Internet Addictive Behavior in Adolescence: A Cross-Sectional Study in Seven European Countries

Adverse childhood experiences and problematic use of the internet among a child and adolescent psychiatric clinical population

BACKGROUND

Internet use, specifically problematic use of the internet (PUI), needs to be considered in child and adolescent psychiatric (CAP) settings. Besides psychological symptomatology, childhood trauma (intrafamilial abuse and neglect) has been associated with PUI. The impact of various adverse childhood experiences (ACEs) on PUI, particularly in CAP populations, is understudied.

OBJECTIVE

This study aimed to investigate associations between PUI and various ACEs in a CAP population, considering gender differences and psychological symptomatology.

METHODS AND MATERIALS

104 adolescents (69 girls) were included, aged 14-17 years, undergoing inpatient CAP treatment, between August 2018 and March 2020. Participants completed the Interview for the Assessment of Internet and Computer Game Addiction (AICA), the Youth Self-Report (YSR), and the Multidimensional Clinical Screening Inventory (MCSI). Statistical analyses examined associations between PUI and ACEs, after controlling for age, gender, and psychological symptomatology.

RESULTS

Extrafamilial emotional abuse was significantly associated with higher AICA scores and likelihood of PUI. Extrafamilial separation and loss was associated with a significant decrease in the internet use and to the likelihood of PUI. Suicide of a mother significantly increased the odds of moderate to severe PUI. School absenteeism and alcohol abuse were associated with higher AICA scores irrespective of age and gender, though these associations diminished when controlling for psychological symptomatology.

CONCLUSIONS

Extrafamilial emotional abuse, particularly social receptive environments and relationships, play a significant role in developing PUI among CAP populations. The complex interplay of emotional trauma, family dynamics, peer relationships and individual behaviors regarding PUI should be addressed in CAP interventions.

The lagged effects of parent-child relationship on internet addiction: parallel mediation of psychological need frustration and self-esteem

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.

From Childhood Experiences to Social Media Addiction: Unraveling the Impact on Adolescents

Social media usage among adolescents has significantly increased in recent years, playing a crucial role in contemporary youth culture. The increasing adoption of the internet across all age groups has led to numerous benefits, but also concerns regarding its misuse, particularly among adolescents. However, alongside these benefits, problems related to internet misuse have also escalated. Background/Objectives: A review of the literature reveals a lack of studies examining the long-term effects of childhood experiences on later social media addiction. This study aims to investigate the impact of childhood experiences on social media addiction during adolescence. Methods: This study employs a relational survey model, a quantitative research method. Data were collected using the Childhood Experiences Scale and the Social Media Addiction Scale for Adolescents. This study's participants included 371 adolescents attending secondary education institutions under the Ministry of National Education of Türkiye during the 2024-2025 academic year. Participants were selected through simple random sampling. Relationship and impact tests were used to analyze the data. Results: This study found that adolescents with adverse school experiences exhibited social media addiction. A significant relationship was found between adverse school experiences and the time spent on social media. Furthermore, in terms of the gender variable, it was found that females scored significantly higher on the Social Media Addiction Scale for Adolescents compared to males. Conclusions: Based on the results of this study, it is observed that adverse experiences encountered in children's school life may influence social media addiction in their future lives. In future studies, researchers may identify different childhood experiences that impact social media addiction.

Federated learning-based prediction of depression among adolescents across multiple districts in China

Depression in adolescents is a serious mental health condition that can affect their emotional and social well-being. Detailed understanding of depression patterns and status of depressive symptoms in adolescents could help identify early intervention targets. Despite the growing use of artificial intelligence for diagnosis and prediction of mental health conditions, the traditional centralized machine learning methods require aggregating adolescents' data; this raises concerns about confidentiality and privacy, which hampers the clinical application of machine learning algorithms. In this study, we use federated learning to solve those problems. We included 583,405 middle and high school adolescents from 20 districts in Chengdu China, and collected from three aspects: individuals, families, and schools, containing 11 psychological phenomena to evaluate the status of depressive symptoms. We compared federated and local training frameworks; the results showed the area under the receiver operating characteristic curve for depression increased by up to 20 % (from 0.7544 with local training to 0.9064 with federated training). Moreover, based on the best-performing model, the XGBoost model, we explore the data heterogeneity in federated learning and found that stress, student burnout, and social connection were the three most important predictors of depression symptoms. We then assessed the impact of each subdimension of depression symptoms, results show that sleep was the most impact one which may provide clues to predict depression symptoms in early stage and improve control and prevention efforts.

Young and adult patients with gaming disorder: Psychiatric co-morbidities and progression of problematic gaming

Background

Previous research suggests age-dependent differences in the progression of addiction, and evidence is accumulating, showing that an early initiation of gaming increases the risk for addiction. With the recent introduction of gaming disorder (GD) as a psychiatric diagnosis, there is a need to extend the knowledge of the clinical characteristics of patients seeking treatment for GD of all age groups. Compared to adolescents and young adults, less is known about treatment-seeking adults. This study aimed to investigate whether there are clinically relevant age-dependent differences among patients seeking treatment for GD.

Method

Participants were recruited among patients seeking treatment and fulfilling diagnosis for GD at an outpatient clinic specialized in the treatment of GD. During the study period, 142 patients went through assessment for GD at the clinic, 37 did not fulfill the diagnosis for GD, and 36 declined participation, leaving a sample of 69 patients (age range = 15-56) for analysis. The sample (men, n = 66; women, n = 3) was divided in two age groups: adolescents and young adults (25 years or younger) and adults (26 years or older). Gaming-related data and information about psychiatric co-morbidity was collected through structured clinical interviews and questionnaires.

Results

The adolescents and young adults (AYAs) reported a more rapid progression into problematic gaming than the adult group. The younger group developed problematic gaming four years faster than the adults. We also observed comparable clinical profiles in both groups. Both age groups had similar levels of GD as well as symptoms of psychiatric co-morbidities including possible attention deficit hyperactivity disorder (ADHD), autism spectrum disorders (ASD) and problematic gambling. We also noticed that half of our study population consisted of adults.

Conclusion

With the increasing prevalence of gaming in all age groups, it is unknown how the occurrence of GD will develop in different stages of life. We conclude that the adolescents and young adults had almost double as fast progression to problematic gaming than the adult group, highlighting the need for preventive strategies. The similarity in clinical profiles indicates that treatments with the same type of interventions could be offered to both age groups.

Digital Media Use Preference Indirectly Relates to Adolescent Social Anxiety Symptoms Through Delta-Beta Coupling

Adolescence is a period of profound biological and social-emotional development during which social anxiety symptoms commonly emerge. Over the past several decades, the social world of teens has been transformed by pervasive digital media use (e.g., social media, messaging apps), highlighting the urgent need to examine links between digital media use and mental health. Prior work suggests that a preference to use digital media to communicate emotions, rather than face-to-face contexts, is associated with emotion regulation vulnerabilities. Difficulties with emotion regulation are a hallmark of elevated anxiety, and the maturation of frontal-subcortical circuitry underlying emotion regulation may make adolescents especially vulnerable to the possible detrimental effects of digital media use. The current study leveraged an emerging neurophysiological correlate of emotion regulation, delta-beta coupling, which captures cortical-subcortical coherence during resting state. We test links among digital media use preferences, delta-beta coupling, and anxiety symptoms with a sample of 80 adolescents (47 females; 33 males) ages 12-15 years (M = 13.9, SD = 0.6) (80% White, 2% Black/African American, 16% more than one race, 2% Hispanic/Latine). Youth had their EEG recorded during 6 min of resting-state baseline from which delta-beta coupling was generated. Youth self-reported their social anxiety symptoms and preferences for digital media use vs face-to-face modalities. Greater digital media use preferences for both positive and negative social-emotional communication were associated with elevated social anxiety symptoms indirectly through high delta-beta coupling. This suggests that neural regulatory imbalance may be a pathway through which adolescents' habitual preferences for digital media use over face-to-face communication relate to elevated social anxiety.

