1
|
Liu X, Ran F, Zhang Y. The lagged effects of parent-child relationship on internet addiction: parallel mediation of psychological need frustration and self-esteem. BMC Public Health 2025; 25:1605. [PMID: 40312287 PMCID: PMC12044836 DOI: 10.1186/s12889-025-22862-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/11/2025] [Accepted: 04/21/2025] [Indexed: 05/03/2025] Open
Abstract
BACKGROUND Adolescent Internet addiction has emerged as a major social and public health concern worldwide. Previous studies have indicated that parent-child relationship plays a crucial role in adolescent Internet addiction. However, most of these studies have adopted a cross-sectional design, making it difficult to reveal the lagged effects of the parent-child relationship on adolescent Internet addiction and its underlying developmental mechanisms. METHODS This study conducted a three-wave survey over one year, employing cluster sampling between October 2023 and October 2024. The survey assessed parent-child relationship, Internet addiction, basic psychological need frustration, and self-esteem among 2,483 adolescents (Mage = 13.82, SD = 1.53; 51.71% girls) from two middle schools in Shaanxi, China. Descriptive statistics and correlation analyses were performed using SPSS 26.0. Additionally, the lagged effect of T1 parent-child relationship on T3 Internet addiction, as well as the parallel mediating roles of T2 basic psychological needs frustration and T2 self-esteem in this lagged effect, were examined using PROCESS macro Model 4. RESULTS (1) The lagged effect of T1 parent-child relationship on T3 Internet addiction was significant (β = -0.20, SE = 0.03, p < 0.001). (2) T2 basic psychological need frustration (β = -0.06, SE = 0.01, 95% CI: -0.08, - 0.04) and T2 self-esteem (β = -0.02, SE = 0.01, 95% CI: -0.04, - 0.01) served as parallel mediators in the lagged effect of T1 parent-child relationship on T3 Internet addiction. CONCLUSIONS These findings provide empirical evidence for preventing and intervening in adolescent Internet addiction and hold significant implications for reducing its risk.
Collapse
Affiliation(s)
- Xin Liu
- Research Center of Mental Health Education, Southwest University, Chongqing, 400715, China
| | - Fang Ran
- Chongqing Vocational Institute of Tourism, Chongqing, 409099, China
| | - Yaoyao Zhang
- Research Center of Mental Health Education, Southwest University, Chongqing, 400715, China.
- Yibin Academy of Southwest University, Yibin, 644005, China.
| |
Collapse
|
2
|
Wang Q, Zhang J, Xiao M. Association between social media use, physical activity level, and depression and anxiety among college students: a cross-cultural comparative study. Sci Rep 2025; 15:6596. [PMID: 39994406 PMCID: PMC11850859 DOI: 10.1038/s41598-025-88140-y] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/19/2024] [Accepted: 01/24/2025] [Indexed: 02/26/2025] Open
Abstract
This article examined the interaction of social media use and physical activity with mental health outcomes in a cultural and regional perspective among university students in China. Among 1,500 students from ten universities across different regions of China, stratified random sampling was used to complete the validated measures of social media use, physical activity, depression, anxiety, sleep quality, and cultural values. Significantly positive associations were revealed between the use of social media and both depressive symptoms, r = .28, p ≤ .001, and anxiety, r = .31, p ≤ .001. In female students, this association was stronger, r = .34, p ≤ .001. Regarding physical activity as associated with a lower risk for mental health problems, the association was β =-0.18, p ≤ .001, occurring more strongly when social media use was at a high level. Sleep quality accounted for 30.4% of the relationship between social media use and depression. Cultural values, particularly individualism/collectivism, moderated these associations: β = -0.14, p < .01, such that collectivistic values buffered against negative effects. There were significant regional differences: Western Chinese participants reported more frequent use of social media (M = 4.2, SD = 0.8), but less physical activity (M = 1890 MET-min/week, SD = 1100) than Western participants. More importantly, females reported a higher level of social media use (M = 4.2, SD = 0.9), while males had higher levels of physical activity (M = 2486 MET-min/week, SD = 1342). These findings indicate that gender-specific, culturally tailored interventions are necessary that embed physical activity promotion into strategies aimed at promoting digital wellness. This study contributes to the theoretical understanding of digital wellness and extends evidence-based insights into the development of targeted mental health interventions among Chinese university students.
Collapse
Affiliation(s)
- Qinghe Wang
- College of Physical Education, Henan Institute of Technology, Xin Xiang City, China
| | - Jingtong Zhang
- Department of Physical Education, Kyonggi University, Suwon-si, Republic of Korea
| | - Mingfei Xiao
- Ministry of Public Sports, Huanghe Jiaotong University, Jiao Zuo City, China.
| |
Collapse
|
3
|
Liu X, Liu J, Flores DD, McDonald CC. Family factors related to adolescent screen media use and mental health outcomes: A systematic review and recommendation for practices. J Adolesc 2024; 96:1401-1427. [PMID: 38922966 DOI: 10.1002/jad.12367] [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: 01/29/2024] [Revised: 06/11/2024] [Accepted: 06/12/2024] [Indexed: 06/28/2024]
Abstract
INTRODUCTION Screen media serves an essential role in adolescents' lives, posing growth opportunities and mental health challenges. Family plays a crucial role in mitigating these challenges. This systematic review offers a comprehensive analysis of the family factors related to adolescent screen media use and mental health. METHODS A systematic search was conducted in PubMed, CINAHL, PsycINFO, Scopus, and Embase, adhering to Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines using the following inclusion criteria: English, peer-reviewed, observational design, and published since 2013; adolescent samples aged 10-17 years; and examining screen media use, family factors, and internalizing problems. The role of family factors as predictors, moderators, and mediators was also examined. RESULTS Of the 3587 records, 32 met the inclusion criteria. These studies, primarily cross-sectional, presented a global perspective of 14 countries. A heterogeneous range of family factors, screen media use, and mental health outcomes were examined, revealing significant associations between elevated screen media use and internalizing problems. Positive family processes and democratic media-specific parenting mitigate such association. A few studies underscored family socioeconomic status (SES), noting elevated screen media use and mental health risks among adolescents in families of low SES. CONCLUSIONS Accumulating evidence supports the important role of positive family contexts in fostering balanced screen media use and mental health in adolescents, accentuating the need for professional screening and education to promote positive screen media use among adolescents and families. Further research requires refinement in measurement and methodology to better capture the intricate relationship between family dynamics, screen media use, and adolescent mental health.
