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Suriá-Martínez R, García-Castillo F, Villegas-Castrillo E, López-Sánchez C, Carretón-Ballester C. Negative impact of online gambling problematic in disabled and non-disabled university students: exploring the risk profile. Front Psychol 2024; 15:1429122. [PMID: 39291175 PMCID: PMC11406470 DOI: 10.3389/fpsyg.2024.1429122] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/07/2024] [Accepted: 06/10/2024] [Indexed: 09/19/2024] Open
Abstract
Introduction The rise of online gambling has brought about significant concerns, particularly regarding its impact on university students. This issue becomes even more complex when considering students with disabilities. Objectives This research examines the gambling profile and beliefs of university students based on whether they have a disability. In turn, it seeks to identify if there is a typology of at-risk gamblers according to the disability variable. Finally, it aims to find out the prevalence of gambling among students depending on whether they have a disability and the typology of at-risk gambler. Method A total of 704 university students (135 with disabilities and 569 without disabilities) completed the NODS Belief Questionnaire to assess problems associated with gambling and to generate a typological grouping of risk gamblers, as well as a questionnaire designed specifically for the gambler profile. Results It was found that a small percentage of participants engage in gambling on a daily basis, with a higher frequency among students with disabilities. In addition, it was observed that the behavior and concern about financial expenditure on gambling interferes with their daily activities and is a cause for concern, with higher risk being observed to a greater extent in students with disabilities. Discussion These data suggest the importance for universities and relevant authorities to address these problems comprehensively, providing adequate resources for students with disabilities and promoting a culture of wellbeing that discourages problematic gambling activities and encourages healthy alternatives for entertainment and stress management.
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Affiliation(s)
- Raquel Suriá-Martínez
- Department of Communication and Social Psychology, Universidad de Alicante, Alicante, Comunidad Valeciana, Spain
| | | | - Esther Villegas-Castrillo
- Department of Social Work and Social Affairs, Universidad de Alicante, Alicante, Comunidad Valeciana, Spain
| | - Carmen López-Sánchez
- Department of Communication and Social Psychology, Universidad de Alicante, Alicante, Comunidad Valeciana, Spain
| | - Carmen Carretón-Ballester
- Department of Communication and Social Psychology, Universidad de Alicante, Alicante, Comunidad Valeciana, Spain
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Yao L, Liang K, Huang L, Xiao J, Zhou K, Chen S, Chi X. Longitudinal Associations between Healthy Eating Habits, Resilience, Insomnia, and Internet Addiction in Chinese College Students: A Cross-Lagged Panel Analysis. Nutrients 2024; 16:2470. [PMID: 39125349 PMCID: PMC11313817 DOI: 10.3390/nu16152470] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/11/2024] [Revised: 07/14/2024] [Accepted: 07/25/2024] [Indexed: 08/12/2024] Open
Abstract
This study aimed to explore the longitudinal associations between healthy eating habits, resilience, insomnia, and Internet addiction by using a cross-lagged panel analysis of Chinese college students. Overall, 807 Chinese college students completed questionnaires on healthy eating habits, resilience, insomnia, and Internet addiction from August 2020 (time 1, T1) to November 2020 (time 2, T2), and were selected for the data analyses. Healthy eating habits (T1) had significant effects on resilience (T2; β = 0.064, p < 0.05) and insomnia (T2; β = -0.064, p < 0.05), but not Internet addiction (T2; β = -0.028, p > 0.05). Insomnia (T1) negatively predicted resilience (T2; β = -0.098, p < 0.01). Insomnia was bidirectionally associated with Internet addiction (Internet addiction at T1 to insomnia at T2: β = 0.085, p < 0.01; insomnia at T1 to Internet addiction at T2: β = 0.070, p < 0.05). Additionally, Internet addiction (T1) significantly predicted resilience (T2; β = -0.075, p < 0.05). This study further expanded the understanding of the longitudinal associations between healthy eating habits, resilience, insomnia, and Internet addiction, which provided higher-level evidence and important implications for the interventions for reducing college students' Internet addiction, developing healthy eating habits, and improving resilience and sleep health.
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Affiliation(s)
- Liqing Yao
- School of Psychology, Shenzhen University, Shenzhen 518060, China
- Faculty of Medicine, Medical Sciences Division, Macau University of Science and Technology, Macau 999078, China
- Department of Maternal and Child Health, School of Public Health, Sun Yat-sen University, Guangzhou 510080, China
| | - Kaixin Liang
- Department of Psychology, Faculty of Social Sciences, University of Macau, Macau 999078, China
| | - Liuyue Huang
- Department of Psychology, Faculty of Social Sciences, University of Macau, Macau 999078, China
| | - Jialin Xiao
- Department of Psychology, Faculty of Social Sciences, Lingnan University, Hong Kong 999077, China
| | - Kaiji Zhou
- Department of Applied Social Sciences, The Hong Kong Polytechnic University, Hong Kong 999077, China
| | - Sitong Chen
- Institute for Health and Sport, Victoria University, Melbourne 8001, Australia
| | - Xinli Chi
- School of Psychology, Shenzhen University, Shenzhen 518060, China
- The Shenzhen Humanities & Social Sciences Key Research Bases of the Center for Mental Health, Shenzhen University, Shenzhen 518060, China
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Kiviruusu O. Excessive internet use among Finnish young people between 2017 and 2021 and the effect of COVID-19. Soc Psychiatry Psychiatr Epidemiol 2024:10.1007/s00127-024-02723-0. [PMID: 38985326 DOI: 10.1007/s00127-024-02723-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/13/2023] [Accepted: 06/24/2024] [Indexed: 07/11/2024]
Abstract
PURPOSE An increase in excessive Internet use (EIU) among adolescents during the COVID-19 pandemic was suggested in many studies. However, these studies were mostly based on cross-sectional and/or unrepresentative samples. METHODS Using data from a nationwide Finnish school survey in the years 2017, 2019 and 2021 (N = 450,864; aged 13-20 years), changes in the prevalence of EIU (EIUS, 5-item) were assessed. The effects of COVID-19 (year 2021 vs. 2017/2019 combined) and linear trend were analyzed in logistic regression models. Models were adjusted for loneliness, depression, anxiety, and sociodemographic factors. RESULTS Among males, EIU prevalence varied minimally (7.8-8.1%) from 2017 to 2021. Among females, the prevalence increased from 6.8 to 11.7% and the effect of COVID-19 was significant (OR = 1.53; p < 0.001). Including the linear trend in the model turned the COVID-19 effect on EIU among females non-significant (p = 0.625), whereas the trend was significant (OR = 1.17; p < 0.001). Adjusting the models with mental health-related factors attenuated the effect of COVID-19 to some extent, but not the effect of linear trend. CONCLUSIONS There is a sex difference in the way the prevalence of EIU developed from 2017 to 2021 among Finnish adolescents. In males, there was no indication of increased prevalence of EIU and among females, while the effect of COVID-19 was first found, it was also suggested to be a product of a trend already started before the COVID-19 pandemic. These results are in contrast with some earlier studies suggesting an effect of COVID-19 on EIU.
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Affiliation(s)
- Olli Kiviruusu
- Mental Health Team, Department of Public Health and Welfare, Finnish Institute for Health and Welfare, P.O. Box 30, Helsinki, 00271, Finland.
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Miao S, Xu L, Gao S, Bai C, Huang Y, Peng B. The association between anxiety and internet addiction among left-behind secondary school students: the moderating effect of social support and family types. BMC Psychiatry 2024; 24:406. [PMID: 38811914 PMCID: PMC11138066 DOI: 10.1186/s12888-024-05855-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/13/2023] [Accepted: 05/17/2024] [Indexed: 05/31/2024] Open
Abstract
BACKGROUND The left-behind children (LBC), children and adolescents aged 0-18 whose parents have migrated for economic purposes for extended periods exceeding three months, present a unique social concern. These children remain in their place of household registration, often under the guardianship of relatives, while receiving compulsory education. LBC with growing Internet addiction (IA) have made it urgent to take a close look at the mechanisms and effective interventions for them. Anxiety has been proven to be correlated with IA in adolescents; however, the mechanisms of addiction in this population are less well-fully grasped. Based on the current theories and empirical results, the study examined whether and how social support (SS) and family types moderated the associations between anxiety and IA among left-behind secondary students. METHODS Stratified cluster sampling survey. A questionnaire was administered to 5290 secondary school children (2553 classified as left-behind) to explore the relationships between anxiety, IA, left-behind types, family types, and social support. This cross-sectional study employed a stratified cluster sampling survey of students in the ethnic areas of southeast Chongqing. The study sought to appraise the relationships between anxiety and IA in different types of left-behind children and to assess the potential moderating effect of SS on the relationship among the population and its family types differences. RESULTS The relationship between anxiety and IA was moderated significantly by social support and family types. Notably, the impact of social support on the moderating effect between IA and anxiety varied among students from both family types. For students from families where both parents had migrated, social support weakened the association between IA and anxiety. Conversely, for students from single-parent families where the parent had migrated, social support seemed to strengthen the relationships between these two issues. CONCLUSIONS The moderating effects of SS on the relationship between anxiety and IA differs based on family type among various groups of left-behind secondary students. Gaining insights into the IA mechanisms can guide the development of targeted intervention strategies aimed at minimizing IA among diverse groups of left-behind students.
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Affiliation(s)
- Siwei Miao
- Centre for Medical Big Data and Artificial Intelligence, Southwest Hospital of Third Military Medical University, Chongqing, 400038, China
| | - Lu Xu
- School of Pharmacy, Chongqing Medical and Pharmaceutical College, Chongqing, 401331, China
| | - Sihong Gao
- Chongqing Fuling District Center for Disease Control and Prevention, Chongqing, 408000, China
| | - Cuiping Bai
- Xiushan Traditional Chinese Medicine Hospital, Chongqing, 409900, China
| | - Yan Huang
- Chongqing Traditional Chinese Medicine Hospital, Chongqing, 400021, China.
| | - Bin Peng
- Department of Health Statistics, School of Public Health, Chongqing Medical University, Chongqing, 400016, China.
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Szapary A, Feher G, Radvanyi I, Fejes E, Nagy GD, Jancsak C, Horvath L, Banko Z, Berke G, Kapus K. Problematic usage of the internet among Hungarian elementary school children: a cross-sectional study. BMC Public Health 2024; 24:1073. [PMID: 38632614 PMCID: PMC11025196 DOI: 10.1186/s12889-024-18593-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/10/2023] [Accepted: 04/15/2024] [Indexed: 04/19/2024] Open
Abstract
INTRODUCTION Problematic usage of the internet (PUI) is perhaps one of the most frequently studied phenomena of the 21st century receiving increasing attention in both scientific literature and the media. Despite intensive research there have been relatively few meaningful studies among elementary school students in Hungary and worldwide, who may be considered as a high-risk population with regard to problematic internet use. The aim of our study was to carry out a complex research focusing on the prevalence and risk factors of PUI among elementary school children aged 10-15 years (Grade 5-8). METHODS Demographics included were gender, age, place of stay, type of residence, family type, parental education, start of internet use, used devices, daily internet use, purpose of internet use, internet accounts, ways of keeping in touch with friends and sporting activities. PUI was evaluated using the paper-based version of the Potentially Problematic Use of the Internet Questionnaire. RESULTS Overall, 2000 paper-based questionnaires were successfully delivered and the final analysis included 1168 responses (overall response rate 58.4%). Mean age was 12.55 ± 1.24 years. Female gender (OR = 2.760, p = 0,006, CI 95% 0.065 to 0.384), younger age (11-12 years) (OR = 3.812, p < 0.001, 95% CI: 1.747-4.731), early exposure to the internet (OR = 3.466, p = 0.001, 95% CI 1.535-5.446), living in a small village (OR = 1.081, p = 0.002, 95% CI 1.041-1.186) urgency to answer online (OR = 4.677, p < 0.001, 95% CI: 2.714-6.639), decreased frequency of personal contact with friends (OR = 2.897, p = 0.004, 95% CI: 1.037-1.681), spending more than 6 h online (OR = 12.913, p < 0.001, 95% CI: 10.798-14.892), morning and nighttime internet use (OR = 3.846, p < 0.001, CI 95% 1.886-5.810) and never doing any sports (OR = 2.016, p = 0.044, 95% CI: 1.050-3.354) were independently associated with problematic internet use. CONCLUSIONS Based on the results of our questionnaire survey more than 10% seemed to be problematic users in our study population, which is a relatively high rate. Early exposure to the internet as well as younger age were strongly related to this phenomenon. Duration of being online as well as daily time interval of internet use are important predisposing factors. Scarcely studied social factors such as being online at the expense of personal relationships and the lack of physical activity should be payed more attention to prevent the development of PUI.
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Affiliation(s)
- Adam Szapary
- Centre for Occupational Medicine, Medical School, University of Pécs, Nyár u. 8, Pécs, 7624, Hungary
| | - Gergely Feher
- Centre for Occupational Medicine, Medical School, University of Pécs, Nyár u. 8, Pécs, 7624, Hungary.
- Department of Primary Health Care, University of Pécs, Pécs, 7623, Hungary.
