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Duc TQ, Chi VTQ, Huyen NTH, Quang PN, Thuy BT, Nguyen Di K. Growing propensity of internet addiction among Asian college students: meta-analysis of pooled prevalence from 39 studies with over 50,000 participants. Public Health 2024; 227:250-258. [PMID: 38262230 DOI: 10.1016/j.puhe.2023.11.040] [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: 03/06/2023] [Revised: 10/15/2023] [Accepted: 11/30/2023] [Indexed: 01/25/2024]
Abstract
OBJECTIVES Rapid internet penetration and technological advancements have facilitated accessibility to internet-enabled devices globally. Since Asia lacks comprehensive data on internet addiction among college students, this review aims to estimate its pooled prevalence. STUDY DESIGN This was a systematic review and meta-analysis. METHODS Searches were conducted in PubMed, Scopus, CINAHL, and MEDLINE from their inception through August 2022 using terms appropriate to internet addiction and Asian countries/territorial for publications in English peer-reviewed journals. The studies included those done on current college students and provided unambiguous indicators of the threshold of internet addiction. The pooled prevalence was calculated through a random-effects meta-analysis by RStudio software, and I2 statistic was used to assess heterogeneity. The Joanna Briggs Institute critical appraisal checklist was used for quality assessment. RESULTS Overall, between 2007 and 2021, 39 papers comprising 45 effect sizes and totaling 58,058 participants met the inclusion criteria. The pooled prevalence of internet addiction among Asian college students was 24.3% (95% confidence interval: 19.8%-29.5%, Q = 6234, df = 44, τ2 = 0.79, I2 = 99.29%), and strikingly, this percentage increased over time. A high degree of heterogeneity was seen, and no publication bias was found. CONCLUSIONS To our knowledge, this is the first comprehensive review report on Asian college students, which found that one-fifth suffer from internet addiction. The findings emphasize the significance of multidisciplinary prevention and management strategies to mitigate the harmful effects of internet addiction. Further research is warranted to develop a standardized diagnostic tool for a more precise estimation of internet addiction among this population.
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Affiliation(s)
- Tran Quang Duc
- College of Health Sciences, VinUniversity, Vinhomes Ocean Park, Gia Lam District, Hanoi, Vietnam.
| | - Vu Thi Quynh Chi
- School of Medicine and Pharmacy, The University of Danang, 41 Le Duan, Hai Chau, Da Nang, 550000, Vietnam.
| | - Nguyen Thi Hoa Huyen
- College of Health Sciences, VinUniversity, Vinhomes Ocean Park, Gia Lam District, Hanoi, Vietnam.
| | - Phan Ngoc Quang
- The Center Service for Technology Science of Medi-Phar, Thai Binh University of Medicine and Pharmacy, 373 Ly Bon Street, Thai Binh City, Vietnam.
| | - Bui Thi Thuy
- National Institute of Nutrition, 48B Tang Bat Ho Street, Hanoi, 100000, Vietnam.
| | - Khanh Nguyen Di
- Faculty of Health Sciences, Dong Nai Technology University, Nguyen Khuyen Street, Trang Dai Ward, Bien Hoa City, Vietnam.
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Maftei A, Opariuc-Dan C. Perfect people, happier lives? When the quest for perfection compromises happiness: the roles played by substance use and internet addiction. Front Public Health 2023; 11:1234164. [PMID: 37841705 PMCID: PMC10568026 DOI: 10.3389/fpubh.2023.1234164] [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: 06/03/2023] [Accepted: 09/11/2023] [Indexed: 10/17/2023] Open
Abstract
Building on the Conservation of Resources Theory and the Stress-Coping Model, the present study explored the relationship between perfectionism (rigid, self-critical, narcissistic) and subjective happiness among youth. In this relationship, we also examined the mediating roles of substance use (i.e., drinking and smoking) and Internet addiction symptoms. Our sample comprised 431 Romanian university students aged 18-25 (M = 20.50, SD = 1.58), and most of them were females (79.81%, self-reported gender). Participants completed self-reported anonymous scales through a web-based survey at the beginning of 2023. Correlation analysis results indicated that all forms of perfectionism were associated with Internet addiction symptoms. Self-critical and narcissistic perfectionism and drinking, smoking, and Internet addiction symptoms were negatively associated with subjective happiness. Path analysis suggested that health-risk behaviors completely mediated the effect of perfectionism on subjective happiness. High levels of perfectionism were associated with high levels of health-risk behaviors, and high levels of addictive behaviors were associated with low levels of subjective happiness. We discuss the present findings considering their practical use regarding students' subjective happiness.
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Affiliation(s)
- Alexandra Maftei
- Faculty of Psychology and Education Sciences, Alexandru Ioan Cuza University, Iaşi, Romania
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Shek DTL, Chai W, Zhou K. Risk Factors and Protective Factors of Internet Addiction in University Students during the Pandemic: Implications for Prevention and Treatment. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2023; 20:5952. [PMID: 37297556 PMCID: PMC10253014 DOI: 10.3390/ijerph20115952] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/25/2023] [Revised: 05/15/2023] [Accepted: 05/23/2023] [Indexed: 06/12/2023]
Abstract
While the prevalence rates of Internet addiction (IA) amongst young people during the pandemic are disturbing, few studies have investigated the risk and protective factors of IA in Hong Kong university students under COVID-19. In this study, we examined the relationship between COVID-19-related stress and IA and the role of psychological morbidity and positive psychological attributes in the relationship. In summer 2022, 978 university students completed a survey assessing pandemic-related stress, psychological morbidity, and positive psychological attributes. While psychological morbidity was indexed by depression, post-traumatic stress disorder, and suicidal behavior, positive psychological attributes included life satisfaction, flourishing, adversity beliefs, emotional competence, resilience, and family functioning measures. Results showed that stress and psychological morbidity positively predicted IA, and psychological morbidity mediated the association between stress and IA. Positive psychological attributes negatively predicted stress and IA, and mediated the connection between stress and IA. Positive psychological attributes moderated the mediating effect of psychological morbidity on the relationship between stress and IA. In addition to theoretical contributions, this study contributes to IA prevention and treatment: reducing psychological morbidity and promoting positive psychological attributes are promising strategies to address IA issues in young people.
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Affiliation(s)
- Daniel T. L. Shek
- Department of Applied Social Sciences, The Hong Kong Polytechnic University, Hong Kong
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Sánchez-Fernández M, Borda-Mas M, Mora-Merchán J. Problematic internet use by university students and associated predictive factors: A systematic review. COMPUTERS IN HUMAN BEHAVIOR 2023. [DOI: 10.1016/j.chb.2022.107532] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/06/2022]
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Remilly M, Mauvieux B, Drigny J. Personality Traits Associated with the Risk of Exercise Dependence in Ultraendurance Athletes: A Cross-Sectional Study. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2023; 20:1042. [PMID: 36673797 PMCID: PMC9858902 DOI: 10.3390/ijerph20021042] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 12/01/2022] [Revised: 12/30/2022] [Accepted: 12/31/2022] [Indexed: 06/17/2023]
Abstract
Exercise dependence (ED) is common in endurance athletes and can lead to physical and psychological distress with various health effects. We designed a prospective cross-sectional study to investigate the personality traits associated with ED among ultraendurance athletes. A total of 507 participants (41.6 (9.8) years, men: 73.7%) completed (1) a screening questionnaire about sociodemographic data, sporting habits, and healthcare data, (2) the Exercise Dependence Scale-Revised (EDS-R, 21 items scored from 1 (never) to 6 (always), 7 subscales), (3) the Big Five Inventory (BFI), and (4) 2 items of the SCOFF (Sick-Control-One Stone-Fat-Food) questionnaire regarding possible eating disorders. Based on the EDS-R scores, 37 (7.3%) participants were at risk for ED (scores ≥ 5/6 on ≥3 subscales), 366 (72.2%) were nondependent but symptomatic (scores ≥ 3/6 on ≥3 subscales), and 104 (20.5%) were asymptomatic. Participants with ED had a greater training volume and a higher prevalence of possible eating disorders. A higher level of neuroticism was associated with increased EDS-R scores (r = 0.294; p < 0.001), with significantly higher scores in the ED group (F = 14.50, p < 0.001). The association between neuroticism and ED was not moderated by the presence of eating disorders. These findings will help to screen ultraendurance athletes at risk for ED and optimize their care.
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Affiliation(s)
- Marion Remilly
- Normandie Univ, UNICAEN, CHU de Caen Normandie, Service de Médecine du Sport, 14000 Caen, France
| | - Benoit Mauvieux
- Normandie Univ, UNICAEN, INSERM, COMETE, GIP CYCERON, 14000 Caen, France
| | - Joffrey Drigny
- Normandie Univ, UNICAEN, CHU de Caen Normandie, Normandie University, Service de Médecine du Sport, Service de Médecine Physique et de Réadaptation, INSERM, COMETE, GIP CYCERON, 14000 Caen, France
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Hussien RM. The association between nomophobia and loneliness among the general population in the Kingdom of Saudi Arabia. MIDDLE EAST CURRENT PSYCHIATRY 2022. [DOI: 10.1186/s43045-022-00235-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/10/2022] Open
Abstract
Abstract
Background
Nomophobia progresses through phases (initiation, affirmation, need, and dependency), similarly to addiction, and manifests in a variety of ways, including socially, physiologically, and physically. The objective of the study is to examine the association between nomophobia and feelings of loneliness among a sample of the general population from the KSA. Data were gathered between 5 March and 5 April 2022 using a descriptive, cross-sectional survey design. Five hundred twenty-six participants make up the sample for this study. The information is gathered using a sociodemographic data sheet, Internet usage profiles, a nomophobia questionnaire, and the Loneliness Scale.
