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Brouzos A, Papadopoulou A, Baourda VC. Effectiveness of a web-based group intervention for internet addiction in university students. Psychiatry Res 2024; 336:115883. [PMID: 38598947 DOI: 10.1016/j.psychres.2024.115883] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/27/2023] [Revised: 02/29/2024] [Accepted: 03/27/2024] [Indexed: 04/12/2024]
Abstract
The phenomenon of Internet addiction has been systematically addressed with numerous studies highlighting its association with deficits in self-regulation. Despite the extensive literature elucidating the adverse effects of Internet addiction on university students, the availability of relevant interventions has remained constrained. The current study aimed at evaluating a web-based, group intervention, which aimed to prevent Internet addiction and enhance self-regulation. The sample consisted of 47 undergraduate and postgraduate university students (Ν = 47, Mage=21, SD = 3), who were divided into an intervention (n = 24) and a control group (n = 23). The participants were asked to complete a) the Internet Addiction Test (Young, 1998), and b) the Self-Regulation Questionnaire (Brown et al., 1999), prior to the commencement of the intervention, after its conclusion, and one and a half months after the intervention. The web-based intervention consisted of 6 sessions, over a two-week period. Results indicated an improvement of self-regulation and Internet addiction levels for the intervention group, compared to the control group. These results were maintained at the one and a half months follow-up. Implications for designing and implementing web-based group interventions for Internet addiction are discussed.
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Affiliation(s)
- Andreas Brouzos
- Laboratory of Educational Psychology, Counselling and Research, Department of Primary Education, University of Ioannina, 451 10 Ioannina, Greece
| | - Aikaterini Papadopoulou
- Laboratory of Educational Psychology, Counselling and Research, Department of Primary Education, University of Ioannina, 451 10 Ioannina, Greece
| | - Vasiliki C Baourda
- Laboratory of Educational Psychology, Counselling and Research, Department of Primary Education, University of Ioannina, 451 10 Ioannina, Greece.
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Çınar Özbay S, Kanbay Y, Firat M, Özbay Ö. The Mediating Effect of Social Anxiety on the Relationship Between Internet Addiction and Aggression in Teenagers. Psychol Rep 2024; 127:1050-1064. [PMID: 36250853 DOI: 10.1177/00332941221133006] [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] [Indexed: 11/15/2022]
Abstract
The purpose of this study was to investigate the effect of "internet addiction level" on "aggression level" among teenagers and to examine the mediating role of "social anxiety level" on this effect. The study participants consisted of 958 students attending private teaching institutions for university preparation in Turkey. Data was collected from voluntary participants through data collection forms delivered to the management of these institutions. "Sociodemographic Characteristics Questionnaire Form", "Young's Internet Addiction Test", "Buss-Perry Aggression Questionnaire" and "Social Anxiety Scale" were used as data collection tools. A regression analysis based on the bootstrap method was implemented to test whether "social anxiety level" had a mediating role on the influence of students' "internet addiction level" on "aggression level". According to the findings, it was determined that the indirect effect of "internet addiction" on "aggression" was significant, and therefore, "social anxiety level" mediated the relationship between "internet addiction" and "aggression".
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Affiliation(s)
| | - Yalçın Kanbay
- Faculty of Health Sciences, Department of Nursing, Artvin Coruh University, Artvin, Turkey
| | - Meryem Firat
- Faculty of Health Sciences, Mental Health and Psychiatry Nursing, Department of Nursing, Erzincan Binali Yıldırım University, Erzincan, Turkey
| | - Özkan Özbay
- Distance Education Application and Research Center, Artvin Coruh University, Artvin, Turkey
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Glele Ahanhanzo Y, Olatoundé Agnidé Ally F, Dansou P, Sossa Jérôme C, Kpozehouen A, Sopoh GE. Internet addiction, new contemporary reality in Benin: exploratory analysis of associated factors among medical and paramedical students in 2022. SANTE PUBLIQUE (VANDOEUVRE-LES-NANCY, FRANCE) 2024; 36:109-120. [PMID: 38580460 DOI: 10.3917/spub.241.0109] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 04/07/2024]
Abstract
INTRODUCTION Nowadays, Internet addiction is a major concern due to the growing number of Internet users and the consequences associated with this addiction. PURPOSE OF THE RESEARCH In this study, we aimed to determine the prevalence of and factors associated with Internet addiction among health sciences students at the University of Abomey-Calavi. METHODS A cross-sectional study was conducted among 346 students from the Faculty of Health Sciences and the National Institute of Medical and Health Sciences at the University of Abomey-Calavi. Participants were selected using simple random sampling. Internet addiction was assessed using K. Young’s “Internet Addiction Test.” Logistic regression modeling was employed to explore factors associated with Internet addiction. The strength of the association was assessed using odds ratios; the confidence interval (CI) was 95%; and a p-value < 0.05 in the final model was considered significant. RESULTS The prevalence of Internet addiction was 31.8% (95% CI: [23.26% - 41.38%]). Factors associated with Internet addiction were the participant’s field of study, poor relationships with friends and family, communication difficulties, depression, and psychoactive substance consumption. CONCLUSIONS Evidence of Internet addiction exists among students in health sciences institutions in Benin. These findings can support the development of prevention and intervention strategies centered on addressing a public health issue that is still insufficiently recognized.
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Affiliation(s)
- Yolaine Glele Ahanhanzo
- Institut régional de santé publique, Département d’épidémiologie et de biostatistiques, Ouidah, Bénin
| | | | - Pleck Dansou
- Institut régional de santé publique, Département d’épidémiologie et de biostatistiques, Ouidah, Bénin
| | - Charles Sossa Jérôme
- Institut régional de santé publique, Département de promotion de la santé, Ouidah, Bénin
| | - Alphonse Kpozehouen
- Institut régional de santé publique, Département d’épidémiologie et de biostatistiques, Ouidah, Bénin
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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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Kumar K, Goel K, Mehra A. Internet Addiction and Its Association with Demographic Variables, Depression, Anxiety, and Psychological Well-being in College Students . Ann Neurosci 2024; 31:21-27. [PMID: 38584979 PMCID: PMC10996870 DOI: 10.1177/09727531231171979] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/16/2023] [Accepted: 01/17/2023] [Indexed: 04/09/2024] Open
Abstract
Background Internet is an integral part of the daily life of everyone. Internet addiction (IA) is one of the major concerns, specifically among young adults. The association between IA, depression, anxiety, and psychological well-being (PWB) is least studied in young adults. Purpose To evaluate IA and its association with psychological morbidity and PWB in a larger sample size. In addition, to examine the factors that are associated with IA. Methods A total of 1287 young students were evaluated in the present study. Participants were evaluated on the Internet Addiction Test (IAT), Patient Health Questionnaire-9 (PHQ-9), Generalized Anxiety Disorder-7 (GAD-7), and Psychological Well-Being Index-22. Results The mean age of the study's participants is 19.5 years. The majority were female (68.9%), from nuclear families (61.8%), and belonged to urban localities (61.5%). On IAT, 15.9% had a presence of IA with a cut-off score of 50. 27.4% and 20.5% had a presence of depression and anxiety with a cut-off score of 10 on the PHQ-9 and GAD-7, respectively. Approximately two-thirds (66.7%) reported poor PWB. IA had a significant positive association with depression and anxiety and a negative association with PWB. Male students, the presence of depression, anxiety, and poor PWB were independent factors associated with IA. Conclusion Internet addiction is highly prevalent among college students and has a significant association with anxiety, depression, and poor PWB. There is a need to develop a structured plan, educational strategy, and program to minimize IA in young adults.
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Affiliation(s)
- Krishan Kumar
- Department of Psychiatry, Postgraduate Institute of Medical Education and Research, Chandigarh, India
| | - Kapil Goel
- Department of Community Medicine and School of Public Health, Postgraduate Institute of Medical Education and Research, Chandigarh, India
| | - Aseem Mehra
- Department of Psychiatry, Postgraduate Institute of Medical Education and Research, Chandigarh, India
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Kożybska M, Radlińska I, Prajzner A, Krzywoszański Ł, Karakiewicz B. Problematic Internet use and attitudes towards persons with disabilities - cross-sectional research among Polish students. BMC MEDICAL EDUCATION 2023; 23:915. [PMID: 38049791 PMCID: PMC10696821 DOI: 10.1186/s12909-023-04816-x] [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: 05/29/2023] [Accepted: 10/29/2023] [Indexed: 12/06/2023]
Abstract
BACKGROUND Problematic Internet use (PIU) can have detrimental effects on physical, emotional, psychological, and social functioning. Besides well-described PIU correlations in psychological domains such as personality traits, or life satisfaction, and self-assessment, the social aspect of PIU risk also appeared to be important. This study aimed to investigate the association between PIU and attitudes towards persons with disabilities. METHODS A total of 595 Polish students aged 18-29 participated in this research by completing the Internet Addiction Test, Multidimensional Attitudes Scale Towards Persons With Disabilities, and personal information form. RESULTS The findings revealed that 30.6% of the respondents were at high risk for PIU. Moreover, heightened levels of PIU were more prevalent among male participants and students in technical fields of study than in those in medical and social fields of study. Increased PIU was also associated with more negative attitudes towards persons with disabilities in general and in the domains of emotions and behaviours. Additionally, prior personal contact with individuals with disabilities was related to both PIU rates and attitudes towards persons with disabilities in the domain of emotions and beliefs. CONCLUSIONS This study highlights the prevalence of PIU among Polish students and emphasizes the need for preventive measures, particularly targeting male students and those in technical fields of study. The results indicate a relationship between PIU and attitudes towards individuals with disabilities. Further research is required to determine the direction of the relationship. It is recommended that educational programs provide opportunities for interaction with individuals with disabilities to promote understanding and acceptance.
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Affiliation(s)
- Marta Kożybska
- Pomeranian Medical University in Szczecin, Faculty of Health Sciences, Department of Social Medicine, Subdepartment of Medical Law, Ul. Żołnierska 48, Szczecin, 71-210, Poland
| | - Iwona Radlińska
- Pomeranian Medical University in Szczecin, Faculty of Health Sciences, Department of Social Medicine, Subdepartment of Medical Law, Ul. Żołnierska 48, Szczecin, 71-210, Poland.
| | - Arkadiusz Prajzner
- Institute of Psychology, Faculty of Education and Psychology, University of the National Education Commission, Ul. Podchorążych 2, Krakow, 30-084, Poland
| | - Łukasz Krzywoszański
- Institute of Psychology, Faculty of Education and Psychology, University of the National Education Commission, Ul. Podchorążych 2, Krakow, 30-084, Poland
| | - Beata Karakiewicz
- Pomeranian Medical University in Szczecin, Faculty of Health Sciences, Department of Social Medicine, Subdepartment of Social Medicine and Public Health, Ul. Żołnierska 48, Szczecin, 71-210, Poland
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Demirci E, Tastepe N, Gul MK, Ozmen S, Kilic E. S100B and Neuron-Specific Enolase Levels as Brain Injury Biomarkers in Internet Addiction: Effect of Sleep. Pediatr Neurol 2023; 149:93-99. [PMID: 37837757 DOI: 10.1016/j.pediatrneurol.2023.08.029] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/17/2023] [Revised: 08/17/2023] [Accepted: 08/20/2023] [Indexed: 10/16/2023]
Abstract
BACKGROUND Comorbidity of Internet addiction (IA) with sleep disruptions is common in adolescents. There is evidence that the levels of brain injury markers could be affected by sleep disruptions. In this study, we aimed to evaluate the relationship between sleep quality and these biomarkers within the framework of the relationship between IA and sleep disruptions. METHODS A total of 65 drug-free adolescents with newly diagnosed IA, aged 12 to 18 years, were included in the study, and they were divided into two groups considering the comorbidities of attention-deficit/hyperactivity disorder (ADHD) and social anxiety. The control group consisted of 30 healthy children. The participants were asked to complete the Young Internet Addiction Scale, Pittsburgh Sleep Quality Index (PSQI), Morningness Eveningness Questionnaire, Beck's Depression Inventory, Beck's Anxiety Inventory, and Barratt Impulsiveness Scale-11. Blood samples were taken between 8 and 9 am to analyze S100 calcium-binding protein B (S100B) and neuron-specific enolase (NSE) levels with enzyme-linked immunosorbent assay. RESULTS Plasma S100B and NSE levels were found to be statistically significantly higher in the IA with ADHD and the IA with anxiety groups than in healthy controls. NSE and S100B levels were found to be correlated with PSQI scores in both the IA groups. Also, there was a positive correlation between these biomarkers and IA severity. CONCLUSIONS Decreased sleep quality and daily sleep duration in IA might cause brain injury, resulting in an increase in the severity of the addiction. Prospective studies with large samples are needed to better explain the IA-sleep-brain injury relationship.
