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Ahmed O, Walsh EI, Dawel A, Alateeq K, Espinoza Oyarce DA, Cherbuin N. Social media use, mental health and sleep: A systematic review with meta-analyses. J Affect Disord 2024; 367:701-712. [PMID: 39242043 DOI: 10.1016/j.jad.2024.08.193] [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: 11/29/2023] [Revised: 07/17/2024] [Accepted: 08/28/2024] [Indexed: 09/09/2024]
Abstract
BACKGROUND The literature investigating the relationship between social media use, mental health, and sleep has produced inconsistent findings. Younger people spend more time on social media than other age groups, and are more likely to be impacted by social media use. This systematic review with meta-analysis aimed to synthesise the evidence on the associations between social media use, mental health, and sleep of young individuals. METHODS Electronic databases PubMed, Scopus and PsycINFO were searched using an established methodology and pre-determined search terms for studies that reported the association between social media use, mental health, and sleep. RESULTS The search yielded 6108 articles, of which 182 (n = 1,169,396) were eligible for the systematic review, and 98 (n = 102,683) could be included in the meta-analyses. The systematic review identified a high level of heterogeneity in the study results. Meta-analyses found small but significant positive associations between social media use, depression, and anxiety. In addition, problematic social media use was positively associated with depression, anxiety, and sleep problems, and negatively associated with wellbeing. Geographical location, anxiety measure type, study design, age, and gender were identified as potential moderators. LIMITATIONS Associations for specific social media platforms as well as some moderator effects were not examined due to an insufficient number of studies. CONCLUSIONS This study provides important evidence of an association between social media use/ problematic social media use, mental health, and sleep. The findings support future longitudinal research to identify the directions and underlying mechanisms of the inter-relationship between these variables.
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Affiliation(s)
- Oli Ahmed
- National Centre for Epidemiology and Population Health, Australian National University, Canberra, Australia.
| | - Erin I Walsh
- National Centre for Epidemiology and Population Health, Australian National University, Canberra, Australia
| | - Amy Dawel
- School of Medicine and Psychology, Australian National University, Canberra, Australia
| | - Khawlah Alateeq
- National Centre for Epidemiology and Population Health, Australian National University, Canberra, Australia; Radiological Science, College of Applied Medical Science, King Saud University, Riyadh, Saudi Arabia
| | | | - Nicolas Cherbuin
- National Centre for Epidemiology and Population Health, Australian National University, Canberra, Australia
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Li L, Feng X, Luo S, Lin L, Xiang H, Chen D, Qin K, Guo X, Chen W, Guo VY. Internet addiction and health-related quality of life in adolescents: The mediating role of sleep disturbance. Sleep Med 2024; 117:53-59. [PMID: 38507977 DOI: 10.1016/j.sleep.2024.03.007] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/30/2023] [Revised: 10/26/2023] [Accepted: 03/07/2024] [Indexed: 03/22/2024]
Abstract
BACKGROUND Internet addiction (IA) has emerged as a recognized risk factor associated with impaired health-related quality of life (HRQOL) in adolescents. However, the role of sleep disturbance in this association remains unclear. This study aimed to investigate the association of IA with HRQOL in Chinese adolescents and to evaluate the potential mediating role of sleep disturbance. METHODS A cross-sectional study was conducted among adolescents attending six randomly selected middle schools in Guangzhou, China. Adolescents self-reported their internet use using the Young Diagnostic Questionnaire. HRQOL and sleep disturbance were assessed by the Pediatric Quality of Life Inventory version 4.0 and the Pittsburgh Sleep Quality Index, respectively. Multivariate linear regression analysis was employed to assess the association between IA and HRQOL. Baron and Kenny's causal steps method was used to examine the possible mediating role of sleep disturbance. RESULTS Of the 6473 adolescents included, 23.5% had maladaptive internet use (MIU) and 16.6% had pathological internet use (PIU). Compared to adolescents with adaptive internet use (AIU), those with IA had significantly lower scores across all HRQOL dimensions and summary scales. Mediation analysis revealed that sleep disturbance was a significant mediator. Specifically, sleep disturbance mediated 34.55% of the effects of MIU and 34.06% of the effects of PIU on the HRQOL total scale score , respectively. CONCLUSIONS IA was associated with poorer HRQOL, indicating the needs of preventing IA in Chinese adolescents. Additionally, our findings underscored the importance of enhancing sleep quality to mitigate the adverse impact of IA on adolescents' well-being.
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Affiliation(s)
- Lu Li
- Department of Epidemiology, School of Public Health, Sun Yat-sen University, Guangzhou, 510080, Guangdong, China
| | - Xiuqiong Feng
- Department of Public Health, Guangzhou Huangpu District Center for Disease Control and Prevention, Guangzhou, 510530, Guangdong, China
| | - Shengyu Luo
- Department of Epidemiology, School of Public Health, Sun Yat-sen University, Guangzhou, 510080, Guangdong, China
| | - Li Lin
- Department of Epidemiology, School of Public Health, Sun Yat-sen University, Guangzhou, 510080, Guangdong, China
| | - Hongyu Xiang
- Department of Epidemiology, School of Public Health, Sun Yat-sen University, Guangzhou, 510080, Guangdong, China
| | - Dezhong Chen
- Department of Epidemiology, School of Public Health, Sun Yat-sen University, Guangzhou, 510080, Guangdong, China
| | - Kang Qin
- Department of Epidemiology, School of Public Health, Sun Yat-sen University, Guangzhou, 510080, Guangdong, China
| | - Xun Guo
- Department of Epidemiology, School of Public Health, Sun Yat-sen University, Guangzhou, 510080, Guangdong, China
| | - Weiqing Chen
- Department of Epidemiology, School of Public Health, Sun Yat-sen University, Guangzhou, 510080, Guangdong, China
| | - Vivian Yawei Guo
- Department of Epidemiology, School of Public Health, Sun Yat-sen University, Guangzhou, 510080, Guangdong, China.
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Demirci E, Tastepe N, Gul MK, Ozmen S, Kilic E. S100B and Neuron-Specific Enolase Levels as Brain Injury Biomarkers in Internet Addiction: Effect of Sleep. Pediatr Neurol 2023; 149:93-99. [PMID: 37837757 DOI: 10.1016/j.pediatrneurol.2023.08.029] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/17/2023] [Revised: 08/17/2023] [Accepted: 08/20/2023] [Indexed: 10/16/2023]
Abstract
BACKGROUND Comorbidity of Internet addiction (IA) with sleep disruptions is common in adolescents. There is evidence that the levels of brain injury markers could be affected by sleep disruptions. In this study, we aimed to evaluate the relationship between sleep quality and these biomarkers within the framework of the relationship between IA and sleep disruptions. METHODS A total of 65 drug-free adolescents with newly diagnosed IA, aged 12 to 18 years, were included in the study, and they were divided into two groups considering the comorbidities of attention-deficit/hyperactivity disorder (ADHD) and social anxiety. The control group consisted of 30 healthy children. The participants were asked to complete the Young Internet Addiction Scale, Pittsburgh Sleep Quality Index (PSQI), Morningness Eveningness Questionnaire, Beck's Depression Inventory, Beck's Anxiety Inventory, and Barratt Impulsiveness Scale-11. Blood samples were taken between 8 and 9 am to analyze S100 calcium-binding protein B (S100B) and neuron-specific enolase (NSE) levels with enzyme-linked immunosorbent assay. RESULTS Plasma S100B and NSE levels were found to be statistically significantly higher in the IA with ADHD and the IA with anxiety groups than in healthy controls. NSE and S100B levels were found to be correlated with PSQI scores in both the IA groups. Also, there was a positive correlation between these biomarkers and IA severity. CONCLUSIONS Decreased sleep quality and daily sleep duration in IA might cause brain injury, resulting in an increase in the severity of the addiction. Prospective studies with large samples are needed to better explain the IA-sleep-brain injury relationship.
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Affiliation(s)
- Esra Demirci
- Faculty of Medicine, Department of Child and Adolescent Psychiatry, University of Erciyes, Kayseri, Turkey.
| | - Neslihan Tastepe
- Department of Child and Adolescent Psychiatry, Amasya Sabuncuoglu Serefeddin Training and Research Hospital, Amasya, Turkey
| | - Melike Kevser Gul
- Faculty of Medicine, Department of Child and Adolescent Psychiatry, University of Erciyes, Kayseri, Turkey
| | - Sevgi Ozmen
- Faculty of Medicine, Department of Child and Adolescent Psychiatry, University of Erciyes, Kayseri, Turkey
| | - Eser Kilic
- Faculty of Medicine, Department of Biochemistry, University of Erciyes, Kayseri, Turkey
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4
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Huang XC, Zhang YN, Wu XY, Jiang Y, Cai H, Deng YQ, Luo Y, Zhao LP, Liu QL, Luo SY, Wang YY, Zhao L, Jiang MM, Wu YB. A cross-sectional study: family communication, anxiety, and depression in adolescents: the mediating role of family violence and problematic internet use. BMC Public Health 2023; 23:1747. [PMID: 37679728 PMCID: PMC10485963 DOI: 10.1186/s12889-023-16637-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/16/2023] [Accepted: 08/28/2023] [Indexed: 09/09/2023] Open
Abstract
OBJECTIVE The objective of this study is to explore the relationship between family communication, family violence, problematic internet use, anxiety, and depression and validate their potential mediating role. METHODS The study population consisted of Chinese adolescents aged 12 to 18 years, and a cross-sectional survey was conducted in 2022. Structural equation models were constructed using AMOS 25.0 software to examine the factors that influence adolescent anxiety and depression and the mediating effects of problematic internet use and family violence. RESULTS The results indicate that family communication was significantly and negatively related to family violence (β = -.494, p < 0.001), problematic internet use (β = -.056, p < .05), depression (β = -.076, p < .01), and anxiety (β = -.071, p < .05). And the finds also indicate that family violence mediated the relationships between family communication and depression (β = -.143, CI: -.198 -.080), and between family communication and anxiety (β = -.141; CI: -.198 -.074). Chain indirect effects between family communication and depression (β = -.051; CI: -.081 -.030) or anxiety (β = -.046; CI: -.080 -.043) via family violence and then through problematic internet use were also found in the present study. CONCLUSIONS In conclusion, positive family communication is crucial in reducing anxiety and depression in adolescents. Moreover, problematic internet use and family violence mediate the effects of positive family communication on anxiety and depression. Therefore, improving family communication and promoting interventions aimed at reducing family violence and problematic internet use can help reduce anxiety and depression in adolescents, thus promoting their healthy development.
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Affiliation(s)
- Xin-Cheng Huang
- School of Economics and Management, Beijing Institute of Graphic Communication, Beijing, China
| | - Yue-Ning Zhang
- School of Nursing, North Sichuan Medical College, Nanchong, China
| | - Xiao-Yu Wu
- School of Pharmaceutical Science, Shandong University, Jinan, China
| | - Yang Jiang
- Jitang College of North China University of Science and Technology, Tangshan, China
| | - Hao Cai
- Xiangya School of Public Health, Central South University, Changsha, China
| | - Yu-Qian Deng
- Xiangya School of Nursing, Central South University, Changsha, China
| | - Yuan Luo
- Xiangya School of Nursing, Central South University, Changsha, China
| | - Li-Ping Zhao
- The Second Xiangya Hospital of Central South University, Changsha, China
| | - Qin-Ling Liu
- School of Nursing, North Sichuan Medical College, Nanchong, China
| | - Sheng-Yue Luo
- School of Clinical Medicine, North Sichuan Medical College, Nanchong, China
| | - Yan-Yan Wang
- School of Economics and Management, Beijing Institute of Graphic Communication, Beijing, China
| | - Li Zhao
- Department of Nuring, Affiliated Hospital of North Sichuan Medical Collge, Nanchong, China
| | - Mao-Min Jiang
- School of Public Affairs, Xiamen University, 422 Simingnan Road, Siming District, Xiamen, China.
| | - Yi-Bo Wu
- School of Public Health, Peking University, Beijing, China.
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Dresp-Langley B. From Reward to Anhedonia-Dopamine Function in the Global Mental Health Context. Biomedicines 2023; 11:2469. [PMID: 37760910 PMCID: PMC10525914 DOI: 10.3390/biomedicines11092469] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/29/2023] [Revised: 08/29/2023] [Accepted: 09/04/2023] [Indexed: 09/29/2023] Open
Abstract
When "hijacked" by compulsive behaviors that affect the reward and stress centers of the brain, functional changes in the dopamine circuitry occur as the consequence of pathological brain adaptation. As a brain correlate of mental health, dopamine has a central functional role in behavioral regulation from healthy reward-seeking to pathological adaptation to stress in response to adversity. This narrative review offers a spotlight view of the transition from healthy reward function, under the control of dopamine, to the progressive deregulation of this function in interactions with other brain centers and circuits, producing what may be called an anti-reward brain state. How such deregulation is linked to specific health-relevant behaviors is then explained and linked to pandemic-related adversities and the stresses they engendered. The long lockdown periods where people in social isolation had to rely on drink, food, and digital rewards via the internet may be seen as the major triggers of changes in motivation and reward-seeking behavior worldwide. The pathological adaptation of dopamine-mediated reward circuitry in the brain is discussed. It is argued that, when pushed by fate and circumstance into a physiological brain state of anti-reward, human behavior changes and mental health is affected, depending on individual vulnerabilities. A unified conceptual account that places dopamine function at the centre of the current global mental health context is proposed.
