescent patients with a first diagnosis of mood disorders, 71.2% and 33.3% were diagnosed with bipolar affective disorder and personality disorders, respectively, at subsequent visits. Overall, after the first visit, the most common diagnosis was bipolar affective disorder (61.0%), followed by personality disorders (34.1%), mood disorders (17.0%), depressive episode (17.0%), and other disorders. Only three patients had Internet overuse. Conclusion The identification rate of GD is extremely low in routine psychiatric clinical practice in China. Most patients with GD were previously misdiagnosed with emotion-related disorders. Psychiatrists should be trained to improve their ability to recognize and manage GD.
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Affiliation(s)
- Tianli Shao
- National Clinical Research Center for Mental Disorders, and Department of Psychiatry, the Second Xiangya Hospital of Central South University, Changsha, Hunan, China.,Institute of Mental Health of Central South University, Chinese National Technology Institute on Mental Disorders, Hunan Key Laboratory of Psychiatry and Mental Health, Hunan Medical Center for Mental Health, Changsha, Hunan, China.,Department of Psychiatry, Comorbid Somatic Diseases, Kangning Hospital of Shenzhen, Shenzhen, Guangdong, China
| | - Xinxin Chen
- National Clinical Research Center for Mental Disorders, and Department of Psychiatry, the Second Xiangya Hospital of Central South University, Changsha, Hunan, China.,Institute of Mental Health of Central South University, Chinese National Technology Institute on Mental Disorders, Hunan Key Laboratory of Psychiatry and Mental Health, Hunan Medical Center for Mental Health, Changsha, Hunan, China
| | - Shucai Huang
- Department of Psychiatry, the Fourth People's Hospital of Wuhu, Wuhu, Anhui, China
| | - Zhenjiang Liao
- National Clinical Research Center for Mental Disorders, and Department of Psychiatry, the Second Xiangya Hospital of Central South University, Changsha, Hunan, China.,Institute of Mental Health of Central South University, Chinese National Technology Institute on Mental Disorders, Hunan Key Laboratory of Psychiatry and Mental Health, Hunan Medical Center for Mental Health, Changsha, Hunan, China
| | - Shuhong Lin
- National Clinical Research Center for Mental Disorders, and Department of Psychiatry, the Second Xiangya Hospital of Central South University, Changsha, Hunan, China.,Institute of Mental Health of Central South University, Chinese National Technology Institute on Mental Disorders, Hunan Key Laboratory of Psychiatry and Mental Health, Hunan Medical Center for Mental Health, Changsha, Hunan, China
| | - Jing Qi
- Department of Psychiatry, Brain Hospital of Hunan Province, Changsha, Hunan, China
| | - Yi Cai
- Department of Psychiatry, Comorbid Somatic Diseases, Kangning Hospital of Shenzhen, Shenzhen, Guangdong, China
| | - Qiuping Huang
- National Clinical Research Center for Mental Disorders, and Department of Psychiatry, the Second Xiangya Hospital of Central South University, Changsha, Hunan, China.,Institute of Mental Health of Central South University, Chinese National Technology Institute on Mental Disorders, Hunan Key Laboratory of Psychiatry and Mental Health, Hunan Medical Center for Mental Health, Changsha, Hunan, China
| | - Hongxian Shen
- National Clinical Research Center for Mental Disorders, and Department of Psychiatry, the Second Xiangya Hospital of Central South University, Changsha, Hunan, China.,Institute of Mental Health of Central South University, Chinese National Technology Institute on Mental Disorders, Hunan Key Laboratory of Psychiatry and Mental Health, Hunan Medical Center for Mental Health, Changsha, Hunan, China
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90
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Siste K, Suwartono C, Nasrun MW, Bardosono S, Sekartini R, Pandelaki J, Sarasvita R, Murtani BJ, Damayanti R, Wiguna T. Validation study of the Indonesian internet addiction test among adolescents. PLoS One 2021; 16:e0245833. [PMID: 33539448 PMCID: PMC7861384 DOI: 10.1371/journal.pone.0245833] [Citation(s) in RCA: 13] [Impact Index Per Article: 4.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/16/2020] [Accepted: 01/11/2021] [Indexed: 11/30/2022] Open
Abstract
BACKGROUND Internet addiction is a serious problem that can negatively impact both the physical and mental health of individuals. The Internet Addiction Test (IAT) is the most common used instrument to screen internet addiction worldwide. This study sought to investigate the psychometric properties of an Indonesian version of the IAT. METHODS The IAT questionnaire was made the focus of forward translation, expert panel discussions, back translation, an item analysis (30 subjects), a pilot study (385 subjects), and field testing (643 subjects). Factor structure was analysed by exploratory (EFA) and confirmatory factor (CFA) analyses, whereas reliability was measured with Cronbach's alpha coefficient. RESULTS Factor analysis revealed that the Indonesian version of IAT, consisted of 3 domains, and had good validity (χ2 p < 0.001; RMSEA = 0.076; CFI = 0.95; SRMR = 0.057, and AIC = 784.63). The Cronbach's alpha score is 0.855. A significant association was also observed between the level of internet addiction with gender (p = 0.027) and the duration of internet use per day (p = 0.001). CONCLUSION The Indonesian version of IAT provides good validity and reliability in a three-dimensional model. Therefore, it can be utilised as a tool for screening internet addiction in the Indonesian population.
