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Xu RH, Tian L, Zhu L, Cao Y, Chan SKW, Dong D, Cheung WLA, Wong ELY. Age Differences in Electronic Mental Health Literacy: Qualitative Study. J Med Internet Res 2024; 26:e59131. [PMID: 39012686 PMCID: PMC11289580 DOI: 10.2196/59131] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/03/2024] [Revised: 05/11/2024] [Accepted: 06/27/2024] [Indexed: 07/17/2024] Open
Abstract
BACKGROUND Electronic mental health literacy (eMHL) is critical for accessing and effectively using digital mental health resources. However, there is a paucity of research on how eMHL varies across age groups. OBJECTIVE This study aimed to investigate differences in eMHL among young, middle-aged, and older adults; provide insights into the needs, behaviors, and attitudes of different age groups in relation to digital mental health resources; and ultimately, inform the improvement of mental health services. METHODS A qualitative investigation was conducted to examine the differences in eMHL across different age demographics in the Chinese population in 2023. The study sample comprised 3 distinct age groups: 18-34 years, 35-64 years, and 65 years and older. Participants were recruited through purposive sampling to ensure a diverse representation of the population. Data were collected through semistructured one-on-one interviews, which allowed for in-depth exploration of individual experiences and perceptions. The gathered data were subsequently subjected to rigorous thematic analysis to enable the identification and interpretation of recurring patterns and themes. RESULTS The principal outcomes derived from these interviews were synthesized into 5 distinct dimensions: emotional needs, use of digital mental health resources, assessment of digital mental health information, engagement with social media to regulate emotions, and coping strategies. These dimensions were uniformly observed across the 3 age groups. CONCLUSIONS We identified differences in knowledge, skills, and attitudes regarding the use of web-based information for managing mental health problems between the 3 age groups. The findings highlight the importance of age-specific strategies for improving eMHL.
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Affiliation(s)
- Richard Huan Xu
- Department of Rehabilitaion Sciences, Faculty of Health and Social Sciences, Hong Kong Polytechnic University, Kowloon, China (Hong Kong)
| | - Lidan Tian
- Department of Rehabilitaion Sciences, Faculty of Health and Social Sciences, Hong Kong Polytechnic University, Kowloon, China (Hong Kong)
| | - Liling Zhu
- Department of Applied Social Science, Faculty of Health and Social Sciences, Hong Kong Polytechnic University, Kowloon, China (Hong Kong)
| | - Yuan Cao
- Department of Social Work and Social Administration, The University of Hong Kong, Hong Kong, China (Hong Kong)
| | - Sherry Kit-Wa Chan
- Department of Psychiatry, The University of Hong Kong, Hong Kong, China (Hong Kong)
| | - Dong Dong
- JC School of Public Health and Primary Care, The Chinese University of Hong Kong, Shatin, China (Hong Kong)
| | - Wai-Ling Annie Cheung
- JC School of Public Health and Primary Care, The Chinese University of Hong Kong, Shatin, China (Hong Kong)
| | - Eliza Lai-Yi Wong
- JC School of Public Health and Primary Care, The Chinese University of Hong Kong, Shatin, China (Hong Kong)
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2
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Mancinelli E, Cottu M, Salcuni S. Validation of the Difficulties in Emotion Regulation Scale-Short Form in a sample of Italian adolescents. J Clin Psychol 2024. [PMID: 38970816 DOI: 10.1002/jclp.23732] [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: 12/14/2023] [Revised: 05/09/2024] [Accepted: 06/26/2024] [Indexed: 07/08/2024]
Abstract
OBJECTIVE The primary objective of the present study is to validate the Difficulty in Emotion Regulation Scale-Short Form (DERS-SF) in a sample of Italian adolescents. Additionally, we aim to evaluate its factorial structure by examining the contribution of each subscale (i.e., Nonacceptance, Clarity, Awareness, Goals, Impulse, Strategy) on the general factor using bi-factor models by replicating a past study. METHOD The sample comprises N = 704 adolescents aged 11-17 years (M = 13.38, SD = 1.37; 53.12% females). To establish external validity, correlation and path analyses were conducted between the DERS-SF sub-scales, the total score, and measures of internalizing and externalizing symptoms, as well as Problematic Smartphone Use (PSU). Measurement invariance was tested comparing males versus females and pre-adolescents and adolescents. RESULTS Overall, results supported the multidimensional nature of the DERS-SF, confirming its original six-factor structure. However, bi-factor models analysis revealed that the Awareness subscale should be excluded when calculating the total score. Furthermore, findings indicated that the Strategy subscale variance is largely accounted for by the general factor rather than the specific subscale. In terms of external validity, significant positive associations between the DERS-SF sub-scales, the total score, and PSU, internalizing and externalizing symptoms were observed. Measurement invariance was supported. CONCLUSIONS Altogether, findings support the validity of the DERS-SF among Italian Adolescents and provide insights relevant to the understanding of the multifaceted facets of emotion regulation, emphasizing its relevance as a transdiagnostic process.
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Affiliation(s)
- Elisa Mancinelli
- Department of Developmental and Socialization Psychology, University of Padova, Padova, Italy
- Digital Health Lab, Centre for Digital Health and Wellbeing, Fondazione Bruno Kessler, Trento, Italy
| | - Manuela Cottu
- Department of Developmental and Socialization Psychology, University of Padova, Padova, Italy
| | - Silvia Salcuni
- Department of Developmental and Socialization Psychology, University of Padova, Padova, Italy
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Guertler D, Bläsing D, Moehring A, Meyer C, Brandt D, Schmidt H, Rehbein F, Neumann M, Dreißigacker A, Bischof A, Bischof G, Sürig S, Hohls L, Hagspiel M, Wurm S, Haug S, Rumpf HJ. App-Based Addiction Prevention at German Vocational Schools: Implementation and Reach for a Cluster-Randomized Controlled Trial. PREVENTION SCIENCE : THE OFFICIAL JOURNAL OF THE SOCIETY FOR PREVENTION RESEARCH 2024:10.1007/s11121-024-01702-w. [PMID: 38958917 DOI: 10.1007/s11121-024-01702-w] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 06/26/2024] [Indexed: 07/04/2024]
Abstract
This article examines the implementation, participation rates, and potential determinants of participation in the digital addiction prevention program "ready4life." A two-arm cluster-randomized trial recruited German vocational students via class-based strategies. Intervention group received 16 weeks of in-app coaching; the control group received health behavior information, with coaching offered after 12 months. Potential determinants of participation were analyzed based on class and individual characteristics. Out of 525 contacted schools, 35 participated, enrolling 376 classes. Implementation during the pandemic required flexible adjustments, with 49.7% of introductions conducted in person, 43.1% digitally via online streaming, and 7.2% received a video link via email. Despite challenges, 72.3% of the vocational students downloaded the app, and 46.7% gave informed consent. Participation rates were highest among (associate) professionals, vocational grammar school classes, classes introduced by females, younger individuals, members of the project team, and classes introduced face-to-face. Female gender, lower social competencies, lifetime cannabis use, higher problematic internet use, and higher perceived stress were associated with higher individual participation. The study highlights the importance of proactive outreach and personalized interventions for addiction prevention programs in vocational schools. While reached students aligned with the aims of the app, tailored recruitment strategies could enhance engagement among under-represented groups. The trial was registered in the German Clinical Trials Register (DRKS): DRKS00022328; registration date 09.10.2020.
