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

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机构: [1]Sun Yat Sen Univ, Dept Clin Res, Collaborat Innovat Ctr Canc Med, State Key Lab Oncol South China,Canc Ctr, Guangzhou, Guangdong, Peoples R China; [2]Chinese Univ Hong Kong, Jockey Club Sch Publ Hlth & Primary Care, Ctr Hlth Behav Res, Fac Med, Hong Kong, Hong Kong, Peoples R China; [3]Chinese Univ Hong Kong, Shenzhen Res Inst SZRI, Shenzhen, Peoples R China; [4]Ctr Hlth Educ Guangdong Prov, Dept Social Hlth Educ, Guangzhou, Guangdong, Peoples R China; [5]Prince Wales Hosp, Jockey Club Sch Publ Hlth & Primary Care, 5-F, Shatin, Hong Kong, Peoples R China
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关键词: online social networking addiction Internet addiction insomnia depression mediation

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.

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出版当年[2017]版:
大类 | 3 区 医学
小类 | 3 区 精神病学
最新[2023]版:
大类 | 1 区 医学
小类 | 1 区 精神病学
第一作者:
第一作者机构: [1]Sun Yat Sen Univ, Dept Clin Res, Collaborat Innovat Ctr Canc Med, State Key Lab Oncol South China,Canc Ctr, Guangzhou, Guangdong, Peoples R China; [2]Chinese Univ Hong Kong, Jockey Club Sch Publ Hlth & Primary Care, Ctr Hlth Behav Res, Fac Med, Hong Kong, Hong Kong, Peoples R China;
通讯作者:
通讯机构: [2]Chinese Univ Hong Kong, Jockey Club Sch Publ Hlth & Primary Care, Ctr Hlth Behav Res, Fac Med, Hong Kong, Hong Kong, Peoples R China; [3]Chinese Univ Hong Kong, Shenzhen Res Inst SZRI, Shenzhen, Peoples R China; [5]Prince Wales Hosp, Jockey Club Sch Publ Hlth & Primary Care, 5-F, Shatin, Hong Kong, Peoples R China
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