Sense of Belonging at School and on Social Media in Adolescence: Associations with Educational Achievement and Psychosocial Maladjustment

Belongingness is a key factor in the psychological development and school adjustment of children and adolescents. Going beyond the existing literature, the present study evaluated the association between two sources of belongingness, namely sense of belonging at school (SOBAS) and on social media (SOBOSM), and both psychological maladjustment and educational achievement. Sample consisted of 698 early-to-late adolescents (52.3% female, mean age = 13.79 ± 2.09). Both SOBAS and SOBOSM showed negative direct associations with psychological maladjustment. SOBOSM showed a negative direct association with educational achievement. Social media addiction mediated the links between both SOBAS and SOBOSM and psychological maladjustment and education achievement. Overall, findings suggest that adolescents reporting high sense of belonging both at school and on social media may at lower risk for psychological maladjustment. However, adolescents reporting low SOBAS and high SOBOSM may also be a greater risk of SMA, possibly impacting their psychological health and school adjustement.

Adolescent Social Media Use through a Self-Determination Theory Lens: A Systematic Scoping Review

BACKGROUND

Social media is an integral part of adolescents' lives and has a strong influence on development and wellbeing. Research examining adolescent social media use and wellbeing is confusing as findings are inconsistent, inconclusive and contradictory. To address this issue, digital wellbeing scholars recommend that researchers adopt a theoretical approach with the aim of increasing meaningfulness and applicability of findings. Hence, this review applies self-determination theory to investigate how adolescent social media use supports and thwarts the basic psychological needs of relatedness, autonomy and competence. Satisfaction of all three psychological needs is essential for optimal development and wellbeing.

METHODS

A scoping review was conducted using a systematic search of five databases relating to adolescent social media use. The preferred items for systematic review and meta-analysis protocols (extension for scoping reviews) was applied resulting in 86 included studies.

RESULTS

Adolescent social media use both supports and thwarts relatedness, autonomy and competence. The findings highlighted how different aspects of adolescent social media use (including intra-personal, inter-personal, situational and environmental factors) contribute to the satisfaction and frustration of basic psychological needs.

CONCLUSIONS

This review illustrates how social media can be both beneficial and detrimental to satisfying the basic psychological needs of relatedness, autonomy and competence. This is important when considering that if psychological needs are satisfied or frustrated in adolescence, the repercussions can have a cascading effect throughout adulthood. This review identifies gaps in the literature and provides suggestions for future research.

Internet addiction among adolescents during the COVID-19 pandemic: Associations with sociodemographic and psychological distress

Background

The COVID-19 pandemic has had tremendous implications for billions of adolescents worldwide due to school closures, forcing students to embrace internet usage for daily tasks. Uncontrolled use of the internet among adolescents makes them vulnerable to internet addiction (IA). This study aims to determine the prevalence of IA among adolescents and assess its association with sociodemographic factors, smartphone use, and psychological distress during the pandemic.

Method

A cross-sectional self-administered online survey was conducted among students aged 13-17 from May 15th, 2021, until May 30th, 2021, using the Malay version of the Internet Addiction Test (MVIAT), the Depression, Anxiety, and Stress Scale (DASS-21), and the Coronavirus Impacts Questionnaires, as well as a sociodemographic information form. The data was analyzed with IBM SPSS Statistics version 23.

Results

A total of 420 adolescents participated in the survey. The majority of them (70.7%) were female, with a mean age of 15.47 years (±1.49 years old). About 45.5% of the respondents were classified as internet addicted users. The Chi-square test analysis showed that age (p = 0.002), smartphone usage (p = 0.010), rate of midnight use (p < 0.001), frequency (p < 0.001), duration (p < 0.001) of device usage, and presence of depression, anxiety, and stress (p < 0.001) were all significantly associated with IA. Multiple logistic regression showed age (aOR = 1.16, 95% CI [1.00-1.35], p = 0.048), smartphone usage (aOR =3.52, 95% CI [1.43-8.67], p = 0.006), mild or moderate depression (aOR = 2.43, 95% CI [1.36-4.34], p = 0.003), severe or extremely severe stress (aOR = 6.41, 95% CI [2.18-18.82], p = 0.001) were significantly related to IA.

Conclusions

Late adolescence, the use of smartphones, and the presence of psychological distress like depression, and stress were potentially associated with IA. Wise use of smartphones and early identification of any psychological distress among adolescents are warranted, especially during the pandemic.

Personality Traits and Internet Addiction among Adolescent Students: The Moderating Role of Family Functioning

Objectives: Internet addiction is a behavioral addiction characterized by excessive and compulsive use of the internet. The risk of internet addiction among adolescents has risen recently due to an increase in technological advancement and globalization. However, previous studies have focused on the precipitating factors triggering the internet addiction without looking at the exogenous factors and boundary conditions, such as family functioning, that can either sustain or weaken such behavior. Thus, the present study aimed to examine the moderating role of family functioning in the relationship between personality traits and internet addiction among adolescents. Methods: This study is a cross-sectional study consisting of 3150 adolescent students in the grade/class level of JSS1-SS3 who were assessed with standardized measures of the Big-Five Personality Inventory, Internet Addictive Test, and Family APGAR Index. Pearson correlation was used to explore the bivariate relationships between the demographic variable and other variables of interest, while Hayes regression-based PROCESS macro for SPSS was used to test the Hypotheses. Results: (1) Openness to experience, conscientiousness, extraversion, and neuroticism positively correlated with internet addiction, whereas agreeableness was negatively associated with internet addiction. (2) Positive family functioning correlated negatively with internet addiction. (3) Positive family functioning moderated the relationships of extraversion and agreeableness with internet addiction but not on openness to experience, conscientiousness, and neuroticism with internet addiction. Conclusions: Positive family functioning correlated negatively with internet addiction among adolescents, suggesting that improving family functioning would be a valuable tactic for reducing adolescents' susceptibility to personality-related internet addiction.

Problematic Internet Use Among Adolescent Male and Female Psychiatric Inpatients: A Gender Perspective

Problematic internet use (PIU) is of treatment interest in adolescent clinical samples. Gender specific differences in terms of personality traits and psychopathological symptoms remain unclear. In an adolescent clinical sample (n = 104; 69 girls) PIU, psychopathology, temperament and character traits as well as emotional and behavioral problems were assessed. 62% of the sample showed subthreshold PIU and 34% full PIU (fPIU). Boys reported more gaming whereas girls social networking. Sex specific analyses revealed gender differences: Girls with fPIU scored significantly higher on internalizing/externalizing problems/behavior, novelty seeking and transcendence, and lower on persistence, self-directedness, and cooperativeness than girls without fPIU. Boys with fPIU scored significantly higher on internalizing problems and self-transcendence and lower on harm avoidance than boys without fPIU. Gender plays an important role in PIU. Gender specific differences in both application use as well as symptomatic, temperament and character traits call for a gender specific approach in prevention and treatment integration.