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Affiliation(s)
- Diana Guertler
- Institute for Community Medicine, Department of Prevention Research and Social Medicine, University Medicine Greifswald, Walther-Rathenau-Str. 48, 17475, Greifswald, Germany.
- Institute for Community Medicine, Department of Methods in Community Medicine, University Medicine Greifswald, Walther-Rathenau-Str. 48, 17475, Greifswald, Germany.
- DZHK (German Centre for Cardiovascular Research), Partner Site Greifswald, Greifswald, Germany.
| | | | - Anne Moehring
- Institute for Community Medicine, Department of Methods in Community Medicine, University Medicine Greifswald, Walther-Rathenau-Str. 48, 17475, Greifswald, Germany
- DZHK (German Centre for Cardiovascular Research), Partner Site Greifswald, Greifswald, Germany
| | - Christian Meyer
- Institute for Community Medicine, Department of Prevention Research and Social Medicine, University Medicine Greifswald, Walther-Rathenau-Str. 48, 17475, Greifswald, Germany
- DZHK (German Centre for Cardiovascular Research), Partner Site Greifswald, Greifswald, Germany
| | - Dominique Brandt
- Department of Psychiatry and Psychotherapy, University of Lübeck, Lübeck, Germany
| | - Hannah Schmidt
- Department of Psychiatry and Psychotherapy, University of Lübeck, Lübeck, Germany
| | - Florian Rehbein
- Department of Social Work, FH Münster University of Applied Sciences, Muenster, Germany
| | - Merten Neumann
- Criminological Research Institute of Lower Saxony (KFN), Hannover, Germany
| | - Arne Dreißigacker
- Criminological Research Institute of Lower Saxony (KFN), Hannover, Germany
| | - Anja Bischof
- Department of Psychiatry and Psychotherapy, University of Lübeck, Lübeck, Germany
| | - Gallus Bischof
- Department of Psychiatry and Psychotherapy, University of Lübeck, Lübeck, Germany
| | - Svenja Sürig
- Department of Psychiatry and Psychotherapy, University of Lübeck, Lübeck, Germany
| | - Lisa Hohls
- Department of Psychiatry and Psychotherapy, University of Lübeck, Lübeck, Germany
| | - Maximilian Hagspiel
- Institute for Community Medicine, Department of Prevention Research and Social Medicine, University Medicine Greifswald, Walther-Rathenau-Str. 48, 17475, Greifswald, Germany
| | - Susanne Wurm
- Institute for Community Medicine, Department of Prevention Research and Social Medicine, University Medicine Greifswald, Walther-Rathenau-Str. 48, 17475, Greifswald, Germany
| | - Severin Haug
- Swiss Research Institute for Public Health and Addiction, University of Zurich, Zurich, Switzerland
| | - Hans-Jürgen Rumpf
- Department of Psychiatry and Psychotherapy, University of Lübeck, Lübeck, Germany
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4
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Ji S, Xu S, Zhou Z, Zhu Y, Liu T. The relationship between nomophobia and latent classes of personality. Psych J 2024. [PMID: 38692576 DOI: 10.1002/pchj.758] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/09/2024] [Accepted: 03/18/2024] [Indexed: 05/03/2024]
Abstract
The phenomenon of nomophobia, defined as the anxiety experienced when a person is without their mobile phone or is unable to use it, has been identified as having serious negative effects on individuals, particularly students. Previous research has explored the relationship between personality traits and nomophobia, but the findings have been inconclusive. The main objective of this study was to classify personality types through latent class analysis and explore the relationship between these personality types and nomophobia. The Chinese version of the Nomophobia Scale and the Chinese brief version of the Big Five Personality Inventory were used in this study to survey 1906 Chinese college students. The results indicated that (1) a four-class model provided the best fit and categorized the personality traits as the overcontrolled class, resilient class, moderate class, and vulnerable class; (2) significant differences were observed between the four personality types and nomophobia, with overcontrolled and resilient personality types consistently scoring significantly lower than moderate and vulnerable personality types. Our finding highlights the key feature of the study.