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Affiliation(s)
- Kristiana Siste
- Faculty of Medicine, Department of Psychiatry, Universitas Indonesia- dr. Cipto Mangkusumo General Hospital, Jakarta, Indonesia
| | - Christiany Suwartono
- Faculty of Psychology, Atma Jaya Catholic University of Indonesia, Jakarta, Indonesia
| | - Martina Wiwie Nasrun
- Faculty of Medicine, Department of Psychiatry, Universitas Indonesia- dr. Cipto Mangkusumo General Hospital, Jakarta, Indonesia
| | - Saptawati Bardosono
- Faculty of Medicine, Department of Nutrition, Universitas Indonesia- dr. Cipto Mangunkusumo General Hospital, Jakarta, Indonesia
| | - Rini Sekartini
- Faculty of Medicine, Department of Chuld Health, Universitas Indonesia- dr. Cipto Mangunkusumo General Hospital, Jakarta, Indonesia
| | - Jacub Pandelaki
- Faculty of Medicine, Department of Radiology, Universitas Indonesia- dr. Cipto Mangunkusumo General Hospital, Jakarta, Indonesia
| | | | - Belinda Julivia Murtani
- Faculty of Medicine, Department of Psychiatry, Universitas Indonesia- dr. Cipto Mangkusumo General Hospital, Jakarta, Indonesia
| | - Reza Damayanti
- Faculty of Medicine, Department of Psychiatry, Universitas Indonesia- dr. Cipto Mangkusumo General Hospital, Jakarta, Indonesia
| | - Tjhin Wiguna
- Faculty of Medicine, Department of Psychiatry, Universitas Indonesia- dr. Cipto Mangkusumo General Hospital, Jakarta, Indonesia
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91
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Meng J, Wang F, Chen R, Hua H, Yang Q, Yang D, Wang N, Li X, Ma F, Huang L, Zou Z, Li M, Wang T, Luo Y, Li Y, Liu Y. Association between the pattern of mobile phone use and sleep quality in Northeast China college students. Sleep Breath 2021; 25:2259-2267. [PMID: 33532989 DOI: 10.1007/s11325-021-02295-2] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/17/2020] [Revised: 12/09/2020] [Accepted: 01/05/2021] [Indexed: 10/22/2022]
Abstract
OBJECTIVES Currently, mobile penetration is high amongst college students. The aims of this study were to investigate the characteristics of mobile phone use and to explore the influence of mobile phone use characteristics on sleep quality amongst college students. METHODS From December 2016 to January 2017, we collected mobile phone use characteristics and sleep quality data using the Pittsburgh Sleep Quality Index (PSQI) and standardised questionnaires that were answered by 4500 medical university students in Liaoning Province (actual response rate of 94%, n = 4234 college students). This study used the SPSS 21.0 software to establish the database and perform the statistical analysis. RESULTS One hundred percent of the college students had mobile phones and used mobile phones for entertainment (91%), work (51%), obtaining information (61%), and other purposes (23%). Additionally, there was a statistically significant difference in the PSQI score between students who held the phone at a distance of more than 10 cm from their eyes and those who held it a distance of less than 10 cm (P = 0.002). Multiple logistic regression analysis showed that the risk of poor sleep quality was 1.21-1.53 times higher for those who spent more than 5 h a day using their phones and 1.41-1.59 times higher for those who used their phones for more than half an hour before going to bed when the lights were off. CONCLUSIONS Daily cumulative mobile phone use and use with the lights off before sleep are associated with poorer sleep quality.
