PMID- 35810603 OWN - NLM STAT- MEDLINE DCOM- 20220823 LR - 20221018 IS - 1879-1379 (Electronic) IS - 0022-3956 (Linking) VI - 153 DP - 2022 Sep TI - Internet addiction among teenagers in a Chinese population: Prevalence, risk factors, and its relationship with obsessive-compulsive symptoms. PG - 134-140 LID - S0022-3956(22)00369-7 [pii] LID - 10.1016/j.jpsychires.2022.07.003 [doi] AB - BACKGROUND AND AIMS: Internet addiction (IA) among teenagers has been reported frequently in China, although research has seldom focused on vocational high school students. This study investigated the prevalence and risk factors among this special adolescent population. Moreover, we illustrate the complex relationship between obsessive-compulsive (OC) symptoms, insomnia, psychological states, and IA. METHODS: A cross-sectional design was applied to collect information from three different vocational high schools in Hunan Province, China. Socio-demographic characteristics, OC symptoms, insomnia, depression, anxiety, and stress symptoms were compared between the IA and non-IA groups. Then, a structural equation model (SEM) was established to test our hypothesis regarding different paths from OC symptoms to IA. RESULTS: IA prevalence was 13.4% among 7990 vocational high school students. Individuals with IA were more likely to be male and students with more severe depression, stress, anxiety, and insomnia symptoms (all p < 0.001). SEM verified that OC symptoms were related to IA both directly and indirectly, where the latter relationship was mediated through insomnia or mental disorders. LIMITATIONS: This study cannot confirm the causal relationships among the variables and should be generalized cautiously to other groups. CONCLUSIONS: More attention should be paid to Chinese vocational high school students, especially those with more severe OC symptoms, poor mental health, and insomnia. We should consider OC symptoms, insomnia, psychological suffering, and IA together when addressing related problems. CI - Copyright (c) 2022 The Authors. Published by Elsevier Ltd.. All rights reserved. FAU - Gao, Menghui AU - Gao M AD - Psychiatry Department and Mental Health Institute of the Second Xiangya Hospital, Central South University, China National Clinical Research Center on Mental Disorders, China National Technology Institute on Mental Disorders, Hunan Key Laboratory of Psychiatry and Mental Health, Changsha, Hunan, 410011, China. Electronic address: gaomenghui@csu.edu.cn. FAU - Teng, Ziwei AU - Teng Z AD - Psychiatry Department and Mental Health Institute of the Second Xiangya Hospital, Central South University, China National Clinical Research Center on Mental Disorders, China National Technology Institute on Mental Disorders, Hunan Key Laboratory of Psychiatry and Mental Health, Changsha, Hunan, 410011, China. Electronic address: zwaidc@csu.edu.cn. FAU - Wei, Zirou AU - Wei Z AD - Psychiatry Department and Mental Health Institute of the Second Xiangya Hospital, Central South University, China National Clinical Research Center on Mental Disorders, China National Technology Institute on Mental Disorders, Hunan Key Laboratory of Psychiatry and Mental Health, Changsha, Hunan, 410011, China. Electronic address: weizirou199@163.com. FAU - Jin, Kun AU - Jin K AD - Psychiatry Department and Mental Health Institute of the Second Xiangya Hospital, Central South University, China National Clinical Research Center on Mental Disorders, China National Technology Institute on Mental Disorders, Hunan Key Laboratory of Psychiatry and Mental Health, Changsha, Hunan, 410011, China. Electronic address: jk0811@csu.edu.cn. FAU - Xiao, Jingmei AU - Xiao J AD - Psychiatry Department and Mental Health Institute of the Second Xiangya Hospital, Central South University, China National Clinical Research Center on Mental Disorders, China National Technology Institute on Mental Disorders, Hunan Key Laboratory of Psychiatry and Mental Health, Changsha, Hunan, 410011, China. Electronic address: xiaojingmei@csu.edu.cn. FAU - Tang, Hui AU - Tang H AD - Psychiatry Department and Mental Health Institute of the Second Xiangya Hospital, Central South University, China National Clinical Research Center on Mental Disorders, China National Technology Institute on Mental Disorders, Hunan Key Laboratory of Psychiatry and Mental Health, Changsha, Hunan, 410011, China. Electronic address: tanghui2017@csu.edu.cn. FAU - Wu, Haishan AU - Wu H AD - Psychiatry Department and Mental Health Institute of the Second Xiangya Hospital, Central South University, China National Clinical Research Center on Mental Disorders, China National Technology Institute on Mental Disorders, Hunan Key Laboratory of Psychiatry and Mental Health, Changsha, Hunan, 410011, China. Electronic address: wuhaishan@csu.edu.cn. FAU - Yang, Yi AU - Yang Y AD - Mental Health Institute, Wenzhou Kangning Hospital, Wenzhou Medical University, China. Electronic address: yy@knhosp.cn. FAU - Yan, Hu AU - Yan H AD - School of Mental Health, Wenzhou Medical University, Wenzhou, China. Electronic address: yanhu150@163.com. FAU - Chen, Jindong AU - Chen J AD - Psychiatry Department and Mental Health Institute of the Second Xiangya Hospital, Central South University, China National Clinical Research Center on Mental Disorders, China National Technology Institute on Mental Disorders, Hunan Key Laboratory of Psychiatry and Mental Health, Changsha, Hunan, 410011, China. Electronic address: chenjindong@csu.edu.cn. FAU - Wu, Renrong AU - Wu R AD - Psychiatry Department and Mental Health Institute of the Second Xiangya Hospital, Central South University, China National Clinical Research Center on Mental Disorders, China National Technology Institute on Mental Disorders, Hunan Key Laboratory of Psychiatry and Mental Health, Changsha, Hunan, 410011, China. Electronic address: wurenrong@csu.edu.cn. FAU - Zhao, Jingping AU - Zhao J AD - Psychiatry Department and Mental Health Institute of the Second Xiangya Hospital, Central South University, China National Clinical Research Center on Mental Disorders, China National Technology Institute on Mental Disorders, Hunan Key Laboratory of Psychiatry and Mental Health, Changsha, