1
|
Tarimo CS, Feng Y, Jia S, Wu X, Zhao W, Zuo Y, Wang Y, Bi Y, Wu J. Quantifying gender differences in the impact of internet addiction on adolescent depression: A causal inference approach. J Affect Disord 2025; 379:793-802. [PMID: 40097112 DOI: 10.1016/j.jad.2025.03.079] [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: 11/29/2024] [Revised: 03/11/2025] [Accepted: 03/13/2025] [Indexed: 03/19/2025]
Abstract
BACKGROUND The rising prevalence of adolescent depression in China has raised concerns about internet influence. This study identified predictors of internet addiction (IA) and quantified its gender-specific impact on depression. METHOD In April-May 2023, 8176 adolescents from six (6) junior high schools in Henan, China, were randomly sampled. IA and depression were assessed via the 20-item internet addiction test (IAT) and 10-item Center for Epidemiologic Studies Depression (CESD-10) scale, respectively. IA's impact on depression was analyzed using four approaches: IPW (confounder weighting), DML (high-dimensional control), PSM (covariate balancing), and RA (residual adjustment). RESULTS Among the males, 31.8 % reported depression and 17.7 % reported IA while females, 49.4 % reported depression and 21.3 % IA. The mean ages were 14.5 ± 0.94 (males) and 14.4 ± 0.93 (females). DML revealed the overall effect of 0.22 (95 % CI: 0.17-0.23; p < 0.001), higher in males (95 % CI: 0.23, 95 % CI: 0.18-0.31) than females (0.17, 95 % CI: 0.11-0.23). IPW estimated an effect of 0.30 (95 % CI: 0.25-0.34; p < 0.001), also higher in males (0.34, 95 % CI: 0.28-0.39) than females (0.29, 95 % CI: 0.23-0.36). PSM and RA yielded similar results. Predictors of IA included low self-esteem, history of negative life events, poor sleep quality, and one-child family status. CONCLUSION Internet addiction (IA) exacerbates adolescent depression, disproportionately affecting males. Addressing self-esteem, negative life events, poor sleep, and one-child family challenges can mitigate IA's effects. Gender-sensitive interventions, school-based programs, and parental guidance are critical.
Collapse
Affiliation(s)
- Clifford Silver Tarimo
- School of Pharmaceutical Science, Zhengzhou University, Ke Xue Da Dao 100, Zhengzhou 450001, Henan, China; Department of Health Management, College of Public Health, Zhengzhou University, Zhengzhou, Henan, China; Department of Science and Laboratory Technology, Dar es Salaam Institute of Technology, P.O. Box 2958, Dar es Salaam, Tanzania
| | - Yifei Feng
- Department of Health Management, College of Public Health, Zhengzhou University, Zhengzhou, Henan, China
| | - Shiyu Jia
- Department of Health Management, College of Public Health, Zhengzhou University, Zhengzhou, Henan, China
| | - Xiaoman Wu
- Department of Health Management, College of Public Health, Zhengzhou University, Zhengzhou, Henan, China
| | - Weijia Zhao
- Department of Health Management, College of Public Health, Zhengzhou University, Zhengzhou, Henan, China
| | - Yibo Zuo
- Department of Health Management, College of Public Health, Zhengzhou University, Zhengzhou, Henan, China
| | - Yuhui Wang
- Henan Academy of Science, No. 228, Chongshili Road, Zhengdong New District, Zhengzhou City, Henan Province, China
| | - Yuefeng Bi
- School of Pharmaceutical Science, Zhengzhou University, Ke Xue Da Dao 100, Zhengzhou 450001, Henan, China
| | - Jian Wu
- Department of Health Management, College of Public Health, Zhengzhou University, Zhengzhou, Henan, China; Henan Province Engineering Research Center of Health Economy & Health Technology Assessment, Zhengzhou 450001, Henan, China; Institute for Hospital Management of Henan Province, No. 1, Longhu Middle Ring Road, Jinshui District, Zhengzhou City, Henan Province, China.