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Affiliation(s)
- Shunxin Ji
- Faculty of Psychology, Tianjin Normal University, Tianjin, China
| | - Suwei Xu
- Faculty of Psychology, Tianjin Normal University, Tianjin, China
| | - Zhao Zhou
- Faculty of Psychology, Tianjin Normal University, Tianjin, China
| | - Ye Zhu
- Faculty of Psychology, Tianjin Normal University, Tianjin, China
- Key Research Base of Humanities and Social Sciences of the Ministry of Education, Academy of Psychology and Behavior, Tianjin Normal University, Tianjin, China
- Tianjin Social Science Laboratory of Students' Mental Development and Learning, Tianjin, China
| | - Tour Liu
- Faculty of Psychology, Tianjin Normal University, Tianjin, China
- Key Research Base of Humanities and Social Sciences of the Ministry of Education, Academy of Psychology and Behavior, Tianjin Normal University, Tianjin, China
- Tianjin Social Science Laboratory of Students' Mental Development and Learning, Tianjin, China
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Oliveira J, Pedras S, Inman RA, Ramalho SM. Latent profiles of emotion regulation among university students: links to repetitive negative thinking, internet addiction, and subjective wellbeing. Front Psychol 2024; 15:1272643. [PMID: 38659673 PMCID: PMC11040100 DOI: 10.3389/fpsyg.2024.1272643] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/07/2023] [Accepted: 04/01/2024] [Indexed: 04/26/2024] Open
Abstract
Recent years have seen a deterioration in the mental health of university students and notable surge in the need for psychological support. Due to its links to psychopathology and high-risk behaviors, difficulty in emotion regulation frequently serves as a transdiagnostic dimension. This cross-sectional study used a person-centered analytical approach (latent profile analysis; LPA) to identify groups of Portuguese university students with similar profiles of emotion regulation difficulties (N = 261; Mage = 22.5 ± 1.2 years; n = 213 female) and describe how these groups differ in their presentation of repetitive negative thinking, internet addiction, and subjective wellbeing. The analyses identified four latent profiles: 14.5% of students showed global dysregulation (the Low Emotion Regulation Profile), 23% were moderately dysregulated with elevated problems in goal-directed behavior (the Moderate Emotion Regulation Profile), 8% showed specific difficulties with low emotional awareness and clarity (the Low Insight Profile), and 54.4% showed adaptive emotion regulation (the High Emotion Regulation Profile). As anticipated, the Low Emotion Regulation Profile had the lowest subjective wellbeing and the highest prevalence of repetitive negative thinking and internet addiction. Students with a Low Insight Profile also showed low subjective wellbeing, but less repetitive negative thinking compared to the Low Emotion Regulation Profile. Our findings suggest that interventions aimed at improving health and wellbeing among university students should consider each student's unique set of emotion regulation difficulties, rather than focusing on particular strategies. Further research may help determine whether emotion regulation profiles can serve as predictive indicators of varying mental health trajectories and subjective wellbeing in university students.
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Affiliation(s)
- Joana Oliveira
- Centro de Investigação em Psicologia para o Desenvolvimento (CIPD) [The Psychology for Development Research Center], Instituto de Psicologia e Ciências da Educação (IPCE), Universidade Lusíada, Porto, Portugal
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Zhou J, Rosmarin DH, Pirutinsky S. Clinical differences between outpatients with and without internet addiction and emotional disorders: a prospective naturalistic outcome study. Front Psychiatry 2024; 15:1357477. [PMID: 38585476 PMCID: PMC10996365 DOI: 10.3389/fpsyt.2024.1357477] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/18/2023] [Accepted: 03/07/2024] [Indexed: 04/09/2024] Open
Abstract
Background/Objective as internet use becomes increasingly ingrained in contemporary society, internet addiction (IA) has emerged as a global public health concern. There is ongoing debate regarding whether IA represents a distinct psychological disorder or a secondary manifestation of other existing disorders. This study aimed to examine the pathological relationship between IA and emotional disorders (ED). Method this study compared pre-treatment characteristics and treatment process of three groups of patients (N=1292) in a naturalistic treatment setting: IA only, ED only, and comorbidity of IA and ED. Results the IA only group differed from the other groups by reporting the highest levels of life satisfaction, adaptive emotion regulation, as well as risk behavior urges at intake. In addition, the IA only group displayed the lowest level of depressive and anxiety symptoms throughout the treatment. Conclusion our findings contribute to a better understanding of the discreteness of IA as a potential psychological disorder and inform more effective treatment strategies for IA and its comorbid conditions.
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Affiliation(s)
- Jiaqi Zhou
- Shanghai Key Laboratory of Mental Health and Psychological Crisis, Affiliated Mental Health Center (ECNU), School of Psychology and Cognitive Science, East China Normal University, Shanghai, China
- Center for Anxiety, New York, NY, United States
| | - David H. Rosmarin
- Center for Anxiety, New York, NY, United States
- McLean Hospital/Harvard Medical School, Belmont, MA, United States
| | - Steven Pirutinsky
- Center for Anxiety, New York, NY, United States
- Graduate School of Social Work, Touro College, New York, NY, United States
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7
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Pu Y, Liu Y, Qi Y, Yan Z, Zhang X, He Q. Five-week of solution-focused group counseling successfully reduces internet addiction among college students: A pilot study. J Behav Addict 2023; 12:964-971. [PMID: 37966485 PMCID: PMC10786219 DOI: 10.1556/2006.2023.00064] [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: 04/02/2023] [Revised: 08/25/2023] [Accepted: 10/28/2023] [Indexed: 11/16/2023] Open
Abstract
Background and Aims In the digital age, Internet addiction (IA) was deemed an epidemic and few treatments had been effectively developed for it. Here, we proposed a solution-focused group counseling (SFGC) as a potentially solution to reduce Internet addiction among college students. The present study examined the short- and long-term effect of a five-week solution-focused group counseling intervention on Internet addiction. Methods Thirty-two participants were recruited and randomly assigned to either the experimental or control group, and twenty-six participants completed the whole intervention. The experimental group (n = 14) received the intervention, while control group (n = 12) did not. The revised version of the Chinese Internet Addiction Scale (CIAS-R), the Future Time Perspective, and resting-state EEG were administered pre-intervention, post-intervention, and at two follow-up tests (one month and six months after intervention). Results The results showed that the scores of the CIAS-R in the experimental group were significantly decreased after intervention, and these effects could be sustained for one month and six months follow-ups. Additionally, the intervention conducted an increase in future time perspective. EEG results further suggested that the alpha, beta, and gamma absolute power decreased after the intervention. Conclusion These results from the pilot-study primarily suggested that solution-focused group counseling could be an effective intervention for Internet addiction.
