Association of Internet Addiction With Nonsuicidal Self-injury Among Adolescents in China

Jing, Tang; Ma, Ying; Lewis, Stephen P.; Chen, Ruoling; Clifford, Angela; Ammerman, Brooke A.; Gazimbi, Martin Marufu; Byrne, Adrian; Wu, Yaxin; Lu, Xinchuan; Chang, Hongjuan; Kang, Chun; Tiemeier, Henning; Yu, Yizhen

doi:10.1001/jamanetworkopen.2020.6863

Cited by 59 publications

(61 citation statements)

References 57 publications

(144 reference statements)

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“…42 A recent large-scale study also provided evidence that adolescents with Internet addiction more frequently had non-suicidal self-injury. 43 Although the peak onset of non-suicidal self-injury occurs after 13 years of age, our study confirmed the association between suicidal behavior and problematic media device use in prepubertal children. 44 In our study, a high level of executive function difficulty was demonstrated in the highest problematic media device use class, which corroborates previous studies.…”

Section: Discussionsupporting

confidence: 79%

A Latent Profile Analysis of Problematic Media Device Use and Its Association With Executive Function and Behavioral Problem Among Children: A Population-Based Study

Oh¹,

Kim

Joung

2021

Psychiatry Investig

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Objective Despite the rapid increase in problematic media device use, relatively little is known about specific characteristics and extent of problematic media device and how they relate to different psychological features.Methods Data extracted from the Panel Korea Study for the Child Cohort Study were used. At the age of 9 years, media device addiction severity was assessed using the K-scale, and children’s behavioral outcomes were assessed using the Child Behavior Checklist. Among children with problematic media device use (n=339), we performed latent profile analysis using the K-scale to identify subtypes of problematic media device use, and then compared the child behavioral problems and executive function according to the different subtypes of problematic media device use.Results Children with problematic media device use were divided into class 1 (n=51), class 2 (n=138), and class 3 (n=150). Compared with classes 2 and 3, class 1 had more severe problematic media device use, including daily activity disturbance, withdrawal, and tolerance. Class 1 had the most serious behavioral problems and executive function difficulties among classes. Class 2 had greater daily activity disturbance and tolerance than those of class 3, but executive function showed no significant difference between the two classes. In logistic regression analysis, behavioral problems except for somatization were more common in class 1 than in the control group.Conclusion Results suggest that problematic media device use is associated with significant behavioral problem and executive function difficulties and underscore the need for further clinical and research attention for these specific subgroup members.

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Section: Discussionsupporting

confidence: 79%

A Latent Profile Analysis of Problematic Media Device Use and Its Association With Executive Function and Behavioral Problem Among Children: A Population-Based Study

Oh¹,

Kim

Joung

2021

Psychiatry Investig

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“…prior studies have examined the potentially effects of IA on adolescent's mental and conduct disorders, such as sleep disturbances, depression, anxiety, aggression and attention deficit hyperactivity disorder (ADHD) (Ferrara et al, 2017;Kim et al, 2018;SeungYup et al, 2018;Tang et al, 2020;Lo et al, 2021).…”

Section: Epidemiology and Psychiatric Sciencesmentioning

confidence: 99%

Mediation of Internet addiction on association between childhood maltreatment and suicidal behaviours among Chinese adolescents

Peng

Wang

Cheng

et al. 2021

Epidemiol Psychiatr Sci

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Aims The associations between suicidal behaviours and childhood maltreatment (CM), as well as Internet addiction (IA) have been extensively examined. However, few studies pay attention to different types of CM and all stages of suicidality, including suicidal ideation (SI), suicidal plans (SP) and suicidal attempts (SA). Moreover, little is known regarding the mediation of IA on the relationship between CM and suicidal behaviours. The study aims to explore the direct effect of CM and IA on three stages of suicidal behaviours, and the indirect effect of CM on suicidality via IA. Methods A total of 16 130 high-school students aged 12–18 were recruited using a stratified cluster sampling strategy across five representative provinces in China. Relevant information was collected by a self-administered anonymous questionnaire. Multinomial logistic regression analysis and structural equation model were used to examine the associations. Results During the last year, 16.0% of participants reported suicidal behaviours. Specifically, 7.9% reported SI only, 4.6% reported SP but no SA, and 3.5% reported SA. The prevalence of neglect, physical abuse and IA in moderate to severe were 28.9, 19.9 and 33.1%, respectively. After controlling for demographic characteristics and confounding factors, such as loneliness, psychological resilience, and social support, moderate and severe neglect, physical abuse and IA were associated with an increased risk of SI, SP and SA (p < 0.01). The total effect of neglect and physical abuse on suicidal behaviours were 0.152 and 0.172, respectively (p < 0.001). The mediation proportion of IA on the association between neglect and suicidal behaviours, as well as physical abuse and suicidal behaviours were 22.4 and 18.0%, respectively. Conclusions CM and IA are independently associated with suicidal behaviours among Chinese adolescents. Moreover, IA plays a mediating role on the relationship between CM and suicidality. Targeted interventions for adolescents’ suicidal behaviours should focus on those who have experience of CM and IA.

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“…The incidence rate of self-reported internet addiction varied across studies as a function of assessment instrument but it was equally distributed across gender and age groups. Timely recognition and appropriate management of internet addiction in healthcare workers can be important to optimise their work performance and mitigate the risk for other adverse mental health outcomes (Andrade et al, 2020; Restrepo et al, 2020; Tang et al, 2020). Given increasing research interest in internet addiction in healthcare professionals, it is important to better understand the prevalence and potential adverse health consequences of internet addiction to better guide intervention strategies and future research of this emerging mental health problem.…”

Section: Introductionmentioning

confidence: 99%

Prevalence of internet addiction in healthcare professionals: Systematic review and meta-analysis

Bunevičienė

Bunevičius

2020

Int J Soc Psychiatry

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Background: Internet addition is becoming increasingly recognised as an important mental health problem. Aim: This study examined prevalence of internet addiction in healthcare professionals. Method: Systematic literature review was undertaken of June 4, 2020 with goal to identify studies that evaluated prevalence of internet addiction or problematic internet use in medical professionals. Reported associations with other mental health symptoms were also considered. Results: Prevalence of internet addiction was studied in medical residents only ( n = 770; three studies), faculty members only ( n = 69; one study), nurses only ( n = 564; one study) and mixed samples of medical professionals ( n = 415; three studies). Pooled prevalence rate of internet addiction in 1,818 healthcare professionals was 9.7% (95% confidence interval: 5.8%–13.6%). Internet addiction was associated with greater mental symptom burden and fatigue of healthcare workers. Conclusion: Internet addiction is present in healthcare professionals, however, to a lesser extent than in medical students suggesting that increasing clinical responsibilities and increasing age can be important moderators of risk for internet addiction. Internet addiction is associated with greater burden of unfavourable mental health outcomes of healthcare professionals. Further studies exploring global burden of internet addiction in healthcare professionals and possible impact of internet addiction on work performance of healthcare professionals are encouraged.

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Association of Internet Addiction With Nonsuicidal Self-injury Among Adolescents in China

Cited by 59 publications

References 57 publications

A Latent Profile Analysis of Problematic Media Device Use and Its Association With Executive Function and Behavioral Problem Among Children: A Population-Based Study

A Latent Profile Analysis of Problematic Media Device Use and Its Association With Executive Function and Behavioral Problem Among Children: A Population-Based Study

Mediation of Internet addiction on association between childhood maltreatment and suicidal behaviours among Chinese adolescents

Prevalence of internet addiction in healthcare professionals: Systematic review and meta-analysis

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