- Interdisciplinary R&D and Innovation Center of Excellence, Social Responsibility Competence Centre, University of Szeged, Szeged, 6720, Hungary.
| | - Ildiko Radvanyi
- Centre for Occupational Medicine, Medical School, University of Pécs, Nyár u. 8, Pécs, 7624, Hungary
| | - Eva Fejes
- Hospital of Komló, Komló, 7300, Hungary
| | - Gabor Daniel Nagy
- Interdisciplinary R&D and Innovation Center of Excellence, Social Responsibility Competence Centre, University of Szeged, Szeged, 6720, Hungary
- JGYPK Department of Applied Social Sciences, University of Szeged, Szeged, 6720, Hungary
| | - Csaba Jancsak
- Interdisciplinary R&D and Innovation Center of Excellence, Social Responsibility Competence Centre, University of Szeged, Szeged, 6720, Hungary
- JGYPK Department of Applied Social Sciences, University of Szeged, Szeged, 6720, Hungary
| | - Lilla Horvath
- Centre for Occupational Medicine, Medical School, University of Pécs, Nyár u. 8, Pécs, 7624, Hungary
| | - Zoltan Banko
- Department of Labour Law and Social Security Law, Faculty of Law, University of Pécs, Pécs, 7622, Hungary
| | - Gyula Berke
- Department of Labour Law and Social Security Law, Faculty of Law, University of Pécs, Pécs, 7622, Hungary
| | - Krisztian Kapus
- Department of Primary Health Care, University of Pécs, Pécs, 7623, Hungary
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Zhang Y, Li J, Zhang M, Ai B, Jia F. Bidirectional associations between loneliness and problematic internet use: A meta-analytic review of longitudinal studies. Addict Behav 2024; 150:107916. [PMID: 37995611 DOI: 10.1016/j.addbeh.2023.107916] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/01/2023] [Revised: 11/15/2023] [Accepted: 11/19/2023] [Indexed: 11/25/2023]
Abstract
BACKGROUND Loneliness and problematic Internet use (PIU) are both major public health concerns around the world. These two constructs have long been linked, but there is conflicting evidence regarding the temporal nature of the loneliness-PIU relationship. METHOD We searched 8 databases to identify studies examining longitudinal associations between loneliness and PIU published on or before August 2023. From the 316 articles identified, 26 studies were included with a total of 23,382 participants. RESULTS Moderate, positive, and significant prospective pathways were found from loneliness to PIU (r = 0.287, p < 0.001, 95 % CI [0.241, 0.331]), and from PIU to loneliness (r = 0.255, p < 0.001, 95 % CI [0.205, 0.303]). Moderator analyses suggested that the association of loneliness with PIU was stronger in samples from Eastern countries, with more males, more young adults, less time passed, and in more recent years. The association of PIU with loneliness was stronger in samples from Eastern countries, with more males, more young adults, and in more recent years. CONCLUSIONS This meta-analytic review provided the first estimation for the overall bidirectional longitudinal associations between loneliness and PIU. A deeper comprehension of the relations has implications for loneliness and PIU intervention programs, where interventions targeting both constructs might be fruitfully applied.
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Affiliation(s)
- Yijing Zhang
- Department of Social Work, The Chinese University of Hong Kong, 999077, Hong Kong.
| | - Jun Li
- School of Psychology, South China Normal University, Guangzhou 510631, China
| | - Mengmeng Zhang
- School of Education, Minzu University of China, Beijing 100081, China
| | - Bote Ai
- Department of Linguistics, The Chinese University of Hong Kong, 999077, Hong Kong
| | - Fenglin Jia
- Department of Curriculum and Instruction, The Education University of Hong Kong, 999077, Hong Kong
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Dai Y, Zhang C, Zhang L, Wen C, Li H, Zhu T. Genetic polymorphism in HTR2A rs6313 is associated with internet addiction disorder. Front Psychiatry 2024; 15:1292877. [PMID: 38419907 PMCID: PMC10899489 DOI: 10.3389/fpsyt.2024.1292877] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/03/2023] [Accepted: 01/29/2024] [Indexed: 03/02/2024] Open
Abstract
Introduction Internet addiction disorder (IAD) has grown into public health concern of global proportions. Previous studies have indicated that individuals with IAD may exhibit altered levels of serotonin and dopamine, which are known to play crucial roles in depression, anxiety, impulsivity, and addiction. Therefore, polymorphisms in the receptors that mediate the effects of serotonin and dopamine and affect their functional states as well as their activities are suspect. In this study, we aimed to investigate the association between IAD and rs6313 (T102C) polymorphism in the serotonin 2A receptor (5-HT2A) gene, (HTR2A). Methods Twenty patients with IAD and twenty healthy controls (HCs) were included in this study. Young's Internet Addiction Test (IAT), Self-Rating Anxiety Scale, Self-Rating Depression Scale, Yale-Brown Obsessive-Compulsive Scale (Y-BOCS), Barratt Impulse Scale, Pittsburgh Sleep Quality Index (PSQI), and Social Support Rating Scale (SSRS) were used to assess the severity of internet addiction, mental status, impulsive traits, sleep quality, and social support. Genotyping was performed to identify rs6313 polymorphisms in the HTR2A gene of all participants. Results The frequencies of the C and T alleles of HTR2A T102C were 28% and 72% in the IAD group and 53% and 47% in the HCs group, respectively, indicating that the differences between these two groups were significant. No significant difference was observed in the distribution of the CC, CT, and TT genotypes of HTR2A gene T102C between the IAD and the HCs groups. Additionally, there was no difference in the distribution of the frequencies of the HTR2A gene T102C CC and CT+TT genotypes between the two groups. However, the distribution between the TT and CC+CT genotypes showed an apparent statistical difference in the HTR2A gene T102C between the two groups. Correlation analysis indicated that the IAT score was positively correlated with the Y-BOCS and BIS scores for the CC+CT genotype in patients with IAD. Moreover, the IAT score was positively correlated with the PSQI score in patients with IAD carrying the TT genotype. Conclusion The present study demonstrates that rs6313 in HTR2A is associated with IAD, and that the T allele of rs6313 in HTR2A may be a risk factor for IAD.
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Affiliation(s)
- Yu Dai
- Department of Traditional Chinese Medicine, Chengdu Eighth People's Hospital (Geriatric Hospital of Chengdu Medical College), Chengdu, China
- College of Rehabilitation and Health Preservation, Chengdu University of Traditional Chinese Medicine, Chengdu, China
| | - Chenchen Zhang
- Department of Rehabilitation, Traditional Chinese Medicine Hospital of Longquanyi District, Chengdu, China
| | - Lingrui Zhang
- Department of Medicine, Leshan Vocational and Technical College, Leshan, China
| | - Chao Wen
- College of Rehabilitation and Health Preservation, Chengdu University of Traditional Chinese Medicine, Chengdu, China
| | - Hongya Li
- College of Rehabilitation and Health Preservation, Chengdu University of Traditional Chinese Medicine, Chengdu, China
| | - Tianmin Zhu
- College of Rehabilitation and Health Preservation, Chengdu University of Traditional Chinese Medicine, Chengdu, China
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Dai B, Lin Y, Lai X, He J, Du M, Hou X, Zhang G. The effects of self-esteem and parental phubbing on adolescent internet addiction and the moderating role of the classroom environment: a hierarchical linear model analysis. BMC Psychiatry 2024; 24:55. [PMID: 38243210 PMCID: PMC10799362 DOI: 10.1186/s12888-023-05489-y] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/01/2023] [Accepted: 12/31/2023] [Indexed: 01/21/2024] Open
Abstract
BACKGROUND With the advent of the new media era, the understanding of adolescent internet addiction needs to be enriched. It is also necessary to distinguish the related factors of adolescent internet addiction at different levels to clarify the mechanisms of this phenomenon. METHODS This study used hierarchical linear model analysis to explore the effects of student-level factors and school-level factors on adolescent internet addiction, along with cross-level moderating effects. A total of 1,912 students between the 4th and 8th grades in China participated in the study. Participants completed the Self-Esteem Scale, Parents Phubbing Scale, Classroom Environment Scale, and the Diagnostic Questionnaire of Internet Addiction. RESULTS Correlational analyses revealed that internet addiction was found to be negatively correlated with both self-esteem and the teacher-student relationship (p < 0.01), while father phubbing, mother phubbing, and learning burden were shown to positively correlate with internet addiction (p < 0.01). Hierarchical linear model analysis suggested that student-level variables, including self-esteem, and mother phubbing, were significant predictors of internet addiction (β = -0.077, p < 0.001 and β = 0.028, p < 0.01, respectively). At the school level, learning burden significantly and negatively predicted internet addiction (β = 0.073, p < 0.05). Furthermore, the relationship between self-esteem and internet addiction was significantly moderated by learning burden (β = -0.007, p < 0.05). Meanwhile, the teacher-student relationship also had a significant moderating effect on the association between mother phubbing and internet addiction (β = -0.005, p < 0.01). CONCLUSIONS This study revealed the relationships between self-esteem, parental phubbing, and classroom environment with adolescent internet addiction, and these findings could provide insights into reducing adolescent internet addiction from the perspective of individuals, families, and schools.
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Affiliation(s)
- Bibing Dai
- Department of Psychiatry and Psychology, School of Basic Medical Sciences, Tianjin Medical University, Tianjin, China
| | - Yan Lin
- Department of Psychiatry and Psychology, School of Basic Medical Sciences, Tianjin Medical University, Tianjin, China
| | - Xinyi Lai
- Department of Psychology, School of Mental Health, Wenzhou Medical University, Wenzhou, China
| | - Jiankang He
- Department of Psychology, School of Mental Health, Wenzhou Medical University, Wenzhou, China
| | - Mingxuan Du
- Department of Psychology, School of Mental Health, Wenzhou Medical University, Wenzhou, China
| | - Xiaowen Hou
- Department of Psychiatry and Psychology, School of Basic Medical Sciences, Tianjin Medical University, Tianjin, China
| | - Guohua Zhang
- Department of Psychology, School of Mental Health, Wenzhou Medical University, Wenzhou, China.
- Zhejiang Provincial Clinical Research Center for Mental Disorders, The Affiliated Wenzhou Kangning Hospital, Wenzhou Medical University, Wenzhou, China.
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9
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Yao L, Liang K, Huang L, Chi X. Relationship between fruit and vegetable consumption and internet addiction with insomnia and depression as multiple mediators during the COVID-19 pandemic: a three-wave longitudinal study in Chinese college students. BMC Psychiatry 2023; 23:939. [PMID: 38093234 PMCID: PMC10720225 DOI: 10.1186/s12888-023-05415-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/24/2023] [Accepted: 11/28/2023] [Indexed: 12/17/2023] Open
Abstract
BACKGROUND The relationships between fruit and vegetable consumption (FV) and Internet addiction (IA) in college students still remained unknown together with the internal mechanisms. Given the limitations of previous cross-sectional design, longitudinal research was necessary to be conducted to explore more precise correlations. Using the three-wave data in a longitudinal design, this study aimed to explore the association between FV and IA among Chinese college students and potential multiple mediators of insomnia and depression during the COVID-19 pandemic. METHODS A total of 579 college students were recruited during three waves (T1: August 2020; T2: November 2020; T3: February 2021). FV (T1), insomnia (T2), depression (T2) and IA (T3) symptoms were reported. The descriptive statistics of the sociodemographic characteristics and correlation analyses of the study variables were calculated. The significance of the mediation effects was measured conducting a bootstrap method with SPSS PROCESS macro. RESULTS FV was negatively correlated with IA, and lower FV predicted higher risk of IA. Depression mediated the association between FV and subsequent IA. Insomnia and depression were multiple mediators, which in turn mediated the links between FV and subsequent IA. CONCLUSIONS The three-wave longitudinal study has revealed that FV had indirect effects on IA through individual mediating factor of depression and multiple mediating roles of insomnia and depression sequentially. The policy makers, educators and researchers should pay attention to the impact of the interventions from healthy diet, in order to optimize the coping strategies for preventing college students from IA.
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Affiliation(s)
- Liqing Yao
- School of Pharmacy, Guangdong Pharmaceutical University, Guangzhou, China
- Faculty of Medicine, Medical Sciences Division, Macau University of Science and Technology, Macau, China
| | - Kaixin Liang
- School of Psychology, Shenzhen University, Shenzhen, China
- The Shenzhen Humanities & Social Sciences Key Research Bases of the Center for Mental Health, Shenzhen University, Shenzhen, China
- Department of Psychology, Faculty of Social Sciences, University of Macau, Macau, China
| | - Liuyue Huang
- Department of Psychology, Faculty of Social Sciences, University of Macau, Macau, China
| | - Xinli Chi
- School of Psychology, Shenzhen University, Shenzhen, China.
- The Shenzhen Humanities & Social Sciences Key Research Bases of the Center for Mental Health, Shenzhen University, Shenzhen, China.
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10
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Zhu Y, Chen H, Li J, Mei X, Wang W. Effects of different interventions on internet addiction: a systematic review and network meta-analysis. BMC Psychiatry 2023; 23:921. [PMID: 38066462 PMCID: PMC10704804 DOI: 10.1186/s12888-023-05400-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/14/2023] [Accepted: 11/24/2023] [Indexed: 12/18/2023] Open
Abstract
BACKGROUND Globally, Internet is a recognized form of leisure, but there are growing apprehensions about the increasing number of individuals developing an addiction to it. Recent research has focused on social issues associated with internet addiction (IA). However, the treatment of IA is currently unclear. This study aimed to explore the relationship between IA treatment outcomes and different intervention strategies through systematic review and data analysis of patients who received different intervention modes. METHODS A meta-analysis was conducted using RevMan 5.4 and Stata 14.2 on 57 literature research data from five Chinese and English databases, PubMed, Embase, Web of Science, Wanfang and CNKI. RESULT A total of 57 randomized controlled trials (RCTs) were included in this network meta-analysis involving 3538 IA patients and 13 different interventions. The network meta-analysis results demonstrated that the top four interventions were: rTMS + CBT, drug + others, rTMS, and electro-acupuncture + CBT. CONCLUSION Our study indicated that comprehensive therapy had an optimal therapeutic effect on IA patients and rTMS + CBT ranked first among all therapeutic indicators of intervention, indicating optimal clinical effectiveness.
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Affiliation(s)
- Yuqiong Zhu
- School of Mental Health, Bengbu Medical College, Bengbu, Anhui, 233030, China
| | - Haihan Chen
- School of Second Clinical College, Zhejiang Chinese Medical University, Hangzhou, Zhejiang, 310053, China
| | - Junda Li
- School of Mental Health, Bengbu Medical College, Bengbu, Anhui, 233030, China
| | - Xian Mei
- School of Qian Xuesen College, Xi'an Jiaotong University, Xi'an, Shanxi, 710049, China
| | - Wenjuan Wang
- School of Mental Health, Bengbu Medical College, Bengbu, Anhui, 233030, China.
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Bachert P, Wolbring L, Hildebrand C, Woll A, Wäsche H. Analyzing mechanisms of interdisciplinary cooperation in promoting students' health at university. BMC Public Health 2023; 23:1911. [PMID: 37789303 PMCID: PMC10548763 DOI: 10.1186/s12889-023-16786-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/20/2022] [Accepted: 09/18/2023] [Indexed: 10/05/2023] Open
Abstract
BACKGROUND Interdisciplinary cooperation among university actors and resulting intersectoral synergies are considered cornerstones in the process of incorporating health promotion practices in everyday university life in order to break down barriers and provide better access to health promotion services. To date, no network of a health-promoting university has been examined regarding the processes underlying tie formation, network emergence, and maintenance. OBJECTIVES AND METHODS The goals of this study are to obtain insight into the mechanisms of cooperation between university actors in a health-promoting network and to identify the structural and attributive factors associated with establishing cooperation between actors in the observed network in order to better understand how to build and develop successful networks in the future. For this purpose, a social network analysis was carried out and exponential random graph models were estimated to test corresponding hypotheses. RESULTS The network at hand consists of 33 actors (e.g. University Sports Center, General Student Committee) and shows a flat, non-hierarchical structure. Data reveal that attributed competence predicts cooperation (0.32; p < 0.05). Significant homophily effects among student actors (1.31; p < 0.05) and among university actors (0.59; p < 0.05) were found. All structural predictors examined were significant (0.22-5.40; p < 0.05) and are therefore essential in determining the likelihood of cooperation between actors involved in the network. CONCLUSION The results of this study provide for a better understanding of the mechanisms of cooperation and can be used to further develop the network at hand (e.g. selection of key actors for information dissemination or integration of peripheral actors). In addition, the findings offer starting points for sustained network development at other universities (e.g. significance of network governance form or goal consensus). Knowing the factors that influence the network structure, here the conditions of cooperation, results in opportunities to encourage empowerment among actors. However, the analysis of the network undertaken does not directly bear on the success of the network.
