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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 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.
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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.
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Peng J, Wang J, Chen J, Li G, Xiao H, Liu Y, Zhang Q, Wu X, Zhang Y. Mobile phone addiction was the mediator and physical activity was the moderator between bullying victimization and sleep quality. BMC Public Health 2025; 25:1577. [PMID: 40295987 PMCID: PMC12036171 DOI: 10.1186/s12889-025-22813-1] [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: 11/20/2024] [Accepted: 04/15/2025] [Indexed: 04/30/2025] Open
Abstract
BACKGROUND AND OBJECTIVES Bullying victimization is strongly associated with sleep quality issues in primary school students, yet the underlying mechanisms among these variables require further exploration. This study investigates the mediating role of mobile phone addiction and the moderating role of physical activity in the relationship between bullying victimization and sleep quality among primary school students, contributing to a deeper understanding of these psychological processes. METHODS This study utilized a convenience sampling method to recruit 502 primary school students in 2023. The sample included 232 boys and 270 girls, with ages ranging from 10 to 12 years (mean age = 11.15 ± 0.62). Participants were recruited from specific region or school district to ensure a diverse representation of the target population. Ethical approval was obtained from the relevant institutional review board, and informed consent was obtained from both the students and their parents or guardians prior to data collection. RESULTS Bullying victimization was significantly positively correlated with both sleep quality issues and mobile phone addiction. Additionally, mobile phone addiction was significantly positively correlated with sleep quality issues. The analysis confirmed that mobile phone addiction mediates the relationship between bullying victimization and sleep quality. Furthermore, physical activity was found to moderate the relationship between bullying victimization and mobile phone addiction. CONCLUSIONS This study elucidates the psychological mechanisms underlying the relationship between bullying victimization and sleep quality among primary school students. Mobile phone addiction serves as a mediating factor, while physical activity acts as a moderating factor in the link between bullying victimization and mobile phone addiction. These findings underscore the importance of addressing mobile phone addiction and promoting physical activity as part of targeted interventions to improve sleep quality among primary school students.
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Affiliation(s)
- Jinyin Peng
- School of Sports Science, Jishou University, Jishou, China
| | - Jiale Wang
- School of Sports Science, Jishou University, Jishou, China
| | - Jiawei Chen
- Hunan Mechanical Electrical Polytechnic, Changsha, China
| | - Geng Li
- School of Psychology, Research Center for Exercise and Brain Science, Shanghai University of Sport, Shanghai, China
| | - Hongqing Xiao
- School of Sports Science, Jishou University, Jishou, China.
| | - Yang Liu
- School of Sports Science, Jishou University, Jishou, China.
| | - Qing Zhang
- Akademia Wychowania Fizycznego i Sportu, Jedrzej Sniadecki Academy of Physical Education and Sport in Gdańsk, Gdańsk, Poland.
| | - Xiaozhen Wu
- School of Sports Science, Jishou University, Jishou, China
- School of Physical Education, Fuyang Normal University, Fuyang, China
| | - Yiping Zhang
- School of Physical Education, Xichang University, Xichang, China
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Tan X, Li Z, Peng H, Tian M, Zhou J, Tian P, Wen J, Luo S, Li Y, Li P, Liu Y. Anxiety and inhibitory control play a chain mediating role between compassion fatigue and Internet addiction disorder among nursing staff. Sci Rep 2025; 15:12211. [PMID: 40204791 PMCID: PMC11982181 DOI: 10.1038/s41598-025-95832-y] [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: 10/24/2024] [Accepted: 03/24/2025] [Indexed: 04/11/2025] Open
Abstract
Mental health problems among nurses are prevalent and harmful. Nurses worldwide have encountered serious mental health issues. Although fatigue has been proven to lead to substance abuse or addictive behaviors (such as internet addiction), there is a lack of sufficient data on whether there is a connection with compassion fatigue. Compassion fatigue is a common mental health problem in helping professions. Anxiety and inhibitory control have been demonstrated to be associated with internet addiction, but the mediating role between them in the state of compassion fatigue remains to be further explored. Therefore, this study aims to investigate the chain-mediating effect of anxiety and inhibitory control between compassion fatigue and internet addiction in the nurse population. From July to August 2024, a questionnaire survey was conducted using a convenience sampling method in 7 hospitals in Hunan Province, China. A total of 516 front-line clinical nurses were included, among whom 17 were male and 499 were female. Subjective data on compassion fatigue, internet addiction, anxiety, and inhibitory control were collected and analyzed. SPSS 26.0 and its PROCESS macro-plugin were used for data analysis. After controlling for age and gender, compassion fatigue was found to be a significant predictor of internet addiction (β = 0.40, P < 0.001). However, when anxiety and inhibitory control were added, the prediction of compassion fatigue on internet addiction in the nurse population remained significant (β = 0.18, P < 0.001). Eventually, the research results show that compassion fatigue can predict internet addiction through anxiety and inhibitory control. It is recommended that nursing managers provide appropriate emotional interventions for nurses with compassion fatigue or adjust the shift-scheduling and leave system to prevent the occurrence of internet addiction.
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Affiliation(s)
- Xinxin Tan
- School of Medicine, Jishou University, Jishou, 416000, Hunan, China
| | - Zhongzheng Li
- School of Medicine, Jishou University, Jishou, 416000, Hunan, China
| | - Hong Peng
- National Hospital of Traditional Chinese Medicine of Xiangxi Tujia and Miao Autonomous Prefecture, Jishou, 416000, Hunan, China
| | - Min Tian
- National Hospital of Traditional Chinese Medicine of Xiangxi Tujia and Miao Autonomous Prefecture, Jishou, 416000, Hunan, China
| | - Jiong Zhou
- Changsha Hospital for Maternal & Child Health Care, Changsha, 410000, Hunan, China
| | - Ping Tian
- ZhangJiajie Hospital of Traditional Chinese Medicine, ZhangJiajie, 427000, Hunan, China
| | - Jingrui Wen
- Ningxiang Hospital of Traditional Chinese Medicine, Ningxiang, 410600, Hunan, China
| | - Shenglin Luo
- Ningxiang Hospital of Traditional Chinese Medicine, Ningxiang, 410600, Hunan, China
| | - Yan Li
- School of Mathematics and Statistics, Jishou University, Jishou, 416000, Hunan, China.
| | - Ping Li
- National Hospital of Traditional Chinese Medicine of Xiangxi Tujia and Miao Autonomous Prefecture, Jishou, 416000, Hunan, China.
| | - Yang Liu
- School of Sports Science, Jishou University, Jishou, 410600, Hunan, China.
