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Prevalence of Internet Addiction Disorder and Its Correlates Among Clinically Stable Adolescents With Psychiatric Disorders in China During the COVID-19 Outbreak
Background: Since the Coronavirus disease 2019 (COVID-19) pandemic emerged, Internet usage has increased among adolescents. Due to this trend, the prevalence of Internet addiction disorder (IAD) may have increased within this group. This study examined the prevalence of IAD and its correlates among...
Autores principales: | , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Frontiers Media S.A.
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8481828/ https://www.ncbi.nlm.nih.gov/pubmed/34603095 http://dx.doi.org/10.3389/fpsyt.2021.686177 |
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author | Li, Zong-Lei Liu, Rui He, Fan Li, Shu-Ying Zhao, Yan-Jie Zhang, Wu-Yang Zhang, Yao Cheung, Teris Jackson, Todd Tang, Yi-Lang Xiang, Yu-Tao |
author_facet | Li, Zong-Lei Liu, Rui He, Fan Li, Shu-Ying Zhao, Yan-Jie Zhang, Wu-Yang Zhang, Yao Cheung, Teris Jackson, Todd Tang, Yi-Lang Xiang, Yu-Tao |
author_sort | Li, Zong-Lei |
collection | PubMed |
description | Background: Since the Coronavirus disease 2019 (COVID-19) pandemic emerged, Internet usage has increased among adolescents. Due to this trend, the prevalence of Internet addiction disorder (IAD) may have increased within this group. This study examined the prevalence of IAD and its correlates among clinically stable adolescents with psychiatric disorders in China during the COVID-19 outbreak. Method: A multi-center, cross-sectional study was carried out between April 29 and June 9, 2020 in three major tertiary mental health centers in China. IAD and depressive symptoms were assessed using the Internet Addiction Test (IAT) and the 9-item Patient Health Questionnaire (PHQ-9), respectively. Results: A total of 1,454 adolescent psychiatric patients were included in final analyses. The prevalence of IAD was 31.2% (95% CI: 28.8–33.6%) during the COVID-19 pandemic. A multiple logistic regression analysis revealed that poor relationships with parents (P < 0.001, OR = 2.34, 95%CI: 1.49–3.68) and elevated total PHQ-9 scores (P < 0.001, OR = 1.19, 95%CI: 1.16–1.21) were significantly associated with higher risk for IAD while longer daily physical exercise durations (P = 0.04, OR = 0.67, 95%CI: 0.46–0.98) and rural residence (P = 0.003, OR = 0.62, 95%CI: 0.46–0.85) were significant correlates of lower risk for IAD. Conclusions: IAD was common among adolescent patients with clinically stable psychiatric disorders during the COVID-19 pandemic; regular physical exercise, healthy relationships with parents and fewer symptoms of depression were associated with lower risk within this population. |
format | Online Article Text |
id | pubmed-8481828 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | Frontiers Media S.A. |
record_format | MEDLINE/PubMed |
spelling | pubmed-84818282021-10-01 Prevalence of Internet Addiction Disorder and Its Correlates Among Clinically Stable Adolescents With Psychiatric Disorders in China During the COVID-19 Outbreak Li, Zong-Lei Liu, Rui He, Fan Li, Shu-Ying Zhao, Yan-Jie Zhang, Wu-Yang Zhang, Yao Cheung, Teris Jackson, Todd Tang, Yi-Lang Xiang, Yu-Tao Front Psychiatry Psychiatry Background: Since the Coronavirus disease 2019 (COVID-19) pandemic emerged, Internet usage has increased among adolescents. Due to this trend, the prevalence of Internet addiction disorder (IAD) may have increased within this group. This study examined the prevalence of IAD and its correlates among clinically stable adolescents with psychiatric disorders in China during the COVID-19 outbreak. Method: A multi-center, cross-sectional study was carried out between April 29 and June 9, 2020 in three major tertiary mental health centers in China. IAD and depressive symptoms were assessed using the Internet Addiction Test (IAT) and the 9-item Patient Health Questionnaire (PHQ-9), respectively. Results: A total of 1,454 adolescent psychiatric patients were included in final analyses. The prevalence of IAD was 31.2% (95% CI: 28.8–33.6%) during the COVID-19 pandemic. A multiple logistic regression analysis revealed that poor relationships with parents (P < 0.001, OR = 2.34, 95%CI: 1.49–3.68) and elevated total PHQ-9 scores (P < 0.001, OR = 1.19, 95%CI: 1.16–1.21) were significantly associated with higher risk for IAD while longer daily physical exercise durations (P = 0.04, OR = 0.67, 95%CI: 0.46–0.98) and rural residence (P = 0.003, OR = 0.62, 95%CI: 0.46–0.85) were significant correlates of lower risk for IAD. Conclusions: IAD was common among adolescent patients with clinically stable psychiatric disorders during the COVID-19 pandemic; regular physical exercise, healthy relationships with parents and fewer symptoms of depression were associated with lower risk within this population. Frontiers Media S.A. 2021-09-16 /pmc/articles/PMC8481828/ /pubmed/34603095 http://dx.doi.org/10.3389/fpsyt.2021.686177 Text en Copyright © 2021 Li, Liu, He, Li, Zhao, Zhang, Zhang, Cheung, Jackson, Tang and Xiang. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms. |
spellingShingle | Psychiatry Li, Zong-Lei Liu, Rui He, Fan Li, Shu-Ying Zhao, Yan-Jie Zhang, Wu-Yang Zhang, Yao Cheung, Teris Jackson, Todd Tang, Yi-Lang Xiang, Yu-Tao Prevalence of Internet Addiction Disorder and Its Correlates Among Clinically Stable Adolescents With Psychiatric Disorders in China During the COVID-19 Outbreak |
title | Prevalence of Internet Addiction Disorder and Its Correlates Among Clinically Stable Adolescents With Psychiatric Disorders in China During the COVID-19 Outbreak |
title_full | Prevalence of Internet Addiction Disorder and Its Correlates Among Clinically Stable Adolescents With Psychiatric Disorders in China During the COVID-19 Outbreak |
title_fullStr | Prevalence of Internet Addiction Disorder and Its Correlates Among Clinically Stable Adolescents With Psychiatric Disorders in China During the COVID-19 Outbreak |
title_full_unstemmed | Prevalence of Internet Addiction Disorder and Its Correlates Among Clinically Stable Adolescents With Psychiatric Disorders in China During the COVID-19 Outbreak |
title_short | Prevalence of Internet Addiction Disorder and Its Correlates Among Clinically Stable Adolescents With Psychiatric Disorders in China During the COVID-19 Outbreak |
title_sort | prevalence of internet addiction disorder and its correlates among clinically stable adolescents with psychiatric disorders in china during the covid-19 outbreak |
topic | Psychiatry |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8481828/ https://www.ncbi.nlm.nih.gov/pubmed/34603095 http://dx.doi.org/10.3389/fpsyt.2021.686177 |
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