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Affiliation(s)
- Yu Pu
- 1Faculty of Psychology, MOE Key Laboratory of Cognition and Personality, Southwest University, Chongqing, China
| | - Yuting Liu
- 1Faculty of Psychology, MOE Key Laboratory of Cognition and Personality, Southwest University, Chongqing, China
- 2Xiangcheng Dajiang Middle School, Chengdu, China
| | - Yawei Qi
- 1Faculty of Psychology, MOE Key Laboratory of Cognition and Personality, Southwest University, Chongqing, China
| | - Ziyou Yan
- 1Faculty of Psychology, MOE Key Laboratory of Cognition and Personality, Southwest University, Chongqing, China
| | - Xinhe Zhang
- 1Faculty of Psychology, MOE Key Laboratory of Cognition and Personality, Southwest University, Chongqing, China
| | - Qinghua He
- 1Faculty of Psychology, MOE Key Laboratory of Cognition and Personality, Southwest University, Chongqing, China
- 3Southwest University Branch, Collaborative Innovation Center of Assessment Toward Basic Education Quality, Chongqing, China
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Demirci E, Tastepe N, Ozmen S, Kilic E. The Role of BDNF and NPY Levels, Effects of Behavioral Systems and Emotion Regulation on Internet Addiction in Adolescents. Psychiatr Q 2023; 94:605-616. [PMID: 37610629 DOI: 10.1007/s11126-023-10046-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Accepted: 08/03/2023] [Indexed: 08/24/2023]
Abstract
Internet addiction (IA), one of the behavioral addictions, is also related to impulsivity. Although studies on its etiology and risks continue, the number of studies is limited. In this study, we aimed to assess the roles of behavioral systems, emotional regulation (ER), and impulsivity in the development of IA in adolescents and also to assess the relationship between all these clinical parameters and brain-derived neurotrophic factor (BDNF) and neuropeptide Y (NPY). Forty-two adolescents with IA and 30 healthy controls (ages 12 -17) were included in the study. Self-reported measures included the Internet Addiction Scale. (IAS), Behavioral Activation and Behavioral Inhibition Scale (BAS/BIS), Barratt. Impulsiveness Scale-11 (BIS-11), and Difficulties in Emotion Regulation Scale-16 (DERS-16) were used for the assessment of the participants. The levels of plasma brain BDNF and NPY were evaluated with the ELISA method. BAS/BIS subscale scores, BIS-11, and DERS-16 scale total scores were found to be statistically significantly higher, while BDNF and NPY levels were found to be lower in adolescents with IA compared to the healthy controls. IA severity was not found to correlate with both BDNF and NPY. IA was found to be more related to BIS than to BAS. There is a need for further studies evaluating developmental features and possible diagnostic biomarkers that may be associated with IA in adolescents.
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Affiliation(s)
- Esra Demirci
- Department of Child and Adolescent Psychiatry, Faculty of Medicine, University of Erciyes, Kayseri, 38039, Turkey.
| | - Neslihan Tastepe
- Department of Child and Adolescent Psychiatry, Amasya Sabuncuoglu Serefeddin Training and Research Hospital, Amasya, Turkey
| | - Sevgi Ozmen
- Department of Child and Adolescent Psychiatry, Faculty of Medicine, University of Erciyes, Kayseri, 38039, Turkey
| | - Eser Kilic
- Department of Biochemistry, Faculty of Medicine, University of Erciyes, Kayseri, Turkey
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Maftei A, Opariuc-Dan C. Perfect people, happier lives? When the quest for perfection compromises happiness: the roles played by substance use and internet addiction. Front Public Health 2023; 11:1234164. [PMID: 37841705 PMCID: PMC10568026 DOI: 10.3389/fpubh.2023.1234164] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/03/2023] [Accepted: 09/11/2023] [Indexed: 10/17/2023] Open
Abstract
Building on the Conservation of Resources Theory and the Stress-Coping Model, the present study explored the relationship between perfectionism (rigid, self-critical, narcissistic) and subjective happiness among youth. In this relationship, we also examined the mediating roles of substance use (i.e., drinking and smoking) and Internet addiction symptoms. Our sample comprised 431 Romanian university students aged 18-25 (M = 20.50, SD = 1.58), and most of them were females (79.81%, self-reported gender). Participants completed self-reported anonymous scales through a web-based survey at the beginning of 2023. Correlation analysis results indicated that all forms of perfectionism were associated with Internet addiction symptoms. Self-critical and narcissistic perfectionism and drinking, smoking, and Internet addiction symptoms were negatively associated with subjective happiness. Path analysis suggested that health-risk behaviors completely mediated the effect of perfectionism on subjective happiness. High levels of perfectionism were associated with high levels of health-risk behaviors, and high levels of addictive behaviors were associated with low levels of subjective happiness. We discuss the present findings considering their practical use regarding students' subjective happiness.
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Affiliation(s)
- Alexandra Maftei
- Faculty of Psychology and Education Sciences, Alexandru Ioan Cuza University, Iaşi, Romania
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Marconi PL, Scognamiglio R, Marchiori E, Angeloni D, Mascia ML, Penna MP. Impact of Coding Educational Programs (CEP) on Digital Media Problematic Use (DMPU) and on Its Relationship with Psychological Dependence and Emotional Dysregulation. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2023; 20:2983. [PMID: 36833677 PMCID: PMC9957488 DOI: 10.3390/ijerph20042983] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/10/2022] [Revised: 02/03/2023] [Accepted: 02/05/2023] [Indexed: 06/18/2023]
Abstract
Alongside the positive effects linked to the introduction of digital technologies into our lives, particular dysfunctional behaviors in the use of digital tools have appeared, through which the expression of conditions such as addiction, difficulties in affective and behavioral self-regulation and mental health problems have been channeled. The present study aims to investigate, in a sample of young students aged m = 12.91 (ds = 0.56) years, whether Coding Educational Programs (CEP), deployed to 44.9% of the sample, is effective in psychological dependence, emotional self-regulation and Digital Media Problematic Use (DMPU), as self-assessed through questionnaires (DERS, DSRS, IAT, MPIQ and MPPUS). CEP had no effect on emotional dysregulation or on DMPU. They were effective in the time management of mobile phone use, with students rescheduling from daytime use on working days to daytime use on the weekend. Moreover, people who attended CEP more frequently used smartphones for orienting themselves and for obtaining information. In conclusion, CEP are effective in achieving a more functional and important use of smartphones and better time management. It is possible that CEP effect on metacognition could reduce DMPU if alternative ways to regulate emotions are available.
