Associations Between Problematic Internet Use and Adolescents' Physical and Psychological Symptoms

Jul 16, 2014Journal of addiction medicine

Problematic internet use linked to teens’ physical and mental symptoms, possibly related to sleep quality

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Abstract

Prevalence rates among 13,723 Chinese adolescents show 11.7% engaged in problematic Internet use.

24.9% of adolescents reported physical symptoms, while 19.8% reported psychological symptoms.
Poor sleep quality was identified as an independent risk factor for both physical and psychological symptoms.
The relationship between problematic Internet use and health outcomes was partially mediated by sleep quality.
Excessive Internet use may lead to direct adverse health effects as well as negative impacts through sleep deprivation.

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OBJECTIVE: To evaluate the associations between problematic Internet use (PIU) and physical and psychological symptoms among Chinese adolescents, and to investigate the possible role of sleep quality in this association.

METHODS: A cross-sectional school-based study was conducted in 4 cities in China. The Multidimensional Sub-health Questionnaire of Adolescents, the Pittsburgh Sleep Quality Index, and demographic variables were used to measure adolescents' physical and psychological symptoms and sleep quality, respectively, in 13,723 students (aged 12-20 years). Problematic Internet use was assessed by the 20-item Young Internet Addiction Test. Logistic regressions were used to evaluate the effects of sleep quality and PIU on physical and psychological symptoms, and to identify the mediating effect of sleep quality in adolescents.

RESULTS: Prevalence rates of PIU, physical symptoms, psychological symptoms, and poor sleep quality were 11.7%, 24.9%, 19.8%, and 26.7%, respectively. Poor sleep quality was found to be an independent risk factor for both physical and psychological symptoms. The effects of PIU on the 2 health outcomes were partially mediated by sleep quality.

CONCLUSIONS: Problematic Internet use is becoming a significant public health issue among Chinese adolescents that requires urgent attention. Excessive Internet use may not only have direct adverse health consequences but also have indirect negative effects through sleep deprivation.

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Associations Between Problematic Internet Use and Adolescents' Physical and Psychological Symptoms

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