The role of depressive symptoms and social support in the association of internet addiction with non-suicidal self-injury among adolescents: a cohort study in China

Ma, Ying; Li, Yanqi; Xie, Xinyi; Zhang, Yi; Ammerman, Brooke A.; Lewis, Stephen P.; Chen, Ruoling; Yu, Yizhen; Li, Fenghua; Tang, Jie

doi:10.1186/s12888-023-04754-4

Cited by 11 publications

(3 citation statements)

References 48 publications

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“…A study analyzed the survey data of 11,813 adolescents in Shandong Province and found that long-term use of mobile phones was positively correlated with the risk of depressive symptoms [ 68 ]. In addition, a cross-sectional study based on SEM found that depressive symptoms mediated the association between IA and non-suicidal self-injury [ 69 ], which also supported our findings to some extent.…”

Section: Discussionsupporting

confidence: 90%

Associations of vegetable and fruit intake, physical activity, and school bullying with depressive symptoms in secondary school students: the mediating role of internet addiction

Ji,

Ren,

Chen

et al. 2024

BMC Psychiatry

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Background Few studies have simultaneously focused on the associations of vegetable and fruit intake, physical activity, school bullying, and Internet addiction (IA) with depressive symptoms. This study aimed to explore the direct and indirect effects of the above factors on depressive symptoms in adolescents by constructing a structural equation model (SEM). Methods This study was conducted in Qingdao from September to November 2021. A total of 6195 secondary school students aged 10–19 years were included in the analysis. Information on all variables was assessed using a self-administered questionnaire. An SEM was constructed with depressive symptoms as the endogenous latent variable, IA as the mediating variable, and vegetable and fruit intake, physical activity, and school bullying as the exogenous latent variables. The standardized path coefficients (β) were the direct effects between the latent variables, and the indirect effects were obtained by the product of direct effects between relevant latent variables. Results The median value with the interquartile range of depressive symptom scores was 7 (3,12). Vegetable and fruit intake (β=-0.100, P<0.001) and physical activity (β=-0.140, P<0.001) were directly negatively related to depressive symptoms. While school bullying (β=0.138, P<0.001) and IA (β=0.452, P<0.001) were directly positively related to depressive symptoms. IA had the greatest impact on depressive symptoms. Vegetable and fruit intake, physical activity, and school bullying could not only directly affect depressive symptoms, but also indirectly affect depressive symptoms through the mediating effect of IA, the indirect effects and 95% confidence intervals (CIs) were -0.028 (-0.051, -0.007), -0.114 (-0.148, -0.089) and 0.095 (0.060, 0.157), respectively. The results of the multi-group analysis showed that the SEM we constructed still fit in boy and girl groups. Conclusions The results indicated that vegetable and fruit intake, physical activity, school bullying, and IA had a significant direct impact on depressive symptoms, among which IA had the greatest impact. In addition, both vegetable and fruit intake, school bullying, and physical activity indirectly affected depressive symptoms through the mediating effect of IA. The impact of IA on depressive symptoms should be given extra attention by schools and parents. This study provides a scientific and effective basis for the prevention and control of adolescent depressive symptoms.

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Section: Discussionsupporting

confidence: 90%

Associations of vegetable and fruit intake, physical activity, and school bullying with depressive symptoms in secondary school students: the mediating role of internet addiction

Ji,

Ren,

Chen

et al. 2024

BMC Psychiatry

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“…We constructed a direct acyclic graph (DAG; eFigure in Supplement 1) to select potential confounders when examining the association between parental migration and aggression among their offspring. Specifically, we selected study province (Heilongjiang, Hubei, Anhui, Guangdong, and Yunnan), age (continuous), sex (male or female), child’s ethnicity (Han or others), single-parent family (yes or no), single-child family (yes or no), family income (<$150/mo, $150-$850/mo, or >$850/mo), educational level of the main caregiver (middle school or below, high school or technical school, college or above), parenting style (strict, pampered, neglect or frequently changing, or open-minded), social support (continuous), loneliness (continuous), psychological resilience (continuous), and emotional management ability (continuous) as the potential confounders. Information on measurements of these confounders can be found in eMethods in Supplement 1.…”

