Contribution of stress and coping strategies to problematic Internet use in patients with schizophrenia spectrum disorders

Lee, Ju‐Yeon; Chung, Young‐Chul; Song, Je-Heon; Lee, Yo-Han; Kim, Jae-Min; Shin, Il‐Seon; Yoon, Jin‐Sang; Kim, Sung‐Wan

doi:10.1016/j.comppsych.2018.09.007

Cited by 19 publications

(17 citation statements)

References 54 publications

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“…Because PSU may ultimately depend upon the degree of access to technology, the lower mean SAS score of patients with schizophrenia compared with the general population could be explained by the “digital divide”: the notion that people with schizophrenia would be less likely to have access to technology (Firth et al, ; Wang, Bennett, & Probst, ). In addition, our results are in contrast to the results of the previous study that the severity of internet addiction among patients with schizophrenia was higher in patients with schizophrenia than in the general population (Lee et al, ). Thus, another explanation for the low SAS score is the difference in the extent to which smartphones are used for the purposes of interpersonal relationships between the normal population and patients with schizophrenia.…”

Section: Discussioncontrasting

confidence: 99%

Problematic smartphone use and related factors in young patients with schizophrenia

Lee

Chung

Kim

et al. 2019

Asia-Pacific Psychiatry

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Introduction The present study aimed to examine smartphone use in young patients with schizophrenia and to explore factors that may affect the severity of problematic smartphone use. Methods A total of 148 schizophrenia patients aged 18 to 35 years completed self‐administered questionnaires exploring sociodemographic characteristics; Smartphone Addiction Scale (SAS), the Big Five Inventory‐10 (BFI‐10), the Hospital Anxiety and Depression Scale (HADS), the Perceived Stress Scale (PSS), and the Rosenberg Self‐Esteem Scale (RSES). All were also assessed using the Clinician‐Rated Dimensions of Psychosis Symptom Severity (CRDPSS) Scale and the Personal and Social Performance (PSP) Scale. Results The mean subject age was 27.5 ± 4.5 years. No significant differences in the SAS scores occurred between gender, jobs, and level of education. The Pearson r‐correlation test showed that the SAS scores were significantly positively correlated with HADS anxiety, PSS, and BFI‐10 neuroticism scores; it was negatively correlated with RSES, BFI‐10 agreeableness, and conscientiousness scores. In the stepwise linear regression analysis, the severity of PSU was significantly associated with both high anxiety and low agreeableness. Discussion Our results suggest that specific groups of patients with schizophrenia may require special care to prevent problematic smartphone use.

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Section: Discussioncontrasting

confidence: 99%

Problematic smartphone use and related factors in young patients with schizophrenia

Lee

Chung

Kim

et al. 2019

Asia-Pacific Psychiatry

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“…Comparisons with previous reports may suggest that nonpsychiatric controls might be experiencing more substantial worsening of psychological distress compared to patients with serious mental illness (Bergomi et al, 2017;Bonfiglio, Renati, Hjemdal, & Friborg, 2016;Gilbody et al, 2019;Lee et al, 2018;Nuyts, Nawrot, Scheers, Nemery, & Casas, 2019;Tso, Grove, & Taylor, 2012).…”

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confidence: 79%

Psychological distress in patients with serious mental illness during the COVID-19 outbreak and one-month mass quarantine in Italy

et al. 2020

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“…Furthermore, there is some evidence that individuals with schizophrenia experience a disruption in the biological system that responds to stress (64, 65). In a population of stabilized patients with schizophrenia, PIU was significantly associated with ineffective coping strategies to alleviate stress (66). Our findings suggest that the development of PLEs is associated with maladaptive coping strategies during the process of responding to stressful events.…”

Section: Discussionmentioning

confidence: 99%

Negative Life Events and Problematic Internet Use as Factors Associated With Psychotic-Like Experiences in Adolescents

et al. 2019

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Objectives: Psychotic-like experiences (PLEs) and problematic internet use (PIU) are common in adolescents. However, little is known about the association between PLEs and PIU among adolescents. The present study examined the associations between PLEs and PIU and negative life events among adolescents. Methods: In total, 1,678 adolescents attending high school were recruited for a cross-sectional survey. They completed self-reported assessments of PLEs using the Prodromal Questionnaire-16 (PQ-16) and measures of depression, anxiety, self-esteem, internet use, and negative life events using the Center for Epidemiological Studies Depression Scale (CES-D), the State-Trait Anxiety Inventory (STAI), the Rosenberg Self-Esteem Scale (RSES), the Korean Scale for Internet Addiction (K-scale), and the Lifetime Incidence of Traumatic Events for Children (LITE-C), including cybersexual harassment and school violence. Results: A total of 1,239 subjects (73.8%) scored at least 1 on the PQ-16. The mean total and distress PQ-16 scores were significantly higher in students who used mental health services. The total and distress prodromal questionnaire-16 (PQ-16) scores were positively correlated with the CES-D, STAI-S, STAI-T, LITE-C, and K-scale scores but negatively correlated with the RSES score. Hierarchical linear regression analysis revealed that PLEs were significantly associated with a high K-scale score and the incidence of negative life events, such as LITE-C, cybersexual harassment, and bully–victims. Conclusion: Our results demonstrate that PIU and negative life experiences were significantly associated with PLEs in adolescents. Assessment and therapeutic intervention with regard to internet use as a coping strategy for stress are needed to prevent the development of clinical psychotic symptoms.

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Contribution of stress and coping strategies to problematic Internet use in patients with schizophrenia spectrum disorders

Cited by 19 publications

References 54 publications

Problematic smartphone use and related factors in young patients with schizophrenia

Problematic smartphone use and related factors in young patients with schizophrenia

Psychological distress in patients with serious mental illness during the COVID-19 outbreak and one-month mass quarantine in Italy

Negative Life Events and Problematic Internet Use as Factors Associated With Psychotic-Like Experiences in Adolescents

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