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Affiliation(s)
- Esra Demirci
- Faculty of Medicine, Department of Child and Adolescent Psychiatry, University of Erciyes, Kayseri, Turkey.
| | - Neslihan Tastepe
- Department of Child and Adolescent Psychiatry, Amasya Sabuncuoglu Serefeddin Training and Research Hospital, Amasya, Turkey
| | - Melike Kevser Gul
- Faculty of Medicine, Department of Child and Adolescent Psychiatry, University of Erciyes, Kayseri, Turkey
| | - Sevgi Ozmen
- Faculty of Medicine, Department of Child and Adolescent Psychiatry, University of Erciyes, Kayseri, Turkey
| | - Eser Kilic
- Faculty of Medicine, Department of Biochemistry, University of Erciyes, Kayseri, Turkey
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Tao S, Reichert F, Law NWY, Rao N. Digital Technology Use and Adolescent Mental Health Before and During the COVID-19 Pandemic: The Roles of Internet Addiction and Digital Competence. CYBERPSYCHOLOGY, BEHAVIOR AND SOCIAL NETWORKING 2023; 26:739-746. [PMID: 37782141 DOI: 10.1089/cyber.2023.0048] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 10/03/2023]
Abstract
This study examined whether Internet addiction (IA) and digital competence (DC) mediated the association between digital technology use and mental health problems in adolescents before and during the COVID-19 pandemic, when digital device use increased dramatically. Repeated cross-sectional data from a 3-year cross-cohort study adopting stratified random sampling were analyzed. In 2019, 569 adolescents (female = 312) from 14 secondary schools completed a DC assessment and an online survey on their digital technology use, IA, and mental health. In 2021, 775 adolescents (female = 397) from 11 of those 14 schools completed both instruments. Results showed that adolescents in 2021 spent more time using digital devices, were more digitally competent, and reported more mental health problems than adolescents in 2019. The prevalence of IA was 8 percent in 2019 and 12.4 percent in 2021. In both years, more frequent digital technology use predicted a higher risk of IA, which was associated with more mental health problems (indirect β = 0.08, p < 0.001 for 2019 and β = 0.05, p < 0.001 for 2021). In addition, in 2021, DC was positively associated with digital technology use and negatively with IA, which indirectly related to fewer mental health problems (indirect β = -0.01, p = 0.03). In conclusion, DC is a protective factor alleviating the positive associations of digital technology use and IA with mental health problems in adolescents when the ecological context requires high levels of digital device use.
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Affiliation(s)
- Sisi Tao
- Centre for Information Technology in Education, Faculty of Education, The University of Hong Kong, Hong Kong, Hong Kong SAR
- Department of Early Childhood Education, Faculty of Education and Human Development, The Education University of Hong Kong, Hong Kong, Hong Kong SAR
| | - Frank Reichert
- Academic Unit of Social Contexts and Policies of Education, Faculty of Education, The University of Hong Kong, Hong Kong, Hong Kong SAR
| | - Nancy W Y Law
- Centre for Information Technology in Education, Faculty of Education, The University of Hong Kong, Hong Kong, Hong Kong SAR
- Academic Unit of Teacher Education and Learning Leadership, Faculty of Education, The University of Hong Kong, Hong Kong, Hong Kong SAR
| | - Nirmala Rao
- Academic Unit of Human Communication, Development, and Information Sciences, Faculty of Education, The University of Hong Kong, Hong Kong, Hong Kong SAR
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Du X, Liao J, Ye Q, Wu H. Multidimensional Internet Use, Social Participation, and Depression Among Middle-Aged and Elderly Chinese Individuals: Nationwide Cross-Sectional Study. J Med Internet Res 2023; 25:e44514. [PMID: 37647119 PMCID: PMC10500359 DOI: 10.2196/44514] [Citation(s) in RCA: 5] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/22/2022] [Revised: 03/22/2023] [Accepted: 08/08/2023] [Indexed: 09/01/2023] Open
Abstract
BACKGROUND There is growing evidence that the internet has beneficial effects on the mental health of middle-aged and older people (≥45 years), but the evidence is inconclusive, and the underlying mechanisms are less known. OBJECTIVE This study aims to explore the relationship between multidimensional (devices, frequency, and purpose) internet use and depression in middle-aged and elderly Chinese, as well as the mediating effect of social participation. Moreover, this study will explore the moderating effect of the regional informatization development level (RIDL) on the relationships between individual internet use, social participation, and depression. METHODS Data on 17,676 participants aged 45 years or older were obtained from the China Health and Retirement Longitudinal Study (CHARLS) 2018 data set. The 10-item Center for Epidemiologic Studies Depression Scale (CES-D-10) was used to identify the presence of depression. Logistic regression was used to explore the relationship between each dimension of internet use and depression. Multiple linear regression was used to explore the mediating effect of social participation and the moderating effect of the RIDL. RESULTS The results showed that 28.33% (5008/17,676) of the total population had depression. In terms of regional subgroups, respondents living in the western region exhibited the highest proportion of depression (2041/5884, 34.69%). Internet use was negatively associated with depression (odds ratio 0.613, 95% CI 0.542-0.692; P<.001). Various dimensions of internet use positively contributed to individual social participation and reduced individual depression (devices: β=-.170, 95% CI -0.209 to -0.127; frequency: β=-.065, 95% CI -0.081 to -0.047; and purpose: β=-.043, 95% CI -0.053 to -0.031). In addition, the RIDL weakened the relationship between individual-level internet use and social participation (internet use: F74.12,9.82=7.55, P<.001; devices: F51.65/9.88=5.23, P=.005; frequency: F66.74/10.08=6.62, P=.001; and purpose: F66.52/9.78=6.80, P=.001), and negatively moderated the relationship between the frequency of internet use and depression (frequency: F662.67/188.79=3.51, P=.03). CONCLUSIONS This study found that different dimensions of internet use are associated with lower levels of depression. Social participation partially mediates the association between multidimensional internet use and depression in the eastern, central, and western regions, respectively. Additionally, the RIDL helps individuals further their internet use and social participation, reducing the impact of depression. However, this effect weakens sequentially from the western region to the central region and then to the eastern region.
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Affiliation(s)
- Xiwang Du
- Taikang Tongji (Wuhan) Hospital, Wuhan, China
| | - Jiazhi Liao
- Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China
| | - Qing Ye
- Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China
| | - Hong Wu
- School of Medicine and Health Management, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China
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Ye XL, Zhang W, Zhao FF. Depression and internet addiction among adolescents:A meta-analysis. Psychiatry Res 2023; 326:115311. [PMID: 37348449 DOI: 10.1016/j.psychres.2023.115311] [Citation(s) in RCA: 6] [Impact Index Per Article: 6.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/10/2023] [Revised: 06/12/2023] [Accepted: 06/14/2023] [Indexed: 06/24/2023]
Abstract
Depression and Internet addiction (IA) are both prevalent and burdensome in adolescents. Findings on the relationship between depression and IA remain equivocal, and we therefore conducted a meta-analysis to confirm their correlation. We searched for relevant studies, with the last search being conducted on November 10, 2022. Adolescents aged 10 to 24 reported objectively measured depression and IA using scales that have been used worldwide and are valid. Random effect models were used to produce combined odds ratios (OR) and coefficient of regression (β) We included 42 studies presenting data from 102,769 participants. The meta-analysis confirmed that depression is positively correlated with IA and vice versa. Adolescents with depressive disorders were found to have a higher risk of IA. Adolescents with IA were found to have a higher risk of depressive disorders. In addition, IA had a stronger effect on depression risk. Screening for Internet addiction in depressed adolescents is recommended at initial diagnosis and follow-up. Similarly, Internet addicts should be screened regularly for depression.
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Affiliation(s)
- Xiao-Li Ye
- Department of nursing, School of Medicine (School of Nursing), Nantong University, Nantong 226001, Jiangsu, PR China
| | - Wei Zhang
- Department of nursing, School of Medicine (School of Nursing), Nantong University, Nantong 226001, Jiangsu, PR China
| | - Fang-Fang Zhao
- Department of nursing, School of Medicine (School of Nursing), Nantong University, Nantong 226001, Jiangsu, PR China.
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He YT, Zhang YC, Huang W, Wang RN, He LX, Li B, Zhang YL. Impact of digital economic development and environmental pollution on residents' health: an empirical analysis based on 279 prefecture-level cities in China. BMC Public Health 2023; 23:959. [PMID: 37231366 DOI: 10.1186/s12889-023-15788-4] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/24/2022] [Accepted: 04/29/2023] [Indexed: 05/27/2023] Open
Abstract
BACKGROUND The digital economy based on the internet and IT is developing rapidly in China, which makes a profound impact on urban environmental quality and residents' health activities. Thus, this study introduces environmental pollution as a mediating variable based on Grossman's health production function to explore the impact of digital economic development on the health of the population and its influence path. METHODS Based on the panel data of 279 prefecture-level cities in China from 2011 to 2017, this paper investigates the acting mechanism of digital economic development on residents' health by employing a combination of mediating effects model and spatial Durbin model. RESULTS The development of digital economy makes direct improvement on residents' health condition, which is also obtained indirectly by means of environmental pollution mitigation. Besides, from the perspective of spatial spillover effect, the development of digital economy also has a significant promoting effect on the health of adjacent urban residents, and further analysis reveals that the promoting effect in the central and western regions of China is more pronounced than that in the eastern region. CONCLUSIONS Digital economy can have a direct promoting effect on the health of residents, and environmental pollution has an intermediary effect between digital economy and residents' health; At the same time, there is also a regional heterogeneity among the three relationships. Therefore, this paper believes that the government should continue to formulate and implement scientific digital economy development policies at the macro and micro levels to narrow the regional digital divide, improve environmental quality and enhance the health level of residents.
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Affiliation(s)
- Yan-Ting He
- School of Health Management, Southern Medical University, Guangzhou, 510515, China
| | - Yue-Chi Zhang
- School of Social & Political Sciences, College of Social Sciences, University of Glasgow, Glasgow, UK
| | - Wen Huang
- The Fifth Affiliate Hospital of Southern Medical University, Guangzhou, China
| | - Ruo-Nan Wang
- School of Health Management, Southern Medical University, Guangzhou, 510515, China
| | - Luo-Xuan He
- School of Health Management, Southern Medical University, Guangzhou, 510515, China
| | - Bei Li
- School of Health Management, Southern Medical University, Guangzhou, 510515, China.
| | - Yi-Li Zhang
- School of Health Management, Southern Medical University, Guangzhou, 510515, China.
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Xue Y, Xue B, Zheng X, Shi L, Liang P, Xiao S, Dong F, Zhang J, Chen Y, Liu Y, Qin Z, Zhang C. Associations between internet addiction and psychological problems among adolescents: description and possible explanations. Front Psychol 2023; 14:1097331. [PMID: 37255516 PMCID: PMC10226521 DOI: 10.3389/fpsyg.2023.1097331] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/13/2022] [Accepted: 04/21/2023] [Indexed: 06/01/2023] Open
Abstract
Introduction Internet addiction (IA) is becoming a significant public health issue that requires urgent attention, especially for adolescents. Previous studies mainly focused on the risk factors of Internet addiction and drawn some conclusions. The purpose of this study is to investigate the Internet addiction status and concurrent psychological problems in adolescent groups, and explore the differences in the relationship between IA and psychological problems in adolescents from gender and grade. Methods A cross-sectional study was conducted among students of junior and senior high school in 21 prefecture-level cities of Guangdong Province. The Young Diagnostic Questionnaire (YDQ) and the validated Chinese version of the Depression Anxiety Stress Scale-21 (DASS-21) were used to assess participants' Internet addiction and psychological status. Two-way ANOVA was used to verify the interaction between gender and Internet addiction, grade and Internet addiction on psychological problems. When the interaction was statistically significant, simple effect analysis was further carried out. Results The prevalence of problematic Internet use (PIU), depression, anxiety, and stress symptoms among adolescents were 16.32%, 30.16%, 35.97% and 18.80% respectively. Although the prevalence of PIU among boys (17.89%) was higher than that of girls (14.86%), girls in PIU group had the highest scores of depression, anxiety and stress. Similarly, the interaction between grade and Internet addiction was also significant (p < 0.05). Although the prevalence of PIU was the highest in grade 9 (17.29%), the adverse effects of Internet addiction on psychological problems were different in different grades. Discussion Internet addiction was prevalent among adolescents in Guangdong province, and psychological problems also cannot be ignored. Thus, this study suggests that long-term follow-ups should be included in mental health programs of adolescents to monitor the development of Internet addiction and psychological problems.