| |
Collapse
|
2
|
Wang R, Mao Z, Gu X. The Relationships Between Social Support Seeking, Social Media Use, and Psychological Resilience Among College Students. Psychol Res Behav Manag 2025; 18:563-573. [PMID: 40093755 PMCID: PMC11909505 DOI: 10.2147/prbm.s441030] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/20/2023] [Accepted: 02/18/2025] [Indexed: 03/19/2025] Open
Abstract
Introduction Social networking sites (SNSs) have evolved into a commonly used instrument for searching and obtaining social support. While previous research has explored and validated the correlation between seeking social support and the recipient's physical or psychological well-being, few studies have illuminated the mechanisms through which this relationship manifests in SNSs usage. This study investigated how the tendency of college students to seek social support corresponds to their psychological resilience via different SNSs activities and interactions on Douyin (ie, TikTok's counterpart in mainland China). Methods Drawing from social support literature and the activity-audience framework governing social media use, we conducted a survey-based analysis involving a random sample of 536 self-identified Chinese college undergraduates. Results The findings reveal that students seeking social support were inclined to engage in active SNSs usage (eg, status updating) and interact with familiar individuals, regardless of their distance to campus. As for the consequences on psychosocial well-being, active utilization of SNSs did exert a significantly positive impact on resilience levels. Communication with friends from the same campus was confirmed as a functioning mediator within this relationship. Discussion This study contributes to the literature on social support and adolescent health by underscoring that the effectiveness of social support on psychosocial well-being is contingent on specific types of SNSs activities and interactants. It provides valuable insights into the nuanced dynamics of social support seeking behaviors on SNSs.
Collapse
Affiliation(s)
- Rong Wang
- College of Art and Design, Xihua University, Chengdu, Sichuan, People's Republic of China
| | - Zeqing Mao
- School of Cultural Creativity and Management, Communication University of Zhejiang, Hangzhou, Zhejiang, People's Republic of China
| | - Xiao Gu
- School of Marxism, Communication University of Zhejiang, Hangzhou, Zhejiang, People's Republic of China
| |
Collapse
|
3
|
Sun J, Guo H, Jiang W, Chen X, Wu F, Zhuang Z, Lin Z. A chain mediation model of parent child relationship and academic burnout of adolescents. Sci Rep 2025; 15:7379. [PMID: 40025225 PMCID: PMC11873194 DOI: 10.1038/s41598-025-92214-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/21/2024] [Accepted: 02/26/2025] [Indexed: 03/04/2025] Open
Abstract
This paper studied the relationship and mechanisms of parent-child relationship, interpersonal relationship on campus, academic self-efficacy and academic burnout among adolescents. A study of 913 Chinese junior high school students from Fujian province (47.20% males, mean age = 13.99 years, SD = 0.81) was conducted using the Junior Middle School Students' Learning Weariness Scale, the Chinese version of parent-child affinity scale, the Loso Wellbeing Questionnaire, and the Academic Self-efficacy Questionnaire. (1) Academic burnout was negatively and significantly correlated with parent-child relationship (r = - 0.13, p < 0.01), interpersonal relationship on campus (r = - 0.11, p < 0.01), and academic self-efficacy (r = - 0.13, p < 0.01). Parent-child relationship was positively and significantly correlated with interpersonal relationship on campus (r = 0.23, p < 0.01) and academic self-efficacy (r = 0.38, p < 0.01). Interpersonal relationship and academic self-efficacy were positively and significantly correlated (r = 0.29, p < 0.01). (2) Parent-child relationship can significantly and negatively predicte academic burnout (β = - 0.082, p < 0.05). (3) Parent-child relationship affected academic burnout of adolescents via three significant indirect effects: the single mediating effect of interpersonal relationship on campus (effect = - 0.011) and academic self-efficacy (effect = - 0.019), and the chain mediating effect of interpersonal relationship on campus and academic self-efficacy (effect = - 0.003). Stronger parent-child relationship predicts lower levels of academic burnout. Moreover, parent-child relationship can indirectly affect academic burnout not only through the single mediating effect of interpersonal relationship on campus and academic self-efficacy but also through the chain mediating effect of interpersonal relationship on campus and academic self-efficacy.