Results
The majority of people in the study sample use the Internet for between 4 and 9 h, most immediately in the morning, on waking, for gaming, and for social communication. For nomophobia levels among the study population, the highest percentage is for a moderate level of nomophobia, with the highest means being for factor 1 (unable to communicate), followed by factor 4 (giving up convenience). They also have a moderate level of loneliness.
Conclusions
The multivariate analysis shows that the total loneliness score is strongly and positively correlated with the total nomophobia score and its four factors and the duration of daily mobile Internet use. There are also negative correlations with age and education level. Additionally, the overall nomophobia score has an inverse relationship with income level and age, but a high relationship with the frequency of daily mobile Internet use. The study suggests that there is a need for psychoeducation for a variety of sociodemographic groups to raise awareness about the psychological repercussions of nomophobia, practices that will help to reduce the time spent online for arbitrary reasons, to discover new and entertaining ways of communicating with each other.
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Khosravi M, Khosrobaki M, Foroutan A. Personality traits and college students' internet addiction: The mediating roles of general health and self-esteem. Scand J Psychol 2022; 63:689-697. [PMID: 35703171 DOI: 10.1111/sjop.12848] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/30/2021] [Revised: 04/03/2022] [Accepted: 05/29/2022] [Indexed: 11/29/2022]
Abstract
This research aimed to explore the gender-related differences in Internet addiction levels, the associated factors behind Internet addiction, and the mediating roles of general health and self-esteem in the relationship between personality traits and Internet addiction among college students. A total of 318 college students in Iran participating in this study completed sociodemographic information form and self-report measures of Internet addiction, personality traits, general health, and self-esteem. The results showed higher frequencies of low and moderate-severe levels of addiction among female and male students, respectively. Further, younger age, male gender, singleness, high scores on neuroticism, poor general health, and low self-esteem might be linked to Internet addiction. The overall hypothesis that general health and self-esteem mediated the effect of neuroticism on Internet addiction was also supported. Our findings highlighted the necessity of evaluating general health and self-esteem among Internet-addicted students. Further, these variables can be targeted by psychiatrists and psychologists for effective cognitive-behavioral therapy among Internet-addicted students.
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Affiliation(s)
- Mohsen Khosravi
- Department of Psychiatry and Clinical Psychology, Zahedan University of Medical Sciences, Zahedan, Iran
| | - Masumeh Khosrobaki
- Educational Psychologist, State Office of Education in Kerman, Kerman, Iran
| | - Aida Foroutan
- General Practitioner, Zahedan University of Medical Sciences, Zahedan, Iran
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What is irrational in fearing to miss out on being online. An application of the I-PACE model regarding the role of maladaptive cognitions in problematic internet use. COMPUTERS IN HUMAN BEHAVIOR 2022. [DOI: 10.1016/j.chb.2022.107365] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/24/2022]
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9
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Marciano L, Camerini AL, Schulz PJ. Neuroticism and internet addiction: What is next? A systematic conceptual review. PERSONALITY AND INDIVIDUAL DIFFERENCES 2022. [DOI: 10.1016/j.paid.2021.111260] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/06/2023]
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10
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Luo H, Zhao Y, Hong J, Wang H, Zhang X, Tan S. Effect of Alexithymia on Internet Addiction Among College Students: The Mediating Role of Metacognition Beliefs. Front Psychol 2022; 12:788458. [PMID: 35082726 PMCID: PMC8784415 DOI: 10.3389/fpsyg.2021.788458] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/04/2021] [Accepted: 11/30/2021] [Indexed: 12/25/2022] Open
Abstract
Background: Previous studies have found that alexithymia plays an important role in the pathogenesis of Internet addiction. However, the effect of alexithymia on both metacognition and Internet addiction has yet to be examined. Methods: The Toronto Alexithymia Scale, Metacognition Questionnaire, and Internet Addiction Test were used to assess a sample of 356 college students. A parallel mediator effect analysis was applied to test the hypothesis that metacognition mediates the relationship between alexithymia and Internet addiction. Results: The parallel multiple mediator models showed that alexithymia predicted the five dimensions of metacognition and Internet addiction, and that three dimensions-cognitive confidence, positive beliefs about worry, and the need to control thoughts-partially mediated this relationship. Conclusion: Alexithymia could directly and indirectly predict Internet addiction via metacognition.
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Affiliation(s)
- Hongge Luo
- School of Public Health, North China University of Science and Technology, Tangshan, China
- College of Psychology, North China University of Science and Technology, Tangshan, China
| | - Yanli Zhao
- Beijing Huilongguan Hospital, Peking University Huilongguan Clinical Medical School, Beijing, China
| | - Jiangyue Hong
- Beijing Huilongguan Hospital, Peking University Huilongguan Clinical Medical School, Beijing, China
| | - Hong Wang
- College of Psychology, North China University of Science and Technology, Tangshan, China
| | - Xiujun Zhang
- School of Public Health, North China University of Science and Technology, Tangshan, China
| | - Shuping Tan
- Beijing Huilongguan Hospital, Peking University Huilongguan Clinical Medical School, Beijing, China
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Abhilasha P, Haryal A, Malhotra M, Reddy M, Moorthy T, Singla M. A study of impulsivity, compulsivity, and dysfunctional belief among medical undergraduate students with problematic internet use. JOURNAL OF MENTAL HEALTH AND HUMAN BEHAVIOUR 2022. [DOI: 10.4103/jmhhb.jmhhb_201_21] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/15/2023] Open
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12
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Mak KK, Scheer B, Yeh CH, Ohno S, Nam JK. Associations of Personality Traits with Internet Addiction: A Cross-Cultural Meta-Analysis with a Multilingual Approach. CYBERPSYCHOLOGY, BEHAVIOR AND SOCIAL NETWORKING 2021; 24:777-798. [PMID: 34788555 DOI: 10.1089/cyber.2021.0071] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/08/2023]
Abstract
With a novel multilingual approach, this cross-cultural meta-analysis study investigated the associations between personality traits and Internet addiction. Articles were identified and retrieved by searching through general and language-specific databases, and thereafter reviewed for inclusion based on the selection criteria. Random effects models with the Hartung-Knapp-Sidik-Jonkman method were used to examine the associations of Internet addiction with seven personality traits: Openness, Conscientiousness, Extraversion, Agreeableness, Neuroticism, Psychoticism, and Lie (OCEAN-PL). Forest plots with summary statistics were produced to inspect the between-study heterogeneity. Subgroup analysis was performed to further determine the contributions of moderators (geographic region, population subgroup, scales for assessing personality traits and Internet addiction, and language of publication) to the observed between-study heterogeneity. Funnel plots and Egger's test were used to detect possible small-study effects. A sample of 34,438 participants from 37 studies (24 from Asia) were included for data analysis. The major languages of publications of the selected articles were English and Asian languages. According to the pooled results, Internet addiction was associated positively with Neuroticism and Psychoticism, but negatively with Conscientiousness, Extraversion, Agreeableness, and Lie. Geographic region and language of publication significantly moderated the associations of Internet addiction with Agreeableness and Neuroticism, and Openness and Extraversion, respectively. No significant small-study effect was present for all OCEAN-PL personality traits, except Neuroticism. In conclusion, the Internet addiction group is relatively more neurotic and psychotic, and less conscientious, extraverted, agreeable, and untruthful than the nonaddiction group. A multilingual approach is useful for improving the search strategies for systematic reviews, cross-cultural meta-analyses in particular.
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Affiliation(s)
- Kwok Kei Mak
- Department of Statistics, Keimyung University, Daegu, Republic of Korea
| | - Ben Scheer
- Department of Statistics, Keimyung University, Daegu, Republic of Korea
| | - Chen-Hui Yeh
- School of Computer Science, University of Birmingham, Birmingham, United Kingdom
| | - Shiroh Ohno
- Graduate School of Interdisciplinary Information Studies, University of Tokyo, Tokyo, Japan
| | - JeeEun Karin Nam
- Graduate School of Education, Ewha Womans University, Seoul, Republic of Korea
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Ferrari BL, Carvalho LDF, Sette CP. Relationship Between Facebook Problematic use and Pathological Personality Traits: a Systematic Review. PSICO-USF 2021. [DOI: 10.1590/1413-82712021260305] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/24/2022] Open
Abstract
Abstract We aimed to investigate relationships between Facebook problematic use (Facebook PU) and pathological traits of personality, by a systematic review. The literature search was proceeded based on a search strategy including the keywords “Facebook”, “problematic use” and “personality”. We found a total of 236 publications and selected 21 papers for full verification. All of them were excluded, characterizing an empty review. As an attempt to increase the probability of finding eligible publications, first, we have broadened the search of the systematic review from “Facebook” to “social network sites” (and variations); and then from “social network sites” to “internet”. Regarding this last change, the final set of publications after full reading based on the eligibility criteria was composed by 15 papers. We emphasize that there was no empirical evidence on the relationship between Facebook PU and pathological traits of personality. Given the proximity between Facebook PU and internet addiction, it is possible to hypothesize that there is a relationship between pathological traits (i.e., Neuroticism, Impulsivity, and Psychoticism) and Facebook PU.
