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1.
Front Public Health ; 9: 749816, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34733815

RESUMO

Based on the data of the Chinese General Social Survey (CGSS) in 2017, the paper divides overall health into physical, mental, and social health, using the ordered probit model to examine the impact of Internet use on multi-dimensional health. It then discusses the possible heterogeneity in different groups and underlying mechanism. Results found that using the Internet can improve the health level in multiple dimensions. After endogenous and robustness tests, the results remain robust. Heterogeneity analysis shows that Internet use has more obvious effects on the health of senior high school education or above, the elderly, and men. Further analysis of the mediating effect model found that information, leisure, and social preferences are important path mechanisms for Internet use to promote physical, mental, and social health, respectively.


Assuntos
Nível de Saúde , Uso da Internet , Idoso , Pesquisa Empírica , Humanos , Atividades de Lazer , Masculino
2.
Psychiatr Danub ; 33(Suppl 10): 144-154, 2021 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-34672289

RESUMO

BACKGROUND: During the lockdown due to COVID-19, Internet use may become more frequent in students, with possible negative consequences on mental health. In this emergency situation, variables such as depression, anxiety and external locus of control could be related to a Problematic Internet Use; on the other hand, self-esteem, internal locus of control, self-efficacy, and social support can play the role of protective factors for Problematic Internet Use. The present survey aims to verify the impact of these intrapersonal and social factors on Problematic Internet Use in college and High School students during the COVID-19 pandemic through a web-based cross-sectional study. SUBJECTS AND METHODS: 191 students from Lombardy, one of the Italian Regions among the most affected by the COVID-19 pandemic, were included in the study. An online questionnaire has been administered during the first Italian period of forced lockdown. A logistic regression analysis was performed to assess intrapersonal and social factors as predictors of Problematic Internet Use. RESULTS: Analysis highlighted a higher risk of Problematic Internet Use (5.77 times more) in males compared to females. Individuals with high external locus of control and severe depression have respectively 6.56 and 2.84 times more the risk of presenting Problematic Internet Use. In contrast, social support, self-efficacy, and self-esteem were negatively related to Problematic Internet Use. In total sample, the percentage of Problematic Internet Use was high (55.5%). CONCLUSIONS: An increasing use of the Internet has been observed during lockdown, leading to a progressive increase in the diffusion of Problematic Internet Use. Gender, depression and external locus of control emerge as risk factors for Problematic Internet Use, while social support, self-efficacy and self-esteem represent protective factors. The current research identifies some intrapersonal and social factors in an epidemic context for which the development of effective behavioural, supportive and/or educational interventions would be appropriate.


Assuntos
Comportamento Aditivo , COVID-19 , Comportamento Aditivo/epidemiologia , Controle de Doenças Transmissíveis , Estudos Transversais , Feminino , Humanos , Uso da Internet , Masculino , Pandemias , SARS-CoV-2 , Fatores Sociais , Estudantes
3.
Artigo em Inglês | MEDLINE | ID: mdl-34639567

RESUMO

The aims of this cross-sectional study were: (i) to establish the prevalence of problematic Internet use (PIU) and eating disorders (EDs) among Polish students; (ii) to investigate potential correlations between the two phenomena; and (iii) to identify predictors of eating disorders among socio-demographic and Internet use characteristics in this population. To this end, a total of 1008 Polish students aged 18-40, completed the Problematic Internet Use Test (TPIU22), the Eating Attitudes Test (EAT-26) and a self-designed Socio-demographic and Internet Use Survey. Men received more PIU scores (p < 0.001), while women received more EAT-26 scores (p < 0.05) with a significant correlation observed between those variables (rho = 0.212; p < 0.001). The strongest predictors of EDs were as follows: preoccupation with the Internet, neglect of sleep in favor of Internet use, alleviation of negative feelings while online, higher mean number of hours spent online on weekends for academic and work-related purposes, extracurricular activity, lower height and higher BMI. An association has been demonstrated between problematic internet use and eating disorders. Somewhat surprisingly, our results suggest that people at risk of EDs use the Internet primarily to fulfill their routine duties. Nevertheless, further research is needed to establish the causality of EDs and PIU.