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Affiliation(s)
- Philip Bachert
- Institute of Sports and Sports Science, Karlsruhe Institute of Technology, Karlsruhe, Germany.
| | - Laura Wolbring
- Institute of Sports and Sports Science, Karlsruhe Institute of Technology, Karlsruhe, Germany
| | - Claudia Hildebrand
- Institute of Sports and Sports Science, Karlsruhe Institute of Technology, Karlsruhe, Germany
| | - Alexander Woll
- Institute of Sports and Sports Science, Karlsruhe Institute of Technology, Karlsruhe, Germany
| | - Hagen Wäsche
- Institute of Sports and Sports Science, Karlsruhe Institute of Technology, Karlsruhe, Germany
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Kang M, Xu B, Chen C, Wang D. Internet addiction and suicidal ideation among Chinese college students: the mediating role of psychotic-like experiences. Front Public Health 2023; 11:1276496. [PMID: 37841710 PMCID: PMC10568022 DOI: 10.3389/fpubh.2023.1276496] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/12/2023] [Accepted: 09/13/2023] [Indexed: 10/17/2023] Open
Abstract
Background Individuals with Internet addiction (IA) are at significant risk of suicide-related behaviors. This study aimed to investigate the relationships among IA, psychotic-like experiences (PLEs), and suicidal ideation (SI) among college students. Methods A total of 5,366 college students (34.4% male, mean age 20.02 years) were assessed using the self-compiled sociodemographic questionnaires, Revised Chinese Internet Addiction Scale (CIAS-R), 15-item Positive subscale of the Community Assessment of Psychic Experiences (CAPE-P15), Self-rating Idea of Suicide Scale (SIOSS), and 2-item Patient Health Questionnaire (PHQ-2). Results The prevalence of IA and SI were 9.3 and 12.1% among Chinese college students, respectively. There were direct effects of IA and PLEs on SI. The total effect of IA on SI was 0.18 (p < 0.001). PLEs mediated the relationship between IA and SI (Indirect effect = 0.07). Conclusion IA had both direct and indirect effects on SI. These findings enable us to elucidate the mechanism of how IA influences individual SI, which can provide vital information for developing and implementing targeted interventions and strategies to alleviate SI among Chinese college students.
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Affiliation(s)
- Meng Kang
- Graduate Institute for Taiwan Studies, Xiamen University, Xiamen, China
| | - Bingna Xu
- Institute of Education, Xiamen University, Xiamen, China
| | - Chunping Chen
- Institute of Education, Xiamen University, Xiamen, China
| | - Dongfang Wang
- School of Psychology, Centre for Studies of Psychological Applications, Guangdong Key Laboratory of Mental Health and Cognitive Science, Ministry of Education Key Laboratory of Brain Cognition and Educational Science, South China Normal University, Guangzhou, China
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Niu X, Li JY, King DL, Rost DH, Wang HZ, Wang JL. The relationship between parenting styles and adolescent problematic Internet use: A three-level meta-analysis. J Behav Addict 2023; 12:652-669. [PMID: 37725505 PMCID: PMC10562819 DOI: 10.1556/2006.2023.00043] [Citation(s) in RCA: 4] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/02/2023] [Revised: 06/01/2023] [Accepted: 07/22/2023] [Indexed: 09/21/2023] Open
Abstract
Background and aims Problematic Internet use (PIU) has become a global public health problem. It has been suggested that parenting style is associated with adolescent PIU. However, the evidence in favor of this view is mixed. Based on the PRISMA method, the present study employed three-level meta-analysis approach to investigate the relationship between these two variables and further explore potential moderators. Methods After a systematic search for published articles, 35 studies were included, reporting 171 effect sizes (N = 40,587). Results The results showed that positive parenting styles were significantly negatively related to PIU. This association was moderated by gender, age, publication year, and measurements of PIU, but was not by culture and measurements of parenting styles. Negative parenting styles were significantly positively related to PIU, which was moderated by publication year, culture, and sub-types of negative parenting, but not by gender, age, and measurements of both parenting styles and PIU. In addition, the correlation of PIU with negative parenting styles was stronger than that with positive parenting styles. Discussion and Conclusions The present results demonstrated that parenting styles, especially punitive parenting styles, should be attached to more important when treating adolescent PIU.
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Affiliation(s)
- Xiang Niu
- Center for Mental Health Education, School of Psychology, Southwest University, Chongqing, 400715, China
| | - Jie-yang Li
- Center for Mental Health Education, School of Psychology, Southwest University, Chongqing, 400715, China
| | - Daniel L. King
- College of Education, Psychology and Social Work, Flinders University, Adelaide, Australia
| | - Detlef H. Rost
- Center for Mental Health Education, School of Psychology, Southwest University, Chongqing, 400715, China
- Faculty of Psychology, Philipps-University of Marburg, Germany
| | - Hai-Zhen Wang
- Preschool Education College, Chongqing Youth and Vocational Technical College, Chongqing, China
| | - Jin-Liang Wang
- Center for Mental Health Education, School of Psychology, Southwest University, Chongqing, 400715, China
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Rajasekhar T, Naveen KHS, Raghav P, Aneja J, Thirunavukkarasu P, Dutta G, Srinivasan S, Sharma PP, Gupta MK, Goel AD. Exploring internet addiction and its associated factors among college students in Western Rajasthan, India: A mixed-methods study. Indian J Psychiatry 2023; 65:839-852. [PMID: 37736232 PMCID: PMC10510635 DOI: 10.4103/indianjpsychiatry.indianjpsychiatry_201_23] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/20/2023] [Revised: 06/28/2023] [Accepted: 07/12/2023] [Indexed: 09/23/2023] Open
Abstract
Background With near universal use of internet by college students, there is propensity for internet addiction (IA) among them. This study aimed to estimate the prevalence and predict the factors for internet addiction among college students in Jodhpur, Rajasthan, India, and qualitatively explore the factors associated with internet addiction. Materials and Methods Explanatory sequential (QUAN-QUAL) mixed-methods design was used. A cross-sectional questionnaire-based survey was conducted among three streams of undergraduate colleges (health, engineering, and others). Survey instruments included Young's internet addiction test (IAT), Pittsburgh Sleep Quality Index (PSQI), and Depression, Anxiety, and Stress Scale-21 (DASS-21) Items. Focus group discussions (FGDs) and in-depth interviews (IDIs) among the students with mild-to-moderate levels of addiction were conducted to understand the reasons for excessive internet use. Results The prevalence of internet addiction (IA) among the college students was 51% and the rates for mild, moderate, and severe addiction were 31.8%, 18.5%, and 0.7%, respectively. Predictors of IA were male gender, age in years, age of first internet use in years, urban origin, accessing internet at college, mobile internet use, using internet to make online friendship, sleep disturbance, depression, anxiety, and stress. Qualitative study identified five major themes related to situations initiating internet use for nonacademic purpose, content of internet use, triggers for internet overuse/addiction (IA), perceived impact of IA, and measures to overcome IA. Conclusions Internet addiction was found to be highly prevalent in college students across various streams. Qualitative results provide deeper insights into IA among college students. It is imperative to screen for IA among the students and devise suitable preventive interventions, which can be easily implemented at community level.
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Affiliation(s)
- Thota Rajasekhar
- Department of Community Medicine, Narayana Medical College, Nellore, Andhra Pradesh, India
| | - Kikkeri Hanumantha Setty Naveen
- Department of Community Medicine and Family Medicine, All India Institute of Medical Sciences (AIIMS), Jodhpur, Rajasthan, India
| | - Pankaja Raghav
- Department of Community Medicine and Family Medicine, All India Institute of Medical Sciences (AIIMS), Jodhpur, Rajasthan, India
| | - Jitender Aneja
- Department of Psychiatry, All India Institute of Medical Sciences (AIIMS), Bathinda, Punjab, India
| | - Prasanna Thirunavukkarasu
- Department of Community Medicine and Family Medicine, All India Institute of Medical Sciences (AIIMS), Jodhpur, Rajasthan, India
| | - Gitashree Dutta
- Department of Community Medicine and Family Medicine, All India Institute of Medical Sciences (AIIMS), Jodhpur, Rajasthan, India
| | - Srikanth Srinivasan
- Department of Community Medicine and Family Medicine, All India Institute of Medical Sciences (AIIMS), Jodhpur, Rajasthan, India
| | - Prem Prakash Sharma
- Department of Community Medicine and Family Medicine, All India Institute of Medical Sciences (AIIMS), Jodhpur, Rajasthan, India
| | - Manoj Kumar Gupta
- Department of Community Medicine and Family Medicine, All India Institute of Medical Sciences (AIIMS), Jodhpur, Rajasthan, India
| | - Akhil Dhanesh Goel
- Department of Community Medicine and Family Medicine, All India Institute of Medical Sciences (AIIMS), Jodhpur, Rajasthan, India
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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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Social anhedonia affects the trajectory of internet addiction in the college students: A latent growth curve analysis. J Affect Disord 2023; 326:83-88. [PMID: 36717029 DOI: 10.1016/j.jad.2023.01.039] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/16/2022] [Revised: 12/23/2022] [Accepted: 01/08/2023] [Indexed: 01/29/2023]
Abstract
BACKGROUND/AIM There is growing awareness that anhedonia plays a critical role in the development of Internet Addictions (IA). However, anhedonia is a multidimensional construct and different aspects of anhedonia may exert different effects on IA. This study was designed to distinguish the effects of social anhedonia and physical anhedonia on the developmental trajectory of IA among college students. METHODS A total of 3577 Chinese college freshmen (Mage = 18.01, SD = 0.77; 65.4 % girls) participated in a 2-year, four waves longitudinal tracking study. The latent growth curve model (LGCM) was constructed to examine the impacts of different types of anhedonia on the developmental trajectories of IA. Gender was also added to the conditional LGCM as time-invariant variable. RESULTS The results of unconditional LGCM showed a U-shape developmental trajectory of IA. Social anhedonia significantly affected the intercept (β = 0.468, p < 0.001) and significantly affected the linear slope (β = -0.259, p < 0.05), but not the quadratic slope (β = 0.293, p > 0.05). Physical anhedonia was not significantly associated with intercept, linear slope and quadratic slope. There was no sex difference in both initial levels and change rate of IA. CONCLUSIONS Social anhedonia while not physical anhedonia has prediction effect on IA. College students with high levels of social anhedonia experienced high levels of IA at baseline, and performed a slower rate in downward trend of IA. The findings of the current study provide implications for prevention of IA in college students.
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E Y, Yang J, Shen Y, Quan X. Physical Activity, Screen Time, and Academic Burden: A Cross-Sectional Analysis of Health among Chinese Adolescents. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2023; 20:4917. [PMID: 36981825 PMCID: PMC10049325 DOI: 10.3390/ijerph20064917] [Citation(s) in RCA: 3] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/13/2023] [Revised: 03/01/2023] [Accepted: 03/08/2023] [Indexed: 06/18/2023]
Abstract
This paper aims to analyze the effects of physical activity, screen time, and academic burden on adolescent health in China and compare their effects by using the nationally representative sample data from the CEPS (China Educational Panel Survey) cross-section data. This paper first uses regression analysis to examine the relationship between physical activity, screen time, academic burden and health among Chinese adolescents. Then, this paper uses the clustering analysis the influence of physical activity, screen time, and academic burden on the health of Chinese adolescents. The empirical results show that: (1) along with exercise, helping with the housework also has a clear health-promoting effect on adolescents; (2) the time spent surfing the Internet or playing video games, and heavy studying or homework off campus have a negative effect on adolescents' self-rated health and mental health; (3) physical activity has the greatest impact on self-rated health, while screen time has the greatest impact on mental health, and academic burden is not the most important factor affecting adolescent health in China.
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Affiliation(s)
- Yiting E
- Department of Sociology, Xi’an Jiaotong University, Xi’an 710049, China
| | - Jianke Yang
- Department of Sociology, Xi’an Jiaotong University, Xi’an 710049, China
| | - Yifei Shen
- Department of Sociology, Xi’an Jiaotong University, Xi’an 710049, China
| | - Xiaojuan Quan
- Department of Marxism, Xi’an Jiaotong University, Xi’an 710049, China
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Zhang Y, Zhong YL, Luo J, He JL, Lin C, Zauszniewski JA, Zhou JH, Chen Y, Wu CY, Wang SR, Li ZH, Tang J, Li WN, Wu J, Luo JM. Effects of resourcefulness on internet game addiction among college students: The mediating role of anxiety and the moderating role of gender. Front Public Health 2023; 11:986550. [PMID: 36860388 PMCID: PMC9968884 DOI: 10.3389/fpubh.2023.986550] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/05/2022] [Accepted: 01/16/2023] [Indexed: 02/16/2023] Open
Abstract
Introduction The mechanism of internet game addiction is unclear. Whether anxiety mediates between resourcefulness and internet game addiction and whether gender affect its mediation role have not been studied previously. Methods A total of 4,889 college students from a college in southwest China were included in this study to complete the investigation, in which three questionnaires were used for evaluation. Results Pearson's correlation analysis indicated a remarkable negative correlation between resourcefulness with internet game addiction and anxiety, as well as a significant positive correlation between anxiety and this addiction. The structural equation model confirmed the mediation role of anxiety. The multi-group analysis confirmed the moderating role of gender in the mediation model. Discussion These findings have advanced the results of existing studies, indicating the buffering effect of resourcefulness on internet game addiction and revealing the potential mechanism of this relationship.