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Affiliation(s)
- Birgitta Dresp-Langley
- Centre National de la Recherche Scientifique, UMR 7357 ICube CNRS, Université de Strasbourg Hôpitaux Universitaires Faculté de Médecine, Pavillon Clovis Vincent, 4 Rue Kirschleger, CEDEX, 67085 Strasbourg, France
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6
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Meyerson WU, Fineberg SK, Andrade FC, Corlett P, Gerstein MB, Hoyle RH. The association between evening social media use and delayed sleep may be causal: Suggestive evidence from 120 million Reddit timestamps. Sleep Med 2023; 107:212-218. [PMID: 37235891 DOI: 10.1016/j.sleep.2023.04.021] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/27/2023] [Revised: 03/29/2023] [Accepted: 04/18/2023] [Indexed: 05/28/2023]
Abstract
Public health officials and clinicians routinely advise social media users to avoid nighttime social media use due to the perception that this delays the onset of sleep and predisposes to the health risks of insufficient sleep. With some exceptions, the evidence behind this advice mostly derives from surveys identifying an association between self-reported social media usage and self-reported sleep patterns. In principle, these associations could alternatively be explained by users turning to social media to pass the time when they are otherwise having difficulty sleeping, or by individual differences that draw some people to frequent social media use, or by offline activities that overlap with both social media use and delayed sleep. To attempt to distinguish among these explanations, we leveraged estimated bedtimes from 44,000 Reddit users reported in a recent study and their 120 million posts to test whether the relationship between sleep and social media has properties suggestive of a causal relationship. We find that users are especially likely to be active on Reddit after their bedtime (and therefore awake) on nights that they posted to Reddit shortly before bedtime, especially if they posted multiple times or in high-engagement forums that night. Overall, this study lends additional support to the notion that there likely is some causal effect of evening social media use on delayed sleep onset.
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Affiliation(s)
- William U Meyerson
- Department of Psychiatry & Behavioral Sciences, Duke University School of Medicine, Durham, NC, USA; Department of Molecular Biochemistry & Biophysics, Yale University, New Haven, CT, USA; Program in Computational Biology & Bioinformatics, Yale University, New Haven, CT, USA.
| | | | - Fernanda C Andrade
- Department of Psychology and Neuroscience, Duke University, Durham, NC, USA
| | - Philip Corlett
- Department of Psychiatry, Yale University, New Haven, CT, USA; Wu Tsai Institute, Yale University, New Haven, CT, USA
| | - Mark B Gerstein
- Department of Molecular Biochemistry & Biophysics, Yale University, New Haven, CT, USA; Program in Computational Biology & Bioinformatics, Yale University, New Haven, CT, USA; Department of Computer Science, Yale University, New Haven, CT, USA; Department of Statistics & Data Science, Yale University, New Haven, CT, USA
| | - Rick H Hoyle
- Department of Psychology and Neuroscience, Duke University, Durham, NC, USA
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7
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Ye XL, Zhang W, Zhao FF. Depression and internet addiction among adolescents:A meta-analysis. Psychiatry Res 2023; 326:115311. [PMID: 37348449 DOI: 10.1016/j.psychres.2023.115311] [Citation(s) in RCA: 6] [Impact Index Per Article: 6.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/10/2023] [Revised: 06/12/2023] [Accepted: 06/14/2023] [Indexed: 06/24/2023]
Abstract
Depression and Internet addiction (IA) are both prevalent and burdensome in adolescents. Findings on the relationship between depression and IA remain equivocal, and we therefore conducted a meta-analysis to confirm their correlation. We searched for relevant studies, with the last search being conducted on November 10, 2022. Adolescents aged 10 to 24 reported objectively measured depression and IA using scales that have been used worldwide and are valid. Random effect models were used to produce combined odds ratios (OR) and coefficient of regression (β) We included 42 studies presenting data from 102,769 participants. The meta-analysis confirmed that depression is positively correlated with IA and vice versa. Adolescents with depressive disorders were found to have a higher risk of IA. Adolescents with IA were found to have a higher risk of depressive disorders. In addition, IA had a stronger effect on depression risk. Screening for Internet addiction in depressed adolescents is recommended at initial diagnosis and follow-up. Similarly, Internet addicts should be screened regularly for depression.
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Affiliation(s)
- Xiao-Li Ye
- Department of nursing, School of Medicine (School of Nursing), Nantong University, Nantong 226001, Jiangsu, PR China
| | - Wei Zhang
- Department of nursing, School of Medicine (School of Nursing), Nantong University, Nantong 226001, Jiangsu, PR China
| | - Fang-Fang Zhao
- Department of nursing, School of Medicine (School of Nursing), Nantong University, Nantong 226001, Jiangsu, PR China.
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8
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Wang J, Hao QH, Peng W, Tu Y, Zhang L, Zhu TM. Relationship between smartphone addiction and eating disorders and lifestyle among Chinese college students. Front Public Health 2023; 11:1111477. [PMID: 37275494 PMCID: PMC10235600 DOI: 10.3389/fpubh.2023.1111477] [Citation(s) in RCA: 5] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/29/2022] [Accepted: 04/04/2023] [Indexed: 06/07/2023] Open
Abstract
Purpose Smartphone addiction has been a matter of serious concern among society and parents because of its high incidence and serious negative effects. This study aimed to determine the association between smartphone addiction and eating disorders and lifestyle changes among college students. Methods The present article is a descriptive, cross-sectional study involving 1,112 college students from several universities in Chengdu, China. The data were collected by using the Chinese version of the Mobile Phone Addiction Index (MPAI) and the Eating Attitudes Test-26 (EAT-26). In addition, the information on sociodemographic, lifestyle, and smartphone use were obtained through a self-administered questionnaire. Results The prevalence of smartphone addiction among the students involved in the study was 22.6%, of which 10.4% were at risk for eating disorders. Female students had higher MPAI scores and EAT-26 scores than male students (p < 0.001). The proportion of male students with a risk of eating disorders was significantly higher than that of female students (p < 0.05). The total EAT-26 scores of students with smartphone addiction were higher than that of others (p < 0.001). The correlation analysis indicated that the MPAI scores were significantly positively correlated with the EAT-26 scores, depression and anxiety, difficulty in falling asleep at night, the frequency of eating fast food and drinking carbonated soft drink (p < 0.01). In addition, the MPAI scores were significantly negatively correlated with skipping breakfast and the frequency of physical activity (p < 0.05). Conclusion Smartphone addiction is significantly associated with eating disorders, eating habits, and lifestyle. The influence of dietary habits and lifestyle needs to be considered for the prevention and development of an intervention for smartphone addiction among college students.
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Affiliation(s)
- Jun Wang
- Chengdu Women's and Children's Central Hospital, School of Medicine, University of Electronic Science and Technology of China, Chengdu, China
| | - Qing-Hong Hao
- Longgang District Maternity and Child Healthcare Hospital of Shenzhen City, Shenzhen, China
| | - Wei Peng
- Chongqing Hospital of Traditional Chinese Medicine, Chongqing, China
| | - Yang Tu
- Chongqing University Cancer Hospital, Oncology Treatment Center of Traditional Chinese Medicine, Chongqing, China
| | - Lan Zhang
- Chengdu Women's and Children's Central Hospital, School of Medicine, University of Electronic Science and Technology of China, Chengdu, China
| | - Tian-Min Zhu
- School of Rehabilitation and Health Preservation, Chengdu University of Traditional Chinese Medicine, Chengdu, China
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Ou M, Zheng H, Kim HK, Chen X. A meta-analysis of social media fatigue: Drivers and a major consequence. COMPUTERS IN HUMAN BEHAVIOR 2023. [DOI: 10.1016/j.chb.2022.107597] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/12/2022]
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10
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Understanding the relationship between social media use and depression: a review of the literature. ONLINE INFORMATION REVIEW 2023. [DOI: 10.1108/oir-04-2021-0211] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 02/04/2023]
Abstract
PurposeThis paper analyzes the existing body of work on the relationship between depression and social media use in the information system field, including the impact of social media use on depression, the effect of depression on social media use and the association and interaction between depression and social media use.Design/methodology/approachUsing the systematic review method, this study selected the Web of Science, Emerald, Science Direct, JSTOR, Wiley Online Library and Taylor and Francis Online as search databases and ended up with 29 papers that met all the authors' requirements.FindingsThis study identified five possible reasons for the inconsistencies between the findings of the selected studies. First, uses and gratifications theory has different influence mechanisms in evaluating the relationship between social media use and depression. Second, gender can moderate the impact of social media use on depression. Third, age moderates the association between social media use and depression. Fourth, for adolescents, the time spent on social media has a critical effect on their depression. Fifth, negative personality traits (e.g. rumination, envy, etc.) can play a significant role in mediating the relationship between passive social media use and depression.Originality/valueThis study conducted an evaluation of the relationship between depression and social media use. First, the authors summarized the research framework and main body of work covering the relationship between depression and social media use. Second, the authors proposed possible explanations for the inconsistencies between the findings. Third, the authors discussed and explained the possible influence mechanisms of the existing results.Peer reviewThe peer review history for this article is available at: https://publons.com/publon/10.1108/OIR-04-2021-0211.
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Insomnia, Daytime Sleepiness, and Quality of Life among 20,139 College Students in 60 Countries around the World-A 2016-2021 Study. J Clin Med 2023; 12:jcm12020692. [PMID: 36675621 PMCID: PMC9866097 DOI: 10.3390/jcm12020692] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/21/2022] [Revised: 12/30/2022] [Accepted: 01/12/2023] [Indexed: 01/18/2023] Open
Abstract
Background: Sleep disorders are a widespread phenomenon, and the number of individuals suffering from them is increasing every year, especially among young adults. Currently, the literature lacks studies that cover both countries with different levels of development and a period before the announcement of the ongoing COVID-19 pandemic. Therefore, this study aims to globally assess the prevalence of insomnia and daytime sleepiness among students and assess their quality of life. Methods: For this purpose, our own questionnaire was distributed online via Facebook.com. In addition to the questions that assessed socioeconomic status, the survey included psychometric tools, such as the Athens insomnia scale (AIS), the Epworth sleepiness scale (ESS), and the Manchester short assessment of the quality of life (MANSA). The survey distribution period covered 31 January 2016 to 30 April 2021. Results: The survey involved 20,139 students from 60 countries around the world. The vast majority of the students were women (78.2%) and also those residing in countries with very high levels of development and/or high GDP (gross domestic product) per capita at 90.4% and 87.9%, respectively. More than half (50.6%) of the respondents (10,187) took the survey before the COVID-19 pandemic was announced. In the group analyzed, 11,597 (57.6%) students obtained a score indicative of insomnia and 5442 (27.0%) a score indicative of daytime sleepiness. Women, low-income residents, and nonmedical students were significantly more likely to have scores indicating the presence of insomnia. Individuals experiencing both sleepiness (B = −3.142; p < 0.001) and daytime sleepiness (B = −1.331; p < 0.001) rated their quality of life significantly lower. Conclusions: Insomnia and excessive daytime sleepiness are common conditions among students worldwide and are closely related. The COVID-19 pandemic significantly altered students’ diurnal rhythms, which contributed to an increase in insomnia. Students in countries with a high GDP per capita index are significantly less likely to develop insomnia compared to the residents of countries with a low GDP per capita index. Sleep disorders definitely reduce the quality of life of students.
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Fear Related to COVID-19, Mental Health Issues, and Predictors of Insomnia among Female Nursing College Students during the Pandemic. Healthcare (Basel) 2023; 11:healthcare11020174. [PMID: 36673542 PMCID: PMC9859541 DOI: 10.3390/healthcare11020174] [Citation(s) in RCA: 3] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/29/2022] [Revised: 12/30/2022] [Accepted: 01/03/2023] [Indexed: 01/09/2023] Open
Abstract
Fear of infection has been sparked by the advent of the novel coronavirus disease (COVID-19). Insomnia in college students, especially its correlations and predictions with mental diseases, remains a research concern. Aim: To estimate the prevalence of fear related to COVID-19, depression, anxiety, and insomnia among female nursing college students throughout the pandemic and to determine the predictors of insomnia. Methods: A web-based cross-sectional descriptive study used 145 female nursing college students. Results: Students reported fear related to COVID-19, depression, and anxiety at rates of 79.3%, 30.2%, and 35.2%, respectively. Insomnia disturbed 24.7% of students. Anxiety predicted worsening insomnia in the student (AOR = 1.08, 95% CI: 0.92−0.97, p < 0.001). Fear related to COVID-19 was also a predictor (AOR = 0.96, 95% CI: 1.07−1.21, p < 0.05). Additionally, when depression severity declined, the chance of insomnia improved (AOR = 0.87, 95% CI: 0.85−0.91, p < 0.001). Insomnia was more common in chronically unwell students (AOR = 1.50, 95% CI = 1.01−2.24, p < 0.05). Conclusion: During the COVID-19 pandemic, university students’ mental health should be monitored, and all essential safeguards should be taken, including resource allocation, awareness raising efforts, and the building of a mental health counseling facility.