Assuntos
Comportamento Aditivo , Transtornos da Alimentação e da Ingestão de Alimentos , Comportamento Aditivo/epidemiologia , Estudos Transversais , Transtornos da Alimentação e da Ingestão de Alimentos/epidemiologia , Feminino , Humanos , Internet , Uso da Internet , Masculino , Estudantes
4.
Artigo em Inglês | MEDLINE | ID: mdl-34682502

RESUMO

Previous studies on internet use frequency were focused on mental health impact, with little known about the impact on physical health during the COVID-19 lockdown. This study examined the impact of internet use frequency on self-reported physical health during the COVID-19 lockdown in Bangladesh. A web-based cross-sectional study on 3242 individuals was conducted from 2 August-1 October 2020. The survey covered demographics, internet use frequency and self-reported physical health questions. Linear regression analyses were used to examine the impact of internet use frequency on physical health. 72.5%, 69.9%, 65.1% and 55.3% respondents reported headache, back pain, numbness of the fingers and neck pain, respectively. The analyses showed increased physical health impact among regular (coefficient ß = 0.52, 95% confidence interval [CI]: 0.18-0.85, p = 0.003), frequent (ß = 1.21, 95% CI: 0.88-1.54, p < 0.001) and intense (ß = 2.24, 95% CI: 1.91-2.57, p < 0.001) internet users. Other important predictors were gender, income, occupation, regions, and working status. Frequent and extensive uses of the internet were strong predictors of physical health problems, and our findings suggest the need for increased awareness about the physical health problems that can be triggered by excessive internet usage.


Assuntos
COVID-19 , Bangladesh/epidemiologia , Controle de Doenças Transmissíveis , Estudos Transversais , Humanos , Internet , Uso da Internet , SARS-CoV-2 , Inquéritos e Questionários
5.
BMC Psychiatry ; 21(1): 511, 2021 10 15.
Artigo em Inglês | MEDLINE | ID: mdl-34654407

RESUMO

BACKGROUND: Globally, due to population diversity, the prevalence of problematic internet use (PIU) varies from 7.3 to 51%. This study aims to assess correlates of problematic internet use among undergraduate medical students of Delhi and derive a model for allocating new subjects among categories of internet users. MATERIAL AND METHODS: A cross-sectional study was conducted on 201 medical-undergraduate students in a medical college of Delhi from April 1st to May 31st, 2019. A semi-structured and pre-tested questionnaire was used to collect demographic information and factors affecting PIU. Dr. Kimberly Young's Internet Addiction Test (IAT) tool was used to assess PIU. Binary logistic regression has been applied to assess the correlates of PIU, and step-wise discriminant analysis (DA) has been applied to derive a model for allocation of new subjects among categories of internet users. Statistical Package for Social Sciences (Trial version 27.0; SPSS Inc., Chicago, IL) software was used for statistical analysis. RESULT: Total 41.3% of the subjects had PIU. Univariate analysis shows that internet use for emotional support, watching adult content, and gambling were significantly associated with PIU; however, in binary logistic regression, chatting, emotional support and watching online adult content were significant risk factors for PIU. The discriminant model correctly classified 66.2% of respondents into average and problematic internet user groups. CONCLUSION: We should create awareness among medical students regarding problematic internet use and its potential harms; this could be included in the foundation course of curriculum implementation support program (CISP) for MBBS students.