Collapse
Affiliation(s)
- Xiaoxuan Liu
- Department of Family and Community Health, University of Pennsylvania School of Nursing, Philadelphia, Pennsylvania, USA
| | - Jianghong Liu
- Department of Family and Community Health, University of Pennsylvania School of Nursing, Philadelphia, Pennsylvania, USA
| | - Dalmacio D Flores
- Department of Family and Community Health, University of Pennsylvania School of Nursing, Philadelphia, Pennsylvania, USA
| | - Catherine C McDonald
- Department of Family and Community Health, University of Pennsylvania School of Nursing, Philadelphia, Pennsylvania, USA
- Penn Injury Science Center, University of Pennsylvania, Philadelphia, Pennsylvania, USA
- Center for Injury Research Prevention at the Children's Hospital of Philadelphia, Philadelphia, Pennsylvania, USA
| |
Collapse
|
4
|
Jelleli H, Ben Aissa M, Kaddech N, Saidane M, Guelmami N, Bragazzi NL, Bonsaksen T, Fekih-Romdhane F, Dergaa I. Examining the interplay between physical activity, problematic internet use and the negative emotional state of depression, anxiety and stress: insights from a moderated mediation path model in university students. BMC Psychol 2024; 12:406. [PMID: 39054507 PMCID: PMC11274773 DOI: 10.1186/s40359-024-01736-3] [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: 05/27/2023] [Accepted: 04/16/2024] [Indexed: 07/27/2024] Open
Abstract
BACKGROUND The aim of this study was to investigate the relationship between Problematic Internet Use (PIU), emotional states of stress, anxiety and depression, and the practice of physical activity among Tunisian students. METHODS Cross-sectional data were collected from 976 university students aged 20.76 ± 1.63 years (46.8% female). They filled out an online survey comprised of a socio-demographic questionnaire, the depression, anxiety and stress scale- 21 items (DASS-21), the international physical activity questionnaire (IPAQ) and the compulsive internet use scale (CIUS). Students were divided, based on their economic levels, into three groups: low (n = 256, 26.23%), medium (n = 523, 53.59%) and high (n = 197, 20.18%). RESULTS Mediation analysis: Indirect effects of IPAQ and gender on DASS-21 were highlighted: β= -0.18 (p < 0.01) and β= -0.04, P < 0.01) respectively. In addition, a significant and negative effect of IPAQ on CIUS was demonstrated (β = -0.45, P < 0.01). In addition, the effect of CIUS on DASS-21 was significant (β = 0.39, P < 0.01). Also, the effect of gender on CIUS was significant (β=-0.10, P < 0.01) However, its effect on DASS-21 was not significant (β = 0.05, p = 0.078). The total effect of IPAQ on DASS21 was significant (β= -0.52, p < 0.01) but the effect of Gender on DASS-21 was not significant (β = 0.01, p = 0.817). Moderation analysis: the results showed a significant moderation effect of the interaction between IPAQ and Gender on CIUS (β = 0.07, p < 0.01). However, it was not significant between Gender and CIUS on DASS-21 (β = 0.09, p = 0.390) and between IPAQ and Gender on DASS21 (β = 0.01, p = 0.736) Also, the interaction between IPAQ and CIUS did not have a significant moderation effect on DASS-21 (β = 0.15, p = 0.115). CONCLUSIONS Findings suggest that relationships between PIU and negative emotional state of depression, anxiety and stress are mediated via physical exercise. These results underscore the importance of the physical activity factor in the studies analyzing longitudinal effects of PIU on mental health outcomes.
Collapse
Affiliation(s)
- Hilmi Jelleli
- Higher Institute of Sport and Physical Education of Kef, University of Jendouba, Jendouba, Tunisia
| | - Mohamed Ben Aissa
- Higher Institute of Sport and Physical Education of Kef, University of Jendouba, Jendouba, Tunisia
| | - Nabil Kaddech
- Higher Institute of Sport and Physical Education of Kef, University of Jendouba, Jendouba, Tunisia
| | - Mouna Saidane
- Higher Institute of Sport and Physical Education of Kef, University of Jendouba, Jendouba, Tunisia
| | - Noomen Guelmami
- Higher Institute of Sport and Physical Education of Kef, University of Jendouba, Jendouba, Tunisia
- Postgraduate School of Public Health, Department of Health Sciences (DISSAL), University of Genoa, Genoa, Italy
| | - Nicola L Bragazzi
- Laboratory for Industrial and Applied Mathematics (LIAM), York University, Toronto, ON, Canada
| | - Tore Bonsaksen
- Department of Health and Nursing Science, Faculty of Social and Health Sciences, Inland Norway University of Applied Sciences, Elverum, Norway
- Department of Health, Faculty of Health Studies, VID Specialized University, Stavanger, Norway
| | - Feten Fekih-Romdhane
- Faculty of Medicine of Tunis, Tunis El Manar University, Tunis, Tunisia
- Department of Psychiatry "Ibn Omrane", Razi Hospital, Manouba, Tunisia
| | - Ismail Dergaa
- Higher Institute of Sport and Physical Education of Kef, University of Jendouba, Jendouba, Tunisia.