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Chentsova VO, Bravo AJ, Mezquita L, Pilatti A, Hogarth L. Internalizing symptoms, rumination, and problematic social networking site use: A cross national examination among young adults in seven countries. Addict Behav 2023; 136:107464. [PMID: 36067636 DOI: 10.1016/j.addbeh.2022.107464] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/18/2022] [Revised: 07/07/2022] [Accepted: 08/09/2022] [Indexed: 02/03/2023]
Abstract
BACKGROUND As daily engagement with social networking sites (SNS) increases globally, identifying and understanding the risk factors associated with problematic SNS use is of utmost importance. Researchers are interested in understanding internalizing symptoms as both a risk factor and a negative consequence of problematic SNS use. Prior research has proposed rumination alongside internalizing symptoms as a risk factor, though limited research has examined these associations across different cultures. OBJECTIVE The present study examined the indirect associations between internalizing symptoms (specifically depressive and social anxiety symptoms) and problematic SNS use via rumination among a cross-cultural sample. METHOD Participants were 8,912 (70.8 % female; Mean age = 20.25, SD = 3.95) college students recruited across seven countries (U.S., Canada, Spain, England, Argentina, Uruguay, and South Africa) who completed measures of internalizing symptoms, rumination, weekly SNS use, and problematic SNS use. RESULTS We found that higher internalizing symptoms were associated with more problematic SNS use via higher ruminative thinking. Specifically, problem-focused thoughts (a rumination subtype) uniquely accounted for 22.89% and 28.15% of the total effect of depressive and social anxiety symptoms on problematic SNS use, respectively. Other rumination subtypes (i.e., anticipatory thoughts and repetitive thinking) also demonstrated significant indirect effects, though weaker effects than for problem-focused thoughts. Findings were invariant across countries. CONCLUSIONS These findings provide support for further exploring the role rumination plays in determining and comparing problematic SNS use cross-culturally in longitudinal and experimental work.
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Affiliation(s)
| | - Adrian J Bravo
- Department of Psychological Sciences, William & Mary, USA.
| | - Laura Mezquita
- Department of Basic and Clinical Psychology and Psychobiology, Universitat Jaume I, Castelló de la Plana, Castellón, Spain; Centre for Biomedical Research Network on Mental Health (CIBERSAM), Instituto de Salud Carlos III, Castelló de la Plana, Castellón, Spain
| | - Angelina Pilatti
- Universidad Nacional de Córdoba, Facultad de Psicología, Córdoba, Argentina; Instituto de Investigaciones Psicológicas, IIPsi, CONICET, Córdoba, Argentina
| | - Lee Hogarth
- School of Psychology, University of Exeter, United Kingdom
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Lopes LS, Valentini JP, Monteiro TH, Costacurta MCDF, Soares LON, Telfar-Barnard L, Nunes PV. Problematic Social Media Use and Its Relationship with Depression or Anxiety: A Systematic Review. CYBERPSYCHOLOGY, BEHAVIOR, AND SOCIAL NETWORKING 2022; 25:691-702. [DOI: 10.1089/cyber.2021.0300] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Affiliation(s)
| | | | | | | | | | | | - Paula Villela Nunes
- Department of Psychiatry, Jundiai Medical School, Jundiai, Brazil
- Department of Psychiatry, Psychiatry Institute, University of Sao Paulo Medical School, Sao Paulo, Brazil
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15
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Chen M, Xiao X. The effect of social media on the development of students’ affective variables. Front Psychol 2022; 13:1010766. [PMID: 36186337 PMCID: PMC9521624 DOI: 10.3389/fpsyg.2022.1010766] [Citation(s) in RCA: 4] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/03/2022] [Accepted: 08/25/2022] [Indexed: 12/02/2022] Open
Abstract
The use of social media is incomparably on the rise among students, influenced by the globalized forms of communication and the post-pandemic rush to use multiple social media platforms for education in different fields of study. Though social media has created tremendous chances for sharing ideas and emotions, the kind of social support it provides might fail to meet students’ emotional needs, or the alleged positive effects might be short-lasting. In recent years, several studies have been conducted to explore the potential effects of social media on students’ affective traits, such as stress, anxiety, depression, and so on. The present paper reviews the findings of the exemplary published works of research to shed light on the positive and negative potential effects of the massive use of social media on students’ emotional well-being. This review can be insightful for teachers who tend to take the potential psychological effects of social media for granted. They may want to know more about the actual effects of the over-reliance on and the excessive (and actually obsessive) use of social media on students’ developing certain images of self and certain emotions which are not necessarily positive. There will be implications for pre- and in-service teacher training and professional development programs and all those involved in student affairs.
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Affiliation(s)
- Miao Chen
- Science and Technology Department, Nanjing University of Posts and Telecommunications, Nanjing, China
- School of Marxism, Hohai University, Nanjing, Jiangsu, China
- *Correspondence: Miao Chen,
| | - Xin Xiao
- Government Enterprise Customer Center, China Mobile Group Jiangsu Co., Ltd., Nanjing, China
- Xin Xiao,
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16
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He N, Houmei H, Wang M, Li H. Problematic Internet Use and Cyberbullying Perpetration Among Chinese Adolescents: the Mediating and Moderating Roles of Negative Emotions. Int J Ment Health Addict 2022. [DOI: 10.1007/s11469-021-00675-z] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/24/2022] Open
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17
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Digital Addiction and Sleep. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:ijerph19116910. [PMID: 35682491 PMCID: PMC9179985 DOI: 10.3390/ijerph19116910] [Citation(s) in RCA: 15] [Impact Index Per Article: 7.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 04/15/2022] [Revised: 06/02/2022] [Accepted: 06/03/2022] [Indexed: 12/25/2022]
Abstract
In 2020, the World Health Organization formally recognized addiction to digital technology (connected devices) as a worldwide problem, where excessive online activity and internet use lead to inability to manage time, energy, and attention during daytime and produce disturbed sleep patterns or insomnia during nighttime. Recent studies have shown that the problem has increased in magnitude worldwide during the COVID-19 pandemic. The extent to which dysfunctional sleep is a consequence of altered motivation, memory function, mood, diet, and other lifestyle variables or results from excess of blue-light exposure when looking at digital device screens for long hours at day and night is one of many still unresolved questions. This article offers a narrative overview of some of the most recent literature on this topic. The analysis provided offers a conceptual basis for understanding digital addiction as one of the major reasons why people, and adolescents in particular, sleep less and less well in the digital age. It discusses definitions as well as mechanistic model accounts in context. Digital addiction is identified as functionally equivalent to all addictions, characterized by the compulsive, habitual, and uncontrolled use of digital devices and an excessively repeated engagement in a particular online behavior. Once the urge to be online has become uncontrollable, it is always accompanied by severe sleep loss, emotional distress, depression, and memory dysfunction. In extreme cases, it may lead to suicide. The syndrome has been linked to the known chronic effects of all drugs, producing disturbances in cellular and molecular mechanisms of the GABAergic and glutamatergic neurotransmitter systems. Dopamine and serotonin synaptic plasticity, essential for impulse control, memory, and sleep function, are measurably altered. The full spectrum of behavioral symptoms in digital addicts include eating disorders and withdrawal from outdoor and social life. Evidence pointing towards dysfunctional melatonin and vitamin D metabolism in digital addicts should be taken into account for carving out perspectives for treatment. The conclusions offer a holistic account for digital addiction, where sleep deficit is one of the key factors.
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Andrade ALM, Di Girolamo Martins G, Scatena A, Lopes FM, de Oliveira WA, Kim HS, De Micheli D. The Effect of Psychosocial Interventions for Reducing Co-occurring Symptoms of Depression and Anxiety in Individuals with Problematic Internet Use: A Systematic Review and Meta-analysis. Int J Ment Health Addict 2022; 21:1-22. [PMID: 35677712 PMCID: PMC9164571 DOI: 10.1007/s11469-022-00846-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Accepted: 05/25/2022] [Indexed: 11/30/2022] Open
Abstract
The objective of this study is to conduct a systematic review and meta-analysis to assess the effect of psychosocial interventions in reducing problematic Internet use (PIU), anxiety, and depression symptoms in a sample of people. This review was registered on the PROSPERO database (CRD42020181912) and a total of 15 studies were included. Analyses of the effect of the interventions were conducted based on the standardized mean difference of the studied outcomes (PIU, anxiety, and depression). Most studies reported a positive effect of psychosocial interventions on reducing symptoms of PIU, depression, and anxiety among people with PIU. However, only one detected a robust effect in reducing symptoms of anxiety. For depression, this effect was more modest, and there was no difference between the different modalities of psychosocial interventions. The results suggest that psychosocial interventions are effective in reducing both symptoms of PIU and co-occurring symptoms of depression and anxiety in individuals with PIU. Supplementary Information The online version contains supplementary material available at 10.1007/s11469-022-00846-6.
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Affiliation(s)
- André Luiz Monezi Andrade
- Center of Life Sciences, Pontifical Catholic University of Campinas, John Boyd Dunlop st, S/N - Jardim Ipajussara, Campinas, SP 13034-685 Brazil
| | - Gabriella Di Girolamo Martins
- Center of Life Sciences, Pontifical Catholic University of Campinas, John Boyd Dunlop st, S/N - Jardim Ipajussara, Campinas, SP 13034-685 Brazil
| | - Adriana Scatena
- Department of Psychobiology, Universidade Federal de São Paulo, Napoleão de Barros st, 1038, Vila Clementino, São Paulo, 04024-003 Brazil
| | - Fernanda Machado Lopes
- Department of Psychology, Universidade Federal de Santa Catarina, Campus Universitário, Trindade, , Florianópolis, SC 88.040-970 Brazil
| | - Wanderlei Abadio de Oliveira
- Departament of Psychology, Pontifical Catholic University of Campinas, John Boyd Dunlop st, S/N - Jardim Ipajussara, Campinas, SP 13034-685 Brazil
| | - Hyoun S. Kim
- Department of Psychology, Ryerson University, 350 Victoria Street, Toronto, ON M5B 2K3 Canada
| | - Denise De Micheli
- Departament of Psychobiology, Universidade Federal de São Paulo, Rua Napoleão de Barros, 1038, Vila Clementino, SP 04024-003 Brazil
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Sakamoto N, Kabaya K, Nakayama M. Sleep problems, sleep duration, and use of digital devices among primary school students in Japan. BMC Public Health 2022; 22:1006. [PMID: 35585595 PMCID: PMC9116694 DOI: 10.1186/s12889-022-13389-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/06/2021] [Accepted: 05/09/2022] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND There is growing concern that screen time and media use in school-age children can negatively affect children's sleep. These negative effects are explained by three main underlying mechanisms: reduced sleep, time allocated for more media consumption; increased mental, emotional, or psychological stimulation by media content; and the effects of light emitted by digital devices on circadian rhythms and sleep physiology and arousal. In this study, we focused not only on sleep duration, but also on sleep problems. We conducted a large-scale survey to examine the relationship between excessive use of digital devices, Internet addictive behaviour, sleep duration, and sleep problems. METHODS We conducted a cross-sectional study of children enrolled in 20 public primary schools in Nagoya City, Japan. Children's parents/guardians completed a questionnaire including the brief sleep questionnaire for Japanese children which is a shortened version of the 'Children's Sleep Habits Questionnaire'. Logistic regression analyses were used to identify associations between sleep problems and grade, sex, weekday sleep time, weekend sleep time, ownership of digital devices, frequent checking of digital devices, use of digital devices for more than 4 hours per day, and Internet addiction. RESULTS In total, 8172 responses were received (91.6% response rate). After excluding incomplete responses, we analysed complete datasets for 6893 children with a mean age of 9.0 years. When adjusted for sex, grade, sleep duration on weekdays, and sleep duration on weekends, failure to control (odds ratio [OR] = 1.48; 95% confidence interval [CI]: 1.29-1.70; p < .001), more use than intended (OR = 1.27; 95% CI: 1.12-1.44; p < .001), and use to escape a dysphoric mood (OR = 1.30; 95% CI: 1.03-1.64; p = .027) were associated with children's sleep problems. A shorter weekday and a longer weekend sleep duration indicated a higher likelihood of sleep problems. CONCLUSIONS After adjusting for sleep duration, a relationship was found between the three Internet addictive behaviours and sleep problems, but not ownership of digital devices. Parents and teachers may need to address screen media-related sleep problems in children, as these problems may be influenced by psychological factors.
