Linking multiple risk exposure profiles with adolescent Internet addiction: Insights from the person-centered approach

Work addiction and personality organization: Results from a representative, three-wave longitudinal study

BACKGROUND

Several studies have explored the relationship between personality and work addiction, suggesting that individuals with certain mental disorders, including personality disorders such as obsessive-compulsive personality disorder (OCPD), may be more prone to work addiction. However, the characterization of personality organization (PO) among workaholics and its contribution to the persistence of work addiction remains unclear.

METHODS

In this longitudinal study of a representative sample of young adults (N = 1748), we applied the Bergen Work Addiction Scale and the Inventory of Personality Organization.

RESULTS

We found significant correlations between work addiction and identity diffusion, primitive psychological defenses, reality testing, and overall personality disorganization across three waves. A latent class growth analysis revealed three profiles: no work addiction, increasing work addiction, and constant moderate work addiction. Multinomial logistic regression analysis indicated that higher levels of personality disorganization in wave 1 and increases in personality disorganization between waves 1 and 3 were associated with higher odds of belonging to the increasing work addiction group. Similarly, higher overall personality disorganization in wave 1 was associated with higher odds of belonging to the constant moderate work addiction group.

CONCLUSION

These findings suggest that individuals with chronic work addiction have lower levels of PO, and PO declines as work addiction persists. Screenings for work addiction are recommended to prevent potential mental health issues. Future research should explore the influence of workplace characteristics and work motivations on the association between work addiction and personality disorders.

The mediating effect of personal mastery and perceived social support between emotional intelligence and social alienation among patients receiving peritoneal dialysis

Aim

This study aims to assess the extent of social alienation in patients undergoing peritoneal dialysis and examine how personal mastery and perceived social support mediate the association between emotional intelligence and social alienation in this patient population.

Methods

This study adopts a cross-sectional survey design. A total of 192 patients were recruited from a tertiary hospital located in Henan Province, China, using a convenience sampling method. We have developed a structural equation model to investigate the mediating influence of personal mastery and perceived social support on the emotional intelligence and social alienation of patients undergoing Peritoneal dialysis.

Results

Peritoneal patients exhibited an social alienation score of 42.01 ± 3.15. Elevated EI levels (coefficient = -0.616, p < 0.001) were significantly correlated with reduced social alienation. The mediation model demonstrated that personal mastery and perceived social support fully mediated the impact of emotional intelligence on social alienation.

Conclusion

The social alienation of peritoneal dialysis patients is serious, and healthcare professionals should pay attention to patients' social alienation, improve patients' emotional intelligence through relevant interventions, increase personal mastery and perceived social support, and finally reduce social alienation.

How COVID-19 Information Fear of Missing out Increases the Risk of Depression and Anxiety: Roles of Resilience and Personality Types

During major health emergencies (e.g., the COVID-19 pandemic) people often fear missing relevant information. COVID-19 information fear of missing out (FOMO) is a phenomenon where people feel anxiety about losing control of COVID-19-related information. The present study aimed to examine how COVID-19 information FOMO relates to mental health (e.g., depression and anxiety), the mediating role of resilience, and the moderating role of personality types during the COVID-19 pandemic. We surveyed 1442 Chinese undergraduates (Mage = 21.68 ± 2.35 years) on the relevant variables. The results showed that COVID-19 information FOMO was positively associated with depression and anxiety, and resilience mediated these associations. Latent profile analysis (LPA) identified three personality types (undercontrolled, adaptive, and overcontrolled). Personality types moderated the mediation models, in which the indirect effects were only significant in the participants classified in the undercontrolled group rather than the participants classified in the other two groups. This study told us that undergraduates' mental health, particularly that of the undercontrollers, should be paid attention to when responding to a major public health emergency (e.g., the COVID-19 pandemic).

An Analysis of the Latent Class and Influencing Factors of Problematic Mobile Social Media Usage Among Chinese College Students

Purpose

To explore the potential classification of Problematic Mobile Social Media Usage (PMSMU) in Chinese college students, analyze whether there is group heterogeneity in PMSMU, and discuss the differences in the latent profile of PMSMU in fear of missing out, online positive feedback, and boredom proneness.