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Affiliation(s)
| | | | | | | | - Maria Lidia Mascia
- Department of Pedagogy, Psychology, Philosophy, University of Cagliari, 09123 Cagliari, Italy
| | - Maria Pietronilla Penna
- Department of Pedagogy, Psychology, Philosophy, University of Cagliari, 09123 Cagliari, Italy
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11
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Pan L, Li J, Hu Z, Wu H. The Effect of COVID-19 Perceived Risk on Internet Addiction among College Students in China: An Empirical Study Based on the Structural Equation Model. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:13377. [PMID: 36293960 PMCID: PMC9603053 DOI: 10.3390/ijerph192013377] [Citation(s) in RCA: 4] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 09/22/2022] [Revised: 10/14/2022] [Accepted: 10/15/2022] [Indexed: 06/16/2023]
Abstract
This study focused on COVID-19 perceived risk and Internet addiction among Chinese college students during the lockdown. On the basis of the Social Cognitive Theory, this study proposed a mediating model to evaluate the mediating role of difficulties in regulating emotion between the COVID-19 perceived risk and Internet addiction. A questionnaire survey was conducted among 690 college students during the COVID-19 lockdown in China. The results showed that the COVID-19 perceived risk was significantly positively associated with Internet addiction (r = 0.236, p < 0.001) and difficulties in emotion regulation (r = 0.220, p < 0.001), difficulties in emotion regulation was significantly positively associated with Internet addiction (r = 0.368, p < 0.001). The COVID-19 perceived risk had a significant and positive predictive effect on Internet addiction (β = 0.233, p < 0.001) among Chinese college students. The analysis of the mediation model showed that difficulties in emotion regulation partially mediated the relationship between COVID-19 perceived risk and Internet addiction (indirect effect value was 0.051 with 95% Confidence Interval ranging from 0.027 to 0.085). The findings not only enhanced our understanding of the internal influence mechanism of COVID-19 perceived risk on Internet addiction but also provided a practical basis for college education works. Finally, discussions and suggestions were provided on the basis of the results.
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Affiliation(s)
- Ling Pan
- School of Finance and Economics, Hainan Vocational University of Science and Technology, Haikou 571126, China
- Department of Education Management, Chinese International College, Dhurakij Pundit University, Bangkok 10210, Thailand
| | - Jun Li
- School of Finance and Economics, Hainan Vocational University of Science and Technology, Haikou 571126, China
- Department of Education Management, Chinese International College, Dhurakij Pundit University, Bangkok 10210, Thailand
| | - Ziao Hu
- School of Finance and Economics, Hainan Vocational University of Science and Technology, Haikou 571126, China
- Department of Education Management, Chinese International College, Dhurakij Pundit University, Bangkok 10210, Thailand
| | - Henan Wu
- School of Finance and Economics, Hainan Vocational University of Science and Technology, Haikou 571126, China
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Zhang MX, Lam LW, Wu AMS. Recovery Experiences Protect Emotionally Exhausted White-Collar Workers from Gaming Addiction. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:12543. [PMID: 36231843 PMCID: PMC9564737 DOI: 10.3390/ijerph191912543] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 08/25/2022] [Revised: 09/28/2022] [Accepted: 09/29/2022] [Indexed: 06/16/2023]
Abstract
Gaming addiction and its negative consequences have attracted public concern, but relatively little is known regarding its impact on adult workers. This study aims to test the association between gaming addiction and emotional exhaustion as well as the protective effect of recovery experiences on such an association among white-collar workers. We recruited 205 working adults (female = 58%) who voluntarily completed an online questionnaire. The results showed that male and younger workers were more vulnerable to gaming addiction. Emotional exhaustion was significantly and positively associated, while two (i.e., relaxation and control) of the four recovery experiences were negatively correlated with gaming addiction. Control experience had an indirect effect on gaming addiction via emotional exhaustion. Moreover, relaxation experience buffered the risk effect of emotional exhaustion on gaming addiction so that the effect is less pronounced at high levels of relaxation. Interventions are suggested to raise workers' awareness of effective recovery experiences (especially for control and relaxation) and to facilitate their recovery opportunities.
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Affiliation(s)
- Meng Xuan Zhang
- Department of Medical Humanities, School of Humanities, Southeast University, Nanjing 211189, China
| | - Long W. Lam
- Department of Management and Marketing, Faculty of Business Administration, University of Macau, Taipa, Macau, China
- Centre for Cognitive and Brain Sciences, Institute of Collaborative Innovation, University of Macau, Taipa, Macau, China
| | - Anise M. S. Wu
- Centre for Cognitive and Brain Sciences, Institute of Collaborative Innovation, University of Macau, Taipa, Macau, China
- Department of Psychology, Faculty of Social Sciences, University of Macau, Taipa, Macau, China
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13
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Interpersonally-Based Fears and Problematic Social Networking Site Use: The Moderating Role of Online Social Support. Int J Ment Health Addict 2022. [DOI: 10.1007/s11469-022-00908-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/14/2022] Open
Abstract
AbstractWithin the Compensatory Internet Use Theory (CIUT) framework, online activities may compensate for psychosocial problems. However, those who attempt to satisfy their needs or mitigate their fears via Social Networking Sites (SNSs) may be at heightened risk for problematic use of SNSs (PSNSU), especially in cases when these fears have an interpersonal basis, and the individual effectively finds online social support. The current study hypothesizes that interpersonally-based fears (i.e., fear of no mattering, fear of intimacy, and fear of negative evaluation) predict PSNSU, and online social support moderates these associations. Four hundred and fifty Italian participants (Mage = 27.42 ± 7.54; F = 73.5%) take part in the study. As examined by path analysis, the three interpersonal fears were positively associated with PSNSU, and online social support significantly moderates the relationship between fear of negative evaluation and PSNSU. The model accounted for 19% of the variance of PSNSU and showed good fit indices. The associations' strengths decrease as age increases. Overall, the current study finds further support for the theory that motivations need to be taken into account when it comes to internet uses (i.e., CIUT) and extends our understanding by highlighting that online social support might reinforce the link between the fear of being negatively evaluated and PSNSU.
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14
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Russo A, Santoro G, Schimmenti A. Interpersonal Guilt and Problematic Online Behaviors: The Mediating Role of Emotion Dysregulation. CLINICAL NEUROPSYCHIATRY 2022; 19:236-247. [PMID: 36101646 PMCID: PMC9442854 DOI: 10.36131/cnfioritieditore20220406] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
Abstract
OBJECTIVE The positive association between problematic Internet use (PIU) and emotion dysregulation (ED) is well documented. Research has also found that interpersonal guilt is positively associated with ED. Nevertheless, the influence of interpersonal guilt on PIU has been scarcely examined. In the current study, we investigated the relationships among the three constructs, and tested if emotion dysregulation mediates the association between interpersonal guilt and different types of PIU, namely problematic online gaming, problematic social media use, and problematic online pornography use. METHOD A sample of 434 adult participants (210 males, 48.4%) aged between 18 and 69 years old completed self-reported measures on interpersonal guilt, ED, and PIU. A structural equation modeling (SEM) framework was used to test the mediation models. RESULTS SEM analyses showed that ED mediates the relationship between interpersonal guilt as antecedent, and problematic online gaming, problematic social media use, and problematic online pornography use as outcomes. CONCLUSIONS Our findings suggest that emotion dysregulation deriving from experiences of interpersonal guilt can amplify the risk of using gaming, social media, and online pornography in a problematic way. Implications for prevention and treatment of PIU are discussed.
