1
|
Tong W, Jia J, Wang P, He W. The Associations Between Parental Phubbing, Adolescent Phubbing, and Adolescents' Adjustments: A Cross-Lagged Panel Network Analysis. J Youth Adolesc 2024; 53:1529-1541. [PMID: 38015353 DOI: 10.1007/s10964-023-01909-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/28/2023] [Accepted: 11/14/2023] [Indexed: 11/29/2023]
Abstract
A growing body of research indicates that phubbing can negatively influence adolescent development, it is not clear how perceived parental phubbing, adolescent phubbing, and adolescents' adjustment problems concurrently relate to each other at the dimension level. This study conducted the contemporaneous network analyses and cross-lagged network analysis to examine the distinct relationships between the various dimensions of perceived father phubbing, perceived mother phubbing, adolescent phubbing and adolescent's adjustment problems. A total of 1447 Chinese students (60.5% females; Mean age = 16.15, SD = 0.65) completed a survey at two-time points. The results of the contemporaneous network analyses indicated that perceived father/mother ignorance have the strongest links with the dimensions of adolescent phubbing and adolescents' adjustment problems, suggesting that adolescents who reported high levels of perceived father/mother ignorance are more likely to concurrently face other issues and thus should be a primary focus of concern. The cross-lagged panel network analysis revealed that academic burnout is the primary catalyst in this dynamic network, which underscores a child-driven effect within the network. This emphasizes the importance of addressing adolescent academic burnout as a pivotal intervention point, both to alleviate phubbing in parent-adolescent interactions and to tackle adolescents' adjustment problems.
Collapse
Affiliation(s)
- Wei Tong
- School of Psychology, Shanghai Normal University, Shanghai, China
| | - Jichao Jia
- Institute of Developmental Psychology, Beijing Normal University, Beijing, China
| | - Pengcheng Wang
- School of Media and Communication, Shanghai Jiao Tong University, Shanghai, China.
| | - Wen He
- School of Psychology, Shanghai Normal University, Shanghai, China
| |
Collapse
|
2
|
Wang C, Li S, Wang Y, Li M, Tao W. Growth mindset and well-being in social interactions: countering individual loneliness. Front Public Health 2024; 12:1368491. [PMID: 38983253 PMCID: PMC11231918 DOI: 10.3389/fpubh.2024.1368491] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/10/2024] [Accepted: 06/13/2024] [Indexed: 07/11/2024] Open
Abstract
Introduction Loneliness is a prevalent negative emotion experienced by college students. This study explores the relationship between a growth mindset and loneliness among college students. Methods A total of 560 college students completed the Growth Mindset Scale (GMS), UCLA Loneliness Scale (UCLA), Interpersonal Relationships Assessment Scale (IRS), and two measures assessing distinct facets of well-being the Satisfaction with Life Scale (SWLS) and the revised Positive Affect and Negative Affect Scale (PANAS). Results and discussion The results found a significant negative correlation between a growth mindset and loneliness. A growth mindset negatively predicted loneliness through the chain-mediated effects of interpersonal distress and well-being. These findings underscore the important role of a growth mindset in influencing loneliness, providing teachers and practitioners a new perspective to understand and intervene college students' psychological challenges.
Collapse
Affiliation(s)
- Chao Wang
- School of Teacher Education, Huzhou University, Huzhou, China
- Department of Psychology, Neuroscience and Behaviour, Faculty of Science, McMaster University, Hamilton, ON, Canada
| | - Shanshan Li
- School of Teacher Education, Huzhou University, Huzhou, China
| | - Yilin Wang
- School of Medicine and Nursing, Huzhou University, Huzhou, China
| | - Mengxia Li
- School of Teacher Education, Huzhou University, Huzhou, China
| | - Weidong Tao
- School of Teacher Education, Huzhou University, Huzhou, China
| |
Collapse
|
3
|
Klugman M, Cohen Ben Simon O, Kleinhendler-Lustig D, Bourla S, Gvion Y, Hamdan S. Suicide Risk Among Medical Students Associated With Loneliness, Burnout, and Depressive Symptoms. OMEGA-JOURNAL OF DEATH AND DYING 2024:302228241252531. [PMID: 38780620 DOI: 10.1177/00302228241252531] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/25/2024]
Abstract
Medical students face elevated risks of depression and suicide due to rigorous training demands. However, comparative research between medical and non-medical students is limited, hindering understanding of specific risks. This study compared 337 students (89 medical) on suicide risk, depression, perfectionism, burnout, loneliness, and internet addiction. Medical students showed significantly higher suicide risk, depression, perfectionism, burnout, and loneliness. Regression analysis identified medical student status, depressive symptoms, and loneliness as significant predictors of suicide risk. Mediation analysis revealed loneliness and depressive symptoms mediating the relationship between medical student status and suicide risk. Strategies to address mental health risks among medical students are crucial, including early screening and interventions. However, this study's limitations include self-report measures and a predominantly non-medical student sample. Further research is needed to explore causal relationships and interventions effectively.
Collapse
Affiliation(s)
- Mor Klugman
- School of Behavioral Sciences, The Academic College of Tel-Aviv Yaffo, Tel-Aviv, Israel
| | | | | | - Sari Bourla
- School of Behavioral Sciences, The Academic College of Tel-Aviv Yaffo, Tel-Aviv, Israel
| | - Yari Gvion
- Department of Psychology, Bar-Ilan University, Ramat-Gan, Israel
| | - Sami Hamdan
- School of Behavioral Sciences, The Academic College of Tel-Aviv Yaffo, Tel-Aviv, Israel
| |
Collapse
|
4
|
Wang Y, Zeng Y. Relationship between loneliness and internet addiction: a meta-analysis. BMC Public Health 2024; 24:858. [PMID: 38504216 PMCID: PMC10953128 DOI: 10.1186/s12889-024-18366-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/22/2023] [Accepted: 03/15/2024] [Indexed: 03/21/2024] Open
Abstract
BACKGROUND In the digital age, the Internet has become integrated into all aspects of people's work, study, entertainment, and other activities, leading to a dramatic increase in the frequency of Internet use. However, excessive Internet use has negative effects on the body, psychology, and many other aspects. This study aims to systematically analyze the research findings on the relationship between loneliness and Internet addiction to obtain a more objective, comprehensive effect size. METHODS This study employed a comprehensive meta-analysis of empirical research conducted over the past two decades to investigate the relationship between loneliness and Internet addiction, with a focus on the moderating variables influencing this relationship. This meta-analysis adopted a unique approach by categorizing moderating variables into two distinct groups: the objective characteristics of research subjects and the subjective characteristics of researchers. It sheds light on the multifaceted factors that influence the relationship between loneliness and Internet addiction. RESULTS A literature search in web of science yielded 32 independent effect sizes involving 35,623 subjects. Heterogeneity testing indicated that a random effects model was appropriate. A funnel plot and Begg and Mazumdar's rank correlation test revealed no publication bias in this meta-analysis. Following the effect size test, it was evident that loneliness was significantly and positively correlated with Internet addiction (r = 0.291, p < 0.001). The moderating effect analysis showed that objective characteristics significantly affected the relationship. However, subjective characteristics did not affect the relationship. CONCLUSIONS The study revealed a moderately positive correlation between loneliness and Internet addiction. Moreover, this correlation's strength was found to be influenced by various factors, including gender, age, grade, and the region of the subjects. However, it was not affected by variables such as the measurement tool, research design, or research year (whether before or after COVID-19).