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Zhou H, Dang L, Lam LW, Zhang MX, Wu AM. A cross-lagged panel model for testing the bidirectional relationship between depression and smartphone addiction and the influences of maladaptive metacognition on them in Chinese adolescents. Addict Behav 2021; 120:106978. [PMID: 33971499 DOI: 10.1016/j.addbeh.2021.106978] [Citation(s) in RCA: 22] [Impact Index Per Article: 7.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/08/2021] [Revised: 05/01/2021] [Accepted: 05/02/2021] [Indexed: 12/11/2022]
Abstract
AIMS Despite the high prevalence of both depression and smartphone addiction among Chinese adolescents, research examining their bidirectional relationship has been limited. Moreover, longitudinal research regarding the influence of maladaptive metacognitive beliefs on smartphone addiction is scarce. This 6-month longitudinal study aimed to address these research gaps by testing a cross-lagged panel model of maladaptive metacognition, depression, and smartphone addiction. METHODS Four hundred and fifty-nine Chinese high school students voluntarily completed an anonymous questionnaire at baseline, and 313 of them (36.1% male; age = 14 to 18; M = 16.88, SD = 0.62) completed the same questionnaire at follow-up. RESULTS Positive correlations were shown among depression, smartphone addiction, and maladaptive metacognition at both waves (r = 0.16 to 0.57, p < .01). The results of the cross-lagged analysis demonstrated only the prospective effect of depression on smartphone addiction (β = 0.18, p < .001) but not vice versa. Moreover, maladaptive metacognition assessed at baseline significantly predicted subsequent depression (β = 0.14, p < .01) but not smartphone addiction (p>.05). Additional path analysis showed a significant indirect effect of baseline maladaptive metacognition (0.099 [95% CI = 0.042, 0.183]) on subsequent smartphone addiction, via depression. CONCLUSIONS Findings of this study showed that the relationship between depression and smartphone addiction was unidirectional rather than bidirectional among Chinese adolescents. Specifically, depression predicted smartphone addiction, while maladaptive metacognition predicted depression. Depression also mediated the relationship between maladaptive metacognition and smartphone addiction. The findings suggest that incorporating metacognition and depression interventions into smartphone addiction prevention designs for adolescents may be beneficial.
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15
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Studying Social Media Burnout and Problematic Social Media use: The implication of perfectionism and metacognitions. COMPUTERS IN HUMAN BEHAVIOR REPORTS 2021. [DOI: 10.1016/j.chbr.2021.100117] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
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16
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Cuppone D, Gómez Pérez LJ, Cardullo S, Cellini N, Sarlo M, Soldatesca S, Chindamo S, Madeo G, Gallimberti L. The role of repetitive transcranial magnetic stimulation (rTMS) in the treatment of behavioral addictions: Two case reports and review of the literature. J Behav Addict 2021; 10:361-370. [PMID: 34232905 PMCID: PMC8996794 DOI: 10.1556/2006.2021.00032] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/18/2020] [Revised: 02/14/2021] [Accepted: 05/15/2021] [Indexed: 11/19/2022] Open
Abstract
BACKGROUND Several behaviors, besides consumption of psychoactive substances, produce short-term reward that may lead to persistent aberrant behavior despite adverse consequences. Growing evidence suggests that these behaviors warrant consideration as nonsubstance or "behavioral" addictions, such as pathological gambling, internet gaming disorder and internet addiction. CASE PRESENTATION Here, we report two cases of behavioral addictions (BA), compulsive sexual behavior disorder for online porn use and internet gaming disorder. A 57-years-old male referred a loss of control over his online pornography use, started 15 years before, while a 21-years-old male university student reported an excessive online gaming activity undermining his academic productivity and social life. Both patients underwent a high-frequency repetitive transcranial magnetic stimulation (rTMS) protocol over the left dorsolateral prefrontal cortex (l-DLPFC) in a multidisciplinary therapeutic setting. A decrease of addictive symptoms and an improvement of executive control were observed in both cases. DISCUSSION Starting from these clinical observations, we provide a systematic review of the literature suggesting that BAs share similar neurobiological mechanisms to those underlying substance use disorders (SUD). Moreover, we discuss whether neurocircuit-based interventions, such as rTMS, might represent a potential effective treatment for BAs.
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Affiliation(s)
- Diego Cuppone
- Novella Fronda Foundation
,
Piazza Castello, 16 - 35141
,
Padua
,
Italy
| | | | - Stefano Cardullo
- Novella Fronda Foundation
,
Piazza Castello, 16 - 35141
,
Padua
,
Italy
| | - Nicola Cellini
- Department of General Psychology, University of Padua
,
Padova
,
Italy,Department of Biomedical Sciences, University of Padova
,
Padova
,
Italy,Padova Neuroscience Center, University of Padova
,
Padova
,
Italy,Human Inspired Technology Center, University of Padova
,
Padova
,
Italy
| | - Michela Sarlo
- Department of Communication Sciences, Humanities and International Studies, University of Urbino Carlo Bo
,
Urbino
,
Italy
| | - Silvia Soldatesca
- Novella Fronda Foundation
,
Piazza Castello, 16 - 35141
,
Padua
,
Italy
| | - Sonia Chindamo
- Novella Fronda Foundation
,
Piazza Castello, 16 - 35141
,
Padua
,
Italy
| | - Graziella Madeo
- Novella Fronda Foundation
,
Piazza Castello, 16 - 35141
,
Padua
,
Italy
| | - Luigi Gallimberti
- Novella Fronda Foundation
,
Piazza Castello, 16 - 35141
,
Padua
,
Italy,
Corresponding author. E-mail:
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Pannier M, Fauth-Bühler M. Suchtartiges Arbeiten: Persönlichkeitsfaktoren und berufliche Rahmenbedingungen. SUCHT 2021. [DOI: 10.1024/0939-5911/a000710] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/17/2023]
Abstract
Zusammenfassung. Fragestellung: Suchtartiges Arbeiten stellt ein ernst zu nehmendes Problem in unserer Gesellschaft dar. In dieser Studie wird der Frage nachgegangen, welche Rolle berufliche Rahmenbedingungen (Entgrenzung der Arbeit) und Persönlichkeitsfaktoren (Big Five) bei suchtartigem Arbeiten spielen. Methode: 111 Erwerbstätige im Alter von 19 bis 66 Jahren beantworteten online den Persönlichkeitstest Big Five Inventory-SOEP, den Fragebogen zur Erfassung zentraler Merkmale der Arbeit 4.0 und die Skala zur Erfassung von Arbeitssucht. Die statistischen Auswertungen (Korrelationsanalysen, moderierte Regressionsanalyse) erfolgten mittels „R“ und „PSPP“. Ergebnisse: Suchtartiges Arbeiten korreliert signifikant mit Entgrenzung (r = .208), Neurotizismus (r = .356) und dem Alter der Probanden (r = -.321). Alle drei Prädiktoren zusammen erklären insgesamt 29 Prozent der Varianz von suchtartigem Arbeiten. Es konnte kein moderierender Effekt der Variablen Entgrenzung der Arbeit auf den Zusammenhang zwischen Neurotizismus und suchtartigem Arbeiten gefunden werden. Schlussfolgerungen: Neben dem Persönlichkeitsfaktor Neurotizismus und dem Alter spielen bei der Vorhersage suchtartigen Arbeitens auch das Ausmaß der Entgrenzung der Arbeit eine relevante Rolle. Die Ergebnisse sind vor dem Hintergrund der Covid-19-Pandemie relevant, da bei Mitarbeitern im Homeoffice die Grenzen von Arbeit und Privatleben besonders stark verwischen.
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Affiliation(s)
- Maximilian Pannier
- Institut für Wirtschaftspsychologie (iwp), FOM Hochschule für Oekonomie & Management, Hochschulzentrum Stuttgart
| | - Mira Fauth-Bühler
- Institut für Wirtschaftspsychologie (iwp), FOM Hochschule für Oekonomie & Management, Hochschulzentrum Stuttgart
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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.
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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
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Kang X, Handayani DOD, Chong PP, Acharya UR. Profiling of pornography addiction among children using EEG signals: A systematic literature review. Comput Biol Med 2020; 125:103970. [PMID: 32892114 DOI: 10.1016/j.compbiomed.2020.103970] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/02/2020] [Revised: 08/09/2020] [Accepted: 08/09/2020] [Indexed: 01/15/2023]
Abstract
Nowadays human behavior has been affected with the advent of new digital technologies. Due to the rampant use of the Internet by children, many have been addicted to pornography. This addiction has negatively affected the behaviors of children including increased impulsiveness, learning ability to attention, poor decision-making, memory problems, and deficit in emotion regulation. The children with porn addiction can be identified by parents and medical practitioners as third-party observers. This systematic literature review (SLR) is conducted to increase the understanding of porn addiction using electroencephalogram (EEG) signals. We have searched five different databases namely IEEE, ACM, Science Direct, Springer and National Center for Biotechnology Information (NCBI) using addiction, porn, and EEG as keywords along with 'OR 'operation in between the expressions. We have selected 46 studies in this work by screening 815,554 papers from five databases. Our results show that it is possible to identify children with porn addiction using EEG signals.