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Yu Y, Zhang L, Su X, Zhang X, Deng X. Association between internet addiction and insomnia among college freshmen: the chain mediation effect of emotion regulation and anxiety and the moderating role of gender. BMC Psychiatry 2025; 25:326. [PMID: 40175942 PMCID: PMC11966832 DOI: 10.1186/s12888-025-06778-4] [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: 11/16/2024] [Accepted: 03/26/2025] [Indexed: 04/04/2025] Open
Abstract
BACKGROUND The advancement of the information age has led to the widespread use of the internet, accompanied by numerous internet-related issues that often correlate with various physical and mental health conditions, particularly among college freshmen. We examined the relationship between internet addiction (IA) and insomnia among these students, using emotion regulation (ER) and anxiety as mediators and gender as a moderating variable. METHODS This cross-sectional study included 7,353 freshmen from a university in Jingzhou City, Hubei Province, China. Data were collected through an online self-administered questionnaire, including the Internet Addiction Test (IAT), the Emotion Regulation subscale (ER), the Generalized Anxiety Disorder 7-item scale (GAD-7), and the Insomnia Severity Index (ISI). Data analysis was conducted using SPSS 21.0 and PROCESS version 4.1 to test the hypothesized relationships among variables. RESULTS In our survey, correlation analysis showed that ER was significantly negatively correlated with IA, anxiety, and insomnia; IA was significantly positively correlated with anxiety and insomnia (all p < 0.01). The mediating effect analysis indicated that IA was a significant positive predictor of insomnia. ER and anxiety played a chain - mediating role in the development of insomnia (β = 0.039, 95% confidence interval = 0.035-0.043). The moderating effect analysis showed that the interaction term of IA and gender had a significant negative predictive effect on ER (β = -0.014, 95% confidence interval [-0.027, -0.001]) and insomnia (β = -0.022, 95% confidence interval [-0.036, -0.007]). Males (direct effect: β = 0.048, 95% confidence interval = [0.037, 0.059]) had a stronger predictive ability for the level of insomnia than females (direct effect: β = 0.026, 95% confidence interval = [0.014, 0.037]). Females (indirect effect 1: β = 0.015, 95% confidence interval = [0.010, 0.020]; indirect effect 2: β = 0.041, 95% confidence interval = [0.037, 0.045]) had a stronger predictive ability for the level of insomnia through the level of IA than males (indirect effect 1: β = 0.014, 95% confidence interval = [0.009, 0.018]; indirect effect 2: β = 0.037, 95% confidence interval = [0.033, 0.041]). CONCLUSION IA can exacerbate insomnia in college freshmen by compromising their ER, subsequently triggering anxiety symptoms. The process differs by gender, suggesting tailored strategies for each. These findings may play crucial roles in promoting the physical and mental well-being of college freshmen.
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Affiliation(s)
- Ye Yu
- Mental Health Center, Yangtze University, No. 1, South Ring Road, Jingzhou, 434000, Hubei, China
- Mental Health Institute, Yangtze University, Jingzhou, 434000, Hubei, China
- Jingzhou Rongjun Special Care Hospital, Jingzhou, 434000, Hubei, China
- Jingzhou Mental Health Center, Jingzhou, 434000, Hubei, China
| | - Li Zhang
- Mental Health Center, Yangtze University, No. 1, South Ring Road, Jingzhou, 434000, Hubei, China
- Mental Health Institute, Yangtze University, Jingzhou, 434000, Hubei, China
| | - Xuejian Su
- Mental Health Center, Yangtze University, No. 1, South Ring Road, Jingzhou, 434000, Hubei, China
- Mental Health Institute, Yangtze University, Jingzhou, 434000, Hubei, China
| | - Xinfeng Zhang
- Mental Health Center, Yangtze University, No. 1, South Ring Road, Jingzhou, 434000, Hubei, China
- Mental Health Institute, Yangtze University, Jingzhou, 434000, Hubei, China
- Jingzhou Rongjun Special Care Hospital, Jingzhou, 434000, Hubei, China
- Jingzhou Mental Health Center, Jingzhou, 434000, Hubei, China
| | - Xiaopeng Deng
- Mental Health Center, Yangtze University, No. 1, South Ring Road, Jingzhou, 434000, Hubei, China.
- Mental Health Institute, Yangtze University, Jingzhou, 434000, Hubei, China.
- Jingzhou Rongjun Special Care Hospital, Jingzhou, 434000, Hubei, China.
- Jingzhou Mental Health Center, Jingzhou, 434000, Hubei, China.
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Wang J, Wang N, Qi T, Liu Y, Guo Z. The central mediating effect of inhibitory control and negative emotion on the relationship between bullying victimization and social network site addiction in adolescents. Front Psychol 2025; 15:1520404. [PMID: 40242396 PMCID: PMC12002087 DOI: 10.3389/fpsyg.2024.1520404] [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: 10/31/2024] [Accepted: 12/12/2024] [Indexed: 04/18/2025] Open
Abstract
BACKGROUND AND OBJECTIVES Bullying victimization is strongly associated with social network site addiction among adolescents. However, the underlying mechanisms between these variables remain unclear. This study aims to explore the psychological mechanisms linking bullying victimization to social network site addiction by examining the mediating roles of depression, anxiety, stress, and inhibitory control. METHODS A self-report survey was conducted among a sample of 1,005 adolescents in China. The survey included measures of bullying victimization, social network site addiction, depression, anxiety, stress, and inhibitory control. Descriptive and correlational analyses were performed, followed by the construction of a chain mediation model. RESULTS Bullying victimization was significantly positively associated with social network site addiction. However, this relationship became non-significant when negative emotional states (depression, anxiety, stress) and inhibitory control were introduced as mediating variables. Specifically, bullying victimization significantly predicted negative emotional states and was negatively associated with inhibitory control. Negative emotional states were also negatively related to inhibitory control, while inhibitory control was negatively associated with social network site addiction. Among the negative emotional states, stress and anxiety showed a significant negative correlation with social network site addiction. CONCLUSION This study sheds further light on the psychological mechanisms linking bullying victimization and social network site addiction among adolescents. Depression, anxiety, stress, and inhibitory control act as mediating factors in this relationship. These findings highlight the importance of targeting these variables in understanding and developing interventions for social network site addiction among adolescents.