Assuntos
Comportamento Aditivo , Estudantes de Medicina , Adulto , Comportamento Aditivo/epidemiologia , Estudos Transversais , Humanos , Índia/epidemiologia , Internet , Uso da Internet
6.
J Clin Sleep Med ; 17(10): 2019-2027, 2021 10 01.
Artigo em Inglês | MEDLINE | ID: mdl-34606439

RESUMO

STUDY OBJECTIVES: This study sought to examine the relationship between internet use, sleep, and internalizing disorder symptoms in adolescents with an evening circadian preference. METHODS: One hundred seventy-two adolescents aged 10-18 years with an evening circadian preference completed a week of sleep diaries and questionnaires about internet use and internalizing disorder symptoms. RESULTS: Adolescents reported internet use for 3.81 hours on weekdays and 5.44 hours on weekends, with > 90% having access to both a computer with internet and a personal cell phone. A majority of adolescents used the internet from 4-8 pm (71%) and from 9-11 pm (62%). Common online activities included listening to music (77%), watching videos (64%), communicating with others (64%), and doing homework (58%). Late-night internet use (9-11 pm) was associated with more internalizing disorder symptoms. Middle-of-the-night internet use (midnight-5 am) was associated with a later bedtime, shorter total sleep time, and more internalizing disorder symptoms. Adolescents used the internet to fulfill social needs, to avoid or combat boredom, or for maladaptive activities. Using the internet for social interaction or avoidance/boredom was associated with higher internalizing disorder symptoms. Using the internet for maladaptive reasons was associated with more late-night and middle-of-the-night use. CONCLUSIONS: Adolescent internet use late at night and in the middle of the night is common. Internet use may be motivated by desires for social connection, by boredom/avoidance, or for maladaptive behaviors. Because middle-of-the-night internet use was associated with higher internalizing disorder symptoms and worse sleep, it presents as a potential target for intervention. CITATION: Asarnow LD, Gasperetti CE, Gumport NB, Harvey AG. Internet use and its impact on internalizing disorder symptoms and sleep in adolescents with an evening circadian preference. J Clin Sleep Med. 2021;17(10):2019-2027.


Assuntos
Ritmo Circadiano , Transtornos do Sono-Vigília , Adolescente , Humanos , Uso da Internet , Sono , Inquéritos e Questionários , Fatores de Tempo
7.
Transl Psychiatry ; 11(1): 491, 2021 09 23.
Artigo em Inglês | MEDLINE | ID: mdl-34556627

RESUMO

The coronavirus disease 2019 (COVID-19) has adversely influenced human physical and mental health, including emotional disorders and addictions. This study examined substance and Internet use behavior and their associations with anxiety and depression during the COVID-19 pandemic. An online self-report questionnaire was administered to 2196 Chinese adults between February 17 and 29, 2020. The questionnaire contained the seven-item Generalized Anxiety Disorder Scale (GAD-7) and Patient Health Questionnaire (PHQ-9), questions on demographic information, and items about substance and Internet use characteristics. Our results revealed that males consumed less alcohol (p < 0.001) and areca-nut (p = 0.012) during the pandemic than before the pandemic. Age, gender, education status, and occupation significantly differed among increased substance users, regular substance users, and nonsubstance users. Time spent on the Internet was significantly longer during the pandemic (p < 0.001) and 72% of participants reported increased dependence on the Internet. Compared to regular Internet users, increased users were more likely to be younger and female. Multiple logistic regression analysis revealed that age <33 years (OR = 2.034, p < 0.001), increased substance use (OR = 3.439, p < 0.001), and increased Internet use (OR = 1.914, p < 0.001) were significantly associated with depression. Moreover, anxiety was significantly related to female gender (OR = 2.065, p < 0.001), "unmarried" status (OR = 1.480, p = 0.017), nonstudents (OR = 1.946-3.030, p = 0.001), and increased substance use (OR = 4.291, p < 0.001). Although there was a significant decrease in social substance use during the pandemic, more attention should be paid to increased Internet use. Increased Internet use was significantly associated with both anxiety and depression, and increased substance use was related to depression. Professional support should be provided to vulnerable individuals to prevent addiction.


