Internet addiction among college students in a Chinese population: Prevalence, correlates, and its relationship with suicide attempts

Shen, Yanmei; Meng, Fanchao; Xu, Huiming; Li, Xia; Zhang, Yaru; Huang, Chunxiang; Luo, Xuerong; Zhang, Xiang Yang

doi:10.1002/da.23036

Cited by 72 publications

(67 citation statements)

References 54 publications

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“…The recent review that examined students in Southeast Asia has also showed the prevalence of PIU to range from zero to 47.4%, resulting in significant impairment manifested as insomnia, daytime sleepiness and eye strain (12). Also, most up to date studies, performed in student populations, suggest PIU to be associated with academic procrastination (13), poor quality of life (14,15), severe psychiatric disorders (16)(17)(18), and even suicide attempts (19). PIU, as an addictive behavioral pattern, is also found to be comorbid with other addictive disorders, such as substance abuse among youth, including cannabis and alcohol use (20) as well as gambling disorder (21,22).…”

Section: Introductionmentioning

confidence: 99%

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Impulsivity Mediates Associations Between Problematic Internet Use, Anxiety, and Depressive Symptoms in Students: A Cross-Sectional COVID-19 Study

et al. 2021

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Background: Problematic internet use (PIU) is a serious global mental health issue that especially manifested during the Coronavirus disease (COVID-19) pandemic. Engagement in PIU as an impulsive coping with mental distress may pose a long-lasting threat to develop anxiety and depressive disorders. The first aim of our study was to investigate the prevalence of PIU and mental distress symptoms during the COVID-19 pandemic among university students in Lithuania. The second aim was to test the hypothesis that PIU affects anxiety and depressive symptoms through the mediating role of impulsivity.Methods: The cross-sectional study was comprised of 619 university students (92.9% females and 7.1% males) with a mean age of 22 ± 3 years who participated in an online survey from May to November, 2020. Participants completed the following scales: the Problematic Internet Use Questionnaire-9, the Generalized Anxiety Disorder Questionnaire-7, the Patient Health Questionnaire-9, and the Barratt Impulsiveness Scale-11. K-means cluster analysis and one-way multivariate analysis of variance were used for group comparison in terms of internet use time and habit change during COVID-19 pandemic. Structural equation modeling was applied to examine the mediating effect of impulsivity in association between PIU and mental distress, while controlling for age.Results: In sum, 45.1% of the participants reported PIU and 38.1% had markedly expressed symptoms of anxiety while 43.6% of the students reported moderate to severe depressive symptoms. During the COVID-19 pandemic 76% of the students reported at least moderate increase in their internet use time. Anxiety and depressive symptoms were significantly higher in the group of frequent internet users. The results of the structural equational modeling analysis showed a statistically significant effect of PIU on subjective anxiety symptoms and the statistically significant effect of PIU on subjective depression symptoms, both mediated via impulsivity.Conclusions: During COVID-19 pandemic, PIU, anxiety and depression symptoms are highly prevalent among students. Findings also suggest that relationships between PIU, anxiety and depressive symptoms are mediated via impulsivity. These results underscore the importance of the inclusion of impulsivity factor in the studies analyzing longitudinal effects of PIU on mental distress during COVID-19 pandemic.

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Section: Introductionmentioning

confidence: 99%

“…Background: Problematic internet use (PIU) is a serious global mental health issue that especially manifested during the Coronavirus disease (COVID- 19) pandemic. Engagement in PIU as an impulsive coping with mental distress may pose a long-lasting threat to develop anxiety and depressive disorders.…”

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confidence: 99%

Impulsivity Mediates Associations Between Problematic Internet Use, Anxiety, and Depressive Symptoms in Students: A Cross-Sectional COVID-19 Study

et al. 2021

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“…• Subjects at risk of or having internet addiction had significantly higher rates of suicidal ideation compared with non-addicted groups (A1; A2; A4; A5) (Jasso-Medrano e Lopez-Rosales, 2018;Poorolajal et al, 2019;Shen et al, 2020;Tsouvelas & Giotakos, 2011).…”

Section: A5mentioning

confidence: 99%

“…The primary studies selected used different instruments to determine the prevalence of internet addiction and suicidal ideation. The following instruments were used to measure internet addiction: Social Network Addiction Questionnaire Health Questionnaire -GHQ-28) (A2; A3) (Poorolajal et al, 2019;Poorolajal et al, 2018); Self-reporting Depression Scale -SDS) (A4) (Shen et al, 2020) and Self-rating Anxiety Scale -SAS) (A4) (Shen et al, 2020); besides self-administered questionnaires for investigating risk-taking behaviors such as smoking, illicit drugs abuse, drinking alcohol, and risky unprotected sex (A3; A4) (Shen et al, 2020;Tsouvelas & Giotakos, 2011).…”

Section: A5mentioning

confidence: 99%

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Association between internet addiction and suicidal ideation in university students

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Alves

Oliveira

et al. 2021

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Objective: to investigate the evidence in the literature on the association between internet addiction and suicidal ideation in university students. Method: an integrative review of publications on the CINAHL, EMBASE, LILACS, MEDLINE, PubMed, PsycInfo, SciELO, SCOPUS, Web of Science and Biblioteca Virtual em Saúde databases was carried out, without restrictions regarding language or publication date. The final sample comprised 5 articles, which were organized and characterized according to author, year, method, sample, country, instruments and results. Results: the prevalence of internet addiction among university students ranged from 7.7% to 27.3%, and suicidal ideation from 7.4% to 36.1%. The results of simple logistic regression analyses showed a significant association between internet addiction and suicidal ideation, although on multiple logistic regression this association was not statistically significant for 2 out of the 5 studies reviewed. Subjects at risk of or with addiction to the internet had a significantly higher rate of suicidal ideation compared with controls. Conclusion: although the presence of association does not indicate causality, these findings serve as an early warning sign to parents, educators and health professionals, indicating the need for longitudinal studies to further elucidate this relationship.

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Internet addiction and nonsuicidal self‐injury in adolescence: Associations with offline and online social support

et al. 2021

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Objectives: Both nonsuicidal self-injury (NSSI) and Internet addiction (IA) are important health issues for adolescents, and social support has been extensively examined as a protective factor for both. This study aims to compare the effect of offline and online social support on IA, and that on NSSI as well. Method: A total of 1911 Chinese adolescents (53.27% females, M age = 16.83 ± 0.37) completed self-report questionnaires assessing offline social support, online social support, IA, and NSSI. Results: The structural equation modeling analysis showed that offline social support was negatively associated with IA and NSSI, while online social support was positively associated with IA and NSSI; IA was positively associated with NSSI. Furthermore, implications for preventions and interventions of IA and NSSI were discussed. The indirect model explained a relatively small variance of NSSI, indicating the

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Internet addiction among college students in a Chinese population: Prevalence, correlates, and its relationship with suicide attempts

Cited by 72 publications

References 54 publications

Impulsivity Mediates Associations Between Problematic Internet Use, Anxiety, and Depressive Symptoms in Students: A Cross-Sectional COVID-19 Study

Impulsivity Mediates Associations Between Problematic Internet Use, Anxiety, and Depressive Symptoms in Students: A Cross-Sectional COVID-19 Study

Association between internet addiction and suicidal ideation in university students

Internet addiction and nonsuicidal self‐injury in adolescence: Associations with offline and online social support

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