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Affiliation(s)
- Yan Zhang
- School of Psychiatry, North Sichuan Medical College, Nanchong, Sichuan, China
| | - Yun-Ling Zhong
- School of Psychiatry, North Sichuan Medical College, Nanchong, Sichuan, China
| | - Jing Luo
- School of Psychiatry, North Sichuan Medical College, Nanchong, Sichuan, China
| | - Jin-Long He
- School of Psychiatry, North Sichuan Medical College, Nanchong, Sichuan, China
| | - Cen Lin
- School of Psychiatry, North Sichuan Medical College, Nanchong, Sichuan, China
| | - Jaclene A. Zauszniewski
- Frances Payne Bolton School of Nursing, Case Western Reserve University, Cleveland, OH, United States
| | - Jin-Hui Zhou
- School of Psychiatry, North Sichuan Medical College, Nanchong, Sichuan, China
| | - Ying Chen
- School of Psychiatry, North Sichuan Medical College, Nanchong, Sichuan, China
| | - Chun-Yan Wu
- School of Psychiatry, North Sichuan Medical College, Nanchong, Sichuan, China
| | - Shu-Rui Wang
- School of Psychiatry, North Sichuan Medical College, Nanchong, Sichuan, China
| | - Zheng-Huan Li
- School of Psychiatry, North Sichuan Medical College, Nanchong, Sichuan, China
| | - Jing Tang
- School of Psychiatry, North Sichuan Medical College, Nanchong, Sichuan, China
| | - Wan-Ning Li
- School of Psychiatry, North Sichuan Medical College, Nanchong, Sichuan, China
| | - Jing Wu
- Mental Health Center, Southwest Petroleum University, Nanchong, Sichuan, China
| | - Jia-Ming Luo
- School of Psychiatry, North Sichuan Medical College, Nanchong, Sichuan, China,Department of Neurology, Affiliated Hospital of North Sichuan Medical College, Nanchong, Sichuan, China,*Correspondence: Jia-Ming Luo ✉
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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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Cai Z, Mao P, Wang Z, Wang D, He J, Fan X. Associations Between Problematic Internet Use and Mental Health Outcomes of Students: A Meta-analytic Review. ADOLESCENT RESEARCH REVIEW 2023; 8:45-62. [PMID: 36744121 PMCID: PMC9883821 DOI: 10.1007/s40894-022-00201-9] [Citation(s) in RCA: 13] [Impact Index Per Article: 13.0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 10/12/2022] [Accepted: 12/22/2022] [Indexed: 06/18/2023]
Abstract
UNLABELLED The increasing prevalence of problematic internet use has heightened concerns about its adverse impact on internet users' mental health. Despite reviews investigating the associations between problematic internet use and mental health outcomes, there is a lack of understanding of various aspects of students' mental health. This study aimed to bridge this gap by providing a more comprehensive overall picture of this issue through a quantitative synthesis based on three-level random-effects meta-analytic models. In total, 223 studies with a cumulative total of 498,167 participants and 512 effect sizes were included in this synthesis. The results showed that problematic internet use was moderately and positively associated with depressive symptoms, anxiety, loneliness, and other mental health outcomes, and negatively related to subjective well-being. Moderator analyses revealed that several study features (i.e., school grade, region, measure of problematic internet use, publication year, and gender) could explain the variations in the findings across individual studies. These research results provide solid evidence for the link between problematic internet use and different mental health outcomes and have implications for future research and interventions on students' problematic internet use. SUPPLEMENTARY INFORMATION The online version contains supplementary material available at 10.1007/s40894-022-00201-9.
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Affiliation(s)
- Zhihui Cai
- School of Psychology, Central China Normal University, Wuhan, Hubei China
| | - Peipei Mao
- School of Psychology, Central China Normal University, Wuhan, Hubei China
| | - Zhikeng Wang
- School of Psychology, Central China Normal University, Wuhan, Hubei China
| | - Dandan Wang
- School of Psychology, Central China Normal University, Wuhan, Hubei China
| | - Jinbo He
- School of Humanities and Social Science, The Chinese University of Hong Kong, Shenzhen, Guangdong China
| | - Xitao Fan
- Faculty of Education, The Chinese University of Hong Kong, Hong Kong, China
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Yang S, Zhu X. How Does Problematic Internet Use Influence Chinese Rural Adolescent Externalizing Problem Behaviors? The Mediating Role of Mental Health and the Moderating Role of Parental Knowledge. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2023; 20:2162. [PMID: 36767528 PMCID: PMC9916242 DOI: 10.3390/ijerph20032162] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 12/05/2022] [Revised: 01/17/2023] [Accepted: 01/23/2023] [Indexed: 06/18/2023]
Abstract
This study aims to provide a new perspective on the relationship between problematic Internet use and externalizing problem behavior among adolescents. Many studies have focused on the relationship between problematic Internet use and adolescent externalizing problem behavior; however, research on the underlying mechanism remain understudied. Altogether, 1161 Chinese rural adolescents aged 13-17 years completed a self-report questionnaire. The results indicate that: (1) Problematic Internet use has a negative effect on rural adolescent externalizing problem behaviors; (2) mental health has an effect on the relationship between problematic Internet use and externalizing problem behaviors; and (3) parental knowledge may moderate the indirect effect by attenuating the relationship between problematic Internet use and externalizing problem behaviors. Regarding these findings, this study has discussed the potential reasons and provided some practical suggestions to improve problematic Internet use among rural adolescents.
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Affiliation(s)
| | - Xingchen Zhu
- School of Education, Liaoning Normal University, Dalian 116029, China
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Lin Y, Chen B. The Influence of Integrating the Basic Theory of Marxism into College Students' Mental Health Under the Data Driven and Internet Environment. Psychol Res Behav Manag 2023; 16:561-573. [PMID: 36873060 PMCID: PMC9983440 DOI: 10.2147/prbm.s397082] [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: 11/10/2022] [Accepted: 01/10/2023] [Indexed: 03/02/2023] Open
Abstract
Introduction The Internet has caused a great impact on everyone's psychology. Under this background, it is necessary to study whether Marxism can affect college students' mental health. Methods Firstly, the introduction explains China's concern for college students' mental health and the research achievements. Then, in the method part, this paper analyzes the thoughts and connotations of basic Marxist theory, quality education, and mental health education, mainly studying the changes brought by the Internet to the development of Marxism and the mechanism and influence of Marxism on mental health education. The questionnaire survey is used to investigate the mental health of college students and the current situation of Marxist ideological and political education. Results The results show that most college students are not interested in ideological and political education, and from the investigation results of five major factors of life stressors and five indicators of psychological crisis factors, it is concluded that college students' life stressors are the risk factors that induce psychological crisis tendency. Discussion The discussion part shows that it is necessary to cultivate the core quality of college students' development through Marxism, and pay attention to actively preventing and intervening the psychological crisis of college students. This paper analyzes and confirms the effectiveness of Marxist theory on the development of mental health, injects fresh blood into the future ideological and political education and the research of college students' mental health education, and provides theoretical and experimental reference and new ideas. The research has practical reference value for promoting the deep integration of data-driven Marxist basic theory and college students' mental health monitoring.
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Affiliation(s)
- Yingna Lin
- Department of Marxism, Northeast Normal University, Changchun, Jilin, 130024, People's Republic of China
| | - Baiyu Chen
- Department of Marxism, Northeast Normal University, Changchun, Jilin, 130024, People's Republic of China
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Zhang Z, Lin Y, Liu J, Zhang G, Hou X, Pan Z, Dai B. Relationship between behavioral inhibition/activation system and Internet addiction among Chinese college students: The mediating effects of intolerance of uncertainty and self-control and gender differences. Front Public Health 2022; 10:1047036. [PMID: 36644769 PMCID: PMC9832708 DOI: 10.3389/fpubh.2022.1047036] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/17/2022] [Accepted: 11/28/2022] [Indexed: 12/29/2022] Open
Abstract
Background Internet addiction is a global public health issue among college students that is associated with a range of negative outcomes. Especially the COVID-19 pandemic has forced them to shift most of their studies and life activities from offline to online, leading to a growing problem of Internet dependence and even Internet addiction. Although previous studies have indicated that the Behavioral Inhibition/Activation System (BIS/BAS) have important effects on college students' Internet addiction, the mechanisms underlying these associations and gender differences are still unclear. Aims The present study investigated the mediating roles of intolerance of uncertainty and self-control in the association between BIS/BAS and Internet addiction following the Interaction of Person-Affect-Cognition-Execution model. Gender differences in such associations between variables were also tested. Method A total of 747 Chinese college students were surveyed by using Young's Diagnostic Questionnaire for Internet Addiction, BIS/BAS Scales, the Intolerance of Uncertainty Scale and the Brief Self-Control Scale. Results The results from the structural equation modeling analysis showed that BIS was positively related to Internet addiction and that BAS had a negative association with Internet addiction. Moreover, intolerance of uncertainty and self-control mediated the relationships between BIS/BAS and Internet addiction. Multi-group analysis further revealed that the associations between BAS and Internet addiction and between intolerance of uncertainty and Internet addiction were stronger among the male students than among female students. The relationship between self-control and Internet addiction was greater in the female sample than in the male sample. Conclusions These findings extend our understanding of how BIS/BAS influence Internet addiction among college students and suggest that not only should training approaches based on intolerance of uncertainty and self-control be fully considered, but different intervention programs should be focused on gender sensitivity to maximize the intervention effect.
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Affiliation(s)
- Zhihao Zhang
- School of Public Administration, Central South University, Changsha, China
| | - Yan Lin
- Department of Psychiatry and Psychology, School of Basic Medical Sciences, Tianjin Medical University, Tianjin, China
| | - Jia Liu
- Transplantation Center, The Third Xiangya Hospital of Central South University, Changsha, China
| | - Guangyu Zhang
- Department of Psychiatry and Psychology, School of Basic Medical Sciences, Tianjin Medical University, Tianjin, China
| | - Xiaowen Hou
- Department of Psychiatry and Psychology, School of Basic Medical Sciences, Tianjin Medical University, Tianjin, China
| | - Zequan Pan
- School of Public Administration, Central South University, Changsha, China,*Correspondence: Zequan Pan
| | - Bibing Dai
- Department of Psychiatry and Psychology, School of Basic Medical Sciences, Tianjin Medical University, Tianjin, China,Bibing Dai
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Sánchez-Fernández M, Borda-Mas M. Problematic smartphone use and specific problematic Internet uses among university students and associated predictive factors: a systematic review. EDUCATION AND INFORMATION TECHNOLOGIES 2022; 28:7111-7204. [PMID: 36465425 PMCID: PMC9707285 DOI: 10.1007/s10639-022-11437-2] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 07/18/2022] [Accepted: 10/27/2022] [Indexed: 05/25/2023]
Abstract
University students are a high-risk population with problematic online behaviours that include generalized problematic Internet/smartphone use and specific problematic Internet uses (for example, social media or gaming). The study of their predictive factors is needed in order to develop preventative strategies. This systematic review aims to understand the current state of play by examining the terminology, assessment instruments, prevalence, and predictive factors associated with problematic smartphone use and specific problematic Internet uses in university students. A literature review was conducted according to the PRISMA guidelines using four major databases. A total of 117 studies were included, divided into four groups according to the domain of problem behaviour: problematic smartphone use (n = 67), problematic social media use (n = 39), Internet gaming disorder (n = 9), and problematic online pornography use (n = 2). Variability was found in terminology, assessment tools, and prevalence rates in the four groups. Ten predictors of problematic smartphone use, five predictors of problematic social media use, and one predictor of problematic online gaming were identified. Negative affectivity is found to be a common predictor for all three groups, while social media use, psychological well-being, and Fear of Missing Out are common to problematic smartphone and social media use. Our findings reaffirm the need to reach consistent diagnostic criteria in cyber addictions and allow us to make progress in the investigation of their predictive factors, thus allowing formulation of preventive strategies.
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Affiliation(s)
- Magdalena Sánchez-Fernández
- Department of Personality, Assessment and Psychological Treatment, University of Seville (Universidad de Sevilla), C. Camilo José Cela, S/N, 41018 Seville, Spain
| | - Mercedes Borda-Mas
- Department of Personality, Assessment and Psychological Treatment, University of Seville (Universidad de Sevilla), C. Camilo José Cela, S/N, 41018 Seville, Spain
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Marzilli E, Cerniglia L, Cimino S, Tambelli R. Internet Addiction among Young Adult University Students during the COVID-19 Pandemic: The Role of Peritraumatic Distress, Attachment, and Alexithymia. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:15582. [PMID: 36497656 PMCID: PMC9739655 DOI: 10.3390/ijerph192315582] [Citation(s) in RCA: 6] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/18/2022] [Revised: 11/20/2022] [Accepted: 11/21/2022] [Indexed: 06/12/2023]
Abstract
The literature focused on the effect of the COVID-19 pandemic on young adult university students' mental health shows a significant increase in psychopathological symptoms and Internet Addiction (IA). The key role played by attachment and alexithymia has also been suggested, but no study has explored the possible dynamic relationship between these variables. We recruited a sample of n = 410 young adult university students online. We assessed the attachment to parents and peers (through IPPA), alexithymia (through TAS-20), peritraumatic distress symptoms due to COVID-19 (through CPDI), and IA (through IAT). The results showed that the relationship between the attachment to mothers and IA was partially mediated by alexithymia and by the serial mediation of alexithymia and peritraumatic distress, whereas the influence of the attachment to fathers on IA was fully mediated by peritraumatic distress. The direct effects of the attachment to peers on alexithymia, peritraumatic distress, and IA were all significant, as were the indirect paths via the simple mediation of both alexithymia and peritraumatic distress and the multiple serial mediation of alexithymia and peritraumatic distress. Our findings suggested that the relationship between attachment, alexithymia, and psychopathological risk is dynamic in predicting IA during the pandemic among young adult university students and that the different attachment figures exert a peculiar contribution to these processes.