Assuntos
COVID-19 , Pandemias , Adulto , Ansiedade/epidemiologia , China/epidemiologia , Estudos Transversais , Depressão/epidemiologia , Feminino , Humanos , Internet , Uso da Internet , Masculino , SARS-CoV-2
8.
BMC Psychiatry ; 21(1): 447, 2021 09 10.
Artigo em Inglês | MEDLINE | ID: mdl-34507556

RESUMO

BACKGROUND: A number of factors have been demonstrated to be associated with Problematic Internet Use (PIU); otherwise known as Internet Addiction), which is mostly concerned with psychological problems such as loneliness. This study aimed to examine how and in what way loneliness influenced PIU. METHODS: A self-report measurement on loneliness, the Internet addiction test (IAT) and instruments on interpersonal problems were administered to 318 medical students (57% females); mean age totaled 20.88 years (SD = 1.8). We performed a mediation analysis to evaluate direct effects of loneliness on IAT, as well as indirect effects mediated by interpersonal problems. In addition, motivation for internet use was added to the mediation model and tested whether it acted as the second mediator (serial mediation model) or a moderator (moderated mediation model). RESULTS: After controlling for sex and age, socially inhibited problems exhibited full mediation whereas the remainder showed partial mediation effects, with the exception that intrusive and cold interpersonal problems indicated no mediating role. Negative motivation and motivation for being accepted had mediation effects for all types of interpersonal problems. Motivation for working was found to be a significant mediator and moderator of the most interpersonal problems. Intrusive and cold styles became a mediator only when some motivation variables were added to the model, implying that not only psychological problems should be included when analyzing PIU, but also other variables such motivation for internet use. The percent of variance explained, by IAT score, increased from 13% in the mediation model to 33% by the moderated mediation model, and 43% using the serial mediation model. CONCLUSION: The study suggested the crucial role of loneliness and interpersonal problems on PIU, for which motivation for internet use explained how each interpersonal problem would be associated. This may provide some insight regarding the pathological characteristics of those using the internet as a coping strategy.


Assuntos
Comportamento Aditivo , Estudantes de Medicina , Feminino , Humanos , Internet , Uso da Internet , Solidão , Masculino , Motivação
9.
Artigo em Inglês | MEDLINE | ID: mdl-34574813

RESUMO

The purpose of this study was to show the association between urban upbringing and compulsive internet use (CIU). The interview data of the sample (N = 2431) was obtained from the World Mental Health Japan Second Survey and a multilevel model was used to investigate the association. Multiple imputation was also conducted in this study. Growing up in a large city was significantly associated with higher Compulsive Internet Use Scale (CIUS) scores (γ = 1.65, Standard Error (SE) = 0.45) and Mild CIU + Severe CIU (Exp(γ) = 1.44; 95% Confidence Interval (CI) (1.04-2.00)) compared to growing up in a small municipality after adjusting for both sociodemographic characteristics and psychopathology. This study showed a possible association between urban upbringing and CIU. Future studies with longitudinal design are needed to better understand this association.


Assuntos
Comportamento Compulsivo , Uso da Internet , Comportamento Compulsivo/epidemiologia , Estudos Transversais , Internet , Japão/epidemiologia , Estudos Retrospectivos
12.
PLoS One ; 16(9): e0257329, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34520489

