Perceived school climate and problematic internet use among Chinese adolescents: Psychological insecurity and negative peer affiliation as mediators.

Background Studies that focus on the relationships of problematic Internet use (PIU), sleep disorders, and behavioral/emotional problems were limited. This study aimed to explore (1) the relationship between PIU and behavioral/emotional problems among Chinese adolescents and (2) whether sleep disorders mediate the relationship between PIU and behavioral/emotional problems. Methods A total of 1,976 adolescents were recruited by cluster sampling from ten secondary schools in Guangzhou between January and April 2019, and 1,956 of them provided valid information (response rate: 98.9% ). Among them, 50.8% were males and the mean age was 13.6±1.5 years, ranging from 11 to 18 years. Data on behavioral/emotional problems, sleep disorders, and PIU were collected using a self-reported questionnaire. Linear regression models and mediation analyses were performed. Results Of the participants, 14.5% (284/1,956) reported moderate to severe PIU, and their average score for total difficulties was significantly higher than the score for average users (14.9±5.5 Vs 9.8±4.7). After adjusting for controlled variables, PIU was further proven to be positively related to elevated levels of behavioral/emotional problems (unstandardized β = 0.16, p < 0.05). In addition, sleep disorders partially mediated the forgoing associations. Conclusions Adolescents with problematic Internet habits were at higher risk of developing behavioral and emotional problems than their normal-use peers, and sleep disorders partially mediated the effect. Close attention and effective guidance for adolescents with PIU and behavioral/emotional problems were recommended for parents and schools.

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Parental Attachment and Problematic Internet Use among Chinese Adolescents: The Moderating Role of Gender and Grit

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph17238933 ◽

2020 ◽

Vol 17 (23) ◽

pp. 8933

Author(s):

Xiaoyu Lan ◽

Wenchao Wang

Keyword(s):

Parental Attachment ◽

Internet Use ◽

Attachment Security ◽

Chinese Adolescents ◽

Maternal Attachment ◽

Problematic Internet Use ◽

Health Concern ◽

Paternal Attachment ◽

Optimal Functioning

Problematic Internet use (PIU) is currently becoming a more serious public health concern, representing a deleterious effect on adolescent adaptive emotional and behavioral patterns. Given the prevalence of PIU and its deleterious impact on adolescents’ optimal functioning, it is valuable to investigate the risk and protective factors of PIU. Guided by a socio-ecological framework, the current study examines the associations of paternal attachment and maternal attachment with PIU among Chinese adolescents. Furthermore, this study investigates whether adolescents’ gender and grit moderate this association. A total of 2677 Chinese adolescents (56.5% girls; Mage = 15.56; SD = 1.57) was involved in this study. Adolescents were uniformly instructed to complete a battery of self-reported questionnaires. The results of linear regression analyses showed that paternal attachment and maternal attachment security were negatively related to PIU. Moreover, moderation analyses revealed that higher levels of grit buffered against boys’ PIU in the context of paternal attachment security and girls’ PIU in the context of paternal attachment insecurity. The current study suggests that parental attachment security plays an important role in mitigating the likelihood of Chinese adolescents’ PIU. Moreover, the buffering role of grit in PIU varies by the levels of paternal attachment security, depending on the adolescents’ gender.

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Problematic Internet Use, Non-Medical Use of Prescription Drugs, and Depressive Symptoms among Adolescents: A Large-Scale Study in China

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph17030774 ◽

2020 ◽

Vol 17 (3) ◽

pp. 774

Author(s):

Beifang Fan ◽

Wanxing Wang ◽

Tian Wang ◽

Bo Xie ◽

Huimin Zhang ◽

...

Keyword(s):

Depressive Symptoms ◽

Prescription Drugs ◽

Large Scale ◽

Internet Use ◽

Chinese Adolescents ◽

Problematic Internet Use ◽

Large Scale Study ◽

Frequent Use ◽

Increased Risk ◽

Path Models

This large-scale study aimed to test, among Chinese adolescents, the association between problematic Internet use (PIU), non-medical use of prescription drugs (NMUPD), and depressive symptoms, as well as the mediating effects of NMUPD on the associations above. This study used the data from the 2017 National School-based Chinese Adolescents Health Survey, and 24,345 students’ questionnaires qualified for the analyses. Generalized linear mixed models and path models were performed. In the models without mediation, PIU was associated with depressive symptoms (unstandardized β estimate = 0.26, 95% CI = 0.25–0.27); frequent use of opioid or sedative was also related to depressive symptoms (unstandardized β estimate for opioid = 2.77, 95% CI = 1.90–3.63; unstandardized β estimate for sedative = 4.45, 95% CI = 3.02–5.88). Additionally, the results of the path models indicated that opioid misuse partially mediated the association between PIU and depressive symptoms. PIU and opioid/sedative misuse were related to the increased risk of depressive symptoms, respectively. The association above might be complicated, and PIU may elevate the risk of opioid or sedative misuse and depressive symptoms, which in turn could worsen the situation of PIU and vice versa. Multidisciplinary health intervention programs to prevent adolescents involving in PIU, as well as NMPUD, are recommended to be provided.

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