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Affiliation(s)
- Jia Meng
- School of Public Health, China Medical University, No. 77 Puhe Road, Shenyang North New Area, Shenyang, 110122, Liaoning, China
- School of Public Health, Jinzhou Medical University, Jinzhou, Liaoning, China
| | - Fang Wang
- School of Public Health, China Medical University, No. 77 Puhe Road, Shenyang North New Area, Shenyang, 110122, Liaoning, China
| | - Rentong Chen
- School of Public Health, China Medical University, No. 77 Puhe Road, Shenyang North New Area, Shenyang, 110122, Liaoning, China
| | - Hui Hua
- School of Public Health, China Medical University, No. 77 Puhe Road, Shenyang North New Area, Shenyang, 110122, Liaoning, China
| | - Qian Yang
- Department of Personnel, Jinzhou Medical University, Jinzhou, Liaoning, China
| | - Dan Yang
- School of Public Health, China Medical University, No. 77 Puhe Road, Shenyang North New Area, Shenyang, 110122, Liaoning, China
| | - Nan Wang
- School of Public Health, China Medical University, No. 77 Puhe Road, Shenyang North New Area, Shenyang, 110122, Liaoning, China
| | - Xin Li
- School of Public Health, China Medical University, No. 77 Puhe Road, Shenyang North New Area, Shenyang, 110122, Liaoning, China
| | - Fangfang Ma
- School of Public Health, China Medical University, No. 77 Puhe Road, Shenyang North New Area, Shenyang, 110122, Liaoning, China
| | - Liting Huang
- School of Public Health, China Medical University, No. 77 Puhe Road, Shenyang North New Area, Shenyang, 110122, Liaoning, China
| | - Zhenzhen Zou
- School of Public Health, China Medical University, No. 77 Puhe Road, Shenyang North New Area, Shenyang, 110122, Liaoning, China
| | - Menglin Li
- School of Public Health, China Medical University, No. 77 Puhe Road, Shenyang North New Area, Shenyang, 110122, Liaoning, China
| | - Tieting Wang
- School of Public Health, China Medical University, No. 77 Puhe Road, Shenyang North New Area, Shenyang, 110122, Liaoning, China
| | - Yannan Luo
- School of Public Health, China Medical University, No. 77 Puhe Road, Shenyang North New Area, Shenyang, 110122, Liaoning, China
| | - Yunda Li
- School of Public Health, China Medical University, No. 77 Puhe Road, Shenyang North New Area, Shenyang, 110122, Liaoning, China
| | - Yang Liu
- School of Public Health, China Medical University, No. 77 Puhe Road, Shenyang North New Area, Shenyang, 110122, Liaoning, China.
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92
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Bong SH, Won GH, Choi TY. Effects of Cognitive-Behavioral Therapy Based Music Therapy in Korean Adolescents with Smartphone and Internet Addiction. Psychiatry Investig 2021; 18:110-117. [PMID: 33517616 PMCID: PMC7960754 DOI: 10.30773/pi.2020.0155] [Citation(s) in RCA: 11] [Impact Index Per Article: 3.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/28/2020] [Accepted: 11/11/2020] [Indexed: 11/27/2022] Open
Abstract
OBJECTIVE The purpose of this study was to evaluate the effects of adding music therapy (MT) to cognitive-behavioral therapy (CBT) on symptoms of smartphone/internet addiction and psychiatric comorbidities. METHODS Overall, 155 patients diagnosed with addiction were assigned to either the CBT-MT group or CBT group. Both groups received CBT for 8 weeks, while the CBT-MT group received additional MT. The intervention was completed by 67 and 71 participants in the CBT-MT and CBT groups, respectively. RESULTS The total scores of Young Internet Addiction Scale (YIAT) and Smartphone Addiction Proneness Scale (SAPS) decreased significantly (p<0.001 for both) in both groups, while the total scores of State Anxiety Inventory for Children (SAIC) (p<0.001), Trait Anxiety Inventory for Children (TAIC) (p<0.001), Conners-Wells' Adolescent Self-Report Scale-Short form (CASS(S)) (p=0.048), and Barratt Impulsiveness Scale-11 (BIS-11) (p<0.001) decreased only in the CBT-MT group. The decrements in YIAT (p=0.025), SAIC (p=0.043), TAIC (p=0.011), and BIS-11 (p=0.012) in the CBT-MT group were significantly greater than those in the CBT group. CONCLUSION Combined MT and CBT improved the symptoms of smartphone/internet addiction, anxiety, and impulsivity in adolescents. This combination could therefore be an effective treatment of smartphone or internet addiction along with behavioral disorders such as anxiety and impulsivity.
