Exploring the associations between symptom severity, metacognition, problematic social media use and cyberbullying in treatment naïve adolescents with Attention Deficit and Hyperactivity Disorder

IF 3.7 2区医学 Q1 PSYCHOLOGY, CLINICAL

Addictive behaviors Pub Date : 2024-09-25 DOI:10.1016/j.addbeh.2024.108169

Yekta Özkan , Masum Öztürk , Selma Tvrtkovic , Orkun Aydın , Pınar Ünal-Aydın

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Abstract

This study investigates the relationship between ADHD symptom severity, metacognition, problematic social media use, and cyberbullying/cybervictimization in treatment-naïve adolescents. Understanding these relationships is vital for enhancing ADHD intervention strategies. Using a cross-sectional design, 97 adolescents meeting DSM-5 criteria for ADHD without any comorbidity and 97 healthy controls were assessed. Measures included the Metacognitions Questionnaire for Children, Social Media Disorder Scale, Revised Cyberbullying Inventory-II, and Revised Conners’ Parent Rating Scale-Short. The comparisons were performed with independent samples’ t tests and the associations were estimated by using Pearson’s bivariate correlations and multiple regression analyses. Results revealed that adolescents with ADHD exhibited higher levels of dysfunctional metacognitions, problematic social media use, cyberbullying, and cybervictimization compared to controls. Regression analysis showed significant positive associations between ADHD symptoms, specific metacognitions (e.g., positive meta-worry, cognitive monitoring), and problematic social media use. This study, the first of its kind among treatment-naïve ADHD adolescents, provides valuable insights into the relationship between ADHD symptoms and particular metacognitions (i.e. positive meta-worry, cognitive monitoring) and problematic social media use. These findings contribute to a deeper understanding of ADHD in adolescence and may inform the development of targeted prevention and treatment strategies, particularly relevant given adolescents’ susceptibility to social media’s influence and their potential for cognitive flexibility in rehabilitation contexts.

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探索患有注意力缺陷和多动障碍、尚未接受治疗的青少年的症状严重程度、元认知、社交媒体使用问题和网络欺凌之间的关联。

本研究调查了未经治疗的青少年多动症症状严重程度、元认知、社交媒体使用问题和网络欺凌/网络伤害之间的关系。了解这些关系对于加强多动症干预策略至关重要。研究采用横断面设计，对97名符合DSM-5多动症标准且无任何合并症的青少年和97名健康对照者进行了评估。测量项目包括儿童元认知问卷、社交媒体障碍量表、修订版网络欺凌清单-II和修订版康纳斯家长评分量表-短版。比较采用独立样本 t 检验，相关性估计采用皮尔逊双变量相关性和多元回归分析。结果显示，与对照组相比，患有多动症的青少年表现出更高水平的功能失调元认知、社交媒体使用问题、网络欺凌和网络伤害。回归分析表明，多动症症状、特定元认知（如积极元烦恼、认知监控）和问题社交媒体使用之间存在明显的正相关。这项研究是首次在未接受治疗的多动症青少年中开展的同类研究，为了解多动症症状与特定元认知（即积极元烦恼、认知监控）和问题社交媒体使用之间的关系提供了宝贵的见解。这些发现有助于加深对青少年多动症的理解，并为制定有针对性的预防和治疗策略提供信息，尤其是考虑到青少年易受社交媒体的影响，以及他们在康复环境中认知灵活性的潜力。

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来源期刊

Addictive behaviors 医学-药物滥用

CiteScore

8.40

自引率

4.50%

发文量

283

审稿时长

46 days

期刊介绍： Addictive Behaviors is an international peer-reviewed journal publishing high quality human research on addictive behaviors and disorders since 1975. The journal accepts submissions of full-length papers and short communications on substance-related addictions such as the abuse of alcohol, drugs and nicotine, and behavioral addictions involving gambling and technology. We primarily publish behavioral and psychosocial research but our articles span the fields of psychology, sociology, psychiatry, epidemiology, social policy, medicine, pharmacology and neuroscience. While theoretical orientations are diverse, the emphasis of the journal is primarily empirical. That is, sound experimental design combined with valid, reliable assessment and evaluation procedures are a requisite for acceptance. However, innovative and empirically oriented case studies that might encourage new lines of inquiry are accepted as well. Studies that clearly contribute to current knowledge of etiology, prevention, social policy or treatment are given priority. Scholarly commentaries on topical issues, systematic reviews, and mini reviews are encouraged. We especially welcome multimedia papers that incorporate video or audio components to better display methodology or findings. Studies can also be submitted to Addictive Behaviors? companion title, the open access journal Addictive Behaviors Reports, which has a particular interest in ''non-traditional'', innovative and empirically-oriented research such as negative/null data papers, replication studies, case reports on novel treatments, and cross-cultural research.