Parental attachment security and problematic internet use in children: The mediating role of maladaptive cognitive emotion regulation strategies

Problematic Internet Use (PIU) is a growing problem among children. Insecure attachment has been associated with PIU and emotion dysregulation. Furthermore, there is evidence suggesting that maladaptive Cognitive Emotion Regulation Strategies (CERS), such as Self-blame, Rumination, Catastrophizing and Other-blame, lead to PIU, nevertheless, the mediating role of CERS between attachment and PIU has not been explored. A sample of 641 children (M = 10.15; SD = .89) participated in the study. The findings showed that there were significant differences between problematic and non-problematic users in terms of secure attachment and emotion dysregulation. Results show a negative association between attachment security and PIU and a negative association between attachment and maladaptive CERS, whilst maladaptive CERS were positively related with PIU. Finally, maladaptive CERS, particularly Rumination, were found to mediate the relationship between attachment security and PIU. However, Catastrophizing and Other Blame partially mediated the relationship between maternal attachment, but not the relationship between Father attachment and PIU. Limitations and implications are discussed, motivating the promotion of prevention and intervention programs.

Adolescent coping and social media use moderated anxiety change during the COVID-19 pandemic

INTRODUCTION

Adolescence is a sensitive period during which stressors and social disruptions uniquely contribute to anxiety symptoms. Adolescent's coping strategies (i.e., avoidance and approach) during the coronavirus disease 2019 (COVID-19) pandemic may be differentially related to anxiety symptom changes. Further, social media use (SMU) is ubiquitous and may serve as an avenue to deploy avoidant and/or approach coping.

METHOD

Participants included 265 adolescents (ages 12-20 years; 55.8% female, 43.8% male) and one parent per adolescent. At two time points separated by ~6 months, adolescents reported on SMU and coping strategies, and parents and adolescents reported demographic information and adolescents' anxiety symptoms. Data were collected online in the United States, from summer 2020 through spring 2021.

RESULTS

Increases in avoidant coping predicted increasing anxiety, particularly when approach coping decreased. Decreases in both avoidant coping and SMU coincided with decreasing anxiety. Older adolescents showed decreasing anxiety when avoidant coping declined and SMU increased.

CONCLUSION

Coping strategies and SMU predicted patterns of adolescent anxiety symptom change across 6 months during the COVID-19 pandemic. Results highlight that coping and SMU should be contextualized within the time course of stressors.

Internet Use and Perceived Parental Involvement among Adolescents from Lower Socioeconomic Groups in Europe: An Exploration

Internet usage is a salient developmental factor in adolescents' lives. Although relevant correlates of Internet use have been documented earlier, there is a lack of information on lower socioeconomic status groups. This is important, as these adolescents have increased risk of negative online experiences. The current survey aimed to explore Internet use and parental involvement amongst adolescents from areas of socio-economic disadvantage in 30 urban schools across five European countries. A total of 2594 students participated, of whom 90% were 14-16 years. Virtually all adolescents of socioeconomic disadvantage had Internet access, with 88.5% reporting spending more than two hours per day online, often on apps such as Instagram, Snapchat, and YouTube. Almost one-third of adolescents did not talk with their parents about their Internet use and almost two-thirds indicated that their parents were only a little or not interested in their Internet use. A consistent finding across countries was that girls more often talked with their parents about their Internet use and more often reported that their parents were interested in their Internet use than boys. The results suggest that parents have an important task in explicitly showing interest in their adolescents' Internet use, with special attention needed for boys.

Sex and national differences in internet addiction in Egypt and Saudi Arabia

BACKGROUND

Understanding individual differences in psychology, and how they relate to specific addictions, may allow society to better identify those at most risk and even enact policies to ameliorate them. Internet addiction is a growing health concern, a research focus of which is to understand individual differences and the psychology of those most susceptible to developing it. Western countries are strongly overrepresented in this regard.

METHOD

Here, sex and national differences in internet addiction are measured, using Young's 'Internet Addiction Test,' in two non-Western countries, Egypt and Saudi Arabia. >800 students aged 18 and 35 years (M = 20.65, SD = 1.48) completed a multidimensional internet addiction instrument. The instrument measures traits such as Withdrawal and Social Problems, Time Management and Performance and Reality Substitute.

RESULTS

Analyses revealed that males scored higher than females and Saudis higher than Egyptians on nearly all scales, including the total score. Factor analysis of the 20-item instrument revealed three factors, all exhibiting sex and culture differences.

CONCLUSIONS

These findings add to the body of evidence that males are higher than females in problematic internet use, as they are in addictive behaviors in general. Our findings may also imply that restrictions on male-female interaction, which are more pronounced in Saudi Arabia, may elevate the prevalence of internet addiction. The internet is also easier and cheaper to access in Saudi Arabia than in Egypt.

Problematic Internet Use in adolescents: New psychometric evidence for the Spanish short form of the Compulsive Internet Use Scale

OBJECTIVES

Problematic Internet Use (PIU) has become a worldwide problem in recent years. Among screening instruments for PIU, the Compulsive Internet Use Scale (CIUS) is perhaps the most widely used. Psychometric properties of the full CIUS are not convincing, however, and the short form (CIUS-S) has shown promising results, albeit limited to the English version, with little evidence in Spanish. Therefore, the aim of the present work was to study the psychometric properties of the CIUS-S scores in a large sample of Spanish adolescents.

METHOD

The sample consisted of 1790 participants, 816 male (45.6%), 961 female (53.7%), and 13 other (0.7%) . Mean age was 15.70 years (SD = 1.26).

RESULTS

The five-items one-dimensional model displayed appropriate goodness-of-fit indices. Strong measurement invariance model across age and partial across gender was found. Furthermore, the CIUS-S was positively associated with several indicators of poor well-being and mental health, and negatively associated with prosocial behavior, self-esteem, and feeling of belonging.

CONCLUSION

Overall, the CIUS-S scores appear reliable and valid in its Spanish version for adolescent populations, supporting its aim to detect and prevent a problem that has become a major worldwide issue in the last years.

Internet addiction and depression among Chinese adolescents: anxiety as a mediator and social support as a moderator

This study constructed a moderated mediation model to investigate the mediating effect of anxiety and the moderating effect of social support between Internet addiction and depression. A sample of 17 058 middle school students in one district of Chengdu were selected. The Internet Addiction Test (IAT), Generalized Anxiety Disorder (GAD-7), Patient Health Questionnaire (PHQ-9), and Social Support Scale for adolescents were used to investigate their Internet addiction, anxiety, depression and social support. The descriptive statistics and Spearman correlation analysis were performed with SPSS 25.0. An SPSS macro process was used to analyze the data from complex models that contained mediators and moderators. The results show that adolescents with Internet addiction are more likely to suffer from depression. Anxiety partially mediated the relations between Internet addiction and depression. Social support moderated both direct and indirect pathways leading from Internet addiction to depression, and these two effects were stronger for adolescents with low social support than for those with high social support. It will be possible for researchers to gain a better understanding of the conditions, pathways, and effects of Internet addiction on depression in adolescents through the results of this study.

Association Between Internet Searches Related to Suicide/Self-Harm and Adolescent Suicide Death in South Korea, 2016–2020: Data Analysis Study (Preprint)

BACKGROUND

Previous studies have investigated the association between suicide and internet search volumes of terms related to suicide or self-harm. However, the results varied by people's age, period, and country, and no study has exclusively investigated suicide or self-harm rates among adolescents.

OBJECTIVE

This study aims to determine the association between the internet search volumes of terms related to suicide/self-harm and the number of suicides among South Korean adolescents. We investigated gender differences in this association and the time lag between the internet search volumes of the terms and the connected suicide deaths.