Collapse
Affiliation(s)
- Yue Wang
- Department of Education, Liaoning Normal University, 116000, Dalian, China
| | - Youlai Zeng
- Department of Education, Liaoning Normal University, 116000, Dalian, China.
| |
Collapse
|
5
|
Gao B, Cai Y, Zhao C, Qian Y, Zheng R, Liu C. Longitudinal associations between loneliness and online game addiction among undergraduates: A moderated mediation model. Acta Psychol (Amst) 2024; 243:104134. [PMID: 38228073 DOI: 10.1016/j.actpsy.2024.104134] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/30/2023] [Revised: 12/12/2023] [Accepted: 01/08/2024] [Indexed: 01/18/2024] Open
Abstract
Online gaming addiction (OGA) has become a noteworthy public concern, especially among university students, thereby requiring in-depth scrutiny. Although previous cross-sectional studies have established a positive link between loneliness and OGA, there is a lack of longitudinal evidence within this field. Moreover, the underlying mechanisms that elucidate the connection between loneliness and OGA are still poorly understood, underscoring a crucial research gap that requires further investigation. Our study utilized a longitudinal approach and developed a moderated mediation model. From September 2021 to September 2022, during the COVID-19 pandemic, data were collected from a sample of Chinese undergraduate students, with 367 participants at T1, 352 at T2, and 340 at T3. Participants completed online self-report surveys, providing valuable data on their levels of loneliness at T1, fear of missing out (FoMO) at T2, sensation seeking at T2, and OGA at T3. Our findings found that loneliness was positively linked to OGA. Further analysis demonstrated that FoMO partially mediated the link between loneliness and OGA. Meanwhile, sensation seeking moderated the pathway from FoMO to later OGA. Specifically, the effect of FoMO on OGA was significant for college students with high sensation seeking. This study offers longitudinal evidence linking loneliness and OGA, which has implications for the development of interventions to reduce OGA.
Collapse
Affiliation(s)
- Bin Gao
- School of Education, Shanghai Normal University, Shanghai 200234, People's Republic of China
| | - Yanxiyu Cai
- School of Marxism, Shanghai Normal University, Shanghai 200234, People's Republic of China
| | - Chong Zhao
- School of Education, Shanghai Normal University, Shanghai 200234, People's Republic of China.
| | - Yuqing Qian
- School of Education, Shanghai Normal University, Shanghai 200234, People's Republic of China
| | - Runting Zheng
- School of Public Policy and Management, University of Chinese Academy of Sciences, Beijing 100049, People's Republic of China
| | - Cong Liu
- School of Mathematics and Statistics, Hubei Minzu University, Enshi 445000, People's Republic of China
| |
Collapse
|
6
|
Yildirim Demirdöğen E, Akinci MA, Bozkurt A, Bayraktutan B, Turan B, Aydoğdu S, Ucuz İ, Abanoz E, Yitik Tonkaz G, Çakir A, Ferahkaya H. Social media addiction, escapism and coping strategies are associated with the problematic internet use of adolescents in Türkiye: a multi-center study. Front Psychiatry 2024; 15:1355759. [PMID: 38389988 PMCID: PMC10882076 DOI: 10.3389/fpsyt.2024.1355759] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/14/2023] [Accepted: 01/23/2024] [Indexed: 02/24/2024] Open
Abstract
Introduction The literature highlighted that problematic internet use can have detrimental consequences on individuals' well-being. Social media addiction, escapism and coping skills are closely related to problematic internet use. However, no study has currently examined the relationship between problematic internet use and social media use, escapism and coping skills. Method This multicenter cross-sectional designed study evaluated the relationships between problematic internet use and social media addiction, escapism, and coping skills in 508 adolescents (319 female) aged 14-18 years. In order to collect data, sociodemographic data form, Internet Addiction Scale, Social Media Addiction Scale, Escapism Scale and Kidcope Adolescent Version have been used. First, adolescents who scored ≥50 on the Internet Addiction Test were classified as the problematic internet use group; adolescents who scored <50 were classified as the control group. Then, the relationships between problematic internet use and social media addiction, escapism and coping skills were evaluated. Results The results showed that problematic internet use was associated with duration of social media use, impairment in social media-related functionality, preferring virtual life, and virtual pleasure, escapism, avoidant and negative coping strategies. Conclusion These findings may provide an empirical basis for problematic internet use prevention and intervention in adolescence.
Collapse
Affiliation(s)
- Esen Yildirim Demirdöğen
- Department of Child and Adolescent Psychiatry, Atatürk University Medicine Faculty, Erzurum, Türkiye
| | - Mehmet Akif Akinci
- Department of Child and Adolescent Psychiatry, Atatürk University Medicine Faculty, Erzurum, Türkiye
| | - Abdullah Bozkurt
- Department of Child and Adolescent Psychiatry, Atatürk University Medicine Faculty, Erzurum, Türkiye
| | - Büşranur Bayraktutan
- Department of Child and Adolescent Psychiatry, Atatürk University Medicine Faculty, Erzurum, Türkiye
| | - Bahadır Turan
- Department of Child and Adolescent Psychiatry, Karadeniz Technical University Medicine Faculty, Trabzon, Türkiye
| | - Sevil Aydoğdu
- Department of Child and Adolescent Psychiatry, Karadeniz Technical University Medicine Faculty, Trabzon, Türkiye
| | - İlknur Ucuz
- Department of Child and Adolescent Psychiatry, İnönü University Medicine Faculty, Malatya, Türkiye
| | - Elif Abanoz
- Department of Child and Adolescent Psychiatry, Cumhuriyet University Medicine Faculty, Sivas, Türkiye
| | - Gülsüm Yitik Tonkaz
- Department of Child and Adolescent Psychiatry, Giresun University Medicine Faculty, Giresun, Türkiye
| | - Ali Çakir
- Child and Adolescent Psychiatry Unit, Erzurum Region Training and Research Hospital, Erzurum, Türkiye
| | - Hurşit Ferahkaya
- Department of Child and Adolescent Psychiatry, Dr. Ali Kemal Belviranlı Maternity and Children Hospital, Konya, Türkiye
| |
Collapse
|
7
|
Bottaro R, Valenti GD, Faraci P. Internet Addiction and Psychological Distress: Can Social Networking Site Addiction Affect Body Uneasiness Across Gender? A Mediation Model. EUROPES JOURNAL OF PSYCHOLOGY 2024; 20:41-62. [PMID: 38487602 PMCID: PMC10936664 DOI: 10.5964/ejop.10273] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/12/2022] [Accepted: 09/20/2023] [Indexed: 03/17/2024]
Abstract
Introduction The Internet, with its unlimited information, revolutionary communication capabilities, and innovative potential to expand knowledge, is ubiquitous throughout the world, but it also has significant implications for users' mental health. Given the not yet clearly defined and distinguishable nosographic categories of online addiction and the resulting difficulties in describing the impact on users' mental health, the present cross-sectional study aimed to gain new insights into the relationship between Internet addiction (especially social networking site [SNS] addiction), psychological distress, and physical discomfort, as well as gender differences in impact among users. Method A sample of 583 Italian speakers (50.8% males; 48.7% females) with a mean age of 30.96 (SD = 12.12) completed an online survey in July 2021. A set of psychometric self-report instruments was administered to assess the study variables. Mediation analyses were performed for both the whole sample and across genders. Results The study found that men exhibited higher levels of Internet addiction and craving than women, but no differences were found for SNS addiction. Furthermore, indicators of psychological distress (i.e., anxiety, depression, stress, loneliness, insomnia, and self-esteem) mediated the association between SNS addiction and body uneasiness, with slight differences across genders. Conclusion This paper contributes to the existing literature on online addictive behaviors by also highlighting gender differences. The findings underscore the need for educational experiences that can prevent problematic use of the Internet and SNSs.