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Affiliation(s)
- Jiale Wang
- School of Sports Science, Jishou University, Jishou, China
| | - Ning Wang
- School of Sports Science, Guangxi Minzu University, Nanning, China
| | - Tianci Qi
- School of Sports Science, Jishou University, Jishou, China
| | - Yang Liu
- School of Sports Science, Jishou University, Jishou, China
| | - Zhenhua Guo
- School of Sports Science, Jishou University, Jishou, China
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Luo X, Liu H, Sun Z, Wei Q, Zhang J, Zhang T, Liu Y. Gender mediates the mediating effect of psychological capital between physical activity and depressive symptoms among adolescents. Sci Rep 2025; 15:10868. [PMID: 40158032 PMCID: PMC11954977 DOI: 10.1038/s41598-025-95186-5] [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: 08/11/2024] [Accepted: 03/19/2025] [Indexed: 04/01/2025] Open
Abstract
Adolescents develop rapidly, are sensitive to external environmental pressure, and are prone to depression symptoms. Physical activity has been identified as a protective factor for depressive symptoms. Psychological capital is strongly associated with depressive symptoms, and gender has been identified as a potential protective factor. For adolescents in early adolescence, the complex relationship between these factors needs further study. The aim of this study was to explore the mediating role of psychological capital between depressive symptoms and physical activity in adolescents, and the moderating role of gender between the two. Physical activity, depressive symptoms and psychological capital were measured by Physical Activity Rating Scale (par-3), Central Depression Scale (CES-D) and Psychological Capital Scale (PCQAS) in 1146 adolescents. The proposed relationships were tested using models 4 and 14 of the structural equation model, respectively, for mediating and regulating effects. Physical activity was negatively correlated with depressive symptoms and positively correlated with psychological capital. Psychological capital was negatively correlated with depressive symptoms and mediated the relationship between physical activity and depressive symptoms. Gender effectively modulates the latter half of the mediated model pathway. In adolescents, especially girls, depression symptoms can be alleviated and prevented by increasing daily physical activity and positive psychological capital reserve.
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Affiliation(s)
- Xiangyu Luo
- School of Sports Science, Jishou University, Jishou, China
| | - Hanqi Liu
- School of Sports Science, Jishou University, Jishou, China
| | - Zhaoyang Sun
- School of Sports Science, Jishou University, Jishou, China
| | - Qin Wei
- School of Sports Science, Jishou University, Jishou, China
| | - Jianhua Zhang
- School of Physical Education and Art, Hunan Medical University, Huaihua, China.
| | | | - Yang Liu
- School of Sports Science, Jishou University, Jishou, China.
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Chen Z, Zhang J, Zhang T, Zhang F, Liu Y, Ma Y, Chen Y, Zhou Z. The relationship between early adolescent bullying victimization and suicidal ideation: the longitudinal mediating role of self-efficacy. BMC Public Health 2025; 25:1000. [DOI: 21 chen, z., zhang, j., zhang, t., zhang, f., liu, y., ma, y., chen, y., & zhou, z.(2025).the relationship between early adolescent bullying victimization and suicidal ideation: the longitudinal mediating role of self-efficacy.bmc public health, 25(1), 1000.https:/doi.org/10.1186/s12889-025-22201-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/22/2024] [Accepted: 03/05/2025] [Indexed: 03/28/2025] Open
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8
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Chen Z, Zhang J, Zhang T, Zhang F, Liu Y, Ma Y, Chen Y, Zhou Z. The relationship between early adolescent bullying victimization and suicidal ideation: the longitudinal mediating role of self-efficacy. BMC Public Health 2025; 25:1000. [PMID: 40082915 PMCID: PMC11907941 DOI: 10.1186/s12889-025-22201-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/22/2024] [Accepted: 03/05/2025] [Indexed: 03/16/2025] Open
Abstract
OBJECTIVE This study aims to investigate the longitudinal interplay between early adolescent bullying victimization and suicidal ideation, and to analyze the mediating role of self-efficacy in their dynamic relationship. METHODS A cluster sampling method was employed to select 1,023 seventh-grade students from a middle school in an urban district of Hunan Province between March and December 2023. Three waves of data collection were conducted using questionnaires that included scales for adolescent bullying victimization, suicidal ideation (PANSI), and general self-efficacy (GSES). The cross-lagged panel model (CLPM) was utilized to explore the reciprocal relationships between early bullying victimization, suicidal ideation, and self-efficacy. RESULTS Early adolescent bullying victimization was found to both directly and indirectly predict suicidal ideation through its impact on self-efficacy. Conversely, suicidal ideation did not directly predict the level of bullying victimization but was able to indirectly predict it through its effect on self-efficacy. CONCLUSION The bullying victimization in early adolescents can directly predict the level of suicidal ideation and can also indirectly influence suicidal ideation by affecting self-efficacy; Suicidal ideation does not directly predict the level of bullying victimization; rather, it can indirectly predict bullying victimization through its impact on self-efficacy.