METHODS

We selected 26 search terms related to suicide and self-harm among South Korean adolescents, and the search volumes of these terms for adolescents aged 13-18 years were obtained from the leading internet search engine in South Korea (Naver Datalab). A data set was constructed by combining data from Naver Datalab and the number of suicide deaths of adolescents on a daily basis from January 1, 2016, to December 31, 2020. Spearman rank correlation and multivariate Poisson regression analyses were performed to identify the association between the search volumes of the terms and the suicide deaths during that period. The time lag between suicide death and the increasing trend in the search volumes of the related terms was estimated from the cross-correlation coefficients.

RESULTS

Significant correlations were observed within the search volumes of the 26 terms related to suicide/self-harm. The internet search volumes of several terms were associated with the number of suicide deaths among South Korean adolescents, and this association differed by gender. The search volume for "dropout" showed a statistically significant correlation with the number of suicides in all adolescent population groups. The correlation between the internet search volume for "dropout" and the connected suicide deaths was the strongest for a time lag of 0 days. In females, self-harm and academic score showed significant associations with suicide deaths, but academic score showed a negative correlation, and the time lags with the strongest correlations were 0 and -11 days, respectively. In the total population, self-harm and suicide method were associated with the number of suicides, and the time lags with the strongest correlations were +7 and 0 days, respectively.

CONCLUSIONS

This study identifies a correlation between suicides and internet search volumes related to suicide/self-harm among South Korean adolescents, but the relatively weak correlation (incidence rate ratio 0.990-1.068) should be interpreted with caution.

Problematic Internet Use among Adults: A Cross-Cultural Study in 15 Countries

BACKGROUND

The present study compared adult usage patterns of online activities, the frequency rate of problematic internet use (PIU), and risk factors (including the psychopathology associated with PIU, i.e., distress and impulsivity) among adults in 15 countries from Europe, America, and Asia.

METHODS

A total of 5130 adults from Belgium, Finland, Germany, Italy, Spain, France, Switzerland, Hungary, Poland, UK, Norway, Peru, Canada, US, and Indonesia completed an online survey assessing PIU and a number of psychological variables (i.e., depression, anxiety, stress, and impulsivity). The sample included more females, with a mean age of 24.71 years (SD = 8.70).

RESULTS

PIU was slightly lower in European countries (rates ranged from 1.1% in Finland to 10.1% in the UK, compared to 2.9% in Canada and 10.4% in the US). There were differences in specific PIU rates (e.g., problematic gaming ranged from 0.4% in Poland to 4.7% in Indonesia). Regression analyses showed that PIU was predicted by problematic social networking and gaming, lack of perseverance, positive urgency, and depression.

CONCLUSIONS

The differences in PIU between countries were significant for those between continental regions (Europe versus non-European countries). One of the most interesting findings is that the specific PIU risks were generally low compared to contemporary literature. However, higher levels of PIU were present in countries outside of Europe, although intra-European differences existed.

Prevalence and determinants of Internet Addiction among medical students and its association with depression

BACKGROUND

Internet addiction has been a topic of discussion in the academic literature for many years. As of April 2020, about 60 % of the world's population (nearly 4.6 billion people) were active internet user in their early adulthood. The prevalence among adolescent and college students ranged from 0.9 % to 33 %. The current study aimed to explore internet addiction's prevalence and correlates among undergraduate medical students at an Egyptian university. Also, to assess the relationship between internet addiction, depression symptoms, and socioeconomic status.

METHODS

A cross-sectional study of 321 undergraduate medical students at Assiut University using the Internet Addiction Scale, Patient Health Questionnaire, and Family Affluence Scale.

RESULTS

About 9 % of the study participants screened positive for internet addiction. The most important determinants among medical students were sex, mother's employment status, family affluence, depressive symptoms, and unmonitored internet access.

LIMITATIONS

We did not investigate another psychiatric disease, daily time of internet usage, most frequent time of usage, type of internet usage, and cost of use.

CONCLUSIONS

Internet Addiction is an important psychological problem affecting about 9 % of Assiut university medical students during their undergraduate stage, which may interfere with their lives and studies. Students with lower Internet addiction rates were female students whose mothers were employed, lived in a low affluence family, had fewer depressive symptoms, and had unmonitored internet privacy.

Relationship between view of context, psychosocial malaise and problematic internet use: mediation analysis using partial least squares structural equation modelling

BACKGROUND

According to more recent approaches on problematic internet use (PIU), using the internet can be seen as a way of compensating for psychosocial malaise. Taking semiotic cultural psychology theory as its theoretical framework, this study examines the role of affect-laden assumptions concerning the world, known as latent dimensions of sense (LDSs), in promoting (or not) adaptive responses, including internet use as a maladaptive strategy against problems and difficulties.

AIMS

To test a theoretical model in which PIU is predicted by LDSs through the mediation of high levels of psychosocial malaise.

METHOD

We measured PIU (using the Generalized Problematic Internet Use Scale 2), LDSs (View of Context questionnaire), negative affect (Positive and Negative Affect Schedule), social anxiety (Interaction Anxiousness Scale) and loneliness (Italian Loneliness Scale) in 764 Italian adolescents (mean age 15.05 years, s.d. = 1.152 years). LDSs were detected using a multiple correspondence analysis; after confirmatory composite analysis, partial least squares structural equation modelling with higher-order components was performed to test the mediation model.

RESULTS

The results show a relationship between LDSs corresponding to an extreme negative evaluation of the sociocultural context, experienced as absolutely unreliable, and PIU through the mediation of psychosocial malaise (95% CI 0.101- 0.171; P = 0.000).

CONCLUSIONS

Overall, the findings suggest that PIU might be a way of compensating for unpleasant states in a context perceived in an extremely negative and homogenising way, i.e. as totally lacking resources and trustworthy people.

Antecedents and consequences of internet addiction among school and college students: evidence from India

Purpose

Internet addiction (IA) has become a global health problem. As the research on IA has progressed, this study aims to explore the antecedents and consequences of IA, particularly in the Indian context. A conceptual model was developed, and hypotheses were formulated based on the conceptual model and the hypotheses were tested.

Design/methodology/approach

This study investigated 752 schools and collected students from the southern part of India. First, psychometric properties of the survey instrument were tested, and hierarchical regression was used to test the hypotheses.

Findings

The results revealed that time spent on the internet every day is positively related to IA, internet experience in terms of years is positively related to IA, income and gender moderates the relationship between time spent every day on the internet and internet experience and IA and IA is positively related to time spent on networking, video streaming, short video apps, educational apps, chat apps, online shopping apps, money-involved apps, etc.

Practical implications

The outcomes of this study are essential for the school and college students and their parents. As IA has become chronic in the present-day digital world, it is necessary to take rectification measures to avoid facing the perils of IA. The conceptual model provides a simple framework of explaining how young students spend their time on the internet to become addicted gradually. Furthermore, this study highlights the importance of controlling the younger generation's behavior, particularly regarding internet use.

Originality/value

This study is unique and innovative to the extent that it explores the antecedents of IA and the moderating role of gender and income in the relationship between the time spent on the internet and the IA. To the best of the authors’ knowledge, developing a conceptual model is the first of its kind to study school and college students in India.

Prevalence and Pattern of Internet Addiction Among Adolescents in Ibadan, Nigeria: A Cross-Sectional Study

Background and objective

Despite the potential benefits the Internet offers, it is prone to excessive and uncontrolled use, thus resulting in a condition called Internet addiction (IA). This study aimed to describe the prevalence of Internet addiction (IA) among in-school adolescents in Ibadan, Southwest Nigeria.