- Primary Health Care Corporation (PHCC), Doha, P.O. Box 26555, Qatar.
| |
Collapse
|
5
|
Chen J, Li S, Nie Y. Parent-adolescent conflict and problematic internet use among Chinese adolescents: the mediating role of depression and the moderating role of school climate. BMC Psychol 2024; 12:285. [PMID: 38773609 PMCID: PMC11110405 DOI: 10.1186/s40359-024-01781-y] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/29/2023] [Accepted: 05/10/2024] [Indexed: 05/24/2024] Open
Abstract
BACKGROUND Problematic Internet use (PIU) may lead adolescents to physical, emotional, social, or functional impairment due to the risky, excessive, or impulsive internet use manner. How do the experiences of adolescents influence them using the internet in a problematic manner? The answer to this question is the key to preventing and intervening PIU of adolescents. To address this question, we focus on the interactions among family (parent-adolescent conflict), school (school climate), and individual factors (PIU, depression), exploring the influence factors of PIU. METHODS A moderated mediation model was constructed to explore the relationship between variables. Using a two-wave longitudinal design with a six-month interval between timepoints, this study collected data from 801 Chinese adolescents (411 boys, Mage = 14.68) by questionnaires. Path analysis was employed to test the model and participants' age, sex and baseline were controlled. RESULTS Parent-adolescent conflict at Time 1 (T1) was positively related to PIU at Time 2 (T2) in adolescents. Depression at T2 mediated the relationship between parent-adolescent conflict at T1 and PIU at T2. School climate at T2 significantly moderated the mediation effect of depression on the relationship between parent-adolescent conflict at T1 and PIU at T2. Specifically, positive school climate could significantly weaken the negative effect of depression on PIU for adolescents with low level of depression. CONCLUSIONS The present study reveals that parent-adolescent conflict leads to PIU in adolescents through depression whilst the school climate moderates the impacts of depression on PIU. This adds further evidence regarding the significance of systematically and consistently incorporating family and school in the alleviating of problem behaviors displayed by teens.
Collapse
Affiliation(s)
- Jiarong Chen
- Department of Psychology & Psychological and Behavioral Research Center of Adolescent, School of Education, Guangzhou University, 230 Wai Huan Xi Road, Guangzhou Higher Education Mega Center, Guangzhou, 510006, China
| | - Shengnan Li
- Department of Psychology & Psychological and Behavioral Research Center of Adolescent, School of Education, Guangzhou University, 230 Wai Huan Xi Road, Guangzhou Higher Education Mega Center, Guangzhou, 510006, China
| | - Yangang Nie
- Department of Psychology & Psychological and Behavioral Research Center of Adolescent, School of Education, Guangzhou University, 230 Wai Huan Xi Road, Guangzhou Higher Education Mega Center, Guangzhou, 510006, China.
- Center for Studies of Psychological Application, South China Normal University, Guangzhou, 510631, China.
| |
Collapse
|
6
|
Theopilus Y, Al Mahmud A, Davis H, Octavia JR. Digital Interventions for Combating Internet Addiction in Young Children: Qualitative Study of Parent and Therapist Perspectives. JMIR Pediatr Parent 2024; 7:e55364. [PMID: 38669672 PMCID: PMC11087864 DOI: 10.2196/55364] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/20/2023] [Revised: 03/05/2024] [Accepted: 03/26/2024] [Indexed: 04/28/2024] Open
Abstract
BACKGROUND Internet addiction is an emerging mental health issue in this digital age. Nowadays, children start using the internet in early childhood, thus making them vulnerable to addictive use. Previous studies have reported that the risk of internet addiction tends to be higher in lower-income regions with lower quality of life, such as Indonesia. Indonesia has high risks and prevalence of internet addiction, including in children. Digital interventions have been developed as an option to combat internet addiction in children. However, little is known about what parents and therapists in Indonesia perceive about these types of interventions. OBJECTIVE This study aims to investigate the experiences, perceptions, and considerations of parents and therapists regarding digital interventions for combating internet addiction in young Indonesian children. METHODS This study used a qualitative exploratory approach through semistructured interviews. We involved 22 parents of children aged 7 to 11 years and 6 experienced internet addiction therapists for children. The interview data were transcribed and analyzed using thematic analysis. RESULTS Participants in this study recognized 3 existing digital interventions to combat internet addiction: Google Family Link, YouTube Kids, and Apple parental control. They perceived that digital interventions could be beneficial in continuously promoting healthy digital behavior in children and supporting parents in supervision. However, the existing interventions were not highly used due to limitations such as the apps' functionality and usability, parental capability, parent-child relationships, cultural incompatibility, and data privacy. CONCLUSIONS The findings suggest that digital interventions should focus not only on restricting and monitoring screen time but also on suggesting substitutive activities for children, developing children's competencies to combat addictive behavior, improving digital literacy in children and parents, and supporting parental decision-making to promote healthy digital behavior in their children. Suggestions for future digital interventions are provided, such as making the existing features more usable and relatable, investigating gamification features to enhance parental motivation and capability in managing their children's internet use, providing tailored or personalized content to suit users' characteristics, and considering the provision of training and information about the use of interventions and privacy agreements.
