{"title":"创伤后应激障碍对中国地震幸存者网络使用问题的影响：错失恐惧和反思的中介作用。","authors":"Chen Gong, Yezi Li","doi":"10.31083/AP46030","DOIUrl":null,"url":null,"abstract":"<p><strong>Objective: </strong>Problematic internet use (PIU) is a general behavioral addiction and encompasses various syndromes. Previous research found that traumatic events may potentially influence or alter the propensity for PIU. This study aimed to explore the mediating role of fear of missing out (FOMO) and rumination in the influence of post-traumatic stress disorder (PTSD) on PIU among Wenchuan earthquake survivors.</p><p><strong>Methods: </strong>In the fall of 2023, 665 valid participants' responses were selected in this cross-sectional study. The PTSD Checklist (PCL-C), FOMO Scale, Rumination Scale (RRS), and Generalized Problematic Internet Use Scale 2 (GPIUS2) were used to measure participants' internet usage and mental state. Description analysis and structural equation model analysis were examined by using SmartPLS.</p><p><strong>Results: </strong>PTSD positively influenced FOMO (β = 0.315, <i>p</i> < 0.001), rumination (β = 0.279, <i>p</i> = 0.001), and PIU (β = 0.213, <i>p</i> < 0.001). FOMO (β = 0.08, 95% CI (confidence interval) [0.037, 0.144], <i>p</i> = 0.005) and rumination (β = 0.093, 95% CI [0.032, 0.139], <i>p</i> = 0.002) played a mediating role in the influence of PTSD on PIU. Regarding the relationship between PTSD and PIU, direct and indirect effects comprised 45.6% and 54.4%. PTSD had a positively significant effect on PIU by mediating FOMO and rumination to form a chain mediation model (β = 0.081, 95% CI [0.010, 0.039], <i>p</i> = 0.002).</p><p><strong>Conclusions: </strong>This study investigated online usage and media psychology among survivors of the Wenchuan earthquake in China. FOMO and rumination were found to be important factors influencing the relationship between PTSD and PIU. To prevent or relieve people's PIU, we propose that medical practitioners and local government intervene on FOMO through effective measures to decrease rumination. The individual differences and specific internet platform usage that influence these psychological variables should also be further investigated in future studies.</p>","PeriodicalId":72151,"journal":{"name":"Alpha psychiatry","volume":"26 4","pages":"46030"},"PeriodicalIF":3.5000,"publicationDate":"2025-08-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12416047/pdf/","citationCount":"0","resultStr":"{\"title\":\"The Influence of PTSD on Problematic Internet Use among Chinese Earthquake Survivors: The Mediating Role of Fear of Missing Out and Rumination.\",\"authors\":\"Chen Gong, Yezi Li\",\"doi\":\"10.31083/AP46030\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Objective: </strong>Problematic internet use (PIU) is a general behavioral addiction and encompasses various syndromes. Previous research found that traumatic events may potentially influence or alter the propensity for PIU. This study aimed to explore the mediating role of fear of missing out (FOMO) and rumination in the influence of post-traumatic stress disorder (PTSD) on PIU among Wenchuan earthquake survivors.</p><p><strong>Methods: </strong>In the fall of 2023, 665 valid participants' responses were selected in this cross-sectional study. The PTSD Checklist (PCL-C), FOMO Scale, Rumination Scale (RRS), and Generalized Problematic Internet Use Scale 2 (GPIUS2) were used to measure participants' internet usage and mental state. Description analysis and structural equation model analysis were examined by using SmartPLS.</p><p><strong>Results: </strong>PTSD positively influenced FOMO (β = 0.315, <i>p</i> < 0.001), rumination (β = 0.279, <i>p</i> = 0.001), and PIU (β = 0.213, <i>p</i> < 0.001). FOMO (β = 0.08, 95% CI (confidence interval) [0.037, 0.144], <i>p</i> = 0.005) and rumination (β = 0.093, 95% CI [0.032, 0.139], <i>p</i> = 0.002) played a mediating role in the influence of PTSD on PIU. Regarding the relationship between PTSD and PIU, direct and indirect effects comprised 45.6% and 54.4%. PTSD had a positively significant effect on PIU by mediating FOMO and rumination to form a chain mediation model (β = 0.081, 95% CI [0.010, 0.039], <i>p</i> = 0.002).