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Affiliation(s)
- Yaqing Xue
- School of Public Health, Southern Medical University, Guangzhou, Guangdong, China
- School of Health Management, Southern Medical University, Guangzhou, Guangdong, China
| | - Benli Xue
- School of Public Health, Southern Medical University, Guangzhou, Guangdong, China
- School of Health Management, Southern Medical University, Guangzhou, Guangdong, China
| | - Xiao Zheng
- Department of Health Management, Shunde Hospital, Southern Medical University, Guangzhou, China
| | - Lei Shi
- School of Health Management, Southern Medical University, Guangzhou, Guangdong, China
| | - Pengyan Liang
- Health Publicity and Education Center of Guangdong Province, Guangzhou, Guangdong, China
| | - Shujuan Xiao
- School of Public Health, Southern Medical University, Guangzhou, Guangdong, China
- School of Health Management, Southern Medical University, Guangzhou, Guangdong, China
| | - Fang Dong
- School of Health Management, Southern Medical University, Guangzhou, Guangdong, China
| | - Jiachi Zhang
- School of Health Management, Southern Medical University, Guangzhou, Guangdong, China
| | - Yaguang Chen
- Health Education Center of Maoming City, Maoming, Guangdong, China
| | - Yuxi Liu
- School of Humanities and Management, Institute for Health Law and Policy, Guangdong Medical University, Dongguan, Guangdong, China
| | - Zuguo Qin
- Health Publicity and Education Center of Guangdong Province, Guangzhou, Guangdong, China
| | - Chichen Zhang
- School of Health Management, Southern Medical University, Guangzhou, Guangdong, China
- Department of Health Management, Nanfang Hospital, Southern Medical University, Guangzhou, China
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13
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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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14
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Tatlı C, Ergin DA. Multigroup analysis of the relationship loneliness, fear of missing out, problematic internet usage and peer perception in gifted and normally developing adolescents. CURRENT PSYCHOLOGY 2023; 42:2325-2334. [PMID: 35915775 PMCID: PMC9330965 DOI: 10.1007/s12144-022-03384-5] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 06/21/2022] [Indexed: 11/03/2022]
Abstract
The current study examined the effects of Internet usage characteristics and peer perception on loneliness. The mediating role of Internet usage characteristics was examined in the relationship between loneliness and peer perception. The sample included 661 Turkish adolescents (Ngirls =379, 57.34%; Ngifted= 211, 31.92%) aged 11-18 years. Structural equation model analyzes were conducted to test the hypothesis model across the group. Moreover, multigroup structural model was conducted to test the differences of the relationships across gifted and normally developing adolescents. The results of the structural model showed that Internet use characteristics did not have a mediating role in the relationship between adolescents' peer perception and loneliness. On the other hand, problematic Internet use had a full mediator role in the relationship between fear of missing out and loneliness. The results of the multigroup structural model emphasized the similar effects between the research variables in gifted and normally developing adolescents. The results were discussed with the effects of Internet use characteristics and peer perception on loneliness. We also pointed out that gifted and normally developing adolescents have similar social and technological outcomes and that these outcomes influence mental health.
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Affiliation(s)
- Cemre Tatlı
- grid.440437.00000 0004 0399 3159Department of Psychological Counseling and Guidance, Hasan Kalyoncu University, Gaziantep, Turkey
| | - Derya Atalan Ergin
- grid.465997.00000 0004 9333 5423Department of Psychology, Cappadocia University, Nevşehir, Turkey
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15
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Raj K, Segrave R, Tiego J, Verdéjo-Garcia A, Yücel M. Problematic Use of the Internet among Australian university students: Prevalence and profile. COMPUTERS IN HUMAN BEHAVIOR REPORTS 2022. [DOI: 10.1016/j.chbr.2022.100243] [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] Open
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16
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Abiddine FZE, Aljaberi MA, Gadelrab HF, Lin CY, Muhammed A. Mediated effects of insomnia in the association between problematic social media use and subjective well-being among university students during COVID-19 pandemic. SLEEP EPIDEMIOLOGY 2022; 2:100030. [PMID: 35992212 PMCID: PMC9377837 DOI: 10.1016/j.sleepe.2022.100030] [Citation(s) in RCA: 32] [Impact Index Per Article: 16.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 01/31/2022] [Revised: 04/24/2022] [Accepted: 06/07/2022] [Indexed: 12/14/2022]
Abstract
Recently, the use of social media has penetrated many aspects of our daily lives. Therefore, it has stimulated much debate and polarisation regarding its impact on mental well-being. The present study investigated the association between problematic use of social media, subjective well-being, and insomnia's potential mediator. A proportionate random sample was collected from a Univerity in Algeria between March and April 2020.The participants (n=288; mean [SD] age = 20.83 [2.13]) involved 101 (35.1%) males. Nearly three-fourths of the participants (n=214; 74.3%) used up more-than three hours daily surfing on social media. Their mean (SD) score was 15.64 (4.80) on the Bergan Social Media Addiction Scale, 16.19 (9.15) on the Arabic Scale of Insomnia, and 28.13 (7.90) on the overall subjective well-being. Structural equation modeling (SEM) revealed an indirect correlation between problematic use of social media and the overall subjective well-being of users. Similarly, the indirect but not direct effects were found for the overall subjective well-being subdomains. Moreover, all SEM models have a satisfactory fit with the data. Based on the results, it can be concluded that insomnia appears to play an important role in mediating the association between subjective well-being and problematic social media use. This suggests the importance of tackling the issues of insomnia and problematic use of social media for university students. It also has important implications in dealing with the misuse of social media, especially during the covid-19 pandemic.
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Affiliation(s)
- Fares Zine El Abiddine
- Lab: Psychological and Educational Research, University of Djillali Liabes Sidi Bel Abbes, Algeria
| | - Musheer A. Aljaberi
- Faculty of Medicine and Health Sciences, Taiz University, Taiz, Yemen.,Corresponding author
| | - Hesham F. Gadelrab
- Department of Psychology, Faculty of Social Sciences, Kuwait University, Kuwait
| | - Chung-Ying Lin
- Institute of Allied Health Sciences, College of Medicine, National Cheng Kung University, Tainan, Taiwan
| | - Auwalu Muhammed
- Department of Nursing Sciences, College of Health Sciences, Usmanu Danfodiyo University, Sokoto, Nigeria
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17
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Hou B, Li Y, Wang H. Internet use and health status among older adults: The mediating role of social participation. Front Public Health 2022; 10:1072398. [PMID: 36504989 PMCID: PMC9732719 DOI: 10.3389/fpubh.2022.1072398] [Citation(s) in RCA: 4] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/17/2022] [Accepted: 11/11/2022] [Indexed: 11/27/2022] Open
Abstract
Background The acceleration of population aging and the arrival of the informatization make more and more older adults use the Internet, and its use is having an impact on their health. However, the relationship between internet use and the health of older adults and the mechanism of the effect of internet use on the health are not very clear. Methods Multiple linear regression models to explore the correlation between internet use and health status in the 3,141 individuals aged ≥60 years were used. Propensity score matching (PSM) method was used to test the robustness of the regression results. In addition, sequential recursive models was used to examine the mediating effect of social participation on the relationship between internet use and health status. Results and discussion We found a significant positive relationship between internet use and health status, and social participation mediated the relationship between internet use and health status. In addition, the effect of internet use on health status was different among older adults in rural and urban areas. Conclusions The development and application of internet products adapted to the development of an aging society should be accelerated to meet their needs for continued socialization. The forms and activities of social participation for the elderly groups should be enriched and public service internet usage training seminars should be conducted to improve internet skills.
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Affiliation(s)
- Bin Hou
- School of Cultural Tourism and Public Administration, Fujian Normal University, Fuzhou, China,*Correspondence: Bin Hou
| | - Yumei Li
- Department of Social and Behavioral Sciences, City University of Hong Kong, Hong Kong, Hong Kong SAR, China
| | - Haixia Wang
- School of Social and Behavioral Sciences, Nanjing University, Nanjing, China,Haixia Wang
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18
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Li T, Zhang D, Qu Y, Zhai S, Xie Y, Tao S, Zou L, Tao F, Wu X. Association between trajectories of problematic mobile phone use and chronotype among Chinese college students. Addict Behav 2022; 134:107398. [PMID: 35752086 DOI: 10.1016/j.addbeh.2022.107398] [Citation(s) in RCA: 10] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/15/2022] [Revised: 05/30/2022] [Accepted: 06/06/2022] [Indexed: 11/16/2022]
Abstract
AIMS This study aimed to describe the prevalence of problematic mobile phone use (PMPU) and chronotype among Chinese college students, estimate PMPU development trajectories, and further examine the effect of PMPU trajectories on chronotype. DESIGN In a stratified cluster sampling design, PMPU and chronotype were evaluated in 999 college students from two universities in a 2-year prospective investigation from April 2019 to April 2021, and an investigation was conducted every six months (time 1 ∼ time 5, T1 ∼ T5). PARTICIPANTS N = 999 college students (mean age at T1: 18.8 years (SD = 1.2), 37.7% male) took part in the study. MEASUREMENTS The Self-rating Questionnaire for Adolescent Problematic Mobile Phone Use (SQAPMPU) and the Pittsburgh Sleep Quality Index (PSQI) were used to assess the PMPU and sleep quality of college students at each time point. The Morning and Evening Questionnaire (MEQ) was adopted to investigate the chronotype of college students at T5. FINDINGS The prevalence of PMPU at T1 ∼ T5 was 24.3%, 27.3%, 35.1%, 31.2% and 31.9%, respectively. The prevalence rates of morning types (M-types), neutral types (N-types), and evening types (E-types) were 19.1%, 70.8%, and 10.1%, respectively. Using latent growth mixture modelling, we identified three trajectories of PMPU: low-level (49.5%), moderate-level (38.6%), and high-level score trajectories (11.9%). Multivariate logistic regression analysis results showed that a trajectory with a high score was positively associated with E-types (P < 0.05). After stratification by gender, a high-level score trajectory was positively associated with E-types only among female college students (P < 0.05). There were sex differences in the association between trajectories of PMPU and chronotype. CONCLUSION Long-term symptoms of PMPU may be a potential risk factor for circadian rhythm disturbance among college students, and this effect was significantly different between genders.
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Affiliation(s)
- Tingting Li
- Department of Maternal, Child and Adolescent Health, School of Public Health, Anhui Medical University, No 81 Meishan Road, Hefei 230032, Anhui, China
| | - Dan Zhang
- Department of Maternal, Child and Adolescent Health, School of Public Health, Anhui Medical University, No 81 Meishan Road, Hefei 230032, Anhui, China
| | - Yang Qu
- Department of Maternal, Child and Adolescent Health, School of Public Health, Anhui Medical University, No 81 Meishan Road, Hefei 230032, Anhui, China
| | - Shuang Zhai
- Department of Maternal, Child and Adolescent Health, School of Public Health, Anhui Medical University, No 81 Meishan Road, Hefei 230032, Anhui, China
| | - Yang Xie
- Department of Maternal, Child and Adolescent Health, School of Public Health, Anhui Medical University, No 81 Meishan Road, Hefei 230032, Anhui, China
| | - Shuman Tao
- MOE Key Laboratory of Population Health Across Life Cycle, No 81 Meishan Road, Hefei 230032, Anhui, China; Anhui Provincial Key Laboratory of Population Health and Aristogenics, Anhui Medical University, China
| | - Liwei Zou
- MOE Key Laboratory of Population Health Across Life Cycle, No 81 Meishan Road, Hefei 230032, Anhui, China; Anhui Provincial Key Laboratory of Population Health and Aristogenics, Anhui Medical University, China
| | - Fangbiao Tao
- Department of Maternal, Child and Adolescent Health, School of Public Health, Anhui Medical University, No 81 Meishan Road, Hefei 230032, Anhui, China; MOE Key Laboratory of Population Health Across Life Cycle, No 81 Meishan Road, Hefei 230032, Anhui, China; NHC Key Laboratory of Study on Abnormal Gametes and Reproductive Tract, No 81 Meishan Road, Hefei 230032, Anhui, China; Anhui Provincial Key Laboratory of Population Health and Aristogenics, Anhui Medical University, China
| | - Xiaoyan Wu
- Department of Maternal, Child and Adolescent Health, School of Public Health, Anhui Medical University, No 81 Meishan Road, Hefei 230032, Anhui, China; MOE Key Laboratory of Population Health Across Life Cycle, No 81 Meishan Road, Hefei 230032, Anhui, China; NHC Key Laboratory of Study on Abnormal Gametes and Reproductive Tract, No 81 Meishan Road, Hefei 230032, Anhui, China; Anhui Provincial Key Laboratory of Population Health and Aristogenics, Anhui Medical University, China.
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19
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Pan L, Li J, Hu Z, Wu H. The Effect of COVID-19 Perceived Risk on Internet Addiction among College Students in China: An Empirical Study Based on the Structural Equation Model. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:13377. [PMID: 36293960 PMCID: PMC9603053 DOI: 10.3390/ijerph192013377] [Citation(s) in RCA: 4] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 09/22/2022] [Revised: 10/14/2022] [Accepted: 10/15/2022] [Indexed: 06/16/2023]
Abstract
This study focused on COVID-19 perceived risk and Internet addiction among Chinese college students during the lockdown. On the basis of the Social Cognitive Theory, this study proposed a mediating model to evaluate the mediating role of difficulties in regulating emotion between the COVID-19 perceived risk and Internet addiction. A questionnaire survey was conducted among 690 college students during the COVID-19 lockdown in China. The results showed that the COVID-19 perceived risk was significantly positively associated with Internet addiction (r = 0.236, p < 0.001) and difficulties in emotion regulation (r = 0.220, p < 0.001), difficulties in emotion regulation was significantly positively associated with Internet addiction (r = 0.368, p < 0.001). The COVID-19 perceived risk had a significant and positive predictive effect on Internet addiction (β = 0.233, p < 0.001) among Chinese college students. The analysis of the mediation model showed that difficulties in emotion regulation partially mediated the relationship between COVID-19 perceived risk and Internet addiction (indirect effect value was 0.051 with 95% Confidence Interval ranging from 0.027 to 0.085). The findings not only enhanced our understanding of the internal influence mechanism of COVID-19 perceived risk on Internet addiction but also provided a practical basis for college education works. Finally, discussions and suggestions were provided on the basis of the results.