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Affiliation(s)
- Ziyi Chen
- School of Sports Science, Jishou University, Jishou, China
| | - Jianhua Zhang
- School of Physical Education and Art, Hunan Medical University, Huaihua, China.
| | | | - Fulan Zhang
- School of Sports Science, Jishou University, Jishou, China
| | - Yang Liu
- School of Sports Science, Jishou University, Jishou, China.
| | - Yuanyuan Ma
- School of Sports Science, Jishou University, Jishou, China
| | - Yiyi Chen
- School of Sports Science, Jishou University, Jishou, China
| | - Zeng Zhou
- School of Sports Science, Jishou University, Jishou, China
- Department of P.E, Central South University, Changsha, China
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Yang L, Tao Y, Wang N, Zhang Y, Liu Y. Child psychological maltreatment, depression, psychological inflexibility and difficulty in identifying feelings, a moderated mediation model. Sci Rep 2025; 15:8478. [PMID: 40074800 PMCID: PMC11903961 DOI: 10.1038/s41598-025-92873-1] [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: 12/06/2024] [Accepted: 03/03/2025] [Indexed: 03/14/2025] Open
Abstract
Child psychological maltreatment has a strong relationship with college students' depression. However, the potential mediating and moderating variables between the two need further exploration. This study collected subjective data of college students from two universities in China through a cross-sectional survey, including variables such as child psychological maltreatment, psychological inflexibility, difficulty in identifying feelings, and depression. Through correlation analysis, a mediation model and a moderated mediation model were constructed to explore the interrelationships among the variables.The research results show that there is a significant positive correlation between child psychological maltreatment, psychological inflexibility, difficulty in identifying feelings, and college students' depression. Moreover, psychological inflexibility plays a mediating role between child psychological maltreatment and college students' depression, while difficulty in identifying feelings significantly moderates the relationship between child psychological maltreatment and college students' depression. This study reveals the significant associations among child psychological maltreatment, psychological inflexibility, difficulty in identifying feelings, and college students' depression. These findings remind us to pay attention to the potential mediating role of psychological inflexibility and the moderating role of difficulty in identifying feelings when exploring the relationship between child psychological maltreatment and college students' depression. These results provide a new perspective for understanding the psychological mechanism of depression and offer potential targets for prevention and intervention.
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Affiliation(s)
- Liyuan Yang
- College of Physical Education of CDU, Chengdu University, Chengdu, China
| | - Ying Tao
- Graduate School, Adamson University, Manila, Philippines
| | - Ning Wang
- College of Physical Education and Health Science, Guangxi MINZU University, Nanning, China
| | - Yichi Zhang
- College of Physical Education of CDU, Chengdu University, Chengdu, China
| | - Yang Liu
- School of Sports Science, Jishou University, Jishou, China.
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Yang L, Tao Y, Wang N, Zhang Y, Liu Y. Child psychological maltreatment, depression, psychological inflexibility and difficulty in identifying feelings, a moderated mediation model. Sci Rep 2025; 15:8478. [DOI: 20 yang, l., tao, y., wang, n., zhang, y., & liu, y.(2025).child psychological maltreatment, depression, psychological inflexibility and difficulty in identifying feelings, a moderated mediation model.scientific reports, 15(1), 8478.https:/doi.org/10.1038/s41598-025-92873-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/06/2024] [Accepted: 03/03/2025] [Indexed: 03/28/2025] Open
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11
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Kiing JSH, Ragen ES, Sulaiman MSBM, Goh WS, Tan NJH, Ng SH, Luo Y, Samuel M, Young D, Loh VWK. Bullying and depression among adolescents in East Asia: a scoping review on prevalence rates, risk and protective factors. Front Psychiatry 2025; 16:1497866. [PMID: 40130188 PMCID: PMC11932047 DOI: 10.3389/fpsyt.2025.1497866] [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: 09/18/2024] [Accepted: 02/07/2025] [Indexed: 03/26/2025] Open
Abstract
Introduction Bullying and victimization in adolescence is associated with mental health problems including depression. Depression in East Asian adolescents presents similarities and differences from that in Western adolescents. This review reports on the prevalence and psychosocial associations of bullying and depression in East Asian adolescents. Methods Electronic databases (Medline, and Embase) were searched for English language articles on bullying and its associations for a span of 10 years (1st January 2013 to 19th January 2024). Searches were limited to studies conducted in East Asia involving adolescents 10-19 years of age. Results Out of 1,231 articles initially identified, 65 full-text articles (consisting of 44 cross-sectional and 21 cohort studies) met the inclusion criteria and were included for qualitative synthesis & analysis. Prevalence rates of bullying ranged from 6.1% - 61.3% in traditional bullying victimization and 3.3% to 74.6% in cyberbullying victimization with higher rates in at-risk groups (e.g., adolescents with internet addiction). Psychosocial associations of bullying and depression which were similarly found in Western cultures include individual factors of coping style and gender; family factors of functioning and sibling relationships; and community factors of friendship and school-connectedness. In contrast, unique East Asian risk factors included being different (i.e., sexual minority status) and teachers as bullies. Conclusion Findings of this scoping review suggest that strong relationships within families, peers and the school community coupled with adolescents' positive coping style are protective against the negative effects of bullying. Conversely, poor parent-child attachment in the midst of family dysfunction, poor engagement with peers and the school community together with low self-esteem predispose East Asian adolescents to depressive symptoms as a result of victimization. Similar to Western cultures, adolescents who are bully-victims and poly-victims are most vulnerable to depression. As a significant proportion of bullying occurred in school, future research could focus on a whole-school intervention approach to counter bullying.