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Affiliation(s)
- Naoko Sakamoto
- Faculty of Nursing, Toho University, Omori-nishi, Ohta-ku, Tokyo, 143-0015, Japan.
| | - Kayoko Kabaya
- Department of Otolaryngology and Good Sleep Center, Nagoya City University, Kawasumi, Mizuho-cho, Mizuho-ku, Nagoya, 467-8601, Japan
| | - Meiho Nakayama
- Department of Otolaryngology and Good Sleep Center, Nagoya City University, Kawasumi, Mizuho-cho, Mizuho-ku, Nagoya, 467-8601, Japan
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20
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Chang FC, Chiu CH, Chen PH, Chiang JT, Miao NF, Chuang HY, Huang WQ, Tseng CC. Smartphone addiction and victimization predicts sleep problems and depression among children. J Pediatr Nurs 2022; 64:e24-e31. [PMID: 35101352 DOI: 10.1016/j.pedn.2022.01.009] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/23/2021] [Revised: 01/14/2022] [Accepted: 01/15/2022] [Indexed: 12/09/2022]
Abstract
BACKGROUND In this study we examined the phenomena of smartphone addiction, online harassment, and school bullying/victimization to predict the prospective influence these could have on the onset and persistence of sleep problems and depression among children. METHODS Responses from 2155 fifth-grade children recruited from 30 primary schools in Taipei were assessed, and a follow-up was performed in the 6th grade. Self-administered questionnaires were collected for each year. FINDINGS Children who reported smartphone addictions, online harassment, and school bullying/victimization coupled with an increase in those factors were more likely to experience the onset and persistence of sleep problems. In addition, children who reported smartphone addiction, online harassment, school bullying/victimization, and poor sleep quality were more likely to experience the onset and persistence of depression. IMPLICATIONS School nurses or pediatric nurses should be able to assess children's Internet use and risks to understand potential influences on sleep quality and mental status and provide recommendations for children, parents and schools.
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Affiliation(s)
- Fong-Ching Chang
- Department of Health Promotion and Health Education, National Taiwan Normal University, Taiwan.
| | - Chiung-Hui Chiu
- Graduate Institute of Information and Computer Education, National Taiwan Normal University, Taiwan.
| | - Ping-Hung Chen
- The Graduate Institute of Mass Communication, National Taiwan Normal University, Taiwan.
| | | | - Nae-Fang Miao
- College of Nursing, Taipei Medical University, Taiwan.
| | - Hung-Yi Chuang
- Department of Public Health, Kaohsiung Medical University, Taiwan.
| | - Wei-Quan Huang
- National Health Insurance Administration, Ministry of Health and Welfare, Taiwan.
| | - Chie-Chien Tseng
- Department of Health Promotion and Health Education, National Taiwan Normal University, Taiwan.
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21
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Lu J, Zhang Q, Chen J, Zhai Y, Guo L, Lu C, Chen T, Jiang Z, Zhong N, Zheng H. Addiction symptoms network of young internet users: A network analysis (Preprint). J Med Internet Res 2022; 24:e38984. [DOI: 10.2196/38984] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/24/2022] [Revised: 08/30/2022] [Accepted: 09/16/2022] [Indexed: 11/13/2022] Open
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22
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Chang CW, Huang RY, Strong C, Lin YC, Tsai MC, Chen IH, Lin CY, Pakpour AH, Griffiths MD. Reciprocal Relationships Between Problematic Social Media Use, Problematic Gaming, and Psychological Distress Among University Students: A 9-Month Longitudinal Study. Front Public Health 2022; 10:858482. [PMID: 35462841 PMCID: PMC9024175 DOI: 10.3389/fpubh.2022.858482] [Citation(s) in RCA: 16] [Impact Index Per Article: 8.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/20/2022] [Accepted: 03/17/2022] [Indexed: 11/21/2022] Open
Abstract
Background The causal relationships between two specific types of problematic use in internet-related activities [i.e., problematic social media use (PSMU) and problematic gaming (PG)] and psychological distress remain controversial. The present study investigated the temporal relationships between PSMU, PG, and psychological distress (i.e., anxiety, depression) in university students. Methods Hong Kong and Taiwan university students [N = 645; nmale = 266; mean = 20.95 years (SD = 5.63)] were recruited for a survey study, with follow-ups at 3, 6, and 9 months after baseline assessment. The Bergen Social Media Addiction Scale, Internet Gaming Disorder Scale-Short Form, and the Hospital Anxiety and Depression Scale were used to assess studied variables. Demographics including age, physical characteristics (i.e., height, weight, and body mass index), and cigarette use were compared between participants who completed all the follow-ups and those who dropped out. Random intercept cross-lagged models were constructed to understand the reciprocal relationships between PSMU, PG, and psychological distress. Results No significant differences were found in age, physical characteristics, and cigarette use between participants who completed all the follow-ups and those who dropped out. Findings indicated that a high level of PSMU significantly increased the level of anxiety and a high level of anxiety significantly increased the level of PSMU. A high level of PSMU significantly increased the level of depression but the level of depression did not significantly affect the level of PSMU. A high level of PG significantly increased the level of anxiety, but the level of anxiety did not significantly affect the level of PG. A high level of depression significantly increased the level of PG, but the level of depression did not significantly affect the level of PG. Conclusion The patterns of the causal relationship between PIU and psychological distress variables differ. A reciprocal relationship was only found between the level of PSMU and the level of anxiety. Moreover, the longitudinal design found no differences in the waves in terms of gaming by the participants.
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Affiliation(s)
- Ching-Wen Chang
- Graduate Institute of Social Work, National Taiwan Normal University, Taipei, Taiwan
| | - Ru-Yi Huang
- Department of Family and Community Medicine, E-Da Hospital, Kaohsiung, Taiwan
- School of Medicine for International Students, College of Medicine, I-Shou University, Kaohsiung, Taiwan
| | - Carol Strong
- Department of Public Health, College of Medicine, National Cheng Kung University, Tainan, Taiwan
| | - Yi-Ching Lin
- Department of Early Childhood and Family Education, National Taipei University of Education, Taipei, Taiwan
| | - Meng-Che Tsai
- Department of Pediatrics, College of Medicine, National Cheng Kung University Hospital, National Cheng Kung University, Tainan, Taiwan
- Department of Medical Humanities and Social Medicine, College of Medicine, National Cheng Kung University, Tainan, Taiwan
| | - I-Hua Chen
- Chinese Academy of Education Big Data, Qufu Normal University, Qufu, China
- *Correspondence: I-Hua Chen
| | - Chung-Ying Lin
- College of Medicine, Institute of Allied Health Sciences, National Cheng Kung University Hospital, National Cheng Kung University, Tainan, Taiwan
- Department of Occupational Therapy, College of Medicine, National Cheng Kung University, Tainan, Taiwan
- Biostatistics Consulting Center, College of Medicine, National Cheng Kung University Hospital, National Cheng Kung University, Tainan, Taiwan
- Department of Public Health, College of Medicine, National Cheng Kung University, Tainan, Taiwan
- Chung-Ying Lin
| | - Amir H. Pakpour
- Department of Nursing, School of Health and Welfare, Jönköping University, Jönköping, Sweden
- International Gaming Research Unit, Psychology Department, Nottingham Trent University, Nottingham, United Kingdom
| | - Mark D. Griffiths
- International Gaming Research Unit, Psychology Department, Nottingham Trent University, Nottingham, United Kingdom
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Hossin MZ, Islam A, Billah M, Haque M, Uddin J. Is there a gradient in the association between internet addiction and health? PLoS One 2022; 17:e0264716. [PMID: 35239733 PMCID: PMC8893621 DOI: 10.1371/journal.pone.0264716] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/21/2021] [Accepted: 02/15/2022] [Indexed: 12/24/2022] Open
Abstract
Background Internet Addiction (IA) is often shown to be associated with health issues, but no study explicitly examined a possible gradient in the association between different levels of IA and health. This study aimed to examine if the levels of IA had a graded relationship with poor sleep quality, psychological distress, and self-rated health among university students in Bangladesh. Methods In this cross-sectional study, a sample of 625 students from six universities/colleges responded to an online survey that contained measures of internet addiction test (IAT), general health questionnaire (GHQ-12), sleep quality, and self-rated health. Modified Poisson regression models were fitted to estimate the adjusted risk ratios (RR) and confidence intervals (CI) of the associations between IA and health outcomes. Results The IA levels were associated with each of the three health outcomes in a linear fashion. Compared to the lowest IA quintile, the highest quintile remained associated with an increased risk of poor-quality sleeping (RR: 1.77; 95% CI: 1.26, 2.48), psychological distress (RR: 2.09; 95% CI: 1.55, 2.82), and worse self-rated health (RR: 1.46; 95% CI: 1.09, 1.96) after adjusting for socio-demographic covariates. There were also dose-response associations between IAT z-scores and health outcomes. The association between IAT z-scores and psychological distress was significantly stronger in males compared to females (p-value for interaction<0.05). Conclusions The study found strong gradients between levels of addiction to internet and health outcomes, suggesting that increased health risks may exist even at lower levels of internet addiction. The findings highlight the need for departure of current research from a focus on the classic dichotomy of problematic versus not problematic internet use and a move toward recognizing the potential hierarchical effects of IA on health.
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Affiliation(s)
- Muhammad Zakir Hossin
- Department of Global Public Health, Karolinska Institute, Stockholm, Sweden
- Department of General Education, Eastern University, Dhaka, Bangladesh
- * E-mail:
| | - Azharul Islam
- Department of Educational and Counselling Psychology, University of Dhaka, Dhaka, Bangladesh
| | - Masum Billah
- Department of Sociology, East West University, Dhaka, Bangladesh
| | - Mahjabeen Haque
- Department of Educational and Counselling Psychology, University of Dhaka, Dhaka, Bangladesh
| | - Jalal Uddin
- Department of Epidemiology, University of Alabama at Birmingham, Birmingham, AL, United States of America
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Thai TT, Duong MHT, Vo DK, Dang NTT, Huynh QNH, Tran HGN. Cyber-victimization and its association with depression among Vietnamese adolescents. PeerJ 2022; 10:e12907. [PMID: 35186489 PMCID: PMC8840053 DOI: 10.7717/peerj.12907] [Citation(s) in RCA: 6] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/10/2021] [Accepted: 01/18/2022] [Indexed: 01/11/2023] Open
Abstract
BACKGROUND Cyberbullying has become an alarming social issue, but little is known about its prevalence and consequences in many countries. This study investigated the prevalence of cyber-victimization and its association with depression among students in Ho Chi Minh City, Vietnam. METHODS A cross-sectional study was conducted in 1,492 students from eight secondary schools and high schools in four urban and suburban areas. Multi-stage cluster sampling approach was used to recruit participants. Students participated in this study on a voluntary basis and completed a self-report questionnaire that included validated scales to measure their experience of cyber-bullying (Cyber Bullying Scale) and symptoms of depression (Center for Epidemiologic Studies-Depression Scale). Weighted logistic regression analysis was used to adjust for the cluster effect and sampling probability. RESULTS Almost all (92.4%) students reported using the internet everyday and nearly 40% used internet for more than four hours per day. Cyber-victimization was identified in 36.5% of students and almost 25% experienced multiple types of cyber-victimization. Nearly half of students reported symptoms of depression. After adjusting for other covariates, students who experienced cyber-victimization were found to have 1.81 times (95% CI [1.42-2.30]) higher in odds of having symptoms of depression. CONCLUSIONS Cyber victimization and depression are both common in Vietnamese adolescents. Those who experienced cyber bullying have a higher likelihood of having symptoms of depression. These findings indicate an urgent need for interventions and policies targeting this emerging type of bullying in Vietnam and similar settings due to its potential harmful effects on adolescents' health.