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Affiliation(s)
- Xiaoxi Kang
- Master of Computer Science, Taylor's University, 1, Jalan Taylors, 47500, Subang Jaya, Selangor, Malaysia.
| | - Dini Oktarina Dwi Handayani
- School of Computer Science & Engineering, Faculty of Innovation & Technology, Taylor's University, 1, Jalan Taylors, 47500, Subang Jaya, Selangor, Malaysia.
| | - Pei Pei Chong
- School of Biosciences, Faculty of Health and Medical Sciences, Taylor's University, 1 Jalan Taylors, 47500, Subang Jaya, Selangor, Malaysia.
| | - U Rajendra Acharya
- Ngee Ann, Singapore University of Social Science, University of Malaya, Malaysia; Department of Bioinformatics and Medical Engineering, Asia University, Taiwan.
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20
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Daytime Sleepiness in University Students and Internet Addiction as the Determinant. J Addict Nurs 2020; 31:153-160. [DOI: 10.1097/jan.0000000000000346] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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AlAmer M, Shdaifat E, Alshowkan A, Eldeen AG, Jamama A. Exploring Associations between Internet Addiction, Depressive Symptoms, and Sleep Disturbance among Saudi Nursing Students. Open Nurs J 2020. [DOI: 10.2174/1874434602014010029] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/14/2023] Open
Abstract
Background:
Excessive internet usage is a worldwide problematic issue among young adults and college students. Previous studies showed that Saudi young adults are involved in this problem.
Objectives:
To determine the prevalence of Internet Addiction (IA), and to find out its relation with depressive symptoms, sleep quality, and demographic variables.
Methods:
This study used a cross-sectional design. Data were collected from 341 nursing students in Saudi Arabia using three scales: Young’s Internet Addiction Test, Central Epidemiologic Scale for Depression and Pittsburgh Sleep Quality Index.
Results:
The results showed that 35.1% of students were suffering from frequent problems and 0.9% were suffering from significant problems due to heavy internet usage. The correlation results found a positive moderate correlation between IA and depression (r = 0.401, p < 0.001) and a positive weak correlation with sleep quality (r = 0. 196, p = 0.002). Sleeping and depression were weakly correlated (r = 0.274, p < 0.001). Regression analysis revealed that IA was associated with: smoking status, high family income, duration of usage (3-6 hours and >6 hours), and depressive symptoms. The depressive level was associated with duration of usage (>6 hours), students’ grading point average (GPA), IA, and sleep quality. Sleep quality was found to be associated with duration of usage (>6 hours) and having depressive symptoms.
Conclusion:
The findings illustrate the need for proper management of internet usage, as well as developing plans to avoid the negative consequences of internet addiction on psychological wellbeing by incorporating nursing education programs about appropriate internet usage.
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Hamasha AAH, Kareem YM, Alghamdi MS, Algarni MS, Alahedib KS, Alharbi FA. Risk indicators of depression among medical, dental, nursing, pharmacology, and other medical science students in Saudi Arabia. Int Rev Psychiatry 2019; 31:646-652. [PMID: 31117837 DOI: 10.1080/09540261.2019.1584095] [Citation(s) in RCA: 18] [Impact Index Per Article: 3.6] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/17/2022]
Abstract
The aim of the study was to investigate the prevalence and risk indicators of depression in undergraduate students of health-related specialties. A systematic random sample of 398 students from seven health colleges was included. The assessment tool was a self-reported questionnaire based on Becks Depression Inventory (BDI). Participant status was categorized into Absence (BDI = 0-13) or Presence (BDI = 14-60) of depression. Data analyses included descriptive statistics, bivariate analysis, and stepwise logistic regression. About 45% of students reported having mild-to-severe depression. The significant risk indicators for depression were: gender, recent loss of family members, type of study, year of study, presence of psychological illnesses, social life, satisfaction with each of the following: the specialty, teaching staff, college facilities. The regression model showed the following factors to remain significantly related to depression: presence of psychological illness, social life style, recent loss of family member, and satisfaction with teaching staff. In conclusion, a significant number of undergraduate students have depression. This study indicates the need to support this group of students by the community and the university administration. Students' academic and social advisers' roles are recommended to be more effective. Teaching staff are recommended to have their teaching and communication skills enhanced.
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Affiliation(s)
- Abed Al-Hadi Hamasha
- Preventive Dental Science Department, College of Dentistry, King Saud bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia
- Department of Preventive Dentistry, Faculty of Dentistry, Jordan University of Science and Technology, Irbid, Jordan
| | - Yousef M Kareem
- Dental Intern, College of Dentistry, King Saud bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia
| | - Mohammed S Alghamdi
- Dental Intern, College of Dentistry, King Saud bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia
| | - Mohammed S Algarni
- Dental Intern, College of Dentistry, King Saud bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia
| | - Khalid S Alahedib
- Dental Intern, College of Dentistry, King Saud bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia
| | - Fahad A Alharbi
- Dental Intern, College of Dentistry, King Saud bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia
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Lin YJ, Hsiao RC, Liu TL, Yen CF. Bidirectional relationships of psychiatric symptoms with internet addiction in college students: A prospective study. J Formos Med Assoc 2019; 119:1093-1100. [PMID: 31653577 DOI: 10.1016/j.jfma.2019.10.006] [Citation(s) in RCA: 18] [Impact Index Per Article: 3.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/04/2019] [Revised: 05/04/2019] [Accepted: 10/05/2019] [Indexed: 11/29/2022] Open
Abstract
BACKGROUND/PURPOSE This prospective study evaluated the predictive ability of psychiatric symptoms at initial consultation for the occurrence and remission of Internet addiction during a 1-year follow-up period among college students. Furthermore, it evaluated the predictive ability of changes in psychiatric symptoms for Internet addiction at the initial consultation during the 1-year follow-up period among college students. METHODS Five hundred college students (262 women and 238 men) were recruited. The baseline and follow-up consultations measured the levels of Internet addiction and psychiatric symptoms using the Chen Internet Addiction Scale and Symptom Checklist-90 Revised, respectively. RESULTS The results indicated that severe interpersonal sensitivity and paranoia symptoms might predict the incidence of Internet addiction at 1-year follow-up. The college students with internet addiction did not have significant improvement in the severities of psychopathology, whereas those without internet addiction had significant improvement in obsession-compulsion, interpersonal sensitivity, paranoid and psychoticism during the same period. CONCLUSION Psychiatric symptoms and Internet addiction exhibited bidirectional relationships in college students during the 1-year follow-up period.
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Affiliation(s)
- Yen-Ju Lin
- Department of Psychiatry, Kaohsiung Medical University Hospital, and School of Medicine and Graduate Institute of Medicine, College of Medicine, Kaohsiung Medical University, Kaohsiung, Taiwan; Department of Psychiatry, Tsyr-Huey Mental Hospital, Kaohsiung Jen-Ai's Home, Kaohsiung, Taiwan
| | - Ray C Hsiao
- Department of Psychiatry and Behavioral Sciences, University of Washington School of Medicine, Seattle, WA, USA; Department of Psychiatry, Children's Hospital and Regional Medical Center, Seattle, WA, USA
| | - Tai-Ling Liu
- Department of Psychiatry, Kaohsiung Medical University Hospital, and School of Medicine and Graduate Institute of Medicine, College of Medicine, Kaohsiung Medical University, Kaohsiung, Taiwan.
| | - Cheng-Fang Yen
- Department of Psychiatry, Kaohsiung Medical University Hospital, and School of Medicine and Graduate Institute of Medicine, College of Medicine, Kaohsiung Medical University, Kaohsiung, Taiwan.
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Yiğitoğlu GT, Keskin G. Relationship between dysfunctional beliefs and stress coping methods in drug-addicted patients: A sample of Turkey. Indian J Psychiatry 2019; 61:508-519. [PMID: 31579174 PMCID: PMC6767817 DOI: 10.4103/psychiatry.indianjpsychiatry_285_17] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
Abstract
BACKGROUND Dysfunctional beliefs are believed to have an effect on substance abuse. Drug-addicted individuals experience difficulties with coping in stressful situations and therefore, start reusing these drugs. AIM This study was conducted to determine the relationship between dysfunctional beliefs and stress coping methods in drug-addicted patients. MATERIALS AND METHODS The population of this descriptive and cross-sectional research study comprised 51 patients who were admitted to the Alcohol and Drug Addiction Treatment Center of a state hospital, diagnosed with drug addiction, and consented to participate in our study. The data were collected by using the Sociodemographic Information Form, the Dysfunctional Attitude Scale (DAS), and the Coping Assessment Questionnaire (COPE). The data obtained were evaluated by percentage, correlation, one-way analysis of variance, Mann-Whitney U-test, and Kruskal-Wallis test. RESULTS The average COPE score of the drug-addicted patients was found to be 171.60 ± 23.35. The average DAS score of the drug-addicted patients was determined to be 161.66 ± 36.94. A statistically significant difference was found between the DAS and COPE scores of the patients (P < 0.05). CONCLUSIONS It can be concluded that these patients have dysfunctional beliefs and exhibit emotion-focused coping attitudes. More comparative studies investigating the dysfunctional beliefs of alcohol- and drug-addicted people and coping methods should be conducted.