Methods

A total of 2591 Chinese college students were investigated using the Problematic Mobile Social Media Usage Questionnaire, Fear of Missing Out (FOMO) Scale, Online Positive Feedback Scale and Short-form Boredom Proneness Scale, and heterogeneity was tested by latent profile analysis.

Results

The PMSMU of college students can be divided into three latent profiles: no-problem use group (26.44%), mild problem use group (56.66%), and severe problem use group (16.91%). Male students, as compared to female students, showed a significantly lower likelihood of being classified as mild problematic users (OR=0.50, p<0.001) and severe problematic users (OR=0.29, p<0.001). Additionally, students with higher levels of FOMO, a stronger craving for online positive feedback, and increased boredom proneness are more likely to belong to the severe problematic use group (OR=2.91, p<0.001; OR=1.42, p<0.01; OR=8.72, p<0.001).

Conclusion

The results of this study highlight the factors influencing the heterogeneity of individual PMSMU. Specifically, female college students and those with a higher fear of missing out, greater susceptibility to boredom, and a stronger craving for positive online feedback are more likely to exhibit severe PMSMU. These findings provide valuable empirical evidence for developing preventive strategies to address PMSMU among college students.

The Relationship Between Cumulative Ecological Risk and Problematic Smartphone Use Among Chinese College Students: Based on Latent Profile Analysis

The aim of the current study is to explore the number of classes of cumulative ecological risk with latent profile analysis. Furthermore, the relationships between the classes of cumulative ecological risk and problematic smartphone use (PSU) among 2050 Chinese college students were researched. The results showed that there are four latent classes of cumulative ecological risk among college students, namely, low risk - medium peer relationship risk group, medium risk - high belonging risk group, high identity risk - very high friend conflict risk group and high risk group, accounting for 11.71%, 30.54%, 9.75% and 48.00%, respectively. The number of the high risk group is the largest with the highest family risk, school risk, peer risk and social risk. The students in the medium risk - high belonging risk group have a particularly high risk of belonging, which should be paid attention to. The students in the low risk - medium peer relationship risk group are with a low level of ecological risk. The high identity risk - very high friend conflict risk group have the fewest students, indicating that only a few students have high school identity risk and very high risk of friend conflict. In addition, cumulative ecological risk is significantly positively correlated with PSU, and the PSU level of the high risk group is significantly higher than that of other groups. These findings indicate that there is considerable heterogeneity in cumulative ecological risk, and there is different correlation between cumulative ecological risk and PSU among college students. The current study not only enriches the biological ecological model, showing that the combined action of multiple ecological risks has a greater impact on PSU, but also provides a basis for classified intervention of college students of different classes.

Developmental Trajectories of Adolescent Internet Addiction: Interpersonal Predictors and Adjustment Outcomes

Despite the burgeoning literature on adolescent internet addiction (IA), the majority of studies have relied on cross-sectional designs and variable-centered analytical approaches. Therefore, little is understood about the heterogeneous developmental trajectories of adolescent IA as well as its antecedents and outcomes. This longitudinal study adopted growth mixture modeling (GMM), a person-centered approach, to identify the distinct trajectories of IA among adolescents during a three-year period. We further examined the interpersonal predictors along with a series of outcomes of different trajectories. Participants included 1,365 Chinese adolescents (M_age = 14.68 years, SD = 1.56; 46.8% girls) from two junior high schools and two senior high schools. The GMM results indicated three distinct trajectories: low-increasing (56.7%), moderate-declining (37.6%), and high-declining (5.7%) groups. In terms of interpersonal predictors, adolescents who reported poorer relationships with their parents, teachers, and schoolmates were more likely to belong to the high-declining and moderate-declining groups. In terms of outcomes, the high-declining and moderate-declining groups exhibited an increase in mental health problems (i.e., more depressive symptoms, lower self-esteem, and lower subjective well-being) and delinquent behaviors, even after controlling for their baseline levels. These findings highlight the heterogeneity of IA trajectories among adolescents, the predictive role of interpersonal factors, and different adjustment outcomes associated with IA trajectories. Therefore, prevention and intervention programs involving interpersonal relationships may be promising for adolescents at high or moderate risk of IA.