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Affiliation(s)
- Truc Thanh Thai
- Faculty of Public Health, University of Medicine and Pharmacy at Ho Chi Minh City, Ho Chi Minh City, Vietnam
| | | | - Duy Kim Vo
- Long Dien District Medical Center, Ba Ria Vung Tau, Vietnam
| | | | - Quynh Ngoc Ho Huynh
- Faculty of Public Health, University of Medicine and Pharmacy at Ho Chi Minh City, Ho Chi Minh City, Vietnam
| | - Huong Giang Nguyen Tran
- Training and Scientific Research Department, University Medical Center Ho Chi Minh City, Ho Chi Minh City, Vietnam
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25
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Insomnia thresholds and associated factors among Omani university students. INTERNATIONAL JOURNAL OF AFRICA NURSING SCIENCES 2022. [DOI: 10.1016/j.ijans.2022.100500] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/06/2022] Open
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26
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Atoum M, Al-Rawashdeh S, Atoum D, Atoum H, Atoum R. Electronic Devices Use Association with Psychological Distress and Sleep among Adolescents. ELECTRONIC JOURNAL OF GENERAL MEDICINE 2021. [DOI: 10.29333/ejgm/11314] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/31/2023]
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Mahmid F, Bdier D, Chou P. The association between problematic Internet use, eating disorder behaviors, and well-being among Palestinian university students. PSICOLOGIA-REFLEXAO E CRITICA 2021; 34:32. [PMID: 34674078 PMCID: PMC8529369 DOI: 10.1186/s41155-021-00198-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/23/2021] [Accepted: 09/29/2021] [Indexed: 11/20/2022] Open
Abstract
Objectives The current study aimed to test the correlation between problematic Internet use, eating disorder behaviors, and well-being among Palestinian university students. Methods To examine the relationship between the study variables, a correlational study was conducted. The geographical representation of the study sample showed that 48.1% of participants were from urban populations, 48.1% were from rural villages, and 3.8% were from internally displaced people’s camps. Results Pearson’s correlation coefficient was used to test the relationship between problematic Internet use, eating disorder behaviors, and well-being. Results showed that problematic Internet use was negatively correlated to well-being (r = − .32, p < .01), and positively correlated to eating disorder behaviors (r = .39, p < .01). The regression analysis found that problematic Internet use contributes statistically and significantly towards explaining variance in eating disorder behaviors (B = .46, SE = .08, β = .32). Moreover, well-being contributed in a way that was statistically significant towards explaining variance in eating disorders behaviors (B = − .39, SE = .09, β = − .25). Conclusion The results of our study support previous studies that indicated that problematic Internet use was significantly and positively correlated with eating disorder behaviors, while it was significantly and negatively correlated to well-being among Palestinian university students. Further studies testing this relationship will be crucial in developing interventions to both reduce problematic Internet use and eating disorder behaviors and increase well-being among university students.
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Affiliation(s)
- Fayez Mahmid
- An-Najah National University, Nablus, Palestine. .,Psychology and Counseling Department, An-Najah National University, Nablus, Palestine.
| | - Dana Bdier
- An-Najah National University, Nablus, Palestine
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Islam MR, Jannath S, Moona AA, Akter S, Hossain MJ, Islam SMA. Association between the use of social networking sites and mental health of young generation in Bangladesh: A cross-sectional study. JOURNAL OF COMMUNITY PSYCHOLOGY 2021; 49:2276-2297. [PMID: 34289516 DOI: 10.1002/jcop.22675] [Citation(s) in RCA: 13] [Impact Index Per Article: 4.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/02/2021] [Revised: 07/03/2021] [Accepted: 07/05/2021] [Indexed: 06/13/2023]
Abstract
The social networking sites (SNS) are popular among people of all levels. Here we aimed to evaluate the relationship between the use of SNS and the mental health of the young generation in Bangladesh. We conducted this cross-sectional study among 791 subjects aged between 15 and 40 years. Self-reported questionnaires were used to collect demographics and SNS usage patterns of the respondents. We have measured the levels of loneliness, depression, generalized anxiety, and sleep disturbance using the recommended mental health assessment scales. The estimations of loneliness, depression, generalized anxiety, and sleep disturbance among the respondents were 64%, 38%, 63%, and 75%, respectively. Young adults, female sex, unmarried individuals, students, and urban residents reported higher psychological issues regarding the SNS use. Reported mental health issues were associated with time spent in SNS, the number of friends and groups connected with, personal beliefs, and feeling about SNS. A notable association between the use of SNS and the mental health issues of users has been ascertained. The present study findings might have significant implications in the field of clinical psychology and psychotherapy. Therefore, we recommend more comprehensive clinical interventions to find the tangible impact of SNS on the mental health of users.
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Affiliation(s)
- Md Rabiul Islam
- Department of Pharmacy, University of Asia Pacific, Dhaka, Bangladesh
| | - Sanjida Jannath
- Department of Pharmacy, University of Asia Pacific, Dhaka, Bangladesh
| | - Amena A Moona
- Department of Pharmacy, University of Asia Pacific, Dhaka, Bangladesh
| | - Shahinur Akter
- Department of Pharmacy, University of Asia Pacific, Dhaka, Bangladesh
| | - Md Jamal Hossain
- Department of Pharmacy, State University of Bangladesh, Dhaka, Bangladesh
| | - Sardar M A Islam
- Department of Pharmacy, University of Asia Pacific, Dhaka, Bangladesh
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Rozgonjuk D, Davis KL, Montag C. The Roles of Primary Emotional Systems and Need Satisfaction in Problematic Internet and Smartphone Use: A Network Perspective. Front Psychol 2021; 12:709805. [PMID: 34531797 PMCID: PMC8438112 DOI: 10.3389/fpsyg.2021.709805] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/14/2021] [Accepted: 07/19/2021] [Indexed: 12/31/2022] Open
Abstract
Problematic Internet and smartphone use (PIU and PSU, respectively) have received significant attention over the past years. In the current work, we studied the associations between PIU and PSU, primary emotional systems, and need satisfaction. The effective sample comprised 399 people who responded to scales measuring these variables. Bivariate correlation analysis showed that both PSU and PIU were positively associated with negative primary emotion traits (FEAR, ANGER, SADNESS) as well as lower scores on most of the need satisfaction factors. Network analysis showed that while PIU and PSU have a strong association with each other, in general, there were not many significant correlations between PSU, PIU, and other variables in the network. The associations being present were rather weak. Network analysis showed that PSU was positively associated with FEAR, ANGER, PLAY primary emotional systems. Both PSU and PIU had a negative association with safety and security and physiological needs satisfaction. Moreover, PSU had a positive link with belongingness need satisfaction, while higher PIU was associated with lower esteem and self-actualization need satisfaction. Addressing those unmet needs may be helpful in reducing problematic technology use, but further research testing this would be necessary.
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Affiliation(s)
- Dmitri Rozgonjuk
- Department of Molecular Psychology, University of Ulm, Ulm, Germany
- Institute of Mathematics and Statistics, University of Tartu, Tartu, Estonia
| | | | - Christian Montag
- Department of Molecular Psychology, University of Ulm, Ulm, Germany
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Ramón-Arbués E, Granada-López JM, Martínez-Abadía B, Echániz-Serrano E, Antón-Solanas I, Nash M. Prevalence and Factors Associated with Problematic Internet Use in a Population of Spanish University Students. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:7620. [PMID: 34300071 PMCID: PMC8306107 DOI: 10.3390/ijerph18147620] [Citation(s) in RCA: 9] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 06/20/2021] [Revised: 06/30/2021] [Accepted: 07/15/2021] [Indexed: 11/16/2022]
Abstract
(1) Background: To examine the prevalence, and associated factors of, problematic Internet use in a sample of Spanish university students. (2) Methods: Cross-sectional descriptive study of a convenience sample of 698 university students. Self-esteem, alcohol consumption, perceived social support, depression, anxiety, stress and problematic Internet use were evaluated using the Rosenberg, CAGE, DUKE-UNC-11, DASS-21 and Young's Internet Addiction Test, respectively. (3) Results: Problematic internet use was reported by 21% of respondents. Risk of problematic Internet use was independently associated with the preferred use of the smartphone, time of exposure to the Internet, less perceived social support, problematic alcohol consumption and symptoms of stress and anxiety. We found significant association between problematic internet use and time of exposure to the Internet, residential status, alcohol consumption, self-esteem, perceived social support and psychological distress, after bivariate analysis. (4) Conclusions: A considerable prevalence of problematic Internet use was found; in our sample problematic Internet use was associated with stress, alcohol consumption, anxiety and perceived social support. Strategies aimed at the early identification of problematic Internet use may lead to an improvement in the psychosocial health of the university student population.
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Affiliation(s)
- Enrique Ramón-Arbués
- Faculty of Health Sciences, Campus Universitario Villanueva de Gállego, Universidad San Jorge, Villanueva de Gállego, 50830 Zaragoza, Spain;
- Research Group Transfercult (H27_20D), University of Zaragoza, 50009 Zaragoza, Spain;
| | - José Manuel Granada-López
- Research Group Transfercult (H27_20D), University of Zaragoza, 50009 Zaragoza, Spain;
- Department of Physiatrics and Nursing, Faculty of Health Sciences, University of Zaragoza, C/Domingo Miral S/N, 50009 Zaragoza, Spain
- Research Group Safety and Care (GIISA021), Institute of Research of Aragón, 50009 Zaragoza, Spain
| | - Blanca Martínez-Abadía
- Occupational Health and Prevention Service, Zaragoza City Council, P° de La Mina 9, 50001 Zaragoza, Spain;
| | - Emmanuel Echániz-Serrano
- Research Group Transfercult (H27_20D), University of Zaragoza, 50009 Zaragoza, Spain;
- Department of Physiatrics and Nursing, Faculty of Health Sciences, University of Zaragoza, C/Domingo Miral S/N, 50009 Zaragoza, Spain
| | - Isabel Antón-Solanas
- Department of Physiatrics and Nursing, Faculty of Health Sciences, University of Zaragoza, C/Domingo Miral S/N, 50009 Zaragoza, Spain
- Research Group Nursing Research in Primary Care in Aragón (GENIAPA) (GIIS094), Institute of Research of Aragón, 50009 Zaragoza, Spain
| | - Michael Nash
- School of Nursing and Midwifery, Trinity College, University of Dublin, Dublin 2, Ireland;
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Liu J, Ahmed MZ, Ahmed O, Griffiths MD, Chen L. Development and Psychometric Assessment of the Problematic QQ Use Scale among Adolescents. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:ijerph18136744. [PMID: 34201555 PMCID: PMC8268458 DOI: 10.3390/ijerph18136744] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 04/21/2021] [Revised: 06/15/2021] [Accepted: 06/16/2021] [Indexed: 02/07/2023]
Abstract
The QQ social media platform is very popular among Chinese adolescents. As with other social media platforms (e.g., Facebook, Instagram, YouTube, etc.), there have been increasing reports that the use of QQ can be potentially problematic to a minority of users. However, unlike these other social media platforms, there is currently no scale to assess the risk of problematic QQ use. The present study developed the Problematic QQ Use Scale (PQQUS) among Chinese adolescents based on six core criteria of behavioral addiction (salience, tolerance, mood modification, loss of control, withdrawal, and conflict) that have been used in the development of other social media addiction scales. The scale was administered to a sample of 1008 Chinese school children to assess its psychometric properties, utilizing both classical test theory and item response theory. The analysis demonstrated that the PQQUS had good item discrimination indices relating to both CTT and IRT. The CFA results and Loevinger’s H-coefficient suggested the PQQUS had a unidimensional factor structure. The PQQUS had good internal reliability, good composite reliability, and good concurrent validity (based on correlations with measures of anxiety, depression, self-esteem, and life satisfaction). The invariance testing between boys and girls suggested this scale is a valid assessment tool for both groups. Overall, the PQQUS is a psychometrically robust tool for assessing problematic QQ use and will have a key role in further research on problematic QQ use among Chinese adolescents.
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Affiliation(s)
- Jintao Liu
- Research Center for Urban Social Psychology, School of Education, Lanzhou City University, Lanzhou 730070, China
- School of Psychology, Northwest Normal University, Lanzhou 730070, China; (M.Z.A.); (L.C.)
- Correspondence:
| | - Md Zahir Ahmed
- School of Psychology, Northwest Normal University, Lanzhou 730070, China; (M.Z.A.); (L.C.)
| | - Oli Ahmed
- Department of Psychology, University of Chittagong, Chattogram 4331, Bangladesh;
| | - Mark D. Griffiths
- Psychology Department, Nottingham Trent University, Nottingham NG1 4FQ, UK;
| | - Lili Chen
- School of Psychology, Northwest Normal University, Lanzhou 730070, China; (M.Z.A.); (L.C.)
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O'Callaghan VS, Couvy-Duchesne B, Strike LT, McMahon KL, Byrne EM, Wright MJ. A meta-analysis of the relationship between subjective sleep and depressive symptoms in adolescence. Sleep Med 2021; 79:134-144. [PMID: 33524839 DOI: 10.1016/j.sleep.2021.01.011] [Citation(s) in RCA: 27] [Impact Index Per Article: 9.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/16/2020] [Revised: 01/05/2021] [Accepted: 01/07/2021] [Indexed: 01/09/2023]
Abstract
BACKGROUND Adolescence is a risk period for the development of mental illness, as well as a time for pronounced change in sleep behaviour. While prior studies, including several meta-analyses show a relationship between sleep and depressive symptoms, there were many inconsistences found in the literature. OBJECTIVE To investigate the relationship between subjective sleep and depressive symptoms. METHODS Following PRISMA guidelines, we conducted a literature search that yielded forty-nine recent studies (2014-2020) with adolescent samples aged 9 to 25-year-olds, and more than double the sample size of previous meta-analyses (N = 318,256). RESULTS In a series of meta-analyses, we show that while several common categories of subjective sleep are associated with depressive symptoms in adolescents, the strength of this relationship varies. Measures of sleep perception: poor sleep quality (r = 0.41), insomnia (r = 0.37), sleep disturbances (r = 0.36), wake after sleep onset (r = 0.31), and daytime sleepiness (r = 0.30) correlated more strongly with depressive symptoms, than measures of sleep behaviour: sleep latency (r = 0.22), and sleep duration (r = -0.19). CONCLUSIONS These findings suggest that in studies of depressive symptoms it may be important to assess an adolescent's perception about their sleep, in addition to their sleep/wake behaviours.