Materials and methods

A descriptive cross-sectional study was conducted among 632 adolescents using a two-stage sampling technique. IA was assessed using the 20-question Internet addiction test (IAT). Responses to each question ranged from “0” (i.e., “never”) to “5” (i.e., “always”). Cumulative IAT scores > 50% suggested the presence of IA. Chi-square tests were conducted to determine the association between adolescents’ characteristics and IA. Statistically significant variables were pooled into the binary logistic regression model. P-values < 0.05 were statistically significant.

Results

The mean age of the adolescents was 16.03 ± 1.26 years, and 347 (54.9%) were males. A total of 284 (44.9%) adolescents had IA: 174 (42%) accessed the Internet in both home and school settings (ᵡ² = 4.103, p = 0.043), and 174 (42%) accessed the Internet at home only (ᵡ² = 5.003, p = 0.025). Adolescents who accessed the Internet from both home and school settings had higher odds of developing IA (adjusted odds ratio (AOR) = 1.408, 95% confidence interval (CI) = 0.986-2.012, p = 0.060), as well as those who accessed the Internet from home settings only (AOR = 1.404, 95%CI = 1.010-1.953, p = 0.043). Adolescents who gained four to six hours of Internet connection weekly had two times odds of developing IA (AOR = 1.404, 95%CI = 1.010-1.953, p = 0.043), and those who gained more than six hours of Internet connection had more than three times odds of developing IA (AOR = 3.424, 95%CI = 1.937-6.053, p = 0.043).

Conclusion

To prevent IA, adolescents should develop self-control skills and self-regulation of Internet use. Likewise, Internet access should be restricted from both home and school settings, and adolescents’ Internet access should be monitored and regulated from both home and school settings.

The phubbing phenomenon: a cross-sectional study on the relationships among social media addiction, fear of missing out, personality traits, and phubbing behavior

Pathological phubbing behavior has become an increasingly prevalent issue in recent years yet research surrounding these technological concerns remains scarce. The current study seeks to contribute to this limited body of research by providing insight into the antecedents of excessive and severe phubbing behavior and potential risk factors of pathological technology use as a whole. 938 undergraduate students participated in a cross-sectional study to determine whether demographic variables, personality traits, and degrees of social media addiction and fear of missing out could explain phubbing behavior. Participants responded to a survey that included the Bergen Social Media Addiction Scale (BSMAS), Fear of Missing Out Scale (FoMO), Ten-Item Personality Inventory (TIPI), and Phubbing Scale (Phubbing). Bivariate correlations identified that BSMAS and FoMO were significantly positively correlated with phubbing while TIPI displayed a significantly negative correlation with phubbing. Further, hierarchical multiple regression analyses established that BSMAS holds the most predictive power for phubbing while FoMO displayed a significantly less robust predictive power. TIPI was shown to be significant but served less to explain the variance in phubbing behaviors.

Positive Youth Development and Internet Use in a Sample of Spanish Adolescents

During the COVID-19 pandemic, the use of Internet in the adolescent population has increased. A growing research interest has been developed about the consequences of Internet use for adolescent development. Despite most studies have examined the impact of Internet use on some indicators of psychological maladjustment, few studies have addressed the detrimental impact on the positive indicators of mental health. Positive youth development (PYD) represents a positive view of adolescent transition to adulthood which focuses on building the strengths that make young people more resistant to negative outcomes and more capable to choose a positive life direction. This study aimed to analyze the relationships between different aspects of Internet use and overall PYD in a sample of Spanish adolescents. To reach this aim, a sample of 1,038 adolescents (50.1% boys, M age = 14.19, SD = 1.38), enrolled in 14 high schools in the city of Huelva (Spain), filled in some self-report measures of PYD and Internet use and experience, such as the frequency of Internet use on weekdays or weekends, the different uses of Internet (i.e., social networks, playing online, reading, surfing or looking for information, playing or downloading music, and searching, selling, or buying products), and the subjective experience using the Internet (i.e., acknowledgment of spending too much time playing or in the networks, and being in a bad mood if they do not play or use the networks). Results of a hierarchical regression analysis showed that the more hours using Internet on weekdays, the less PYD. Moreover, the experience of feeling bad when not using the networks and spending too much time with online playing was related to lower PYD. However, the use of Internet for reading or looking for information had a positive association with PYD. These results suggest some implications for practice, such as the need to promote an adaptive Internet use, by providing a safe online context that encourages the acquisition of positive social values and life skills.

Internet Addiction

Different educational programs aim to reduce or control Internet addiction. These are based on a traditional methodology that can be recognized as an exposition or master class (participatory or not). In this type of educational programs the student acquires a passive role since they are focused on informing the students of the dangers associated with the development of Internet addiction, but not on the treatment or changes in behavior. If we review these educational programs it can see how they have little effect on students. For this reason, a new educational program approach has been created that fights or limits Internet addiction through a methodological proposal that also focuses on increasing digital competence while limiting or controlling the evolution of Internet addiction. In this article, the design is presented.

The Relationship Between Self-Control and Internet Addiction Among Students: A Meta-Analysis

As past studies of self-control and Internet addiction showed mixed results, this meta-analysis of 83 primary studies with 80,681 participants determined whether (a) these students with less self-control had greater Internet addiction, and (b) age, culture, gender, Internet addiction measures, or year moderated these relations. We used a random-effects meta-analysis of Pearson product-moment coefficients r with Fisher’s z-transformation and tested for moderation with the homogeneity tests. The results showed a positive link between impulsivity and Internet addiction (r = 0.371, 95% CI = [0.311, 0.427]) and a negative link between restraint and Internet addiction (r = −0.362, 95% CI = [−0.414, −0.307]). The moderation analysis indicated that the correlation between impulsivity indicators and greater Internet addiction was stronger among undergraduates (18–22 years old) than among adolescents (10–17 years old). Furthermore, the negative link between a restraint indicator and Internet addiction was greater (a) among students in East Asia than those in Western Europe/North America, (b) among males than females and (c) when using the Internet addiction measures GPIUS or IAT rather than CIAS. Hence, these results indicate a negative link between self-control and Internet addiction, and this link is moderated by age, culture, gender, and Internet addiction measure.

Draconian policy measures are unlikely to prevent disordered gaming

In August of 2021, China imposed severe restrictions on children's online gaming time. We argue that such a policy may seem useful on the surface but does not reflect the current evidence concerning prevention of disordered gaming. Videogame play is normal for children worldwide, and like other leisure activities can lead to benefits for the majority and problems for a minority. Problematic or disordered play results from the interaction of multiple risk factors that are not addressed by draconian policy measures. Identifying these factors through stakeholder-engaged research and current evidence will be much more likely to succeed in preventing disordered gaming and promoting youth wellbeing.

Internet addiction and sleep quality among medical students during the COVID-19 pandemic: A multinational cross-sectional survey

BACKGROUND

The emergence of the COVID-19 pandemic has affected the lives of many people, including medical students. The present study explored internet addiction and changes in sleep patterns among medical students during the pandemic and assessed the relationship between them.

METHODS

A cross-sectional study was carried out in seven countries, the Dominican Republic, Egypt, Guyana, India, Mexico, Pakistan, and Sudan, using a convenience sampling technique, an online survey comprising demographic details, information regarding COVID-19, the Pittsburgh Sleep Quality Index (PSQI), and the Internet Addiction Test (IAT).