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Affiliation(s)
- Su Hyun Bong
- Department of Psychiatry, Catholic University of Daegu School of Medicine, Daegu, Republic of Korea
| | - Geun Hui Won
- Department of Psychiatry, Catholic University of Daegu School of Medicine, Daegu, Republic of Korea
| | - Tae Young Choi
- Department of Psychiatry, Catholic University of Daegu School of Medicine, Daegu, Republic of Korea
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93
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Duong XL, Liaw SY, Augustin JLPM. How has Internet Addiction been Tracked Over the Last Decade? A Literature Review and 3C Paradigm for Future Research. Int J Prev Med 2021; 11:175. [PMID: 33456731 PMCID: PMC7804875 DOI: 10.4103/ijpvm.ijpvm_212_20] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/27/2020] [Accepted: 08/04/2020] [Indexed: 12/25/2022] Open
Abstract
Background: The popularity of the internet aggravated by its excessive and uncontrolled use has resulted in psychological impairment or addiction. Internet addiction is hypothesized as an impulse-control disorder of internet use having detrimental impacts on daily life functions, family relationships, and emotional stability. The goal of this review is to provide an exhaustive overview of the empirical evidence on internet addiction and draw attention to future research themes. Methods: We performed a literature search on ScienceDirect and PubMed to review original research articles with empirical evidence published on peer-reviewed international journals from 2010 to 2019. Eight hundred and 26 articles were eligible for analysis. Frequency and descriptive statistics were calculated by Microsoft Excel. Results: A substantial contribution has been coming from researchers from China, Turkey, Korea, Germany, and Taiwan respectively. Despite controversies regarding its definition and diagnostic procedures, internet addiction has become the focal point of a myriad of studies that investigated this particular phenomenon from different exposures. Given observed literature review data regarding research design, data acquisition, and data analysis strategies, we proposed the 3C paradigm which emphasizes the necessity of research incorporating cross-disciplinary investigation conducted on cross-cultural settings with conscientious cross-validation considerations to gain a better comprehension of internet addiction. Conclusions: The findings of the present literature review will serve both academics and practitioners to develop new solutions for better characterize internet addiction.
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Affiliation(s)
- Xuan-Lam Duong
- Faculty of Economics and Rural Development, Thai Nguyen University of Agriculture and Forestry, Thai Nguyen Province, Vietnam.,Department of Tropical Agriculture and International Cooperation, National Pingtung University of Science and Technology, Pingtung City, Taiwan
| | - Shu-Yi Liaw
- Management College, Computer Centre, National Pingtung University of Science and Technology, Pingtung City, Taiwan
| | - Jean-Luc Pradel Mathurin Augustin
- Department of Tropical Agriculture and International Cooperation, National Pingtung University of Science and Technology, Pingtung City, Taiwan
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94
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Nik Jaafar NR, Bahar N, Ibrahim N, Baharudin A, Wan Ismail WS, Sim ST, Abdul Aziz M, Tan KA. Are Malaysian Youths Overdependent on the Internet?: A Narrative Review. Front Psychiatry 2021; 12:710790. [PMID: 34484002 PMCID: PMC8414518 DOI: 10.3389/fpsyt.2021.710790] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/17/2021] [Accepted: 07/13/2021] [Indexed: 11/13/2022] Open
Abstract
Overdependence on the internet is a grave concern that has enveloped Malaysian youths which could lead to a variety of sequelae. This narrative review aims to determine the definition of internet overdependence and its associated factors, as well as the potential preventive and treatment strategies for internet overdependence. From the literature, internet overdependence is regarded as a 3-factor model encompassing salience, self-control failure, and serious consequences. Sociodemographic factors such as age, gender, and ethnicity, as well as psychosocial factors such as depression, anxiety, stress, and loneliness, were found to be associated with internet overdependence among Malaysian youths. A multimodal treatment approach is recommended by the implementation of various types of treatments, integrating disciplines such as pharmacology, psychotherapy, and family counseling. Despite various terminologies being used and unclear conceptualization of its nomenclature, overdependence on the internet is prevalent among youths in Malaysia. Future research should go toward establishing a clear definition of its terminology and attaining more robust evidence on treatment strategies.