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Affiliation(s)
- Angela Russo
- Department of Educational Sciences, University of Catania, Catania, Italy,Corresponding author Dr. Angela Russo, Department of Educational Sciences, University of Catania, Catania, Italy.
| | - Gianluca Santoro
- Faculty of Human and Social Sciences, UKE – Kore University of Enna, Enna, Italy
| | - Adriano Schimmenti
- Faculty of Human and Social Sciences, UKE – Kore University of Enna, Enna, Italy
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15
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Luo H, Gong X, Chen X, Hu J, Wang X, Sun Y, Li J, Lv S, Zhang X. Exploring the links between alexithymia and cognitive emotion regulation strategies in internet addiction: A network analysis model. Front Psychol 2022; 13:938116. [PMID: 35978791 PMCID: PMC9376254 DOI: 10.3389/fpsyg.2022.938116] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/07/2022] [Accepted: 07/14/2022] [Indexed: 12/24/2022] Open
Abstract
Alexithymia and emotion regulation are closely related to internet addiction. However, no research has examined how the different components of alexithymia are associated with cognitive emotion regulation in the context of multi-strategy use in internet addiction. The current study aimed to investigate the relation between alexithymia and cognitive emotion regulation in individuals with internet addiction via network analysis. Participants included 560 students with Young’s Internet Addiction Test scores greater than 50 points; they were also asked to complete the Toronto Alexithymia Scale (TAS-20) and the Cognitive Emotion Regulation Questionnaire (CERQ). The results revealed two bridge nodes emerging within the combined alexithymia and cognitive emotion regulation network model: “catastrophizing” and “externally oriented thoughts.” These findings indicate a more specific relation between alexithymia and cognitive emotion regulation and provide empirical evidence for targeted prevention and targeted interventions for internet addiction.
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Affiliation(s)
- Hongge Luo
- School of Public Health, North China University of Science and Technology, Tangshan, China
- College of Psychology, North China University of Science and Technology, Tangshan, China
| | - Xun Gong
- College of Psychology, North China University of Science and Technology, Tangshan, China
| | - Xiaomei Chen
- The Department of Marxist Teaching, North China University of Science and Technology, Tangshan, China
| | - Jianing Hu
- College of Psychology, North China University of Science and Technology, Tangshan, China
| | - Xiaoyi Wang
- College of Psychology, North China University of Science and Technology, Tangshan, China
| | - Yekun Sun
- College of Psychology, North China University of Science and Technology, Tangshan, China
| | - Jiating Li
- College of Psychology, North China University of Science and Technology, Tangshan, China
| | - Shaobo Lv
- College of Psychology, North China University of Science and Technology, Tangshan, China
| | - Xiujun Zhang
- School of Public Health, North China University of Science and Technology, Tangshan, China
- *Correspondence: Xiujun Zhang,
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16
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Celia G, Tessitore F, Cavicchiolo E, Girelli L, Limone P, Cozzolino M. Improving University Students' Mental Health During the COVID-19 Pandemic: Evidence From an Online Counseling Intervention in Italy. Front Psychiatry 2022; 13:886538. [PMID: 35664487 PMCID: PMC9157237 DOI: 10.3389/fpsyt.2022.886538] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/28/2022] [Accepted: 04/13/2022] [Indexed: 01/07/2023] Open
Abstract
Background The mental health of university students is significantly affected when faced with public health emergencies and requires specific interventions to help support and prevent any long-lasting effects that the pandemic may have on their mental health status. This study aims to evaluate the impact of an online individual counseling intervention provided by the University of Foggia and carried out during the COVID-19 pandemic on the mental health status of a sample of university students. Methods 32 Italian undergraduate students took part in a one-group pretest-posttest research design. The data was gathered in two times: before the start of the counseling intervention (T1), positive and negative affect, satisfaction with life, global mental distress, anxiety, stress, and future time perspective were collected, at the end of the counseling intervention (T2), the same dimensions were measured. A one-way repeated measures multivariate analysis of variance (MANOVA) was performed, and single Bonferroni-corrected dependent t-tests were conducted on variables showing a significant change over time. Results The results showed that positive affect, subjective well-being, and future time perspective increased significantly after the intervention. In contrast, the participants reported significantly lower levels of negative affect, global mental distress, state and trait anxiety, as well as perceived stress over time. Conclusions The study demonstrates the promising impact of online counseling intervention and its efficient contribution in promoting the well-being of university students. The results contribute to the ongoing debate concerning the psychological impact of the COVID-19 pandemic on young adults, helping professionals develop more efficient clinical and psychological interventions.
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Affiliation(s)
- Giovanna Celia
- Department of Economics, Management and Territory, University of Foggia, Foggia, Italy
| | - Francesca Tessitore
- Department of Humanities, Philosophy and Education, University of Salerno, Fisciano, Italy
| | - Elisa Cavicchiolo
- Department of Humanities, Philosophy and Education, University of Salerno, Fisciano, Italy
| | - Laura Girelli
- Department of Humanities, Philosophy and Education, University of Salerno, Fisciano, Italy
| | - Pierpaolo Limone
- Department of Humanities, Literature and Cultural Heritage, University of Foggia, Foggia, Italy
| | - Mauro Cozzolino
- Department of Humanities, Philosophy and Education, University of Salerno, Fisciano, Italy
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17
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Fontana A, Benzi IMA, Cipresso P. Problematic internet use as a moderator between personality dimensions and internalizing and externalizing symptoms in adolescence. CURRENT PSYCHOLOGY 2022; 42:1-10. [PMID: 35068906 PMCID: PMC8761869 DOI: 10.1007/s12144-021-02409-9] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 10/14/2021] [Indexed: 12/15/2022]
Abstract
Digital technology use plays an essential role in adolescents' psychological adjustment, impacting their mental health and well-being. In this scenario, Problematic Internet Use (PIU) is a risky condition for developing behavioral addiction in adolescence. Most of the research on PIU in adolescence focus on dimensions that may amplify or buffer it, finding significant associations between PIU and interpersonal problems with peers, maladaptive personality traits, low self-esteem, emotion dysregulation, and increasing psychological difficulties. It has been suggested that PIU might represent a maladaptive coping strategy to tackle problematic psychosocial functioning. In this line, the current cross-sectional study focused on PIU's role in the association between personality dimensions and internalizing/externalizing problems. Two-hundred thirty-one middle and late adolescents (age range 15-19 years; 62% Female) attending public junior high schools in Italy completed the Internet Addiction Test (IAT), the Adolescent Personality Structure Questionnaire (APS-Q), and the Youth Self Report (YSR). Moderation analyses were used to test the hypothesis that higher PIU amplifies the relationship between maladaptive personality dimensions and psychological symptoms. Results indicated that only high PIU influenced the relationship between difficulties in building significant relationships with peers and internalizing problems. Conversely, PIU buffered the relationship between difficulties in adolescents' sense of self (identity) and internalizing problems and the association between aggression regulation and internalizing problems, supporting the role of PIU as a maladaptive coping strategy. These findings encourage accurately evaluating PIU as a risk factor in adolescence: (1) considering how high PIU's presence should impact the relationship between adolescent personality and the quality of their relationships with peers; (2) acknowledging the role of PIU as a regulation strategy for identity difficulties and aggression dysregulation.