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Affiliation(s)
- Jennifer Sie Hee Kiing
- Department of Paediatrics, Khoo Teck Puat – National University Children’s Medical Institute, National University Hospital, National University Health System, Singapore, Singapore
- Yong Loo Lin School of Medicine , National University of Singapore, Singapore, Singapore
| | - Elizabeth Sarah Ragen
- Department of Paediatrics, Khoo Teck Puat – National University Children’s Medical Institute, National University Hospital, National University Health System, Singapore, Singapore
| | | | - Wei Sheng Goh
- Yong Loo Lin School of Medicine , National University of Singapore, Singapore, Singapore
| | - Norman Jun Hao Tan
- Yong Loo Lin School of Medicine , National University of Singapore, Singapore, Singapore
| | - Sok Hui Ng
- Yong Loo Lin School of Medicine , National University of Singapore, Singapore, Singapore
| | - Yang Luo
- Yong Loo Lin School of Medicine , National University of Singapore, Singapore, Singapore
| | - Miny Samuel
- Yong Loo Lin School of Medicine , National University of Singapore, Singapore, Singapore
| | - Doris Young
- Department of Family Medicine, National University Health System, Singapore, Singapore
- Division of Family Medicine, Yong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore
| | - Victor Weng Keong Loh
- Department of Family Medicine, National University Health System, Singapore, Singapore
- Division of Family Medicine, Yong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore
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12
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Liu Y, Yin J, Xu L, Luo X, Liu H, Zhang T. The Chain Mediating Effect of Anxiety and Inhibitory Control and the Moderating Effect of Physical Activity Between Bullying Victimization and Internet Addiction in Chinese Adolescents. J Genet Psychol 2025:1-16. [DOI: 19 liu, y., yin, j., xu, l., luo, x., liu, h., & zhang, t.(2025).the chain mediating effect of anxiety and inhibitory control and the moderating effect of physical activity between bullying victimization and internet addiction in chinese adolescents.the journal of genetic psychology, 1–16.advance online publication.https:/doi.org/10.1080/00221325.2025.2462595] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/03/2024] [Accepted: 01/31/2025] [Indexed: 03/28/2025]
Affiliation(s)
- Yang Liu
- School of Sports Science, Jishou University
| | - Jinling Yin
- Department of Basic Education, China Conservatory of Music
| | - Lei Xu
- School of Sports Science, Jishou University
- Institute of Physical Education, Shanxi University of Finance and Economics
| | | | - Hanqi Liu
- School of Sports Science, Jishou University
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Liu Y, Yin J, Xu L, Luo X, Liu H, Zhang T. The Chain Mediating Effect of Anxiety and Inhibitory Control and the Moderating Effect of Physical Activity Between Bullying Victimization and Internet Addiction in Chinese Adolescents. J Genet Psychol 2025:1-16. [PMID: 39921534 DOI: 10.1080/00221325.2025.2462595] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/03/2024] [Accepted: 01/31/2025] [Indexed: 02/10/2025]
Abstract
This study aimed to investigate the chain mediating roles of anxiety and inhibitory control in the relationship between bullying victimization and internet addiction among Chinese adolescents, as well as the moderating effect of physical activity. A cross-sectional design was employed, sampling 1,585 adolescents from 5 provinces in China during February-March 2024. Data on bullying victimization, internet addiction, anxiety, inhibitory control, and physical activity were collected and analyzed using a moderated chain mediation model. The data suggest that bullying victimization is associated with internet addiction, and this association is also mediated by anxiety and inhibitory control. Furthermore, physical activity was found to significantly moderate the relationship between anxiety and inhibitory control. This study contributes to the understanding of how bullying victimization, anxiety, and inhibitory control are interrelated in the context of internet addiction development, with physical activity influencing this interplay. It highlights the potential of physical activity as a factor in mitigating the impact of bullying and its association with internet addiction.
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Affiliation(s)
- Yang Liu
- School of Sports Science, Jishou University, Jishou, China
| | - Jinling Yin
- Department of Basic Education, China Conservatory of Music, Beijing, China
| | - Lei Xu
- School of Sports Science, Jishou University, Jishou, China
- Institute of Physical Education, Shanxi University of Finance and Economics, Taiyuan, China
| | - Xiangyu Luo
- School of Sports Science, Jishou University, Jishou, China
| | - Hanqi Liu
- School of Sports Science, Jishou University, Jishou, China
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14
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Jiang X, Wei Q, Yin W, Pan S, Dai C, Zhou L, Wang C, Lin X, Wu J. Bullying victimization and suicidal ideation among Chinese adolescents: a moderated mediation model of depressive symptoms and perceived family economic strain. BMC Public Health 2025; 25:393. [PMID: 39885401 PMCID: PMC11783786 DOI: 10.1186/s12889-025-21579-w] [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: 09/13/2024] [Accepted: 01/21/2025] [Indexed: 02/01/2025] Open
Abstract
BACKGROUND There is substantial evidence linking bullying victimization to suicidal ideation, but the mechanism behind this link is not well understood. This study investigates whether depressive symptoms mediate the relationship between bullying victimization and suicidal ideation, and whether perceived family economic strain moderates this mediation. METHODS Data were collected from 7,702 adolescents (mean age = 14.74 ± 1.69 years, 52% girls) using a self-report questionnaire that assessed bullying victimization, depressive symptoms, suicidal ideation and perceived family economic strain. Mediation and moderated mediation analyses were conducted using the PROCESS macro in SPSS. RESULTS Suicidal ideation was significantly associated with both bullying victimization and depressive symptoms, as determined by linear regression analysis (both p < 0.001). The relationship between bullying victimization and suicidal ideation was partially mediated by depressive symptoms, accounting for 66.74% of the effect. Additionally, perceived family economic strain could moderate the link between bullying victimization and depressive symptoms (β=-0.017, p < 0.001), indicating that increased perceived family economic strain attenuates the impact of bullying victimization on depressive symptoms. CONCLUSION Our research affirms bullying victimization substantial influence on adolescent suicidal ideation, with depressive symptoms mediating this link. The study also reveals that perceived family economic strain moderates this relationship, indicating the necessity for interventions that address both psychological and economic factors to holistically support the mental health of bullied adolescents.
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Affiliation(s)
- Xiaoyu Jiang
- The Second Affiliated Hospital of Guangxi Medical University, Nanning, 530007, China
| | - Qiaoyue Wei
- School of Public Health, Wuhan University, Wuhan, 430071, China
| | - Wenwen Yin
- Science and technology college of Hubei university of arts and science, Xiangyang, 441025, China
| | - Shuibo Pan
- School of Public Health, Guangxi Medical University, Nanning, 530021, China
| | - Chenyangzi Dai
- School of Public Health, Guangxi Medical University, Nanning, 530021, China
| | - Linhua Zhou
- School of Public Health, Guangxi Medical University, Nanning, 530021, China
| | - Chunyan Wang
- School of Public Health, Guangxi Medical University, Nanning, 530021, China
| | - Xiujin Lin
- Research Center of Adolescent Psychology and Behavior, School of Education, Guangzhou University, Guangzhou, 510006, China.
| | - Junduan Wu
- The Second Affiliated Hospital of Guangxi Medical University, Nanning, 530007, China.
- School of Public Health, Guangxi Medical University, Nanning, 530021, China.
- School of Clinical Medicine, Guangxi Heath Science college, Nanning, 530023, Guangxi, China.