RESUMO

OBJECTIVE: Although Problematic Internet Use (PIU) is an emerging area of study in psychology, little is known about the unique features of specific subgroups of internet users and their psychosocial vulnerabilities within robust and nationwide populations. METHODS: The aim of this study was to identify distinct latent groups of internet users based on their PIU risk and to compare their psychosocial outcomes. To achieve this, a nationally representative sample of adolescents of the same grade (N = 1,066, Meanage = 13.46 years, range = 12-16) was recruited from several schools in Slovenia through stratified random sampling. RESULTS: A Latent Profile Analysis (LPA) revealed a two-class solution, with Class 1 (n = 853, 80%) featuring 'low PIU risk' participants and Class 2 (n = 213, 20%) including 'high PIU risk' participants. Behaviorally, the main feature of Class 1 denoted 'time management difficulties' while Class 2 was best characterized by 'mood and time management issues'. Further frequentist and Bayesian analyses indicated that Class 2 presented greater psychosocial risk compared to Class 1 due to significantly higher levels of PIU (generalized and across specific PIU subfactors) coupled with lower levels of subjective well-being and self-control. CONCLUSIONS: Contrary to what was initially envisaged, the two classes did not differ in terms of perceived quality in parent-child relationship. This study shows that PIU patterns and symptom-severity may be developmentally specific, further highlighting the need for clinically age-adjusted PIU screening practices within epidemiological and healthcare settings.


Assuntos
Comportamento do Adolescente/psicologia , Comportamento Aditivo/psicologia , Uso da Internet/estatística & dados numéricos , Transtornos Mentais/etiologia , Adolescente , Teorema de Bayes , Criança , Estudos Transversais , Feminino , Humanos , Internet , Modelos Logísticos , Masculino , Relações Pais-Filho , Fatores de Risco , Eslovênia , Inquéritos e Questionários
13.
Artigo em Inglês | MEDLINE | ID: mdl-34574499

RESUMO

This study aimed to explore the internet usage and electronic health literacy (eHL) among adults aged 60 and older with hypertension and to explore the associations between eHL and blood pressure control. A cross-sectional survey was conducted at an out-patient primacy care clinic in the urban city center of Chiang Mai, Thailand. eHL was measured using the eHealth Literacy Scale (eHEALS). Logistic regression was used to identify the association between eHL and blood pressure, adjusting for age and sex as a priori confounders and key sociodemographic factors previously identified in univariable analysis. A total of 110 older adult patients with a history of diagnosed hypertension agreed to participate. The mean age of the participants was 67 years old. Fifty-six participants (50.9%) had used the internet in their lifetime. Among internet users, 37 out of 56 participants (66%) could be classified as having high eHL. However, there was insufficient evidence for associations among internet use, eHL and hypertension control. This result potentially creates new opportunities for eHealth education and interventions. Efforts to produce centralized clear, reliable health information targeting this demographic would be worthwhile to help manage chronic diseases such as hypertension in Thailand in the future.


Assuntos
Letramento em Saúde , Hipertensão , Telemedicina , Idoso , Estudos Transversais , Eletrônica , Humanos , Hipertensão/epidemiologia , Hipertensão/prevenção & controle , Internet , Uso da Internet , Pessoa de Meia-Idade , Atenção Primária à Saúde , Inquéritos e Questionários , Tailândia
14.
Artigo em Inglês | MEDLINE | ID: mdl-34574697

RESUMO

The aim of this study was to determine how left-behind children's perceived personal rejection and emotional intelligence impact on the relationship between their peer attachment and pathological Internet use in China. Using the cluster random sampling method, a total of 406 left-behind children (aging 12.76 ± 2.13) from six rural primary and secondary schools in mainland China were recruited for the study (202 males and 204 females). The results of the analysis indicated that peer attachment negatively predicted left-behind children's pathological Internet use. Perceived personal rejection had a mediating effect on the relationship between peer attachment and pathological Internet use, whereas emotional intelligence had a moderating effect on the relationships between peer attachment and perceived personal rejection and between peer attachment and pathological Internet use among these children. Moreover, peer attachment had a greater negative impact on the perceived personal rejection and pathological Internet use of left-behind children with high emotional intelligence compared with those of students with low emotional intelligence. These findings reveal the need for more support and interventions aimed at strengthening peer attachment and emotional intelligence of left-behind primary and secondary children and reducing their perceptions of personal rejection, which, in turn, reduces their pathological Internet use.


