Depression, anxiety, and stress mediate the associations between internet gaming disorder, insomnia, and quality of life during the COVID-19 outbreak

Fazeli, Sara; Zeidi, Isa Mohammadi; Lin, Chung‐Ying; Namdar, Peyman; Griffiths, Mark D.; Ahorsu, Daniel Kwasi; Pakpour, Amir H.

doi:10.1016/j.abrep.2020.100307

Cited by 129 publications

(171 citation statements)

References 56 publications

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“…The impacts of COVID-19 have far exceeded its high mortality rate [ 3 ]: psychological and social health have been largely impacted worldwide due to the direct and indirect effects of COVID-19 [ 4 , 5 , 6 , 7 , 8 , 9 , 10 , 11 , 12 , 13 , 14 , 15 , 16 , 17 , 18 , 19 , 20 ]. The direct impacts include psychological distress and mental health problems, given the fear of COVID-19 [ 4 , 5 , 6 , 7 , 8 , 9 ]. The indirect impacts may be attributed to the changes in human lifestyles, which have occurred due to some policies implemented to control the spread of COVID-19 infection [ 10 , 20 , 21 ].…”

Section: Introductionmentioning

confidence: 99%

Willingness of Taiwan’s Healthcare Workers and Outpatients to Vaccinate against COVID-19 during a Period without Community Outbreaks

Kukreti

Lin

et al. 2021

Vaccines

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To control the spread of the novel coronavirus disease 2019 (COVID-19), COVID-19 vaccination has been quickly developed. However, the COVID-19 pandemic will not be controlled if the COVID-19 vaccination uptake willingness is low. Therefore, the study aim was to explore the COVID-19 vaccination uptake willingness among the outpatient population and healthcare workers in Taiwan during the worldwide pandemic period without community outbreaks. A cross-sectional survey was conducted among healthcare workers (HCWs; n = 500; mean age = 32.96 years) of National Cheng Kung University Hospital (NCKUH) and outpatients (n = 238; mean age = 34.43 years) arriving at NCKUH. We used an online survey conducted between September 24 and 21 November 2020, for healthcare workers, and between 27 October and 31 December 2020, for the outpatient sample. Information regarding willingness to receive vaccination, willingness to rapid test, fear of COVID-19, risk perception, and preventive behaviors was collected in both samples; information regarding willingness to care for patients was collected in healthcare workers. Willingness to receive vaccination was the main variable in the present study; willingness to rapid test, willingness to care for patients, fear of COVID-19, risk perception, and preventive behaviors were the secondary variables in the study. The factors associated with vaccination willingness were identified through logistic regression analysis. The participants’ willingness to receive vaccination was low for both healthcare workers (23.4%) and the outpatient sample (30.7%). Similarly, their willingness to take rapid tests was low (23.6% for healthcare workers and 28.6% for outpatient sample). Risk perception (crude odds ratio (COR) = 1.29; 95% confidence interval (CI) = 1.03, 1.63), willingness to take rapid test (COR = 9.24; 95% CI = 5.76, 14.83), and preventive COVID-19 infection behaviors (COR = 2.32; 95% CI = 1.52, 3.56) were significant factors explaining the healthcare workers’ willingness to receive vaccination. Willingness to take a rapid test (COR = 8.91; 95% CI = 4.71, 16.87) and preventive COVID-19 infection behaviors (COR = 1.69; 95% CI = 1.09, 2.60) were significant factors explaining the outpatient sample’s willingness to receive vaccination. Willingness to vaccinate against COVID-19 among HCWs and outpatients is low due to the relatively safe status of COVID-19 infection in Taiwan. These findings can help policymakers advocate for the effectiveness of and provide transparent information on COVID-19 vaccination uptake in a country/region with a relatively safe COVID-19 outbreak status.

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Section: Introductionmentioning

confidence: 99%

Willingness of Taiwan’s Healthcare Workers and Outpatients to Vaccinate against COVID-19 during a Period without Community Outbreaks

Kukreti

Lin

et al. 2021

Vaccines

Self Cite

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“…The impacts of COVID-19 have been great given that individuals’ physical, psychological, and social health have been jeopardized. This has been due to COVID-19′s impact both directly (e.g., the physical discomfort or physical impairment due to the COVID-19 infection) and/or indirectly (e.g., the policy of preventing COVID-19 infection such as lockdown that may impair an individual’s physical or psychosocial health) [ 5 , 6 , 7 , 8 , 9 , 10 , 11 , 12 , 13 , 14 , 15 , 16 , 17 , 18 , 19 ]. Unfortunately, no country is immune to the impacts of COVID-19 because many countries are still suffering from continued waves of COVID-19 outbreaks [ 4 , 7 , 20 ].…”