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Affiliation(s)
- Eleonora Marzilli
- Department of Dynamic, Clinical & Health Psychology, Sapienza University of Rome, 00185 Rome, Italy
| | - Luca Cerniglia
- Faculty of Psychology, International Telematic University Uninettuno, 00185 Rome, Italy
| | - Silvia Cimino
- Department of Dynamic, Clinical & Health Psychology, Sapienza University of Rome, 00185 Rome, Italy
| | - Renata Tambelli
- Department of Dynamic, Clinical & Health Psychology, Sapienza University of Rome, 00185 Rome, Italy
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26
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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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27
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Fineberg NA, Menchón JM, Hall N, Dell'Osso B, Brand M, Potenza MN, Chamberlain SR, Cirnigliaro G, Lochner C, Billieux J, Demetrovics Z, Rumpf HJ, Müller A, Castro-Calvo J, Hollander E, Burkauskas J, Grünblatt E, Walitza S, Corazza O, King DL, Stein DJ, Grant JE, Pallanti S, Bowden-Jones H, Ameringen MV, Ioannidis K, Carmi L, Goudriaan AE, Martinotti G, Sales CMD, Jones J, Gjoneska B, Király O, Benatti B, Vismara M, Pellegrini L, Conti D, Cataldo I, Riva GM, Yücel M, Flayelle M, Hall T, Griffiths M, Zohar J. Advances in problematic usage of the internet research - A narrative review by experts from the European network for problematic usage of the internet. Compr Psychiatry 2022; 118:152346. [PMID: 36029549 DOI: 10.1016/j.comppsych.2022.152346] [Citation(s) in RCA: 33] [Impact Index Per Article: 16.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/17/2021] [Revised: 06/29/2022] [Accepted: 08/09/2022] [Indexed: 01/05/2023] Open
Abstract
Global concern about problematic usage of the internet (PUI), and its public health and societal costs, continues to grow, sharpened in focus under the privations of the COVID-19 pandemic. This narrative review reports the expert opinions of members of the largest international network of researchers on PUI in the framework of the European Cooperation in Science and Technology (COST) Action (CA 16207), on the scientific progress made and the critical knowledge gaps remaining to be filled as the term of the Action reaches its conclusion. A key advance has been achieving consensus on the clinical definition of various forms of PUI. Based on the overarching public health principles of protecting individuals and the public from harm and promoting the highest attainable standard of health, the World Health Organisation has introduced several new structured diagnoses into the ICD-11, including gambling disorder, gaming disorder, compulsive sexual behaviour disorder, and other unspecified or specified disorders due to addictive behaviours, alongside naming online activity as a diagnostic specifier. These definitions provide for the first time a sound platform for developing systematic networked research into various forms of PUI at global scale. Progress has also been made in areas such as refining and simplifying some of the available assessment instruments, clarifying the underpinning brain-based and social determinants, and building more empirically based etiological models, as a basis for therapeutic intervention, alongside public engagement initiatives. However, important gaps in our knowledge remain to be tackled. Principal among these include a better understanding of the course and evolution of the PUI-related problems, across different age groups, genders and other specific vulnerable groups, reliable methods for early identification of individuals at risk (before PUI becomes disordered), efficacious preventative and therapeutic interventions and ethical health and social policy changes that adequately safeguard human digital rights. The paper concludes with recommendations for achievable research goals, based on longitudinal analysis of a large multinational cohort co-designed with public stakeholders.
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Affiliation(s)
- Naomi A Fineberg
- Hertfordshire Partnership University NHS Foundation Trust, Hertfordshire, UK; School of Life and Medical Sciences, University of Hertfordshire, Hatfield, UK; School of Clinical Medicine, University of Cambridge, Cambridge, UK.
| | - José M Menchón
- Department of Psychiatry, Bellvitge University Hospital-IDIBELL, University of Barcelona, Cibersam, Barcelona, Spain
| | - Natalie Hall
- Centre for Health Services and Clinical Research, University of Hertfordshire, Hatfield, UK
| | - Bernardo Dell'Osso
- Luigi Sacco University Hospital, Psychiatry 2 Unit, University of Milan, Milan, Italy; "Aldo Ravelli" Center for Nanotechnology and Neurostimulation, University of Milan, Milan, Italy; Department of Psychiatry and Behavioral Sciences, Stanford University, Stanford, CA, USA; Centro per lo studio dei meccanismi molecolari alla base delle patologie neuro-psico-geriatriche", University of Milan, Milan, Italy
| | - Matthias Brand
- General Psychology: Cognition and Center for Behavioral Addiction Research (CeBAR), University of Duisburg-Essen, Germany; Erwin L. Hahn Institute for Magnetic Resonance Imaging, Essen, Germany
| | - Marc N Potenza
- Departments of Psychiatry, Neuroscience and Child Study, Yale University School of Medicine, and Wu Tsai Institute, Yale University, New Haven, USA, New Haven, USA; Connecticut Council on Problem Gambling, Wethersfield, USA; Connecticut Mental Health Center, New Haven, USA
| | - Samuel R Chamberlain
- Department of Psychiatry, Faculty of Medicine, University of Southampton, UK; Southern Health NHS Foundation Trust, Southampton, UK
| | - Giovanna Cirnigliaro
- Luigi Sacco University Hospital, Psychiatry 2 Unit, University of Milan, Milan, Italy
| | - Christine Lochner
- SAMRC Unit on Risk and Resilience in Mental Disorders, Department of Psychiatry, Stellenbosch University, South Africa
| | - Joël Billieux
- Institute of Psychology, University of Lausanne (UNIL), Lausanne, Switzerland
| | - Zsolt Demetrovics
- Centre of Excellence in Responsible Gaming, University of Gibraltar, Gibraltar, Gibraltar; Institute of Psychology, ELTE Eötvös Loránd University, Budapest, Hungary
| | - Hans Jürgen Rumpf
- Department of Psychiatry and Psychotherapy, Translational Psychiatry Unit, Research Group S:TEP (Substance use and related disorders: Treatment, Epidemiology and Prevention) University of Lübeck, Lübeck, Germany
| | - Astrid Müller
- Department of Psychosomatic Medicine and Psychotherapy, Hannover Medical School, Hanover, Germany
| | - Jesús Castro-Calvo
- Department of Personality, Assessment, and Psychological Treatments, University of Valencia, Spain
| | - Eric Hollander
- Autism and Obsessive Compulsive Spectrum Program, Psychiatric Research Institute at Montefiore-Einstein, Albert Einstein College of Medicine
| | - Julius Burkauskas
- Laboratory of Behavioral Medicine, Neuroscience Institute, Lithuanian University of Health Sciences, Vyduno al. 4, 00135 Palanga, Lithuania
| | - Edna Grünblatt
- Department of Child and Adolescent Psychiatry and Psychotherapy, Psychiatric University Hospital Zurich, University of Zurich, Zurich, Switzerland; Neuroscience Center Zurich, University of Zurich and ETH Zurich, Zurich, Switzerland; Zurich Center for Integrative Human Physiology, University of Zurich, Zurich, Switzerland
| | - Susanne Walitza
- Department of Child and Adolescent Psychiatry and Psychotherapy, Psychiatric University Hospital Zurich, University of Zurich, Zurich, Switzerland; Neuroscience Center Zurich, University of Zurich and ETH Zurich, Zurich, Switzerland; Zurich Center for Integrative Human Physiology, University of Zurich, Zurich, Switzerland
| | - Ornella Corazza
- Department of Clinical Pharmacological and Biological Science, University of Hertfordshire
| | - Daniel L King
- College of Education, Psychology, & Social Work, Flinders University, Adelaide, Australia
| | - Dan J Stein
- SAMRC Unit on Risk & Resilience in Mental Disorders, Dept of Psychiatry & Neuroscience Institute, University of Cape Town
| | - Jon E Grant
- Department of Psychiatry & Behavioral Neuroscience, University of Chicago
| | - Stefano Pallanti
- Albert Einstein College of Medicine and Montefiore Medical Center, New York, USA; INS Istituto di Neuroscienze, Florence, Italy
| | | | - Michael Van Ameringen
- Deptartment of Psychiatry and Behavioural Neurosciences, McMaster University, Hamilton, Canada
| | - Konstantinos Ioannidis
- Cambridgeshire and Peterborough NHS Foundation Trust, Cambridge, UK; Department of International Health, Care and Public Health Research Institute, Maastricht University, Maastricht, the Netherlands
| | - Lior Carmi
- Post-Trauma Center, Sheba Medical Center, Tel Aviv University, Israel; Reichman University, The Data Science Institution, Herzliya, Israel
| | - Anna E Goudriaan
- Amsterdam UMC, Department of Psychiatry, University of Amsterdam, Amsterdam, the Netherlands; Amsterdam Institute for Addiction Research & Arkin, the Netherlands
| | - Giovanni Martinotti
- Department of Neuroscience, Imaging and Clinical Sciences, G. D'Annunzio University, Chieti, Italy
| | - Célia M D Sales
- Faculty of Psychology and Education Sciences, University of Porto, Porto, Portugal; Center for Psychology at University of Porto (CPUP), University of Porto, Porto, Portugal
| | - Julia Jones
- School of Health and Social Work, University of Hertfordshire, Hatfield, UK
| | | | - Orsolya Király
- Institute of Psychology, ELTE Eötvös Loránd University, Budapest, Hungary
| | - Beatrice Benatti
- Luigi Sacco University Hospital, Psychiatry 2 Unit, University of Milan, Milan, Italy; "Aldo Ravelli" Center for Nanotechnology and Neurostimulation, University of Milan, Milan, Italy
| | - Matteo Vismara
- Luigi Sacco University Hospital, Psychiatry 2 Unit, University of Milan, Milan, Italy; "Aldo Ravelli" Center for Nanotechnology and Neurostimulation, University of Milan, Milan, Italy
| | - Luca Pellegrini
- Hertfordshire Partnership University NHS Foundation Trust, Hertfordshire, UK; School of Life and Medical Sciences, University of Hertfordshire, Hatfield, UK
| | - Dario Conti
- Hertfordshire Partnership University NHS Foundation Trust, Hertfordshire, UK; Luigi Sacco University Hospital, Psychiatry 2 Unit, University of Milan, Milan, Italy
| | - Ilaria Cataldo
- Department of Psychology and Cognitive Science, University of Trento, Trento, Italy
| | - Gianluigi M Riva
- School of Information and Communication Studies, University College Dublin
| | - Murat Yücel
- Brain Park, Turner Institute for Brain and Mental Health, School of Psychological Sciences, and Monash Biomedical Imaging Facility, Monash University, Melbourne, Victoria, Australia
| | - Maèva Flayelle
- Institute of Psychology, University of Lausanne, Lausanne, Switzerland
| | | | | | - Joseph Zohar
- Post-Trauma Center, Sheba Medical Center, Tel Aviv University, Israel
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28
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Du Z, Zhang X. Analysis of the mediating effects of self-efficacy and self-control between physical activity and Internet addiction among Chinese college students. Front Psychol 2022; 13:1002830. [PMID: 36211939 PMCID: PMC9539857 DOI: 10.3389/fpsyg.2022.1002830] [Citation(s) in RCA: 10] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/25/2022] [Accepted: 08/17/2022] [Indexed: 11/16/2022] Open
Abstract
It explores the roles of self-efficacy and self-control in physical activity and Internet addiction. And it further provides a theoretical basis for the treatment and improvement of Internet addiction among college students. This study employs the whole group sampling method. The questionnaire was conducted on 855 college students from five universities in three provinces using the Physical Activity Level Scale, the General Self-Efficacy Scale, the Self-Control Scale, and the Chinese Internet Addiction Scale (IAS). The analyses yielded three main findings. (1) A large amount of physical activity was helpful in reducing the symptoms of Internet addiction and the problematic status of each dimension among college students. (2) A large or moderate amount of physical activity was helpful in enhancing college students’ self-efficacy. Besides, a large amount of physical activity was likely to enhance college students’ self-control. (3) The condition of physical activity not only directly has the negative correlation with college students’ Internet addiction but also influences college students’ Internet addiction through two indirect ways: the mediating role of self-control and the chain mediating role of self-efficacy and self-control. These conclusions provide a deeper understanding of the protective factors of Internet addiction among Chinese college students.
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Affiliation(s)
- Zhihao Du
- School of Physical Education and Sports, Beijing Normal University, Beijing, China
| | - Xiuli Zhang
- Research Center for Sports-Medicine Integration Development, Zhengzhou University, Zhengzhou, China
- *Correspondence: Xiuli Zhang,
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29
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Peng C, Guo T, Cheng J, Wang M, Rong F, Zhang S, Tan Y, Ding H, Wang Y, Yu Y. Sex differences in association between Internet addiction and aggression among adolescents aged 12 to 18 in mainland of China. J Affect Disord 2022; 312:198-207. [PMID: 35728679 DOI: 10.1016/j.jad.2022.06.026] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/27/2021] [Revised: 05/19/2022] [Accepted: 06/16/2022] [Indexed: 12/24/2022]
Abstract
BACKGROUND Previous studies have reported that Internet addiction (IA) is an important predictor of aggression. However, little is known whether aggression is a risk factor of IA. This study aims to explore whether IA can predict total and sub-types of aggression, whether aggression also can predict IA, and the potential sex difference. METHOD A total of 15,977 adolescents aged 12 to 18 were recruited though a stratified cluster sampling across five representative provinces in mainland of China. Young's Internet Addiction Test (IAT) and Buss and Warren's Aggression Questionnaire (BWAQ) were used to measure IA and aggression, respectively. RESULTS The prevalence of IA and total aggression was 16.8 % and 25.0 %, respectively. Binary logistic regression analysis indicated that IAT score was significantly associated with total and five sub-types of aggression (P < 0.001). However, scores of physical aggression, hostility, and indirect aggression were positively associated with IA (P < 0.001), while verbal aggression and anger were not significant (P > 0.05). Moreover, the interaction of sex and IA was significant for aggression. Specifically, females with IA had higher risks of anger and indirect aggression but had lower risks of physical and verbal aggression compared to males with IA. LIMITATIONS Cross-sectional design, self-reported information, and only Chinese rural adolescents. CONCLUSIONS IA is a strong risk factor of total and five sub-types of aggression, while not all sub-types of aggression are predictors of IA. Prevention programs for adolescents' IA and aggression should consider different aggression sub-types and sex.
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Affiliation(s)
- Chang Peng
- Department of Maternal, Child and Adolescent Health, School of Public Health, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei, China
| | - Tengyun Guo
- Department of Neurosurgery, Daping Hospital, Army Medical Center of PLA, Army Medical University, Chongqing, China
| | - Junhan Cheng
- Department of Maternal, Child and Adolescent Health, School of Public Health, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei, China
| | - Mengni Wang
- Department of Maternal, Child and Adolescent Health, School of Public Health, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei, China
| | - Fajuan Rong
- Department of Maternal, Child and Adolescent Health, School of Public Health, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei, China
| | - Shiyang Zhang
- Department of Occupational and Environmental Health, School of Public Health, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei, China
| | - Yafei Tan
- Wuhan Children's Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei, China
| | - Hongli Ding
- Department of Maternal, Child and Adolescent Health, School of Public Health, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei, China
| | - Yan Wang
- Department of Maternal, Child and Adolescent Health, School of Public Health, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei, China
| | - Yizhen Yu
- Department of Maternal, Child and Adolescent Health, School of Public Health, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei, China..
