The co-occurrence between symptoms of internet gaming disorder, depression, and anxiety in middle and late adolescence: A cross-lagged panel network analysis

IF 3.7 2区医学 Q1 PSYCHOLOGY, CLINICAL

Addictive behaviors Pub Date : 2024-11-16 DOI:10.1016/j.addbeh.2024.108215

Tingting Gao , Yan Chen , Qian Gai , Carl D’Arcy , Yingying Su

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引用次数: 0

Abstract

Although there is a growing awareness of the co-occurrence of internet gaming disorder (IGD) with other mental health problems, the specific patterns of how these symptoms interact over time, especially across different age groups, remain unclear. The current study utilizes cross-lagged panel network modeling (CLPN) to investigate the dynamic, longitudinal relationships among symptoms of IGD, depression and anxiety among adolescents across time, and how these connections change with different developmental stages. A total of 3296 middle and late adolescents who have finished 3-time points research were included in the present study. Significant differences were found between middle and late adolescents in the structures and strengths of the contemporaneous and longitudinal networks. For middle adolescents, symptoms tended to predict subsequent symptoms within the same disorder. However, late adolescents showed a stronger trend of symptoms being interconnected across comorbid conditions. Feelings of worthlessness & hopelessness were the most impactful symptoms for middle adolescents in the short term and they continued to significantly affect late adolescents in the long term. In addition, restless and suicide or self-harm were the most important bridge symptoms for middle and late adolescents, respectively. This study emphasizes the importance of developing targeted intervention strategies focusing on both central and bridging symptoms of the comorbid conditions of IGD, depression, and anxiety in adolescence. Recognizing distinct adolescents’ needs, interventions should be tailored to effectively address the unique challenges at different developmental stages.

查看原文本刊更多论文

青春期中后期网络游戏障碍、抑郁和焦虑症状之间的共存性：交叉滞后面板网络分析

尽管越来越多的人意识到网络游戏障碍（IGD）与其他心理健康问题同时存在，但这些症状随着时间的推移，尤其是在不同年龄段之间如何相互作用的具体模式仍不清楚。本研究利用交叉滞后面板网络模型（CLPN）来研究青少年的网络游戏障碍、抑郁和焦虑症状在不同时期的动态纵向关系，以及这些关系在不同成长阶段的变化情况。本研究共纳入了 3296 名完成了 3 个时间点研究的中后期青少年。研究发现，中、晚期青少年在同期网络和纵向网络的结构和强度方面存在显著差异。对于中期青少年来说，症状倾向于预测同一障碍的后续症状。然而，晚期青少年的症状在各种并发症之间的相互关联趋势更强。在短期内，无价值感和绝望感是对青少年中期影响最大的症状，而在长期内，这些症状对青少年晚期的影响仍然很大。此外，烦躁不安和自杀或自残分别是青少年中期和晚期最重要的桥接症状。本研究强调了针对青少年IGD、抑郁和焦虑等合并症的中心症状和桥接症状制定有针对性的干预策略的重要性。认识到青少年的不同需求，干预措施应量身定制，以有效应对不同发育阶段的独特挑战。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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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.