Relationship between internet gaming disorder， interpersonal needs， loneliness， and depression among adolescents using a chain mediation model
10.19428/j.cnki.sjpm.2024.24000
- VernacularTitle:人际需求和孤独感在青少年网络游戏障碍与抑郁间的链式中介作用
- Author:
Yige GAO-QU
1
;
Baier MUZAI
1
;
Jingwen DONG
2
;
Yuxi ZHAO
3
;
Pengyu ZHU
4
;
Xicheng GU
5
;
Shangbin LIU
1
;
Yong CAI
1
;
Dong YUAN
6
;
Ying WANG
1
Author Information
1. Shanghai Tongren Hospital Affiliated to Shanghai Jiao Tong University School of Medicine, Shanghai200050, China
2. Harvard T.H. Chan School of Public Health, Boston, Massachusetts02115, USA
3. Shanghai World Foreign Language Academy, Shanghai200233, China
4. Shanghai Weiyu High School, Shanghai200231, China
5. University of Rochester, Rochester, New York 14627, USA
6. Shanghai Municipal Center for Disease Control and Prevention, Shanghai200336, China
- Publication Type:Journal Article
- Keywords:
internet gaming disorder;
adolescent;
depression;
interpersonal need;
loneliness;
chain mediating effect
- From:
Shanghai Journal of Preventive Medicine
2024;36(11):1087-1093
- CountryChina
- Language:Chinese
-
Abstract:
ObjectiveTo explore the relationships between internet gaming disorder (IGD), interpersonal needs, loneliness, and depression in adolescents through the construction of a chain mediation model, to clarify the underlying mechanisms of these associations, and to provid a theoretical basis for depression prevention and intervention. MethodsBased on the data of the 7th Population Census, using convenient sampling method 1 106 adolescents aged between 10‒19 years in South China (176), North China (147), Central China (332), and East China (451) were selected to conduct a cross-sectional survey, with a ratio of 1∶1∶1.5∶2.5. The survey was conducted with a questionnaire consisting of general information (sex, age, grade, parents’ education level), the Chinese version of the IGDS9-SF, the INQ-15, the short-form of the ULS-8 and the PHQ-9 were used to evaluate the depression status of adolescents. Spearman correlation analysis was used to explore the correlation between the variables. A multiple-mediator model was constructed using IBM SPSS Statistics 22.0 PROCESS to examine the mediating effects of interpersonal needs and loneliness on the relationship between IGD and depression. The significance of the chain mediating effect was tested using the Bootstrap method. ResultsOverall, 39.06% (432/1 106) adolescents experienced depression. The incidence of depression among adolescents with smoking and without smoking was 62.50% and 38.36%, respectively. Similarly, the incidence of depression among adolescents with alcohol consuming and without alcohol consuming was 61.94% and 35.94%, respectively. There were statistically significant differences between IGD, interpersonal needs, loneliness, and depression (P<0.01). The chain mediation model demonstrated a good fit, and the bootstrap test showed that the 95%CI of each mediation path did not include 0, indicating significant mediation effects. The overall effect was 0.337. The direct effect of IGD on depression was significant (effect value=0.138, 95%CI:0.102-0.173, P<0.001). The mediation effects included three paths: ① IGD →interpersonal needs → depression (effect value=0.073, P<0.05), accounting for 21.47% of the total effect;② IGD→ loneliness → depression (effect value=0.093, P<0.05), accounting for 27.35%; and ③ IGD → interpersonal needs → loneliness → depression (effect value=0.036, P<0.05), accounting for 10.59%. ConclusionInterpersonal needs and loneliness independently and jointly mediate the relationship between IGD and depression among adolescents. To reduce depression and improve mental health in this population, measures should be taken to prevent and intervene in IGD, address adolescents’ social and emotional needs, enhance satisfaction of interpersonal needs, and reduce loneliness.