Co-Occurrence of Gaming Disorder and Other Potentially Addictive Behaviours between Australia, New Zealand, and the United Kingdom

Background: Evidence suggests that gamers can have varying experiences of disordered gaming behaviours due to coping mechanisms and how they can act as risk or protective factor in the development and/or maintenance of disordered behaviours. A particular area of interest is how this may manifest across different countries. Understanding the interplay of these potential risk and protective factors within different countries will aid identifying and preventing disordered behaviours. Methods: Three cohorts were recruited from Australia, New Zealand, and the United Kingdom. Each cohort was required to complete a battery of psychometric scales exploring problematic behaviours, problematic substance use, co-occurrence, coping styles, and personality. A latent profile analysis was conducted to examine the differences between cohorts and further investigated with additional analyses. Results: The findings suggested that a minority of gamers were affected by gaming disorder, and there appeared an at-risk cohort who utilise gaming as a maladaptive coping strategy. Other accompanying potentially addictive behaviour or substance use may be exacerbated as a result, the manifestation of which can be influenced by cultural elements. Conclusions: When considering gamers from countries which hold similar views, it is important to be cognisant of the variations found in the manifestations of disordered gaming and accompanying potentially addictive behaviours. This will allow for a more precise identification of at-risk behaviours, which will result in more favourable treatment outcomes for those who are considered at-risk or high-risk individuals.

Investigating the relationship between bullying involvement and self-harmful thoughts and behaviour in young people: A systematic review

BACKGROUND

There is a complex and inconsistent relationship between bullying involvement and self-harmful thoughts and behaviour (SHTB) in young people. This novel systematic review aims to establish key interacting, moderating and mediating variables associated with SHTB in young people involved in bullying.

METHODS

The systematic review was registered with PROSPERO: CRD42020192023. A search was conducted (until February 2021) across databases: PubMed/MEDLINE, EMBASE, PsycINFO (Ovid), Cochrane Library, Scopus (Elsevier), Web of Science, ERIC and CINAHL (EBSCOhost). Observational studies containing quantitative primary or secondary data analyses were included in the review, on the basis that they examined interactions, moderators, or mediators between bullying involvement and SHTB in young people. Versions of the Newcastle-Ottawa Scale were used to assess risk of bias in the included studies.

RESULTS

A total of 57 studies were included. Overall, 3 studies identified interactions, 25 studies identified moderators and 21 studies identified mediators. 9 studies identified moderator-mediators. The findings were categorised as either self-harmful thoughts or self-harmful behaviours and synthesised under the following themes: socio-demographic; depression; parental; personality/psychological; and social/environmental.

LIMITATIONS

This review uncovered significant heterogeneity and a paucity of replicated studies in the field, therefore, tentative conclusions have been drawn.

CONCLUSIONS

This comprehensive review highlights the key role of depression as a mediator between traditional/cyber victimisation and SHTB in young people. The moderating effects of gender on mediation models investigating the role of depression suggest the possibility that females involved in bullying may be at increased suicide risk.

Alienation from school and cyberbullying among Chinese middle school students: A moderated mediation model involving self-esteem and emotional intelligence

As an extension of traditional bullying behavior, cyberbullying behavior emerges with the increasing popularity of the internet, and seriously affects the health of middle school students. However, just a few studies have explored the impact of the school factor on cyberbullying and its underlying mechanisms. Therefore, the purpose of this study is to explore the potential mediator (i.e., self-esteem) and potential moderator (i.e., emotional intelligence) of the relationships between alienation from school and cyberbullying. Five hundred and seventy five Chinese middle school students participated in the study (45.74% male) and completed self-report questionnaires regarding alienation from school, cyberbullying, self-esteem, and emotional intelligence. Correlation analysis showed a positive correlation between alienation from school and cyberbullying. Mediation analysis indicated that alienation from school positively predicts individual cyberbullying, and self-esteem partly mediated the association. Meanwhile, emotional intelligence moderated the pathway from alienation from school to cyberbullying. Specifically, the effect of high alienation from school on cyberbullying was weaker for middle school students who reported high emotional intelligence. The findings of this study expose the influence of the school factor and individual factors on cyberbullying, which has potential preventive and intervention value for youth cyberbullying.