Collapse
Affiliation(s)
- Yansen Theopilus
- Centre for Design Innovation, Swinburne University of Technology, Melbourne, Australia
- Centre for Ergonomics, Parahyangan Catholic University, Bandung, Indonesia
| | - Abdullah Al Mahmud
- Centre for Design Innovation, Swinburne University of Technology, Melbourne, Australia
| | - Hilary Davis
- Centre for Social Impact, Swinburne University of Technology, Melbourne, Australia
| | | |
Collapse
|
7
|
Maftei A, Merlici IA, Opariuc-Dan C. Fun in a Box? Loneliness and Adolescents' Problematic Smartphone Use: A Moderated Mediation Analysis of the Underlying Mechanisms. Psychol Rep 2024:332941241226681. [PMID: 38217416 DOI: 10.1177/00332941241226681] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/15/2024]
Abstract
Addictive smartphone use is one of the most concerning behaviors among adolescents. The present study investigated the indirect effects of self-esteem and boredom proneness and the moderating role of the need to belong on the link between loneliness and addictive smartphone use (ASU). Our sample included 357 adolescents aged 12 to 19 (Mage = 15.56, SD = 1.01, 57.42% males) from ten public schools in Romania. We used a moderated mediation approach, with moderation of the both second mediation paths and the direct effect path. Results suggested that the influence of loneliness on ASU was statistically significant and partially mediated both by self-esteem and boredom proneness. Adolescents' need to belong significantly moderated the positive association between boredom proneness and ASU, and the direct negative association between loneliness and ASU; however, it did not moderate the negative association between self-esteem and ASU. Thus, high levels of the need to belong also increased the influence of boredom proneness on AUS and had a marginally significant effect on the relation between loneliness and ASU. These results suggested that adolescents' need to belong, self-esteem, and boredom proneness might contribute to developing ASU. Interventions centered around countering the adverse effects of excessive technology use ought to consider group activities that facilitate social bonding to satisfy the participants' need to belong, reduce their levels of boredom, and, thus, reduce the risk of developing ASU symptoms.
Collapse
Affiliation(s)
- Alexandra Maftei
- Department of Education Sciences, Alexandru Ioan Cuza University, Iasi, Romania
| | - Ioan-Alex Merlici
- Department of Education Sciences, Alexandru Ioan Cuza University, Iasi, Romania
| | | |
Collapse
|
8
|
Kurt ZK, Demir Hacıosmanoğlu G, Yıldırım M, Özaslan A. Adolescent smoking patterns: Associations with sociodemographic factors, cyberbullying, and psychiatric diagnoses in an outpatient clinical sample. J Ethn Subst Abuse 2024:1-19. [PMID: 38165398 DOI: 10.1080/15332640.2023.2299873] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/03/2024]
Abstract
There is a scarcity of research on smoking in adolescents within a clinical (outpatient) sample, and there is no existing knowledge on the relationship between cyberbullying and smoking in this population. The primary aim of this study is to determine the prevalence of smoking among adolescents in a clinical sample. Additionally, it aims to examine the potential associations between smoking status and factors such as socioeconomic characteristics, psychiatric diagnoses, and cyberbullying levels. A cross-sectional study was performed on 200 adolescents who visited a tertiary child and adolescent psychiatry outpatient clinic. Participants were assessed using the DSM-5 based psychiatric evaluation, the Schedule for Affective Disorders and Schizophrenia for School-Age Children-Present and Lifetime Version-DSM-5 Turkish Adaptation (K-SADS-PL-DSM-5-T), the Revised Cyber Bullying Inventory-II, and the Fagerström Test for Nicotine Dependence. The study found that 21% of the sample consisted of regular smokers, with a higher prevalence observed among older adolescents. The prevalence of depression and disruptive behavior disorders was significantly greater in the smoking group compared to other groups (p:0.043, p < 0.001, respectively). There was a significant difference in the scores for the cyberbullying bully subdimension among smokers (p = 0.013). The results of the multinomial logistic regression analysis indicated significant associations between smoking and age, maternal smoking status, friends smoking status, and a diagnosis of disruptive behavior disorder (p < 0.05 for all variables). This study reveals a significant prevalence of adolescent smoking in an outpatient clinic. These findings highlight the necessity of implementing focused smoking cessation interventions for this specific population.
Collapse
Affiliation(s)
- Zeynep Kübra Kurt
- Child and Adolescent Psychiatry Department, Gazi University Medical Faculty, Ankara, Turkey
| | | | - Murat Yıldırım
- Department of Psychology, Faculty of Science and Letters, Ağrı İbrahim Çeçen University, Ağrı, Turkey
- Lebanese American University, Beirut, Lebanon
| | - Ahmet Özaslan
- Child and Adolescent Psychiatry Department, Gazi University Medical Faculty, Ankara, Turkey
- Child Protection Research and Application Center, Gazi University, Ankara, Turkey
| |
Collapse
|
9
|
Augner C, Vlasak T, Barth A. The relationship between problematic internet use and attention deficit, hyperactivity and impulsivity: A meta-analysis. J Psychiatr Res 2023; 168:1-12. [PMID: 37866293 DOI: 10.1016/j.jpsychires.2023.10.032] [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: 12/12/2022] [Revised: 09/11/2023] [Accepted: 10/14/2023] [Indexed: 10/24/2023]
Abstract
OBJECTIVE This study aimed to investigate the relationship between problematic internet use (PIU) and ADHD-related symptoms of attention deficit, impulsivity and hyperactivity. METHODS We chose a meta-analytical approach and searched for relevant studies in different databases (Pubmed, PsycInfo, Google scholar). We identified 24 studies with 18 859 participants (mean age = 18.40 (SD = 5.51)) published between 2004 and 2021 which were applicable for our research. We calculated 21, 7, and 9 effect sizes for attention deficit, hyperactivity and impulsivity, respectively. RESULTS We found significant associations between PIU and attention deficit (r = 0.36, 95% confidence interval = [0.28 to 0.43]), hyperactivity (r = 0.44, 95% confidence interval = [0.33 to 0.53]), and impulsivity (r = 0.41, 95% confidence interval = [0.30 to 0.51]), p < .001 for all three. The effect sizes of attention deficit and hyperactivity were significantly higher in male compared to female participants. Additionally, higher attention deficit effects were found in adults compared to children/adolescents. CONCLUSIONS Our meta-analysis indicates that ADHD-related symptoms are associated with PIU. Although cross-sectional analyses cannot explain cause-and-effect relationships, we hypothesize that attention deficit, hyperactivity and impulsivity constitute a vulnerability towards PIU.