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Affiliation(s)
- Ling Pan
- School of Finance and Economics, Hainan Vocational University of Science and Technology, Haikou 571126, China
- Department of Education Management, Chinese International College, Dhurakij Pundit University, Bangkok 10210, Thailand
| | - Jun Li
- School of Finance and Economics, Hainan Vocational University of Science and Technology, Haikou 571126, China
- Department of Education Management, Chinese International College, Dhurakij Pundit University, Bangkok 10210, Thailand
| | - Ziao Hu
- School of Finance and Economics, Hainan Vocational University of Science and Technology, Haikou 571126, China
- Department of Education Management, Chinese International College, Dhurakij Pundit University, Bangkok 10210, Thailand
| | - Henan Wu
- School of Finance and Economics, Hainan Vocational University of Science and Technology, Haikou 571126, China
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20
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Lin WH, Chiao C. Relationship between adverse childhood experiences and problematic internet use among young adults: The role of the feeling of loneliness trajectory. J Behav Addict 2022; 11:1080-1091. [PMID: 36251450 PMCID: PMC9881662 DOI: 10.1556/2006.2022.00074] [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] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/23/2022] [Revised: 09/11/2022] [Accepted: 09/16/2022] [Indexed: 12/31/2022] Open
Abstract
BACKGROUNDS AND AIMS Given problematic Internet usage's (PIU) negative impact on individual health, this study evaluates how adverse childhood experiences (ACEs) affect young adults' PIU and the possible underlying mechanism of the "feeling of loneliness" (FOL) trajectory. METHODS Analyzing a retrospective cohort sample from the Taiwan Youth Project, 2,393 adolescents were interviewed from the average ages of 14-28. We constructed ACE in 2000 using six categories (e.g., abuse and low family socioeconomic status) and 5-item PIU in 2017 from Chen's Internet Addiction Scale. FOL trajectories measured eight times, at average ages 14, 16, 17, 18, 20, 22, 25, 28 years-old. RESULTS Overall, 12.65% of the participants did not have ACEs, and 12.78% exhibited PIU. FOL trajectory analyses yielded three groups: "constant low" (reference group: 53.25%); "moderate decline" (36.81%); and "increasing" (9.94%). Regression models showed a dose-response association between ACE and young adults' PIU (adjusted odds ratio = 1.12; 95% confidence interval [CI] = 1.02-1.23) and the two risky loneliness groups (moderate decline: relative risk ratio [RRR] = 1.42, 95% CI = 1.32-1.54; increasing: RRR = 1.52, 95% CI = 1.37-1.71). Structural equation modeling further found that ACEs increase young adults' risk of being in the increasing group, and consequently, the risk of PIU. DISCUSSION AND CONCLUSIONS We demonstrated that ACE may be associated with 1) adults' PIU, 2) FOL from adolescence to emerging adulthood, and 3) young adults' PIU through its association with FOL trajectories.
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Affiliation(s)
- Wen-Hsu Lin
- Institute of Health and Welfare, School of Medicine, National Yang Ming Chiao Tung University, Taipei, Taiwan
| | - Chi Chiao
- Institute of Health and Welfare, School of Medicine, National Yang Ming Chiao Tung University, Taipei, Taiwan,Institute of Public Health, School of Medicine, National Yang Ming Chiao Tung University, Taipei, Taiwan,Corresponding author. E-mail:
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21
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The Moderating Role of Psychological Flexibility on the Association between Distress-Driven Impulsivity and Problematic Internet Use. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:ijerph19159592. [PMID: 35954947 PMCID: PMC9368545 DOI: 10.3390/ijerph19159592] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 06/27/2022] [Revised: 07/27/2022] [Accepted: 07/27/2022] [Indexed: 12/24/2022]
Abstract
Background: Problematic internet use is receiving increasing attention in the addiction field, yet the mechanisms driving such behaviours remain unclear. Previous research has shown that impulsivity- and compulsivity-related constructs may interactively contribute to a range of problematic behaviours. The current study examined whether distress-driven impulsivity and psychological flexibility may interactively contribute to problematic internet use, which has not been addressed in prior literature. Method: Two hundred and one participants completed an online survey. Bootstrapped moderation analysis was conducted to examine the collected data on distress-driven impulsivity, psychological flexibility, and their interaction in relation to problematic internet use. Results: The interaction between distress-driven impulsivity and psychological flexibility was significantly related to problematic internet use. Simple slope tests confirmed that distress-driven impulsivity was associated with problematic internet use among individuals with low flexibility levels. Conclusions: Our findings highlight the moderating role of psychological inflexibility in the association between distress-driven impulsivity and problematic internet use. Prevention and/or early interventions for problematic internet use should consider targeting psychological inflexibility and distress-driven impulsivity.
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22
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A review of the genetic basis of problematic Internet use. Curr Opin Behav Sci 2022. [DOI: 10.1016/j.cobeha.2022.101149] [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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Gavurova B, Khouri S, Ivankova V, Rigelsky M, Mudarri T. Internet Addiction, Symptoms of Anxiety, Depressive Symptoms, Stress Among Higher Education Students During the COVID-19 Pandemic. Front Public Health 2022; 10:893845. [PMID: 35774570 PMCID: PMC9237380 DOI: 10.3389/fpubh.2022.893845] [Citation(s) in RCA: 10] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/10/2022] [Accepted: 05/16/2022] [Indexed: 11/28/2022] Open
Abstract
Poor mental health is a growing concern among young people during the coronavirus disease 2019 (COVID-19) pandemic. The aim of this study was to assess the associations of Internet addiction with depressive symptoms, anxiety symptoms, and stress in higher education students during the COVID-19 pandemic, as well as to examine these mental health problems in the context of study-related characteristics. The research sample consisted of 3,099 participants from the Czech Republic (CZ: 1,422) and Slovak Republic (SK: 1,677). The Internet Addiction Test (IAT), the Generalized Anxiety Disorder (GAD-7) scale, the Patient Health Questionnaire for depressive symptoms (PHQ-9), and the Perceived Stress Scale (PSS) were used to measure mental health problems. The analyses also included demographic data (gender and age) and study-related characteristics (form of study, degree of study, field of study, distance between college and home, and housing during the semester). Based on the results of frequency and descriptive analyses, the prevalence of mental health problems was high. The most serious levels of Internet addiction (IAT cut-off point ≥ 50), to which attention should be paid, were found in 3.5% of Czech and 6.2% of Slovak students. Using the standard cut-off point of GAD-7 ≥ 10, 14.1% of Czech and 11.6% of Slovak students were identified with anxiety symptoms. Regarding the PHQ-9 with the cut-off point ≥ 10, 23.4% of Czech and 19.1% of Slovak students had depressive symptoms, which should be addressed. Using the PSS cut-off point ≥ 27, 12.9% of Czech students and 9.1% of Slovak students perceived high stress. The quantile regression analysis showed that Internet addiction was positively associated with anxiety symptoms, depressive symptoms, and stress in all of the analyzed cases (p-value < 0.001). In terms of study-related characteristics, the binomial logistic regression analysis revealed that risk factors for mental health problems in Czech and Slovak students were mainly full-time form of study and living away from home during the semester. Internet addiction, anxiety symptoms, depressive symptoms, and stress are issues that require increased attention, and professionals and policy-makers should implement interventions to effectively prevent and help students with psychological problems.
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Affiliation(s)
- Beata Gavurova
- Department of Addictology, First Faculty of Medicine, Charles University and General University Hospital in Prague, Prague, Czechia
- *Correspondence: Beata Gavurova
| | - Samer Khouri
- Institute of Earth Resources, Faculty of Mining, Ecology, Process Control and Geotechnologies, Technical University of Košice, Košice, Slovakia
| | - Viera Ivankova
- Institute of Earth Resources, Faculty of Mining, Ecology, Process Control and Geotechnologies, Technical University of Košice, Košice, Slovakia
| | - Martin Rigelsky
- Department of Marketing and International Trade, Faculty of Management and Business, University of Prešov, Prešov, Slovakia
| | - Tawfik Mudarri
- Institute of Earth Resources, Faculty of Mining, Ecology, Process Control and Geotechnologies, Technical University of Košice, Košice, Slovakia
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Yamamoto Y, Furukawa S, Kato A, Kusumoto K, Miyake T, Takeshita E, Ikeda Y, Yamamoto N, Okada K, Saeki Y, Hiasa Y. The Association between Laughter and Functional Dyspepsia in a Young Japanese Population. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:5686. [PMID: 35565081 PMCID: PMC9103241 DOI: 10.3390/ijerph19095686] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 04/07/2022] [Revised: 05/04/2022] [Accepted: 05/04/2022] [Indexed: 02/05/2023]
Abstract
The potential health benefits of laughter are recognized in relation to several chronic diseases. However, no study has yet investigated the association between laughter and functional dyspepsia (FD). The purpose of this study was to investigate this issue in a young Japanese population. METHODS This study was conducted on 8923 Japanese university students. Information on the frequency of laughter and types of laughter-inducing situations, digestive symptoms (Rome III criteria) were obtained through a self-administered, web-based questionnaire. RESULTS The percentage of respondents who laughed out loud almost every day was 64.3%. On the other hand, 1.8% of the subjects reported that they rarely laughed. No association was found between the total frequency of laughter and FD. Laughing while talking with family and friends almost every day was significantly inversely associated with FD (adjusted odds ratio (OR): 0.47 (95% confidence interval (CI): 0.28-0.81); p for trend was 0.003). On the other hand, laughing while watching TV or videos and laughing while looking at comics or magazines independently showed a positive correlation with FD (TV or videos: adjusted OR, 1-5 times a week: 1.74 (95% CI: 1.16-2.60); comics or magazines: adjusted OR, 1-5 times a week: 1.78 (95% CI: 1.08-2.81)). CONCLUSION In this young Japanese population, no association between laughter frequency and FD was observed although laughing while talking with friends and family was independently and inversely associated with FD.
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Affiliation(s)
- Yasunori Yamamoto
- Endoscopy Center, Ehime University Hospital, Toon 791-0295, Ehime, Japan; (Y.Y.); (Y.I.)
| | - Shinya Furukawa
- Health Services Center, Ehime University, Matsuyama 790-8577, Ehime, Japan; (A.K.); (K.K.); (Y.S.)
| | - Aki Kato
- Health Services Center, Ehime University, Matsuyama 790-8577, Ehime, Japan; (A.K.); (K.K.); (Y.S.)
| | - Katsunori Kusumoto
- Health Services Center, Ehime University, Matsuyama 790-8577, Ehime, Japan; (A.K.); (K.K.); (Y.S.)
| | - Teruki Miyake
- Department of Gastroenterology and Metabology, Graduate School of Medicine, Ehime University, Shitsukawa, Toon 791-0295, Ehime, Japan; (T.M.); (Y.H.)
| | - Eiji Takeshita
- Department of Inflammatory Bowel Diseases and Therapeutics, Graduate School of Medicine, Ehime University, Matsuyama 791-0295, Ehime, Japan;
| | - Yoshio Ikeda
- Endoscopy Center, Ehime University Hospital, Toon 791-0295, Ehime, Japan; (Y.Y.); (Y.I.)
| | - Naofumi Yamamoto
- Faculty of Collaborative Regional Innovation, Ehime University, Matsuyama 790-8577, Ehime, Japan;
| | - Katsutoshi Okada
- Shikokuchuo Public Health Center, Shikokuchuo 799-0404, Ehime, Japan;
| | - Yuka Saeki
- Health Services Center, Ehime University, Matsuyama 790-8577, Ehime, Japan; (A.K.); (K.K.); (Y.S.)
- Community Health Systems for Nursing, Graduate School of Medicine, Ehime University, Toon 791-0295, Ehime, Japan
| | - Yoichi Hiasa
- Department of Gastroenterology and Metabology, Graduate School of Medicine, Ehime University, Shitsukawa, Toon 791-0295, Ehime, Japan; (T.M.); (Y.H.)
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Qin N, Li P, Tian Y. Association Between Child Abuse Experience and Pathological Internet Use Among Chinese University Students: The Mediating Roles of Security and Maladaptive Cognitions. Front Psychol 2022; 13:830031. [PMID: 35465542 PMCID: PMC9022656 DOI: 10.3389/fpsyg.2022.830031] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/06/2021] [Accepted: 03/11/2022] [Indexed: 11/13/2022] Open
Abstract
Research has revealed that child abuse experience can increase pathological Internet use; however, few studies have focused on the influence of child abuse experience on pathological Internet use. This study examined the mediating roles of security and maladaptive cognitions in the association between child abuse and pathological Internet use. A total of 918 Chinese university students participated in the study, with measurements of child abuse, security, maladaptive cognitions, and pathological Internet use being employed. Structural equation modeling results indicated that child abuse could positively predict (i) pathological Internet use, (ii) pathological Internet use through the mediating role of security, (iii) pathological Internet use through the mediating role of maladaptive cognitions, and (iv) pathological Internet use through the chain mediating role of security and maladaptive cognitions. These results indicated that security and maladaptive cognitions were the primary factors in the association between child abuse and pathological Internet use.