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15
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Yi Z, Wang W, Wang N, Liu Y. The Relationship Between Empirical Avoidance, Anxiety, Difficulty Describing Feelings and Internet Addiction Among College Students: A Moderated Mediation Model. J Genet Psychol 2025:1-17. [DOI: 15 yi, z., wang, w., wang, n., & liu, y.(2025).the relationship between empirical avoidance, anxiety, difficulty describing feelings and internet addiction among college students: a moderated mediation model.the journal of genetic psychology, 1–17.advance online publication.https:/doi.org/10.1080/00221325.2025.2453705] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/18/2024] [Accepted: 01/04/2025] [Indexed: 03/28/2025]
Affiliation(s)
- Zhenxiu Yi
- Sports Training Institute, Chengdu Sport University, Chengdu, China
| | - Wenqian Wang
- College of Physical Education and Health Science, Guangxi MINZU University, NanNing, China
| | - Ning Wang
- College of Physical Education and Health Science, Guangxi MINZU University, NanNing, China
| | - Yang Liu
- School of Sports Science, Jishou University, Jishou, China
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16
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Yi Z, Wang W, Wang N, Liu Y. The Relationship Between Empirical Avoidance, Anxiety, Difficulty Describing Feelings and Internet Addiction Among College Students: A Moderated Mediation Model. J Genet Psychol 2025:1-17. [PMID: 39836109 DOI: 10.1080/00221325.2025.2453705] [Citation(s) in RCA: 4] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/18/2024] [Accepted: 01/04/2025] [Indexed: 01/22/2025]
Abstract
With the increasing detection rate of Internet addiction in college students, the correlation between Internet addiction and emotional problems is further strengthened. Therefore, it is crucial to actively investigate the emotional mechanisms underlying college students' internet addiction to foster their healthy development. This study establishes a moderated mediation model based on the relationships among experiential avoidance, internet addiction, anxiety, and difficulty describing feelings to explore the link between experiential avoidance and internet addiction, the mediating role of anxiety, and the moderating effect of difficulty describing feelings. The study collected data from 1,591 Chinese college students across seven provinces (municipalities), utilizing measures such as the Experiential Avoidance Questionnaire, the Internet Addiction Scale, the Anxiety Subscale, and the Difficulty Describing Feelings Scale. A cross-sectional analysis was conducted to further investigate the potential emotional mechanisms behind college students' internet addiction. The results indicated that experiential avoidance significantly predicts internet addiction among college students, with anxiety mediating the relationship between experiential avoidance and internet addiction. Additionally, difficulty describing feelings moderate the relationship between experiential avoidance and anxiety. These findings further suggest that emotional disorders such as experiential avoidance, anxiety, and difficulty describing feelings are potential risk factors behind college students' internet addiction. The study recommends enhancing psychological counseling and other intervention measures in interventions for college students' internet addiction.
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Affiliation(s)
- Zhenxiu Yi
- Sports Training Institute, Chengdu Sport University, Chengdu, China
| | - Wenqian Wang
- College of Physical Education and Health Science, Guangxi MINZU University, NanNing, China
| | - Ning Wang
- College of Physical Education and Health Science, Guangxi MINZU University, NanNing, China
| | - Yang Liu
- School of Sports Science, Jishou University, Jishou, China
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17
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Wang J, Wang N, Liu P, Liu Y. Social network site addiction, sleep quality, depression and adolescent difficulty describing feelings: a moderated mediation model. BMC Psychol 2025; 13:57. [PMID: 39833970 PMCID: PMC11748323 DOI: 10.1186/s40359-025-02372-1] [Citation(s) in RCA: 3] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/20/2024] [Accepted: 01/08/2025] [Indexed: 01/22/2025] Open
Abstract
BACKGROUND AND OBJECTIVES Social network site addiction is strongly correlated with sleep quality among adolescents. However, the underlying mechanisms driving these relationships require further exploration. This study aims to supplement the understanding of the psychological mechanisms linking social network site addiction and sleep quality by investigating depression as a mediating factor and difficulty describing feelings as a moderating factor. METHODS A self-report survey was conducted with 1,670 adolescents in China, assessing social network site addiction, sleep quality, depression, and difficulty describing feelings. Descriptive and correlational analyses were performed on these variables, followed by the construction of a moderated mediation model. RESULTS Social network site addiction was significantly positively correlated with sleep quality, depression, and difficulty describing feelings among adolescents. Difficulty describing feelings was also significantly positively correlated with depression. Depression partially mediated the relationship between social network site addiction and sleep quality, while difficulty describing feelings intensified the relationship between social network site addiction and depression. CONCLUSION This study further elucidates the psychological mechanisms linking social network site addiction and sleep quality in adolescents. Depression acts as a mediating factor, while difficulty describing feelings strengthens the relationship between social network site addiction and depression. These findings highlight the role of difficulty describing feelings in the interplay between social network site addiction and sleep quality, offering valuable insights for a more comprehensive understanding and targeted interventions aimed at improving sleep quality in adolescents.
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Affiliation(s)
- Jiale Wang
- School of Sports Science, Jishou University, Jishou, China
| | - Ning Wang
- School of Physical Education and Health Science, Guangxi Minzu University, Nanning, China
| | - Pingfan Liu
- School of Physical Education, Xichang University, Xichang, China.
| | - Yang Liu
- School of Sports Science, Jishou University, Jishou, China.
