Longitudinal relationships between ADHD symptoms and internet addiction among Chinese adolescents: a cross-lagged panel network analysis.

IF 3.6 2区医学 Q1 PSYCHIATRY

Social Psychiatry and Psychiatric Epidemiology Pub Date : 2025-06-05 DOI:10.1007/s00127-025-02940-1

Xiang Niu, Yu-Xin Xie, Li-Xing Gou, Zheng-Ling Jing, Jian-Jun Huang, Hai-Zhen Wang, Jin-Liang Wang

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引用次数: 0

Abstract

Background: The comorbidity mechanisms between ADHD symptoms and Internet addiction are not yet clear, and network analysis provides a new perspective for clarifying this research question.

Aim: Therefore, this study employed a cross-lagged panel network model to examine how specific symptom levels of ADHD and Internet addiction interact.

Method: A total of 732 Chinese adolescents (55.6% girls, Mage = 13.95 years, SD = 1.55) completed assessments at three time points spaced six months apart.

Results: Between 4.51 and 6.83% of participants showed severe Internet issues, and 8.06-9.97% fell into the ADHD abnormal range across the three time points. The results of the contemporaneous network indicated that the bridge symptom at all three-time points was "Inattention". The results of the temporal network showed: (1) the core symptoms responsible for the comorbidity mostly belong to ADHD symptoms; (2) the comorbidity mechanisms change over time, with the most predictive bridge symptom being "Hyperactivity" in the T1 to T2 network, and changing to "Inattention" in the T2 to T3 network. In addition, "Excessive use" was the most vulnerable symptom.

Conclusion: These findings suggest that hyperactivity in early adolescence and inattention at later stages may serve as temporal risk indicators for Internet addiction, and that interventions targeting these symptoms could be worthy of further investigation.

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中国青少年ADHD症状与网络成瘾的纵向关系：一个交叉滞后面板网络分析

背景：ADHD症状与网络成瘾的共病机制尚不清楚，网络分析为澄清这一研究问题提供了新的视角。目的：因此，本研究采用交叉滞后面板网络模型来研究ADHD和网络成瘾的具体症状水平如何相互作用。方法：共有732名中国青少年（55.6%为女孩，年龄13.95岁，SD = 1.55）在间隔6个月的三个时间点完成评估。结果：4.51 ~ 6.83%的参与者表现出严重的网络问题，8.06 ~ 9.97%的参与者在三个时间点上属于ADHD异常范围。同时网络结果显示，三个时间点的桥症状均为“注意力不集中”。时间网络结果显示：(1)导致共病的核心症状多属于ADHD症状；(2)共病机制随时间变化，最具预测性的桥症状为T1 - T2网络的“多动”，T2 - T3网络的“注意力不集中”。此外，“过度使用”是最脆弱的症状。结论：这些发现表明，青春期早期的多动和后期的注意力不集中可能是网络成瘾的时间风险指标，针对这些症状的干预措施值得进一步研究。

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

Social Psychiatry and Psychiatric Epidemiology 医学-精神病学

CiteScore

8.50

自引率

2.30%

发文量

184

审稿时长

3-6 weeks

期刊介绍： Social Psychiatry and Psychiatric Epidemiology is intended to provide a medium for the prompt publication of scientific contributions concerned with all aspects of the epidemiology of psychiatric disorders - social, biological and genetic. In addition, the journal has a particular focus on the effects of social conditions upon behaviour and the relationship between psychiatric disorders and the social environment. Contributions may be of a clinical nature provided they relate to social issues, or they may deal with specialised investigations in the fields of social psychology, sociology, anthropology, epidemiology, health service research, health economies or public mental health. We will publish papers on cross-cultural and trans-cultural themes. We do not publish case studies or small case series. While we will publish studies of reliability and validity of new instruments of interest to our readership, we will not publish articles reporting on the performance of established instruments in translation. Both original work and review articles may be submitted.