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Affiliation(s)
- Gülay Taşdemir Yiğitoğlu
- Department of Psychiatric Nursing, Health Sciences Faculty, Pamukkale University, Denizli, Turkey
| | - Gülseren Keskin
- Department of Psychiatric Nursing, Ataturk Health Services Vocational School, İzmir, Turkey
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Baroni S, Marazziti D, Mucci F, Diadema E, Dell’Osso L. Problematic Internet use in drug addicts under treatment in public rehab centers. World J Psychiatry 2019; 9:55-64. [PMID: 31211113 PMCID: PMC6560498 DOI: 10.5498/wjp.v9.i3.55] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/29/2019] [Revised: 05/07/2019] [Accepted: 05/14/2019] [Indexed: 02/06/2023] Open
Abstract
BACKGROUND Problematic Internet use (PIU) or Internet addiction has been recognized to be a behavioral addiction characterized by excessive or poorly controlled preoccupations, urges, or behaviors regarding computer use and Internet access that leads to impairment or distress resembling substance abuse.
AIM To investigate the prevalence and characteristics of Internet use and abuse in a group of drug addicts from Southern Italy, by means of a specific questionnaire [“Questionario sull’Utilizzo delle Nuove Tecnologie” (QUNT)].
METHODS All subjects (183) were heavy smokers, almost 50% of them used heroin and/or opioid compounds, 30% alcohol, 10% cannabis, 8% cocaine, and 5% were polydrug users. Almost 10% of the individuals were also suffering from gambling disorder.
RESULTS The time spent online was more than 4 hours a day in the total sample, with a slight prevalence in male subjects. Cocaine and cannabis users spent more than 6 hours online, significantly more than opioid and alcohol abusers. Distribution of the QUNT factors was not different in both sexes. Cocaine users showed higher scores at the “loss of control”, “pornography addiction”, and “addiction to social networks” factors, for the stimulant effect of this substance. Moreover, 15 out of the total 17 cocaine users were pathological gamblers. Positive and statistically significant relationships were observed between some QUNT factors and body mass index.
CONCLUSION These findings indicate that PIU is less severe in subjects taking sedative substances, such as heroin/opioids and alcohol, than in subjects taking stimulants. Alternatively, it may be used as a “stimulant” trigger in cocaine and cannabis users. Flattening effect of abuse drugs was noted on possible sex-related differences in QUNT items. We observed a sort of “protective” effect of a love relationship and/or living together with a partner, as those engaged subjects showed lower scores on different items than single subjects or those living alone. The relationship between time spent online (and related sedentary lifestyle) and body mass index would suggest that Internet use might be a contributing factor to increasing weight gain and obesity amongst adolescents and young adults worldwide. Our findings also highlighted the specific vulnerability of drug addicts who use stimulants, rather than sedative compounds, to other kinds of behavioral addictions, such as gambling disorder.
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Affiliation(s)
- Stefano Baroni
- Dipartimento di Medicina Clinica e Sperimentale, Section of Psychiatry, University of Pisa, Pisa 56100, Italy
| | - Donatella Marazziti
- Dipartimento di Medicina Clinica e Sperimentale, Section of Psychiatry, University of Pisa, Pisa 56100, Italy
| | - Federico Mucci
- Dipartimento di Medicina Clinica e Sperimentale, Section of Psychiatry, University of Pisa, Pisa 56100, Italy
| | - Elisa Diadema
- Dipartimento di Medicina Clinica e Sperimentale, Section of Psychiatry, University of Pisa, Pisa 56100, Italy
| | - Liliana Dell’Osso
- Dipartimento di Medicina Clinica e Sperimentale, Section of Psychiatry, University of Pisa, Pisa 56100, Italy
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Koronczai B, Kökönyei G, Griffiths MD, Demetrovics Z. The Relationship Between Personality Traits, Psychopathological Symptoms, and Problematic Internet Use: A Complex Mediation Model. J Med Internet Res 2019; 21:e11837. [PMID: 31025955 PMCID: PMC6658222 DOI: 10.2196/11837] [Citation(s) in RCA: 15] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/06/2018] [Revised: 12/19/2018] [Accepted: 02/03/2019] [Indexed: 12/15/2022] Open
Abstract
BACKGROUND There are many empirical studies that demonstrate the associations between problematic internet use, psychopathological symptoms, and personality traits. However, complex models are scarce. OBJECTIVE The aim of this study was to build and test a mediation model based on problematic internet use, psychopathological symptoms, and personality traits. METHODS Data were collected from a medical addiction center (43 internet addicts) and internet cafés (222 customers) in Beijing (mean age 22.45, SD 4.96 years; 239/265, 90.2% males). Path analysis was applied to test the mediation models using structural equation modeling. RESULTS Based on the preliminary analyses (correlations and linear regression), two different models were built. In the first model, low conscientiousness and depression had a direct significant influence on problematic internet use. The indirect effect of conscientiousness-via depression-was nonsignificant. Emotional stability only affected problematic internet use indirectly, via depressive symptoms. In the second model, low conscientiousness also had a direct influence on problematic internet use, whereas the indirect path via the Global Severity Index was again nonsignificant. Emotional stability impacted problematic internet use indirectly via the Global Severity Index, whereas it had no direct effect on it, as in the first model. CONCLUSIONS Personality traits (ie, conscientiousness as a protective factor and neuroticism as a risk factor) play a significant role in problematic internet use, both directly and indirectly (via distress level).
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Affiliation(s)
- Beatrix Koronczai
- Department of Developmental and Clinical Child Psychology, Institute of Psychology, Eötvös Loránd University, Budapest, Hungary
| | - Gyöngyi Kökönyei
- Department of Clinical Psychology and Addiction, Institute of Psychology, Eötvös Loránd University, Budapest, Hungary.,SE-NAP2 Genetic Brain Imaging Migraine Research Group, Semmelweis University, Budapest, Hungary.,Department of Pharmacodynamics, Faculty of Pharmacy, Semmelweis University, Budapest, Hungary
| | - Mark D Griffiths
- Psychology Division, Nottingham Trent University, Nottingham, United Kingdom
| | - Zsolt Demetrovics
- Department of Clinical Psychology and Addiction, Institute of Psychology, Eötvös Loránd University, Budapest, Hungary
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Adawi M, Zerbetto R, Re TS, Bisharat B, Mahamid M, Amital H, Del Puente G, Bragazzi NL. Psychometric properties of the Brief Symptom Inventory in nomophobic subjects: insights from preliminary confirmatory factor, exploratory factor, and clustering analyses in a sample of healthy Italian volunteers. Psychol Res Behav Manag 2019; 12:145-154. [PMID: 30881158 PMCID: PMC6419603 DOI: 10.2147/prbm.s173282] [Citation(s) in RCA: 37] [Impact Index Per Article: 7.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/19/2023] Open
Abstract
Background The Brief Symptom Inventory (BSI), developed by Derogatis in 1975, represents an important standardized screening instrument that enables one to quantitatively assess psychological distress and psychiatric disorders. The BSI is a 53-item self-report scale, measuring nine dimensions that can be summed up to reflect three global indices, including the General Severity Index (GSI). In the era of new information and communication technologies, nomophobia (“no mobile phobia”) is an emerging disorder, characterized by the fear of being out of mobile phone contact. Nothing is known, however, about the factor structure and reliability of the BSI in a population of nomophobic subjects. This study aimed at addressing this gap in knowledge. Methods A sample of 403 subjects aged 27.91±8.63 years (160 males, 39.7% of the entire sample, and 243 females, 60.3%), recruited via snowball sampling, volunteered to take part in the study. The Italian versions of the Nomophobia questionnaire and the BSI were administered. Exploratory factor analyses, confirmatory factor analyses, and clustering analysis were carried out together with correlation analysis, analysis of variance, and multivariate regression analysis. Results For each BSI subscale, scores were significantly higher than the norms. The nine subscales exhibited acceptable-to-good Cronbach’s alpha coefficients, varying from 0.733 for psychoticism to 0.875 for depression. Overall, the reliability of the entire instrument proved to be excellent (alpha coefficient=0.972). Furthermore, all BSI subscales as well as BSI synthetic indexes correlated with nomophobia in a significant way. Stratifying the population according to the severity of nomophobia (mild, 206 individuals, 51.1% of the sample; moderate, 167 subjects, 41.4%; and severe, 30 individuals, 7.4%), the GSI score could distinguish (P<0.001) between mild and moderate (0.99±0.71 vs 1.32±0.81) and between mild and severe (0.99±0.71 vs 1.54±0.79) nomophobia, although not between moderate and severe nomophobia (P>0.05). Similar patterns could be found for the other subscales of the BSI. Finally, looking at the fit indexes, the second-order 9-factor model best fit the data compared with the Derogatis 1-factor model. Conclusion The findings of our study show that the BSI is a reliable and valid instrument with acceptable psychometric properties, and can be administered to populations of nomophobic subjects.