Assuntos
Uso da Internet , Grupo Associado , Criança , China , Emoções , Feminino , Humanos , Internet , Masculino , Instituições Acadêmicas , Estudantes
15.
J Pediatr Nurs ; 60: 260-266, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34340060

RESUMO

PURPOSE: Approximately 25% of adolescents and young adults (AYA) have special healthcare needs. Transitioning from a pediatric to an adult model of healthcare is an important event but most AYA with special health care needs and their families do not receive the preparation and support they need to transition to adult care. The purpose of this scoping review was to determine how AYA use the internet for health-related information. METHODS: Three databases were used CINAHL, Medline and PsycINFO with search terms including adolescent, young adult, chronic illness, internet, social media. Inclusion criteria were articles focused on AYA (16-25), use of internet or social media for health-related information, published in English between 2005 and 2020. Initial search yielded 369 articles, 335 were eliminated as not meeting the inclusion criteria. FINDINGS: Of the 34 remaining, 14 were eligible for inclusion. AYA used the internet for health concerns, socializing, entertainment, homework, general information, and shopping. AYA expressed concerns about disclosing personal health information and potential misinformation on websites. Few used it to look up their diagnosed condition or talk to illness peers. AYA report they also get information from non-internet sources like providers, parents, and peers. CONCLUSIONS: AYA have a need for health-related information. When planning online resources critical issues include perceived threats to privacy and security and quality of information. Online resources must address these issues so AYA consumers can have confidence in their website.


Assuntos
Uso da Internet , Mídias Sociais , Adolescente , Criança , Doença Crônica , Humanos , Internet , Comportamento Social , Adulto Jovem
16.
BMJ Open ; 11(8): e045840, 2021 08 03.
Artigo em Inglês | MEDLINE | ID: mdl-34344675

RESUMO

INTRODUCTION: In May 2019, the WHO classified internet gaming disorder (IGD) as a mental disorder in the upcoming International Classification of Diseases 11th Revision. However, individuals affected by IGD or internet use disorders (IUDs) are often not provided with adequate therapy due to a lack of motivation or absence of adequate local treatment options. To close the gap between individuals with IUDs and the care system, we conduct an online-based motivational intervention to reduce problematic internet use and promote treatment motivation in internet gaming disorder and internet use disorder (OMPRIS). METHODS AND ANALYSIS: Within the randomised controlled trial, a total of n=162 participants will be allocated by sequential balancing randomisation to the OMPRIS intervention or a waitlist control group. The study includes an extensive diagnostic, followed by a 4-week psychological intervention based on motivational interviewing, (internet-related) addiction therapy, behavioural therapy techniques and additional social counselling. The primary outcome is the reduction of problematic internet use measured by the Assessment of Internet and Computer Game Addiction Scale. Secondary outcomes include time spent on the internet, motivation for change (Stages of Change Readiness and Treatment Eagerness Scale for Internet Use Disorder), comorbid mental symptoms (Patient Health Questionnaire-9, Generalized Anxiety Disorder Screener-7), quality of life (EuroQoL Standardised Measure of Health-related Quality of Life-5 Dimensions, General Life Satisfaction-1), self-efficacy (General Self-Efficacy Scale), personality traits (Big Five Inventory-10), therapeutic alliance (Helping Alliance Questionnaire) and health economic costs. The diagnosis of (comorbid) mental disorders is carried out with standardised clinical interviews. The measurement will be assessed before (T0), at midpoint (T1) and after the OMPRIS intervention (T2), representing the primary endpoint. Two follow-up assessments will be conducted after 6 weeks (T3) and 6 months (T4) after the intervention. The outcomes will be analysed primarily via analysis of covariance. Both intention-to-treat and per-protocol analyses will be conducted. ETHICS AND DISSEMINATION: Participants will provide written informed consent. The trial has been approved by the Ethics Committee of the Faculty of Medicine, Ruhr University Bochum (approval number 19-6779). Findings will be disseminated through presentations, peer-reviewed journals and conferences. TRIAL REGISTRATION NUMBER: DRKS00019925.