Section: Methodsmentioning

confidence: 99%

Labor Migration of Parents and Aggression Among Their Offspring in China

Ma,

Li,

Zhang

et al. 2024

JAMA Netw Open

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ImportanceIn China, parental labor migration often leaves children behind and is potentially adversely associated with children’s health. However, the association between parental migration and aggression among their offspring remains largely underexplored.ObjectiveTo investigate the associations of parental labor migration with total and subtypes of aggression among their offspring as well as potential sex differences therein.Design, Setting, and ParticipantsThis cross-sectional study was conducted from February to October 2015 among students aged 11 to 20 years from 45 public middle and high schools across 5 provinces of China. Data analysis was performed from December 1, 2022, to August 1, 2023.ExposuresParental migration, including migration status (yes or no), pattern (father, mother, or both), and the child’s age at the initial parent-child separation.Main Outcomes and MeasuresTotal and subtypes of aggression (including physical aggression [PA], verbal aggression [VA], indirect aggression [IA], anger, and hostility) were measured using the Chinese version of the Buss-Warren Aggression Questionnaire. Binomial logistic regression analyses were used separately to estimate adjusted odds ratios (aORs) and 95% CIs of parental migration by total and subtypes of aggression.ResultsA total of 15 301 participants (7900 [51.6%] male and 7401 [48.4%] female) aged 11 to 20 years (mean [SD] age, 15.1 [1.8] years) were included. Of these participants, 5961 (39.0%) experienced parental migration; 2451 (16.0%) met the criteria for total aggression, 2407 (15.7%) for PA, 2283 (14.9%) for VA, 2899 (18.9%) for IA, 2307 (15.1%) for anger, and 2564 (16.8%) for hostility. Parental migration was associated with total aggression (aOR, 1.11; 95% CI, 1.01-1.22); no significant association between parental migration and subtypes of aggression was found except for PA (aOR, 1.14; 95% CI, 1.03-1.25). Compared with children whose parents did not migrate, the aORs for total aggression and PA for participants whose father migrated were 1.12 (95% CI, 1.01-1.28) and 1.15 (95% CI, 1.03-1.29), respectively; for participants with both parents having migrated, the aORs were 1.16 (95% CI, 1.02-1.31) and 1.12 (95% CI, 1.04-1.24), respectively. Compared with children whose parents did not migrate, children who experienced initial separation from 1 or both parents at adolescence had an aOR for total aggression of 1.20 (95% CI, 1.04-1.36), children who experienced initial separation from 1 or both parents at school age or adolescence had an aOR for PA of 1.15 (95% CI, 1.01-1.32) and 1.26 (95% CI, 1.04-1.51), respectively. No sex differences were found in these associations.Conclusions and RelevanceIn this cross-sectional study of Chinese children and adolescents, we found that parental migration, mainly of the father or both parents or an initial separation at adolescence or school age from 1 or both parents, was associated with higher odds of total aggression and PA among offspring. These associations were similar between male and female participants.

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“…), decreased academic performance (reduced attention and memory), and anxiety and depression in some mental diseases [ 6 , 7 ]. And with time, non-suicidal self-injury and suicidal ideation of teenagers with Internet addiction showed an upward trend [ 8 , 9 ]. Therefore, teenagers’ IA is a concern in China and many other countries.…”

Section: Introductionmentioning

confidence: 99%

The effect of social anxiety on teenagers’ internet addiction: the mediating role of loneliness and coping styles

Dong,

Tang,

et al. 2024

BMC Psychiatry

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Background & Aim There is a lack of understanding of how social anxiety may affect Internet addiction among adolescents. Based on several theories, the purpose of this study was to investigate the multiple mediating roles of loneliness and coping styles in the association between social anxiety and Internet addiction in Chinese adolescents. Methods This study used the Social Anxiety Scale, Internet Addiction Test, Loneliness Scale, and Simple Coping Style Questionnaire to investigate 1188 students in two junior high schools and senior high schools in Henan Province, China. We adopted Pearson’s correlation analysis and the PROCESS Macro Model 81 in regression analysis to explore the relationships among social anxiety, loneliness, coping styles, and Internet addiction. Results We found that social anxiety not only directly affects teenagers' Internet addiction, but also affects teenagers' Internet addiction through loneliness and coping styles. Conclusions These results emphasize the importance of improving social anxiety to reduce Internet addiction among adolescents. At the same time, it also emphasizes the need to reduce adolescents' loneliness and cultivating positive coping styles. In addition, this study has certain theoretical significance for teenagers' mental health and intervention studies on Internet addiction.

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The role of depressive symptoms and social support in the association of internet addiction with non-suicidal self-injury among adolescents: a cohort study in China

Cited by 11 publications

References 48 publications

Associations of vegetable and fruit intake, physical activity, and school bullying with depressive symptoms in secondary school students: the mediating role of internet addiction

Associations of vegetable and fruit intake, physical activity, and school bullying with depressive symptoms in secondary school students: the mediating role of internet addiction

Labor Migration of Parents and Aggression Among Their Offspring in China

The effect of social anxiety on teenagers’ internet addiction: the mediating role of loneliness and coping styles

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