Collapse
Affiliation(s)
- Rossella Bottaro
- Department of Human and Social Sciences, University of Enna “Kore”, Enna, Italy
| | - Giusy Danila Valenti
- Department of Psychological, Educational Sciences and Human Movement, University of Palermo, Palermo, Italy
| | - Palmira Faraci
- Department of Human and Social Sciences, University of Enna “Kore”, Enna, Italy
| |
Collapse
|
8
|
Jiang YS, Liu TH, Qin D, Wang ZP, He XY, Chen YN. Effects of non-pharmacological interventions on youth with internet addiction: a systematic review and meta-analysis of randomized controlled trials. Front Psychiatry 2024; 14:1327200. [PMID: 38274427 PMCID: PMC10808612 DOI: 10.3389/fpsyt.2023.1327200] [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: 10/25/2023] [Accepted: 12/11/2023] [Indexed: 01/27/2024] Open
Abstract
Objective To assess the overall effectiveness of non-pharmacological interventions on internet addiction (IA) in youth. Method Randomized controlled trials (RCTs) published from their inception to April 1, 2023 were searched in Cochrane, Embase, Medline, Web of Science, China National Knowledge Infrastructure, China Science and Technology Journal Database, Chinese BioMedical Literature Database, and WanFang Data. Two reviewers independently extracted data and evaluated bias using the Cochrane Risk of Bias tool. Results Sixty-six studies performed from 2007 to 2023, with a total of 4,385 participants, were identified. The NPIs included group counseling, cognitive behavioral therapy, sports intervention, combined interventions, eHealth, educational intervention, positive psychology intervention, sand play intervention, and electrotherapy. The results revealed that NPIs significantly reduced IA levels (standardized mean difference, SMD: -2.01, 95% confidence interval, CI: -2.29 to -1.73, I2 = 93.0%), anxiety levels (SMD: -1.07, 95%CI: -1.41 to -0.73, I2 = 72.4%), depression levels (SMD: -1.11, 95%CI: -1.52 to -0.7, I2 = 84.3%), and SCL-90 (SMD: -0.75, 95%CI: -0.97 to -0.54, I2 = 27.7%). Subgroup analysis stratified by intervention measure showed that cognitive behavioral therapy, group counseling, sports intervention, combined intervention, educational intervention, positive psychology intervention, sandplay intervention, and mobile health were all effective in relieving symptoms of IA except electrotherapy. Conclusion NPIs appear to be effective in the treatment of IA in youth, which would act as an alternative treatment of IA. Further studies with larger sample sizes and robust designs are needed.
Collapse
Affiliation(s)
- Yue-Shuai Jiang
- School of Sports Management and Communication, Capital University of Physical Education and Sports, Beijing, China
| | | | - Dan Qin
- School of Sports Management and Communication, Capital University of Physical Education and Sports, Beijing, China
| | - Zi-Pu Wang
- School of Sports Management and Communication, Capital University of Physical Education and Sports, Beijing, China
| | - Xiao-Ya He
- School of Sports Management and Communication, Capital University of Physical Education and Sports, Beijing, China
| | - Yan-Nan Chen
- Beijing Normal University, College of P.E. and Sports, Beijing, China
| |
Collapse
|
9
|
Amano A, Ahmed G, Nigussie K, Asfaw H, Fekadu G, Hiko A, Abdeta T, Soboka M. Internet addiction and associated factors among undergraduate students of Jimma University; Jimma, South West Ethiopia, institutional based cross-sectional study. BMC Psychiatry 2023; 23:721. [PMID: 37798719 PMCID: PMC10552302 DOI: 10.1186/s12888-023-05197-7] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/29/2023] [Accepted: 09/15/2023] [Indexed: 10/07/2023] Open
Abstract
BACKGROUND Internet addiction affects cognitive function, has a harmful impact on students' academic performance, and increases their risk of experiencing psychological crises. OBJECTIVES Examining the prevalence of internet addiction and its contributing factors among regular undergraduate students at Jimma University in south-west Ethiopia. METHODS An institutional-based cross-sectional study was conducted among study participants between August 1 and August 30, 2021. A total of 772 Participants were involved in the study using a multistage random sampling technique. Data was collected using pretested and structured questionnaires with self-administered techniques. The Young Internet Addiction Test (YIAT) was used to measure internet addiction. The data was entered into the computer using Epi Data version 4.6, and then it was exported to the Statistical Package for Social Science (SPSS) version 25 for analysis. The association between each independent variable and the outcome variable was examined using bivariate analysis. Variables with a p-value of less than 0.25 in bivariate analysis were included in the multivariate logistic regression model to determine how each independent variable affected the outcome variable. RESULT The prevalence of internet addiction among study participants was 53.6% (95% Confidence Interval (CI)) (49.99%, 57.15%). Findings from multivariate logistic regression analysis suggested a variety of related factors had significant associations with internet addiction. Being dissatisfied with a major study, having a cumulative grade point average of a promoted grade report, using the internet for entertainment, using the internet for Facebook, using the internet for telegram, depression, social anxiety, and poor social support. CONCLUSION This study revealed a comparatively high frequency of internet addiction among study participants. Internet addiction has been linked to psychosocial, academic, and purpose-related aspects of internet use. As a result, incorporating stakeholders' efforts to improve the identified variables would be a helpful start toward lowering this high incidence.
Collapse
Affiliation(s)
- Abdulkarim Amano
- School of Nursing and Midwifery, Haramaya University College of Health and Medical Sciences, Harar, Ethiopia.
| | - Gutema Ahmed
- Department of psychiatry, faculty of medicine Institute of health Sciences, Jimma University, Jimma, Ethiopia
| | - Kabtamu Nigussie
- School of Nursing and Midwifery, Haramaya University College of Health and Medical Sciences, Harar, Ethiopia
| | - Henock Asfaw
- School of Nursing and Midwifery, Haramaya University College of Health and Medical Sciences, Harar, Ethiopia
| | - Gelana Fekadu
- School of Nursing and Midwifery, Haramaya University College of Health and Medical Sciences, Harar, Ethiopia
| | - Ahmed Hiko
- School of Nursing and Midwifery, Haramaya University College of Health and Medical Sciences, Harar, Ethiopia
| | - Tilahun Abdeta
- School of Nursing and Midwifery, Haramaya University College of Health and Medical Sciences, Harar, Ethiopia
| | - Matiwos Soboka
- Department of psychiatry, faculty of medicine Institute of health Sciences, Jimma University, Jimma, Ethiopia
| |
Collapse
|
10
|
Luo X. Effects of Social Anxiety and Subjective Well-Being on Problematic Mobile Social Media Use in First-Year University Students: The Mediating Role of Self-Esteem. Psychol Rep 2023:332941231190326. [PMID: 37471647 DOI: 10.1177/00332941231190326] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 07/22/2023]
Abstract
Background: Problematic mobile social media use may impact college students' physical and mental health. This study aimed to elucidate the impact of social anxiety and subjective well-being on problematic mobile social media use and the mediating role of self-esteem in this relationship. Methods: A total of 387 first-year university students (39.8% females, 60.2% males; mean age = 18.74 years) were enrolled in this study and completed self-report measures of social anxiety, subjective well-being, self-esteem and problematic mobile social media use. A structural equation model was constructed and tested by AMOS 23.0 software. Results: (1) Social anxiety not only had a direct effect on problematic mobile social media use, but also had an indirect effect on problematic mobile social media use via self-esteem. (2) Subjective well-being was positively and significantly associated with self-esteem, as well as problematic mobile social media use. (3) Self-esteem played a suppressing role between subjective well-being and problematic mobile social media use. Conclusions: It is necessary to help college students reduce their social anxiety and increase their subjective happiness through appropriate ways, as this plays an important role in increasing self-esteem and reducing their problematic mobile social media use.
Collapse
Affiliation(s)
- Xiao Luo
- Mental Health Education Center, Sichuan University, Chengdu, China
| |
Collapse
|
11
|
The Impact of Mental Health Predictors of Internet Addiction among Pre-Service Teachers in Ghana. Behav Sci (Basel) 2022; 13:bs13010020. [PMID: 36661592 PMCID: PMC9854694 DOI: 10.3390/bs13010020] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/01/2022] [Revised: 12/13/2022] [Accepted: 12/21/2022] [Indexed: 12/28/2022] Open
Abstract
This study examined the prevalence of addictive Internet behavior and its links with mental health among pre-service teachers in Ghana. A descriptive, correlational design was employed with 405 pre-service teachers from colleges of education and a public university in Ghana participating in this study. The sample completed a sociodemographic survey about loneliness, life satisfaction, depression, self-esteem, and the Internet addiction scales (abridged form). The results revealed that there was a significant relationship between pre-service teachers' Internet addiction, depression, life satisfaction, and loneliness; however, depression was the least influential factor in addictive Internet use. Additionally, there was a statistically significant nexus between self-esteem, loneliness, depression, and life satisfaction. In addition, all the above-mentioned variables were discovered to explain 56.3% of the absolute variance in addiction to the Internet. Among the variables linked with Internet addiction and its dimensions, loneliness appeared to be the most significant. Institutional coping programs with Internet addiction should be established within the scope of the university administration, supporting pre-service teachers' mental health. Finally, the development of awareness campaigns on the menaces associated with Internet usage and mental health through extracurricular programs is recommended.
