Prevalence and Associated Factors of Pathological Internet Use and Online Risky Behaviors Among Japanese Elementary School Children

Yamada, Masaaki; Sekine, Michikazu; Tatsuse, Takashi; Asaka, Yukiko

doi:10.2188/jea.je20200214

Cited by 11 publications

(18 citation statements)

References 28 publications

(53 reference statements)

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“…The YDQ might bias the assessment of problematic Internet use, as the tool is somewhat outdated. Although the YDQ is still used in many studies (78)(79)(80)(81), an updated model might be more suitable for the investigation of the Internet use (i.e., the Interaction of Person-Affect-Cognition-Execution model) (82). Finally, the snowball sampling method may result in a biased sample.…”

Section: Discussionmentioning

confidence: 99%

Problematic Internet Use Was Associated With Psychological Problems Among University Students During COVID-19 Outbreak in China

Xie

Zhu

Qin

et al. 2021

Front. Public Health

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Background: As the coronavirus disease 2019 (COVID-19) pandemic progressed globally, school closures and home quarantine may cause an increase in problematic Internet use among students in universities. Such a traumatic stress event may also contribute to the development of posttraumatic stress disorder (PTSD), depressive, and anxiety symptoms. This study aimed to evaluate the prevalence of PTSD, depressive, and anxiety symptoms as well as the predictive role of problematic Internet use in the above-mentioned psychological problems in university students.Methods: A cross-sectional study was conducted through an online survey of 8,879 students in China between April 20 and April 26, 2020. The presence of PTSD, depressive, and anxiety symptoms and problematic Internet use were evaluated using PTSD Checklist for DSM-5, the Center for Epidemiologic Studies Depression 9-item scale, the generalized anxiety disorder 7-item scale, and the Young diagnostic questionnaire, respectively. Sociodemographic information and the knowledge, attitude, and practice (KAP) toward COVID-19 data were also collected.Results: A total of 4,834 (54.4%) participants were female, and 7,564 (85.2%) were undergraduate students. A total of 615 students (6.9%) reported PTSD symptoms; 5.2% (465) and 10.1% (896) reported moderate to severe depressive and anxiety symptoms, respectively. The problematic Internet use was significantly associated with higher risk of PTSD, depressive, and anxiety symptoms (odds ratio 2.662 [95% CI, 2.239–3.165], odds ratio 4.582 [95% CI, 3.753–5.611], odds ratio 3.251 [95% CI, 2.814–3.757], respectively; all P < 0.001). Lower attitude and practice scores also contributed to the risk of depressive, anxiety, and PTSD symptoms (P < 0.05).Conclusions: Psychological problems should be paid more attention, and problematic Internet use may be a predictor when screening high-risk students for psychological problems. Our results will aid in timely psychological screening, which is meaningful in the prevention and intervention of psychological problems.

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Section: Discussionmentioning

confidence: 99%

Problematic Internet Use Was Associated With Psychological Problems Among University Students During COVID-19 Outbreak in China

Xie

Zhu

Qin

et al. 2021

Front. Public Health

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“…From 185 in total, 110 elementary schools in Toyama Prefecture (as of 2018, 61.1% of elementary schools in Toyama) joined the survey, responding to a call by the Toyama Prefecture Education Board. In total, 13,413 children in the 4th to 6th grades participated. We distributed an anonymous, self-reported questionnaire to all children in all schools.…”

Section: Participants: Children From the Toyama Safe Internet Use Surveymentioning

confidence: 99%

Pathological Gaming and Its Association With Lifestyle, Irritability, and School and Family Environments Among Japanese Elementary School Children

Yamada

Sekine

Tatsuse

2023

Journal of Epidemiology

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Background Pathological gaming (PG) has emerged as one of the major public health concerns worldwide. We aimed to assess PG and its associated factors among elementary school children in Japan. Methods We conducted a school-based observational study in Toyama, Japan in 2018. In total, 13,413 children in the 4th–6th grades (mean age, 10.5 years) participated in the study. We distributed questionnaires and inquired about their lifestyle, irritability, and school and family environments. Referring to criteria of gaming disorder in the International Statistical Classification of Disease (ICD-11), we asked about three core symptoms: impaired control over gaming, increasing priority given to gaming over other activities, and continuation of gaming despite the negative consequences. Children who had all three criteria in the questionnaire were defined as PG. Results The response rate was 97.6%, and 11,826 children were included in our analyses (88.2%). The prevalence of PG was 5.6% (7.8% in boys, 3.2% in girls). Besides sex, PG was significantly associated with lifestyles, including skipping breakfast (odds ratio [OR] 1.33; 95% confidence interval [CI], 1.05–1.68), physical inactivity (OR 2.23; 95% CI, 1.63–3.05 for rare), late bed time (OR 2.52; 95% CI, 1.96–3.25 for ≥11 p.m.), frequent irritability (OR 1.89; 95% CI, 1.47–2.43), frequent feeling of school avoidance (OR 1.92; 95% CI, 1.49–2.46), fewer close friends (OR 1.30; 95% CI, 1.08–1.56 for some), low academic performance (OR 1.53; 95% CI, 1.13–2.08), no child–parent interaction (OR 1.34; 95% CI, 1.02–1.75), and no rules at home (OR 1.21; 95% CI, 1.02–1.43). Conclusion Unhealthy lifestyles, irritability, and low functioning in school and family environments were associated with PG. Besides having a healthy lifestyle, parental involvement appears to be an indispensable countermeasure for PG in children.

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“… 41 The JIAT has shown good reliability and validity. 17 , 41 , 42 In our study, we considered a JIAT total score of ≥ 50 as IA., and that of < 50 as non-IA.…”

Section: Methodsmentioning

confidence: 99%

“…10 It has become a global problem with a prevalence of 4.2% to 23.7% depending on the age of the participants and various methods of assessing IA. 5,9,[11][12][13][14][15][16][17][18][19][20][21] Family factors, such as growing up with a single parent 22 and low family income, 23,24 are also associated with IA in childhood and adolescence. Recently, some studies suggested IA in adolescence was associated with parental depression.…”

Section: Introductionmentioning

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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Prevalence and Associated Factors of Pathological Internet Use and Online Risky Behaviors Among Japanese Elementary School Children

Cited by 11 publications

References 28 publications

Problematic Internet Use Was Associated With Psychological Problems Among University Students During COVID-19 Outbreak in China

Problematic Internet Use Was Associated With Psychological Problems Among University Students During COVID-19 Outbreak in China

Pathological Gaming and Its Association With Lifestyle, Irritability, and School and Family Environments Among Japanese Elementary School Children

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

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