RESULTS

In total, 2749 participants completed the questionnaire. Of the total, 67.6% scored above 30 in the IAT, suggesting the presence of an Internet addiction, and 73.5% scored equal and above 5 in the PSQI, suggesting poor sleep quality. Internet addiction was found to be significant predictors of poor sleep quality, causing 13.2% of the variance in poor sleep quality. Participants who reported COVID-19 related symptoms had disturbed sleep and higher internet addiction levels when compared with those who did not. Participants who reported a diagnosis of COVID-19 reported poor sleep quality. Those living with a COVID-19 diagnosed patient reported higher internet addiction and worse sleep quality compared with those who did not have any COVID-19 patients in their surroundings.

CONCLUSION

The results of this study suggest that internet addiction and poor sleep quality are two issues that require addressing amongst medical students. Medical training institutions should do their best to minimize their negative impact, particularly during the current COVID-19 pandemic.

Stressors and Coping Methods of Turkish Adolescents With High and Low Risk of Depression: A Qualitative Study

BACKGROUND

Stress and coping skills are essential factors in the etiology of depression. Understanding the stressors and coping strategies of adolescents in Turkey may help determine the content of the country-specific depression prevention program.

AIMS

The purpose of this study was to understand the stressors of adolescents with a high or low risk of depression and how they coped with these stressors.

METHOD

This descriptive qualitative study was conducted in a high school in western Turkey. The data were collected via semistructured individual interviews. Eleven adolescents with high risk of depression and 10 adolescents with low risk of depression were included in the study. Content analysis technique was used to analyze the data.

RESULTS

The stressors of adolescents and their coping were grouped into three themes: stressors, factors affecting coping strategies of adolescents, and coping. Stressors theme consists of three subthemes: family relationship, peer relationship, and telephone/internet usage. The factors affecting coping strategies of adolescents theme consists of four subthemes: cognitive distortions, self-perception, family relationships, and peer relationships. The coping theme consists of two subthemes: engagement coping and disengagement coping.

CONCLUSIONS

It was determined that adolescents with a high risk of depression had more stressors and used more disengagement-coping techniques. It is recommended that to prevent depression among adolescents, school nurses should take initiatives to strengthen the coping strategies of adolescents with high risk of depression.

Adolescents' Online Pornography Exposure and Its Relationship to Sociodemographic and Psychopathological Correlates: A Cross-Sectional Study in Six European Countries

The aim of the study was to assess the prevalence of online exposure to pornography in European adolescents and its relationship to sociodemographic and psychopathological correlates. A cross-sectional school-based survey of 10,930 adolescents (5211 males/5719 females), aged 14-17 years old (mean age 15.8 ± 0.7) was carried out in six European countries (Greece, Spain, Poland, Romania, the Netherlands, and Iceland). Anonymous self-completed questionnaires covered exposure to pornography, internet use and dysfunctional internet behavior, and psychopathological syndromes (measured by Achenbach's Youth Self-Report). The prevalence of any online exposure to pornography was 59% overall and 24% for exposure at least once a week. The likelihood of online exposure to pornography was greater in male adolescents, heavier internet users, and those who displayed dysfunctional internet behavior. Country-specific analyses confirmed that the gender effect existed in every country, although its strength varied, from an odds ratio of 1.88 in Poland to 14.9 in Greece. Online exposure to pornography was shown to be associated with externalizing problem scale scores, especially rule-breaking and aggressive behavior, but also associated with higher scores in competences, namely activities and social competence. Exposure to pornography is ubiquitous, more relevant to boys, and is associated with both positive qualities/competences and externalizing behavioral problems.

Cyberbullying Victimization in WhatsApp Classmate Groups among Israeli Elementary, Middle, and High School Students

In recent years children and adolescents lead their social lives in the virtual world no less than in the real one. Social networking sites such as WhatsApp play a major role as popular social communication platforms. More than 97% of Israeli youth use WhatsApp and are members of WhatsApp classmate groups. The growing use of WhatsApp is accompanied by increased frequency of cyberbullying, that is, intended and repeated aggressive online behavior aimed to inflict harm. Cyberbullying victimization has received a fair amount of attention due to its association with serious psychosocial, affective, behavioral, and academic problems. Although much has been written about cyberbullying on Facebook, literature about WhatsApp and cyberbullying is scarce. Based on a large-scale survey that examined the prevalence and expressions of cyberbullying the current cross-sectional study provides a detailed description of cyberbullying victimization in WhatsApp classmate groups across grade level and gender among Israeli school-age children and adolescents. The study included 4,477 elementary, middle, and high school students in Israel who completed questionnaires regarding cyberbullying victimization in their WhatsApp classmate groups. According to the study findings, approximately 30% of all survey participants report personal victimization from cyberbullying in their WhatsApp classmate groups, and almost double that report victimized aggression at least once in the recent past. Demographic variables such as school grade level and gender appear to moderate cyberbullying. Increased cyberbullying was found in elementary school compared with middle and high school, and more female compared with male students were victims of cyberbullying in WhatsApp classmate groups. The article outlines several areas of concern in cyberbullying research and discusses issues that future research might address. Education policy guidelines and implications for intervention are also discussed.

Psychosocial health of adolescents in relation to underweight, overweight/obese status: the EU NET ADB survey

BACKGROUND

Both deviations from normal weight, namely, underweight and overweight/obese status, have been inversely associated with psychosocial health in adolescents. This study aimed to examine the relationship between psychosocial health and body mass index (BMI) among adolescents in five European countries, while assessing the effect of sociodemographic variables.

METHODS

A cross-sectional school-based study of adolescents aged 14-17.9 years was conducted in the framework of the European Network for Adolescent Addictive Behavior survey. Self-reported questionnaires from Greece, Iceland, the Netherlands, Romania and Spain were used for the current analysis. Associations between Youth Self-Report (YSR) scales and BMI status were investigated by multiple logistic regression analysis. The effect of sociodemographic variables was also measured.

RESULTS

Τhe sample consisted of 7005 adolescents aged 14-17.9 years. Borderline/clinical scores on some YSR scales were independently associated with overweight/obesity, specifically total problems (OR = 1.52, 95% CI: 1.18-1.96), internalizing ( OR = 1.48, 95% CI: 1.16-1.91), externalizing (OR = 1.36, 95% CI: 1.10-1.68), social (OR = 1.67, 95% CI: 1.19-2.35) and thought problems (OR = 1.62, 95% CI: 1.20-2.20). Among subscales, overweight/obesity specifically correlated with anxiety/depression (OR = 1.83, 95% CI: 1.33-2.51), withdrawal/depression (OR = 1.58, 95% CI: 1.02-2.48) and rule-breaking behavior (OR = 1.55, 95% CI: 1.15-2.08). Underweight was associated with problems on activities (OR = 1.31, 95% CI: 1.01-1.68) and withdrawal/depression (OR = 1.95, 95% CI: 1.27-3.01).

CONCLUSIONS

Lower levels of psychosocial health are associated with both deviations from normal weight. These findings suggest the need for health policies that target health habits and lifestyle, as well as positive attitudes towards the body image, with respect to the different psychosocial characteristics of each body weight status category.

Internet Addiction Status and Related Factors among Medical Students: A Cross-Sectional Study in Western Iran

BACKGROUND

In recent years, Internet and social media technology use have emerged as an integral tool of human society, and the evolution of technological integration, cyberspace, and web-technology has become a common practice in educational institutions. Internet usage among students has played an indispensable role in learning behavior; however, the excessive usage of the internet and social media leads to internet addiction. This original study has performed a focalized scrutiny on revealing relationships between internet addiction and associated factors among the students of medicine, dentistry, and pharmaceutical departments.

