1
|
Gao B, Cai Y, Zhao C, Qian Y, Zheng R, Liu C. Longitudinal associations between loneliness and online game addiction among undergraduates: A moderated mediation model. Acta Psychol (Amst) 2024; 243:104134. [PMID: 38228073 DOI: 10.1016/j.actpsy.2024.104134] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/30/2023] [Revised: 12/12/2023] [Accepted: 01/08/2024] [Indexed: 01/18/2024] Open
Abstract
Online gaming addiction (OGA) has become a noteworthy public concern, especially among university students, thereby requiring in-depth scrutiny. Although previous cross-sectional studies have established a positive link between loneliness and OGA, there is a lack of longitudinal evidence within this field. Moreover, the underlying mechanisms that elucidate the connection between loneliness and OGA are still poorly understood, underscoring a crucial research gap that requires further investigation. Our study utilized a longitudinal approach and developed a moderated mediation model. From September 2021 to September 2022, during the COVID-19 pandemic, data were collected from a sample of Chinese undergraduate students, with 367 participants at T1, 352 at T2, and 340 at T3. Participants completed online self-report surveys, providing valuable data on their levels of loneliness at T1, fear of missing out (FoMO) at T2, sensation seeking at T2, and OGA at T3. Our findings found that loneliness was positively linked to OGA. Further analysis demonstrated that FoMO partially mediated the link between loneliness and OGA. Meanwhile, sensation seeking moderated the pathway from FoMO to later OGA. Specifically, the effect of FoMO on OGA was significant for college students with high sensation seeking. This study offers longitudinal evidence linking loneliness and OGA, which has implications for the development of interventions to reduce OGA.
Collapse
Affiliation(s)
- Bin Gao
- School of Education, Shanghai Normal University, Shanghai 200234, People's Republic of China
| | - Yanxiyu Cai
- School of Marxism, Shanghai Normal University, Shanghai 200234, People's Republic of China
| | - Chong Zhao
- School of Education, Shanghai Normal University, Shanghai 200234, People's Republic of China.
| | - Yuqing Qian
- School of Education, Shanghai Normal University, Shanghai 200234, People's Republic of China
| | - Runting Zheng
- School of Public Policy and Management, University of Chinese Academy of Sciences, Beijing 100049, People's Republic of China
| | - Cong Liu
- School of Mathematics and Statistics, Hubei Minzu University, Enshi 445000, People's Republic of China
| |
Collapse
|
2
|
钟 莹, 李 雨, 陈 如, 从 恩, 徐 一. [Childhood trauma and adolescent game addiction: the mediating effects of self-control]. ZHONGGUO DANG DAI ER KE ZA ZHI = CHINESE JOURNAL OF CONTEMPORARY PEDIATRICS 2023; 25:976-981. [PMID: 37718406 PMCID: PMC10511223 DOI: 10.7499/j.issn.1008-8830.2303114] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Subscribe] [Scholar Register] [Received: 03/22/2023] [Accepted: 05/30/2023] [Indexed: 09/19/2023]
Abstract
OBJECTIVES To investigate the association between childhood trauma and game addiction in adolescents, as well as the mediating effect of self-control. METHODS A cross-sectional study was conducted using cluster random sampling. The participants were 2 664 adolescents from a senior high school in Henan Province. The research tools included a demographic data questionnaire, Childhood Trauma Questionnaire-Short Form, Self-Control Scale, and Game Addiction Scale for Adolescents. The Bootstrap method was used to test the parallel mediating effect, with the five dimensions of self-control as mediators. RESULTS The prevalence of game addiction among the adolescents was 17.68% (471/2 664). There was a positive correlation between childhood trauma and game addiction scores (P<0.01), and a negative correlation between childhood trauma scores and each dimension of self-control (P<0.01). Moreover, all five dimensions of self-control were negatively correlated with game addiction scores (P<0.01) and acted as parallel mediators between childhood trauma and game addiction. The mediating effects of restraint from entertainment (accounting for 15.6% of the total effect) and resistance to temptation (accounting for 10.6% of the total effect) were stronger. CONCLUSIONS Childhood trauma may increase the risk of game addiction by impairing adolescents' self-control abilities. The reduction of childhood trauma can cultivate self-control in adolescents and prevent the occurrence of game addiction.