Collapse
|
12
|
Sayili U, Pirdal BZ, Kara B, Acar N, Camcioglu E, Yilmaz E, Can G, Erginoz E. Internet Addiction and Social Media Addiction in Medical Faculty Students: Prevalence, Related Factors, and Association with Life Satisfaction. J Community Health 2022; 48:189-198. [PMID: 36344767 DOI: 10.1007/s10900-022-01153-w] [Citation(s) in RCA: 6] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 10/14/2022] [Indexed: 11/09/2022]
Abstract
Internet addiction is a growing behavioral health problem in modern societies. In this study, we aimed to determine the prevalence of internet addiction (IA) and social media addiction (SMA) and their relationship with sociodemographic factors, lifestyle habits, and internet usage patterns among medical students. This cross-sectional study was conducted among 280 medical students in a medical faculty, in Istanbul. Self-report questionnaires comprised sociodemographic status, lifestyle habits, internet and social media usage behavior, the Young Internet Addiction Test-short form (s-IAT), and the Bergen Social media addiction scale. The total prevalence of IA was 16.1% (11.8-20.4%), 17.2% (12.8-21.7%) in males and 14.8% (10.7-19.0%) in females. The total prevalence of SMA was 6.1% (3.3-8.9%), 4.8% (2.3-7.3%) in males and 7.4% (4.3-10.5%) in females. No significant difference was found between the sexes in terms of IA and SMA. IA was higher in grade 3 students than in grade 6 students. Multivariate logistic regression analyses showed that reading books at least once per month, high life satisfaction, performing physical activity at least twice per week, and using the internet for communication purposes were independent preventive factors for IA. The current study shows that IA and SMA are common in medical school students. Moreover, IA is associated with socioeconomic characteristics and lifestyle habits such as reading books, life satisfaction, and physical activity. To protect medical school students from IA and develop healthy behaviors, it is necessary to develop prevention strategies and design and implement awareness and education programs.
Collapse
Affiliation(s)
- Ugurcan Sayili
- Department of Public Health, Cerrahpasa Faculty of Medicine, Istanbul University-Cerrahpasa, Istanbul, Turkey.
- Department of Biostatistics and Medical Informatics, Institute of Graduate Studies in Health Sciences, Istanbul University, Istanbul, Turkey.
| | - Betul Zehra Pirdal
- Department of Public Health, Cerrahpasa Faculty of Medicine, Istanbul University-Cerrahpasa, Istanbul, Turkey
| | - Busra Kara
- Department of Public Health, Cerrahpasa Faculty of Medicine, Istanbul University-Cerrahpasa, Istanbul, Turkey
| | - Nurefsan Acar
- Cerrahpasa Faculty of Medicine, Istanbul University-Cerrahpasa, Istanbul, Turkey
| | - Emirhan Camcioglu
- Cerrahpasa Faculty of Medicine, Istanbul University-Cerrahpasa, Istanbul, Turkey
| | - Erkin Yilmaz
- Cerrahpasa Faculty of Medicine, Istanbul University-Cerrahpasa, Istanbul, Turkey
| | - Gunay Can
- Department of Public Health, Cerrahpasa Faculty of Medicine, Istanbul University-Cerrahpasa, Istanbul, Turkey
| | - Ethem Erginoz
- Department of Public Health, Cerrahpasa Faculty of Medicine, Istanbul University-Cerrahpasa, Istanbul, Turkey
| |
Collapse
|
13
|
The Moderating Role of Psychological Flexibility on the Association between Distress-Driven Impulsivity and Problematic Internet Use. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:ijerph19159592. [PMID: 35954947 PMCID: PMC9368545 DOI: 10.3390/ijerph19159592] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 06/27/2022] [Revised: 07/27/2022] [Accepted: 07/27/2022] [Indexed: 12/24/2022]
Abstract
Background: Problematic internet use is receiving increasing attention in the addiction field, yet the mechanisms driving such behaviours remain unclear. Previous research has shown that impulsivity- and compulsivity-related constructs may interactively contribute to a range of problematic behaviours. The current study examined whether distress-driven impulsivity and psychological flexibility may interactively contribute to problematic internet use, which has not been addressed in prior literature. Method: Two hundred and one participants completed an online survey. Bootstrapped moderation analysis was conducted to examine the collected data on distress-driven impulsivity, psychological flexibility, and their interaction in relation to problematic internet use. Results: The interaction between distress-driven impulsivity and psychological flexibility was significantly related to problematic internet use. Simple slope tests confirmed that distress-driven impulsivity was associated with problematic internet use among individuals with low flexibility levels. Conclusions: Our findings highlight the moderating role of psychological inflexibility in the association between distress-driven impulsivity and problematic internet use. Prevention and/or early interventions for problematic internet use should consider targeting psychological inflexibility and distress-driven impulsivity.
Collapse
|
14
|
Luo X, Hu C. Loneliness and sleep disturbance among first‐year college students: The sequential mediating effect of attachment anxiety and mobile social media dependence. PSYCHOLOGY IN THE SCHOOLS 2022. [DOI: 10.1002/pits.22721] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
Affiliation(s)
- Xiao Luo
- Mental Health Education Center Sichuan University Chengdu China
| | - Chunnan Hu
- Mental Health Education and Counseling Center Zhejiang University Hangzhou China
| |
Collapse
|
15
|
Yang Q, Shi M, Tang D, Zhu H, Xiong K. Multiple Roles of Grit in the Relationship Between Interpersonal Stress and Psychological Security of College Freshmen. Front Psychol 2022; 13:824214. [PMID: 35310215 PMCID: PMC8929422 DOI: 10.3389/fpsyg.2022.824214] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/29/2021] [Accepted: 01/31/2022] [Indexed: 12/24/2022] Open
Abstract
Grit, as an important positive psychological quality, has rarely been studied for its role involved in the mechanism between stress and psychological security. This article explores the moderating and mediating role of grit in the relationship between interpersonal stress and psychological security of freshmen through two studies. In study 1, freshmen from several Chinese universities (N = 1,224) were recruited to complete a battery of questionnaire, including assessments about interpersonal stress, grit, and psychological security. The moderating effect analysis showed that grit moderated the relationship between interpersonal stress and psychological security. Specifically, grit buffered the negative effects of interpersonal stress on freshmen’s psychological security, but this effect was obvious only when the level of interpersonal stress was relatively low, and decreased when the level of interpersonal stress was high. In study 2, college freshmen from another university apart from above ones (N = 604) were recruited, and we verified the results of study 1 and further explored the mediating role of grit in the relationship between interpersonal stress and security. The moderating effect analysis of study 2 also verified that of study 1. The mediating effect analysis showed that interpersonal stress not only negatively predicted psychological security, but also affected psychological security through the mediation of grit. In general, grit played a mediating and moderating role in the relationship between interpersonal stress and psychological security. This study provides first-hand evidence to explain the multiple roles of grit in the relationship between interpersonal stress and psychological security.