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Affiliation(s)
- Andrea Fontana
- Department of Human Sciences, LUMSA University, Piazza delle Vaschette 101, 00193 Rome, Italy
| | | | - Pietro Cipresso
- Applied Technology for Neuro-Psychology Lab, IRCCS Istituto Auxologico Italiano, Milan, Italy
- Catholic University of the Sacred Heart, Milan, Italy
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18
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Guerrini Usubini A, Terrone G, Varallo G, Cattivelli R, Plazzi G, Castelnuovo G, Schimmenti A, Musetti A, Franceschini C. The Mediating Role of Emotion Dysregulation and Problematic Internet Use in the Relationship Between Negative Affect and Excessive Daytime Sleepiness: A Structural Equation Model. Nat Sci Sleep 2022; 14:291-302. [PMID: 35237080 PMCID: PMC8885123 DOI: 10.2147/nss.s346485] [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] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/05/2021] [Accepted: 01/29/2022] [Indexed: 11/23/2022] Open
Abstract
PURPOSE The present study aimed to explore the mediating role of emotion dysregulation and problematic Internet use in the relationship between negative affect and excessive daytime sleepiness. METHODS This cross-sectional study included 664 Italian adults aged between 18 and 70 years (M = 32.13; SD = 11.71). Participants were asked to complete the Depression Anxiety Stress Scale, the Difficulties in Emotion Regulation Scale, the Compulsive Internet Use Scale-7, and the Epworth Sleepiness Scale to assess negative affect, emotion dysregulation, problematic internet use, and excessive daytime sleepiness, respectively. RESULTS According to our results there are significant associations between negative affect, emotion dysregulation, problematic Internet use, and daytime sleepiness. Moreover, the structural equation model showed good fit indices. Emotion dysregulation and problematic Internet use partially mediated the relationship between negative mood and excessive daytime sleepiness. CONCLUSION By exploring the role of emotion dysregulation on the association between excessive daytime sleepiness and its possible predictors, our study might represent an important step toward the implementation of psychological intervention for reducing excessive daytime sleepiness. Emotion dysregulation appears to play a significant role in explaining the relationship between negative affect, problematic Internet use, and excessive daytime sleepiness. Thus, it should be considered a treatment target for reducing excessive daytime sleepiness.
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Affiliation(s)
- Anna Guerrini Usubini
- Istituto Auxologico Italiano IRCCS, Psychology Research Laboratory, Milan, Italy.,Department of Psychology, Catholic University of Milan, Milan, Italy
| | - Grazia Terrone
- Department of History, Cultural Heritage, Education and Society, University of Rome Tor Vergata, Rome, Italy
| | - Giorgia Varallo
- Istituto Auxologico Italiano IRCCS, Psychology Research Laboratory, Milan, Italy.,Department of Psychology, Catholic University of Milan, Milan, Italy
| | | | - Giuseppe Plazzi
- Department of Biomedical, Metabolic and Neural Sciences, University of Modena and Reggio Emilia, Modena, 41125, Italy.,IRCCS Institute of Neurological Sciences of Bologna (ISNB), Bologna, 40139, Italy
| | - Gianluca Castelnuovo
- Istituto Auxologico Italiano IRCCS, Psychology Research Laboratory, Milan, Italy.,Department of Psychology, Catholic University of Milan, Milan, Italy
| | - Adriano Schimmenti
- Faculty of Human and Social Sciences, UKE-Kore University of Enna, Cittadella Universitaria, Enna, Italy
| | - Alessandro Musetti
- Department of Humanities, Social Sciences and Cultural Industries, University of Parma, Parma, Italy
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19
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From Emotional (Dys)Regulation to Internet Addiction: A Mediation Model of Problematic Social Media Use among Italian Young Adults. J Clin Med 2021; 11:jcm11010188. [PMID: 35011929 PMCID: PMC8745641 DOI: 10.3390/jcm11010188] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/24/2021] [Revised: 12/23/2021] [Accepted: 12/28/2021] [Indexed: 12/12/2022] Open
Abstract
Internet addiction (IA) has mostly been investigated with the fear of missing out and difficulties in emotional regulation. The present study examined the link between IA and variables related to problematic social media use (i.e., fear of missing out, social media addiction), together with emotional (dys)regulation and personality traits, providing new insights and an integrated assessment of IA. In total, 397 participants, aged 18-35 years (M = 22.00; SD = 3.83), were administered a set of questionnaires pertaining to IA, problematic social media use, emotional (dys)regulation, and personality traits. Pearson's correlations showed significant associations between IA and the investigated variables, and the tested mediation model highlighted the crucial role played by emotional (dys)regulation in the fear of missing out and problematic use of social networks. Overall, the findings provide support for a new integrated model for understanding the features, predictors, and risk factors of IA.