Collapse
Affiliation(s)
| | | | | | - 恩朝 从
- 同济大学附属第十人民医院精神心理科上海200072
| | | |
Collapse
|
3
|
Erdogan O. The mediator's role of communication skills in the effect of social skills on digital game addiction. Acta Psychol (Amst) 2023; 237:103948. [PMID: 37267879 DOI: 10.1016/j.actpsy.2023.103948] [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: 06/12/2022] [Revised: 05/19/2023] [Accepted: 05/20/2023] [Indexed: 06/04/2023] Open
Abstract
This study aimed to investigate the mediating role of communication skills, which has a decisive role in people's healthy interaction with others, between social skills that enable the construction of social networks and digital game addiction. The study was conducted as a relational survey quantitative research model. A total of 474 university students, 232 of whom were female and 242 were male, comprised the participants of the study. The Social Skills Scale, the Communication Skills Scale, and the Digital Game Addiction Scales were used in this research. The data were analyzed using the AMOS-23 program. Results of the analysis showed that social and communication skills were strongly negatively related to digital game addiction, while communication skills were a solid mediator between social skills and digital game addiction. When the results are evaluated holistically, it is thought that digital games are an important escape area for individuals with low social and communication skills.
Collapse
Affiliation(s)
- Omer Erdogan
- Department of Psychology, Kastamonu University, Faculty of Humanities and Social Sciences, Turkey.
| |
Collapse
|
4
|
Emiroğlu İlvan T, Ceylan R. Predicting preschool children's digital play addiction tendency during Covid-19 pandemic: Regarding the mother-child relationship, and child- and family-related factors. EDUCATION AND INFORMATION TECHNOLOGIES 2023; 28:1-30. [PMID: 37361780 PMCID: PMC10149632 DOI: 10.1007/s10639-023-11802-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 10/19/2022] [Accepted: 04/11/2023] [Indexed: 06/28/2023]
Abstract
Previous research about children's digital play has predominantly focused on parental perspectives and parental mediation strategies. Although research on the effects of digital play on young children's development is plentiful, there is little evidence on young children's digital play addiction tendency. Herein, preschool children's digital play addiction tendency, and the mother-child relationship perceived by mothers, examining child- and family-related factors were explored. The present study also aimed to contribute to the current research pertaining to preschool-aged children's digital play addiction tendency through an examination of the mother-child relationship, and child- and family-related factors as potential predictors of children's digital play addiction tendency. A sample of 450 mothers of children between 4 and 6 years filled out two measures that identify the mother-child relationship and children's digital play addiction tendency. Correlational analyses revealed that in general, the mother-child relationship was significantly associated with children's digital play addiction tendency. Significant differences were evident in the relationship between numerous child- and family-related factors, and children's digital play addiction tendency, as well as the mother-child relationship. Hierarchical regression analyses indicated that a negative mother-child relationship, the children's digital play usage, and the mothers' digital device usage predicted the children's digital play addiction tendency.
Collapse
Affiliation(s)
- Tuğba Emiroğlu İlvan
- Early Childhood Education Department, Istanbul 29 Mayıs University, Istanbul, Turkey
| | - Remziye Ceylan
- Early Childhood Education Department, Yıldız Technical University, Istanbul, Turkey
| |
Collapse
|
5
|
Boz C, Dinç M. Examination of game addiction studies conducted in Turkey: A systematic review study. Front Psychiatry 2023; 14:1014621. [PMID: 37124255 PMCID: PMC10140370 DOI: 10.3389/fpsyt.2023.1014621] [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: 08/08/2022] [Accepted: 03/22/2023] [Indexed: 05/02/2023] Open
Abstract
The aim of this study is to examine the methodological orientations in game addiction studies in Turkey between 2019 and 2022 in a holistic way and to present suggestions for new literature studies. For this purpose, only articles written in Turkish language were reviewed on Google Scholar. Open-access quantitative studies between 2019 and 2022 were included in our study. As a result, 69 out of 257 studies were found to comply with the predetermined criteria. The number of participants in these 69 studies, with a total sample size of 26,415, varies between 60 and 987. Almost half of the studies sample group is children (n = 36). The majority of the studies examine the relationship between academic achievement, familial and social relationship problems, gaming behavior and game addiction in children and adolescents. It was found that gaming addiction was higher in male students compared to female students, especially between the ages of 14-15. Among children, male students play digital games more than girls, and they mostly prefer action-adventure, war, and racing games. Previous studies have concluded that the use of consoles and smartphones in adolescents and young adults has a high impact on digital game addiction. In the light of the findings, it is suggested that empirical studies on game addiction should be addressed with different aspects using new literature studies.