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Affiliation(s)
- Nik Ruzyanei Nik Jaafar
- Department of Psychiatry, Faculty of Medicine, Universiti Kebangsaan Malaysia, Kuala Lumpur, Malaysia.,Malaysian Society of Internet Addiction Prevention, Serdang, Malaysia
| | - Norharlina Bahar
- Malaysian Society of Internet Addiction Prevention, Serdang, Malaysia.,Department of Psychiatry, Prince Court Medical Center, Kuala Lumpur, Malaysia
| | - Normala Ibrahim
- Malaysian Society of Internet Addiction Prevention, Serdang, Malaysia.,Department of Psychiatry, Faculty of Medicine and Health Sciences, Universiti Putra Malaysia, Serdang, Malaysia
| | - Azlin Baharudin
- Department of Psychiatry, Faculty of Medicine, Universiti Kebangsaan Malaysia, Kuala Lumpur, Malaysia.,Malaysian Society of Internet Addiction Prevention, Serdang, Malaysia
| | - Wan Salwina Wan Ismail
- Department of Psychiatry, Faculty of Medicine, Universiti Kebangsaan Malaysia, Kuala Lumpur, Malaysia.,Malaysian Society of Internet Addiction Prevention, Serdang, Malaysia
| | - Su Tein Sim
- Malaysian Society of Internet Addiction Prevention, Serdang, Malaysia.,AHL Specialist Clinic, Petaling Jaya, Malaysia
| | - Melisa Abdul Aziz
- Malaysian Society of Internet Addiction Prevention, Serdang, Malaysia.,Department of Psychiatry and Mental Health, Hospital Ampang, Kuala Lumpur, Malaysia
| | - Kit-Aun Tan
- Malaysian Society of Internet Addiction Prevention, Serdang, Malaysia.,Department of Psychiatry, Faculty of Medicine and Health Sciences, Universiti Putra Malaysia, Serdang, Malaysia
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95
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Andrade ALM, Enumo SRF, Passos MAZ, Vellozo EP, Schoen TH, Kulik MA, Niskier SR, Vitalle MSDS. Problematic Internet Use, Emotional Problems and Quality of Life Among Adolescents. PSICO-USF 2021. [DOI: 10.1590/1413-82712021260104] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Abstract
Abstract This study aimed to evaluate the prevalence of Problematic Internet Use (PIU) among adolescents (N = 466) and its possible association with emotional problems and quality of life. Students (Mage = 12.8 years; SD = 1.9) from five public schools in a city in the State of São Paulo participated in this study and completed four instruments: a sociodemographic questionnaire; Internet Addiction Test (IAT); Depression Anxiety Stress Scale (DASS-21) and Pediatric Quality of Life Inventory (PedsQL). No significant differences were detected about the frequency and intensity of symptoms of depression, anxiety, and stress compared to those who did not have problems with the use of the Internet. No differences were observed between the groups in respect of quality of life either. However, those individuals who felt that their internet use impaired their daily activities presented higher average IAT scores and higher levels of stress. These findings indicated that the perception of internet use was the main variable associated with emotional symptoms.