Collapse
Affiliation(s)
- Jiangnan Sun
- Department of Psychology, The First Affiliated Hospital of Fujian Medical University, Fuzhou, 350005, China
- Department of Psychology, National Regional Medical Center, Binhai Campus of the First Affiliated Hospital of Fujian Medical University, Fuzhou, 350212, China
| | - Hang Guo
- Fujian Provincial Institutes of Brain Disorders and Brain Sciences, The First Affiliated Hospital of Fujian Medical University, Fuzhou, 350005, Fujian, China
- Department of Medical Psychology, The Second Mobile Corps Hospital of the People's Armed Police Force, Wuxi, 214002, China
| | - Wenxin Jiang
- Outpatient Department, The First Affiliated Hospital of Fujian Medical University, Fuzhou, 350005, China
| | - Xiuqing Chen
- Outpatient Department, The First Affiliated Hospital of Fujian Medical University, Fuzhou, 350005, China
| | - Fengyao Wu
- Department of Medical Psychology, The Second Mobile Corps Hospital of the People's Armed Police Force, Wuxi, 214002, China
| | - Zisen Zhuang
- Department of Psychology, The First Affiliated Hospital of Fujian Medical University, Fuzhou, 350005, China.
- Department of Psychology, National Regional Medical Center, Binhai Campus of the First Affiliated Hospital of Fujian Medical University, Fuzhou, 350212, China.
| | - Zhangya Lin
- Department of Neurosurgery, Neurosurgery Research Institute, The First Affiliated Hospital of Fujian Medical University, Fuzhou, 350005, Fujian, China.
- Department of Pain, The First Affiliated Hospital of Fujian Medical University, Fuzhou, 350005, Fujian, China.
| |
Collapse
|
4
|
de la Fuente J, Martínez-Vicente JM. Conceptual Utility Model for the Management of Stress and Psychological Wellbeing, CMMSPW ™ in a university environment: theoretical basis, structure and functionality. Front Psychol 2024; 14:1299224. [PMID: 38356996 PMCID: PMC10866042 DOI: 10.3389/fpsyg.2023.1299224] [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: 09/22/2023] [Accepted: 12/28/2023] [Indexed: 02/16/2024] Open
Abstract
This article describes and introduces the Conceptual Utility Model for the Management of Stress and Psychological Wellbeing, CMMSPW™ Its purpose is to assess, evaluate and treat stress and psychological wellbeing. First, the theoretical assumptions of the model are presented. This model is an application of the 3P Model, Theory of Internal vs. External Behavioral Regulation and the Model of Competency for the Management of Stress and Psychological Wellbeing. Second, the conceptual structure of the model is presented. This model allows the structural and functional determination of the variables and predictive, mediating and final factors for stress and psychological wellbeing. Third, the functional structure is presented. For predictive factors, the internal and external self-regulation theoretical model allows us to assess levels of internal and external regulation of the individual and their context, as well as other personal and contextual factors involved in self-regulation. For mediating factors, the model of competence for the management of stress and wellbeing allows us to analyze conceptual (concept and principles), mediating (skills and metaskills) and attitudinal (attitudes, values and habits) variables. Finally, in relation to factors that condition outcomes, we can determine levels of response to stress and psychological wellbeing. Finally, limitations and conclusions are presented. The model also allows us to determine predictive relationships between those three types of variables and is functionally transferable to other contexts, including contexts proper to the psychology of education, clinical practice and healthcare, and psychosocial, organizational and technological contexts.