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18
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Wang J, Wang N, Liu P, Liu Y. Social network site addiction, sleep quality, depression and adolescent difficulty describing feelings: a moderated mediation model. BMC Psychol 2025; 13:57. [DOI: 14 wang, j., wang, n., liu, p., & liu, y.(2025).social network site addiction, sleep quality, depression and adolescent difficulty describing feelings: a moderated mediation model.bmc psychology, 13(1), 57.https:/doi.org/10.1186/s40359-025-02372-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/20/2024] [Accepted: 01/08/2025] [Indexed: 03/28/2025] Open
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Liu Y, Peng J, Ding J, Wang J, Jin C, Xu L, Zhang T, Liu P. Anxiety mediated the relationship between bullying victimization and internet addiction in adolescents, and family support moderated the relationship. BMC Pediatr 2025; 25:8. [PMID: 39762783 PMCID: PMC11702133 DOI: 10.1186/s12887-024-05348-z] [Citation(s) in RCA: 8] [Impact Index Per Article: 8.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/31/2024] [Accepted: 12/20/2024] [Indexed: 01/11/2025] Open
Abstract
OBJECTIVE This study aims to discuss anxiety in mediating role between bullying victimization and adolescent internet addiction, and the moderating role of family support between bullying victimization and adolescent anxiety. METHODS A cross-sectional study was conducted in 5 provinces of China by convenience sampling from February to March 2024. A total of 1395 participants (599 boys and 796 girls) with an average age of 15.86 ± 0.74 years were included in the final analysis. Subjective data on bullying victimization, internet addiction, anxiety, and family support were collected and analyzed. A moderated mediation model was constructed. RESULTS After controlling for age and gender, bullying victimization was found to be a significant predictor of internet addiction (β = 0.130, p < 0.001). Anxiety has a complete mediating effect between bullying victimization and adolescent internet addiction. Specifically, bullying victimization significantly predicted adolescent anxiety (β = 0.264, p < 0.001). anxiety significantly predicted adolescent internet addiction (β = 0.417, p < 0.001). Family support alleviated the relationship between bullying victimization and anxiety (β= -0.032, p < 0.05). CONCLUSIONS Bullying victimization can predict internet addiction through anxiety in adolescents, and family support can alleviate the predictive relationship between bullying victimization and adolescent anxiety. It is suggested that guardians should provide adequate support to adolescent bullying victimization in order to reduce the negative impact of bullying victimization on adolescents and prevent the occurrence of internet addiction.
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Affiliation(s)
- Yang Liu
- School of Sports Science, Jishou University, Jishou, China.
| | - Jinyin Peng
- School of Sports Science, Jishou University, Jishou, China
| | - Jinna Ding
- NO.1 High School in Weihai, Weihai, China
| | - Jing Wang
- Yecheng Middle School, Handan, China
| | - Chunyan Jin
- School of Sports Science, Jishou University, Jishou, China
| | - Lei Xu
- School of Sports Science, Jishou University, Jishou, China
- Institute of Physical Education, Shanxi University of Finance and Economics, Taiyuan, China
| | | | - Pingfan Liu
- School of Physical Education, Xichang University, Xichang, China.
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20
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Liu Y, Peng J, Ding J, Wang J, Jin C, Xu L, Zhang T, Liu P. Anxiety mediated the relationship between bullying victimization and internet addiction in adolescents, and family support moderated the relationship. BMC Pediatr 2025; 25:8. [DOI: 13 liu, y., peng, j., ding, j., wang, j., jin, c., xu, l., zhang, t., & liu, p.(2025).anxiety mediated the relationship between bullying victimization and internet addiction in adolescents, and family support moderated the relationship.bmc pediatrics, 25(1), 8.https:/doi.org/10.1186/s12887-024-05348-z] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/31/2024] [Accepted: 12/20/2024] [Indexed: 03/28/2025] Open
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21
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Xiao T, Pan M, Xiao X, Liu Y. The relationship between physical activity and sleep disorders in adolescents: a chain-mediated model of anxiety and mobile phone dependence. BMC Psychol 2024; 12:751. [PMID: 39695835 PMCID: PMC11658458 DOI: 10.1186/s40359-024-02237-z] [Citation(s) in RCA: 9] [Impact Index Per Article: 9.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/19/2024] [Accepted: 11/28/2024] [Indexed: 12/20/2024] Open
Abstract
BACKGROUND Adolescent sleep disorders have emerged as a significant global public health issue. This study aims to investigate the relationship between physical activity and sleep disorders in adolescents, and to further analyze the chain mediating effects of anxiety and mobile phone dependence, with the goal of providing empirical evidence for related clinical research. METHODS This cross-sectional study collected data through an offline questionnaire survey conducted in 2024. The survey assessed physical activity, sleep disorders, anxiety, and mobile phone dependence. Descriptive statistics and correlation analyses were utilized to construct a chain mediation model. RESULTS A total of 495 valid samples were obtained, with 227 girls (45.9%) and 268 boys (54.1%). The average age of the participants was 13.37 years (SD = 1.05). The results indicated significant negative correlations between physical activity and adolescent anxiety, mobile phone dependence, and sleep disorders. Anxiety and mobile phone dependence fully mediated the relationship between physical activity and sleep disorders. CONCLUSION This study provides further insight into the underlying mechanisms linking physical activity and sleep disorders in adolescents. Physical activity not only has a direct negative effect on sleep disorders but also indirectly predicts sleep disorders through its impact on anxiety and mobile phone dependence. It is recommended that families and schools encourage increased physical activity among adolescents, as it can reduce anxiety and mobile phone dependence, thereby alleviating sleep disorders.
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Affiliation(s)
| | | | | | - Yang Liu
- Jishou University, Jishou, China.
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22
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Xiao T, Pan M, Xiao X, Liu Y. The relationship between physical activity and sleep disorders in adolescents: a chain-mediated model of anxiety and mobile phone dependence. BMC Psychol 2024; 12:751. [DOI: 12 xiao, t., pan, m., xiao, x.et al.the relationship between physical activity and sleep disorders in adolescents: a chain-mediated model of anxiety and mobile phone dependence.bmc psychol 12, 751 (2024).https:/doi.org/10.1186/s40359-024-02237-z] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/19/2024] [Accepted: 11/28/2024] [Indexed: 03/28/2025] Open
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23
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Liu Y, Jin C, Zhou X, Chen Y, Ma Y, Chen Z, Zhang T, Ren Y. The mediating role of inhibitory control and the moderating role of family support between anxiety and Internet addiction in Chinese adolescents. Arch Psychiatr Nurs 2024; 53:165-170. [PMID: 39615930 DOI: 10.1016/j.apnu.2024.10.019] [Citation(s) in RCA: 8] [Impact Index Per Article: 8.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/18/2024] [Revised: 08/31/2024] [Accepted: 10/13/2024] [Indexed: 12/06/2024]
Abstract
OBJECTIVE While some studies have explored the influencing factors of adolescent internet addiction, the risk factors and protective factors still require further discussion. This study aims to examine the mediating role of inhibitory control between anxiety and internet addiction among Chinese adolescents, as well as the moderating role of family support in the relationship between anxiety and inhibitory control. METHODS A cross-sectional study was conducted through convenience sampling from February to March 2024 in seven schools across five provinces in China. A total of 1677 participants (697 males and 980 females) with an average age of 15.86 ± 0.74 years were included in the study. Self-reported data on internet addiction, anxiety, inhibitory control, and family support were collected, followed by correlation analysis and moderated mediation model testing. RESULTS After controlling for participants' gender and age, the study found that anxiety could significantly predict adolescent internet addiction directly (β = 0.429, p < 0.001). When inhibitory control was introduced as a mediating variable, the predictive effect of anxiety on adolescent internet addiction remained significant (β = 0.317, p < 0.001). Additionally, family support alleviated the relationship between anxiety and adolescents' inhibitory control (β = -0.057, p < 0.01). CONCLUSION Anxiety can predict adolescent internet addiction through inhibitory control, while family support can moderate the predictive relationship between anxiety and adolescents' inhibitory control. It is recommended that guardians pay attention to adolescents' negative emotions, provide adequate support, guide emotional regulation, and prevent the occurrence of internet addiction.