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Affiliation(s)
- Ningbo Qin
- Department of Marxism, Hebei University of Technology, Tianjin, China
| | - Pei Li
- Tsingtao Beer Museum, Qingdao, China
| | - Yu Tian
- Department of Marxism, Qingdao University of Science and Technology, Qingdao, China
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26
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Salarvand S, N Albatineh A, Dalvand S, Baghban Karimi E, Ghanei Gheshlagh R. Prevalence of Internet Addiction Among Iranian University Students: A Systematic Review and Meta-analysis. CYBERPSYCHOLOGY, BEHAVIOR AND SOCIAL NETWORKING 2022; 25:213-222. [PMID: 35085012 DOI: 10.1089/cyber.2021.0120] [Citation(s) in RCA: 4] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/26/2022]
Abstract
This systematic review and meta-analysis aims to estimate the overall prevalence of Internet addiction among Iranian university students. A total of 49 articles written in Persian or English, without time limitation, were gathered. Databases of Scientific Information Database, MagIran, PubMed, Scopus, and Web of Science were searched during the period from February 13 to March 13, 2018. The following keywords and their possible combinations were used: Iran, student, Internet dependency, Internet addiction, and problematic Internet use. The Cochran's Q test was used to test the heterogeneity among the studies, and because heterogeneity was not significant, the random effects model was used to estimate the overall prevalence of Internet addiction. Data analysis was performed using STATA, version 12. Meta-analysis of 49 selected articles with a total sample size of 16,585 indicated that the overall prevalence of Internet addiction among Iranian students was 31.51 percent (95% confidence interval: 26.47-36.55). In addition, meta-regression analysis showed no significant relationship between Internet addiction and year of publication (p = 0.972) and sample size (p = 0.915). About one-third of Iranian students have Internet addiction. It is necessary to provide training workshops on learning about the consequences of Internet addiction and its management.
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Affiliation(s)
- Shahin Salarvand
- Social Determinant of Health Research Center, School of Nursing and Midwifery, Lorestan University of Medical Sciences, Khorramabad, Iran
| | - Ahmed N Albatineh
- Department of Community Medicine and Behavioral Sciences, Faculty of Medicine, Kuwait University, Kuwait City, Kuwait
| | - Sahar Dalvand
- Department of Epidemiology and Biostatistics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran
| | - Elnaz Baghban Karimi
- Department of Nursing, Faculty of Nursing and Midwifery, Tabriz University of Medical Sciences, Tabriz, Iran
| | - Reza Ghanei Gheshlagh
- Social Determinants of Health Research Center, Research Institute for Health Development, Kurdistan University of Medical Sciences, Sanandaj, Iran
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Umeta GT, Regasa SD, Taye GM, Ayeno HD, Tefera GM. Prevalence of Internet Addiction and its Correlates Among Regular Undergraduate Medicine and Health Science Students at Ambo University. Cross-Sectional Study. Subst Abuse 2022; 16:11782218221080772. [PMID: 35250273 PMCID: PMC8891875 DOI: 10.1177/11782218221080772] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/03/2021] [Accepted: 01/26/2022] [Indexed: 01/23/2023]
Abstract
Introduction: Internet addiction (IA) is causing academic failure, decreased concentration ability, and a negative affective state. In Ethiopia, studies conducted on IA were limited; therefore, this study aimed to assess its prevalence and risk factors among medicine and health science (MHS) students of Ambo University. Materials and Methods: This study was a cross-sectional study and included MHS students of Ambo University from July 15 to August 15, 2021. Data were collected using a self-administered questionnaire after receiving informed consent from study participants. The results were analyzed using the statistical software for social sciences version 24. Bivariate and multivariate logistic regressions were performed to explore the relationship between IA and dependent variables. Results: Of the 253 participants who participated in the study, 201 (79%) were found to have an IA. Having one’s own computer, Internet access at home and an email account were 2 times more risky to develop IA compared to their counterparts with AOR = 2.615 (95% CI = 1.118-5.956) with a P value of .022, AOR = 2.154 (95% CI = 1.054-4.405) with a P value of .35 and (=2.154 (95% CI = 1.054-4.405 with a P value of .035 respectively. Additionally, those who use the Internet for news were 2.5 times more likely to develop IA compared to those who do not (AOR = 2.551 (95% CI = 1.225-5.349) with a P-value of .013). The use of the Internet for scientific research and education reduces IA by 0.7 times (AOR = 0.323 (95% CI = 0.120-0.868) with a P value of .025). Conclusions: The prevalence of IA was found to be high in this study. Therefore, strategies are needed to minimize the prevalence of this problem.
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Affiliation(s)
- Gurmu Tesfaye Umeta
- Department of Pharmacy, College of Medicine and Health Sciences, Ambo University, Ambo, Ethiopia
| | - Sanyi Daba Regasa
- Department of Pharmacy, College of Medicine and Health Sciences, Ambo University, Ambo, Ethiopia
| | - Getu Melesie Taye
- Department of Pharmacy, College of Medicine and Health Sciences, Ambo University, Ambo, Ethiopia
| | - Hunduma Dinsa Ayeno
- Department of Pharmacy, College of Medicine and Health Sciences, Ambo University, Ambo, Ethiopia
| | - Gosaye Mekonen Tefera
- Department of Pharmacy, College of Medicine and Health Sciences, Ambo University, Ambo, Ethiopia
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Internet Addiction in Adolescents: A Rational Emotive and Cognitive Behavior Therapy Perspective. JOURNAL OF RATIONAL-EMOTIVE AND COGNITIVE-BEHAVIOR THERAPY 2022. [DOI: 10.1007/s10942-022-00445-3] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/20/2022]
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Hossin MZ, Islam A, Billah M, Haque M, Uddin J. Is there a gradient in the association between internet addiction and health? PLoS One 2022; 17:e0264716. [PMID: 35239733 PMCID: PMC8893621 DOI: 10.1371/journal.pone.0264716] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/21/2021] [Accepted: 02/15/2022] [Indexed: 12/24/2022] Open
Abstract
Background Internet Addiction (IA) is often shown to be associated with health issues, but no study explicitly examined a possible gradient in the association between different levels of IA and health. This study aimed to examine if the levels of IA had a graded relationship with poor sleep quality, psychological distress, and self-rated health among university students in Bangladesh. Methods In this cross-sectional study, a sample of 625 students from six universities/colleges responded to an online survey that contained measures of internet addiction test (IAT), general health questionnaire (GHQ-12), sleep quality, and self-rated health. Modified Poisson regression models were fitted to estimate the adjusted risk ratios (RR) and confidence intervals (CI) of the associations between IA and health outcomes. Results The IA levels were associated with each of the three health outcomes in a linear fashion. Compared to the lowest IA quintile, the highest quintile remained associated with an increased risk of poor-quality sleeping (RR: 1.77; 95% CI: 1.26, 2.48), psychological distress (RR: 2.09; 95% CI: 1.55, 2.82), and worse self-rated health (RR: 1.46; 95% CI: 1.09, 1.96) after adjusting for socio-demographic covariates. There were also dose-response associations between IAT z-scores and health outcomes. The association between IAT z-scores and psychological distress was significantly stronger in males compared to females (p-value for interaction<0.05). Conclusions The study found strong gradients between levels of addiction to internet and health outcomes, suggesting that increased health risks may exist even at lower levels of internet addiction. The findings highlight the need for departure of current research from a focus on the classic dichotomy of problematic versus not problematic internet use and a move toward recognizing the potential hierarchical effects of IA on health.
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Affiliation(s)
- Muhammad Zakir Hossin
- Department of Global Public Health, Karolinska Institute, Stockholm, Sweden
- Department of General Education, Eastern University, Dhaka, Bangladesh
- * E-mail:
| | - Azharul Islam
- Department of Educational and Counselling Psychology, University of Dhaka, Dhaka, Bangladesh
| | - Masum Billah
- Department of Sociology, East West University, Dhaka, Bangladesh
| | - Mahjabeen Haque
- Department of Educational and Counselling Psychology, University of Dhaka, Dhaka, Bangladesh
| | - Jalal Uddin
- Department of Epidemiology, University of Alabama at Birmingham, Birmingham, AL, United States of America
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Shimoda S, Shimoda M, Higuchi O. Effect of self-affirmation on smartphone use reduction among heavy users. Psychol Rep 2022; 126:1362-1377. [PMID: 35084236 DOI: 10.1177/00332941211069514] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
Recent studies have shown an association between excessive smartphone use and health problems. Along with such mounting concerns, health risk information on excessive smartphone use has been presented through various media. Such information is usually aimed at making smartphone users understand the associated health risks, thereby preventing excessive use or reducing current use. However, according to self-affirmation theory, such information may pose a threat to heavy smartphone users because it implies that they are engaging in maladaptive behavior. Therefore, to defend themselves, they may not accept the information and may not be highly motivated to reduce their usage. According to self-affirmation theory, such maladaptive defensive responses can be reduced through the affirmation of important values. We examined whether self-affirmation prior to reading health risk information increased heavy users' motivation to reduce smartphone usage. Participants (142 undergraduate students aged 18-22 years) reported their mean daily smartphone use. They then completed a writing task that affirmed/did not affirm an important personal value. Next, they read an article on the health risks of smartphone overuse and reported their motivation to reduce smartphone use. As a result, when heavy users did not self-affirm, they were significantly less motivated to reduce use than light users. However, when heavy users self-affirmed, their motivation was significantly higher than when they did not self-affirm. This effect of self-affirmation was not shown in light users. These results suggest that health risk information combined with self-affirmation is effective in reducing smartphone usage by heavy users.
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Affiliation(s)
| | | | - Osamu Higuchi
- Department of Political Science and Economics12939Meiji University
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31
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Hernández C, Cottin M, Parada F, Labbé N, Núñez C, Quevedo Y, Davanzo A, Behn A. Watching the world from my screen: A longitudinal evaluation of the influence of a problematic use of the internet on depressive symptomatology. COMPUTERS IN HUMAN BEHAVIOR 2022. [DOI: 10.1016/j.chb.2021.106995] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/28/2022]
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32
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Urbaniak R, Ptaszyński M, Tempska P, Leliwa G, Brochocki M, Wroczyński M. Personal attacks decrease user activity in social networking platforms. COMPUTERS IN HUMAN BEHAVIOR 2022. [DOI: 10.1016/j.chb.2021.106972] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/03/2022]
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33
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Sleep disturbances partially mediate the association between problematic internet use and somatic symptomatology in adolescence. CURRENT PSYCHOLOGY 2021. [DOI: 10.1007/s12144-019-00414-7] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
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You ZT, Zhong M, Gao Q, Wei HX, Zeng XH. The Impact of Digital Economy on Residents' Health: Based on the Perspective of Population Ageing. Front Public Health 2021; 9:725971. [PMID: 34381758 PMCID: PMC8350039 DOI: 10.3389/fpubh.2021.725971] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/16/2021] [Accepted: 06/25/2021] [Indexed: 11/13/2022] Open
Abstract
This paper uses panel data from inland provinces of China to perform a fixed effect regression and finds that the development of the digital economy has a significant promotional effect on the health of residents. Then, the population ageing rate is further used as a threshold variable for a threshold regression, and the relationship between the development of the digital economy and the health of residents from the perspective of ageing is discussed. The empirical results show that the ageing of the population will reduce the role of the digital economy in promoting residents' health. There is a non-linear single threshold effect between the development of the digital economy and residents' health indicators. In areas of China with a better developed digital economy, when the ageing rate exceeds the threshold, the positive impact of the development of the digital economy on population health has increased compared with the population ageing below the threshold. These asymmetric developments are closely related to economic development, historical and cultural factors, and policies formulated by the government. Therefore, as the digital economy continues to advance, the government should also provide health services fairly and efficiently, and formulate effective Internet assistance policies for the elderly so that the development of the digital economy can more comprehensively promote the health of residents of all ages.
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Affiliation(s)
- Zhi-Ting You
- Business School, Guangxi University, Nanning, China
| | - Min Zhong
- College of Economics, Jinan University, Guangzhou, China
| | - Qing Gao
- Graduate School, Nanning Normal University, Nanning, China
| | - Hong-Xiang Wei
- College of Economics and Management, Nanning Normal University, Nanning, China
| | - Xi-Hao Zeng
- College of Economics and Management, Nanning Normal University, Nanning, China
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35
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Ramón-Arbués E, Granada-López JM, Martínez-Abadía B, Echániz-Serrano E, Antón-Solanas I, Nash M. Prevalence and Factors Associated with Problematic Internet Use in a Population of Spanish University Students. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:7620. [PMID: 34300071 PMCID: PMC8306107 DOI: 10.3390/ijerph18147620] [Citation(s) in RCA: 9] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 06/20/2021] [Revised: 06/30/2021] [Accepted: 07/15/2021] [Indexed: 11/16/2022]
Abstract
(1) Background: To examine the prevalence, and associated factors of, problematic Internet use in a sample of Spanish university students. (2) Methods: Cross-sectional descriptive study of a convenience sample of 698 university students. Self-esteem, alcohol consumption, perceived social support, depression, anxiety, stress and problematic Internet use were evaluated using the Rosenberg, CAGE, DUKE-UNC-11, DASS-21 and Young's Internet Addiction Test, respectively. (3) Results: Problematic internet use was reported by 21% of respondents. Risk of problematic Internet use was independently associated with the preferred use of the smartphone, time of exposure to the Internet, less perceived social support, problematic alcohol consumption and symptoms of stress and anxiety. We found significant association between problematic internet use and time of exposure to the Internet, residential status, alcohol consumption, self-esteem, perceived social support and psychological distress, after bivariate analysis. (4) Conclusions: A considerable prevalence of problematic Internet use was found; in our sample problematic Internet use was associated with stress, alcohol consumption, anxiety and perceived social support. Strategies aimed at the early identification of problematic Internet use may lead to an improvement in the psychosocial health of the university student population.