Collapse
Affiliation(s)
- Qingsong Yang
- School of Teacher Education, Zunyi Normal College, Zunyi, China
| | - Mengxi Shi
- School of Teacher Education, Zunyi Normal College, Zunyi, China
| | - Dandan Tang
- School of Teacher Education, Zunyi Normal College, Zunyi, China
| | - Hai Zhu
- School of Teacher Education, Zunyi Normal College, Zunyi, China
| | - Ke Xiong
- Institute of Advanced Studies in Humanities and Social Sciences, Beijing Normal University at Zhuhai, Zhuhai, China
- *Correspondence: Ke Xiong,
| |
Collapse
|
16
|
Video Game Addiction Among Students During COVID-19 Pandemic Based on Regulatory Focus Theory and Interpersonal Competence. ADDICTIVE DISORDERS & THEIR TREATMENT 2021. [DOI: 10.1097/adt.0000000000000262] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/22/2022]
|
17
|
Geng J, Lei L, Ouyang M, Nie J, Wang P. The influence of perceived parental phubbing on adolescents' problematic smartphone use: A two-wave multiple mediation model. Addict Behav 2021; 121:106995. [PMID: 34090204 DOI: 10.1016/j.addbeh.2021.106995] [Citation(s) in RCA: 30] [Impact Index Per Article: 10.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/24/2021] [Revised: 05/24/2021] [Accepted: 05/25/2021] [Indexed: 12/15/2022]
Abstract
Using a two-wave longitudinal design, the current study examined the relationship between early perceived parental phubbing and subsequent problematic smartphone use. As loneliness is a sensitive indicator of interpersonal problems and fear of missing out is a strong predictor of Internet-related addiction, we examined these two variables as possible mediators in this relationship based on existing literature. A total of 1447 Chinese adolescents (572 males and 875 females, mean age = 16.15 years) completed questionnaires regarding perceived parental phubbing, loneliness, fear of missing out, and problematic smartphone use. The results indicated that: (a) early fathers' phubbing (fphubbing) and mothers' phubbing (mphubbing) predicted adolescents' subsequent problematic smartphone use; (b) loneliness mediated the relationship between early fphubbing/mphubbing and adolescents' subsequent problematic smartphone use; and (c) loneliness and fear of missing out sequentially mediated the relationship between early fphubbing/mphubbing and adolescents' subsequent problematic smartphone use. These results suggested that three types of interventions could be effectively used to decrease the risk of problematic smartphone use among adolescents, namely, reducing perceived parental phubbing, relieving loneliness, and decreasing fear of missing out.
Collapse
Affiliation(s)
- Jingyu Geng
- Department of Psychology, Renmin University of China, No. 59 Zhongguancun Street, Haidian District, Beijing 100872, China
| | - Li Lei
- School of Education, Renmin University of China, No. 59 Zhongguancun Street, Haidian District, Beijing 100872, China
| | - Mingkun Ouyang
- College of Education Science, Guangxi University for Nationalities, No. 188 University Drive East, Xining, Guangxi 530006, China
| | - Jia Nie
- Department of Psychology, Renmin University of China, No. 59 Zhongguancun Street, Haidian District, Beijing 100872, China
| | - Pengcheng Wang
- School of Education, Renmin University of China, No. 59 Zhongguancun Street, Haidian District, Beijing 100872, China.
| |
Collapse
|
18
|
Koçak O, Yılmaz İ, Younis MZ. Why Are Turkish University Students Addicted to the Internet? A Moderated Mediation Model. Healthcare (Basel) 2021; 9:953. [PMID: 34442090 PMCID: PMC8392386 DOI: 10.3390/healthcare9080953] [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: 06/11/2021] [Revised: 07/22/2021] [Accepted: 07/27/2021] [Indexed: 12/12/2022] Open
Abstract
Internet addiction has become a significant problem that primarily affects young people. It has an essential effect on the individual's self-perception and assessment of their competencies. This study aimed to reveal whether there is a significant relationship between the level of internet addiction of university students and their age and self-esteem. For this purpose, internet addiction and self-esteem scales were used in addition to questions such as age, gender, the purpose of internet use, and internet daily usage time. We used a quantitative research method to obtain cross-sectional data from 400 Turkish young people using online surveys. Correlation, regression, mediation, and moderation analyses were performed using SPSS and the PROCESS macro plugin for data analysis. Internet addiction was significantly associated with self-esteem, gender, age, and daily internet usage. In addition, we discovered that self-esteem and daily usage time played a mediation role in the effect of the age variable on internet addiction. Moreover, the moderation roles of social networks, gender, and location in the impact of self-esteem on internet addiction were determined. With this study, we understood that as age increases, self-esteem triggers the decrease of internet addiction. In this sense, policies should be developed to increase self-esteem among young people to ensure the conscious use of the internet.
Collapse
Affiliation(s)
- Orhan Koçak
- Faculty of Health Science, Istanbul University Cerrahpaşa, 34320 Istanbul, Turkey;
| | - İlayda Yılmaz
- Faculty of Health Science, Istanbul University Cerrahpaşa, 34320 Istanbul, Turkey;
| | - Mustafa Z. Younis
- College of Health Sciences, Jackson State University, Jackson, MS 39217, USA;
| |
Collapse
|
19
|
How Have Researchers Acknowledged and Controlled for Academic Work Activity When Measuring Medical Students' Internet Addiction? A Systematic Literature Review. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:ijerph18147681. [PMID: 34300132 PMCID: PMC8306379 DOI: 10.3390/ijerph18147681] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 06/28/2021] [Revised: 07/15/2021] [Accepted: 07/16/2021] [Indexed: 12/18/2022]
Abstract
Internationally, medical students' Internet Addiction (IA) is widely studied. As medical students use the Internet extensively for work, we asked how researchers control for work-related Internet activity, and the extent to which this influences interpretations of "addiction" rates. A search of PubMed, CINAHL, Web of Science, Scopus, and Google Scholar was conducted on the search phrase of "medical students" and "internet addiction" in March 2020. In total, 98 studies met our criteria, 88 (90%) used Young's Internet Addiction Test, and the studies' IA rates ranged widely. Little note was taken of work-related activity, and, when discussed, had little to no impact on the interpretation of Internet "addiction". Studies seldom accounted for work-related activities, researcher bias appears to influence their position, "usage" appears conflated with "addiction", and correlations between "addiction" and negative behaviours are frequently confused with one-way causation. In spite of IA's not being officially recognised, few researchers questioned its validity. While IA may exist among medical students, its measurement is flawed; given the use of the Internet as a crucial medical education tool, there is the risk that conscientious students will be labelled "addicted", and poor academic performance may be attributed to this "addiction".
Collapse
|
20
|
Wang Y. The Impact of Interparental Conflicts on Online Game Addiction Symptomatology: The Mediating Roles of the Parent-Adolescent Relationship and Loneliness in Adolescents. Psychol Rep 2021; 125:2337-2356. [PMID: 34044664 DOI: 10.1177/00332941211016751] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/30/2022]
Abstract
Many studies have documented the close association that exists between interparental conflicts and the symptomatology of online game addiction. However, the underlying mechanism that drives this association has not been fully investigated. This cross-sectional study explores the effect of interparental conflicts on online game addiction symptomatology in adolescents, focusing on the mediating effects of the parent-adolescent relationship and of adolescent loneliness. A total of 553 middle school students completed a questionnaire that included: a perception of interparental conflict scale, a level of closeness to parents scale, a short UCLA Loneliness scale, and an online game addiction symptomatology scale. Results showed that interparental conflicts, parent-adolescent relations, and adolescent loneliness are all significantly related to online game addiction symptomatology in adolescents. Structural equation modeling results indicate that the effects of interparental conflicts on adolescent online game addiction symptomatology are partially mediated by the parent-adolescent relationship and by adolescent loneliness.
Collapse
Affiliation(s)
- Yanhua Wang
- School of Education, Anyang Normal University, Anyang, China
| |
Collapse
|
21
|
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.
Collapse
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
| |
Collapse
|
22
|
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: 3] [Impact Index Per Article: 1.0] [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.
