Reciprocal Relationship Between Depression and Internet Gaming Disorder in Children: A 12-month Follow-Up of the iCURE Study Using Cross-Lagged Path Analysis

Objectives: Previous studies have reported an association between Internet gaming disorder (IGD) and depression, but the directionality of the relationship remains unclear. Therefore, we examined the reciprocal relationship between level of depressive symptoms and IGD among children in a longitudinal study. Methods: Research panels for this study consisted of 366 elementary-school students in the iCURE study. All participants were current Internet users, so they could be considered an at-risk population for IGD. Self-reported severity of IGD features and level of depression were assessed by the Internet Game Use-Elicited Symptom Screen and Children’s Depression Inventory, respectively. Follow-up assessment was completed after 12 months. We fitted cross-lagged structural equation models to investigate the association between the two variables at two time points contemporaneously. Results: The cross-lagged analysis revealed that level of depression at baseline significantly predicted severity of IGD features at the 12-month follow-up (β = 0.15, p = .003). Severity of IGD features at baseline also significantly predicted level of depression at the 12-month follow-up (β = 0.11, p = .018), controlling for possible confounding factors. Conclusions: The cross-lagged path analysis indicates a reciprocal relationship between severity of IGD features and level of depressive symptoms. Understanding the reciprocal relationship between depressive symptoms and severity of IGD features can assist in interventions to prevent both conditions. These findings provide theoretical support for prevention and remediation plans for IGD and depressive symptoms among children

DEPRESSION AND LONELINESS AS MEDIATORS BETWEEN SOCIAL SUPPORT AND MOBILE PHONE ADDICTION

Background: Mobile phone addiction among adolescents has attracted a lot of attention in recent years. Previous researches revealed a significant relation between low social support and addiction. This study aim to investigated the association between social support and mobile phone addiction, and the mediating effects of depression and loneliness. Subjects and methods: A total of 1,400 Chinese adolescents aged from 12 to 23 years old was recruited from two middle schools and a college in Hunan Province, China. Participates were selected using the cluster random sampling method. They completed the Mobile Phone Addiction Index, the Self-Rating Depression Scale, the UCLA Loneliness Scale, and the Adolescent Social Support Scale. The study analyzed the correlations between the study variables and the mediating role of depression and loneliness in the relationship between social support and mobile phone addiction. Results: There were significant negative correlation between social support and depression, loneliness, and mobile phone addiction (p<0.001). Both depression and loneliness demonstrated significant positive correlation with mobile phone addiction (p<0.001). Structural equation modeling revealed that both depression and loneliness mediated the association between social support and mobile phone addiction (p<0.001). Depression and loneliness sequentially mediated the association between social support and mobile phone addiction (p<0.001). However, the relation between social support and mobile phone addiction was not significant (p>0.05). Conclusions: Social support can lower levels of mobile phone addiction among adolescents by reducing depression and loneliness. This study sheds light on the underlying mechanisms between social support and mobile phone addiction, which has profound implications for the prevention and interventions of adolescent problematic mobile phone use

Problematic Internet uses and depression in adolescents: A meta-analysis

Widespread use of the Internet in 21st century society is not risk-free. This paper studies the comorbidity of some problematic uses of Internet with depression in order to assess their correlation. With that aim, a meta-analysis of 19 samples obtained from 13 different studies (n=33,458) was carried out. The subjects of these studies are adolescents between the ages of 12 and 18 years (µ=15.68) from different cultures and continents (Europe, Euro-Asia, America and Asia). The effect size obtained from the use of a random-effects model (r=0.3, p<0.000) is significant, moderate and positive, thus confirming the relation between pathologic uses of the Internet and depression. Moreover, meta-regression test results showed that 9% of the variance (R2=0.09) is associated with the male gender, while age and culture are not significant variables. The variability rate of the studies is high (I2=87.085%), as a consequence of heterogeneity rather than publication bias, as Egger’s regression test shows (1-tailed p-value=0.25; 2-tailed p-value=0.50, and ?=1.57). Therefore, the need for specific interventions in secondary education dealing with this issue is evident to ensure that it does not extend into adult life

