Lifetime depressive and current social anxiety are associated with problematic internet use in adolescents with ADHD: a cross‐sectional study

Demirtaş, Ozgur Onder; Alnak, Alper; Coşkun, Murat

doi:10.1111/camh.12440

Cited by 14 publications

(6 citation statements)

References 44 publications

(76 reference statements)

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“…Therefore, PIU may vary and possibly involve different psychopathological mechanisms depending on the type of Internet activity. For example, previous investigations have found that PIU in adolescents with ADHD is specifically associated with online gaming, emailing, and social networking ( 58 ). Their results emphasize that PIU is associated with specific online activities, which warrants further in-depth investigation.…”

Section: Discussionmentioning

confidence: 99%

Co-occurrence of Adult ADHD Symptoms and Problematic Internet Use and Its Links With Impulsivity, Emotion Regulation, Anxiety, and Depression

et al. 2022

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The co-occurrence of attention-deficit/hyperactivity disorder (ADHD) and problematic Internet use (PIU) is associated with increased severity of PIU and poorer treatment outcomes. The main objective of this study was to examine the association between PIU and adult ADHD symptoms and determine whether adult ADHD symptoms were a predictor of PIU in the general adult population. We also examined the potential mediating role of the dimensional psychopathological factors, including anxiety, depression, impulsivity, and emotion regulation, in this relationship. To achieve these aims, we recruited 532 regular Internet users online from the general adult population. The participants completed an online questionnaire assessing PIU (Internet Addiction Test), anxiety and depression symptoms (Hospital Anxiety and Depression Scale), adult ADHD symptoms (Adult ADHD Self-Report Scale-V1.1), emotion regulation (Emotion Regulation Questionnaire), and impulsivity (UPPS-P Impulsive Behavior Scale). We conducted a multiple regression analysis to determine the predictors of PIU and mediation analyses to identify the psychopathological mediators of the association between adult ADHD symptoms and PIU. PIU was observed in 17.9% of our sample. A significantly higher proportion of respondents with PIU screened positive for adult ADHD symptoms compared to respondents without PIU (50.5 vs. 21.7%; p < 0.001). Individuals with PIU reported significantly higher scores than those without PIU for anxiety and depressive symptoms, impulsivity, and the emotion regulation strategy of expressive suppression. Additionally, they had significantly lower scores than those without PIU on cognitive reappraisal than non-problematic Internet users. In addition to adult ADHD symptoms, the multiple regression analysis revealed that PIU was also positively predicted by depressive symptoms, positive urgency, lack of perseverance, and expressive suppression, and is negatively predicted by cognitive reappraisal and negative urgency. The mediation analysis showed that lack of perseverance, positive urgency, and depressive and anxiety symptoms were partial mediators of the relationship between adult ADHD symptoms and PIU. Our results highlight the significant co-occurrence of PIU and adult ADHD symptoms. This study also provides support for a theoretical model in which impulsivity dimensions, emotion regulation strategies, as well as the tendency to anxiety and depressive symptoms, may play a mediating role in this co-occurrence. In summary, the findings emphasize the need to assess these psychological characteristics in problematic Internet users, as they can be a factor of clinical complexity, as well as the importance of targeting them as part of integrated interventions for both adult ADHD symptoms and PIU.

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Section: Discussionmentioning

confidence: 99%

Co-occurrence of Adult ADHD Symptoms and Problematic Internet Use and Its Links With Impulsivity, Emotion Regulation, Anxiety, and Depression

et al. 2022

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“…Studies have also found that among adolescents with a higher prevalence of Internet addiction, social skills are generally poorer [ 47 ]. Moreover, Internet addiction is proven to be closely related to attention deficit disorders, further causing social phobia [ 84 ]. Another study has identified that inadequate social skills and social fears decrease interpersonal communication [ 85 ].…”

Section: Theoretical Frameworkmentioning

confidence: 99%

“…Moreover, compared with traditional communication methods, such as phone calls and text messages, the Internet helps people to establish a much wider social network and achieve effective remote communication at a lower cost, as well as with greater efficiency [ 69 , 70 , 90 , 101 ]. Nevertheless, other studies reveal that Internet usage may distract people’s attention [ 10 , 11 , 65 , 66 , 83 ], reduce their social skills [ 47 , 67 , 68 , 84 , 85 ], and may even increase negative emotions [ 10 , 11 , 53 , 73 , 86 ]. The impact of Internet usage in this aspect would hinder interpersonal communications.…”

Section: Theoretical and Practical Implicationsmentioning

confidence: 99%

Does the Internet Bring People Closer Together or Further Apart? The Impact of Internet Usage on Interpersonal Communications