Collapse
Affiliation(s)
- Christoph Augner
- Department of Psychiatry, Psychotherapy & Psychosomatics, Christian-Doppler Medical Centre, Paracelsus Medical University, Salzburg, Austria; Institute for Human Resources Research in Health Care, University Clinics of Paracelsus Medical University, Salzburg, Austria.
| | - Thomas Vlasak
- Institute for Psychology, Sigmund Freud University Linz, Austria
| | - Alfred Barth
- Institute for Psychology, Sigmund Freud University Linz, Austria
| |
Collapse
|
10
|
Zheng X, Chen J, Yu Q, Xiong Q, Zhang L, Li C, Shi S. Associations Between Peer Victimization and Problematic Internet Use Among Adolescents: Humor Makes a Difference. JOURNAL OF INTERPERSONAL VIOLENCE 2023; 38:7911-7940. [PMID: 36722327 DOI: 10.1177/08862605221150463] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/03/2023]
Abstract
With the increasing development of science and technology, the Internet has become an essential part of people's daily lives providing great convenience. However, the Internet also leads to problematic Internet use (PIU) among adolescents, which has attracted increasing attention from the academic community. Peer victimization is a pervasive stressor among adolescents and has been proven to lead to a series of mental health challenges. Although the association between peer victimization and PIU has been well documented, the underlying mechanism remains unclear. This study aimed to understand how and when peer victimization increases the risk of PIU among adolescents. Building on Agnew's general strain theory, this study hypothesized that depression mediates the relationship between peer victimization and PIU and humor moderates the mediating model. To examine these hypotheses, 469 middle school students were recruited to complete a series of questionnaires on peer victimization, depression, humor, and PIU. The results showed that depression partially mediated the relationship between peer victimization and PIU. A moderated mediation analysis indicated that humor moderated the indirect pathway, consistent with the reverse stress-buffering model, the relationship between peer victimization and depression was stronger for adolescents with high humor. However, the relationship between depression and PIU was weaker in adolescents with high humor, which is in line with the stress-buffering model. These findings could be of significance in understanding the underlying mechanism of PIU associated with peer victimization and provide a new perspective for preventing PIU among adolescents, especially those experiencing peer victimization. The limitations and considerations for future research are discussed.
Collapse
Affiliation(s)
- Xintong Zheng
- Huazhong University of Science and Technology, Wuhan, China
| | - Jianwen Chen
- Huazhong University of Science and Technology, Wuhan, China
| | - Quanlei Yu
- Central China Normal University, Wuhan, China
- East China Normal University, Shanghai, China
- Key Laboratory of Adolescent Cyberpsychology and Behavior (CCNU), Ministry of Education, Wuhan, China
| | - Qing Xiong
- Jiangxi University of Finance and Economics, Nanchang, China
| | - Lin Zhang
- Shandong University of Traditional Chinese Medicine, Jinan, China
| | - Congcong Li
- Central China Normal University, Wuhan, China
| | | |
Collapse
|
11
|
Sserunkuuma J, Kaggwa MM, Muwanguzi M, Najjuka SM, Murungi N, Kajjimu J, Mulungi J, Kihumuro RB, Mamun MA, Griffiths MD, Ashaba S. Problematic use of the internet, smartphones, and social media among medical students and relationship with depression: An exploratory study. PLoS One 2023; 18:e0286424. [PMID: 37235547 PMCID: PMC10218731 DOI: 10.1371/journal.pone.0286424] [Citation(s) in RCA: 6] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/12/2023] [Accepted: 05/16/2023] [Indexed: 05/28/2023] Open
Abstract
BACKGROUND Students in sub-Saharan African countries experienced online classes for the first time during the COVID-19 pandemic. For some individuals, greater online engagement can lead to online dependency, which can be associated with depression. The present study explored the association between problematic use of the internet, social media, and smartphones with depression symptoms among Ugandan medical students. METHODS A pilot study was conducted among 269 medical students at a Ugandan public university. Using a survey, data were collected regarding socio-demographic factors, lifestyle, online use behaviors, smartphone addiction, social media addiction, and internet addiction. Hierarchical linear regression models were performed to explore the associations of different forms of online addiction with depression symptom severity. RESULTS The findings indicated that 16.73% of the medical students had moderate to severe depression symptoms. The prevalence of being at risk of (i) smartphone addiction was 45.72%, (ii) social media addiction was 74.34%, and (iii) internet addiction use was 8.55%. Online use behaviors (e.g., average hours spent online, types of social media platforms used, the purpose for internet use) and online-related addictions (to smartphones, social media, and the internet) predicted approximately 8% and 10% of the severity of depression symptoms, respectively. However, over the past two weeks, life stressors had the highest predictability for depression (35.9%). The final model predicted a total of 51.9% variance for depression symptoms. In the final model, romantic relationship problems (ß = 2.30, S.E = 0.58; p<0.01) and academic performance problems (ß = 1.76, S.E = 0.60; p<0.01) over the past two weeks; and increased internet addiction severity (ß = 0.05, S.E = 0.02; p<0.01) was associated with significantly increased depression symptom severity, whereas Twitter use was associated with reduced depression symptom severity (ß = 1.88, S.E = 0.57; p<0.05). CONCLUSION Despite life stressors being the largest predictor of depression symptom score severity, problematic online use also contributed significantly. Therefore, it is recommended that medical students' mental health care services consider digital wellbeing and its relationship with problematic online use as part of a more holistic depression prevention and resilience program.