Collapse
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
| |
Collapse
|
23
|
Liang L, Zhu M, Dai J, Li M, Zheng Y. The Mediating Roles of Emotional Regulation on Negative Emotion and Internet Addiction Among Chinese Adolescents From a Development Perspective. Front Psychiatry 2021; 12:608317. [PMID: 33897485 PMCID: PMC8062778 DOI: 10.3389/fpsyt.2021.608317] [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] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/20/2020] [Accepted: 03/10/2021] [Indexed: 12/16/2022] Open
Abstract
Previous researches indicated that emotional regulation can be associated with depression and anxiety, which may be an important mediating factor between emotional regulation and internet addiction. However, the mechanism between these associations has received little attention and it is still unclear. This study has examined 716 Chinese adolescents, 341 were males (47.6%), aged 13 to 18(Mean = 14.58, SD = 1.50), using a cross-sectional survey involving Young's Diagnostic Questionnaire for Internet Addiction, the nine-item Patient Health Questionnaire (PHQ-9), the seven-item Generalized Anxiety (GAD-7) scale, and the Emotion Regulation Questionnaire (ERQ). Correlation analysis, multiple-group analysis and structural equation modeling were carried out in SPSS Statistics version 23 (IBM, Armonk, NY) and AMOS version 21. Cognitive reappraisal had a significantly negative direct effect on Internet addiction (β = -0.118, p < 0.05). Furthermore, negative emotions mediated the relationships between expression suppression and Internet addiction [β = 0.149, 95% CI = (0.099, 0.212)] and the relationship between cognitive reappraisal and Internet addiction [β = -0.101, 95% CI = (-0.147, -0.065)]. The differences in the structure path coefficients for different development stages demonstrated that recognitive reappraisal showed more protective roles for negative emotion (p < 0.01), and negative emotion also predict Internet addiction more effectively in high school students (p < 0.001). However, cognitive reappraisal directly predicted negative Internet addiction in junior high school students. Therefore, the intervention on adolescents for internet addiction should not only focus on emotional regulation and negative emotion, but also development stages of adolescents.
Collapse
Affiliation(s)
- Lijuan Liang
- Department of Psychology, The First Affiliated Hospital, Hainan Medical University, Haikou, China
| | - Mingrui Zhu
- Department of Neurology, The People's Hospital of Liaoning Province, Shenyang, China
| | | | - Min Li
- HeBei Institute of International Business and Economics, Qinghuangdao, China
| | - Ya Zheng
- Department of Psychology, Dalian Medical University, Dalian, China
| |
Collapse
|
24
|
Mamun MA, Hossain MS, Moonajilin MS, Masud MT, Misti JM, Griffiths MD. Does loneliness, self-esteem and psychological distress correlate with problematic internet use? A Bangladeshi survey study. Asia Pac Psychiatry 2020; 12:e12386. [PMID: 32243089 DOI: 10.1111/appy.12386] [Citation(s) in RCA: 42] [Impact Index Per Article: 10.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/30/2019] [Revised: 01/15/2020] [Accepted: 03/03/2020] [Indexed: 12/16/2022]
Abstract
BACKGROUND Researchers have claimed that problematic internet use (PIU) and internet addiction (IA) is a global mental health problem. However, little research has addressed this issue in Bangladesh and no previous study has examined the relationship between PIU and potential psychological risk factors. AIM The present study examined the prevalence of PIU and its associated risk factors including socio-demographic variables, internet use behaviors, and other psychological variables including loneliness, self-esteem, and psychological distress. METHODS A cross-sectional study was conducted among Bangladeshi students (N = 605). Measures included the Internet Addiction Test (IAT), Rosenberg's Self-Esteem Scale, the UCLA Loneliness Scale, and the General Health Questionnaire. RESULTS Using a cut-off score of ≤60 (out of 100) on the IAT, the prevalence of PIU was 16.5% (n = 100). Regression analysis showed that sleep disturbance (more or less than 6-7 hours sleeping time), not using internet for academic purposes, and online chatting were risk factors for PIU. Loneliness and psychological distress were positively correlated with PIU, whereas self-esteem was negatively correlated. CONCLUSIONS The present study highlights that PIU among Bangladeshi university students is an issue of concern and that targeted prevention is needed among emerging adults to help overcome the potentially negative effects of problematic internet use.
Collapse
Affiliation(s)
- Mohammed A Mamun
- Department of Public Health and Informatics, Jahangirnagar University, Dhaka, Bangladesh.,Undergraduate Research Organization, Dhaka, Bangladesh
| | - Md Sharif Hossain
- Department of Public Health and Informatics, Jahangirnagar University, Dhaka, Bangladesh.,Undergraduate Research Organization, Dhaka, Bangladesh
| | - Mst Sabrina Moonajilin
- Department of Public Health and Informatics, Jahangirnagar University, Dhaka, Bangladesh
| | - Mohammed Tanvir Masud
- Undergraduate Research Organization, Dhaka, Bangladesh.,Department of Electronic Engineering, Kwangwoon University, Seoul, South Korea
| | | | - Mark D Griffiths
- International Gaming Research Unit, Psychology Department, Nottingham Trent University, Nottingham, UK
| |
Collapse
|
25
|
Chandrima RM, Kircaburun K, Kabir H, Riaz BK, Kuss DJ, Griffiths MD, Mamun MA. Adolescent problematic internet use and parental mediation: A Bangladeshi structured interview study. Addict Behav Rep 2020; 12:100288. [PMID: 32637564 PMCID: PMC7330868 DOI: 10.1016/j.abrep.2020.100288] [Citation(s) in RCA: 25] [Impact Index Per Article: 6.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/20/2020] [Revised: 05/25/2020] [Accepted: 05/28/2020] [Indexed: 12/13/2022] Open
Abstract
Internet-related problems such as excessive internet use, problematic internet use (PIU), and internet addiction, are becoming increasingly studied among Bangladeshi adult students, but there has been little research among adolescents. In Bangladesh, there has been no research examining the role of parental mediation in their children's internet use. Therefore, the present structured interview study investigated Bangladeshi adolescent PIU and its associated socio-demographics, internet use behaviors, and the parental mediation role among 350 high school students residing in Dhaka. The results showed that 84 of adolescents (24.0%) were classified as having PIU (cut-off score of ≥ 50 on the Internet Addiction Test) and nine adolescents (2.6%) were classified as having a severe dependency on the internet (cut-off score of >80 on the Internet Addiction Test). According to hierarchical regression analysis, significant PIU correlates included lower academic results, both parents' lower education, mother working outside the home, more than four days' weekly internet use, more than two hours daily internet use, and active mediation. Additionally, internet use behaviors (i.e., internet use locations, devices, purposes, and applications) and parental internet mediation dimensions other than active mediation (i.e., restrictive mediation, active mediation internet safety, monitoring, and technical mediation) were significantly related to PIU in t-tests and correlation analysis respectively. However, they were non-significant in the hierarchical regression analysis when included into equation altogether. The present study's findings will be helpful in developing country-level policymaking decisions and facilitating future research in the country.