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Affiliation(s)
- Mohammad Adawi
- Bar-Ilan Faculty of Medicine, Padeh and Ziv Hospitals, Zafat, Israel
| | | | - Tania Simona Re
- GESTALT Study Center (CSTG), Milan, Italy, .,UNESCO Chair "Health Anthropology, Biosphere and Healing Systems", University of Genoa, Genoa, Italy,
| | - Bishara Bisharat
- EMMS Nazareth Hospital, Nazareth, Azrieli Faculty of Medicine, Bar-Ilan University, Safed, Israel.,The Society for Health Promotion of the Arab Community, The Max Stern Yezreel Valley College, Nazareth, Israel
| | - Mahmud Mahamid
- EMMS Nazareth Hospital, Nazareth, Azrieli Faculty of Medicine, Bar-Ilan University, Safed, Israel
| | - Howard Amital
- Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.,Zabludowicz Center for Autoimmune Diseases, Department of Medicine B, Sheba Medical Center, Tel HaShomer, Israel
| | | | - Nicola Luigi Bragazzi
- GESTALT Study Center (CSTG), Milan, Italy, .,UNESCO Chair "Health Anthropology, Biosphere and Healing Systems", University of Genoa, Genoa, Italy, .,DINOGMI, Section of Psychiatry, University of Genoa, Genoa, Italy, .,Department of Health Sciences, Postgraduate School of Public Health, University of Genoa, Genoa, Italy,
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Peterka-Bonetta J, Sindermann C, Sha P, Zhou M, Montag C. The relationship between Internet Use Disorder, depression and burnout among Chinese and German college students. Addict Behav 2019; 89:188-199. [PMID: 30321691 DOI: 10.1016/j.addbeh.2018.08.011] [Citation(s) in RCA: 29] [Impact Index Per Article: 5.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/20/2018] [Revised: 08/08/2018] [Accepted: 08/13/2018] [Indexed: 10/28/2022]
Abstract
In the present study, we investigated the relationship between depression and Internet Use Disorder (IUD) and between burnout and IUD among German as well as Chinese college students. Due to cultural differences and their implications for the individual's psychological health, we expected Chinese college students to have in particular higher IUD than German college students. We further expected to find positive relationships between depression and IUD and between burnout and IUD. Furthermore, we believed these relationships to reflect global effects and thus to be present in both samples. The data showed that Chinese college students had higher average burnout scores in the subscales MBI Emotional Exhaustion and MBI Cynicism and also higher IUD scores, but not higher depression scores. As expected, the correlation analysis revealed significant, positive correlations between depression and IUD as well as between burnout and IUD. The results are consistent in both samples, implying that the effect is globally valid. Furthermore, we observed that the relationship between depression and IUD is stronger than the relationship between emotional exhaustion and IUD in both samples, although this effect was not significant. We conclude that burnout and depression are related to IUD and that this relationship is valid independently of the cultural background of an individual.
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29
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Kholmogorova A, Gerasimova A. Psychological Factors of Problematic Internet Use in Adolescent and Young Girls. КОНСУЛЬТАТИВНАЯ ПСИХОЛОГИЯ И ПСИХОТЕРАПИЯ 2019. [DOI: 10.17759/cpp.2019270309] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/09/2022]
Abstract
The article introduces a study of the problematic Internet use (PIU) interrelationship with psychological well-being, psychopathological symptoms, and various personality traits. The study involved 432 females aged 14 to 23 years old (M = 17.2, SD = 2) and evaluated with Generalized Problematic Internet Use Scale (GPIUS3), Ten Item Personality Measure (TIPI), Perfectionism Inventory, Hypersensitive Narcissism Scale (HSNS), Satisfaction with Life Scale (SWLS), Well-Being Index (WHO-5), and Symptom Check List-90-Revised (SCL-90-R). The results indicate that PIU is associated with various psychopathological symptoms and a decrease in psychological well-being. According to multiple linear regression analysis, hypersensitive narcissism, perfectionism, and phobic anxiety are found to be significant predictors of PIU. Protective factors are Conscientiousness of the Big Five and the level of psychological well-being. The paper suggests risk and protective factors that must be considered when preventing the Problematic Internet Use in adolescent and young girls.
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Affiliation(s)
- A.B. Kholmogorova
- Moscow Research Institute of Psychiatry — Branch of The Serbsky Federal Medical Research Center for Psychiatry and Narcology
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30
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Tang W, Dai Q. Depressive symptoms among first-year Chinese undergraduates: The roles of socio-demographics, coping style, and social support. Psychiatry Res 2018; 270:89-96. [PMID: 30245381 DOI: 10.1016/j.psychres.2018.09.027] [Citation(s) in RCA: 24] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/03/2017] [Revised: 06/15/2018] [Accepted: 09/14/2018] [Indexed: 02/08/2023]
Abstract
The prevalence of depressive symptoms among Chinese university students seems to be increasing. However, little research has been conducted in order to examine whether and how socioeconomic factors, coping style and social support affect depressive symptoms among university freshmen. The present study aimed to explore these effects on a sample of freshmen from single- and multi-child households in urban and rural environments. A total of 2,563 university freshmen (883 women, 1,680 men; mean age, 18.27 yr) from three universities in China completed a demographic questionnaire, Patient Health Questionnaire-9, Social Support Rating Scale, and Coping Style Questionnaire. Pearson correlation coefficients suggested that gender and place of origin affected students' coping styles, social support, and depression. Depression was negatively associated with problem-solving and help-seeking, but positively associated with self-blaming, fantasizing, avoidance, and rationalization. Logistic regression showed that depression was predicted by engaging in self-blame and fantasizing, being female, coming from a rural area, being an only child, lacking subjective and social support, having low skills at problem-solving and help-seeking. These findings may help psychological service providers identify first-year students at risk of depressive symptoms and provide them with systematic, gender-specific interventions that pay specific attention to self-blaming and fantasizing coping style.
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Affiliation(s)
- Wanjie Tang
- Sichuan University, No.24 South Section 1, Yihuan Road, chengdu, sichuan 610065, China
| | - Qian Dai
- Sichuan University, No.24 South Section 1, Yihuan Road, chengdu, sichuan 610065, China.
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31
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Social stigma and self-esteem as mediators of the relationship between Body Mass Index and Internet addiction disorder. An exploratory study. CURRENT PSYCHOLOGY 2018. [DOI: 10.1007/s12144-018-0054-x] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
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Anand N, Thomas C, Jain PA, Bhat A, Thomas C, Prathyusha PV, Aiyappa S, Bhat S, Young K, Cherian AV. Internet use behaviors, internet addiction and psychological distress among medical college students: A multi centre study from South India. Asian J Psychiatr 2018; 37:71-77. [PMID: 30145540 DOI: 10.1016/j.ajp.2018.07.020] [Citation(s) in RCA: 39] [Impact Index Per Article: 6.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/19/2018] [Revised: 07/24/2018] [Accepted: 07/30/2018] [Indexed: 10/28/2022]
Abstract
BACKGROUND Internet Addiction (IA) among medical students and its association with psychological distress can impact their academic progress and long term career goals. IA would also indirectly impact community of health care professionals and the society. Thus, there is a need to investigate the IA among medical students. OBJECTIVES This study was a first such attempt to explore internet use behavior's, IA, among a large group of medical students across multiple centers and its association with psychological distress primarily depression. METHODS & MATERIALS 1763 medical students aged 18 to 21 years, pursuing Bachelor of Medicine; Bachelor of Surgery (MBBS) from three south Indian cities of Bangalore, Mangalore and Trissur participated in the study. The socio-educational and internet use behaviors data sheet was used to gather demographic information and patterns of internet use, IA Test (IAT) was utilized to assess IA and Self-Report Questionnaire (SRQ-20) assessed psychological distress primarily depression. RESULTS Among the total N = 1763, 27% of medical students met criterion for mild addictive internet use, 10.4% for moderate addictive internet use, and 0.8% for severe addiction to internet. IA was higher among medical students who were male, staying in rented accommodations, accessed internet several times a day, spent more than 3 h per day on internet and had psychological distress. Age, gender, duration of use, time spent per day, frequency of internet use and psychological distress (depression) predicted IA. CONCLUSIONS A substantial proportion of medical students have IA which can be detrimental for their medical education progress and long term career goals. Early identification and management of IA and psychological distress among medical students is crucial.