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96
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Association of Internet Addiction with Adolescents' Lifestyle: A National School-Based Survey. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2020; 18:ijerph18010168. [PMID: 33383635 PMCID: PMC7801949 DOI: 10.3390/ijerph18010168] [Citation(s) in RCA: 16] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 09/28/2020] [Revised: 10/26/2020] [Accepted: 11/06/2020] [Indexed: 01/07/2023]
Abstract
Internet addiction (IA) among adolescents is an issue of growing concern with adverse effects on adolescents' health and social functioning. This study aims to determine the prevalence of IA among school-going adolescents in Malaysia and its associated factors-specifically, lifestyle factors. A nationwide cross-sectional school-based health survey was conducted in 2017 among 27,497 students from 212 randomly selected secondary schools. Information regarding sociodemography, lifestyle, and internet use was obtained using a self-administered questionnaire. IA was measured using the Malay Version of Internet Addiction Test (MVIAT). The prevalence of internet addiction was 29.0%. A multivariable logistic analysis revealed that inadequate fruit and vegetable intakes, consumed carbonated soft drinks at least once a day, consumed fast food at least three days/week, sedentary behavior, current E-cigarette users, and ever/current alcohol drinkers were lifestyle factors significantly associated with IA. Adolescents from urban schools, of higher school grade, and those whose parents are married but living apart were also found to have a greater risk for internet addiction. A positive association was found between IA with unhealthy dietary and lifestyle behaviors among adolescents. The modification of lifestyle factors needs to be considered while developing strategies and interventions for awareness-raising and prevention of IA among adolescents.
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Cerniglia L, Cimino S, Marzilli E, Pascale E, Tambelli R. Associations Among Internet Addiction, Genetic Polymorphisms, Family Functioning, and Psychopathological Risk: Cross-Sectional Exploratory Study. JMIR Ment Health 2020; 7:e17341. [PMID: 33361057 PMCID: PMC7790611 DOI: 10.2196/17341] [Citation(s) in RCA: 17] [Impact Index Per Article: 4.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/08/2019] [Revised: 10/02/2020] [Accepted: 10/20/2020] [Indexed: 01/17/2023] Open
Abstract
BACKGROUND International research has emphasized that youths are at higher risk for the onset of internet addiction (IA), but studies investigating biological, psychological, and social factors associated with this condition are limited. OBJECTIVE This study aims to investigate the possible association between IA and genetic polymorphisms in monoamine oxidase A (MAO-A), serotonin-transporter (5-HTTPR), dopamine receptor (DRD4), and dopamine transporter (DAT1) genes by considering the role played by the perception of young adults in their family functioning and their depression, anxiety, and avoidant personality problems. METHODS In a sample of 104 male and female young adults aged between 19 and 23 years (mean age 21.87, SD 2.29 years) recruited from universities in the central southern part of Italy, we addressed the presence of IA using the Young criteria of the IA test. Moreover, the perception of young adults of their family functioning and their psychopathological symptoms were assessed through the Family Assessment Device (FAD) and the Adult Self-Report, respectively. RESULTS We found no significant association between IA and any genetic polymorphisms, neither among males or females. Young adults with IA reported significantly higher scores in the subscale of FAD affective responsiveness (AR; P=.01) and in depressive problems (P=.02), anxiety problems (P=.009), and avoidant personality problems (P=.003) than those in the control group. Results of mediation analyses showed a mediation role played by depressive symptoms (B=0.99; 95% CI 0.22 to 1.97) and avoidant personality problems (B=1.09; 95% CI 0.32 to 2.05) of young adults on the relationship between the FAD, AR, and IA. Finally, this relationship was moderated by the genotype of the 5-HTTLPR (P<.001), DAT1 (P<.001), and MAO-A (P<.001) genes in young adults. CONCLUSIONS This exploratory study supports the recent evidence on the mutual relationship among biological, individual, and social risk factors associated with IA in young adulthood. Our findings may have important clinical implications for the development of prevention and treatment programs.