Collapse
Affiliation(s)
- Rubaiya Matin Chandrima
- Comprehensive Competency Training on Nutrition, National Institute of Preventive and Social Medicine, Dhaka, Bangladesh
| | - Kagan Kircaburun
- Psychology Department, Nottingham Trent University, 50 Shakespeare Street, Nottingham, NG1 4FQ, UK
| | - Humyon Kabir
- Undergraduate Research Organization, Savar, Dhaka, Bangladesh.,Department of Public Health and Informatics, Jahangirnagar University, Savar, Dhaka, Bangladesh
| | - Baizid Khoorshid Riaz
- Department of Public Health and Hospital Administration, National Institute of Preventive and Social Medicine, Dhaka, Bangladesh
| | - Daria J Kuss
- Psychology Department, Nottingham Trent University, 50 Shakespeare Street, Nottingham, NG1 4FQ, UK
| | - Mark D Griffiths
- Psychology Department, Nottingham Trent University, 50 Shakespeare Street, Nottingham, NG1 4FQ, UK
| | - Mohammed A Mamun
- Undergraduate Research Organization, Savar, Dhaka, Bangladesh.,Department of Public Health and Informatics, Jahangirnagar University, Savar, Dhaka, Bangladesh
| |
Collapse
|
26
|
Moretta T, Buodo G. Problematic Internet Use and Loneliness: How Complex Is the Relationship? A Short Literature Review. CURRENT ADDICTION REPORTS 2020. [DOI: 10.1007/s40429-020-00305-z] [Citation(s) in RCA: 18] [Impact Index Per Article: 4.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/20/2022]
|
27
|
Prevalence of Internet Addiction and Gaming Disorders in Southeast Asia: A Meta-Analysis. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2020; 17:ijerph17072582. [PMID: 32283803 PMCID: PMC7177828 DOI: 10.3390/ijerph17072582] [Citation(s) in RCA: 65] [Impact Index Per Article: 16.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 03/16/2020] [Revised: 04/08/2020] [Accepted: 04/08/2020] [Indexed: 12/31/2022]
Abstract
This meta-analytic review aimed to examine the pooled prevalence rates of Internet addiction and gaming disorders in Southeast Asia. Several databases including PubMed, MEDLINE, PsycINFO, Web of Science, Embase, and Cochrane Central were searched and a total of 24 studies were included in this study. The selection of studies was conducted in accordance to the preferred reporting items for systematic reviews and meta-analyses (PRISMA) guidelines. Two meta-analyses were conducted to examine data on Internet addiction and gaming disorders separately. A random-effects model was employed to derive the pooled prevalence rate. Mixed-effects meta-regression and subgroup analyses were performed to examine the moderators of the between-study heterogeneity. Publication bias was tested using the Egger's regression test and funnel plot. Only seven out of the 11 Southeast Asian countries were represented in the literature. All except for two of the included studies were cross-sectional in nature. The findings revealed a pooled prevalence rate of 20.0% (95% confidence interval: 14.5%-27.0%) and 10.1% (95% confidence interval: 7.3%-13.8%) for Internet addiction and gaming disorders respectively. Mean age and study population were significant moderators of the between-study heterogeneity in the prevalence rates of gaming disorders such that samples involving older participants showed higher prevalence rate than those involving younger individuals. Country of study was found to be significant moderator of the between-heterogeneity for both Internet addiction and gaming disorders, however the findings should be interpreted with caution due to the small and unbalanced sample sizes. There was no significant publication bias. Such epidemiology research should be extended to the Southeast Asian countries that have not been studied or are under-studied. Given that the prevalence rates appear to be higher in Southeast Asia than in other world regions, future research should also explore the factors behind these inter-regional differences. Further longitudinal studies should also be conducted to examine the trajectories of such disorders.
Collapse
|
28
|
Lee PH. Social media use and depressive symptoms among Hong Kong young adults during the period of 2019 extradition bill controversy. Asian J Psychiatr 2019; 45:38-40. [PMID: 31479945 DOI: 10.1016/j.ajp.2019.08.012] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/19/2019] [Revised: 08/23/2019] [Accepted: 08/27/2019] [Indexed: 12/22/2022]
Affiliation(s)
- Paul H Lee
- School of Nursing, GH527, Hong Kong Polytechnic University, Hung Hom, Kowloon, Hong Kong.
| |
Collapse
|
29
|
Problematic internet use in Bangladeshi students: The role of socio-demographic factors, depression, anxiety, and stress. Asian J Psychiatr 2019; 44:48-54. [PMID: 31323534 DOI: 10.1016/j.ajp.2019.07.005] [Citation(s) in RCA: 56] [Impact Index Per Article: 11.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/29/2019] [Revised: 06/08/2019] [Accepted: 07/05/2019] [Indexed: 12/17/2022]
Abstract
Problematic Internet Use (PIU) has become a concern for public mental health across the globe. However, there are few studies assessing PIU in Bangladesh. The present cross-sectional study estimated the prevalence rate of PIU and its associated risk factors among 405 university students in Bangladesh between June and July 2018. The measures included sociodemographic questions, internet and health-related variables, the Internet Addiction Test (IAT) and the Depression, Anxiety and Stress Scale (DASS-21). The prevalence of PIU was 32.6% among the respondents (cut-off score of ≥50 on the IAT). The prevalence of PIU was higher in males in comparison to females, although the difference was not statistically significant. Internet-related variables and psychiatric comorbidities were positively associated with PIU. From the unadjusted model, more frequent use of the internet and more time spent on the internet were identified as strong predictors of PIU, whereas the adjusted model showed depressive symptoms and stress only as strong predictors of PIU. It is hoped this preliminary study will facilitate further study on PIU along with other psychiatric disorders in Bangladesh.
Collapse
|
30
|
Pal Singh Balhara Y, Singh S. Online course on basics of management of behavioral addictions involving use of internet: Observations from the first batch of participants. Asian J Psychiatr 2019; 44:1-3. [PMID: 31299581 DOI: 10.1016/j.ajp.2019.07.013] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/26/2019] [Revised: 05/17/2019] [Accepted: 07/05/2019] [Indexed: 12/27/2022]
Abstract
Problematic internet use has been reported to be high among school students. An online course was developed with an aim to strengthen the capacity of school teachers and counsellors on early identification, detection and intervention for behavioral addictions involving use of internet. The current report presents the observation from the first batch of participants of this course. Of the 28 teachers and counselors who expressed interest by enrollment in the course, a total of 15 participants provided both the pre and post course evaluation forms. The preliminary findings suggest that the online course is feasible, acceptable and effective in strengthening the capacity of school teachers and counsellors on behavioral addictions involving use of internet.
Collapse
Affiliation(s)
- Yatan Pal Singh Balhara
- Behavioral Addictions Clinic (BAC), Department of Psychiatry, National Drug Dependence Treatment Center, All India Institute of Medical Sciences (AIIMS), New Delhi, India.
| | - Shalini Singh
- Institute of Liver and Biliary Sciences (ILBS), New Delhi, India
| |
Collapse
|
31
|
Does internet dating mediate sexual addiction: A case study. Asian J Psychiatr 2019; 43:93-94. [PMID: 31112898 DOI: 10.1016/j.ajp.2019.05.018] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/02/2019] [Revised: 05/08/2019] [Accepted: 05/08/2019] [Indexed: 11/22/2022]
|
32
|
Abstract
Objectives: Internet addiction or problematic internet use (PIU) has been related to feelings of loneliness and social networking. Research suggests that online communication may cause loneliness. We examined if the association between PIU and loneliness is independent of lack of social support, as indicated by lack of a committed romantic relationship, poor family functioning, and lack of time to interact face-to-face due to time online. Methods: Portuguese adolescents and young adults (N = 548: 16-26 years) completed the Generalized Problematic Internet Use Scale-2, the UCLA Loneliness Scale, and the general functioning subscale of the McMaster Family Assessment Device. They also reported if they had a committed romantic relationship, and if being online did not leave them time to be with partner, spend with family and socialise face-to-face with friends. Results: Social networking was reported as among the main preferences by 90.6% of the females and 88.6% of the males. Perceived loneliness was associated with PIU independently of age and indicators of social support. Conclusions: Evolution created neurophysiological mechanisms to recognize satisfying social relationships based on sensory information and bodily feedback present in face-to-face interactions. These are greatly absent in online communication. Hence, online communication likely engenders feelings of loneliness. Keypoints Problematic internet use (PIU) has been related to loneliness and social networking. Online communication was shown to increase loneliness. Lack of romantic relationships did not explain the association of PIU with loneliness. Poorer family environment did not explain the association of PIU with loneliness. Lack of face-to-face interactions due to time online also did not explain it. Lack of adequate sensory cues and bodily feedback in online contacts might facilitate it.