Anxiety and depression related to childhood maltreatment in teenagers: Comparing multiple individual risk model, cumulative risk model and latent profile analysis

BACKGROUND

Few studies have employed person-centered approaches (i.e. latent profile analysis in this study) to investigate the specific patterns of childhood maltreatment in a large sample of Chinese adolescents, and little is known about the predictive validity of latent profile analysis on internalizing problems, compared with multiple individual risk model and cumulative risk model.

OBJECTIVE

The purpose of this study was to investigate whether differential patterns of maltreatment existed by employing latent profile analysis with a sample of 9071 Chinese adolescents, and further examined the predictive validity of latent profile analysis on internalizing problems, relative to the cumulative risk and multiple individual risk model.

PARTICIPANTS

Using a stratified sampling approach, 10,515 participants (Mean age = 14.24; SD = 1.73) were chosen from three different types of middle schools in Chongqing city, China. 9071 valid responses (males = 4775; females = 4296) were obtained for final analysis.

METHODS

Participants reported their childhood maltreatment experience, anxiety and depression symptoms. Latent profile analysis was used to obtain possible patterns of maltreatment with Mplus version 7. 4. Bolck-Croon-Hagenaars (BCH) method was used to test the association between maltreatment patterns and anxiety and depression symptoms. Relative weight analysis and analysis of variance (ANOVA) were used to test the predictive validity of latent profile analysis, multiple individual risk and cumulative risk model.

RESULTS

Using latent profile analysis, two patterns of childhood maltreatment were uncovered ("No Maltreatment" and "Multiple Maltreatment"). Further analysis showed that multiple individual risk model accounted for the largest variance in anxiety (R² = 26.7%) and depression (R² = 33%), followed by the latent profile analysis (R² = 14.7% for anxiety and 18.6% for depression) and the cumulative risk model (R² = 12.9% for anxiety and 15.2% for depression).

CONCLUSIONS

Our findings suggested that the multiple individual risk model is the optimal model for identifying adolescents at the risk of developing anxiety and depression symptoms, and the results suggested emotional abuse and emotional neglect are risk factors for higher levels of anxiety and depression among adolescents.

Parental Autonomy Support and Pathological Internet Use among Chinese Undergraduate Students: Gratitude Moderated the Mediating Effect of Filial Piety

Applying an integrated theoretical model consisting of the socioecological theory, the self-determination theory, and the broaden-and-build theory, the present study tested a moderated mediation model of parental autonomy support, filial piety, and gratitude to study how these factors are jointly related to pathological Internet use (PIU) in Chinese undergraduate students. A total of 1054 Chinese undergraduate students (M age = 20.35, SD = 1.00, 34.7% females) aged between 16 and 24 years participated in this study. They were instructed to complete self-reported questionnaires on parental autonomy support, filial piety, gratitude, and PIU. The results showed that parental autonomy support was negatively associated with PIU, and filial piety partially mediated this relation. Specifically, parental autonomy support was positively related to filial piety, which, in turn, was negatively associated with PIU. In addition, gratitude moderated the first path of the indirect relation and the direct relation of this mediation effect. To be specific, undergraduate students with higher gratitude showed high filial piety and low PIU, in the context of low parental autonomy support, than those with lower gratitude. Taken together, the current study contributes to extant research by highlighting the vital role of parental autonomy support in mitigating undergraduate students' PIU and illustrating how filial piety explains the underlying mechanism of this association. This study also provides novel insights into intervention or prevention programs by demonstrating that gratitude alleviates the adverse effect of low parental autonomy support on students' PIU.

Reward-related decision-making deficits in internet gaming disorder: a systematic review and meta-analysis

AIMS

To estimate the aggregated effect sizes of reward-related decision-making deficits in internet gaming disorder (IGD) and to explore potential moderators on the variability of effect sizes across studies.

DESIGN

Review of peer-reviewed studies comparing reward-related decision-making performance between IGD and control participants identified via PubMed, Web of Science and ProQuest databases. Random-effects modeling was conducted using Hedge's g as the effect size (ES). The effects of decision-making situation, valence, sample type, testing environment, IGD severity and self-reported impulsivity on decision-making differences were examined by moderator analyses.

SETTING

No restrictions on location.