Collapse
|
6
|
Hou CY, Rutherford R, Chang H, Chang FC, Shumei L, Chiu CH, Chen PH, Chiang JT, Miao NF, Chuang HY, Tseng CC. Children's mobile-gaming preferences, online risks, and mental health. PLoS One 2022; 17:e0278290. [PMID: 36454977 PMCID: PMC9714941 DOI: 10.1371/journal.pone.0278290] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/16/2021] [Accepted: 11/15/2022] [Indexed: 12/02/2022] Open
Abstract
This study examined the relationships between children's mobile gaming preferences, online risks, and mental health. Data were obtained from a sample of 2,702 third and fourth grade students from 16 elementary schools in Taiwan and 9 schools in China. A self-administered questionnaire was used. The mental state of the children who participated in the study was assessed using the Strengths and Difficulties Questionnaire (SDQ), while mobile gaming addiction was assessed using the short form of the Internet Gaming Disorders Scale (IGDS9-SF). The results showed that about 54% of children played mobile games with others (multi-player), while 31% played mobile games alone, and 15% did not play mobile games. Multiple logistic regression results indicated that behaviors such as participating in multi-player games, playing violent games, a poor parent-child relationship, and living in a rural area were associated with a greater risk of mobile gaming addiction. Involvement in multi-player games, playing violent games, mobile gaming addiction, and exposure to mobile violence/pornography were associated with greater risks of cyber aggression/victimization. Multiple regression results showed that being a multi-player, playing violent games, mobile gaming addiction, exposure to violence/pornography, exposure to cyber aggression/victimization, and having a poor parent-child relationship were associated with emotional and behavioral problems.
Collapse
Affiliation(s)
- Chun-Yin Hou
- Department of Family Medicine, Taipei City Hospital, Zhongxiao Branch, Taipei, Taiwan
| | - Ru Rutherford
- Department of Health Promotion and Health Education, National Taiwan Normal University, Taipei, Taiwan
| | - Hsi Chang
- Department of Pediatrics, School of Medicine, College of Medicine, Taipei Medical University, Taipei, Taiwan
| | - Fong-Ching Chang
- Department of Health Promotion and Health Education, National Taiwan Normal University, Taipei, Taiwan
| | - Liu Shumei
- Department of Preschool Education, Jing Hengyi College of Education, Hangzhou Normal University, Hangzhou, China
| | - Chiung-Hui Chiu
- Graduate Institute of Information and Computer Education, National Taiwan Normal University, Taipei, Taiwan
| | - Ping-Hung Chen
- The Graduate Institute of Mass Communication, National Taiwan Normal University, Taipei, Taiwan
| | - Jeng-Tung Chiang
- Department of Statistics, National Chengchi University, Taipei, Taiwan
| | - Nae-Fang Miao
- Post-Baccalaureate Program in Nursing, College of Nursing, Taipei Medical University, Taipei, Taiwan
| | - Hung-Yi Chuang
- Department of Public Health, Kaohsiung Medical University, Kaohsiung, Taiwan
| | - Chie-Chien Tseng
- Department of Health Promotion and Health Education, National Taiwan Normal University, Taipei, Taiwan
| |
Collapse
|
7
|
Zhang M, Zhang W, Li Y, He X, Chen F, Guo Y. The relationship between perceptions of school climate and internet gaming disorder of teenage students: A moderated mediation model. Front Psychol 2022; 13:917872. [PMID: 36003106 PMCID: PMC9393608 DOI: 10.3389/fpsyg.2022.917872] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/11/2022] [Accepted: 07/18/2022] [Indexed: 11/24/2022] Open
Abstract
Background In recent years, teenage students' internet gaming disorder has raised widespread concern in the society. The current study aims to explore how perceptions of school climate, maladaptive cognition, and belief in a just world impact teenage students' internet gaming disorder and seek the suitable intervention to prevent teenage students' internet gaming disorder tendency. Methods A total of 1,164 teenage students (age: 19.62 ± 3.14 years) were evaluated using the Perceived School Climate Scale (PSCS), Maladaptive Cognition Scale (MCS), Belief in a Just World Scale (BJWS), and Internet Gaming Disorder Scale (IGDS). Results (1) Perceptions of school climate could predict teenage students' internet gaming disorder [β = -0.15, p < 0.001, 95% CI = (-0.20, -0.11)]. (2) Teenage students' maladaptive cognition exerts a partial mediating effect between their perceptions of school climate and internet gaming disorder [ab = -0.13, boot SE = 0.01, 95% CI = (-0.16, -0.11)]. (3) The direct effect of perceptions of school climate on internet gaming disorder [β = -0.07, p < 0.01, 95% CI = (-0.11, -0.02)], the first half of the mediation model "perceptions of school climate → maladaptive cognition" [β = -0.08, p < 0.01, 95% CI = (-0.12, -0.03)], and the second half of the mediation model "maladaptive cognition → internet gaming disorder" [β = 0.10, p < 0.001, 95% CI = (0.06, 0.14)] are all moderated reciprocally by teenage students' belief in a just world. Conclusion Schools should create a good climate and shape belief in a just world to reduce the maladaptive cognition of teenagers, to effectively prevent teenage students' internet gaming disorder tendency.