Problematic Internet uses and depression in adolescents: A meta-analysis

Widespread use of the Internet in 21st century society is not risk-free. This paper studies the comorbidity of some problematic uses of Internet with depression in order to assess their correlation. With that aim, a meta-analysis of 19 samples obtained from 13 different studies (n=33,458) was carried out. The subjects of these studies are adolescents between the ages of 12 and 18 years (µ=15.68) from different cultures and continents (Europe, Euro-Asia, America and Asia). The effect size obtained from the use of a random-effects model (r=0.3, p<0.000) is significant, moderate and positive, thus confirming the relation between pathologic uses of the Internet and depression. Moreover, meta-regression test results showed that 9% of the variance (R2=0.09) is associated with the male gender, while age and culture are not significant variables. The variability rate of the studies is high (I2=87.085%), as a consequence of heterogeneity rather than publication bias, as Egger’s regression test shows (1-tailed p-value=0.25; 2-tailed p-value=0.50, and ?=1.57). Therefore, the need for specific interventions in secondary education dealing with this issue is evident to ensure that it does not extend into adult life

Impact of mobile phones and wireless devices use on children and adolescents´ mental health: a systematic review

Growing use of mobiles phones (MP) and other wireless devices (WD) has raised concerns about their possible effects on children and adolescents’ wellbeing. Understanding whether these technologies affect children and adolescents’ mental health in positive or detrimental ways has become more urgent following further increase in use since the COVID-19 outbreak. To review the empirical evidence on associations between use of MP/WD and mental health in children and adolescents. A systematic review of literature was carried out on Medline, Embase and PsycINFO for studies published prior to July 15th 2019, PROSPERO ID: CRD42019146750. 25 observational studies published between January 1st 2011 and 2019 were reviewed (ten were cohort studies, 15 were cross-sectional). Overall estimated participant mean age and proportion female were 14.6 years and 47%, respectively. Substantial between-study heterogeneity in design and measurement of MP/WD usage and mental health outcomes limited our ability to infer general conclusions. Observed effects differed depending on time and type of MP/WD usage. We found suggestive but limited evidence that greater use of MP/WD may be associated with poorer mental health in children and adolescents. Risk of bias was rated as ‘high’ for 16 studies, ‘moderate’ for five studies and ‘low’ for four studies. More high-quality longitudinal studies and mechanistic research are needed to clarify the role of sleep and of type of MP/WD use (e.g. social media) on mental health trajectories in children and adolescents

Internet addiction: a systematic review of epidemiological research for the last decade

In the last decade, Internet usage has grown tremendously on a global scale. The increasing popularity and frequency of Internet use has led to an increasing number of reports highlighting the potential negative consequences of overuse. Over the last decade, research into Internet addiction has proliferated. This paper reviews the existing 68 epidemiological studies of Internet addiction that (i) contain quantitative empirical data, (ii) have been published after 2000, (iii) include an analysis relating to Internet addiction, (iv) include a minimum of 1000 participants, and (v) provide a full-text article published in English using the database Web of Science. Assessment tools and conceptualisations, prevalence, and associated factors in adolescents and adults are scrutinised. The results reveal the following. First, no gold standard of Internet addiction classification exists as 21 different assessment instruments have been identified. They adopt official criteria for substance use disorders or pathological gambling, no or few criteria relevant for an addiction diagnosis, time spent online, or resulting problems. Second, reported prevalence rates differ as a consequence of different assessment tools and cut-offs, ranging from 0.8% in Italy to 26.7% in Hong Kong. Third, Internet addiction is associated with a number of sociodemographic, Internet use, and psychosocial factors, as well as comorbid symptoms and disorder in adolescents and adults. The results indicate that a number of core symptoms (i.e., compulsive use, negative outcomes and salience) appear relevant for diagnosis, which assimilates Internet addiction and other addictive disorders and also differentiates them, implying a conceptualisation as syndrome with similar etiology and components, but different expressions of addictions. Limitations include the exclusion of studies with smaller sample sizes and studies focusing on specific online behaviours. Conclusively, there is a need for nosological precision so that ultimately those in need can be helped by translating the scientific evidence established in the context of Internet addiction into actual clinical practice

Problematic smartphone use in young Swiss men: Its association with problematic substance use and risk factors derived from the pathway model.