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Affiliation(s)
- Nitin Anand
- Department of Clinical Psychology, National Institute of Mental Health and Neuro Sciences (NIMHANS), Hosur Road, Bengaluru, Karnataka, India
| | - Christofer Thomas
- Department of Physiology, Sapthagiri Institute of Medical Science and Research Center, Bengaluru, Karnataka, India
| | - Pravin A Jain
- Department of Psychiatry, Kasturba Medical College, Manipal, Karnataka, India
| | - Aneesh Bhat
- MIMER Medical College, Talegaon, Dabhade, Pune, India
| | - Chriss Thomas
- Jubilee Mission College of Nursing, Thrissur, Kerala, India
| | - P V Prathyusha
- Department of Biostatistics, National Institute of Mental Health and Neuro Sciences (NIMHANS), Hosur Road, Bengaluru, Karnataka, India
| | - Shalini Aiyappa
- Department of Psychology, St. Aloysius College, Mangalore, Karnataka, India
| | - Shrinivasa Bhat
- Department of Psychiatry, K.S Hegde Medical College, Mangalore, Karnataka, India
| | - Kimberly Young
- Centre for Internet Addiction Recovery and St.Bonaventure University, New York, USA
| | - Anish V Cherian
- Department of Psychiatric Social Work, National Institute of Mental Health and Neuro Sciences (NIMHANS), Hosur Road, Bengaluru, Karnataka, India.
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Baysak E, Yertutanol FDK, Dalgar I, Candansayar S. How Game Addiction Rates and Related Psychosocial Risk Factors Change Within 2-Years: A Follow-Up Study. Psychiatry Investig 2018; 15:984-990. [PMID: 30301305 PMCID: PMC6212699 DOI: 10.30773/pi.2018.08.16] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/07/2018] [Revised: 08/04/2018] [Accepted: 08/16/2018] [Indexed: 01/07/2023] Open
Abstract
OBJECTIVE Prospective data of risky online gamers in Turkey is missing. Therefore, we aimed to investigate the change in gaming behaviors and addiction rates of Travian players within two years to search diagnostic stability of internet gaming disorder and some psychosocial risk factors. METHODS 110 responders completed the whole questionnaire package including 21-item Game Addiction Scale (GAS), Satisfaction with Life Scale (SLS), Rosenberg Self-Esteem Scale (RSES), and Multi-dimensional Scale of Perceived Social Support (MSPSS). A hierarchical linear modeling approach was followed to test the linear change in game addiction scores of the participants from 2013 to 2015. RESULTS GAS scores of gamers significantly decreased within two years (p=0.026). MSPSS scores significantly and negatively associated with GAS scores (p<0.001) and the negative association of time remained significant (p=0.035). Decrement in the MSPSS scores in two years was associated with increment in GAS scores. 9 (90%) of 10 participants with internet gaming disorder according to monothetic format and 26 (52%) of 50 participants with internet gaming disorder according to polythetic format were found to not to meet the diagnosis in the follow-up. 33 out of all participants reported that they were not playing any online games for at least last 6 months. CONCLUSION Social support seems to be a protective factor for game addiction and diagnosis of internet gaming disorder has low temporal stability among Travian players in Turkey.
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Affiliation(s)
- Erkan Baysak
- Department of Psychiatry, Haydarpasa Numune Training and Research Hospital, Istanbul, Turkey
| | | | - Ilker Dalgar
- Department of Psychology, Middle East Technical University, Ankara, Turkey
| | - Selçuk Candansayar
- Department of Psychiatry, Gazi University Faculty of Medicine, Ankara, Turkey
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Anand N, Jain PA, Prabhu S, Thomas C, Bhat A, Prathyusha PV, Bhat SU, Young K, Cherian AV. Internet Use Patterns, Internet Addiction, and Psychological Distress Among Engineering University Students: A Study from India. Indian J Psychol Med 2018; 40:458-467. [PMID: 30275622 PMCID: PMC6149312 DOI: 10.4103/ijpsym.ijpsym_135_18] [Citation(s) in RCA: 31] [Impact Index Per Article: 5.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/08/2023] Open
Abstract
BACKGROUND Internet addiction (IA) among university engineering students and its association with psychological distress can impact their educational progress, academic competence, and long-term career goals. Thus, there is a need to investigate the IA among engineering students. OBJECTIVES This study was a first such attempt to explore internet use behaviors, IA, among a large group of engineering students from India, and its association with psychological distress primarily depressive symptoms. METHODS One thousand eighty six engineering students aged 18-21 years pursuing bachelors in engineering from the south Indian city of Mangalore participated in the study. The socio-educational and internet use behaviors data sheet was used to gather demographic information and patterns of internet use, Internet Addiction Test (IAT) was utilized to assess IA, and Self-Report Questionnaire (SRQ-20) assessed psychological distress primarily depressive symptoms. RESULTS Among the total N = 1086, 27.1% of engineering students met criterion for mild addictive internet use, 9.7% for moderate addictive internet use, and 0.4% for severe addiction to internet. IA was higher among engineering students who were male, staying in rented accommodations, accessed internet several times a day, spent more than 3 h per day on internet, and had psychological distress. Gender, duration of use, time spent per day, frequency of internet use, and psychological distress (depressive symptoms) predicted IA. CONCLUSIONS A substantial proportion of engineering students have IA which can be detrimental for their educational progress in university studies and long-term career goals. Early identification and management of IA and psychological distress among engineering students is crucial.
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Affiliation(s)
- Nitin Anand
- Department of Clinical Psychology, Dr. MV Govindaswamy Centre, National Institute of Mental Health and Neuro Sciences (NIMHANS), Hosur Road, Bangalore, Karnataka, India
| | - Praveen A Jain
- Department of Psychiatry, Kasturba Medical College, Manipal, Karnataka, India
| | - Santosh Prabhu
- Department of Psychiatry, K. S. Hegde Medical College, Mangalore, Karnataka, India
| | - Christofer Thomas
- Department of Physiology, Sapthagiri Institute of Medical Science and Research Center, Bengaluru, Karnataka, India
| | - Aneesh Bhat
- Department of Psychiatry, MIMER Medical College, Talegoan Dabhade, Pune, Maharashtra, India
| | - P V Prathyusha
- Department of Biostatistics, Dr. MV Govindaswamy Centre, National Institute of Mental Health and Neuro Sciences (NIMHANS), Hosur Road, Bangalore, Karnataka, India
| | - Shrinivasa U Bhat
- Department of Psychiatry, Kasturba Medical College, Manipal, Karnataka, India
| | | | - Anish V Cherian
- Psychiatric Social Work, Dr. MV Govindaswamy Centre, National Institute of Mental Health and Neuro Sciences (NIMHANS), Hosur Road, Bangalore, Karnataka, India
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Is Internet Addiction a Clinical Symptom or a Psychiatric Disorder? A Comparison With Bipolar Disorder. J Nerv Ment Dis 2018; 206:644-656. [PMID: 30028359 DOI: 10.1097/nmd.0000000000000861] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/07/2023]
Abstract
The general purpose of this review is to present an updated literature overview of neurobiological/clinical aspects of Internet addiction (IA), particularly of overlaps and differences with bipolar affective disorder (BPAD). Articles with clinical/neurobiological aspects of IA or similarities/differences with BPAD as main topics, from 1990 to present and written in English language, were included. Comorbidity between IA and other psychiatric disorders, including BPAD, is common. Dysfunctions in dopaminergic pathways have been found both in IA and in mood disorders. Most of investigations in IA support a chronic hypodopaminergic dysfunctional state in brain reward circuit and an excessive reward experience during mood elevation. Neuroimaging studies show prefrontal cortex abnormalities shared between addictive and bipolar patients. BPAD and IA present numerous overlaps, such as polymorphisms in nicotinic receptors genes, anterior cingulate/prefrontal cortex abnormalities, serotonin/dopamine dysfunctions, and good response to mood stabilizers. The future is to clarify diagnostic criteria to better define the IA/BPAD relationship.
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Kumar S, Kumar A, Badiyani B, Singh SK, Gupta A, Ismail MB. Relationship of internet addiction with depression and academic performance in Indian dental students. ACTA ACUST UNITED AC 2018; 91:300-306. [PMID: 30093808 PMCID: PMC6082606 DOI: 10.15386/cjmed-796] [Citation(s) in RCA: 16] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Abstract] [Key Words] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/29/2017] [Revised: 10/30/2017] [Accepted: 11/09/2017] [Indexed: 12/24/2022]
Abstract
Background and aims Internet addiction (IA) has negative consequences on the mental health and affects daily activities. This study was conducted with the aim to assess the prevalence of Internet addiction among dental university students and to determine if there is any relationship of excessive Internet use with depression and academic performance among students. Methods This was a cross sectional study which included 384 dental students from different academic years. A questionnaire was prepared that collected information on demographic characteristics, pattern of Internet use, duration of use, and most common mode of Internet access. Internet addiction was assessed using Youngs Internet Addiction test. Depression was assessed using Becks depression inventory [BDI-1]. Results The prevalence of Internet addiction and depression was found to be 6% and 21.5% respectively. The first year students showed the highest mean Internet addiction (17.42±12.40) score. Chatting was the main purpose for Internet use. Logistic regression analysis showed that individuals who were depressed (Odds Ratio=6.00, p value<0.0001*) and scored less than 60% marks (Odds Ratio=6.71, p value<0.0001*) were more likely to be addicted to Internet. Conclusion The addiction to internet has negative impact on mental health and academic performance. These high risk group students should be identified and psychological counseling should be provided.