Assuntos
Motivação , Qualidade de Vida , Transtornos de Ansiedade , Humanos , Internet , Transtorno de Adição à Internet , Uso da Internet , Ensaios Clínicos Controlados Aleatórios como Assunto , Resultado do Tratamento
17.
J Psychiatr Res ; 142: 218-225, 2021 10.
Artigo em Inglês | MEDLINE | ID: mdl-34385071

RESUMO

Internet gaming disorder (IGD) and problematic internet use (PIU) are becoming increasingly detrimental to modern society, with serious consequences for daily functioning. IGD and PIU may be exacerbated by lifestyle changes imposed by the coronavirus 2019 (COVID-19) pandemic. This study investigated changes in IGD and PIU during the pandemic and risk factors for them. This study is a part of a larger online study of problematic smartphone use in Japan, originally planned in 2019, and expanded in August 2020 to include the impact of COVID-19. 51,246 adults completed an online survey during the pandemic (August 2020), in Japan. Of these, 3,938 had also completed the survey before the onset of the pandemic (December 2019) and were used as the study population to determine how the pandemic has influenced IGD and PIU. IGD was assessed using the Internet Gaming Disorder Scale (IGDS). PIU was measured using the Compulsive Internet Use Scale (CIUS). The prevalence of probable IGD during COVID-19 was 4.1% overall [95%CI, 3.9%-4.2%] (N = 51,246), and 8.6% among younger people (age < 30), 1-2.5% higher than reported before the pandemic. Probable PIU was 7.8% overall [95%CI, 7.6%-8.1%], and 17.0% [95%CI, 15.9%-18.2%] among younger people, 3.2-3.7% higher than reported before the pandemic. Comparisons before and during the pandemic, revealed that probable IGD prevalence has increased 1.6 times, and probable PIU prevalence by 1.5 times (IGD: χ2= 619.9, p < .001, PIU: χ2= 594.2, p < .001). Youth (age < 30) and COVID-19 infection were strongly associated with IGD exacerbation (odds ratio, 2.10 [95%CI, 1.18 to 3.75] and 5.67 [95%CI, 1.33 to 24.16]). Internet gaming disorder and problematic internet use appear to be aggravated by the pandemic. In particular, younger persons and people infected with COVID-19 are at higher risk for Internet Gaming Disorder. Prevention and treatment of these problems are needed.


Assuntos
Comportamento Aditivo , COVID-19 , Jogos de Vídeo , Adolescente , Adulto , Comportamento Aditivo/epidemiologia , Humanos , Internet , Transtorno de Adição à Internet , Uso da Internet , Japão/epidemiologia , Pandemias , Prevalência , Fatores de Risco , SARS-CoV-2
18.
Front Public Health ; 9: 673368, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34336769

RESUMO

Purpose: The Internet has become an important part of daily life. However, older adults in China remain digital refugees amid the rapid development of digital information technology. This study attempts to scientifically answer how Internet use affects the subjective welfare of older adults. Method: Using data from the 2014 and 2016 China Longitudinal Aging Social Survey (CLASS), a combination of ordinary least squares, ordered logit regression models, and propensity score matching (PSM) models were used to analyze the effects of Internet use on the mental health of Chinese older adults. Results: Our findings suggest that Internet use affects the mental health of older adults and increases the incidence of their depressive symptoms. These findings are robust to changing the key indicators, research method, and sample. Further heterogeneity analysis reveals that the negative effects on mental health are more evident for specific groups of older adults, such as those who are women, younger and middle-aged, high-income, non-rural Hukou, less educated, and living with others. Conclusions: Cultivating the ability of older adults to use the Internet and maintain a rational attitude while doing so can prevent its negative impact on their life satisfaction. Moreover, it can improve their attitudes toward using the technology and reduce their anxiety.


