A bidirectional association between internet addiction and depression: A large-sample longitudinal study among Chinese university students

心理学 萧条(经济学) 临床心理学 脆弱性(计算) 联想(心理学) 上瘾 认知脆弱性 医学 精神科 人口学 焦虑 内科学 抑郁症状 宏观经济学 心理治疗师 经济 社会学 计算机科学 计算机安全
作者
Xia Yang,Wanjun Guo,Yu-jie Tao,Yajing Meng,Hui-yao Wang,Xiaojing Li,Yamin Zhang,Jinkun Zeng,Wanjie Tang,Qiang Wang,Wei Deng,Liansheng Zhao,Xiaohong Ma,Mingli Li,Jiajun Xu,Jing Li,Yansong Liu,Zhen Tang,Xiangdong Du,Wei Hao,Jeremy Coid,Sing Lee,Andrew J. Greenshaw,Tao Li
出处
期刊:Journal of Affective Disorders [Elsevier]
卷期号:299: 416-424 被引量:35
标识
DOI:10.1016/j.jad.2021.12.013
摘要

Internet addiction (IA) is associated with adverse consequences, especially for younger people. Evidence indicates that IA is associated with depression, but no studies have yet investigated potential common vulnerability between them.IA (measured by the Young's 20-item Internet Addiction Test Scale) and depressive symptoms (measured by the Patient Health Questionnaire-9 Scale) among 12 043 undergraduates were surveyed at baseline and at a respective 12 month follow-up for each participant. Application of a cross-lagged panel model approach (CLPM) revealed an association between IA and depression after adjusting for demographic variables.Rates of baseline IA and depression were 5.47% (95% CI: 5.07%, 5.88%) and 3.85% (95% CI: 3.51%, 4.20%), respectively; increasing to 9.47% (95% CI: 8.94%, 9.99%) and 5.58% (95% CI: 5.17%,5.99%), respectively, at follow-up. Rates of new-incidences of IA and depression over 12 months were 7.43% (95% CI: 6.95%, 7.91%) and 4.47% (95% CI: 4.09%, 4.84%), respectively. Models in the present analysis revealed that baseline depression had a significant net-predictive effect on follow-up IA, and baseline IA had a significant net-predictive effect on follow-up depression.The follow-up survey response rate was moderate (54.69%) in this analysis of university students. Moreover, the IAT-20 scale did not allow differentiate between specific forms of Internet activity.Common vulnerability and bidirectional cross-causal effects may both contribute to the association between IA and depression, with common vulnerability likely playing a more significant role than cross-causal effects.
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