METHODS

This descriptive and analytical study recruited medical students from the Self-governing Education Incubator of Kermanshah. This survey distributed questionnaires among the respondents' three departments, and this statistical data reported on 420 valid responses of the respondents. They represent first and second-semester medical students of the academic year 2017-2018. The study selected medical students by applying Cochran's Sample Size Formula through Stratified Random Sampling and cross-sectional research design. The survey has utilized a demographic questionnaire of Young's Internet Addiction Test (IAT) for the data collection. The study analyzed received data by using SPSS version 23 and performed the descriptive statistics, and analytical statistics (t-test and ANOVA).

RESULTS

The results of the present study established that the majority of subjects were female students (53.3%), and the average age was 23.84 ± 2.14, including the students of all departments. Besides, findings specified that the overall mean and standard deviation scores were 3.34 and ±0.88. Internet addiction revealed mean and the standard deviation score measured for all students 3.29 ± 0.73, 3.17 ± 0.92, and 3.57 ± 0.64 correspondingly. The survey results illustrated that medical students' internet addiction substantially correlated with demographic variables, such as age, marital status, the field of study, academic term, significant time of consuming the internet, the key reason of utilizing the internet, and daily usage of the internet (p < .05).

CONCLUSION

The results of the study specified that 25% of medical students showed internet addiction. The students are increasingly using the internet, and it has penetrated among students. The design and implementation of adequate educational programs and the application of internet-based efficiency interventions are essential for both knowledge acquisition and medical students' healthy behavior.

Health impacts of excessive use of Facebook among university students in Bangladesh

The internet has become an essential part of our daily life. But excessive usage can have a negative impact on the physical health of its users. Over the last decade, the use of Social Media (Facebook) has been increasing rapidly and the younger generations getting addicted to it. But all possible health impacts of excessive use of internet are yet to be thoroughly evaluated, especially in such a developing country as Bangladesh. The present study aims to understand possible health deteriorations from excessive use of Facebook in a cohort of university students of Bangladesh. A cross-sectional study was conducted on 1186 students from two public universities and 1472 from several private universities of Bangladesh using a comprehensive questionnaire. The data were analyzed using the chi-square test to understand the association between Facebook usage behaviors and physical health status. We found that ~70% of the students used the internet for at least 4–6 hours/day, and ~27% of them used Facebook for >3 hrs. Students frequently use social media (mostly Facebook) for news and social communication. About 50% of the students reported wasting time on Facebook and going to sleep late because of it. Importantly, 47.3% students reported that excessive use of Facebook results sleeping disturbance and has a negative impact on the concentration of daily works/studies (p < 0.001). In addition, they experienced several other health problems, including worsening eyesight (71.2%), headaches (15.4%), back and neck pain (28%). Although not statistically important, a fair number of students sought medical attention due to the daily excessive use of internet (p-value = 0.112). These findings demands better understanding of the all possible impacts of using excessive internet among the University students, which can help take the necessary initiatives to encourage good use of the internet. Further extension of this study is suggested at all education levels to reveal the full scenario of degree of excessive internet use and its impact on the healths of Bangladeshi students.

•

~70% University students of Bangladesh use internet for at least 4–6 hrs/day, among them ~27% use Facebook for >3 hrs.

•

Around half of the students felt using Facebook wasted time and reported sleeping disturbances.

•

Excessive use of internet caused problems such as weakening vision, occasional and frequent headaches, and back and neck pain.

Factors related to Internet and game addiction among adolescents: A scoping review

Background

Understanding factors influencing Internet and game addiction in children and adolescents is very important to prevent negative consequences; however, the existing factors in the literature remain inconclusive.

Objective

This study aims to systematically map the existing literature of factors related to Internet and game addiction in adolescents.

Methods

A scoping review was completed using three databases - Science Direct, PROQUEST Dissertations and Theses, and Google Scholar, which covered the years between 2009 to July 2020. Quality appraisal and data extraction were presented. A content analysis was used to synthesize the results.

Results

Ultimately, 62 studies met inclusion criteria. There were 82 associated factors identified and grouped into 11 categories, including (1) socio-demographic characteristics, (2) parental and family factors, (3) device ownership, Internet access and location, social media, and the game itself, (4) personality/traits, psychopathology factors, self-efficacy, (5) education and school factors, (6) perceived enjoyment, (7) perceived benefits, (8) health-compromising behaviors, (9) peers/friends relationships and supports, (10) life dissatisfaction and stress, and (11) cybersafety.

Conclusion

Internet and game addiction among adolescents are multifactorial. Nurses should consider the factors identified in this study to provide strategies to prevent and reduce addiction in adolescents.

Cyberbullying and Obesity in Adolescents: Prevalence and Associations in Seven European Countries of the EU NET ADB Survey

Background: overweight and obese individuals may often face aggressive messages or comments on the internet. This study attempts to evaluate the association between cyberbullying victimization and overweight/obesity in adolescents participating in the European Network for Addictive Behavior (EU NET ADB) survey. Methods: a school-based cross-sectional study of adolescents aged 14–17.9 years was conducted (n = 8785) within the EU NET ADB survey, including data from seven European countries (Germany, Greece, Iceland, the Netherlands, Romania, Poland, Spain). Complex samples and univariate and multivariate logistic regression analyses were performed. Results: overall, overweight adolescents were more likely to have been cyberbullied compared to their normal weight peers (adjusted OR (Odds ratio) = 1.20, CI (confidence intervals): 1.01–1.42); this association was pronounced in Germany (adjusted OR = 1.58, CI: 1.11–2.25). In Iceland, obese adolescents reported cyberbullying victimization more frequently compared to their normal weight peers (adjusted OR = 2.87, 95% CI: 1.00–8.19). No significant associations with cyberbullying victimization were identified either for obese or overweight adolescents in Greece, Spain, Romania, Poland, and the Netherlands. Conclusions: this study reveals an overall association between cyberbullying victimization and overweight on the basis of a sizable, representative sample of adolescent population from seven European countries. Country-specific differences might reflect differential behavioral perceptions, but also normalization aspects.

Positive Youth Development Attributes and Parenting as Protective Factors Against Adolescent Social Networking Addiction in Hong Kong

This study examined the predictive effects of 15 positive youth development (PYD) attributes and parenting behavior on adolescent social networking addiction (SNA) in a representative sample of Hong Kong students. In total, 1,896 Hong Kong Secondary 1 students from 20 randomly selected schools (age = 13.19 ± 0.52 years) completed the Bergen Social Media Addiction Scale (BSMAS), the Chinese Positive Youth Development Scale, and the Chinese Parenting Behavior Scale. Of the participants, 11.4% could be classified as being addicted to Social Networking Sites (SNSs). Regression analyses showed that students' emotional competence (β = -0.09; p < 0.01), behavioral competence (β = -0.12; p < 0.001), beliefs in the future (β = -0.10; p < 0.01), and spirituality (β = -0.08; p < 0.01) were negatively associated with SNA, while social competence (β = 0.07; p < 0.05) and positive identity (β = 0.13; p < 0.001) were positively related to SNA. Paternal and maternal responsiveness showed indirect effects on students' SNA through the full mediation of PYD attributes. Specific PYD attributes and positive parenting behavior may serve as important protective factors against the development of SNA among Hong Kong adolescents.

Association between problematic internet use and behavioral/emotional problems among Chinese adolescents: the mediating role of sleep disorders

Background

Studies that focus on the relationships of problematic Internet use (PIU), sleep disorders, and behavioral/emotional problems were limited. This study aimed to explore (1) the relationship between PIU and behavioral/emotional problems among Chinese adolescents and (2) whether sleep disorders mediate the relationship between PIU and behavioral/emotional problems.