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Affiliation(s)
- Luca Cerniglia
- International Telematic University Uninettuno, Rome, Italy
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Shen C, Dumontheil I, Thomas M, Röösli M, Elliott P, Toledano M. Digital Technology Use and Body Mass Index: Evidence From Cross-sectional Analysis of an Adolescent Cohort Study (Preprint). J Med Internet Res 2020; 23:e26485. [PMID: 35143408 PMCID: PMC8406110 DOI: 10.2196/26485] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/16/2020] [Revised: 04/03/2021] [Accepted: 05/06/2021] [Indexed: 01/10/2023] Open
Abstract
Background Objective Methods Results Conclusions
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Affiliation(s)
- Chen Shen
- MRC Centre for Environment and Health, Department of Epidemiology and Biostatistics, Imperial College London, London, United Kingdom
- National Institute for Health Research Health Protection Research Unit in Chemical and Radiation Threats and Hazards, Imperial College London, London, United Kingdom
| | - Iroise Dumontheil
- Department of Psychological Sciences, Birkbeck, University of London, London, United Kingdom
| | - Michael Thomas
- Department of Psychological Sciences, Birkbeck, University of London, London, United Kingdom
| | - Martin Röösli
- Department of Epidemiology and Public Health, Swiss Tropical and Public Health Institute, Basel, Switzerland
- University of Basel, Basel, Switzerland
| | - Paul Elliott
- MRC Centre for Environment and Health, Department of Epidemiology and Biostatistics, Imperial College London, London, United Kingdom
- National Institute for Health Research Health Protection Research Unit in Chemical and Radiation Threats and Hazards, Imperial College London, London, United Kingdom
- NIHR Biomedical Research Centre, Imperial College London, London, United Kingdom
| | - Mireille Toledano
- MRC Centre for Environment and Health, Department of Epidemiology and Biostatistics, Imperial College London, London, United Kingdom
- National Institute for Health Research Health Protection Research Unit in Chemical and Radiation Threats and Hazards, Imperial College London, London, United Kingdom
- Mohn Centre for Children's Health and Wellbeing, School of Public Health, Imperial College London, London, United Kingdom
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Pakalniškienė V, Jusienė R, Sebre SB, Chun-Li Wu J, Laurinaitytė I. Children's Internet Use Profiles in Relation to Behavioral Problems in Lithuania, Latvia, and Taiwan. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2020; 17:ijerph17228490. [PMID: 33207775 PMCID: PMC7696062 DOI: 10.3390/ijerph17228490] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 10/01/2020] [Revised: 11/11/2020] [Accepted: 11/13/2020] [Indexed: 12/29/2022]
Abstract
This study explored the profiles of elementary-school-aged children’s Internet use in relation to their emotional and behavioral problems. Participating in this cross-sectional study were 877 child–parent dyads from Latvia, Lithuania, and Taiwan. Children (8–10 years old) provided information on three variables: the amount of time they spent online, frequency of online activities, and knowledge of how to do things online. Latent profile analysis including these three variables provided a four-class solution for child Internet use. A comparison between Latvia, Lithuania, and Taiwan on the percentage of the sample distribution in each class showed that there was no difference between sites for the high class (high ratings on all three variables). The largest differences were for the low and average classes (low and average ratings on all three variables, namely, time online, frequency, and knowledge): the Lithuanian and Taiwanese samples were similar in that a higher percentage of each sample was in the low class, whereas the Latvian sample had children equally distributed between the low class and the average class. Analysis of the data from the entire sample for differences in parent-reported child behavioral difficulties suggested that children in the high class had an elevated level of behavioral problems and compulsive Internet use.
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Affiliation(s)
- Vilmantė Pakalniškienė
- Institute of Psychology, Faculty of Philosophy, Vilnius University, LT-01513 Vilnius, Lithuania; (R.J.); (I.L.)
- Correspondence: ; Tel.: +370-610-70375
| | - Roma Jusienė
- Institute of Psychology, Faculty of Philosophy, Vilnius University, LT-01513 Vilnius, Lithuania; (R.J.); (I.L.)
| | - Sandra B. Sebre
- Department of Psychology, Faculty of Education, Psychology and Art, University of Latvia, LV-1083 Riga, Latvia;
| | - Jennifer Chun-Li Wu
- Department of Early Childhood and Family Education, College of Education, National Taipei University of Education, Taipei 10671, Taiwan;
| | - Ilona Laurinaitytė
- Institute of Psychology, Faculty of Philosophy, Vilnius University, LT-01513 Vilnius, Lithuania; (R.J.); (I.L.)
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