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Affiliation(s)
| | - Baptiste Couvy-Duchesne
- Institute of Molecular Bioscience, University of Queensland, Brisbane, Australia; Paris Brain Institute, ARAMIS INRIA Team, Paris, France
| | - Lachlan T Strike
- Queensland Brain Institute, University of Queensland, Brisbane, Australia
| | - Katie L McMahon
- Queensland University of Technology, Faculty of Health, School of Clinical Science and Institute of Health and Biomedical Innovation, Brisbane, Australia
| | - Enda M Byrne
- Institute of Molecular Bioscience, University of Queensland, Brisbane, Australia
| | - Margaret J Wright
- Queensland Brain Institute, University of Queensland, Brisbane, Australia; Centre for Advanced Imaging, University of Queensland, Brisbane, Australia
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Alonzo R, Hussain J, Stranges S, Anderson KK. Interplay between social media use, sleep quality, and mental health in youth: A systematic review. Sleep Med Rev 2020; 56:101414. [PMID: 33385767 DOI: 10.1016/j.smrv.2020.101414] [Citation(s) in RCA: 100] [Impact Index Per Article: 25.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/07/2020] [Revised: 08/27/2020] [Accepted: 08/27/2020] [Indexed: 12/11/2022]
Abstract
Social media applications are increasingly prominent among youth. This systematic review provides a comprehensive assessment of the literature on the relationship between active social media use, sleep quality, and common mental health outcomes (anxiety, depression, and psychological distress) among youth. MEDLINE, PsychINFO, EMBASE and Scopus were searched for observational studies investigating this relationship among youth (aged 16-25). Thirty-six cross-sectional studies and six prospective cohort studies met the inclusion criteria. Among cross-sectional studies, significant associations between excessive social media use with poor mental health outcomes (n = 33), poor sleep quality (n = 24), and significant associations between poor sleep quality and negative mental health (n = 16) were found. In longitudinal studies, frequent social media use was a risk factor for both poor mental health (n = 6) and poor sleep outcomes (n = 5). Some studies showed sleep quality mediating the relationship between social media use and negative mental health outcomes in youth. Overall, included evidence links excessive social media use to poor sleep quality and negative mental health in youth. Given the public health implications of sleep problems, excessive social media use warrants further investigation to clarify the directionality and strength of their associations with poor sleep quality and negative mental health outcomes.
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Affiliation(s)
- Rea Alonzo
- Department of Epidemiology & Biostatistics, The University of Western Ontario, London, Ontario, Canada
| | - Junayd Hussain
- Department of Epidemiology & Biostatistics, The University of Western Ontario, London, Ontario, Canada
| | - Saverio Stranges
- Department of Epidemiology & Biostatistics, The University of Western Ontario, London, Ontario, Canada; Department of Family Medicine, Schulich School of Medicine & Dentistry, The University of Western Ontario, London, Ontario, Canada; Department of Population Health, Luxembourg Institute of Health, Strassen, Luxembourg
| | - Kelly K Anderson
- Department of Epidemiology & Biostatistics, The University of Western Ontario, London, Ontario, Canada; Department of Psychiatry, The University of Western Ontario, London, Ontario, Canada.
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Mougharbel F, Goldfield GS. Psychological Correlates of Sedentary Screen Time Behaviour Among Children and Adolescents: a Narrative Review. Curr Obes Rep 2020; 9:493-511. [PMID: 32870464 DOI: 10.1007/s13679-020-00401-1] [Citation(s) in RCA: 25] [Impact Index Per Article: 6.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/06/2023]
Abstract
PURPOSE OF REVIEW The aims of this narrative review were to (1) synthesise the literature on the relationship between screen time and important mental health outcomes and (2) examine the underpinning factors that can influence this association. RECENT FINDINGS Paralleling the rise of mental health issues in children and adolescents is the ubiquitous overuse of screens, but it is unclear how screen time is related to important mental health outcomes and whether this association differs by gender, age and screen type. METHODS Medline/PubMed, PsychINFO and Google Scholar databases were searched on December 2019 for articles published mainly in the last 5 years. The search focused on two main concepts: (i) screen time and (ii) mental health outcomes including anxiety, depression, psychological and psychosocial well-being and body image concerns. RESULTS Sixty studies were included in the review. Higher levels of screen time were associated with more severe depressive symptoms. We found moderate evidence for an association between screen time and poor psychological well-being and body dissatisfaction especially among females. Relationships between screen time and anxiety were inconsistent and somewhat gender specific. Social media use was consistently associated with poorer mental health. Higher levels of screen time are generally associated with poorer mental health outcomes, but associations are influenced by screen type, gender and age. Practitioners, parents, policy makers and researchers should collectively identify and evaluate strategies to reduce screen time, or to use screens more adaptively, as a means of promoting better mental health among children and adolescents.
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Affiliation(s)
- Fatima Mougharbel
- Interdisciplinary School of Health Sciences, University of Ottawa, Ottawa, ON, Canada
- Healthy Active Living and Obesity Research Group, Children's Hospital of Eastern Ontario, Ottawa, ON, Canada
| | - Gary S Goldfield
- Healthy Active Living and Obesity Research Group, Children's Hospital of Eastern Ontario, Ottawa, ON, Canada.
- Department of Pediatrics, Faculty of Medicine, University of Ottawa, 401 Smyth Rd, Ottawa, ON, K1H 8L1, Canada.
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Piteo EM, Ward K. Review: Social networking sites and associations with depressive and anxiety symptoms in children and adolescents - a systematic review. Child Adolesc Ment Health 2020; 25:201-216. [PMID: 33118256 DOI: 10.1111/camh.12373] [Citation(s) in RCA: 18] [Impact Index Per Article: 4.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Accepted: 01/19/2020] [Indexed: 01/20/2023]
Abstract
BACKGROUND Given social networking sites (SNSs) have become a pervasive part of culture; it is critical to understand the ways in which they may be advantageous or detrimental to the mental health of young people. This systematic narrative review examined the relationships between SNS and depressive and anxiety symptoms in the child and adolescent population (5-18 years). METHODS Four databases were searched, and all articles between January 2005 and March 2019 were identified. RESULTS Increased time spent or frequency of SNS use, and problematic and addictive behaviour on SNS were significantly associated with higher levels of depressive symptoms. Two cross-sectional studies found that increased time spent or frequency of SNS use and higher levels of investment on SNS were significantly associated with higher levels of anxiety symptoms. However, other potential confounding factors could explain the relationship between SNS and depressive and anxiety symptoms, including perceived social support, social comparison and fear of missing out (FoMO). CONCLUSIONS While there is evidence that there is a relationship between SNS and anxiety and depressive symptoms, the effect size tends to be small and informed by studies of poor quality. Therefore, results should be interpreted cautiously. Methodological issues in conceptualising SNS complicated the findings. Future studies should explore the various conditions by which SNS may either interfere or enhance the development of emotional regulation in young people. These findings help to inform clinicians and educators in targeting vulnerable young people who are at risk of developing mental health problems.
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Affiliation(s)
- Elena Marie Piteo
- School of Arts and Sciences, University of Notre Dame, Sydney, NSW, Australia.,Aquinas College, Nashville, TN, USA
| | - Kelly Ward
- School of Arts and Sciences, University of Notre Dame, Sydney, NSW, Australia
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Yu Y, Yang X, Wang S, Wang H, Chang R, Tsamlag L, Zhang S, Xu C, Yu X, Cai Y, Lau JTF. Serial multiple mediation of the association between internet gaming disorder and suicidal ideation by insomnia and depression in adolescents in Shanghai, China. BMC Psychiatry 2020; 20:460. [PMID: 32967648 PMCID: PMC7510306 DOI: 10.1186/s12888-020-02870-z] [Citation(s) in RCA: 33] [Impact Index Per Article: 8.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/05/2020] [Accepted: 09/15/2020] [Indexed: 12/28/2022] Open
Abstract
BACKGROUND High prevalence and strong relationships among suicidal ideation, Internet gaming disorder (IGD), insomnia, and depression have been reported for adolescents worldwide, but the mechanism underlying these psychological problems remains unclear. This cross-sectional study explored the mediating effect of insomnia and depression on the association between IGD and suicidal ideation. METHODS Participants were 1066 adolescents (median age = 13.0 years) with Internet games exposure in the previous 12 months from junior high schools in Shanghai, China. Questionnaire measures of suicidal ideation, IGD, insomnia, depressive symptoms, and background characteristics were obtained. Path analysis was conducted to test the multiple mediating roles of insomnia and depression. RESULTS Suicidal ideation, IGD, insomnia, and depression prevalence was 27.2, 13.6, 9.2, and 17.0%, respectively. A serial multiple mediation model was generated. The mediation effect of insomnia and depression on the pathway from IGD to suicidal ideation was 45.5% (direct effect: standardized estimate [Std. estimate] = 0.186; total indirect effect: Std. estimate = 0.155). The association between IGD and depression was partially mediated by insomnia (direct effect: Std. estimate = 0.211; indirect effect: Std. estimate = 0.135). The proposed model fit the data well. CONCLUSIONS Insomnia and depression may serially mediate the association between IGD and suicidal ideation. IGD was positively associated with insomnia, then with depression, which in turn positively contributed to suicidal ideation. We suggest greater monitoring of Internet use and prevention of insomnia and depression to mitigate the risk of suicidal ideation among Chinese adolescents.
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Affiliation(s)
- Yuelin Yu
- grid.16821.3c0000 0004 0368 8293School of Public Health, School of Medicine, Shanghai Jiao Tong University, Shanghai, 200025 PR China
| | - Xue Yang
- grid.10784.3a0000 0004 1937 0482Centre for Health Behaviors Research, JC School of Public Health and Primary Care, the Chinese University of Hong Kong, Hong Kong, 810016 SAR China
| | - Suping Wang
- grid.16821.3c0000 0004 0368 8293School of Public Health, School of Medicine, Shanghai Jiao Tong University, Shanghai, 200025 PR China
| | - Huwen Wang
- grid.16821.3c0000 0004 0368 8293School of Public Health, School of Medicine, Shanghai Jiao Tong University, Shanghai, 200025 PR China
| | - Ruijie Chang
- grid.16821.3c0000 0004 0368 8293School of Public Health, School of Medicine, Shanghai Jiao Tong University, Shanghai, 200025 PR China
| | - Lhakpa Tsamlag
- grid.16821.3c0000 0004 0368 8293School of Public Health, School of Medicine, Shanghai Jiao Tong University, Shanghai, 200025 PR China
| | - Shuxian Zhang
- grid.16821.3c0000 0004 0368 8293School of Public Health, School of Medicine, Shanghai Jiao Tong University, Shanghai, 200025 PR China
| | - Chen Xu
- grid.16821.3c0000 0004 0368 8293School of Public Health, School of Medicine, Shanghai Jiao Tong University, Shanghai, 200025 PR China
| | - Xiaoyue Yu
- grid.16821.3c0000 0004 0368 8293School of Public Health, School of Medicine, Shanghai Jiao Tong University, Shanghai, 200025 PR China
| | - Yong Cai
- School of Public Health, School of Medicine, Shanghai Jiao Tong University, Shanghai, 200025, PR China.
| | - Joseph T. F. Lau
- grid.10784.3a0000 0004 1937 0482Centre for Health Behaviors Research, JC School of Public Health and Primary Care, the Chinese University of Hong Kong, Hong Kong, 810016 SAR China
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Seclusion in adolescents with IGD: New diagnostic criteria or measure of severity? COMPUTERS IN HUMAN BEHAVIOR 2020. [DOI: 10.1016/j.chb.2020.106394] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022]
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Cao R, Gao T, Ren H, Hu Y, Qin Z, Liang L, Mei S. The relationship between bullying victimization and depression in adolescents: multiple mediating effects of internet addiction and sleep quality. PSYCHOL HEALTH MED 2020; 26:555-565. [PMID: 32479131 DOI: 10.1080/13548506.2020.1770814] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
Abstract
Various studies have found that bullying victimization is an important factor affecting depression. However, few studies have explored the underlying mechanism of this effect. The purpose of this study was to examine the effects of bullying victimization on depression, as well as the mediating roles of internet addiction and sleep quality. The participants were 2022 Chinese junior high school students who completed questionnaires regarding bullying victimization, internet addiction, sleep quality and depression. Correlation analysis indicated that bullying victimization, poor sleep quality, internet addiction, and depression have significant, positive correlations with each other. Hayes' PROCESS macro revealed that internet addiction and sleep quality played multiple mediation roles in the relationship between bullying victimization and depression. These results suggested that effective strategies focusing on improving problematic internet use along with sleep quality may contribute to reducing the negative effect of bullying victimization on depressive symptoms.