Collapse
Affiliation(s)
- Mengrou Zhang
- Zhoukou Vocational and Technical College, Zhoukou, China
| | - Wenhua Zhang
- Zhoukou Vocational and Technical College, Zhoukou, China
| | - Yunhe Li
- Zhoukou Vocational and Technical College, Zhoukou, China
| | - Xiangcai He
- School of Psychology, Guizhou Normal University, Guiyang, China
| | - Feng Chen
- School of Physical Education, Zhoukou Normal University, Zhoukou, China
| | - Ying Guo
- School of Psychology, Sichuan Normal University, Chengdu, China
| |
Collapse
|
8
|
Wang H. The Effects of School Climate, Parent-Child Closeness, and Peer Relations on the Problematic Internet Use of Chinese Adolescents: Testing the Mediating Role of Self-Esteem and Depression. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:7583. [PMID: 35805237 PMCID: PMC9265515 DOI: 10.3390/ijerph19137583] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 05/12/2022] [Revised: 06/17/2022] [Accepted: 06/18/2022] [Indexed: 12/02/2022]
Abstract
Although previous research has investigated the associations among family factors, school factors, peer factors, and problematic Internet use, its causal direction has not been verified, particularly in the Chinese context. Using school-based data, this study aims to explore the possible causal direction among school climate, parent-child closeness, peer relations, and the problematic Internet use of Chinese adolescents. Nine hundred and sixty students in junior and senior high schools participated in a questionnaire survey. The results showed that parent-child closeness, school climate, and peer relations had a significantly direct effect on the problematic Internet use of Chinese adolescents. Meanwhile, the effects of parent-child closeness, school climate, and peer relations on problematic Internet use were mediated by self-esteem and depression. Implications are also discussed to prevent the problematic Internet use of adolescents.
Collapse
Affiliation(s)
- Hua Wang
- School of Sociology and Population Studies, Nanjing University of Posts and Telecommunications, Nanjing 210023, China
| |
Collapse
|
9
|
Zou H, Deng Y, Wang H, Yu C, Zhang W. Perceptions of School Climate and Internet Gaming Addiction among Chinese Adolescents: The Mediating Effect of Deviant Peer Affiliation. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:3604. [PMID: 35329291 PMCID: PMC8954293 DOI: 10.3390/ijerph19063604] [Citation(s) in RCA: 6] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 01/20/2022] [Revised: 03/09/2022] [Accepted: 03/11/2022] [Indexed: 02/04/2023]
Abstract
Adolescent internet gaming addiction (IGA) has become a serve public health problem, particularly in China. Despite the fact that the school climate has a significant impact on teenage IGA, little research has looked into the underlying mediating processes. This cross-sectional study looked at the impact of adolescents' perceptions of their school climate (including teacher-student support, student-student support, and opportunities for autonomy) on IGA in a sample of 1053 Chinese adolescents (Meanage = 13.52 years; 52.4% females) using convenient sampling methodology, as well as whether deviant peer affiliation mediated this association. Adolescents' school climate, IGA, and deviant peer affiliation were examined using the School Climate Questionnaire, Internet Gaming Addiction Scale, and two validated tools in this study. The results showed that teacher-student support and student-student support were both negatively associated with IGA, and that these correlations were mediated by deviant peer affiliation. The implications of these findings are discussed.
Collapse
Affiliation(s)
- Hongyu Zou
- School of Psychology, South China Normal University, Guangzhou 510631, China; (H.Z.); (W.Z.)