Collapse
Affiliation(s)
- Jesús de la Fuente
- Department of Teoría y Métodos de Investigación Educativa y Psicológica, School of Education and Psychology, University of Navarra, Pamplona, Spain
| | | |
Collapse
|
5
|
Brites R, Paulino M, Brissos S, Gabriel S, Alho L, Simões MR, Silva CF. Initial Psychological Reactions to COVID-19 of Middle Adolescents in Portugal. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2023; 20:ijerph20095705. [PMID: 37174223 PMCID: PMC10178418 DOI: 10.3390/ijerph20095705] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/27/2023] [Revised: 04/25/2023] [Accepted: 04/27/2023] [Indexed: 05/15/2023]
Abstract
In its early stage, the COVID-19 pandemic and the subsequent public health measures brought several challenges to people in general, with adolescents being one of the most affected groups. To assess the psychological reactions of Portuguese adolescents in that early phase of the COVID-19 pandemic, we conducted an online survey that was filled by a sample of 340 (67.6% female and 32.4% male) middle adolescents (aged 16 and 17 years). Using the Impact Event Scale-Revised and the Depression, Anxiety, and Stress Scale, we found that most participants reported a normal score for depression, anxiety, and stress. However, 47.1% reported some level of pandemic-related traumatic distress, and 25.6% reported high severity values. The girls' levels of depression, anxiety, stress, and traumatic distress were significantly higher than those of the boys. Regression models showed that gender, number of symptoms experienced in the past days, self-reported health status, and concern with family were significant predictors of these mental health indicators. Our findings underscore the need for future research on the long-term traumatic psychological impact of the COVID-19 pandemic in adolescents, and on the gender differences in this group. This will allow the development of strategies to identify and address at-risk adolescents, since the promotion of mental health and the prevention of pathology are imperative for the health of current and future generations.
Collapse
Affiliation(s)
- Rute Brites
- Centro de Investigação em Psicologia (CIP), da Universidade Autónoma de Lisboa, 1169 Lisbon, Portugal
| | - Mauro Paulino
- Mind Institute of Clinical and Forensic Psychology, 1990 Lisbon, Portugal
- Center for Research in Neuropsychology and Cognitive and Behavioral Intervention (CINEICC), 3000 Coimbra, Portugal
| | - Sofia Brissos
- Centro Hospitalar Psiquiátrico de Lisboa, 1749 Lisbon, Portugal
| | - Sofia Gabriel
- Mind Institute of Clinical and Forensic Psychology, 1990 Lisbon, Portugal
| | - Laura Alho
- Mind Institute of Clinical and Forensic Psychology, 1990 Lisbon, Portugal
| | - Mário R Simões
- Center for Research in Neuropsychology and Cognitive and Behavioral Intervention (CINEICC), 3000 Coimbra, Portugal
- Faculdade de Psicologia e de Ciências da Educação, Universidade de Coimbra, 3000 Coimbra, Portugal
| | - Carlos F Silva
- Departamento de Educação e Psicologia, Universidade de Aveiro, 3810 Aveiro, Portugal
- William James Center for Research, ISPA & University of Aveiro, 3810 Aveiro, Portugal
| |
Collapse
|
6
|
Mao EZ, Zhao L. The influence of job search stress on college students' addictive social media use: Seeking of social support and perceived social support as serial mediators and sense of coherence as a moderator. Front Psychol 2023; 14:1101674. [PMID: 36910808 PMCID: PMC9992423 DOI: 10.3389/fpsyg.2023.1101674] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/21/2022] [Accepted: 02/06/2023] [Indexed: 02/25/2023] Open
Abstract
Resulting from an enlarged number of graduating college students and shrinkage of work opportunities, stress in relation to job search and employment is becoming an increasingly noticeable issue in China. Previous psychiatry research has suggested that social support can be conducive to reducing stress from multiple sources, while the effectiveness hinges on whether it is actually recognized and perceived by the recipients. The prevalence of social media has greatly facilitated the communication and exchange of social support information. However, they can also lead to overuse and addiction problems. This study aims to investigate how job search stress affects graduating college students' social media addiction severity using a serial mediation model and test the potential moderation effect of sense of coherence. Based on a sample of graduating college students (n = 144), our findings point out a significant pathway for the impacts of stress sequentially through seeking of social support and perceived social support. Furthermore, job search stress seems to have pronounced effects on the psychological need for social support only at low- and mid-levels of sense of coherence.
Collapse
Affiliation(s)
- Eric Zeqing Mao
- School of Cultural Creativity and Management, Communication University of Zhejiang, Hangzhou, China
| | - Lishou Zhao
- School of Cultural Creativity and Management, Communication University of Zhejiang, Hangzhou, China
| |
Collapse
|