This study aimed to examine associations between risk factors suggested in the pathway model proposed by Billieux et al., demographic and substance use variables, and problematic smartphone use (PSU). The analytical sample consisted of 5,096 Swiss men (mean age = 25.5 years, SD = 1.26). Multiple linear regression analyses were conducted with PSU as dependent and the following as independent variables: (a) Billieux's pathway model variables (depression, social anxiety, ADHD, aggression-hostility, and sensation seeking); (b) substance use variables [alcohol: at-risk risky single-occasion drinking (RSOD); at-risk volume drinking; tobacco use: daily smoking; illicit drug use: more than weekly cannabis use; having used at least one other illicit drug besides cannabis over the preceding 12 months]; and (c) sociodemographic variables (age, language region, and education). All pathway-model variables except sensation seeking were significant predictors of PSU, especially symptoms of social anxiety (β = 0.196) and ADHD (β = 0.184). At-risk RSOD was positively (β = 0.071) associated with PSU, whereas both frequent cannabis use (β = -0.060) and daily cigarette smoking (β = -0.035) were negatively associated with PSU. Higher-achieved educational levels and being from the German-speaking part of Switzerland predicted PSU. The findings of this study can be used to develop tailored interventional programs that address the co-occurrence of certain risky behaviors (e.g., at-risk RSOD and PSU) and target individuals who might be particularly prone to PSU. Such interventions would need to ensure that addressing one problem (e.g., decreasing PSU) does not lead to some other compensatory behavior (e.g., frequent cigarette smoking)

USAGE OF SMARTPHONE BY HIGH SCHOOL STUDENTS: A STUDY ON JHIKARGACHA SUB-DISTRICT OF BANGLADESH

Students now have more access to online courses thanks to the COVID-19 pandemic. The current study included high school students and aimed to comprehend the drivers behind smartphone use as well as the consequences of smartphone consumption. The school-based work in the sub-district area is not seen in that way, despite the fact that there are numerous forms of research on the use of mobile phones in the context of the city, college, or university. Bangladesh's upazila (subdistricts), in particular, do not have a lot of school-related work. The study uses a quantitative approach. In order to choose Jhikargacha Upazila of Jessore District, which is situated in the Southwest of Bangladesh, purposive sampling is utilized. Additionally, three schools were purposefully selected for data collection. A further offline survey was used to collect data, and SPSS version 24 was used to analyze the findings. In addition, the facts and context of smartphone usage are analyzed using the uses and gratification theory. Most participants claimed to use their smartphones for a range of purposes and to devote varying amounts of time to each. When the corona pandemic forces all educational activities to be conducted online, they are using cellphones. Additionally, certain changes in their daily routine have been brought about by using a smartphone. Some of them think it affects their day-to-day activities by making them feel detached from reality, stay up late, experience worry and melancholy, etc.  Article visualizations

Internet and Smartphone Use-Related Addiction Health Problems: Treatment, Education and Research

This Special Issue presents some of the main emerging research on technological topics of health and education approaches to Internet use-related problems, before and during the beginning of coronavirus disease 2019 (COVID-19). The objective is to provide an overview to facilitate a comprehensive and practical approach to these new trends to promote research, interventions, education, and prevention. It contains 40 papers, four reviews and thirty-five empirical papers and an editorial introducing everything in a rapid review format. Overall, the empirical ones are of a relational type, associating specific behavioral addictive problems with individual factors, and a few with contextual factors, generally in adult populations. Many have adapted scales to measure these problems, and a few cover experiments and mixed methods studies. The reviews tend to be about the concepts and measures of these problems, intervention options, and prevention. In summary, it seems that these are a global culture trend impacting health and educational domains. Internet use-related addiction problems have emerged in almost all societies, and strategies to cope with them are under development to offer solutions to these contemporary challenges, especially during the pandemic situation that has highlighted the global health problems that we have, and how to holistically tackle them

Problematic smartphone use and the quantity and quality of peer engagement among adolescents: A longitudinal study

Problematic smartphone use (PSU) has recently attracted a lot of attention, especially among adolescents. The knowledge about the role peer engagement might play in the development of PSU is still limited. We aimed to investigate the bidirectional relationships between PSU, the quantity of online (i.e., passive and active social media messaging on smartphone) and offline peer engagement (i.e., intensity of face-to-face meeting with friends) and the quality of peer engagement (i.e., perceived competence in close friendships) among adolescents. Data from a three-wave longitudinal study among 2100 Dutch high school students (56.7% boys) was used. Cross-lagged models indicated that: (1) perceived competence in close friendships at T1 negatively predicted PSU at T2 and PSU at T2 negatively predicted perceived competence in close friendships at T3; (2) there were positive and reciprocal cross-lagged correlations between PSU and passive social media messaging on smartphone; (3) there were positive and reciprocal cross-lagged correlations between intensity of face-to-face meeting with friends and active social media messaging on smartphone. This implies that adolescents who perceive a low competence in close friendships and/or intensively check their smartphone for messages from their peers may be particularly vulnerable to developing problematic smartphone use over time