- College of Liberal Arts and Social Sciences, City University of Hong Kong, Hong Kong 999077, China
| | - Yuting Deng
- School of Education, Guangzhou University, Guangzhou 510006, China; (Y.D.); (H.W.)
| | - Huahua Wang
- School of Education, Guangzhou University, Guangzhou 510006, China; (Y.D.); (H.W.)
| | - Chengfu Yu
- School of Education, Guangzhou University, Guangzhou 510006, China; (Y.D.); (H.W.)
| | - Wei Zhang
- School of Psychology, South China Normal University, Guangzhou 510631, China; (H.Z.); (W.Z.)
| |
Collapse
|
10
|
Kim D, Nam JK, Keum C. Adolescent Internet gaming addiction and personality characteristics by game genre. PLoS One 2022; 17:e0263645. [PMID: 35143558 PMCID: PMC8830627 DOI: 10.1371/journal.pone.0263645] [Citation(s) in RCA: 12] [Impact Index Per Article: 6.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/22/2021] [Accepted: 01/25/2022] [Indexed: 01/09/2023] Open
Abstract
With the emergence of a new concept called 'Internet Gaming Disorder' in DSM-5 and ICD-11, related research is underway around the globe. However, not enough literature on Internet gaming addiction has considered the diversity in game genres. Internet gaming addiction may take on a different form according to the particular characteristics of a game being played. To better understand adolescent Internet gaming addiction, this study sought to identify the differences in Internet gaming addiction and personality characteristics based on the game genre played. A total of 3,217 elementary and middle school students across Korea participated in the survey that included the Maladaptive Game Use Scale and the Adolescent Personality Questionnaire. ANOVA analysis revealed that Internet gaming addiction and personality characteristics varied according to the game genre played. In particular, post-hoc tests showed that Real-Time Strategy (RTS) and First-Person Shooter (FPS) game users have higher levels of tolerance, withdrawal, and neglect of everyday life compared to other genres such as Role-Playing Game (RPG), Racing, and Arcade/Shooting. Also, Internet gamers users of particular genres showed significantly lower self-esteem (Arcade/Shooting), conscientiousness (Racing), empathy (RPG), and sense of community (Racing and RTS) scores than comparison group. The implications of the study results were discussed with a special emphasis on Internet gaming addiction interventions.
Collapse
Affiliation(s)
- Dongil Kim
- Department of Education, Seoul National University, Seoul, South Korea
| | - JeeEun Karin Nam
- Graduate School of Education, Ewha Womans University, Seoul, South Korea
| | - Changmin Keum
- Department of Counseling & Psychotherapy, Inje University, Gimhae, South Korea
| |
Collapse
|
11
|
Jeon HG, Jeong EJ, Lee SJ, Kim JA. Exploring the Mechanism of Pathological Gaming in Adolescents: Focused on the Mediation Paths and Latent Group Comparison. Front Psychol 2022; 12:756328. [PMID: 35095645 PMCID: PMC8789677 DOI: 10.3389/fpsyg.2021.756328] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/10/2021] [Accepted: 11/30/2021] [Indexed: 11/24/2022] Open
Abstract
Pathological gaming among adolescents has been reported to hamper the achievement of a balanced life and to threaten the development of social competencies. Despite the increasing social concerns on the adolescent users, however, the mechanism of gaming behavior of adolescents has not been sufficiently examined. This study explored the mechanism of pathological gaming among adolescents from 3-year longitudinal data of 778 Korean adolescent gamers, by analyzing the effects of negative affects (i.e., anxiety, loneliness, and academic stress) on the degree of pathological gaming through the mediation variables (i.e., aggression and self-control) based on the stimulus-organism-response (S-O-R) framework. Latent class analysis (LCA) was used to uncover potential risk groups, and through partial least squares-structural equation modeling (PLS-SEM) analysis, the mediation pathways to pathological gaming were compared between the risk group and the non-risk group. The results highlighted the key role of academic stress on the degree of pathological gaming. In the entire group, academic stress primarily increased pathological gaming through self-control. The mediation path of self-control was the most influential result in the risk group. Aggression was the key mediator between loneliness and pathological gaming in the non-risk group. The theoretical and practical implications of the results were discussed.
