PMID- 26343546
OWN - NLM
STAT- MEDLINE
DCOM- 20160425
LR  - 20220410
IS  - 1476-5616 (Electronic)
IS  - 0033-3506 (Linking)
VI  - 129
IP  - 9
DP  - 2015 Sep
TI  - The mediating role of Internet addiction in depression, social anxiety, and 
      psychosocial well-being among adolescents in six Asian countries: a structural 
      equation modelling approach.
PG  - 1224-36
LID - S0033-3506(15)00291-7 [pii]
LID - 10.1016/j.puhe.2015.07.031 [doi]
AB  - OBJECTIVES: This study examines the associations of Internet addiction with 
      social anxiety, depression, and psychosocial well-being among Asian adolescents. 
      A self-medication model conceptualizing Internet addiction as a mediating role in 
      relating depression and social anxiety to negative psychosocial well-being was 
      tested. STUDY DESIGN: A cross-sectional survey. METHODS: In the Asian Adolescent 
      Risk Behavior Survey (AARBS), 5366 adolescents aged 12-18 years from six Asian 
      countries (China, Hong Kong, Japan, South Korea, Malaysia, and Philippines) 
      completed a questionnaire with items of the Internet Addiction Test (IAT), Social 
      Anxiety Scale for Adolescents (SAS-A), Center for Epidemiological Studies 
      Depression Scale (CESD), Self-Rated Health of the Nation Outcome Scales for 
      Children and Adolescents (HoNOSCA-SR) in the 2012-2013 school year. Structural 
      equation modelling was used to examine the mediating role of Internet addiction 
      in depression, social anxiety, and subjective psychosocial well-being. RESULTS: 
      Significant differences on the scores of IAT, SAS-A, CESD, and HoNOSCA-SR across 
      the six countries were found. The proposed self-medication model of Internet 
      addiction received satisfactory goodness-of-fit with data of all countries. After 
      the path from social anxiety to Internet addiction had been discarded in the 
      revised model, there was a significant improvement of the goodness-of-fit in the 
      models for Japan, South Korea, and the Philippines. CONCLUSIONS: Depression and 
      social anxiety reciprocally influenced, whereas depression associated with poorer 
      psychosocial well-being directly and indirectly through Internet addiction in all 
      six countries. Internet addiction mediated the association between social anxiety 
      and poor psychosocial well-being in China, Hong Kong, and Malaysia.
CI  - Copyright (c) 2015 The Royal Society for Public Health. Published by Elsevier Ltd. 
      All rights reserved.
FAU - Lai, C M
AU  - Lai CM
AD  - Department of Psychology, Chinese University of Hong Kong, Hong Kong.
FAU - Mak, K K
AU  - Mak KK
AD  - Department of Psychology, University of Hong Kong, Hong Kong. Electronic address: 
      kkmak@graduate.hku.hk.
FAU - Watanabe, H
AU  - Watanabe H
AD  - Department of Children and Women's Health, Osaka University Graduate School of 
      Medicine, Japan.
FAU - Jeong, J
AU  - Jeong J
AD  - Department of Bio and Brain Engineering, Korea Advanced Institute of Science and 
      Technology, Republic of Korea.
FAU - Kim, D
AU  - Kim D
AD  - Department of Education, Seoul National University, Republic of Korea.
FAU - Bahar, N
AU  - Bahar N
AD  - Department of Psychiatry, Selayang Hospital, Malaysia.
FAU - Ramos, M
AU  - Ramos M
AD  - Department of Psychiatry, National University Hospital at Manila, Philippines.
FAU - Chen, S H
AU  - Chen SH
AD  - Department of Psychology, National Taiwan University, Taiwan.
FAU - Cheng, C
AU  - Cheng C
AD  - Department of Psychology, University of Hong Kong, Hong Kong.
LA  - eng
PT  - Journal Article
DEP - 20150904
PL  - Netherlands
TA  - Public Health
JT  - Public health
JID - 0376507
SB  - IM
MH  - Adolescent
MH  - Adolescent Behavior/*psychology
MH  - Anxiety/*epidemiology
MH  - Asia/epidemiology
MH  - Behavior, Addictive/*psychology
MH  - Child
MH  - Cross-Sectional Studies
MH  - Depression/*epidemiology
MH  - Female
MH  - Humans
MH  - Internet/*statistics & numerical data
MH  - Male
MH  - Models, Psychological
MH  - *Social Behavior
MH  - Surveys and Questionnaires
OTO - NOTNLM
OT  - Adolescents
OT  - Asian
OT  - Depression
OT  - Internet addiction
OT  - Social anxiety
OT  - Structural equation modelling
EDAT- 2015/09/08 06:00
MHDA- 2016/04/26 06:00
CRDT- 2015/09/08 06:00
PHST- 2015/05/06 00:00 [received]
PHST- 2015/07/13 00:00 [revised]
PHST- 2015/07/15 00:00 [accepted]
PHST- 2015/09/08 06:00 [entrez]
PHST- 2015/09/08 06:00 [pubmed]
PHST- 2016/04/26 06:00 [medline]
AID - S0033-3506(15)00291-7 [pii]
AID - 10.1016/j.puhe.2015.07.031 [doi]
PST - ppublish
SO  - Public Health. 2015 Sep;129(9):1224-36. doi: 10.1016/j.puhe.2015.07.031. Epub 
      2015 Sep 4.