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Affiliation(s)
- Enrique Ramón-Arbués
- Faculty of Health Sciences, Campus Universitario Villanueva de Gállego, Universidad San Jorge, Villanueva de Gállego, 50830 Zaragoza, Spain;
- Research Group Transfercult (H27_20D), University of Zaragoza, 50009 Zaragoza, Spain;
| | - José Manuel Granada-López
- Research Group Transfercult (H27_20D), University of Zaragoza, 50009 Zaragoza, Spain;
- Department of Physiatrics and Nursing, Faculty of Health Sciences, University of Zaragoza, C/Domingo Miral S/N, 50009 Zaragoza, Spain
- Research Group Safety and Care (GIISA021), Institute of Research of Aragón, 50009 Zaragoza, Spain
| | - Blanca Martínez-Abadía
- Occupational Health and Prevention Service, Zaragoza City Council, P° de La Mina 9, 50001 Zaragoza, Spain;
| | - Emmanuel Echániz-Serrano
- Research Group Transfercult (H27_20D), University of Zaragoza, 50009 Zaragoza, Spain;
- Department of Physiatrics and Nursing, Faculty of Health Sciences, University of Zaragoza, C/Domingo Miral S/N, 50009 Zaragoza, Spain
| | - Isabel Antón-Solanas
- Department of Physiatrics and Nursing, Faculty of Health Sciences, University of Zaragoza, C/Domingo Miral S/N, 50009 Zaragoza, Spain
- Research Group Nursing Research in Primary Care in Aragón (GENIAPA) (GIIS094), Institute of Research of Aragón, 50009 Zaragoza, Spain
| | - Michael Nash
- School of Nursing and Midwifery, Trinity College, University of Dublin, Dublin 2, Ireland;
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Xie L, Yang HL, Lin XY, Ti SM, Wu YY, Zhang S, Zhang SQ, Zhou WL. Does the Internet Use Improve the Mental Health of Chinese Older Adults? Front Public Health 2021; 9:673368. [PMID: 34336769 PMCID: PMC8322678 DOI: 10.3389/fpubh.2021.673368] [Citation(s) in RCA: 21] [Impact Index Per Article: 7.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/27/2021] [Accepted: 06/14/2021] [Indexed: 12/03/2022] Open
Abstract
Purpose: The Internet has become an important part of daily life. However, older adults in China remain digital refugees amid the rapid development of digital information technology. This study attempts to scientifically answer how Internet use affects the subjective welfare of older adults. Method: Using data from the 2014 and 2016 China Longitudinal Aging Social Survey (CLASS), a combination of ordinary least squares, ordered logit regression models, and propensity score matching (PSM) models were used to analyze the effects of Internet use on the mental health of Chinese older adults. Results: Our findings suggest that Internet use affects the mental health of older adults and increases the incidence of their depressive symptoms. These findings are robust to changing the key indicators, research method, and sample. Further heterogeneity analysis reveals that the negative effects on mental health are more evident for specific groups of older adults, such as those who are women, younger and middle-aged, high-income, non-rural Hukou, less educated, and living with others. Conclusions: Cultivating the ability of older adults to use the Internet and maintain a rational attitude while doing so can prevent its negative impact on their life satisfaction. Moreover, it can improve their attitudes toward using the technology and reduce their anxiety.
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Affiliation(s)
- Lin Xie
- Department of Population and Labor Economics, University of Chinese Academy of Social Sciences, Beijing, China
| | - Hua-Lei Yang
- School of Public Administration, Zhongnan University of Economics and Law, Wuhan, China
| | - Xue-Yu Lin
- School of Public Administration, Zhongnan University of Economics and Law, Wuhan, China
| | - Shi-Ming Ti
- School of Public Administration, Zhongnan University of Economics and Law, Wuhan, China
| | - Yuan-Yang Wu
- School of Public Administration, Zhongnan University of Economics and Law, Wuhan, China
| | - Shuo Zhang
- School of Public Administration, Zhongnan University of Economics and Law, Wuhan, China
| | - Si-Qing Zhang
- School of Public Administration, Zhongnan University of Economics and Law, Wuhan, China
| | - Wan-Li Zhou
- School of Public Administration, Zhongnan University of Economics and Law, Wuhan, China
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Yang HL, Wu YY, Lin XY, Xie L, Zhang S, Zhang SQ, Ti SM, Zheng XD. Internet Use, Life Satisfaction, and Subjective Well-Being Among the Elderly: Evidence From 2017 China General Social Survey. Front Public Health 2021; 9:677643. [PMID: 34268289 PMCID: PMC8275954 DOI: 10.3389/fpubh.2021.677643] [Citation(s) in RCA: 29] [Impact Index Per Article: 9.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/08/2021] [Accepted: 05/10/2021] [Indexed: 11/13/2022] Open
Abstract
Purpose: The research objectives of this study are to test the scientific propositions of whether Internet use promotes life satisfaction among the elderly, whether there is variability in the effect of Internet use on the well-being of the elderly, and through what channels Internet use affects the elderly's life satisfaction. Method: Using data from the 2017 Chinese General Social Survey (CGSS), this paper employed linear regression, ordered logit model, and the propensity score matching (PSM) approach to investigate the association of Internet use with life satisfaction among the elderly in China. Results: The results show that Internet use was significantly and negatively associated with the life satisfaction of the Chinese elderly. Further analysis on group heterogeneity demonstrates that the negative association was more prominent among the participants who were males, at a lower age, had lower income and education, non-agricultural registered, and relatively healthy. Finally, the mediating effect indicates that Internet use may affect life satisfaction among the elderly through the channel of reducing their perceptions of social justice. Conclusions: In order to avoid the negative effects of using the Internet, the following policy suggestions are put forward: Improve the elderly's attitudes toward Internet use; pay attention to the sense of fairness of the elderly to improve life satisfaction; guide the elderly to reduce the time of using the Internet.
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Affiliation(s)
- Hua-Lei Yang
- School of Public Administration, Zhongnan University of Economics and Law, Wuhan, China
| | - Yuan-Yang Wu
- School of Public Administration, Zhongnan University of Economics and Law, Wuhan, China
| | - Xue-Yu Lin
- School of Public Administration, Zhongnan University of Economics and Law, Wuhan, China
| | - Lin Xie
- Institute of Population and Labor Economics, The Chinese Academy of Social Science, Beijing, China
| | - Shuo Zhang
- School of Public Administration, Zhongnan University of Economics and Law, Wuhan, China
| | - Si-Qing Zhang
- School of Public Administration, Zhongnan University of Economics and Law, Wuhan, China
| | - Shi-Ming Ti
- School of Public Administration, Zhongnan University of Economics and Law, Wuhan, China
| | - Xiao-Dong Zheng
- School of Economics, Zhejiang Gongshang University, Hangzhou, China
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38
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Yang K. Internet use, employment performance and the health of Chinese residents. Int Health 2021; 14:222-235. [PMID: 34131727 PMCID: PMC9070460 DOI: 10.1093/inthealth/ihab034] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/15/2021] [Revised: 04/25/2021] [Accepted: 05/19/2021] [Indexed: 11/21/2022] Open
Abstract
Using data from the China Labor-force Dynamics Survey 2016, this study examines the effects of Internet use on Chinese resident health and the role of employment performance in this process. The results show that Internet use had a significant positive effect on the health of Chinese residents. After addressing potential endogeneity by applying appropriate instrumental variable estimation, the main findings remain robust. Heterogeneity analysis found that the Internet is conducive to improving the health of older, less-educated and female residents, which suggests that the Internet can narrow the health gap of residents with different ages, education levels and genders. Through the analysis of the impact mechanism, it was found that although Chinese residents can improve their health by enhancing their employment performance with the help of the Internet, the mediating effect accounts for <20%, indicating that the role of employment performance in the process of improving the health of Chinese residents through Internet use is very limited. Finally, suggestions are given to promote the healthy development of China via the effects of Internet use.
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Affiliation(s)
- Kewen Yang
- College of Economics and Management, Northwest A&F University, No. 3 Taicheng Road, Yangling, Shaanxi, China, 712100
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39
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Chakrabarty M, Atsumi T, Kaneko A, Fukatsu R, Ide M. State anxiety modulates the effect of emotion cues on visual temporal sensitivity in autism spectrum disorder. Eur J Neurosci 2021; 54:4682-4694. [PMID: 33998735 DOI: 10.1111/ejn.15311] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/12/2020] [Accepted: 05/10/2021] [Indexed: 12/28/2022]
Abstract
Atypical processing of stimulus inputs across a range of sensory modalities in autism spectrum disorder (ASD) is widely reported. Sensory processing is known to be influenced by bodily internal states such as physiological arousal and anxiety. As a sizeable proportion of ASD reportedly have co-morbid anxiety disorders that are linked with dysregulated arousal, we investigated if face emotion arousal cues influenced visual sensory sensitivity (indexed by temporal resolution) in ASD (n = 20) compared to a matched group of typically developed individuals (TD, n = 21). We asked further if emotion-cued changes in visual sensitivity were associated with individual differences in state and trait anxiety. Participants reported the laterality of the second of two consecutive Gaussian-blob flashes in a visual temporal order judgment task (v-TOJ), demanding higher-level visual processing. The key manipulation was presenting a task-irrelevant face emotion cue briefly at unexpected time points preceding the task-relevant flashes. Disgust vs. Neutral emotion signals significantly enhanced the visual temporal resolution in ASD. Individual state-anxiety scores showed a fair correlative trend with the emotion-cued changes in temporal resolution (Disgust versus Neutral) in ASD but missed statistical significance. Both these effects were absent in TD. The results show that individual state-anxiety levels likely modulate the effect of emotions on visual temporal sensitivity in ASD. The findings support a nuanced approach to understand the disparate sensory features in ASD, by factoring in the interplay of the individual reactivity to environmental affective information and the severity of anxiety.
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Affiliation(s)
- Mrinmoy Chakrabarty
- Department of Social Sciences and Humanities, Indraprastha Institute of Information Technology Delhi, New Delhi, India
| | - Takeshi Atsumi
- Department of Rehabilitation for Brain Functions, Research Institute of National Rehabilitation Center for Persons with Disabilities, Saitama, Japan.,Department of Medical Physiology School of Medicine, Kyorin University, Tokyo, Japan
| | - Ayako Kaneko
- Department of Rehabilitation for Brain Functions, Research Institute of National Rehabilitation Center for Persons with Disabilities, Saitama, Japan
| | - Reiko Fukatsu
- Department of Medical Physiology School of Medicine, Kyorin University, Tokyo, Japan
| | - Masakazu Ide
- Department of Rehabilitation for Brain Functions, Research Institute of National Rehabilitation Center for Persons with Disabilities, Saitama, Japan
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Association between Internet Addiction and Application Usage among Junior High School Students: A Field Survey. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:ijerph18094844. [PMID: 34062760 PMCID: PMC8124386 DOI: 10.3390/ijerph18094844] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 04/09/2021] [Revised: 04/29/2021] [Accepted: 04/29/2021] [Indexed: 12/27/2022]
Abstract
The purpose of this study was to elucidate the relationship between the severity of Internet addiction and various media-related applications. The participants were junior high school students between 12 and 15 years old. A total of 529 students (283 males, 246 females) were included. The participants answered Young’s Internet Addiction Test (IAT) and a structural questionnaire about their access to electronic devices and applications. An Internet addiction prevalence of 4.3% (95% CI: 2.8–6.5%) was reported in this study, with an additional 26.3% (95% CI: 22.6–30.2%) of participants possibly addicted. The accessibility of gaming devices was significantly higher in male students than in female students. The use of applications for SNSs was significantly higher in female students than in male students. Twitter accessibility was a factor that contributed to Internet addiction in both genders. The prevalence of severe Internet addiction among school students in Japan was 4.3%, and Twitter was the most important factor associated with this addiction. Media literacy must be increased in adolescents and their friends, teachers, and families.