Collapse
Affiliation(s)
- Hyeon Gyu Jeon
- Department of Digital Culture and Contents, Konkuk University, Seoul, South Korea
| | - Eui Jun Jeong
- Department of Digital Culture and Contents, Konkuk University, Seoul, South Korea
| | - Sung Je Lee
- Department of Digital Culture and Contents, Konkuk University, Seoul, South Korea
| | - Jeong Ae Kim
- Department of Humanities Counseling and Therapy, Konkuk University, Seoul, South Korea
| |
Collapse
|
12
|
Tang J, Chen Y, Yu X, Ren J, Li M, Luo Y, Xie H, Wen J. AIDS fighter health defense: protocol for a randomized controlled trial to test a game-based intervention to improve adolescents' AIDS prevention ability. BMC Infect Dis 2021; 21:469. [PMID: 34022835 PMCID: PMC8141216 DOI: 10.1186/s12879-021-06161-0] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/03/2020] [Accepted: 05/10/2021] [Indexed: 12/02/2022] Open
Abstract
Background Although great progress has been made in the prevention and treatment of AIDS, there are still a considerable number of new infections annually, especially in adolescents. With the advance of technology, game-based education has gradually become an important tool for changing healthy behaviors among youth. Methods A protocol for conducting a randomized controlled trial to evaluate the “AIDS Fighter · Health Defense”, a game-based AIDS education project aimed at improving the ability of adolescents to prevent AIDS. During the four-week intervention, participants will receive: 1) A virus combat game; 2) Goal setting to eliminate HIV; 3) Questions to be answered to be resurrected in the game; 4) Points ranking; 5) Recognition and Rewards. The primary outcomes include changes in participants’ knowledge, stigma attitude, and risk behaviors attitude related to AIDS after four weeks of intervention. The secondary outcomes are the participants’ AIDS-related risk behaviors three and six months after the intervention. Discussion AIDS Fighter· Health Defense may be an innovative approach to help adolescents improve AIDS prevention capabilities, fill the gap in game-based AIDS prevention education in China, and gain experience of AIDS management. Trial registration Chinese Clinical Trial Registry: ChiCTR2000040195. Registered 25 November 2020.
Collapse
Affiliation(s)
- Jian Tang
- Department of Central Sterile Supply, the Affiliated Hospital of Southwest Medical University, 25 Taiping Street, Luzhou, China
| | - Yanhua Chen
- Department of Nursing, the Affiliated Hospital of Southwest Medical University, 25, Taiping Street, Luzhou, China. .,Southwest Medical University, School of Nursing, 1 Xianglin Road, Luzhou, China.
| | - Xingli Yu
- Department of Operating Room, the Affiliated Hospital of Southwest Medical University, 25 Taiping Street, Luzhou, China
| | - Jianlan Ren
- Department of Operating Room, the Affiliated Hospital of Southwest Medical University, 25 Taiping Street, Luzhou, China
| | - Mei Li
- Southwest Medical University, School of Nursing, 1 Xianglin Road, Luzhou, China
| | - Yue Luo
- Southwest Medical University, School of Nursing, 1 Xianglin Road, Luzhou, China
| | - Hong Xie
- Southwest Medical University, School of Nursing, 1 Xianglin Road, Luzhou, China
| | - Jing Wen
- Southwest Medical University, School of Nursing, 1 Xianglin Road, Luzhou, China
| |
Collapse
|
13
|
Li X, Tang X, Wu H, Sun P, Wang M, Li L. COVID-19-Related Stressors and Chinese Adolescents' Adjustment: The Moderating Role of Coping and Online Learning Satisfaction. Front Psychiatry 2021; 12:633523. [PMID: 33859580 PMCID: PMC8042164 DOI: 10.3389/fpsyt.2021.633523] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/25/2020] [Accepted: 02/11/2021] [Indexed: 12/16/2022] Open
Abstract
The present study aims to examine the main and interactive relations of COVID-19-related stressors, coping, and online learning satisfaction with Chinese adolescents' adjustment during the COVID-19 pandemic. A total of 850 adolescents from three Chinese secondary schools participated in the survey during the pandemic outbreak, and the data were analyzed by hierarchical linear regression. The results show that COVID-19-related stressors were a vulnerability factor in predicting adjustment. Adolescents' adjustment could be attributed to both individual-level (e.g., coping) and class-level (e.g., a class-level indicator of coping) characteristics. Specifically, problem-based coping and online learning satisfaction can promote adolescents' adjustment directly or serve as a buffer against the negative impact of stressors on adjustment, while emotion-based coping is a vulnerability factor in predicting adjustment directly or as a risk factor in strengthening the relation between stressors and adjustment. Compared with male adolescents and adolescents with high socio-economic status, female and impoverished adolescents reported poorer adjustment during the COVID-19 pandemic. These findings enrich our understanding of the impact of the COVID-19 pandemic on adolescents' adjustment and are helpful in improving adolescents' adjustment during the pandemic.