Ning

Xia

et al. 2022

Behavioral Sciences

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The complementarity interference (CI) model suggests that the Internet may either inhibit or facilitate interpersonal communications. This paper empirically examines the impact of Internet usage on interpersonal interactions, using a micro dataset from China to answer whether the Internet brings people closer together or further apart. The empirical results demonstrate, first, that Internet usage significantly increases both the time and frequency of people’s communications with their family and friends, rather than causing them to feel more disconnected and isolated. Holding other factors constant, for each one-standard-deviation increase in Internet usage, weekly communications with family members increases by an average of 102.150 min, while there is an average increase of 54.838 min in interactions with friends. These findings as to its positive effects are robust when using other regression models and interpersonal contact measures, as well as the instrumental variable method. Second, Internet usage also contributes to decreased loneliness; it exerts this effect primarily by improving people’s interactions with their family members. However, communications with friends do not significantly mediate such impacts. Third, the positive role of Internet usage on communications is more prominent for people with more frequent online socialization and self-presentation, better online skills, younger age, higher educational level, and who are living in urban areas. In addition, the beneficial effects of Internet usage are larger for communications with family members in the case of migrants. Therefore, in the context of the rapid development of information technology, the network infrastructure should be improved to make better use of the Internet to facilitate interpersonal communications and promote people’s wellness.

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“…5,9,[11][12][13][14][15][16][17][18][19][20][21]52 Considering the prevalence of IA in clinical adolescents, which is naturally higher than in the general population, 46% of Japanese patients with autism spectrum disorder aged 10-19 (the mean age of the participants was 13.4 years), 53 33.7% of Turkish patients with attention-deficit hyperactivity disorder (ADHD; 76% of whom were boys) aged 12-18 with a mean age of 14.3 years had IA. 54 On the other hand, considering clinical children and adolescents, 11.3% of psychiatric inpatients in Germany 55 had IA. Since our sample included elementary school students, the prevalence of 30% in this study is consistent with previous studies for a clinical population that showed a relatively high prevalence in adolescence and low prevalence in childhood.…”

Section: Discussionmentioning

confidence: 99%

Associations between Internet Addiction, Psychiatric Comorbidity, and Maternal Depression and Anxiety in Clinically Referred Children and Adolescents

Sakamoto¹,

Miyawaki²,

Goto³

et al. 2022

NDT

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Purpose Internet addiction (IA) has become a global problem and is one of the most common reasons for children to be referred for intervention because IA results in social and educational dysfunction and conflict with parents. IA is associated with various comorbid psychiatric disorders, with notable association between IA and family factors. However, little is known about parental psychopathology. This study aimed to examine the prevalence of IA and association between IA and maternal depression and anxiety in clinical samples after adjusting for comorbidities. Patients and Methods A cross-sectional study was conducted between April 2020 and August 2021 at the Department of Neuropsychiatry of Osaka Metropolitan University Hospital in Japan. A total of 218 clinically referred children and adolescents (aged 8 to 15 years) were assessed using the Internet Addiction Test, which is one of the most popular questionnaires to evaluate IA, the Child Behavior Checklist (CBCL), and The Kiddie Schedule for Affective Disorders and Schizophrenia for School-Age Children—Present and Lifetime Version. IA was defined as a total score on the Internet Addiction Test ≥ 50. Of those, for the evaluation of maternal depression and anxiety, the 132 mothers of the children who were referred after January 2021 completed K6 as well. Results A total of 68 participants (31.2%) presented with IA and had higher total and externalizing scores of CBCL, social anxiety disorder, and oppositional defiant disorder compared to those without IA. IA was associated with the six-item Kessler scale scores of mothers, being raised by single parents, and anxiety disorders after adjusting for age, sex, and family income (95% CI: 1.023–1.215). Conclusion Maternal depression and anxiety may be one of the risk factors for children and adolescents to develop IA. Care for maternal depression and anxiety may contribute to intervention for children and adolescents with IA.

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Lifetime depressive and current social anxiety are associated with problematic internet use in adolescents with ADHD: a cross‐sectional study

Cited by 14 publications

References 44 publications

Co-occurrence of Adult ADHD Symptoms and Problematic Internet Use and Its Links With Impulsivity, Emotion Regulation, Anxiety, and Depression

Co-occurrence of Adult ADHD Symptoms and Problematic Internet Use and Its Links With Impulsivity, Emotion Regulation, Anxiety, and Depression

Does the Internet Bring People Closer Together or Further Apart? The Impact of Internet Usage on Interpersonal Communications

Associations between Internet Addiction, Psychiatric Comorbidity, and Maternal Depression and Anxiety in Clinically Referred Children and Adolescents

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