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20
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Iannattone S, Raffagnato A, Zanato S, Traverso A, Tascini B, Del Col L, Miscioscia M, Gatta M. Children with Psychopathology and Their Parents Facing the Covid-19 Pandemic: A Case-Control Study. CLINICAL NEUROPSYCHIATRY 2021; 18:324-333. [PMID: 35096079 PMCID: PMC8785424 DOI: 10.36131/cnfioritieditore20210606] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Download PDF] [Subscribe] [Scholar Register] [Indexed: 11/05/2022]
Abstract
Objective This case-control study aimed to explore the effects of the COVID-19 outbreak on the mental well-being of pediatric psychiatric outpatients and their families, comparing them with children/adolescents and their parents from the general population. Method The case group consisted of 168 subjects: 56 patients (6-18 years old) with psychiatric disorders, and their 112 parents. The healthy control group included 189 subjects: 63 children and adolescents with no psychopathologies, and their 126 parents. Both groups were assessed during the first COVID-19 lockdown in Italy (T0) and 4 months later (T1), by administering the CBCL6-18 and DASS-21. Results Patients showed a good adaptation to the pandemic situation, while the children/adolescents in the healthy sample showed a greater variation in their general habits and a higher prevalence of stress symptoms during the lockdown. The patients’ parents likewise had fewer stress-related symptoms than caregivers in the healthy control group, both during the lockdown and 4 months later. At T0, patients’ mothers reported higher anxiety levels than mothers in the healthy group, while at T1 fathers of healthy children scored higher on the DASS-21 anxiety and stress scales than patients’ fathers. As concerns changes over time (T0-T1) in the parents’ psychological well-being, a general improvement was detected in both groups. Conclusions The pandemic and quarantine measures were confirmed as significant stressors for all children and adolescents, and negatively affected their parents’ adaptation. The findings of this study point to the need for preventive interventions to support the mental health of all parents and their children in uncertain and stressful times.
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Affiliation(s)
- Sara Iannattone
- Department of Women's and Children's Health, Padua University Hospital, 35128 Padua, Italy; (S.I.); (A.R.); (S.Z.); (A.T.); (B.T.); (L.D.C); (M.M.); (M.G.), Department of General Psychology, University of Padua, 35131 Padua, Italy,Corresponding author Sara Iannattone Department of General Psychology – University of Padua Via Venezia, 8 35131, Padua (PD), Italy E-mail:
| | - Alessia Raffagnato
- Department of Women's and Children's Health, Padua University Hospital, 35128 Padua, Italy; (S.I.); (A.R.); (S.Z.); (A.T.); (B.T.); (L.D.C); (M.M.); (M.G.)
| | - Silvia Zanato
- Department of Women's and Children's Health, Padua University Hospital, 35128 Padua, Italy; (S.I.); (A.R.); (S.Z.); (A.T.); (B.T.); (L.D.C); (M.M.); (M.G.)
| | - Annalisa Traverso
- Department of Women's and Children's Health, Padua University Hospital, 35128 Padua, Italy; (S.I.); (A.R.); (S.Z.); (A.T.); (B.T.); (L.D.C); (M.M.); (M.G.)
| | - Benedetta Tascini
- Department of Women's and Children's Health, Padua University Hospital, 35128 Padua, Italy; (S.I.); (A.R.); (S.Z.); (A.T.); (B.T.); (L.D.C); (M.M.); (M.G.)
| | - Lara Del Col
- Department of Women's and Children's Health, Padua University Hospital, 35128 Padua, Italy; (S.I.); (A.R.); (S.Z.); (A.T.); (B.T.); (L.D.C); (M.M.); (M.G.)
| | - Marina Miscioscia
- Department of Women's and Children's Health, Padua University Hospital, 35128 Padua, Italy; (S.I.); (A.R.); (S.Z.); (A.T.); (B.T.); (L.D.C); (M.M.); (M.G.), Department of General Psychology, University of Padua, 35131 Padua, Italy, Department of Developmental Psychology and Socialization, University of Padua, 35131 Padua, Italy
| | - Michela Gatta
- Department of Women's and Children's Health, Padua University Hospital, 35128 Padua, Italy; (S.I.); (A.R.); (S.Z.); (A.T.); (B.T.); (L.D.C); (M.M.); (M.G.)
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21
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Condori-Meza IB, Dávila-Cabanillas LA, Challapa-Mamani MR, Pinedo-Soria A, Torres RR, Yalle J, Rojas-Humpire R, Huancahuire-Vega S. Problematic Internet Use Associated with Symptomatic Dry Eye Disease in Medical Students from Peru. Clin Ophthalmol 2021; 15:4357-4365. [PMID: 34744432 PMCID: PMC8565988 DOI: 10.2147/opth.s334156] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/13/2021] [Accepted: 10/06/2021] [Indexed: 12/19/2022] Open
Abstract
PURPOSE Dry eye is a multifactorial ocular surface disease (DED) characterized by a loss of tear film homeostasis, which is widely associated with alterations in mental health. Problematic internet use (PIU) is defined as the feeling of concern about using this tool irresistibly, for longer periods than usual, accompanied by anguish that results from not doing so without reaching mania or hypomania behaviors. Both PIU and DED present a theoretical link; however, there are no published studies that report its relationship with problematic internet use. Therefore, this study aims to determine the association between PIU and symptomatic DED in Peruvian medical students. PATIENTS AND METHODS Analytical cross-sectional study that included human medical students from Peru. For the measurement of main variables, the Ocular Surface Disease Index (OSDI) and the Internet Addiction Test (IAT) were used. To study their relationship, the Poisson regression analysis was used, we consider a p-value <0.05 as significant. RESULTS Data from 844 medical students were analyzed, 35.7% male and 64.3% female, with an average age of 21.8 ± 3.3 years. Likewise, the prevalence of symptomatic DED was 70.9%, and the internet's controlled use was 85.3%. In the analysis adjusted for symptomatic DED, the men showed significant differences in the controlled use of the internet (p <0.003), of which those who had PIU, 50% had severe symptomatic DED, as well as 80% of those addicted to the internet. The adjusted model showed that the PIU increases the prevalence of symptomatic DED in men (PR = 1.17, 95% CI: 1.06-1.29); however, in women, no association was found between both variables. CONCLUSION PIU and symptomatic DED showed a significant association in male medical students from Peru.
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Affiliation(s)
| | | | | | - Antony Pinedo-Soria
- Human Medicine School, Universidad Nacional de San Martín, Tarapoto, San Martín, Peru
| | - Renato R Torres
- Medical Students Research Center, Universidad Privada de Tacna, Tacna, Peru
| | - Joel Yalle
- Human Medicine School, Universidad Peruana Unión (UPeU), Lima, Peru
| | | | - Salomón Huancahuire-Vega
- Human Medicine School, Universidad Peruana Unión (UPeU), Lima, Peru
- Directorate General Research, Universidad Peruana Unión (UPeU), Lima, Peru
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