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Identification of central symptoms in Internet addictions and depression among adolescents in Macau: A network analysis
Cai, Hong1,2,3; Bai, Wei1,2,3; Sha, Sha1; Zhang, Ling1; Chow, Ines H.I.1,2,3; Lei, Si Man5; Lok, Grace K.I.6; Cheung, Teris7; Su, Zhaohui8; Hall, Brian J.9,10; Smith, Robert D.1; Xiang, Yu Tao1,2,3
2022-04-01
Source PublicationJOURNAL OF AFFECTIVE DISORDERS
ISSN0165-0327
Volume302Pages:415-423
Abstract

Background: Internet addiction (IA) and depression are common among adolescents and often are co-occurring. This study examined the network structures of IA and depressive symptoms (depression hereafter) in adolescents. Methods: A total of 1,009 adolescents were recruited. IA and depression were measured using the Internet Addiction Test (IAT) and the 9 items-Patient Health Questionnaire (PHQ-9), respectively. A network analysis was conducted to identify central symptoms and bridge symptoms using centrality indices. Network stability was evaluated using the case-dropping procedure. The Network Comparison Test (NCT) was conducted to examine whether network characteristics differed by gender. Results: Network analysis revealed that nodes IAT-15 (“Preoccupation with the Internet”), IAT-2 (“Neglect chores to spend more time online”), PHQ-6 (“Guilty”), and IAT-16 (“Request an extension for longer time spent online”) were the most central symptoms within the model of coexisting IA and depression. The most important bridge symptom was node IAT-11 (“Anticipation for future online activities”), followed by IAT-12 (“Fear that life is boring and empty without the Internet”) and IAT-19 (“Spend more time online over going out with others”). Gender did not significantly influence the network structure. The IA and depression network model showed a high degree of stability. Conclusion: The central symptoms along with key bridge symptoms identified could be potentially targeted when treating and preventing IA and depression among adolescents.

KeywordAdolescents Internet Addiction Depression Network Analysis
DOI10.1016/j.jad.2022.01.068
URLView the original
Indexed BySCIE ; SSCI
Language英語English
WOS Research AreaNeurosciences & Neurology ; Psychiatry
WOS SubjectClinical Neurology ; Psychiatry
WOS IDWOS:000766790300012
Scopus ID2-s2.0-85124001631
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Citation statistics
Document TypeJournal article
CollectionINSTITUTE OF ADVANCED STUDIES IN HUMANITIES AND SOCIAL SCIENCES
Faculty of Education
Institute of Translational Medicine
DEPARTMENT OF PUBLIC HEALTH AND MEDICINAL ADMINISTRATION
Corresponding AuthorXiang, Yu Tao
Affiliation1.Unit of Psychiatry, Department of Public Health and Medicinal Administration, and Institute of Translational Medicine, Faculty of Health Sciences, University of Macau, Macao SAR, China
2.Centre for Cognitive and Brain Sciences, University of Macau, Macao SAR, China
3.Institute of Advanced Studies in Humanities and Social Sciences, University of Macau, Macao SAR, China
4.The National Clinical Research Center for Mental Disorders & Beijing Key Laboratory of Mental Disorders Beijing Anding Hospital and the Advanced Innovation Center for Human Brain Protection, Capital Medical University, School of Mental Health, Beijing, Chi
5.Faculty of Education, University of Macau, Macao SAR, China
6.Kiang Wu Nursing College of Macau, Macau SAR, China
7.School of Nursing, Hong Kong Polytechnic University, Hong Kong SAR, China
8.Center on Smart and Connected Health Technologies, Mays Cancer Center, School of Nursing, UT Health San Antonio, San Antonio, Texas, United States
9.Center for Global Health Equity, New York University (Shanghai), Shanghai, China
10.School of Global Public Health, New York University, NY, United States
First Author AffilicationFaculty of Health Sciences;  University of Macau
Corresponding Author AffilicationFaculty of Health Sciences;  University of Macau
Recommended Citation
GB/T 7714
Cai, Hong,Bai, Wei,Sha, Sha,et al. Identification of central symptoms in Internet addictions and depression among adolescents in Macau: A network analysis[J]. JOURNAL OF AFFECTIVE DISORDERS, 2022, 302, 415-423.
APA Cai, Hong., Bai, Wei., Sha, Sha., Zhang, Ling., Chow, Ines H.I.., Lei, Si Man., Lok, Grace K.I.., Cheung, Teris., Su, Zhaohui., Hall, Brian J.., Smith, Robert D.., & Xiang, Yu Tao (2022). Identification of central symptoms in Internet addictions and depression among adolescents in Macau: A network analysis. JOURNAL OF AFFECTIVE DISORDERS, 302, 415-423.
MLA Cai, Hong,et al."Identification of central symptoms in Internet addictions and depression among adolescents in Macau: A network analysis".JOURNAL OF AFFECTIVE DISORDERS 302(2022):415-423.
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