PARTICIPANTS

Twenty-four studies (20 independent samples) were included in the meta-analysis, resulting in 604 IGD and 641 control participants and 35 ESs.

MEASURES

Reward-related decision-making differences between IGD and control groups.

FINDINGS

The overall ES for decision-making deficits in IGD was small (g = -0.45, P < 0.01). The effects were comparable across risky, ambiguous and inter-temporal decision-making. Larger aggregate ESs were identified for pure-gain and mixed compared with pure-loss decision-making. Studies based on clinical and community samples showed similar effects. No significant difference between behavioral studies and those with extra measurements was observed. Decision-making alterations were not closely associated with IGD severity or self-reported impulsivity differences at the study level.

CONCLUSIONS

Internet gaming disorder appears to be consistently associated with reward-related decision-making deficits.

Different profiles with multiple risk factors of nonsuicidal self-injury and their transitions during adolescence: A person-centered analysis

BACKGROUND

Nonsuicidal self-injury (NSSI) is a serious public health concern among adolescents. However, adolescents with different combinations of NSSI risk factors may constitute different subgroups that vary in subsequent risks of NSSI engagement, and the membership in these subgroups may change during early adolescence. Gender differences related to risk profiles and transition patterns may also exist. This study thus aimed to address these three questions.

METHODS

A total of 2,942 participants ranging from 12 to 17 years old (55.2% females; M_age = 14.60, SD = 1.21) completed a series of questionnaires about NSSI and its risk factors on three occasions, every six months. Latent profile and latent transition analyses were used to examine NSSI risk profiles (subgroups), their transition patterns, and gender differences.

RESULTS

Three distinct risk profiles were identified: Low-risk profile, Medium-risk profile, and High-risk profile. The profile membership was fairly stable over one year, and the shift across profiles represented a "resilient" pattern. Regarding gender differences, boys were less likely to be in either the Medium- or the High-risk groups, but more likely to transition from the Medium- to the Low-risk group, relative to girls.

LIMITATIONS

This study relied upon self-report measures. Additional research is needed to investigate the generalizability of the results to other populations, and to examine more predictors of class membership and transitions.

CONCLUSIONS

The results highlight the importance of considering subgroup differences in understanding NSSI risks. Differentiated interventions with multi-pronged approaches tailoring to different risk classes and gender groups may therefore prove more efficient and effective.

Perceived school climate and problematic internet use among adolescents: Mediating roles of school belonging and depressive symptoms

Prior studies have found that a positive school climate can prevent adolescents from developing problematic Internet use (PIU), yet gaps remain in identifying the proximal mechanisms. Guided by social control theory and the self-medication hypothesis, this study examined the mediating roles of adolescents' sense of school belonging and depressive symptoms in the relationship between perceived school climate (PSC) and adolescent PIU. A total of 2,758 adolescents (M_age = 13.53 years; SD = 1.06) were surveyed from 10 middle schools in southern China. Participants completed a series of questionnaires, including Perceived School Climate Scale, School Belonging Scale, Children's Depression Inventory, and Internet Addiction Diagnostic Questionnaire. We controlled for several covariates, including demographic variables and family functioning, for conservative predictions. Multiple mediation analysis revealed that: (a) PSC was negatively associated with PIU; (b) both school belonging and depressive symptoms mediated the link between PSC and PIU; and (c) a serial indirect pathway (i.e., PSC → school belonging → depressive symptoms → PIU) emerged. These findings were robust across different gender, age, socioeconomic status, and family functioning subgroups. These findings point to potential targets in the prevention and intervention of adolescent PIU.

Peer victimization and problematic internet use in adolescents: The mediating role of deviant peer affiliation and the moderating role of family functioning

The role of social-environmental factors in adolescent problematic Internet use (PIU) has attracted considerable attention recently. Several studies have documented that peer victimization is positively associated with PIU. However, little is known about "how" (i.e., mediation mechanisms) and "under what conditions" (i.e., moderation mechanisms) peer victimization is associated with adolescent PIU. To contribute to this gap in the knowledge, this study used a large sample of Chinese adolescents (N = 2758; M_age = 13.53 years, SD = 1.06) to examine deviant peer affiliation (DPA) as a mediator and family functioning as a moderator in this relationship. Students completed anonymous questionnaires to measure the main variables. After controlling for important covariates related to PIU, the results indicated that (a) peer victimization was positively associated with PIU, (b) DPA partially mediated the link between peer victimization and PIU, and (c) family functioning moderated the association between peer victimization and DPA. Specifically, for adolescents with better family functioning, the relationship between peer victimization and DPA was weaker. The current research deepens our understanding of "how" and "under what conditions" peer victimization is related to PIU in adolescents.