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Bányai F, Zsila Á, Kökönyei G, Griffiths MD, Demetrovics Z, Király O. The Moderating Role of Coping Mechanisms and Being an e-Sport Player Between Psychiatric Symptoms and Gaming Disorder: Online Survey. JMIR Ment Health 2021; 8:e21115. [PMID: 33755024 PMCID: PMC8077919 DOI: 10.2196/21115] [Citation(s) in RCA: 7] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/08/2020] [Revised: 08/13/2020] [Accepted: 08/16/2020] [Indexed: 12/19/2022] Open
Abstract
BACKGROUND The emerging popularity of playing video games (gaming) as a hobby and as a professional sport raises awareness about both the benefits and possible downsides of the activity. Although a healthy and passionate hobby for most, a minority of gamers experience addiction-like symptoms and are considered to have gaming disorder (GD). GD has previously been found to be related to aversive conditions, such as depression or anxiety, as well as putatively maladaptive coping strategies. OBJECTIVE The aim of this study is twofold: to explore the moderating effect of different coping strategies and type of video game usage (professional [e-sport] or recreational) on the relationship between psychiatric symptoms and GD. METHODS A sample of 3476 gamers (n=3133, 90.13% males; mean age 23.20, SD 6.48 years) was recruited via the website and social networking site of the most popular gaming magazine in Hungary (GameStar). RESULTS The main effect of psychiatric symptoms was moderate to large in all models, whereas the moderation effects were significant (P<.001) for 4 out of 8 coping strategies (ie, self-blame/self-distraction, denial, emotional/social support, and active coping). However, the explained variance of the models only increased negligibly (from 0.3% to 0.5%) owing to the moderation effect. The direction of the moderations was as expected (ie, putatively maladaptive strategies were associated with more GD symptoms when the level of psychiatric symptoms was high, while putatively adaptive strategies were associated with less). Furthermore, no considerable moderation effect of the player type (recreational vs professional players) was found on the association between psychiatric symptoms and GD (β=.04; P=.02; 0.1% change in the explained variance). CONCLUSIONS Future studies should be designed to better understand coping-related mechanisms in the context of video gaming and GD.
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Affiliation(s)
- Fanni Bányai
- Institute of Psychology, ELTE Eötvös Loránd University, Budapest, Hungary.,Doctoral School of Psychology, ELTE Eötvös Loránd University, Budapest, Hungary
| | - Ágnes Zsila
- Institute of Psychology, Pázmány Péter Catholic University, Budapest, Hungary
| | - Gyöngyi Kökönyei
- Institute of Psychology, ELTE Eötvös Loránd University, Budapest, Hungary.,SE-NAP2 Genetic Brain Imaging Migraine Research Group, Hungarian Academy of Sciences, Semmelweis University, Budapest, Hungary.,Department of Pharmacodynamics, Faculty of Pharmacy, Semmelweis University, Budapest, Hungary
| | - Mark D Griffiths
- International Gaming Research Unit, Psychology Department, Nottingham Trent University, Nottingham, United Kingdom
| | - Zsolt Demetrovics
- Institute of Psychology, ELTE Eötvös Loránd University, Budapest, Hungary.,Centre of Excellence in Responsible Gaming, University of Gibraltar, Gibraltar, Gibraltar
| | - Orsolya Király
- Institute of Psychology, ELTE Eötvös Loránd University, Budapest, Hungary
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Zenebe Y, Kunno K, Mekonnen M, Bewuket A, Birkie M, Necho M, Seid M, Tsegaw M, Akele B. Prevalence and associated factors of internet addiction among undergraduate university students in Ethiopia: a community university-based cross-sectional study. BMC Psychol 2021; 9:4. [PMID: 33407920 PMCID: PMC7789664 DOI: 10.1186/s40359-020-00508-z] [Citation(s) in RCA: 25] [Impact Index Per Article: 8.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/21/2020] [Accepted: 12/21/2020] [Indexed: 01/09/2023] Open
Abstract
BACKGROUND Internet addiction is a common problem in university students and negatively affects cognitive functioning, leads to poor academic performance and engagement in hazardous activities, and may lead to anxiety and stress. Behavioral addictions operate on a modified principle of the classic addiction model. The problem is not well investigated in Ethiopia. So the present study aimed to assess the prevalence of internet addiction and associated factors among university students in Ethiopia. OBJECTIVES Main objective of this study was to assess the prevalence and associated factors of internet addiction among University Students in Ethiopia. METHODS A community-based cross-sectional study was conducted among Wollo University students from April 10 to May 10, 2019. A total of 603 students were participated in the study using a structured questionnaire. A multistage cluster sampling technique was used to recruit study participants. A binary logistic regression method was used to explore associated factors for internet addiction and variables with a p value < 0.25 in the bivariate analysis were fitted to the multi-variable logistic regression analysis. The strength of association between internet addiction and associated factors was assessed with odds ratio, 95% CI and p value < 0.05 in the final model was considered significant. RESULTS The prevalence of internet addiction (IA) among the current internet users was 85% (n = 466). Spending more time on the internet (adjusted odds ratio (AOR) = 10.13, 95% CI 1.33-77.00)), having mental distress (AOR = 2.69, 95% CI 1.02-7.06), playing online games (AOR = 2.40, 95% CI 1.38-4.18), current khat chewing (AOR = 3.34, 95% CI 1.14-9.83) and current alcohol use (AOR = 2.32, 95% CI 1.09-4.92) were associated with internet addiction. CONCLUSIONS The current study documents a high prevalence of internet addiction among Wollo University students. Factors associated with internet addiction were spending more time, having mental distress, playing online games, current khat chewing, and current alcohol use. As internet addiction becomes an evident public health problem, carrying out public awareness campaigns may be a fruitful strategy to decrease its prevalence and effect. Besides to this, a collaborative work among stakeholders is important to develop other trendy, adaptive, and sustainable countermeasures.
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Affiliation(s)
- Yosef Zenebe
- Department of Psychiatry, College of Medicine and Health Sciences, Wollo University, Dessie, Ethiopia
| | - Kunuya Kunno
- Department of Psychiatry, College of Medicine and Health Sciences, Wollo University, Dessie, Ethiopia
| | - Meseret Mekonnen
- Department of Psychiatry, College of Medicine and Health Sciences, Wollo University, Dessie, Ethiopia
| | - Ajebush Bewuket
- Department of Psychiatry, College of Medicine and Health Sciences, Wollo University, Dessie, Ethiopia
| | - Mengesha Birkie
- Department of Psychiatry, College of Medicine and Health Sciences, Wollo University, Dessie, Ethiopia
| | - Mogesie Necho
- Department of Psychiatry, College of Medicine and Health Sciences, Wollo University, Dessie, Ethiopia
| | - Muhammed Seid
- Department of Psychiatry, College of Medicine and Health Sciences, Wollo University, Dessie, Ethiopia
| | - Million Tsegaw
- Department of Psychiatry, College of Medicine and Health Sciences, Wollo University, Dessie, Ethiopia
| | - Baye Akele
- Department of Pharmacy, College of Medicine and Health Sciences, Wollo University, Dessie, Ethiopia
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43
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Shan X, Ou Y, Ding Y, Yan H, Chen J, Zhao J, Guo W. Associations Between Internet Addiction and Gender, Anxiety, Coping Styles and Acceptance in University Freshmen in South China. Front Psychiatry 2021; 12:558080. [PMID: 34135779 PMCID: PMC8200474 DOI: 10.3389/fpsyt.2021.558080] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/01/2020] [Accepted: 04/30/2021] [Indexed: 11/13/2022] Open
Abstract
Objective: Internet addiction (IA) has become a global public health issue. Although previous studies revealed several risk factors related to IA, most of them focused on the western societies. The present study assesses the relationships between gender and other factors with IA in university freshmen in the South China. Methods: A total of 3,380 first-year college students (1,995 males and 1,385 females) participated in an evaluation of their experiences surfing on the Internet. We investigated the severity of IA in the participants by considering their psychological characteristics, such as acceptance, anxiety levels, and coping styles. Then, we compared the results between males and females and between those in addiction group (Chinese Internet Addiction Scale, CIAS, scores≥64) and non-addiction group (CIAS scores ≤27). We also conducted a logistic regression analysis to detect the relationships between severity of IA and psychological characteristics and gender differences. Results: We observed that males showed significantly higher scores in CIAS than females. The addiction group exhibited significantly higher state anxiety and trait anxiety, and experienced less acceptance of self and others and acceptance by others, and adopted less positive coping style and preferred negative coping style than non-addiction group. The logistic regression analysis revealed that three factors (negative coping styles, acceptance of self and others, state anxiety levels) had a significant association with more severe IA. Conclusion: Gender differences affect the severity of IA in the first-year students in South China. Males with state anxiety and negative coping styles deserve attention because they are likely to be addicted to the Internet. Thus, health practitioners should perform efficient strategies while considering gender differences to precaution first-year college students with the risk factors for IA.
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Affiliation(s)
- Xiaoxiao Shan
- Department of Psychiatry, National Clinical Research Center for Mental Disorders, The Second Xiangya Hospital of Central South University, Changsha, China
| | - Yangpan Ou
- Department of Psychiatry, National Clinical Research Center for Mental Disorders, The Second Xiangya Hospital of Central South University, Changsha, China
| | - Yudan Ding
- Department of Psychiatry, National Clinical Research Center for Mental Disorders, The Second Xiangya Hospital of Central South University, Changsha, China
| | - Haohao Yan
- Department of Psychiatry, National Clinical Research Center for Mental Disorders, The Second Xiangya Hospital of Central South University, Changsha, China
| | - Jindong Chen
- Department of Psychiatry, National Clinical Research Center for Mental Disorders, The Second Xiangya Hospital of Central South University, Changsha, China
| | - Jingping Zhao
- Department of Psychiatry, National Clinical Research Center for Mental Disorders, The Second Xiangya Hospital of Central South University, Changsha, China
| | - Wenbin Guo
- Department of Psychiatry, National Clinical Research Center for Mental Disorders, The Second Xiangya Hospital of Central South University, Changsha, China.,Department of Psychiatry, The Third People's Hospital of Foshan, Foshan, China
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44
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Tanabe R, Hisamatsu T, Fukuda M, Tsumura H, Tsuchie R, Suzuki M, Sugaya N, Nakamura K, Takahashi K, Kanda H. The association between problematic internet use and neck pain among Japanese schoolteachers. J Occup Health 2021; 63:e12298. [PMID: 34888997 PMCID: PMC8661443 DOI: 10.1002/1348-9585.12298] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/12/2021] [Revised: 10/22/2021] [Accepted: 11/06/2021] [Indexed: 11/22/2022] Open
Abstract
OBJECTIVES Problematic internet use (PIU) has been suggested in relation to psychological symptoms among schoolteachers, but the relationship with physical symptoms remains unclear. We examined whether PIU or longer Internet usage time is associated with neck pain in schoolteachers. METHODS We conducted a cross-sectional study among 2582 teachers aged 20 years or older (35.6% women) in Shimane and Tottori, Japan in 2018. Neck pain was defined as ≥5 points on the Neck Disability Index. The Compulsive Internet Use Scale (CIUS) was used to assess PIU. Internet usage time on weekdays and weekends was divided into five groups: 0, 1-29, 30-59, 60-119, and ≥120 min/day. Logistic regression analysis was conducted to examine the association of the CIUS score and Internet usage time on weekdays or weekends with neck pain, adjusting for sex, age, position at school, insomnia, and psychological distress. RESULTS We observed 800 (31.0%) teachers with neck pain. The median (interquartile range) of their CIUS scores was 7 (2, 14). A higher CIUS score was independently associated with a higher prevalence of neck pain (odds ratio of 4th vs. 1st quartiles, 1.41; 95% confidence interval, 1.06-1.87; trend P = .006). Compared with non-Internet users, Internet users on weekdays had almost double the odds of neck pain although the difference did not reach the customary level for designating statistical significance. CONCLUSIONS In conclusion, teachers with higher scores in CIUS were associated with a higher prevalence of neck pain in Japan, suggesting adults with PIU being at risk of physical disorders.