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30
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Zhu Y, Deng L, Wan K. The association between parent-child relationship and problematic internet use among English- and Chinese-language studies: A meta-analysis. Front Psychol 2022; 13:885819. [PMID: 36110283 PMCID: PMC9469099 DOI: 10.3389/fpsyg.2022.885819] [Citation(s) in RCA: 9] [Impact Index Per Article: 4.5] [Reference Citation Analysis] [Abstract] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/02/2022] [Accepted: 08/01/2022] [Indexed: 12/03/2022] Open
Abstract
As past studies of the association between parent-child relationship and problematic internet use show mixed results and are influenced by many factors, this meta-analysis of 75 primary Chinese and English language studies from 1990 to 2021 with 110,601 participants (aged 6−25 years) explored (a) the overall association between parent-child relationship and problematic internet use, and (b) whether the association is affected by their types, country, measures, objects of the parent-child relationship, gender, age, year and publication types. We used funnel plots, Classic fail-safe N and Egger's test to test for publication bias and for moderation with the homogeneity tests. The results showed a negative association between quality of parent-child relationship and problematic internet use (r = −0.18, 95% CI = [−0.20, −0.15]). The moderation analysis found that compared with internet addiction tendency, the association between social media addiction and parent-child relationship was stronger. Moreover, the association between the parent-child relationship and problematic internet use of emerging adults (18–25 years old) was stronger than that of adolescents (12−18 years old). Furthermore, the negative association between parent-child relationship and problematic internet use was weaker (a) in Italy than those in Turkey and China, (b) when using CPS (Closeness to Parents Scale), IPPA (Inventory of Parent and Peer Attachment), or PARQ (Parent-Child Relationship Questionnaire) measuring parent-child relationship than using PCCS (Parent-Child Communication Scale), (c) when using IAT measuring problematic internet use rather than using IGDS or APIUS. Hence, these results indicate a negative association between parent-child relationships and problematic internet use, and the association is moderated by types of problematic internet use, age, country, scales of both parent-child relationship and problematic internet use.
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Affiliation(s)
- Yalin Zhu
- Faculty of Education, Beijing Normal University, Beijing, China
- Nanhai Middle School of Nanshan Experimental Educational Group, Shenzhen, China
| | - Linyuan Deng
- Faculty of Education, Beijing Normal University, Beijing, China
- *Correspondence: Linyuan Deng
| | - Kun Wan
- Faculty of Education, Beijing Normal University, Beijing, China
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31
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Dai Y, Zhang C, Zhang L, Wen C, Zhu T. The modulation of mRNA levels of MAOA by electroacupuncture and psychotherapy in patients with pathological internet use. Front Psychiatry 2022; 13:918729. [PMID: 36032227 PMCID: PMC9403867 DOI: 10.3389/fpsyt.2022.918729] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/12/2022] [Accepted: 07/27/2022] [Indexed: 01/09/2023] Open
Abstract
Objective The aim of this study was to observe the efficacy of electroacupuncture (EA) and psychotherapy (PT) effect on the mental status, sleep quality and impulsive trait in patients with pathological internet use, and to observe the changes of Monoamine oxidase type A (MAOA) messenger Ribonucleic acid (mRNA) levels in each group. Methods A total of 60 PIU patients were included for the present study. These patients were randomly divided into two groups: EA group and PT group. Baihui, Sishencong, Hegu, Neiguan, Shenmen, Taichong, Sanyinjiao and Xuanzhong were selected for acupuncture in the EA group, while group psychotherapy combined with individual psychotherapy was used for intervention in patients in the PT group. Young's Internet addiction Test (IAT), Yale-Brown Obsessive-Compulsive Scale (Y-BOCS), Self-Rating Anxiety Scale (SAS), Self-Rating Depression Scale (SDS), Barratt Impulse Scale (BIS-11) and Pittsburgh Sleep Quality Index (PSQI) were used to observe the severity of Internet addiction, mental status, sleep quality and impulsive trait of all patients at baseline and 40th days of treatment; and MAOA mRNA data were collected at baseline and 40th days of treatment. Results Electroacupuncture and psychological intervention effectively reduced IAT, SAS, SDS, Y-BOCS, BIS and PSQI scores of PIU patients. After 40 days treatment, the MAOA expression of the PT group was increased, and there was no significant change in EA group. The correlation analysis indicated that IAT scores were positively correlated with SAS, SDS, Y-BOCS, BIS and PSQI at baseline. In addition, after treatment the EA group showed that the change in IAT scores was positively correlated with the change in Y-BOCS and BIS scores, and the PT group showed that the change in IAT scores was positively correlated with the change in SDS, BIS and PSQI scores. Conclusion The present study showed that electroacupuncture and psychological intervention can improve severity of Internet addiction, mental status, sleep quality and impulsive trait of PIU patients. Simultaneously, neurobiological changes may be the underlying mechanisms of psychotherapy for internet additcion.
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Affiliation(s)
- Yu Dai
- Department of Traditional Chinese Medicine, Chengdu Eighth People’s Hospital (Geriatric Hospital of Chengdu Medical College), Chengdu, China
- College of Rehabilitation and Health Preservation, Chengdu University of Traditional Chinese Medicine, Chengdu, China
| | - Chenchen Zhang
- Department of Rehabilitation, Traditional Chinese Medicine Hospital of Longquanyi District, Chengdu, China
| | - Lingrui Zhang
- Department of Medicine, Leshan Vocational and Technical College, Leshan, China
| | - Chao Wen
- College of Rehabilitation and Health Preservation, Chengdu University of Traditional Chinese Medicine, Chengdu, China
| | - Tianmin Zhu
- College of Rehabilitation and Health Preservation, Chengdu University of Traditional Chinese Medicine, Chengdu, China
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Joseph J, Varghese A, Vijay VR, Dhandapani M, Grover S, Sharma SK, Singh M, Mann S, Varkey BP. Problematic Internet Use Among School-Going Adolescents in India: A Systematic Review and Meta-Analysis. Indian J Community Med 2022; 47:321-327. [PMID: 36438522 PMCID: PMC9693953 DOI: 10.4103/ijcm.ijcm_1129_21] [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: 08/14/2021] [Revised: 02/14/2022] [Accepted: 04/12/2022] [Indexed: 06/16/2023] Open
Abstract
Background Problematic internet use (PIU) among school going adolescents constitutes a major area of concern. However, no comprehensive reports are available to determine the magnitude of the problem. This study aimed to estimate the pooled prevalence of PIU among school going adolescents in India. Methods We conducted a systematic review and meta analysis of 15 studies conducted in various parts of India. Results The prevalence of moderate and severe PIU among Indian school going adolescents was 21.5% (95% CI: 17.0%-26.8%) and 2.6% (95% CI: 1.6%-4.2%) based on the Young Internet Addiction Test (Y IAT) cutoff points of 50 and 80, respectively. In subgroup analysis, it was found that the year of publication, gender, sampling method, and severity of addiction had a significant effect on the prevalence estimates. Conclusions Currently, the use of the internet is rampant in India and our findings reflect nationally representative data on the magnitude of PIU among school going adolescents. About one fifth of school going adolescents are at risk of PIU in this setting. There is a need for further research in the reconsideration of cut off points of the Y IAT among Indian adolescents.
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Affiliation(s)
- Jaison Joseph
- Department of Psychiatric Nursing, College of Nursing, Pt. B.D. Sharma University of Health Sciences, Rohtak, Haryana, India
| | - Abin Varghese
- College of Nursing, AIIMS, Nagpur, Maharashtra, India
| | - V R Vijay
- College of Nursing, All India Institute of Medical Sciences, Bhubaneswar, Odisha, India
| | - Manju Dhandapani
- National Institute of Nursing Education, Post Graduate Institute of Medical Education and Research (PGIMER), Chandigarh, India
| | - Sandeep Grover
- Department of Psychiatry, Post Graduate Institute of Medical Education and Research (PGIMER), Chandigarh, India
| | - Suresh K Sharma
- College of Nursing, All India Institute of Medical Sciences, Jodhpur, Rajasthan, India
| | - Meenu Singh
- Department of Paediatrics, Post Graduate Institute of Medical Education and Research (PGIMER), Chandigarh, India
| | - Sucheta Mann
- MSc Nursing, Department of Psychiatric Nursing, College of Nursing, Pt. BD Sharma University of Health Sciences, Post Graduate Institute of Medical Sciences, Rohtak, Haryana, India
| | - Biji P. Varkey
- Nursing Officer, Department of Neurology, Post Graduate Institute of Medical Sciences, Rohtak, Haryana, India
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Generalized and Specific Problematic Internet Use in Central Siberia Adolescents: A School-Based Study of Prevalence, Age–Sex Depending Content Structure, and Comorbidity with Psychosocial Problems. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:ijerph19137593. [PMID: 35805263 PMCID: PMC9265954 DOI: 10.3390/ijerph19137593] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 05/19/2022] [Revised: 06/16/2022] [Accepted: 06/17/2022] [Indexed: 01/09/2023]
Abstract
We aimed to assess the prevalence, content structure and, psychological comorbidity of PIU in Russian adolescents. In addition, the design of our research provided an opportunity to compare demographic and psychological patterns of different forms of PIU: generalized (PIUgen) and specific problematic video game use (PUgame), as well as problematic social media use (PUsocial). Methods: This is a one-stage cross-sectional observational study of school sampling in three major Siberian cities. A total of 4514 schoolchildren aged 12–18 (mean age 14.52 ± 1.52 years) were surveyed. The Chen Internet Addiction Scale, the Game Addiction Scale for Adolescents, and the Social Media Disorder Scale were used to identify PIU and its types. Results: The prevalence of PIUgen among adolescents in Central Siberia was 7.2%; the prevalence of PUgame was 10.4%; the prevalence of PUsocial was 8.0%. The results of structural equation modelling, as well as the correlation analysis data, suggest two possible patterns of psychosocial problems with PIU—the first one is characteristic of both PIUgen and PUsocial. The second one—which is significantly different—is characteristic of PUgame. Conclusions: Urban adolescents in Central Siberia do not differ significantly from their Asian and European peers. Our findings support the concept of rejecting the term “generalized PIU” as a single psychological construct.
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Impact of Short-Term Intensive-Type Cognitive Behavioral Therapy Intervention on Internet Addiction among Chinese College Students: A Randomized Controlled Trial. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:ijerph19095212. [PMID: 35564611 PMCID: PMC9099546 DOI: 10.3390/ijerph19095212] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 04/07/2022] [Revised: 04/22/2022] [Accepted: 04/24/2022] [Indexed: 12/10/2022]
Abstract
The object of this study is to examine the effects of a short-term intensive-type Cognitive Behavioral Therapy (CBT) intervention to prevent internet addiction among Chinese college students. We conducted a randomized controlled trial applying a group counseling intervention program based on CBT. Data included 21 participants in the intervention group and 22 participants in the control group. The results showed that the intervention program reduced college students’ internet addiction symptoms and procrastination and improved their sense of coherence. Regarding the sustained effect, internet addiction symptoms decreased and perceived social support from significant others improved in college students. However, the intervention program did not significantly reduce their average daily internet use time and psychological stress. Overall, this study developed a short-term intensive-type intervention program based on CBT theory, which is complementary for Chinese college students with internet addiction.
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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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Diotaiuti P, Mancone S, Corrado S, De Risio A, Cavicchiolo E, Girelli L, Chirico A. Internet addiction in young adults: The role of impulsivity and codependency. Front Psychiatry 2022; 13:893861. [PMID: 36147985 PMCID: PMC9485605 DOI: 10.3389/fpsyt.2022.893861] [Citation(s) in RCA: 18] [Impact Index Per Article: 9.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/10/2022] [Accepted: 08/12/2022] [Indexed: 11/26/2022] Open
Abstract
Excessive Internet use has demonstrated comorbidity with other psychological symptoms and psychiatric disorders, as well as impairments in the management of daily life, relationships and emotional stability. Recent findings in the literature have consistently supported the relationship between impulsivity and Internet addiction. The present study hypothesized that, in addition to impulsivity, a further predictor of Internet addiction might be relational co-dependency, which is also associated in the literature with addiction phenomena, but mainly substance addiction. This paper investigates the role and predictive weight of impulsivity and codependency on Internet addiction on a sample of young adult university students (n = 481) by using a hierarchical regression analysis. The participants were administered the UADI-2, the BIS-11 and the SFCDS. In terms of percentage distribution, 38 % of the participants were in the dependency range, while 37.7 % demonstrated Internet abuse behavior. The results confirmed the role of impulsiveness (β = 0.312) and added to the literature by showing the significant role of relational codependency (β = 0.275), gender (β = 0.174) and age (β = 0.196). Thus, male participants were more dependent, more impulsive and more co-dependent, with increasing age in the given range (18-30). The present study shed light to the presence of this issue among young adults and that, as a preventive and restraining measure, there is a need not only for targeted awareness-raising programmes but also for interventions to promote greater emotional control and a more balanced management of personal relationships.
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Affiliation(s)
- Pierluigi Diotaiuti
- Department of Human Sciences, Society and Health, University of Cassino and Southern Lazio, Cassino, Italy
| | - Stefania Mancone
- Department of Human Sciences, Society and Health, University of Cassino and Southern Lazio, Cassino, Italy
| | - Stefano Corrado
- Department of Human Sciences, Society and Health, University of Cassino and Southern Lazio, Cassino, Italy
| | - Alfredo De Risio
- Department of Human Studies, Communication, Education, and Psychology, Libera Università Maria SS. Assunta (LUMSA), Rome, Italy
| | - Elisa Cavicchiolo
- Department of Human, Philosophical and Educational Sciences, University of Salerno, Fisciano, Italy
| | - Laura Girelli
- Department of Human, Philosophical and Educational Sciences, University of Salerno, Fisciano, Italy
| | - Andrea Chirico
- Department of Psychology of Development and Socialization Processes, Sapienza University of Rome, Rome, Italy
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Global prevalence of digital addiction in general population: A systematic review and meta-analysis. Clin Psychol Rev 2022; 92:102128. [DOI: 10.1016/j.cpr.2022.102128] [Citation(s) in RCA: 12] [Impact Index Per Article: 6.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/26/2021] [Revised: 12/29/2021] [Accepted: 01/20/2022] [Indexed: 01/10/2023]
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Rouvinen H, Jokiniemi K, Sormunen M, Turunen H. Internet use and health in higher education students: a scoping review. Health Promot Int 2021; 36:1610-1620. [PMID: 33738490 PMCID: PMC8699394 DOI: 10.1093/heapro/daab007] [Citation(s) in RCA: 11] [Impact Index Per Article: 3.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022] Open
Abstract
The amount of time spent online has increased over the last decade among higher education students. Students engage in online activities related to studies, work, leisure, entertainment and electronic services (e-services) use. The Internet is also used for health-related matters. The increase in the use of the Internet has influenced students' health, especially mental and physical health and well-being. This scoping review scrutinizes the literature between 2015 and 2020 (N = 55) on the association between Internet use and health in higher education students. A methodological framework, outlined by Arksey and O'Malley, was applied to conduct this review. Systematic searches were carried out in the CINAHL, PubMed and Scopus databases and in the available grey literature. For the data, a thematic analysis by Braun and Clarke was utilized. Two major themes of 'Health-promoting Internet use' and 'Health-threatening Internet use' emerged and are described in this review.