</p><p><strong>Conclusions: </strong>This study investigated online usage and media psychology among survivors of the Wenchuan earthquake in China. FOMO and rumination were found to be important factors influencing the relationship between PTSD and PIU. To prevent or relieve people's PIU, we propose that medical practitioners and local government intervene on FOMO through effective measures to decrease rumination. The individual differences and specific internet platform usage that influence these psychological variables should also be further investigated in future studies.</p>\",\"PeriodicalId\":72151,\"journal\":{\"name\":\"Alpha psychiatry\",\"volume\":\"26 4\",\"pages\":\"46030\"},\"PeriodicalIF\":3.5000,\"publicationDate\":\"2025-08-25\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12416047/pdf/\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Alpha psychiatry\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.31083/AP46030\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2025/8/1 0:00:00\",\"PubModel\":\"eCollection\",\"JCR\":\"Q3\",\"JCRName\":\"PSYCHIATRY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Alpha psychiatry","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.31083/AP46030","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2025/8/1 0:00:00","PubModel":"eCollection","JCR":"Q3","JCRName":"PSYCHIATRY","Score":null,"Total":0}
引用次数: 0
摘要
目的：问题网络使用（PIU）是一种普遍的行为成瘾，包括多种症状。先前的研究发现创伤性事件可能潜在地影响或改变PIU的倾向。本研究旨在探讨错失恐惧（FOMO）和反刍在创伤后应激障碍（PTSD）对汶川地震幸存者PIU的影响中的中介作用。方法：选取2023年秋季有效被试的665份问卷进行横断面研究。采用PTSD检查表（PCL-C）、FOMO量表（FOMO Scale）、反刍量表（RRS）和广义问题性网络使用量表2 （GPIUS2）测量被试的网络使用情况和心理状态。使用SmartPLS进行描述分析和结构方程模型分析。结果：PTSD对FOMO （β = 0.315, p < 0.001）、反刍（β = 0.279, p = 0.001）、PIU （β = 0.213, p < 0.001）有正向影响。FOMO （β = 0.08, 95% CI（置信区间）[0.037,0.144],p = 0.005）和反刍（β = 0.093, 95% CI [0.032, 0.139], p = 0.002）在PTSD对PIU的影响中起中介作用。PTSD与PIU的关系中，直接效应和间接效应分别占45.6%和54.4%。PTSD通过中介FOMO和反刍对PIU有显著正影响，形成链式中介模型（β = 0.081, 95% CI [0.010, 0.039], p = 0.002）。结论：本研究调查了中国汶川地震幸存者的网络使用和媒体心理。FOMO和反刍是影响PTSD与PIU关系的重要因素。为了预防或缓解人们的FOMO，我们建议医生和地方政府通过有效的措施来干预FOMO，减少反刍。个体差异和特定的互联网平台使用对这些心理变量的影响也应在未来的研究中进一步研究。
The Influence of PTSD on Problematic Internet Use among Chinese Earthquake Survivors: The Mediating Role of Fear of Missing Out and Rumination.
Objective: Problematic internet use (PIU) is a general behavioral addiction and encompasses various syndromes. Previous research found that traumatic events may potentially influence or alter the propensity for PIU. This study aimed to explore the mediating role of fear of missing out (FOMO) and rumination in the influence of post-traumatic stress disorder (PTSD) on PIU among Wenchuan earthquake survivors.
Methods: In the fall of 2023, 665 valid participants' responses were selected in this cross-sectional study. The PTSD Checklist (PCL-C), FOMO Scale, Rumination Scale (RRS), and Generalized Problematic Internet Use Scale 2 (GPIUS2) were used to measure participants' internet usage and mental state. Description analysis and structural equation model analysis were examined by using SmartPLS.
Results: PTSD positively influenced FOMO (β = 0.315, p < 0.001), rumination (β = 0.279, p = 0.001), and PIU (β = 0.213, p < 0.001). FOMO (β = 0.08, 95% CI (confidence interval) [0.037, 0.144], p = 0.005) and rumination (β = 0.093, 95% CI [0.032, 0.139], p = 0.002) played a mediating role in the influence of PTSD on PIU. Regarding the relationship between PTSD and PIU, direct and indirect effects comprised 45.6% and 54.4%. PTSD had a positively significant effect on PIU by mediating FOMO and rumination to form a chain mediation model (β = 0.081, 95% CI [0.010, 0.039], p = 0.002).
Conclusions: This study investigated online usage and media psychology among survivors of the Wenchuan earthquake in China. FOMO and rumination were found to be important factors influencing the relationship between PTSD and PIU. To prevent or relieve people's PIU, we propose that medical practitioners and local government intervene on FOMO through effective measures to decrease rumination. The individual differences and specific internet platform usage that influence these psychological variables should also be further investigated in future studies.
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