Methods

A total of 1,976 adolescents were recruited by cluster sampling from ten secondary schools in Guangzhou between January and April 2019, and 1,956 of them provided valid information (response rate: 98.9% ). Among them, 50.8% were males and the mean age was 13.6±1.5 years, ranging from 11 to 18 years. Data on behavioral/emotional problems, sleep disorders, and PIU were collected using a self-reported questionnaire. Linear regression models and mediation analyses were performed.

Results

Of the participants, 14.5% (284/1,956) reported moderate to severe PIU, and their average score for total difficulties was significantly higher than the score for average users (14.9±5.5 Vs 9.8±4.7). After adjusting for controlled variables, PIU was further proven to be positively related to elevated levels of behavioral/emotional problems (unstandardized β = 0.16, p < 0.05). In addition, sleep disorders partially mediated the forgoing associations.

Conclusions

Adolescents with problematic Internet habits were at higher risk of developing behavioral and emotional problems than their normal-use peers, and sleep disorders partially mediated the effect. Close attention and effective guidance for adolescents with PIU and behavioral/emotional problems were recommended for parents and schools.

Exploring the Effects of Problematic Internet Use on Adolescent Sleep: A Systematic Review

Adolescent suse internet via several devices to gather information or communicate. Sleep, as a key factor of adolescents' development, contributes to their physical and mental health. Over the past decades insufficient sleep among adolescents has been wide spread, and one of its attributing factors is the increased availability of technology. This review aims to investigate the body of evidence regarding the impact of problematic internet use on adolescent sleep. Extensive search of databases was performed according to PRISMA guidelines for studies published within the last decade, regarding subjects aged 10-19. The final step of the search yielded 12 original studies. The quality of extracted data was evaluated with the AXIS tool, in order to estimate the risk of bias. All studies showed a negative correlation between adolescent sleep and problematic internet use. It was found to affect sleep quality and quantity and provoke insomnia symptoms. Interestingly, adolescent's sex, parental educational level, type of family and use for leisure or academic reasons appeared as affecting factors of the problematic internet use-sleep relationship. Problematic internet use has several effects on adolescents' sleep. Results of relevant studies should be embedded in educational interventions addressed to adolescents as well as parents, to eliminate the negative outcomes of problematic internet use on sleep and adolescence's health in general.

[The prevalence and mental comorbidity of internet-dependent behavior in adolescents of Central Siberia]

OBJECTIVE

To study the prevalence of Internet addiction (IA) in adolescents in Central Siberia and the association of IA with mental health problems.

MATERIAL AND METHODS

The study included 2950 adolescents (44.7% boys and 54.3% girls), aged 11-18 years (mean age 14.5±1.3). Younger adolescents (11-14 years old) accounted for 52.4%, senior ones (15-18 years old) did 47.6%. The Chen scale (CIAS) with a cutoff level of 65 points was used to evaluate IA. The overall CIAS value of 27-42 points was regarded to be adaptive Internet use (AIU); 43-64 points being non-adaptive Internet use (NIU); 65 points and above were considered to be IA. Mental health was assessed using SDQ, which includes five scales: 1) prosocial behavior; 2) emotional symptoms; 3) behavior problems; 4) hyperactivity; 5) peer problems.

RESULTS

The prevalence of AIU is 50.3% (55.9% among boys and 45.6% among girls, p<0.01), NIU was found in 42.9% (38.9/46.3%, p<0.001), IA occurred in 6.8% (5.1/8.2%, p<0.001). The prevalence of IA among adolescents, aged 11-14 years old, was 5.9%, between the ages of 15-18 it was 7.8% (p=0.04). In the AIU group, emotional symptom** were observed in 5.1% of adolescents, behavior problems in 6.1%, hyperactivity in 3.6%; in the NIU group - in 14.9%, 11.7% and 9.4% of adolescents; in the IA group, there were 34%, 24% and 26% of adolescents, respectively. In terms of odds ratio (OR), the greatest effect size was observed for hyperactivity (OR=5.23, p<0.001) and emotional disorders (OR=4.85, p<0001).

CONCLUSIONS

The prevalence of IA is 6.8%. IA is more common in girls and increases with age. IA is associated with mental health problems, the greatest effect size is observed for hyperactivity and emotional disorders. The incidence of psychopathological manifestations increases depending on the degree of impairment in network behavior.

Implications of COVID-19 and Lockdown on Internet Addiction Among Adolescents: Data From a Developing Country

Introduction: Physical distancing policy during coronavirus disease 2019 (COVID-19) pandemic requires adolescents to spend most of their time at home, thus increasing Internet use duration. Limited social interaction with their peers may lead to loneliness and an increased risk of mental health among adolescents. This study aimed to assess the prevalence of Internet addiction (IA) among adolescents and analyze the influence of psychosocial factors toward the heightened risk of IA during the COVID-19 pandemic. Methods: An online survey comprising sociodemographic questionnaire, Internet Addiction Diagnostic Questionnaire (KDAI), Strengths and Difficulties Questionnaire (SDQ), and Pittsburgh Sleep Quality Index (PSQI) was distributed. Overall, a total of 2,932 adolescents (mean age, 17.38 ± 2.24 years old; female, 78.7%), originating from 33 of 34 provinces in Indonesia, completed the survey. Results: The point prevalence of IA among Indonesian adolescents during the COVID-19 outbreak was 19.3%. Increased Internet use duration, internalization, externalization, low prosocial behavior, and sleep disturbances were found as risk factors of IA, either directly or as mediating variables. Physical distancing, large-scale social restriction (PSBB), and health status were not correlated to IA. Discussion: Physical distancing was not established as a risk of IA. This could be due to other psychological factors such as internalization, externalization, prosocial, and sleep problems that had correlations to IA occurrence among adolescents in the COVID-19 pandemic. Sleep impairment might have resulted from the emotional and behavioral issues and directly contributed to IA development. Conclusion: The present study found the prevalence of IA among Indonesian adolescents to be higher than the adult during the COVID-19 pandemic. Several psychological measures were indicated to increase the risk of IA, while physical distancing did not elevate the risk. Thus, remote schooling is preferable in Indonesia along with proper parental supervision to minimize Internet use for entertainment purposes.

Based on a Decision Tree Model for Exploring the Risk Factors of Smartphone Addiction Among Children and Adolescents in China During the COVID-19 Pandemic

Background: Smartphone addiction has emerged as a major concern among children and adolescents over the past few decades and may be heightened by the outbreak of COVID-19, posing a threat to their physical and mental health. Then we aimed to develop a decision tree model as a screening tool for unrecognized smartphone addiction by conducting large sample investigation in mainland China. Methods: The data from cross-sectional investigation of smartphone addiction among children and adolescents in mainland China (n = 3,615) was used to build models of smartphone addiction by employing logistic regression, visualized nomogram, and decision tree analysis. Results: Smartphone addiction was found in 849 (23.5%) of the 3,615 respondents. According to the results of logistic regression, nomogram, and decision tree analyses, Internet addiction, hours spend on smartphone during the epidemic, levels of clinical anxiety symptoms, fear of physical injury, and sex were used in predictive model of smartphone addiction among children and adolescents. The C-index of the final adjusted model of logistic regression was 0.804. The classification accuracy, sensitivity, specificity, positive predictive value, negative predictive value, and AUC area of decision tree for detecting smartphone addiction were 87.3, 71.4, 92.1, 73.5, 91.4, and 0.884, respectively. Conclusions: It was found that the incidence of smartphone addiction among children and adolescents is significant during the epidemic. The decision tree model can be used to screen smartphone addiction among them. Findings of the five risk factors will help researchers and parents assess the risk of smartphone addiction quickly and easily.