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Affiliation(s)
- Hanna Rouvinen
- Department of Nursing Science, Faculty of Health Sciences, University of Eastern Finland, Yliopistonranta 1C, PO Box 1627, Kuopio FI-70211, Finland
| | - Krista Jokiniemi
- Department of Nursing Science, Faculty of Health Sciences, University of Eastern Finland, Yliopistonranta 1C, PO Box 1627, Kuopio FI-70211, Finland
| | - Marjorita Sormunen
- Institute of Public Health and Clinical Nutrition, Faculty of Health Sciences, University of Eastern Finland, Yliopistonranta 1C, PO Box 1627, Kuopio FI-70211, Finland
| | - Hannele Turunen
- Department of Nursing Science, Faculty of Health Sciences, University of Eastern Finland, Yliopistonranta 1C, PO Box 1627, Kuopio FI-70211, Finland
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Dong X, Yang K, Zhang R, Lv Y. The Mental Health and Grade Point Average among College Students from Lower Socioeconomic Status Based on Healthcare Data Analysis. JOURNAL OF HEALTHCARE ENGINEERING 2021; 2021:2378202. [PMID: 34900179 PMCID: PMC8654553 DOI: 10.1155/2021/2378202] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 09/26/2021] [Accepted: 11/20/2021] [Indexed: 12/27/2022]
Abstract
This study evaluated the mediating role of social support in the relationships between mental health and academic achievement and used a sample of 640 college students from lower socioeconomic status (LSES) compared to 501 from higher socioeconomic status (HSES) in China. Self-report measures of depression, anxiety, Internet addiction, self-esteem, perceived social support, and grade point average (GPA) were measured online. Group differences were examined with Chi-square analyses. Results. (1) There were significant differences in mental health, academic achievement, and social support between LSES and HSES. (2) Anxiety, depression, and Internet addiction were significantly negatively correlated with academic achievement; self-esteem and social support were significantly positively correlated with academic achievement. (3) Social support has a mediating role between mental health and academic achievement. These results proved that it is necessary to pay more attention to their mental health and develop social support to improve their academic achievement for LSES students. Previous studies have paid little attention to the LSES students, but these students are more prone to psychological problems. Therefore, this study focuses on the LSES students.
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Affiliation(s)
- Xue Dong
- Mental Health and Counseling Center, Student Affairs, Shaanxi University of Science & Technology, Xi'an, Shaanxi, China
| | - Kaige Yang
- College of Education, Shaanxi University of Science & Technology, Xi'an, Shaanxi, China
| | - Ruxin Zhang
- Department of Economics and Management, Xi'an University of Technology, Xi'an, Shaanxi, China
| | - Yuecheng Lv
- School of Materials Science & Engineering, Shaanxi University of Science & Technology, Xi'an, Shaanxi, China
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Associations between sense of coherence, psychological distress, escape motivation of internet use, and internet addiction among Chinese college students: A structural equation model. CURRENT PSYCHOLOGY 2021. [DOI: 10.1007/s12144-021-02257-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
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Joseph J, Varghese A, VR V, Dhandapani M, Grover S, Sharma S, Khakha D, Mann S, Varkey BP. Prevalence of internet addiction among college students in the Indian setting: a systematic review and meta-analysis. Gen Psychiatr 2021; 34:e100496. [PMID: 34504996 PMCID: PMC8381302 DOI: 10.1136/gpsych-2021-100496] [Citation(s) in RCA: 18] [Impact Index Per Article: 6.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/25/2021] [Accepted: 07/22/2021] [Indexed: 11/16/2022] Open
Abstract
BACKGROUND The internet is an integral part of everyone's life. College going adolescents are highly vulnerable to the misuse of the internet. AIMS To estimate the pooled prevalence of internet addiction (IA) among college students in India. METHODS Literature databases (PubMed, Web of Science, Scopus, EMBASE, PsycINFO and Google Scholar) were searched for studies assessing IA using the Young Internet Addiction Test (Y-IAT) among adolescents from India, published in the English language up to December 2020. We included studies from 2010 to 2020 as this is the marked era of momentum in wireless internet connectivity in India. The methodological quality of each study was scored, and data were extracted from the published reports. Pooled prevalence was estimated using the fixed-effects model. Publication bias was evaluated using Egger's test and visual inspection of the symmetry in funnel plots. RESULTS Fifty studies conducted in 19 states of India estimated the prevalence of IA and the overall prevalence of IA as 19.9% (95% CI: 19.3% to 20.5%) and 40.7% (95% CI: 38.7% to 42.8%) based on the Y-IAT cut-off scores of 50 and 40, respectively. The estimated prevalence of severe IA was significantly higher in the Y-IAT cut-off points of 70 than 80 (12.7% (95% CI: 11.2% to 14.3%) vs 4.6% (95% CI: 4.1% to 5.2%)). The sampling method and quality of included studies had a significant effect on the estimation of prevalence in which studies using non-probability sampling and low risk of bias (total quality score ≥7) reported lower prevalence. The overall quality of evidence was rated as 'moderate' based on the Grading of Recommendations Assessment, Development and Evaluation criteria. CONCLUSIONS Our nationally representative data suggest that about 20% to 40% of college students in India are at risk for IA. There is a need for further research in the reconsideration of Y-IAT cut-off points among Indian college students. PROSPERO REGISTRATION NUMBER CRD42020219511.
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Affiliation(s)
- Jaison Joseph
- College of Nursing, Department of Psychiatric Nursing, Pandit Bhagwat Dayal Sharma University of Health Sciences, Rohtak, Haryana, India
| | - Abin Varghese
- College of Nursing, Bhopal Memorial Hospital and Research Centre, Bhopal, India
| | - Vijay VR
- College of Nursing, All India Institute of Medical Sciences, Bhubaneswar, Orissa, India
| | - Manju Dhandapani
- National Institute of Nursing Education, Post Graduate Institute of Medical Education and Research, Chandigarh, India
| | - Sandeep Grover
- Department of Psychiatry, Post Graduate Institute of Medical Education and Research, Chandigarh, India
| | - Suresh Sharma
- College of Nursing, All India Institute of Medical Sciences, Jodhpur, Rajasthan, India
| | - Deepika Khakha
- College of Nursing, AIl India Institute of Medical Sciences, New Delhi, India
| | - Sucheta Mann
- College of Nursing, Department of Psychiatric Nursing, Pandit Bhagwat Dayal Sharma University of Health Sciences, Rohtak, Haryana, India
| | - Biji P Varkey
- Post Graduate Institute of Medical Sciences, Pandit Bhagwat Dayal Sharma University of Health Sciences, Rohtak, Haryana, India
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Xu LX, Wu LL, Geng XM, Wang ZL, Guo XY, Song KR, Liu GQ, Deng LY, Zhang JT, Potenza MN. A review of psychological interventions for internet addiction. Psychiatry Res 2021; 302:114016. [PMID: 34087672 DOI: 10.1016/j.psychres.2021.114016] [Citation(s) in RCA: 19] [Impact Index Per Article: 6.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/12/2020] [Accepted: 05/16/2021] [Indexed: 12/20/2022]
Abstract
Internet addiction (IA) may constitute a widespread and serious mental problem. Previous reviews have not fully considered potential factors that may contribute to therapeutic outcomes or predict behavioral changes. Such information is relevant to understand the active ingredients of interventions and to develop more efficacious treatments that target features of IA. This systematic review was designed to relate theories of IA to treatments, describe studies of psychotherapies for IA, and propose a model of addiction and interventions based on extant studies. A computer database search of PubMed, PsychINFO, ScienceDirect, China National Knowledge Infrastructure, and Google Scholar was conducted to identify all available research evidence on psychological treatments for IA (N = 31 studies). Among these psychological interventions, the targeted reduction of addiction-related impulsivity and craving, improvement of cognitive maladjustment, and alleviation of family problems have been investigated in IA interventions. The targeted domains and intervention methods are not mutually exclusive, and further research is needed to demonstrate the effective components and mechanisms of action for treatments of IA. Such research will help generate more efficacious evidence-based interventions.
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Affiliation(s)
- Lin-Xuan Xu
- State Key Laboratory of Cognitive Neuroscience and Learning and IDG/McGovern Institute for Brain Research, Beijing Normal University, Beijing, China
| | - Lu-Lu Wu
- State Key Laboratory of Cognitive Neuroscience and Learning and IDG/McGovern Institute for Brain Research, Beijing Normal University, Beijing, China
| | - Xiao-Min Geng
- State Key Laboratory of Cognitive Neuroscience and Learning and IDG/McGovern Institute for Brain Research, Beijing Normal University, Beijing, China
| | - Zi-Liang Wang
- State Key Laboratory of Cognitive Neuroscience and Learning and IDG/McGovern Institute for Brain Research, Beijing Normal University, Beijing, China
| | | | - Kun-Ru Song
- State Key Laboratory of Cognitive Neuroscience and Learning and IDG/McGovern Institute for Brain Research, Beijing Normal University, Beijing, China
| | - Guan-Qun Liu
- State Key Laboratory of Cognitive Neuroscience and Learning and IDG/McGovern Institute for Brain Research, Beijing Normal University, Beijing, China
| | - Lin-Yuan Deng
- Faculty of Education, Beijing Normal University, Beijing 100875, China
| | - Jin-Tao Zhang
- State Key Laboratory of Cognitive Neuroscience and Learning and IDG/McGovern Institute for Brain Research, Beijing Normal University, Beijing, China.
| | - Marc N Potenza
- Department of Psychiatry, Yale University School of Medicine, New Haven, CT, USA; Child Study Center, Yale University School of Medicine, New Haven, CT, USA; Department of Neuroscience, Yale University School of Medicine, Connecticut Mental Health Center, New Haven, Connecticut Council on Problem Gambling, Wethersfield, CT, USA; Connecticut Council on Problem Gambling, Wethersfield, CT, USA; Connecticut Mental Health Center, New Haven, CT, USA
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43
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Chen J, Liu J, Zhao G, Kong F. Internet Behavior Preferences Predict Pathological Internet Use: A Latent Profile Analysis. Front Psychol 2021; 12:644623. [PMID: 34149528 PMCID: PMC8211777 DOI: 10.3389/fpsyg.2021.644623] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/21/2020] [Accepted: 05/06/2021] [Indexed: 12/02/2022] Open
Abstract
Recent research in the underlying structure of pathological Internet use (PIU) has produced considerable debate among academics, in which a new “person-centered” approach of studying PIU has recently gathered support but produced mixed results. This study used the latent profile analysis (LPA) to estimate the types of PIU in a large sample of college students (n = 1,400, aged 17–25 years). Participants provided information on demographics, PIU, and Internet behavior preferences. The adolescent pathological Internet use (APIU), which served as the basis of LPA, was used for searching subgroups that represent participants with PIU. LPA identified the PIU classes, and regressions identified the psychological predictors of class membership. Participants were classified into pathological users, pathological-tendency users, preferential users, and ordinary Internet users. In comparison with pathological Internet users, lower Internet gaming and communication preference were associated with pathological-tendency users, preferential users, and ordinary Internet users. The distinct types of college students belong to each PIU class, suggesting that individual differences may be incorporated into the prevention efforts.
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Affiliation(s)
- Jiangtao Chen
- Research Center of Brain and Cognitive Neuroscience, Liaoning Normal University, Dalian, China
| | - Jinmeng Liu
- Institute of Developmental Psychology, Faculty of Psychology, Beijing Normal University, Beijing, China
| | - Gai Zhao
- National Key Laboratory of Cognitive Neuroscience and Learning, Beijing Normal University, Beijing, China
| | - Fanchang Kong
- School of Psychology, Central China Normal University, Wuhan, China
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Forster M, Rogers CJ, Sussman S, Watts J, Rahman T, Yu S, Benjamin SM. Can Adverse Childhood Experiences Heighten Risk for Problematic Internet and Smartphone Use? Findings from a College Sample. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:ijerph18115978. [PMID: 34199554 PMCID: PMC8199656 DOI: 10.3390/ijerph18115978] [Citation(s) in RCA: 17] [Impact Index Per Article: 5.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 05/06/2021] [Revised: 05/30/2021] [Accepted: 05/30/2021] [Indexed: 12/19/2022]
Abstract
Background: College students are among the heaviest users of smartphones and the Internet, and there is growing concern regarding problematic Internet (PIU) and smartphone use (PSU). A subset of adverse childhood experiences, household dysfunction [(HHD) e.g.; parental substance use, mental illness, incarceration, suicide, intimate partner violence, separation/divorce, homelessness], are robust predictors of behavioral disorders; however, few studies have investigated the link between HHD and PIU and PSU and potential protective factors, such as social support, among students. Methods: Data are from a diverse California student sample (N = 1027). The Smartphone Addiction Scale—Short Version and Internet Addiction Test assessed dimensions of addiction. Regression models tested associations between students’ level of HHD (No HHD, 1–3 HHD, ≥4 HHD) and PSU and PIU, and the role of extrafamilial social support in these relationships, adjusting for age, gender, ethnicity, SES, employment loss due to COVID-19, and depression. Results: Compared to students reporting no HHD, students with ≥4 HHD had twice the odds (AOR: 2.03, 95% CI: 1.21–3.40) of meeting criteria for PSU, while students with 1–3 HHD and ≥4 HHD had three and six times the odds of moderate to severe PIU (AORs: 2.03–2.46, CI:1.21–3.96) after adjusting for covariates. Extrafamilial social support was inversely associated with PIU and moderated the HHD–PSU association for students with 1–3 HHD. Conclusion: Students exposed to HHD may be especially vulnerable to developing behavioral addictions such as PSU and PIU. Extrafamilial social support offset the negative effects of HHD for PSU among the moderate risk group; implications for prevention efforts are discussed.
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Affiliation(s)
- Myriam Forster
- Department of Health Sciences, College of Health and Human Development, California State University, Northridge, Los Angeles, CA 91330, USA; (J.W.); (S.M.B.)