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Affiliation(s)
- Ruilin Cao
- School of Public Health, Jilin University, Changchun, Jilin Province, China
| | - Tingting Gao
- School of Public Health, Jilin University, Changchun, Jilin Province, China
| | - Hui Ren
- School of Public Health, Jilin University, Changchun, Jilin Province, China
| | - Yueyang Hu
- School of Public Health, Jilin University, Changchun, Jilin Province, China
| | - Zeying Qin
- School of Public Health, Jilin University, Changchun, Jilin Province, China
| | - Leilei Liang
- School of Public Health, Jilin University, Changchun, Jilin Province, China
| | - Songli Mei
- School of Public Health, Jilin University, Changchun, Jilin Province, China
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Children's Health in the Digital Age. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2020; 17:ijerph17093240. [PMID: 32384728 PMCID: PMC7246471 DOI: 10.3390/ijerph17093240] [Citation(s) in RCA: 21] [Impact Index Per Article: 5.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 03/15/2020] [Revised: 04/19/2020] [Accepted: 04/20/2020] [Indexed: 12/17/2022]
Abstract
Environmental studies, metabolic research, and state of the art research in neurobiology point towards the reduced amount of natural day and sunlight exposure of the developing child, as a consequence of increasingly long hours spent indoors online, as the single unifying source of a whole set of health risks identified worldwide, as is made clear in this review of currently available literature. Over exposure to digital environments, from abuse to addiction, now concerns even the youngest (ages 0 to 2) and triggers, as argued on the basis of clear examples herein, a chain of interdependent negative and potentially long-term metabolic changes. This leads to a deregulation of the serotonin and dopamine neurotransmitter pathways in the developing brain, currently associated with online activity abuse and/or internet addiction, and akin to that found in severe substance abuse syndromes. A general functional working model is proposed under the light of evidence brought to the forefront in this review.
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Abstract
There have been increases in adolescent depression and suicidal behaviour over the last two decades that coincide with the advent of social media (SM) (platforms that allow communication via digital media), which is widely used among adolescents. This scoping review examined the bi-directional association between the use of SM, specifically social networking sites (SNS), and depression and suicidality among adolescents. The studies reviewed yielded four main themes in SM use through thematic analysis: quantity of SM use, quality of SM use, social aspects associated with SM use, and disclosure of mental health symptoms. Research in this field would benefit from use of longitudinal designs, objective and timely measures of SM use, research on the mechanisms of the association between SM use and depression and suicidality, and research in clinical populations to inform clinical practice.
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Affiliation(s)
- Carol Vidal
- Department of Psychiatry and Behavioral Sciences, Johns Hopkins School of Medicine, Baltimore, MD, USA
| | - Tenzin Lhaksampa
- Department of Psychiatry and Behavioral Sciences, Johns Hopkins School of Medicine, Baltimore, MD, USA
| | - Leslie Miller
- Department of Psychiatry and Behavioral Sciences, Johns Hopkins School of Medicine, Baltimore, MD, USA
| | - Rheanna Platt
- Department of Psychiatry and Behavioral Sciences, Johns Hopkins School of Medicine, Baltimore, MD, USA
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Guan Y, Duan W. The Mediating Role of Visual Stimuli From Media Use at Bedtime on Psychological Distress and Fatigue in College Students: Cross-Sectional Study. JMIR Ment Health 2020; 7:e11609. [PMID: 32175912 PMCID: PMC7105928 DOI: 10.2196/11609] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/19/2018] [Revised: 01/25/2019] [Accepted: 02/10/2019] [Indexed: 11/13/2022] Open
Abstract
BACKGROUND Empirical research has linked psychological distress with fatigue. However, few studies have analyzed the factors (eg, stimuli from bedtime media use) that affect the relationship between psychological distress and fatigue. OBJECTIVE The aim of this study was to examine whether visual stimuli from bedtime media use mediate the relationship between psychological distress and fatigue among college students. METHODS The sample included 394 participants (92 males, 302 females) with a mean age of 19.98 years (SD 1.43 years), all of whom were Chinese college students at an occupational university in Sichuan Province, China. Data were collected using a paper-based questionnaire that addressed psychological distress, stimuli from bedtime media use, and fatigue. Mediation analysis was conducted using the PROCESS macro version 2.16.2 for SPSS 22, which provided the 95% CIs. RESULTS Both psychological distress (r=.43, P<.001) and visual stimuli from bedtime media use (r=.16, P<.001) were positively related to fatigue. The association between auditory stimuli from bedtime media use and fatigue was not significant (r=.09, P=.08). The relationship between psychological distress and fatigue was partially mediated by visual stimuli from bedtime media use (beta=.01, SE 0.01, 95% CI 0.0023-0.0253). CONCLUSIONS The findings imply that psychological distress has an indirect effect on fatigue via visual stimuli from bedtime media use. In contrast, auditory stimuli from bedtime media use did not have the same effect. We suggest that college students should reduce bedtime media use, and this could be achieved as part of an overall strategy to improve health. Mobile health apps could be an option to improving young students' health in daily life.
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Affiliation(s)
- Yuan Guan
- Department of Social Work, Guangdong University of Finance, Guangzhou, China
| | - Wenjie Duan
- Social and Public Administration School, East China University of Science and Technology, Shanghai, China
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Hussain Z, Wegmann E, Yang H, Montag C. Social Networks Use Disorder and Associations With Depression and Anxiety Symptoms: A Systematic Review of Recent Research in China. Front Psychol 2020; 11:211. [PMID: 32153455 PMCID: PMC7046800 DOI: 10.3389/fpsyg.2020.00211] [Citation(s) in RCA: 30] [Impact Index Per Article: 7.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/25/2019] [Accepted: 01/30/2020] [Indexed: 12/24/2022] Open
Abstract
Background: An increasing number of studies have investigated Social Networks Use Disorder (SNUD) among Western samples. In this context, the investigation of SNUD in Asia and especially in China has been much neglected. This poses a gap in the literature; it has been estimated that more than one billion Chinese people are using Chinese social networking sites (SNSs). Of note, many of these Chinese SNSs are rather unknown to researchers in Western countries. Aims: The primary objective of the present systematic review was to identify and evaluate studies that investigated Chinese SNS use and associations between SNUD and depression and anxiety symptoms. Method: A comprehensive search strategy identified relevant studies in PsycINFO, PsycARTICLES, Psychology and Behavioral Sciences Collection, MEDLINE, ProQuest, Web of Science, PubMed, Google Scholar, and the Chinese National Knowledge Infrastructure database (CNKI). Results: The search strategy identified 35 potential studies, 13 studies were identified after shortlisting and full-text reviews of the studies, and finally 10 studies were included in the full review. Associations between SNUD, depression, and anxiety were reported in 10 studies. In eight (of the 10) studies, symptom severity of SNUD was associated with depression. Four studies reported associations between SNUD and anxiety. Most studies had utilized cross-sectional survey designs. Conclusions: Most associations were found between SNUD and depression symptoms, but effect sizes were higher between SNUD and anxiety symptoms. The results have the potential to inform prevention and interventions on SNUD in Eastern cultures, although we explicitly state that our work focuses on China, the transfer of the present observations to other Asian countries (and their cultures) still needs to be established.
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Affiliation(s)
- Zaheer Hussain
- School of Social Sciences, Nottingham Trent University, Nottingham, United Kingdom
| | - Elisa Wegmann
- General Psychology: Cognition and Center for Behavioral Addiction Research, University of Duisburg-Essen, Duisburg, Germany
| | - Haibo Yang
- Academy of Psychology and Behavior, Tianjin Normal University, Tianjin, China
| | - Christian Montag
- Molecular Psychology, Institute of Psychology and Education, Ulm University, Ulm, Germany
- neuSCAN Laboratory, MOE Key Laboratory for Neuroinformation, The Clinical Hospital of Chengdu Brain Science Institute, University of Electronic Science and Technology of China, Chengdu, China
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AlAmer M, Shdaifat E, Alshowkan A, Eldeen AG, Jamama A. Exploring Associations between Internet Addiction, Depressive Symptoms, and Sleep Disturbance among Saudi Nursing Students. Open Nurs J 2020. [DOI: 10.2174/1874434602014010029] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/14/2023] Open
Abstract
Background:
Excessive internet usage is a worldwide problematic issue among young adults and college students. Previous studies showed that Saudi young adults are involved in this problem.
Objectives:
To determine the prevalence of Internet Addiction (IA), and to find out its relation with depressive symptoms, sleep quality, and demographic variables.
Methods:
This study used a cross-sectional design. Data were collected from 341 nursing students in Saudi Arabia using three scales: Young’s Internet Addiction Test, Central Epidemiologic Scale for Depression and Pittsburgh Sleep Quality Index.
Results:
The results showed that 35.1% of students were suffering from frequent problems and 0.9% were suffering from significant problems due to heavy internet usage. The correlation results found a positive moderate correlation between IA and depression (r = 0.401, p < 0.001) and a positive weak correlation with sleep quality (r = 0. 196, p = 0.002). Sleeping and depression were weakly correlated (r = 0.274, p < 0.001). Regression analysis revealed that IA was associated with: smoking status, high family income, duration of usage (3-6 hours and >6 hours), and depressive symptoms. The depressive level was associated with duration of usage (>6 hours), students’ grading point average (GPA), IA, and sleep quality. Sleep quality was found to be associated with duration of usage (>6 hours) and having depressive symptoms.
Conclusion:
The findings illustrate the need for proper management of internet usage, as well as developing plans to avoid the negative consequences of internet addiction on psychological wellbeing by incorporating nursing education programs about appropriate internet usage.
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Aznar Díaz I, Kopecký K, Romero Rodríguez JM, Cáceres Reche MP, Trujillo Torres JM. Patologías asociadas al uso problemático de internet. Una revisión sistemática y metaanálisis en WOS y Scopus. INVESTIGACION BIBLIOTECOLOGICA 2020. [DOI: 10.22201/iibi.24488321xe.2020.82.58118] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022] Open
Abstract
El uso problemático de internet (UPI) ha empezado a vincularse con la predisposición a padecer ciertas patologías que afectan la salud del ser humano. Este trabajo se propuso determinar las patologías asociadas al uso problemático de internet a partir de una revisión sistemática en Web of Science y Scopus, y analizar la incidencia del UPI en cada una de las patologías a través del metaanálisis. Así pues, se empleó una metodología de revisión sistemática con metaanálisis y se estableció una muestra final de 62 documentos. Entre los resultados destacan, como principales patologías asociadas al uso problemático de internet, el trastorno obsesivo-compulsivo, el abuso del alcohol, la depresión, el estrés, los trastornos del sueño, el déficit de atención y la hiperactividad y los trastornos alimenticios. Además, en la mayoría de estas patologías se estableció una significación estadística entre los grupos de control y los grupos con UPI. Finalmente, se muestra una panorámica general sobre los riesgos que conlleva el abuso de internet y la incidencia que presentan en la salud tanto física como mental.
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Shen Y, Jin X, Zhang Y, Huang C, Lu J, Luo X, Zhang XY. Insomnia in Chinese College Students With Internet Addiction: Prevalence and Associated Clinical Correlates. Front Psychiatry 2020; 11:596683. [PMID: 33329147 PMCID: PMC7728739 DOI: 10.3389/fpsyt.2020.596683] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/20/2020] [Accepted: 10/23/2020] [Indexed: 12/15/2022] Open
Abstract
Background: Internet addiction (IA) has gained more and more attention for its negative impact on the subjects' study and daily life. However, in a large sample, there is little research on the association between IA and insomnia in Chinese college students. This study aimed to investigate the prevalence of insomnia and its related risk factors among Chinese college students with IA. Methods: A cross-sectional design was used to investigate 627 Chinese college students with IA. Each student completed a survey on demographic data, Internet addiction (Revised Chinese Internet Addiction Scale), depression (Self-Rating Depression Scale), insomnia (Athens Insomnia Scale), anxiety (Self-Rating Anxiety Scale), and suicidal behavior. Binary logistic regression analysis was employed to adjust for confounding factors. Results: The prevalence of insomnia among students with IA was 54.86%. Compared with IA students without insomnia, IA students with insomnia were more likely to be younger, smoking, drinking, have anxiety, depression, suicidal ideations, suicide plans, and suicide attempts (all p < 0.05). Moreover, drinking [OR, 1.664; 95% confidence interval (CI), 1.139-2.431; p = 0.008], anxiety (OR, 2.321; 95% CI, 1.116-4.826; p = 0.024), and suicidal ideation (OR, 1.942; 95% CI:1.295-2.911; p = 0.001) were independently associated with insomnia in IA students. Conclusions: Insomnia is very common in Chinese IA students. Drinking, anxiety, and suicidal ideation are independently correlated with insomnia. This study provides valuable evidence for school counselors and clinical professionals to assess Internet addiction, insomnia, and suicide risk.