The Use of Digital Technologies, Impulsivity and Psychopathological Symptoms in Adolescence

Background and aims: Past research on the associations between psychopathological symptoms and technological-based addictions, i.e., Internet Gaming Disorder (IGD) and Social Media Addiction (SMA), showed contradictory results in adolescents and adult populations. The present study investigated correlations between adolescents’ psychopathological risks and impulsivity, IGD and SMA. Methods: A sample of 656 participants (338 males; M_age = 16.32 years) was divided into three age groups (early, mid-, and late adolescence) and completed a battery of scales comprising the (i) Internet Gaming Disorder Scale–Short Form, (ii) Bergen Social Media Addiction Scale, (iii) Barratt Impulsiveness Scale for Adolescents, and (iv) Symptom Checklist-90-R. Results: The significance of the correlations was not corroborated in the basic tables. Significant associations appeared only in the adolescent subgroups, sometimes for bivariate and sometimes for partial correlations and with different patterns of associations between males and females. Moreover, both technological addictions were correlated with impulsiveness in bivariate and partial correlations. Discussion and conclusions: Following a developmentally-oriented approach to determine the patterns of associations between technological behavioral addictions and psychopathology in the specific sub-phases of early-, mid- and late-adolescence, this exploratory research showed how these associations might change depending on the developmental phase and gender of the individual. Future research is needed to provide empirical evidence of specific emotional–psychopathological correlations.

Latent profiles of stress and their relationships with depression and problematic Internet use among college freshmen

As noted in previously published literature, college students frequently experience academic stress, financial stress, and the stresses caused by intimate, peer, and parent-adolescent relationships. The present study uses latent profile analysis to identify stress profiles based on the aforementioned five stressors among 430 college freshmen. Thereafter, we compare the levels of depression and problematic Internet use (PIU) among the different profile groups and investigate whether background variables could predict each latent stress group. Three latent groups were labelled as follows: Ordinary (n = 257, 59.77%); all moderate-high (n = 98, 22.79%); and college-life moderate-high (n = 75, 17.44%). Compared with the ordinary group, the all moderate-high and college-life moderate-high groups displayed significantly higher levels of depression. Moreover, the all moderate-high group had a severer level of PIU than the college-life moderate-high and ordinary groups. Interestingly, males and students who were dating were more likely to fall under the all moderate-high group than the college-life moderate-high group; but students who were more concerned with their academic performance were more likely to fall under the college-life moderate-high group than the all moderate-high group. These findings have important implications for college educators and school counsellors with regard to developing appropriate interventions as required.

Parent-adolescent relationship and adolescent internet addiction: A moderated mediation model

Substantial research has found that positive parent-adolescent relationship is associated with low levels of adolescent Internet addiction (IA). However, little is known about the mediating and moderating mechanisms underlying this relation. The present study examined a moderated mediation model that included the parent-adolescent relationship (predictor variable), emotion regulation ability (mediator), stressful life events (moderator), and IA (outcome variable) simultaneously. A total of 998 (M_age = 15.15 years, SD = 1.57) Chinese adolescents completed the Parent-Adolescent Relationship Scale, Emotion Regulation Ability Scale, Adolescent Stressful Life Events Scale, and Internet Addiction Diagnostic Questionnaire. After controlling for adolescent gender, age, and family socioeconomic status, results revealed that good parent-adolescent relationship was positively associated with adolescent emotion regulation ability, which in turn was negatively associated with their IA. Moreover, stressful life events moderated the second part of the mediation process. In accordance with the reverse stress-buffering model, the relation between emotion regulation ability and adolescent IA was stronger for adolescents who experienced lower levels of stressful life events. The findings and their implications are discussed and a resilient contextual perspective proposed.