Section: Introductionmentioning

confidence: 99%

Measurement Invariance of the Drivers of COVID-19 Vaccination Acceptance Scale: Comparison between Taiwanese and Mainland Chinese-Speaking Populations

et al. 2021

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The impacts of novel coronavirus disease-2019 (COVID-19) on human life continue to be serious. To control the spread of COVID-19, the production of effective vaccines is likely to be one of the best solutions. However, vaccination hesitancy may decrease individuals’ willingness to get vaccinated. The Drivers of COVID-19 Vaccination Acceptance Scale (DrVac-COVID19S) was recently developed to help healthcare professionals and researchers better understand vaccination acceptance. The present study examined whether DrVac-COVID19S is measurement invariant across different subgroups (Taiwanese vs. mainland Chinese university students; males vs. females; and health-related program majors vs. non-health-related program majors). Taiwanese (n = 761; mean age = 25.51 years; standard deviation (SD) = 6.42; 63.5% females) and mainland Chinese university students (n = 3145; mean age = 20.72 years; SD = 2.06; 50.2% females) were recruited using an online survey between 5 January and 21 February 2021. Factor structure and measurement invariance of the two DrVac-COVID19S scales (nine-item and 12-item) were tested using confirmatory factor analysis (CFA). The findings indicated that the DrVac-COVID19S had a four-factor structure and was measurement invariant across the subgroups. The DrVac-COVID19S’s four-factor structure was supported by the CFA results is a practical and valid instrument to quickly capture university students’ willingness to get COVID-19 vaccination. Moreover, the DrVac-COVID19S can be used to compare university students’ underlying reasons to get COVID-19 vaccination among different subgroups.

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“…Over the last decade, the amount of time that children and adolescents spend online playing videogames has constantly increased [ 1 ]. Lockdowns, quarantine measures and physical distancing imposed by the COVID-19 pandemic led to a further spread of indoor activities, including online gaming [ 2 ].…”

Section: Introductionmentioning

confidence: 99%

“…Recent research documented the association between IGD and psychosocial variables in adolescents, including anxiety, depression, OCD, somatization and social difficulties [ 19 , 25 , 26 ]. Moreover, IGD was shown to be a significant contributor to the increase in sleep difficulties and impaired quality of life in adolescents during the COVID 19 outbreak, with anxiety being a strong mediator of the effects of IGD on sleep disturbances [ 2 ]. Parenting styles and family rules about videogaming were reported to be a significant factor in reducing the negative effects due to the use of videogames, in particular in terms of increased aggressivity and fighting behaviors [ 27 ].…”

Section: Introductionmentioning

confidence: 99%

Online Videogames Use and Anxiety in Children during the COVID-19 Pandemic

Pasquale

Chiappedi²,

Sciacca

et al. 2021

Children

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Videogames use has constantly increased among children and adolescents, with uncertain consequences on their health. This study aimed to assess the prevalence of videogames use and addiction in a sample of Italian children during the COVID-19 pandemic and their association with anxiety symptoms. One hundred and sixty-two children (M/F:78/84; age range: 8–10 years; average age 9.4 ± 0.7 years) completed the Videogame Addiction Scale for Children (VASC), the Test of Anxiety and Depression (TAD) and the Children’s Anxiety Meter—State (CAM-S). Demographic variables and data on the access to electronic tools and games preferences were also collected. Overall, 96.3% of the study participants stated to have access to one or more device. They reported a low risk of videogame addiction (VASC score (mean ± SD): 46.7 ± 15.4), a moderate level of trait anxiety (TAD score (mean ± SD): 135 ± 16.8) and a low state anxiety (CAM-S score (mean ± SD): 2.2 ± 2.1). Males reported to spend more time on videogames, to perceive higher self-control and to be more influenced by reinforcement mechanisms; females described higher levels of trait anxiety. In the regression analysis, state anxiety was a predictor of videogame use and addiction (p = 0.01). Further research is needed to confirm these data and to maximize the developmentally positive effects of videogames and preventing the negative consequences.

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Depression, anxiety, and stress mediate the associations between internet gaming disorder, insomnia, and quality of life during the COVID-19 outbreak

Cited by 129 publications

References 56 publications

Willingness of Taiwan’s Healthcare Workers and Outpatients to Vaccinate against COVID-19 during a Period without Community Outbreaks

Willingness of Taiwan’s Healthcare Workers and Outpatients to Vaccinate against COVID-19 during a Period without Community Outbreaks

Measurement Invariance of the Drivers of COVID-19 Vaccination Acceptance Scale: Comparison between Taiwanese and Mainland Chinese-Speaking Populations

Online Videogames Use and Anxiety in Children during the COVID-19 Pandemic

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