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Affiliation(s)
- Sandeep Kumar
- Department of Public Health Dentistry, Dental Institute, RIMS, Ranchi, India
| | - Amit Kumar
- Department of Public Health Dentistry, Sarjug Dental College, Bihar, India
| | - Bhumika Badiyani
- Department of Public Health Dentistry, Sarjug Dental College, Bihar, India
| | - Siddharth Kumar Singh
- Department of Oral Medicine and Radiology, Saraswati Dental College and Hospital, Lucknow, India
| | - Anjali Gupta
- Department of Dentistry, Saraswati Medical College, Unnao, Uttar Pradesh, India
| | - Mohammed B Ismail
- Department of Periodontology, GDCRI, VIMS, Ballari, Karnataka, India
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Anand N, Jain PA, Prabhu S, Thomas C, Bhat A, Prathyusha PV, Bhat SU, Young K, Cherian AV. Prevalence of excessive internet use and its association with psychological distress among university students in South India. Ind Psychiatry J 2018; 27:131-140. [PMID: 30416304 PMCID: PMC6198607 DOI: 10.4103/ipj.ipj_28_18] [Citation(s) in RCA: 14] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/23/2022] Open
Abstract
BACKGROUND Excessive internet use, psychological distress, and its inter-relationship among university students can impact their academic progress, scholastic competence, career goals, and extracurricular interests. Thus, a need exists to evaluate the addictive internet use among university students. OBJECTIVES This study was set up to examine the internet use behaviors, internet addiction (IA), and its association with psychological distress primarily depression among a large group of university students from South India. METHODS Totally 2776 university students aged 18-21 years; pursuing undergraduate studies from a recognized university in South India participated in the study. The patterns of internet use and socioeducational data were collected through the internet use behaviors and demographic data sheet, IA test (IAT) was utilized to assess IA and psychological distress primarily depressive symptoms were evaluated with Self-Report Questionnaire-20. RESULTS Among the total n = 2776, 29.9% (n = 831) of university students met criterion on IAT for mild IA, 16.4% (n = 455) for moderate addictive use, and 0.5% (n = 13) for severe IA. IA was higher among university students who were male, staying in rented accommodations, accessed internet several times a day, spent more than 3 h per day on the Internet and had psychological distress. Male gender, duration of use, time spent per day, frequency of internet use, and psychological distress (depressive symptoms) predicted IA. CONCLUSIONS IA was present among a substantial proportion of university students which can inhibit their academic progress and impact their psychological health. Early identification of risk factors of IA can facilitate the effective prevention and timely initiation of treatment strategies for IA and psychological distress among university students.
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Affiliation(s)
- Nitin Anand
- Department of Clinical Psychology, Dr. MV Govindaswamy Centre, National Institute of Mental Health and Neuro Sciences (NIMHANS), An Institute of National Importance, Bengaluru, India
| | - Praveen A Jain
- Department of Psychiatry, Kasturba Medical College, Manipal, India
| | - Santosh Prabhu
- Department of Psychiatry, K. S. Hegde Medical College, Mangalore, India
| | - Christofer Thomas
- Department of Physiology, Sapthagiri Institute of Medical Science and Research Center, Bengaluru, India
| | - Aneesh Bhat
- Department of Psychiatry, MIMER Medical College, Talegoan Dabhade, Pune, Maharashtra, India
| | - P V Prathyusha
- Department of Biostatistics, Dr. MV Govindaswamy Centre, National Institute of Mental Health and Neuro Sciences (NIMHANS), An Institute of National Importance, Bengaluru, India
| | - Shrinivasa U. Bhat
- Department of Psychiatry, Kasturba Medical College, Manipal, Karnataka, India
| | - Kimberly Young
- Department of Strategic Communication, and Strategic Leadership, St. Bonaventure University, New York, USA
| | - Anish V Cherian
- Department of Psychiatric Social Work, Dr. MV Govindaswamy Centre, National Institute of Mental Health and Neuro Sciences (NIMHANS), An Institute of National Importance, Bengaluru, India
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King DL, Herd MC, Delfabbro PH. Motivational components of tolerance in Internet gaming disorder. COMPUTERS IN HUMAN BEHAVIOR 2018. [DOI: 10.1016/j.chb.2017.09.023] [Citation(s) in RCA: 21] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
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Kim BN, Park S, Park MH. The Relationship of Sexual Abuse with Self-Esteem, Depression, and Problematic Internet Use in Korean Adolescents. Psychiatry Investig 2017; 14:372-375. [PMID: 28539957 PMCID: PMC5440441 DOI: 10.4306/pi.2017.14.3.372] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/21/2015] [Revised: 04/09/2016] [Accepted: 05/23/2016] [Indexed: 11/29/2022] Open
Abstract
The association of sexual victimization with self-esteem, depression, and problematic internet use was examined in Korean adolescents. A total of 695 middle and high school students were recruited (413 boys, 282 girls, mean age, 14.06±1.37 years). The participants were administered the Early Trauma Inventory Self Report-Short Form (ETISR-SF), Rosenberg's Self-Esteem Scale (RSES), the Children's Depression Inventory (CDI), and Young's Internet Addiction Test (IAT). The associations between sexual abuse and the level of self-esteem, depressive symptoms, and problematic internet use were analyzed. Adolescents who had experienced sexual abuse showed lower self-esteem, more depressive symptoms, and greater problematic internet use compared with adolescents who had not experienced sexual abuse. In the path model, sexual abuse predicted lower self-esteem (β=-0.11; 95% CI=-0.20, -0.04; p=0.009), which predicted higher depressive symptoms (β=-0.34; 95% CI=-0.40, -0.27; p=0.008). Depressive symptoms predicted problematic internet use in a positive way (β=0.23; 95% CI=0.16-0.29; p=0.013). Sexual abuse also predicted problematic internet use directly (β=0.20; 95% CI=0.12-0.27; p=0.012). The results of the present study indicate that sexually abused adolescents had a higher risk of depression and problematic internet use. For sexually abused adolescents, programs aimed at raising self-esteem and preventing internet addiction, as well as mental health screening, are needed.
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Affiliation(s)
- Bung-Nyun Kim
- Department of Psychiatry and Behavioral Science, Seoul National University College of Medicine, Seoul, Republic of Korea
| | - Subin Park
- Department of Research and Planning, Mental Health Research Institute, National Center for Mental Health, Seoul, Republic of Korea
| | - Min-Hyeon Park
- Department of Psychiatry, The Catholic University of Korea, Seoul St. Mary's Hospital, Seoul, Republic of Korea
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Boysan M, Kuss DJ, Barut Y, Ayköse N, Güleç M, Özdemir O. Psychometric properties of the Turkish version of the Internet Addiction Test (IAT). Addict Behav 2017; 64:247-252. [PMID: 26421905 DOI: 10.1016/j.addbeh.2015.09.002] [Citation(s) in RCA: 34] [Impact Index Per Article: 4.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/21/2015] [Revised: 08/18/2015] [Accepted: 09/03/2015] [Indexed: 02/09/2023]
Abstract
OBJECTIVE Of many instruments developed to assess Internet addiction, the Internet Addiction Test (IAT), an expanded version of the Internet Addiction Diagnostic Questionnaire (IADQ), has been the most widely used scale in English and non-English speaking populations. In this study, our aim was to investigate the psychometric properties of short and expanded versions of the IAT in a Turkish undergraduate sample. METHOD Overall, 455 undergraduate students from Turkey aged between 18 and 30 participated in the study (63.53% were females). Explanatory and confirmatory factor analytic procedures investigated factor structures of the IADQ and IAT. The Internet Addiction Scale (IAS), Coping Inventory for Stressful Situations (CISS), Obsessive Compulsive Inventory-Revised (OCI-R) and Dissociative Experiences Scale (DES) were administered to assess convergent and divergent validities of the IADQ and IAT. Internal consistency and 15-day test-retest reliability were computed. RESULTS In the factorial analytic investigation, we found a unidimensional factor structure for each measure fit the current data best. Significant but weak to moderate correlations of the IADQ and the IAT with the CISS, OCI-R and DES provided empirical evidence for divergent validity, whereas strong associations with the subscales of the IAS pointed to the convergent validity of Young's Internet addiction construct. Internal consistency of the IADQ was weak (α=0.67) and of the IAT was high (α=0.93). Temporal reliability of both instruments was very high (α=0.81 and α=0.87; respectively). CONCLUSION The IAT revealed promising and sound psychometric properties in a Turkish sample.
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Sahraian A, Hedayati SB, Mani A, Hedayati A. Internet Addiction Based on Personality Characteristics in Medical Students. ACTA ACUST UNITED AC 2016. [DOI: 10.17795/semj41149] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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Taymur I, Budak E, Demirci H, Akdağ HA, Güngör BB, Özdel K. A study of the relationship between internet addiction, psychopathology and dysfunctional beliefs. COMPUTERS IN HUMAN BEHAVIOR 2016. [DOI: 10.1016/j.chb.2016.03.043] [Citation(s) in RCA: 23] [Impact Index Per Article: 2.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/23/2022]
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Personality and video gaming: Comparing regular gamers, non-gamers, and gaming addicts and differentiating between game genres. COMPUTERS IN HUMAN BEHAVIOR 2016. [DOI: 10.1016/j.chb.2015.09.041] [Citation(s) in RCA: 83] [Impact Index Per Article: 10.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
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