Collapse
Affiliation(s)
- Rui Miguel Costa
- a WJCR - William James Center for Research , ISPA - Instituto Universitário , Lisbon , Portugal
| | - Ivone Patrão
- b Applied Psychology Research Center Capabilities and Inclusion (APPsyCI) , ISPA - Instituto Universitário , Lisbon , Portugal
| | | |
Collapse
|
33
|
Prevalence and Psychiatric Risk Factors of Excessive Internet Use among Northern Bangladeshi Job-Seeking Graduate Students: A Pilot Study. Int J Ment Health Addict 2019. [DOI: 10.1007/s11469-019-00066-5] [Citation(s) in RCA: 21] [Impact Index Per Article: 4.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/14/2022] Open
Abstract
AbstractAlthough internet addiction (IA) has been the subject of research in many countries, it is poorly studied in Bangladesh, and previous studies in the country have not examined potential mental health risk factors in relation to the development of IA. The present pilot study attempted to assess the prevalence and associated risk factors of IA among a convenience sample of recently graduated university students actively looking for a job (N = 284) from July to October 2018 in Rajshahi (a city in Bangladesh). The measures included socio-demographic and behavioral variables, the Internet Addiction Test (IAT), and the Depression, Anxiety, and Stress Scale. Surprisingly, no cases of IA were identified in the sample (i.e., the prevalence rate of IA was 0%) which may have been a consequence of the specific population sampled. A total of 3.9% of the participants (n = 11) were classified as excessive users (≥ 60 in IAT). Using regression analysis, the risk factors for excessive internet use were spending more time online (> 5 h daily) and experiencing psychiatric conditions (i.e., depression, stress). It is hoped the present pilot study will facilitate further study in Bangladesh with a more in-depth focus on the socio-demographic and psychiatric morbidities in excessive and problematic internet use. It is also speculated that job-seeking may be a situational protective risk factor for developing IA.
Collapse
|
34
|
Ndasauka Y, Pitafi A, Kayange GM. Psychometric properties of Young's Internet Addiction Test (IAT) in Urdu language. Asian J Psychiatr 2019; 40:39-44. [PMID: 30721847 DOI: 10.1016/j.ajp.2019.01.011] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/31/2018] [Revised: 01/24/2019] [Accepted: 01/24/2019] [Indexed: 12/29/2022]
Abstract
Internet Addiction Disorder is characterized by excessive or poorly controlled obsessions, cravings, or manners regarding Internet use that lead to real life conflicts. In this study assessed psychometric properties of Internet Addiction Scale in Urdu. Data were collected from 506 participants and were analyzed using SPSS v23. We found 4 factors which were named; salience, conflict, tolerance and mood modification. These factors showed strong correlation among them. Further the items in the factors are comparable to other studies. The IAT was found to be psychometrically sound for measuring internet addiction among Urdu speaking population.
Collapse
Affiliation(s)
- Yamikani Ndasauka
- Department of Philosophy University of Malawi Chancellor College Zomba, Malawi.
| | - Adnan Pitafi
- Institute of Science, Technology and Development Mehran University of Engineering & Technology Jamshoro, 76062, Sindh, Pakistan.
| | - Grivas M Kayange
- Department of Philosophy University of Malawi Chancellor College Zomba, Malawi.
| |
Collapse
|
35
|
The assessment of internet addiction in Bangladesh: Why are prevalence rates so different? Asian J Psychiatr 2019; 40:46-47. [PMID: 30735850 DOI: 10.1016/j.ajp.2019.01.017] [Citation(s) in RCA: 26] [Impact Index Per Article: 5.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/03/2019] [Revised: 01/27/2019] [Accepted: 01/28/2019] [Indexed: 12/31/2022]
|
36
|
Epidemiology of technology addiction among school students in rural India. Asian J Psychiatr 2019; 40:30-38. [PMID: 30716701 DOI: 10.1016/j.ajp.2019.01.009] [Citation(s) in RCA: 26] [Impact Index Per Article: 5.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/03/2018] [Revised: 12/24/2018] [Accepted: 01/23/2019] [Indexed: 12/12/2022]
Abstract
OBJECTIVE Penetration of mobile technology is rapidly rising. Excessive use leads to Technology addiction, which often start early in adolescence. The purpose of the present study was to assess Technology addiction and its correlates among school students in rural India. METHODS This cross sectional study was conducted among 885 school students in north India. Four schools were selected and participants aged 13-18 years, were enrolled randomly. A self-designed 45 item questionnaire was used to evaluate dependence syndrome (intense desire, impaired control, tolerance, withdrawal, persistence despite harm, neglect of alternate pleasure) as used for substance dependence in ICD-10. Screening for depression and anxiety was done by using patient health questionnaire (PHQ-9) and generalized anxiety disorder scale (GAD-7) respectively. Descriptive and logistic regression analyses were done. RESULTS The mean age of the study participants was 15.1 years. Among the participants, 30.3% (95% Confidence Interval = 27.2%-33.3%) met the dependence criteria. One-third (33%) of the students stated that their grades had gone down due to gadget use. Technology addiction was more among male students (odds ratio = 2.82, 95% CI = 1.43, 5.59), those having a personal mobile phone (2.98, (1.52-5.83), use smart phone (2.77, 1.46-5.26), use one additional gadget (2.12, 1.14-3.94) and those who were depressed (3.64, 2.04-6.49). CONCLUSION Increased mobile phone access in rural India is leading to technology addiction among school students. Certain demographic and gadget specific factors predict addiction. The technology addiction possibly contributes to poor academic performance and depression. This warrants studies on a larger scale, with interventions for judicious use of gadgets.
Collapse
|
37
|
Problematic internet use and its correlates among resident doctors of a tertiary care hospital of North India: A cross-sectional study. Asian J Psychiatr 2019; 39:42-47. [PMID: 30529568 DOI: 10.1016/j.ajp.2018.11.018] [Citation(s) in RCA: 24] [Impact Index Per Article: 4.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/07/2018] [Revised: 11/09/2018] [Accepted: 11/24/2018] [Indexed: 12/24/2022]
Abstract
BACKGROUND Problematic Internet use/ Internet addiction (IA) has gained the attention of mental health professionals recently and studies have found that medical professionals are not immune to IA with prevalence rate ranging from 2.8 to 8%. Few studies from India have also reported high rates of IA among medical students. The term 'Problematic internet use' is being increasing used nowadays in place of IA as it signifies a better terminology than the word 'addiction' per se. However, there is lack of information among resident doctors. AIM To evaluate the prevalence of problematic Internet use and its association with depressive symptoms, perceived stress, and health care outcomes among resident doctors working in a government funded tertiary care Institute. MATERIALS & METHODS An online e-mail survey was carried out among medical professionals (a total of 1721 doctors) in a tertiary care hospital located in Chandigarh, India out of whom 376 responded. The residents doctors were the postgraduate trainees (MBBS) and those residents who have complete post-graduation and working as senior residents/registrar (MBBS, MD/MS). They were in the age group ranging from 24 to 39 years. The survey included Young's Internet addiction test (IAT), Patient Health Questionnaire-9 (PHQ-9), Cohen's Perceived Stress Scale, Maslach Burnout Inventory and a self designed questionnaire to assess the health care related outcomes. RESULTS On IAT, 142 residents (37.8%) scored <20 i.e., normal users and 203 residents (54%) had mild addiction. Only 31 residents (8.24%) had moderate addiction category, none of the residents had severe IA (score>80). Those with IA reported higher level of depressive symptoms, perceived stress and burnout. There was positive association between ever use of alcohol and watching pornography (as a part of recreational activities) with IA. Significantly higher proportion of those with IA, reported having faced physical abuse and verbal abuse in the hands of the patients/caregivers. CONCLUSIONS The present study suggests that about 8.24% of resident doctors have Problematic internet use/IA. Problematic internet use/IA is associated with presence of higher level of depressive symptoms, perceived stress and burn out. Further, Problematic internet use/IA is also associated with higher likelihood of facing violence in the hands of patients and their caregivers.
Collapse
|
38
|
Balhara YPS. Behavioural addictions: Need to correct misnomers. Asian J Psychiatr 2018; 36:118. [PMID: 30064046 DOI: 10.1016/j.ajp.2018.07.014] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/22/2018] [Revised: 07/23/2018] [Accepted: 07/23/2018] [Indexed: 11/25/2022]
Affiliation(s)
- Yatan Pal Singh Balhara
- Behavioral Addictions Clinic (BAC), Department of Psychiatry, National Drug Dependence Treatment Center, All India Institute of Medical Sciences (AIIMS), New Delhi, India.
| |
Collapse
|