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Affiliation(s)
- Rina Tanabe
- Department of Public HealthOkayama University Graduate School of Medicine, Dentistry, and Pharmaceutical SciencesOkayamaJapan
| | - Takashi Hisamatsu
- Department of Public HealthOkayama University Graduate School of Medicine, Dentistry, and Pharmaceutical SciencesOkayamaJapan
| | - Mari Fukuda
- Department of Public HealthOkayama University Graduate School of Medicine, Dentistry, and Pharmaceutical SciencesOkayamaJapan
| | - Hideki Tsumura
- Department of PsychologyFaculty of Integrated Arts and SciencesTokushima UniversityTokushimaJapan
| | - Rina Tsuchie
- Department of NursingFaculty of MedicineShimane UniversityShimaneJapan
| | - Masako Suzuki
- Department of psychologyFaculty of Education and HumanitiesJumonji UniversitySaitamaJapan
| | - Nagisa Sugaya
- Unit of Public Health and Preventive MedicineFaculty of MedicineYokohama City UniversityKanagawaJapan
| | - Koshi Nakamura
- Department of Public Health and HygieneGraduate School of MedicineUniversity of the RyukyusOkinawaJapan
| | - Kenzo Takahashi
- Teikyo University Graduate School of Public HealthTokyoJapan
| | - Hideyuki Kanda
- Department of Public HealthOkayama University Graduate School of Medicine, Dentistry, and Pharmaceutical SciencesOkayamaJapan
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45
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Peng W, Wang Y, Hao Q, Wang J, Chen Y, Qiu M, Tu Y, Li H, Zhu T. Effects of Electroacupuncture Combined With Psychological Intervention on Depressive Status and Contingent Negative Variation in Patients With Internet Addiction Disorder: A Randomized Controlled Trial. Front Psychiatry 2021; 12:722422. [PMID: 34867514 PMCID: PMC8634147 DOI: 10.3389/fpsyt.2021.722422] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/17/2021] [Accepted: 10/12/2021] [Indexed: 11/13/2022] Open
Abstract
Background: Depressive symptoms often accompany people with Internet addiction syndrome (IAD). Acupuncture has been found to have significant advantages in improving the severity and depressive symptoms of IAD. Contingent negative variation (CNV) is a common method to explore the mechanism of neurophysiology. Objective: The purpose of this study was to observe the efficacy of electroacupuncture (EA), psychological intervention (PI), and comprehensive intervention (CI) in the treatment of depression in Internet addiction disorder (IAD), and to observe the changes of contingent negative variation (CNV) in each group. Methods: One hundred and twenty subjects diagnosed with IAD were randomly assigned to the EA group, the PI group, or the CI group. They received EA, PI, or a combination of EA and PI for 40 days. The Internet Addiction Test (IAT), the Zung Self-rating Depression Scale (SDS), and the Hamilton Depression Scale (HAMD) were evaluated for all subjects at baseline, 20th, and 40th days of treatment, while CNV data were collected at baseline and 40th days of treatment. Results: Three treatments effectively reduced IAT, SDS, and HAMD scores, and the intergroup comparison showed that CI was superior to EA, while EA was superior to PI. CNV results indicated that the CNV amplitude increased in all three groups of IAD patients after treatment. The CNV latency of point A and A-S2' wave area of the EA group and the CI group did not change significantly after treatment. Only the A-S2' wave area of the PI group increased significantly compared with the baseline period. In addition, IAD's IAT score was positively correlated with SDS and HAMD score at baseline but negatively correlated with CNV latency. After treatment, only the change of HAMD score in the CI group was negatively correlated with amplitude. Conclusion: Our results demonstrate the efficacy of acupuncture and psychological intervention in the treatment of IAD from an electrophysiological perspective. Simultaneously, the increase in CNV amplitude might be the underlying neurophysiological mechanism by which CI improves depression and cognitive function in IAD patients. Clinical Trial Registration: ClinicalTrials.gov, identifier NCT02362698.
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Affiliation(s)
- Wei Peng
- School of Acupuncture and Tuina, Chengdu University of Traditional Chinese Medicine, Chengdu, China
| | - Yang Wang
- School of Acupuncture and Tuina, Chengdu University of Traditional Chinese Medicine, Chengdu, China.,College of Traditional Chinese Medicine, Chongqing Medical University, Chongqing, China
| | - Qinghong Hao
- College of Traditional Chinese Medicine, Chongqing Medical University, Chongqing, China.,School of Rehabilitation and Health, Chengdu University of Traditional Chinese Medicine, Chengdu, China
| | - Jun Wang
- School of Rehabilitation and Health, Chengdu University of Traditional Chinese Medicine, Chengdu, China
| | - Yalin Chen
- School of Rehabilitation and Health, Chengdu University of Traditional Chinese Medicine, Chengdu, China
| | - Mimi Qiu
- School of Rehabilitation and Health, Chengdu University of Traditional Chinese Medicine, Chengdu, China
| | - Yang Tu
- School of Rehabilitation and Health, Chengdu University of Traditional Chinese Medicine, Chengdu, China
| | - Hui Li
- School of Preclinical Medicine, Chengdu University, Chengdu, China
| | - Tianmin Zhu
- School of Rehabilitation and Health, Chengdu University of Traditional Chinese Medicine, Chengdu, China
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46
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Yang HL, Zhang S, Zhang SQ, Xie L, Wu YY, Yao YD, Tang LL, Li ZY. Internet Use and Depressive Symptoms Among Older Adults in China. Front Psychiatry 2021; 12:739085. [PMID: 34950065 PMCID: PMC8688754 DOI: 10.3389/fpsyt.2021.739085] [Citation(s) in RCA: 18] [Impact Index Per Article: 6.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/10/2021] [Accepted: 11/12/2021] [Indexed: 11/13/2022] Open
Abstract
This study investigated the effect of using the Internet on depression symptoms of older Chinese, based on 7,801 adults aged over 60 years from the 2018 China Family Panel Studies. Results showed that the elderly who used the Internet reported lower depression scores, and the more frequent they use Internet, the lower their depression scores. Moreover, using the Internet for social contact and entertainment decreased the depression scores of the older adults, but when using Internet for learn, work, and commercial activity, the relief of depressive symptoms disappeared. Therelief of depression symptoms through Internet use were heterogeneous among different groups: the elderly aged 60-70, women, rural residents, and those with lower education attainment. Moreover, Internet use decreased the depression scores by increasing the frequency of contact with their children and increasing the importance of their enjoyment of life. According to the relief of depression by using Internet reasonably, policies should be designed to ensure that all ages could have easy access to the Internet.
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Affiliation(s)
- Hua-Lei Yang
- School of Public Administration, Zhongnan University of Economics and Law, Wuhan, China
| | - Shuo Zhang
- School of Public Administration, Zhongnan University of Economics and Law, Wuhan, China
| | - Si-Qing Zhang
- School of Public Administration, Zhongnan University of Economics and Law, Wuhan, China
| | - Lin Xie
- Department of Population and Labor Economics, University of Chinese Academy of Social Science, Beijing, China
| | - Yuan-Yang Wu
- School of Public Administration, Zhongnan University of Economics and Law, Wuhan, China
| | - Yi-Dan Yao
- School of Public Administration, Zhongnan University of Economics and Law, Wuhan, China
| | - Li-Li Tang
- College of Chemistry and Chemical Engineering, Yantai University, Yantai, China
| | - Zhi-Yun Li
- College of Politics and Public Administration, Qingdao University, Qingdao, China
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Alonzo R, Hussain J, Stranges S, Anderson KK. Interplay between social media use, sleep quality, and mental health in youth: A systematic review. Sleep Med Rev 2020; 56:101414. [PMID: 33385767 DOI: 10.1016/j.smrv.2020.101414] [Citation(s) in RCA: 92] [Impact Index Per Article: 23.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/07/2020] [Revised: 08/27/2020] [Accepted: 08/27/2020] [Indexed: 12/11/2022]
Abstract
Social media applications are increasingly prominent among youth. This systematic review provides a comprehensive assessment of the literature on the relationship between active social media use, sleep quality, and common mental health outcomes (anxiety, depression, and psychological distress) among youth. MEDLINE, PsychINFO, EMBASE and Scopus were searched for observational studies investigating this relationship among youth (aged 16-25). Thirty-six cross-sectional studies and six prospective cohort studies met the inclusion criteria. Among cross-sectional studies, significant associations between excessive social media use with poor mental health outcomes (n = 33), poor sleep quality (n = 24), and significant associations between poor sleep quality and negative mental health (n = 16) were found. In longitudinal studies, frequent social media use was a risk factor for both poor mental health (n = 6) and poor sleep outcomes (n = 5). Some studies showed sleep quality mediating the relationship between social media use and negative mental health outcomes in youth. Overall, included evidence links excessive social media use to poor sleep quality and negative mental health in youth. Given the public health implications of sleep problems, excessive social media use warrants further investigation to clarify the directionality and strength of their associations with poor sleep quality and negative mental health outcomes.
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Affiliation(s)
- Rea Alonzo
- Department of Epidemiology & Biostatistics, The University of Western Ontario, London, Ontario, Canada
| | - Junayd Hussain
- Department of Epidemiology & Biostatistics, The University of Western Ontario, London, Ontario, Canada
| | - Saverio Stranges
- Department of Epidemiology & Biostatistics, The University of Western Ontario, London, Ontario, Canada; Department of Family Medicine, Schulich School of Medicine & Dentistry, The University of Western Ontario, London, Ontario, Canada; Department of Population Health, Luxembourg Institute of Health, Strassen, Luxembourg
| | - Kelly K Anderson
- Department of Epidemiology & Biostatistics, The University of Western Ontario, London, Ontario, Canada; Department of Psychiatry, The University of Western Ontario, London, Ontario, Canada.
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Moretta T, Chen S, Potenza MN. Mobile and non-mobile Internet Use Disorder: Specific risks and possible shared Pavlovian conditioning processes. •. J Behav Addict 2020; 9:938-941. [PMID: 33141113 PMCID: PMC8969727 DOI: 10.1556/2006.2020.00077] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/01/2020] [Revised: 09/21/2020] [Accepted: 09/21/2020] [Indexed: 12/22/2022] Open
Abstract
This commentary addresses a recent article by Montag et al. (2019) about the relevance of distinguishing between mobile and non-mobile Internet Use Disorder (IUD). In response to the review, we reflect on the clinical relevance of this distinction and, in parallel, we propose some Pavlovian conditioning processes as possible mechanisms underlying different IUDs. We believe that, from a clinical point of view, it is of fundamental importance assessing both specific "forms" of IUDs and the underlying mechanisms that would be shared across different IUDs, like multiple and parallel classes of Pavlovian responses and the influences of Internet cues on Internet-related addictive behaviors that may be influenced by the probability of obtaining Internet rewards.
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Affiliation(s)
- Tania Moretta
- Department of General Psychology, University of Padova, Padova, Italy,Corresponding authors.
| | - Shubao Chen
- Department of Psychiatry, The Second Xiangya Hospital, Central South University, Changsha, China
| | - Marc N. Potenza
- Department of Psychiatry the Child Study Center, Yale School of Medicine, New Haven, CT, USA,Connecticut Mental Health Center, New Haven, CT, USA,Connecticut Council on Problem Gambling, Wethersfield, CT, USA,Department of Neuroscience, Yale University, New Haven, CT, USA,Corresponding authors.
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49
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Pan YC, Chiu YC, Lin YH. Systematic review and meta-analysis of epidemiology of internet addiction. Neurosci Biobehav Rev 2020; 118:612-622. [PMID: 32853626 DOI: 10.1016/j.neubiorev.2020.08.013] [Citation(s) in RCA: 153] [Impact Index Per Article: 38.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/10/2020] [Revised: 07/31/2020] [Accepted: 08/14/2020] [Indexed: 01/17/2023]
Abstract
BACKGROUND The field of internet addiction has experienced significant debates on conflicting epidemiology. This meta-analysis investigated the prevalence rates of generalized internet addiction (GIA) and internet gaming disorder (IGD). METHODS We included 113 epidemiologic studies covering 693,306 subjects published from 1996 to 2018 (for 31 nations) that reported prevalence rates for GIA or IGD. We examined pooled prevalence of GIA and IGD and the hypothesized moderators including year, geographic regions, types of scales, and sample representativeness. RESULTS All 133 effect sizes included 53,184 subjects with GIA or IGD. Weighted average prevalence for GIA and IGD were 7.02 % (95 % CI, 6.09 %-8.08 %) and 2.47 % (95 % CI, 1.46 %-4.16 %) respectively. For GIA, prevalence was increased over time and prevalence rates variated among different scales. IGD prevalence was neither moderated by year, regions, nor sample representativeness. CONCLUSIONS The prevalence of GIA was higher than the prevalence of IGD. The GIA prevalence was increasing over time and variated with different assessments. Our results reveal that GIA may reflect a pattern of increasing human-machine interaction.
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Affiliation(s)
- Yuan-Chien Pan
- Department of Psychology, National Taiwan University, Taipei, Taiwan.
| | - Yu-Chuan Chiu
- Department of Psychiatry, MacKay Memorial Hospital, Taipei, Taiwan.
| | - Yu-Hsuan Lin
- Institute of Population Health Sciences, National Health Research Institutes, Miaoli, Taiwan; Department of Psychiatry, National Taiwan University Hospital, Taipei, Taiwan; Department of Psychiatry, College of Medicine, National Taiwan University, Taipei, Taiwan; Institute of Health Behaviors and Community Sciences, College of Public Health, National Taiwan University, Taipei, Taiwan.
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50
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Mak KK, Young KS, Watanabe H, Ramos MS, Nam JK. Crosscultural Measurement Invariance of the Internet Addiction Test-Revised (IAT-R) Among Japanese and Filipino University Students. CYBERPSYCHOLOGY BEHAVIOR AND SOCIAL NETWORKING 2020; 23:479-486. [DOI: 10.1089/cyber.2019.0360] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/12/2022]
Affiliation(s)
- Kwok Kei Mak
- Department of Statistics, Keimyung University, Daegu, Republic of Korea
| | - Kimberly S. Young
- School of Journalism and Mass Communication, St. Bonaventure University, Saint Bonaventure, New York, USA
| | - Hiroko Watanabe
- Department of Children and Women's Health, Osaka University Graduate School of Medicine, Osaka, Japan
| | - Milen S. Ramos
- Department of Psychiatry and Behavioral Medicine, University of Philippines, Manila, Philippines
| | - JeeEun Karin Nam
- Graduate School of Education, Ewha Womans University, Seoul, Republic of Korea
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