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Affiliation(s)
- Yanmei Shen
- Department of Psychiatry, The Second Xiangya Hospital, Central South University, Changsha, China.,Hunan Key Laboratory of Psychiatry and Mental Health, China National Clinical Research Center on Mental Disorders (Xiangya), China National Technology Institute on Mental Disorders, Hunan Technology Institute of Psychiatry, Mental Health Institute of Central South University, Changsha, China
| | - Xingyue Jin
- Department of Psychiatry, The Second Xiangya Hospital, Central South University, Changsha, China.,Hunan Key Laboratory of Psychiatry and Mental Health, China National Clinical Research Center on Mental Disorders (Xiangya), China National Technology Institute on Mental Disorders, Hunan Technology Institute of Psychiatry, Mental Health Institute of Central South University, Changsha, China
| | - Yaru Zhang
- Department of Psychiatry, The Second Xiangya Hospital, Central South University, Changsha, China.,Hunan Key Laboratory of Psychiatry and Mental Health, China National Clinical Research Center on Mental Disorders (Xiangya), China National Technology Institute on Mental Disorders, Hunan Technology Institute of Psychiatry, Mental Health Institute of Central South University, Changsha, China
| | - Chunxiang Huang
- Department of Psychiatry, The Second Xiangya Hospital, Central South University, Changsha, China.,Hunan Key Laboratory of Psychiatry and Mental Health, China National Clinical Research Center on Mental Disorders (Xiangya), China National Technology Institute on Mental Disorders, Hunan Technology Institute of Psychiatry, Mental Health Institute of Central South University, Changsha, China
| | - Jianping Lu
- Department of Child and Adolescent Psychiatry of Shenzhen Kangning Hospital, Shenzhen Mental Health Center, Shenzhen, China
| | - Xuerong Luo
- Department of Psychiatry, The Second Xiangya Hospital, Central South University, Changsha, China.,Hunan Key Laboratory of Psychiatry and Mental Health, China National Clinical Research Center on Mental Disorders (Xiangya), China National Technology Institute on Mental Disorders, Hunan Technology Institute of Psychiatry, Mental Health Institute of Central South University, Changsha, China
| | - Xiang Yang Zhang
- Chinese Academy of Sciences (CAS) Key Laboratory of Mental Health, Institute of Psychology, Beijing, China
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Trends in Mood and Anxiety Symptoms and Suicide-Related Outcomes Among U.S. Undergraduates, 2007-2018: Evidence From Two National Surveys. J Adolesc Health 2019; 65:590-598. [PMID: 31279724 DOI: 10.1016/j.jadohealth.2019.04.033] [Citation(s) in RCA: 210] [Impact Index Per Article: 42.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/19/2019] [Revised: 04/04/2019] [Accepted: 04/27/2019] [Indexed: 11/21/2022]
Abstract
PURPOSE Past work has evidenced increased utilization of mental health services on college campuses, as well as rising rates of mood and suicide-related pathology in adolescents and young adults in recent years. We examined whether such findings are reflective of large-scale, nationwide trends in college student mental health in the past decade. METHODS We examined trends in mood, anxiety, and suicide-related outcomes among U.S. college students from 2007 to 2018 across two large national datasets: (1) the National College Health Assessment (n = 610,543; mean age = 21.25 years; 67.7% female; and 72.0% white) and (2) the Healthy Minds Study (n = 177,692; 86% students aged 18-22 years; 57% female; and 74% white). Participants, randomly selected by their educational institution, completed self-report measures of past-year mood, anxiety, nonsuicidal self-injury, and suicidal thoughts and behaviors. RESULTS In both samples, rates of depression, anxiety, nonsuicidal self-injury, suicidal ideation, and suicide attempts markedly increased over the assessed years, with rates doubling over the period in many cases. Anger, low flourishing, and suicide plans, each assessed in only one dataset, also exhibited upward trends. CONCLUSIONS Findings demonstrate a broad worsening of mental health among U.S. college students over the past decade, a concerning result meriting further attention and intervention.
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Li JY, Li J, Liang JH, Qian S, Jia RX, Wang YQ, Xu Y. Depressive Symptoms Among Children and Adolescents in China: A Systematic Review and Meta-Analysis. Med Sci Monit 2019; 25:7459-7470. [PMID: 31586039 PMCID: PMC6792515 DOI: 10.12659/msm.916774] [Citation(s) in RCA: 37] [Impact Index Per Article: 7.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/15/2023] Open
Abstract
Background Depressive symptoms are a pervasive mental health problem in Chinese adolescents. The aim of this article was to systematically assess the trend of depressive symptoms in China among adolescents (1988 to 2018). Material/Methods A systematic and comprehensive literature search was conducted in both English and Chinese databases, including PubMed, EMBASE, Cochrane CENTRAL, CNKI, and Wan Fang Database, to identify relevant studies published between 1988 and 2018. Batteries of analyses in this meta-analysis were undertaken using Stata version 12.0 statistical software. Results Sixty-two related reports involving 232 586 participants finally met our inclusion and exclusion criteria. The results suggest the prevalence of depressive symptoms has generally increased over time. The prevalence estimates before 2000 were 18.4% (95% CI, 14.5–22.3%), and were 26.3% (95% CI, 21.9–30.8%) after 2016. The pooled prevalence of depressive symptoms among children and adolescents was 22.2% (95% CI: 19.9–24.6%, I2=99.6%, p<0.001). More subgroup analyses classified by screening instrument, gender, and region were carried out in this meta-analysis. Conclusions Results of our meta-analysis suggest that depressive symptoms have become more prevalent among Chinese adolescents. This trend emphasizes the need for effective prevention strategies and greater availability of screening tools for this vulnerable population.
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Affiliation(s)
- Jia-Yu Li
- Department of Child and Adolescent Health, School of Public Health, Medical College of Soochow University, Suzhou, Jiangsu, China (mainland)
| | - Jing Li
- Department of Child and Adolescent Health, School of Public Health, Medical College of Soochow University, Suzhou, Jiangsu, China (mainland)
| | - Jing-Hong Liang
- Department of Social Medicine, Jiangsu Key Laboratory of Preventive and Translational Medicine for Geriatric Diseases, School of Public Health, Soochow University, Suzhou, Jiangsu, Christmas island
| | - Sheng Qian
- Department of Child and Adolescent Health, School of Public Health, Medical College of Soochow University, Suzhou, Jiangsu, China (mainland)
| | - Rui-Xia Jia
- Department of Social Medicine, Jiangsu Key Laboratory of Preventive and Translational Medicine for Geriatric Diseases, School of Public Health, Soochow University, Suzhou, Jiangsu, China (mainland)
| | - Ying-Quan Wang
- Department of Social Medicine, Jiangsu Key Laboratory of Preventive and Translational Medicine for Geriatric Diseases, School of Public Health, Soochow University, Suzhou, Jiangsu, China (mainland)
| | - Yong Xu
- Department of Child and Adolescent Health, School of Public Health, Medical College of Soochow University, Suzhou, Jiangsu, China (mainland).,Department of Social Medicine, Jiangsu Key Laboratory of Preventive and Translational Medicine for Geriatric Diseases, School of Public Health, Soochow University, Suzhou, Jiangsu, CA, China (mainland)
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Fung SF. Cross-cultural validation of the Social Media Disorder scale. Psychol Res Behav Manag 2019; 12:683-690. [PMID: 31695527 PMCID: PMC6707349 DOI: 10.2147/prbm.s216788] [Citation(s) in RCA: 21] [Impact Index Per Article: 4.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/23/2019] [Accepted: 08/01/2019] [Indexed: 01/07/2023] Open
Abstract
BACKGROUND With the popularity of social networking sites, there is an urgency to devise instruments to evaluate social media addiction in different cultural context. This paper evaluates the psychometric properties and validation of the Social Media Disorder (SMD) scale in People's Republic of China. METHODS A total of 903 Chinese university students were recruited to participate in this cross-sectional study. The internal consistency, criterion validity and construct validity of the SMD scale were examined. RESULTS The results suggested that the 9-item SMD scale had good psychometric properties. Its internal consistency was good, with a Cronbach's alpha of 0.753. The results showed weak and moderate correlations with other validation constructs, such as self-efficacy and other disorder symptoms suggested in the original scale. The Chinese version of SMD demonstrated a good model fit for a two-factor structure in confirmatory factor analysis, with χ2 (44.085)/26=1.700, SRMR=0.059, CFI=0.995, TLI=0.993 and RMSEA=0.028. CONCLUSION The SMD scale is suitable for researchers and practitioners to measure problematic usage of social media in a different context, especially on the Chinese population.
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Affiliation(s)
- Sai-fu Fung
- Department of Social and Behavioural Sciences, City University of Hong Kong, Kowloon, Hong Kong
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Internet addiction and sleep problems: A systematic review and meta-analysis. Sleep Med Rev 2019; 47:51-61. [PMID: 31336284 DOI: 10.1016/j.smrv.2019.06.004] [Citation(s) in RCA: 195] [Impact Index Per Article: 39.0] [Reference Citation Analysis] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/30/2019] [Revised: 06/15/2019] [Accepted: 06/24/2019] [Indexed: 12/13/2022]
Abstract
The pathological use of the internet - conceptualized as 'internet addiction' - might be crucial in initiating and increasing sleep disturbances in the community. While inconsistent evidence is reported regarding the association of internet addiction and sleep disturbances, the severity of this association remains unclear. This systematic review and meta-analysis were conducted to increase our understanding of the relationship between internet addiction and sleep disturbances. A systematic review was conducted through Scopus, PubMed Central, ProQuest, ISI Web of Knowledge, and EMBASE using keywords related to internet addiction and sleep problems. Observational studies (cohort, case-control or cross-sectional studies) focusing on association between internet addiction and sleep disturbances including sleep problems and sleep duration were selected. A meta-analysis using random-effect model was conducted to calculate the odds ratio (OR) for experiencing sleep problems and standardized mean differences (SMDs) for sleep duration. Eligible studies (N = 23) included 35,684 participants. The overall pooled OR of having sleep problems if addicted to the internet was 2.20 (95% CI: 1.77-2.74). Additionally, the overall pooled SMDs for sleep duration for the IA group compared to normal internet users was -0.24 (95% CI: -0.38, -0.10). Results of the meta-analysis revealed a significant OR for sleep problems and a significant reduced sleep duration among individuals addicted to the internet.
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Singh LK, Suchandra KHH, Pattajoshi A, Mamidipalli SS, Kamal H, Singh S, Sachacher B, Mehta V. Internet addiction and daytime sleepiness among professionals in India: A web-based survey. Indian J Psychiatry 2019; 61:265-269. [PMID: 31142904 PMCID: PMC6532455 DOI: 10.4103/psychiatry.indianjpsychiatry_412_18] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/24/2022] Open
Abstract
BACKGROUND The likelihood of the relation between Internet overuse and comorbid psychiatric conditions is on the rise. However, sleep disturbances are common psychiatric symptoms associated with internet overuse. Our objective was to examine the association of Internet overuse with excessive daytime sleepiness, sleep problems in professionals from India. MATERIALS AND METHODS This was a web-based cross-sectional study through a predesigned questionnaire which included various professional groups. The information included in the questionnaire was sociodemographic details, Young's internet addiction test (IAT) and Epworth sleepiness scale (ESS). RESULTS About 1.0% of total sample population had severe internet addiction whereas 13% were in the range of moderate internet addiction and the mean score on IAT was found to be 32 (standard deviation [SD] = 16.42). The mean duration of total night time sleep (5.61 ± 1.17) is significantly lower in participants with moderate and severe internet addiction (6.98 ± 1.12) compared to those with no and mild internet addiction. The mean scores of ESS were significantly higher in individuals with moderate and severe addiction (M = 10.64, SD = 4.79). We found that sleepiness while in 5 of the situations such as driving a car (χ2 = 27.67; P < 0.001), sitting and reading (χ2 = 13.6; P = 0.004), traveling in a car (χ2 = 15.09; P = 0.002), afternoon rest time (χ2 = 15.75; P = 0.001), and postlunch quiet time (χ2 = 24.09; P < 0.001), predicted membership to moderate-to-severe internet addiction, even after controlling for the confounding effects of age and gender. CONCLUSIONS This study shows an association between Internet overuse, excessive daytime sleepiness, and other sleep problems. Clinicians should be proactive and conscious in scrutinizing the patients for internet addiction and its consequences.
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Affiliation(s)
- Lokesh Kumar Singh
- Department of Psychiatry, All India Institute of Medical Sciences, Raipur, Chhattisgarh, India
| | - K Hari Hara Suchandra
- Department of Psychiatry, All India Institute of Medical Sciences, Raipur, Chhattisgarh, India
| | - Amrit Pattajoshi
- Department of Psychiatry, Hi Tech Medical College and Hospital, Bhubaneshwar, Odisha, India
| | | | - Huma Kamal
- Department of Psychiatry, Pt. J.N.M Medical College, Raipur, Chhattisgarh, India
| | - Sharda Singh
- Department of Psychiatry, All India Institute of Medical Sciences, Raipur, Chhattisgarh, India
| | | | - Varun Mehta
- Department of Psychiatry, Central Institute of Psychiatry, Ranchi, Jharkhand, India
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