Collapse
Affiliation(s)
- Jonathan Sserunkuuma
- Faculty of Medicine, Mbarara University of Science and Technology, Mbarara, Uganda
| | - Mark Mohan Kaggwa
- Faculty of Medicine, Mbarara University of Science and Technology, Mbarara, Uganda
- Department of Psychiatry, Faculty of Medicine, Mbarara University of Science and Technology, Mbarara, Uganda
- Department of Psychiatry and Behavioural Neurosciences, McMaster University Hamilton, Hamilton, Ontario, Canada
| | - Moses Muwanguzi
- Department of Psychiatry, Faculty of Medicine, Mbarara University of Science and Technology, Mbarara, Uganda
| | | | - Nathan Murungi
- Faculty of Medicine, Mbarara University of Science and Technology, Mbarara, Uganda
| | - Jonathan Kajjimu
- Faculty of Medicine, Mbarara University of Science and Technology, Mbarara, Uganda
| | - Jonathan Mulungi
- Faculty of Medicine, Mbarara University of Science and Technology, Mbarara, Uganda
| | | | - Mohammed A. Mamun
- CHINTA Research Bangladesh, Savar, Dhaka, Bangladesh
- Department of Public Health and Informatics, Jahangirnagar University, Savar, Dhaka, Bangladesh
| | - Mark D. Griffiths
- Psychology Department, Nottingham Trent University, Nottingham, United Kingdom
| | - Scholastic Ashaba
- Faculty of Medicine, Mbarara University of Science and Technology, Mbarara, Uganda
- Department of Psychiatry, Faculty of Medicine, Mbarara University of Science and Technology, Mbarara, Uganda
| |
Collapse
|
12
|
Tanhan F, Özok Hİ, Kaya A, Yıldırım M. Mediating and moderating effects of cognitive flexibility in the relationship between social media addiction and phubbing. CURRENT PSYCHOLOGY 2023; 43:1-12. [PMID: 36713623 PMCID: PMC9871432 DOI: 10.1007/s12144-023-04242-8] [Citation(s) in RCA: 5] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 01/05/2023] [Indexed: 01/26/2023]
Abstract
Presently, social media is widely used worldwide among different populations. Therefore, phubbing rapidly became a popular phenomenon in our daily life. However, little is known about the underlying mechanism and interaction between social media use and phubbing. Therefore, this research examines the mediating and moderating role of cognitive flexibility in the association between social media addiction and phubbing. Participants were 385 university students (280 females) studying at a state university in eastern Turkey and completed the self-reported measures of cognitive flexibility, social media addiction, and phubbing. The results showed that cognitive flexibility mediated and moderated the effect of social media addiction on phubbing. These findings may contribute to the discussion around the psychological consequences of using social media alongside increasing awareness about factors affecting and explaining the association between social media use and phubbing, which have important implications for research and practice.
Collapse
Affiliation(s)
| | | | | | - Murat Yıldırım
- Department of Psychology, Faculty of Science and Letters, Agrı Ibrahim Cecen University, Erzurum Yolu 4 Km 04100, Merkez, Ağrı, Turkey
| |
Collapse
|
13
|
Lin Y, Chen B. The Influence of Integrating the Basic Theory of Marxism into College Students' Mental Health Under the Data Driven and Internet Environment. Psychol Res Behav Manag 2023; 16:561-573. [PMID: 36873060 PMCID: PMC9983440 DOI: 10.2147/prbm.s397082] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/10/2022] [Accepted: 01/10/2023] [Indexed: 03/02/2023] Open
Abstract
Introduction The Internet has caused a great impact on everyone's psychology. Under this background, it is necessary to study whether Marxism can affect college students' mental health. Methods Firstly, the introduction explains China's concern for college students' mental health and the research achievements. Then, in the method part, this paper analyzes the thoughts and connotations of basic Marxist theory, quality education, and mental health education, mainly studying the changes brought by the Internet to the development of Marxism and the mechanism and influence of Marxism on mental health education. The questionnaire survey is used to investigate the mental health of college students and the current situation of Marxist ideological and political education. Results The results show that most college students are not interested in ideological and political education, and from the investigation results of five major factors of life stressors and five indicators of psychological crisis factors, it is concluded that college students' life stressors are the risk factors that induce psychological crisis tendency. Discussion The discussion part shows that it is necessary to cultivate the core quality of college students' development through Marxism, and pay attention to actively preventing and intervening the psychological crisis of college students. This paper analyzes and confirms the effectiveness of Marxist theory on the development of mental health, injects fresh blood into the future ideological and political education and the research of college students' mental health education, and provides theoretical and experimental reference and new ideas. The research has practical reference value for promoting the deep integration of data-driven Marxist basic theory and college students' mental health monitoring.