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Affiliation(s)
- Yang Liu
- School of Sports Science, Jishou University, Jishou, China.
| | - Chunyan Jin
- School of Sports Science, Jishou University, Jishou, China
| | - Xianwei Zhou
- School of Sports Science, Jishou University, Jishou, China
| | - Yiyi Chen
- School of Sports Science, Jishou University, Jishou, China
| | - Yuanyuan Ma
- School of Sports Science, Jishou University, Jishou, China
| | - Ziyi Chen
- School of Sports Science, Jishou University, Jishou, China
| | | | - Yahui Ren
- Military and political foundation, Air Force Engineering University, Shaanxi, China.
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24
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Liu Y, Jin C, Zhou X, Chen Y, Ma Y, Chen Z, Zhang T, Ren Y. The mediating role of inhibitory control and the moderating role of family support between anxiety and Internet addiction in Chinese adolescents. Arch Psychiatr Nurs 2024; 53:165-170. [DOI: 10 liu, y., jin, c., zhou, x., chen, y., ma, y., chen, z., zhang, t., & ren, y.(2024).the mediating role of inhibitory control and the moderating role of family support between anxiety and internet addiction in chinese adolescents.archives of psychiatric nursing, 53, 165–170.https:/doi.org/10.1016/j.apnu.2024.10.019] [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: 03/28/2025]
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25
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Liu Y, Jin Y, Chen J, Zhu L, Xiao Y, Xu L, Zhang T. Anxiety, inhibitory control, physical activity, and internet addiction in Chinese adolescents: a moderated mediation model. BMC Pediatr 2024; 24:663. [DOI: 8 liu, y., jin, y., chen, j., zhu, l., xiao, y., xu, l., & zhang, t.(2024).anxiety, inhibitory control, physical activity, and internet addiction in chinese adolescents: a moderated mediation model.bmc pediatrics, 24(1), 663.https:/doi.org/10.1186/s12887-024-05139-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/03/2024] [Accepted: 10/08/2024] [Indexed: 03/28/2025] Open
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26
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Liu Y, Jin Y, Chen J, Zhu L, Xiao Y, Xu L, Zhang T. Anxiety, inhibitory control, physical activity, and internet addiction in Chinese adolescents: a moderated mediation model. BMC Pediatr 2024; 24:663. [PMID: 39407215 PMCID: PMC11481747 DOI: 10.1186/s12887-024-05139-6] [Citation(s) in RCA: 17] [Impact Index Per Article: 17.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/03/2024] [Accepted: 10/08/2024] [Indexed: 10/19/2024] Open
Abstract
BACKGROUND Adolescents may have anxiety due to a series of events such as school work and social interaction. Improper handling of anxiety often leads to some negative consequences, such as Internet addiction. Therefore, this study further explored the relationship between anxiety and Internet addiction, as well as the mediating role of inhibitory control between the two, and also considered the moderating role of physical activity between anxiety and inhibitory control. METHODS A total of 1607 adolescents, comprising 664 boys and 943 girls with an average age of 15.86 years (SD = 0.73), from Shandong, Shanxi, Hebei, and Hunan provinces completed a self-report survey on physical activity, anxiety, inhibitory control, and Internet addiction. Descriptive analysis, correlation analysis, and mediation test were conducted. RESULTS The results revealed a significant positive correlation between anxiety and adolescent internet addiction (r = 0.413, p < 0.001), and a significant negative correlation with inhibitory control (r = -0.423, p < 0.001). Inhibitory control was found to be significantly positively correlated with physical exercise (r = 0.143, p < 0.001) and significantly negatively correlated with internet addiction (r = -0.368, p < 0.001). After controlling for demographic variables, anxiety significantly positively predicted Internet addiction (β = 0.311, p < 0.001) in adolescents, and it also indirectly predicted Internet addiction through inhibitory control (β = -0.231, p < 0.001). Physical activity significantly weakened the predictive effect of anxiety on inhibitory control (β = -0.092, p < 0.001). CONCLUSIONS This study further explored the issue of psychological mechanisms between anxiety and Internet addiction in adolescents, and added that physical activity alleviates the negative effects of anxiety on adolescents. Schools and families are encouraged to promote physical exercise among adolescents to alleviate the influence of negative emotions on their psychological and behavioral health.
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Affiliation(s)
- Yang Liu
- School of Sports Science, Jishou University, Jishou, China.
| | - Yuan Jin
- School of Sports Science, Shanxi Datong University, Datong, China
| | - Jiawei Chen
- School of Sports Science, Jishou University, Jishou, China
- School of Automotive Engineering, Hunan Mechanical Electrical Polytechnic, Changsha, China
| | - Lianghao Zhu
- Key Laboratory of Competitive Sport Psychological and Psychological Regulation, Tianjin University of Sport, Tianjin, China
| | - Yongxiang Xiao
- School of Sports Science, Jishou University, Jishou, China
| | - Lei Xu
- School of Sports Science, Jishou University, Jishou, China
- Institute of Physical Education, Shanxi University of Finance and Economics, Taiyuan, China
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