- Correspondence:
| | - Christopher J. Rogers
- Institute for Health Promotion and Disease Prevention Research/Keck School of Medicine, University of Southern California, Los Angeles, CA 90032, USA; (C.J.R.); (S.S.); (T.R.); (S.Y.)
| | - Steven Sussman
- Institute for Health Promotion and Disease Prevention Research/Keck School of Medicine, University of Southern California, Los Angeles, CA 90032, USA; (C.J.R.); (S.S.); (T.R.); (S.Y.)
| | - Jonathan Watts
- Department of Health Sciences, College of Health and Human Development, California State University, Northridge, Los Angeles, CA 91330, USA; (J.W.); (S.M.B.)
| | - Tahsin Rahman
- Institute for Health Promotion and Disease Prevention Research/Keck School of Medicine, University of Southern California, Los Angeles, CA 90032, USA; (C.J.R.); (S.S.); (T.R.); (S.Y.)
| | - Sheila Yu
- Institute for Health Promotion and Disease Prevention Research/Keck School of Medicine, University of Southern California, Los Angeles, CA 90032, USA; (C.J.R.); (S.S.); (T.R.); (S.Y.)
| | - Stephanie M. Benjamin
- Department of Health Sciences, College of Health and Human Development, California State University, Northridge, Los Angeles, CA 91330, USA; (J.W.); (S.M.B.)
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Wang Q, Mati K, Cai Y. The link between problematic internet use, problematic gaming, and psychological distress: does sleep quality matter? BMC Psychiatry 2021; 21:103. [PMID: 33593315 PMCID: PMC7888157 DOI: 10.1186/s12888-021-03105-5] [Citation(s) in RCA: 7] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/02/2020] [Accepted: 02/03/2021] [Indexed: 12/24/2022] Open
Abstract
INTRODUCTION This study aimed to examine the mediating role of sleep quality in the association of problematic internet use (PIU) and problematic gaming with psychological distress among college students in China. METHODS Data of 1040 full-time students from multiple colleges in China were examined. Respondents were asked about their internet use and gaming behaviors, sleep quality, psychological distress, and sociodemographic characteristics. The mediating role of sleep quality in the PIU- and problematic gaming-psychological distress link was examined respectively. RESULTS PIU was associated with decreased sleep quality (r = .32, p < .001) and increased psychological distress (r = .46, p < .001). Problematic gaming was also associated with decreased sleep quality (r = .22, p < .001) and increased psychological distress (r = .46, p < .001). Sleep quality accounted for 23.5% of the indirect effect of PIU on psychological distress, and 17.9% of the indirect effect of problematic gaming on psychological distress. CONCLUSIONS Sleep quality had a meaningful mediating effect on the PIU-psychological distress link, but only exerted a small mediating effect on the problematic gaming-psychological distress link. In addition to promoting healthy internet usage, strategies aimed at mitigating the negative effect of excessive internet use on psychological health might benefit from those aimed at improving sleep quality.
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Affiliation(s)
- Qian Wang
- School of Public Health, Shanghai Jiao Tong University School of Medicine, 227 S Chongqing Rd, Huangpu District, Shanghai, 200025, China.
| | - Komi Mati
- Econometrica, Inc., 7475 Wisconsin Avenue, Suite 1000, Bethesda, MD 20814 USA
| | - Yong Cai
- School of Public Health, Shanghai Jiao Tong University School of Medicine, 227 S Chongqing Rd, Huangpu District, Shanghai, 200025, China.
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Shen Y, Wang L, Huang C, Guo J, De Leon SA, Lu J, Luo X, Zhang XY. Sex differences in prevalence, risk factors and clinical correlates of internet addiction among chinese college students. J Affect Disord 2021; 279:680-686. [PMID: 33190119 DOI: 10.1016/j.jad.2020.10.054] [Citation(s) in RCA: 28] [Impact Index Per Article: 9.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/02/2020] [Revised: 09/09/2020] [Accepted: 10/25/2020] [Indexed: 12/24/2022]
Abstract
BACKGROUND Internet addiction(IA) is now very common. However, few studies have explored the sex differences in risk factors for IA, especially among Chinese college students. This study aimed to investigate the sex differences in prevalence, risk factors and clinical correlates of IA among Chinese college students. METHODS A total of 8098 college students from Hunan province were recruited using a cross-sectional design and a convenience sampling method. Each student filled out the survey online anonymously, which collected their information on their socio-demographics, internet addiction(Revised Chinese internet addiction scale;CIAS-R), ADHD(Wender Utah Rating Scale and World Health Organization (WHO) Adult ADHD Self-Report Scale v 1.1 Symptom Checklist), depression(Self-reporting Depression Scale;SDS), insomnia(Athens Insomnia Scale;AIS), anxiety(Self-Rating Anxiety Scale;SAS) and suicidal behaviors through WeChat. RESULTS Overall, the prevalence of IA in males and females was 7.21%(259/3592) and 8.17%(368/4506), respectively. Multivariate logistic regression analysis revealed that suicidal ideation[odds ratio (OR),1.557;95% confidence interval (CI),1.083-2.240], suicide attempts(OR,2.081;95%CI:1.271-3.409), ADHD(OR,6.487;95%CI,4.697-8.959) and insomnia(OR,2.596;95%CI,1.910-3.529) were independent risk factors for male IA after controlling for confounding variables. Nationality(OR,1.507;95%CI,1.058-2.145), suicidal ideation(OR,2.012;95%CI,1.532-2.641), depression(OR,1.771;95%CI:1.071-2.930), ADHD(OR,4.497; 95%CI,3.285-6.158) and insomnia(OR,2.356;95%CI,1.813-3.061) were independent risk factors for female IA. LIMITATION No causal relationships could be drawn due to the cross-sectional design. CONCLUSIONS This study shows IA is common among both sexes. IA is significantly associated with ADHD, insomnia and suicidal behaviors in both male and female students, indicating the importance of screening IA and addressing ADHD, insomnia and suicidal behaviors to improve the mental health of college students and better prevent suicide in both sexes.
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Affiliation(s)
- Yanmei Shen
- Department of Psychiatry, The Second Xiangya Hospital, Central South University, Changsha, Hunan 410011, China; Mental Health Institute of Central South University, China National Clinical Research Center on Mental Disorders (Xiangya), China National Technology Institute on Mental Disorders, Hunan Technology Institute of Psychiatry, Hunan Key Laboratory of Psychiatry and Mental Health, Changsha, Hunan 410011, China
| | - Lu Wang
- Department of Psychiatry, The Second Xiangya Hospital, Central South University, Changsha, Hunan 410011, China; Mental Health Institute of Central South University, China National Clinical Research Center on Mental Disorders (Xiangya), China National Technology Institute on Mental Disorders, Hunan Technology Institute of Psychiatry, Hunan Key Laboratory of Psychiatry and Mental Health, Changsha, Hunan 410011, China
| | - Chunxiang Huang
- Department of Psychiatry, The Second Xiangya Hospital, Central South University, Changsha, Hunan 410011, China; Mental Health Institute of Central South University, China National Clinical Research Center on Mental Disorders (Xiangya), China National Technology Institute on Mental Disorders, Hunan Technology Institute of Psychiatry, Hunan Key Laboratory of Psychiatry and Mental Health, Changsha, Hunan 410011, China
| | - Jimin Guo
- Department of Internal Medicine, Molecular Medicine, University of New Mexico, Albuquerque, New Mexico 87131, USA
| | - Sara Arenas De Leon
- Department of Biochemistry and Molecular Biology, University of New Mexico Health Sciences Center, Albuquerque, New Mexico 87131, USA
| | - JianPing Lu
- Department of Child and Adolescent Psychiatry of Shenzhen Kangning Hospital, Shenzhen Mental Health Center, Shenzhen, Guangdong, China
| | - Xuerong Luo
- Department of Psychiatry, The Second Xiangya Hospital, Central South University, Changsha, Hunan 410011, China; Mental Health Institute of Central South University, China National Clinical Research Center on Mental Disorders (Xiangya), China National Technology Institute on Mental Disorders, Hunan Technology Institute of Psychiatry, Hunan Key Laboratory of Psychiatry and Mental Health, Changsha, Hunan 410011, China.
| | - Xiang Yang Zhang
- CAS Key Laboratory of Mental Health, Institute of Psychology, Chinese Academy of Sciences (CAS), 16 Lincui Road, Chaoyang District, Beijing 100101, China.
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Al Shawi AF, Hameed AK, Shalal AI, Abd Kareem SS, Majeed MA, Humidy ST. Internet Addiction and Its Relationship to Gender, Depression and Anxiety Among Medical Students in Anbar Governorate-West of Iraq. INTERNATIONAL QUARTERLY OF COMMUNITY HEALTH EDUCATION 2021; 42:272684X20985708. [PMID: 33402000 DOI: 10.1177/0272684x20985708] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
INTRODUCTION The rapid increase of internet using was associated with a rise in internet addiction (IA) especially among adolescent and young adults that may associated with underlying psychological disorders. The aims of the study: a) to estimate the prevalence of internet addiction among medical students in Anbar governorate, b) to assess the effect of internet addiction on mental health by measuring the association of IA with depression and anxiety among the students. METHODS A cross sectional study was carried out during the period from February to April 2019. A self-administered questionnaire was used which consisted from demographic questions, the Young Internet Addiction test to evaluate the internet addiction among the subjects and the Depression Anxiety stress scales (DASS) for assessing the depression and anxiety symptoms among the medical students. RESULTS 47.5% of the subjects had mild internet addiction, proportion of moderate addiction among the participants was 23%. There was a significant association between internet addiction with depression and anxiety. The subjects with internet addiction had OR = 2.302 for depression development (P < 0.001), also the students with internet addiction had OR= 3.088 for anxiety development (p < 0.001). CONCLUSION High rate of internet addiction among medical students in Anbar city- west of Iraq and there was significant association between internet addition and mental disorders of the subjects.
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Affiliation(s)
- Ameel F Al Shawi
- Department of Community Medicine, College of Medicine, University of Fallujah, Baghdad, Iraq
| | - Aseel K Hameed
- College of Medicine, University of Fallujah, Baghdad, Iraq
| | | | | | | | - Sara T Humidy
- College of Medicine, University of Fallujah, Baghdad, Iraq
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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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Cam HH, Ustuner Top F. Prevalence and Risk Factors of Problematic Internet Use and Its Relationships to the Self-Esteem and Health-Related Quality of Life: Data From a High-School Survey in Giresun Province, Turkey. J Addict Nurs 2020; 31:253-260. [PMID: 33264197 DOI: 10.1097/jan.0000000000000365] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
Abstract
PURPOSE This study aimed to investigate the prevalence of problematic internet use (PIU) among high school students, to evaluate its potential risk factors, and to investigate its relation to self-esteem and health-related quality of life. METHODS This cross-sectional study included 1,558 high school students in Turkey. Participants completed the Internet Addiction Test as well as the Rosenberg Self-Esteem Scale and 12-item Short Form Health Survey. Demographics and internet usage patterns were also collected. Data analysis was conducted by descriptive and analytical statistics (Pearson chi-square tests, independent-samples t test, and binary logistic regression). RESULTS The mean age of the participants was 16.20 ± 1.05 years. Nearly 21.1% of the participants exhibited PIU (Internet Addiction Test score ≥ 50). The findings indicated that PIU was associated with poor self-esteem and poor physical and mental health. The PIU was significantly higher among students using the internet for social networking. The chi-square analysis showed a significant correlation between the severities of PIU and the students' type of school, residence, perceived academic performance, and relationship with parents (p < .05). No significant correlation was found between PIU severity and age group, gender, number of siblings, paternal or maternal educational levels, self-reported family income, sleep duration, or whether or not they resided with parents (p > .05). CONCLUSIONS PIU was found to be a common problem among high school students, and it was significantly correlated with self-esteem and health-related quality of life. To alleviate this public health problem, at-risk groups should be identified and timely management strategies and effective prevention programs should be established.
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Affiliation(s)
- Hasan Huseyin Cam
- Hasan Huseyin Cam, PhD, Yusuf Şerefoğlu Faculty of Health Sciences, Department of Public Health Nursing, Kilis 7 Aralik University, Turkey, ORCID ID: 0000-0002-1722-4727. Fadime Ustuner Top, PhD, Faculty of Health Sciences, Department of Child Health and Disease Nursing, Giresun University, Turkey, ORCID ID: 0000-0002-7341-5704
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Veisani Y, Jalilian Z, Mohamadian F. Relationship between internet addiction and mental health in adolescents. JOURNAL OF EDUCATION AND HEALTH PROMOTION 2020; 9:303. [PMID: 33426107 PMCID: PMC7774632 DOI: 10.4103/jehp.jehp_362_20] [Citation(s) in RCA: 14] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/14/2020] [Accepted: 05/11/2020] [Indexed: 06/09/2023]
Abstract
BACKGROUND Internet addiction (IA) currently is the major public health concern, especially in adolescents, although the results of previous reports are not generally uniform. This study was conducted to determine IA in adolescents and to examine the correlation of IA with mental health in adolescents. METHODS This cross-sectional study was conducted in 2019 in Ilam city. In this study, 362 persons were included using stratified cluster sampling; clusters were geographical area and schools. The valid questionnaires including Internet Addiction Test and 28-item General Health Questionnaire (GHQ-28) were used to interview. The correlation statistical technique was used to determine the association between the two variables. The significance level was considered <0.05. RESULTS The mean ± standard deviation age of the responders was 16.40 ± 2.47 years; the total score of IA and mental health was 43.02 ± 16.50 and 19.27 ± 9.72, respectively. We found that 5.5% of the adolescents had a severe level of IA. The lack of control with anxiety, neglect work and social dysfunction, and neglect social life and severe depression in internet users were found to be statistically significant: r (365) = 0.151, P < 0.033; r (365) = 0.126, P < 0.021; and r (365) = 0.125, P < 0.033, two-tailed, respectively. CONCLUSION According to the results, the excessive use of internet, lack of control, and neglect social life are significantly correlated with mental health in adolescents; these results could be contribute to improve the theoretical models for IA in adolescents.
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Affiliation(s)
- Yousef Veisani
- Psychosocial Injuries Research Center, Ilam University of Medical Sciences, Ilam Province, Ilam, Iran
| | - Zahra Jalilian
- Psychosocial Injuries Research Center, Ilam University of Medical Sciences, Ilam Province, Ilam, Iran
| | - Fathola Mohamadian
- Department of Psychology, Psychosocial Injuries Research Center, Ilam University of Medical Sciences, Ilam Province, Ilam, Iran
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