Assuntos
Uso da Internet , Saúde Mental , Idoso , Envelhecimento , Atitude , China/epidemiologia , Feminino , Humanos , Pessoa de Meia-Idade
19.
Front Public Health ; 9: 675380, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34211954

RESUMO

Background: As the coronavirus disease 2019 (COVID-19) pandemic progressed globally, school closures and home quarantine may cause an increase in problematic Internet use among students in universities. Such a traumatic stress event may also contribute to the development of posttraumatic stress disorder (PTSD), depressive, and anxiety symptoms. This study aimed to evaluate the prevalence of PTSD, depressive, and anxiety symptoms as well as the predictive role of problematic Internet use in the above-mentioned psychological problems in university students. Methods: A cross-sectional study was conducted through an online survey of 8,879 students in China between April 20 and April 26, 2020. The presence of PTSD, depressive, and anxiety symptoms and problematic Internet use were evaluated using PTSD Checklist for DSM-5, the Center for Epidemiologic Studies Depression 9-item scale, the generalized anxiety disorder 7-item scale, and the Young diagnostic questionnaire, respectively. Sociodemographic information and the knowledge, attitude, and practice (KAP) toward COVID-19 data were also collected. Results: A total of 4,834 (54.4%) participants were female, and 7,564 (85.2%) were undergraduate students. A total of 615 students (6.9%) reported PTSD symptoms; 5.2% (465) and 10.1% (896) reported moderate to severe depressive and anxiety symptoms, respectively. The problematic Internet use was significantly associated with higher risk of PTSD, depressive, and anxiety symptoms (odds ratio 2.662 [95% CI, 2.239-3.165], odds ratio 4.582 [95% CI, 3.753-5.611], odds ratio 3.251 [95% CI, 2.814-3.757], respectively; all P < 0.001). Lower attitude and practice scores also contributed to the risk of depressive, anxiety, and PTSD symptoms (P < 0.05). Conclusions: Psychological problems should be paid more attention, and problematic Internet use may be a predictor when screening high-risk students for psychological problems. Our results will aid in timely psychological screening, which is meaningful in the prevention and intervention of psychological problems.


Assuntos
COVID-19 , Universidades , China/epidemiologia , Estudos Transversais , Depressão/epidemiologia , Surtos de Doenças , Feminino , Humanos , Uso da Internet , SARS-CoV-2 , Estudantes
20.
Handb Clin Neurol ; 182: 389-400, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34266607

RESUMO

This chapter covers the phenomenon of Internet use disorders (IUDs) and putative associations with different neurotransmitter and neuropeptide systems. Genes coding for such messengers can be seen as an important starting point in the complicated quest to understand human behavior including new phenomena such as IUDs. Therefore, a special focus of this chapter will lie on individual differences in molecular genetic underpinnings of neurotransmitter and neuropeptide systems and their associations with individual differences in tendencies towards IUDs. By shedding light on these associations, putative predisposing molecular genetic factors for the emergence and maintenance of IUDs can be carved out. Therefore, first an introduction to IUDs and a model that can guide research on putative associations of IUDs with different specific neurotransmitters and neuropeptides will be presented. Subsequently, twin studies on the heritability of IUDs are reviewed. Finally, studies on differences in molecular genetic predispositions and their associations with differences in IUDs will be presented and discussed, including targets related to the dopaminergic and serotonergic system as well as the hypothalamic neuropeptide oxytocin. The chapter closes with a conclusion about what is already known and what needs to be investigated in future studies to gain further insights into putative associations between molecular genetic markers and IUDs.


Assuntos
Transtorno de Adição à Internet , Neuropeptídeos , Ocitocina , Humanos , Hipotálamo/metabolismo , Transtorno de Adição à Internet/genética , Uso da Internet , Neuropeptídeos/genética , Neuropeptídeos/metabolismo , Neurotransmissores , Ocitocina/genética
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