Insomnia partially mediated the association between problematic Internet use and depression among secondary school students in China
Publication in refereed journal

替代計量分析
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其它資訊
摘要Background and aims:
This study aims to examine the mediating effects of insomnia on the associations between problematic Internet use, including Internet addiction (IA) and online social networking addiction (OSNA), and depression among adolescents.

Methods:
A total of 1,015 secondary school students from Guangzhou in China participated in a cross-sectional survey. Levels of depression, insomnia, IA, and OSNA were assessed using the Center for Epidemiological Studies-Depression Scale, Pittsburgh Sleep Quality Index, Young's Diagnostic Questionnaire, and Online Social Networking Addiction Scale, respectively. Logistic regression models were fit to test the associations between IA, OSNA, insomnia, and depression. The mediation effects of insomnia were tested using Baron and Kenny's strategy.

Results:
The prevalence of depression at moderate level or above (CES-D = 21), insomnia, IA, and OSNA were 23.5%, 37.2%, 8.1%, and 25.5%, respectively. IA and OSNA were significantly associated with depression (IA: AOR = 2.79, 95% CI: 1.71, 4.55; OSNA: AOR = 3.27, 95% CI: 2.33, 4.59) and insomnia (IA: AOR = 2.83, 95% CI: 1.72, 4.65; OSNA: AOR = 2.19, 95% CI: 1.61, 2.96), after adjusting for significant background factors. Furthermore, insomnia partially mediated 60.6% of the effect of IA on depression (Sobel Z = 3.562, p <.002) and 44.8% of the effect of OSNA on depression (Sobel Z = 3.919, p <.001), respectively.

Discussion:
The high prevalence of IA and OSNA may be associated with increased risk of developing depression among adolescents, both through direct and indirect effects (via insomnia). Findings from this study indicated that it may be effective to develop and implement interventions that jointly consider the problematic Internet use, insomnia, and depression.
著者Li JB, Lau JTF, Mo PKH, Su XF, Tang J, Qin ZG, Gross DL
期刊名稱Journal of Behavioral Addictions
出版年份2017
月份12
卷號6
期次4
頁次554 - 563
國際標準期刊號2062-5871
電子國際標準期刊號2063-5303
語言英式英語
關鍵詞online social networking addiction, Internet addiction, insomnia, depression, mediation
Web of Science 學科類別Psychiatry;Psychiatry

上次更新時間 2021-22-02 於 01:13