Collapse
Affiliation(s)
- Yingna Lin
- Department of Marxism, Northeast Normal University, Changchun, Jilin, 130024, People's Republic of China
| | - Baiyu Chen
- Department of Marxism, Northeast Normal University, Changchun, Jilin, 130024, People's Republic of China
| |
Collapse
|
14
|
Tang Y, Shao Y, He T, Wang Y, Hinshaw SP, Lin X. Latent profiles of adolescents' relationships with parents and siblings: Associations with emotional and behavioral responses during the COVID-19 pandemic. CURRENT PSYCHOLOGY 2022; 42:1-12. [PMID: 36540694 PMCID: PMC9756743 DOI: 10.1007/s12144-022-03959-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 10/30/2022] [Indexed: 12/23/2022]
Abstract
The purpose of this study is to identify the latent profiles of Chinese adolescents' family (parent-adolescent and sibling) relationships prior to and during the COVID-19 pandemic, as well as associations between those profiles and adolescents' emotional and behavioral responses. A total of 2,305 adolescents from China aged between 10 and 18 years completed measures of parent-adolescent relationships, sibling relationships, and emotional and behavioral responses during the pandemic. Four profiles of family relationships were identified via latent profile analysis and categorized as Cohesive-Decline, Mild-Decline, Conflictual-Stable, and Indifferent-Stable. Adolescents with a Conflictual-Stable profile reported more emotional and behavioral responses compared to the other profiles. In contrast, adolescents with a Cohesive-Decline profile exhibited fewer emotional responses compared to the other profiles. Adolescents with a Mild-Decline profile had fewer emotional responses than those with an Indifferent-Stable profile. These results shed light on the patterns and consequences of family relationships during the COVID-19 pandemic and have substantial implications for interventions involving family relationships in the context of regular epidemic prevention and control.
Collapse
Affiliation(s)
- Yingying Tang
- Institute of Developmental Psychology, Faculty of Psychology, Beijing Normal University, Beijing, 100875 China
| | - Yingmiao Shao
- Faculty of Psychology, Beijing Normal University, Beijing, 100875 China
| | - Ting He
- Institute of Developmental Psychology, Faculty of Psychology, Beijing Normal University, Beijing, 100875 China
| | - Yulong Wang
- Department of Psychology, Hunan Normal University, Changsha, 410081 China
| | - Stephen P. Hinshaw
- Department of Psychology, University of California, Berkeley, CA 94720 USA
| | - Xiuyun Lin
- Institute of Developmental Psychology, Faculty of Psychology, Beijing Normal University, Beijing, 100875 China
- Beijing Key Laboratory of Applied Experimental Psychology, Faculty of Psychology, Beijing Normal University, Beijing, China
| |
Collapse
|
15
|
Cyberbullying and Cyber victimization: examining mediating roles of Empathy and Resilience. CURRENT PSYCHOLOGY 2022. [DOI: 10.1007/s12144-022-04134-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/15/2022]
|
16
|
Associations of Adolescents’ Excessive Electronic Device Use, Emotional Symptoms, Sleep Difficulty, and Communication with Parents: Two-wave Comparison in the Czech Republic. CHILDREN 2022; 9:children9081186. [PMID: 36010076 PMCID: PMC9406689 DOI: 10.3390/children9081186] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 07/05/2022] [Revised: 07/31/2022] [Accepted: 08/05/2022] [Indexed: 11/17/2022]
Abstract
Adolescents’ excessive electronic device use is associated with psychological problems. However, it is unknown which psychological symptom, including emotional symptoms and sleep difficulty, correlates with excessive electronic device use most strongly. Besides, according to the social displacement theory, parent–adolescent communication might mediate the relationship between excessive electronic device use and psychological symptoms. Using the Czech national survey Health Behaviour in School-aged Children (HBSC) data in the years 2006 (n = 4782) and 2014 (n = 5082), we used network analysis to explore the relationship between psychological symptoms and excessive electronic device use. In addition, we conducted a mediation analysis to examine the role of parent–adolescent communication. The results revealed that excessive electronic device use correlated most strongly with adolescents’ irritability or bad temper, and this conclusion was stable in 2006 and 2014. In 2014, parent–adolescent communication mediated the relationship between adolescents’ excessive electronic device use and their psychological symptoms. The findings suggest that as the internet industry grows, it is essential to improve parent–adolescent communication quality to prevent adolescents’ psychological problems caused by excessive electronic device use.
Collapse
|
17
|
Alexithymia and Mobile Phone Addiction Among College Students With and Without Siblings: a Moderated Mediation of Depression and Gender. Int J Ment Health Addict 2022. [DOI: 10.1007/s11469-022-00761-w] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/19/2022] Open
|
18
|
Piloting Smartphone Digital Phenotyping to Understand Problematic Internet Use in an Adolescent and Young Adult Sample. Child Psychiatry Hum Dev 2022:10.1007/s10578-022-01313-y. [PMID: 35044580 DOI: 10.1007/s10578-022-01313-y] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Accepted: 01/04/2022] [Indexed: 12/18/2022]
Abstract
Problematic Internet use (PIU) preferentially affects youth development, particularly youth with psychiatric conditions. Studies attempting to understand PIU and its impact on adolescent mental health have been limited by cross-sectional design and self-report data. Even with a small sample size, digital phenotyping (DP) methodology can address these limitations through repeated sampling and collection of survey and sensor data through personal smartphones. This study pilots a 6-week DP protocol in 28 youth in mental health treatment in order to assess relationships between PIU, mood symptoms, and daily behaviors like smartphone engagement and daily travel in this high-risk population. Our results found shared associations between depression and PIU, where symptom severity of both worsened in the setting of decreased smartphone engagement. These clinically relevant findings indicate that, rather than uniformly worsening mental health, increased digital engagement may actually provide short-term relief from negative affect in youth with psychiatric comorbidities.