Collapse
Affiliation(s)
- Xiaoshan Li
- School of Psychology, Jiangxi Normal University, Nanchang, China
- Center of Mental Health Education and Research, School of Psychology, Jiangxi Normal University, Nanchang, China
| | - Xiujuan Tang
- School of Psychology, Jiangxi Normal University, Nanchang, China
| | - Hou Wu
- Nanchang Institute of Technology, Nanchang, China
| | - Pengyong Sun
- School of Psychology, Jiangxi Normal University, Nanchang, China
| | - Min Wang
- School of Psychology, Jiangxi Normal University, Nanchang, China
| | - Li Li
- School of Psychology, Jiangxi Normal University, Nanchang, China
| |
Collapse
|
14
|
Huang X, Shi HX, Li HQ, Guo WJ, Luo D, Xu JJ. Differential Effects of Anxiety on Internet Gaming Disorder: A Large-Scale Cross-Sectional Survey. Front Psychiatry 2021; 12:802513. [PMID: 35153866 PMCID: PMC8831907 DOI: 10.3389/fpsyt.2021.802513] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/26/2021] [Accepted: 12/27/2021] [Indexed: 11/23/2022] Open
Abstract
BACKGROUND Internet gaming disorder (IGD) has become a serious public health problem in East Asia, and studies have reported IGD to be significantly associated with anxiety, but no causal relationship between the two has yet been demonstrated. Children are at high risk of developing IGD, however, previous studies have principally focused on the condition in adults and adolescents and reported non-clinical samples. A large-scale survey is needed to research and evaluate IGD and anxiety in children and adolescents to understand the current situation of IGD in children and explore the impact of IGD on anxiety. METHODS A cross-sectional study using an online questionnaire was conducted between March 1 and July 31, 2021. A total of 10,479 school children and adolescents in the western provinces of China were selected by convenience sampling. A questionnaire was used to collect data anonymously. The questionnaire covered IGD and the Revised Children's Manifest Anxiety Scale (RCMAS). Welch's ANOVA Test and Games-Howell test were used to test for differences in anxiety levels between IGD groups. Poisson regression analysis was used to further investigate the key predictors of IGD. RESULTS 3.2% of participants (n = 334) (95% CI: 2.9-3.2%) were classified as at high risk of presenting with IGD, 71.1% (n = 7,454) (95% CI: 70.3-72.0%) were classified as low-risk players, and 25.7% (n = 2,691) (95% CI: 24.9-26.5%) were classified as non-gaming. The average RCMAS score was (7.18 ± 7.534). The high-risk group had a higher total score RCMAS, as well as scoring higher in its three dimensions. Regression analysis using gender, age, and total RCMAS score as independent variables, and risk of IGD as a dependent variable showed that the odds ratio (OR) for gender was 2.864 (95% CI: 2.267-3.618), and the OR for total RCMAS score was 1.101 (95% CI: 1.087-1.114). The OR for age was not statistically significant. CONCLUSION Anxiety was a predictor of IGD, with statistically significant group differences in total anxiety, as well as the dimensions of physiological anxiety, social correlation, and sensitivity. The timely assessment of anxiety in children and adolescents, training social skills, and facilitating effective integration into society could be effective ways of reducing the incidence and impact of IGD.
Collapse
Affiliation(s)
- Xia Huang
- West China School of Nursing, Sichuan University, Chengdu, China.,Mental Health Center, West China Hospital, Sichuan University, Chengdu, China
| | - Hong-Xia Shi
- Department of Pharmacy, West China Hospital, Sichuan University, Chengdu, China
| | - Hui-Qin Li
- West China School of Nursing, Sichuan University, Chengdu, China.,Mental Health Center, West China Hospital, Sichuan University, Chengdu, China
| | - Wan-Jun Guo
- Mental Health Center, West China Hospital, Sichuan University, Chengdu, China
| | - Dan Luo
- Mental Health Center, West China Hospital, Sichuan University, Chengdu, China
| | - Jia-Jun Xu
- Mental Health Center, West China Hospital, Sichuan University, Chengdu, China
| |
Collapse
|