Collapse
|
19
|
Wang Z, Hong B, Zhang Y, Su Y, Li M, Zhao L, Jia P. Children and adolescents' positive youth development qualities and internet addiction during the COVID-19 pandemic: A longitudinal study in China. Front Psychiatry 2022; 13:1068737. [PMID: 36713917 PMCID: PMC9875032 DOI: 10.3389/fpsyt.2022.1068737] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/13/2022] [Accepted: 12/21/2022] [Indexed: 01/12/2023] Open
Abstract
BACKGROUNDS Recent studies have shown that the qualities of children and adolescents' positive youth development (PYD) enable them to cope with developmental challenges in an adaptive manner and maintain healthy functioning. During the COVID-19 pandemic, there is still a lack of reporting on changes in children and adolescents' PYD qualities and Internet addiction and their relationship. This study investigated the association between PYD qualities and Internet addiction among the children and adolescents who have experienced the COVID-19 lockdown. METHODS A school-based cohort survey was launched in December 2019 (Wave 1, before COVID-19 lockdown) and followed up in June 2020 (Wave 2, after COVID-19 lockdown). The Chinese PYD scale (80 items, scoring 80-480) and Young's Internet addiction test (20 items, scoring 20-100) were used to evaluate the children and adolescents' PYD qualities and the degree of their Internet addiction, respectively. Cross-sectional regressions, longitudinal regressions, and cross-lagged panel model were used to examine the association between PYD qualities and Internet addiction. RESULTS 7,985 children and adolescents completed both waves of surveys. Compared with children and adolescents before lockdown (Wave 1), their total PYD quality dropped from 4.99 to 4.96 after COVID-19 lockdown (Wave 2), and the mean score for Internet addiction rose from 35.56 to 36.16. Cross-sectional analysis showed that after controlling for basic characteristics such as age and gender, the total PYD quality of children and adolescents in two waves was negatively correlated with the degree of Internet addiction during the same period, with β of -6.10 and -6.95, respectively. Longitudinal analysis showed that after controlling for basic characteristics, children and adolescents' total PYD quality in Wave 1 was negatively correlated with the Wave 2 of Internet addiction and the change between the two waves of Internet addiction, with β of -3.35 and -0.26, respectively. Cross-lagged panel models showed a negative bilateral relationship between total PYD quality and Internet addiction. CONCLUSION During the COVID-19 pandemic, the qualities of children and adolescents' PYD declined, which makes children and adolescents more vulnerable to Internet addiction. Therefore, it is necessary to widely implement programs in China that can comprehensively improve the qualities of children and adolescents' positive development to prevent Internet addiction, especially after the blockade due to public health emergencies.
Collapse
Affiliation(s)
- Zhuo Wang
- Department of Chronic and Non-communicable Disease Control and Prevention, Sichuan Center of Disease Control and Prevention, Chengdu, China
| | - Binxue Hong
- Department of Health Policy and Management, West China School of Public Health, Sichuan University, Chengdu, China
| | - Yanyan Zhang
- Department of Chronic and Non-communicable Disease Control and Prevention, Sichuan Center of Disease Control and Prevention, Chengdu, China
| | - Ya Su
- Department of Sociology and Anthropology, Swarthmore College, Swarthmore, PA, United States
| | - Minghui Li
- Department of Chronic and Non-communicable Disease Control and Prevention, Sichuan Center of Disease Control and Prevention, Chengdu, China
| | - Li Zhao
- Department of Health Policy and Management, West China School of Public Health, Sichuan University, Chengdu, China.,Healthcare Evaluation and Organization Analysis (HEOA) Group, West China School of Public Health and West China Fourth Hospital, Sichuan University, Chengdu, China.,International Institute of Spatial Lifecourse Health (ISLE), Wuhan University, Wuhan, China
| | - Peng Jia
- International Institute of Spatial Lifecourse Health (ISLE), Wuhan University, Wuhan, China.,School of Resource and Environmental Sciences, Wuhan University, Wuhan, China
| |
Collapse
|
20
|
Song H. Longitudinal Investigations of Autoregressive Cross-Lagged Path Models Among Internet Use, Executive Function Problems, and Maternal Control in Young Korean Children. Front Psychiatry 2022; 13:846995. [PMID: 35656350 PMCID: PMC9152089 DOI: 10.3389/fpsyt.2022.846995] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/31/2021] [Accepted: 04/07/2022] [Indexed: 11/16/2022] Open
Abstract
Excessive Internet use is related to behavioral and cognitive dysfunctions, but little is known about the relationship between them in young elementary school children. This study examined the longitudinal relationship between children's Internet use for entertainment purposes, executive function problems, and maternal control. Differences by children's Internet addiction status in their associations were also examined. Data from Wave 9 (2016) to Wave 11 (2018) of 1,463 children and mothers who participated in the Panel Study on Korean Children (PSKC) were used. The children's ages were 8 (grade 2), 9 (grade 3), and 10 years (grade 4) at Waves 9, 10, and 11, respectively. Associations between the variables were analyzed using autoregressive cross-lagged model estimations and multi-group analysis. The results showed the longitudinal stability of each of children's Internet use, executive function problems, and maternal control over the 3 years. Mutual associations between maternal control and children's Internet use were found especially in the low-risk group. In addition, children's executive function problems positively predicted Internet use, and negative associations from executive function problems to maternal control were significant over the years. However, some of these associations were significant only in the high-risk group. Discussions have focused on the protective role of maternal control and cognitive intervention, which could reduce children's excessive Internet use.
Collapse
Affiliation(s)
- Hana Song
- Department of Child Psychology and Education/Social Innovation Convergence, Sungkyunkwan University, Seoul, South Korea
| |
Collapse
|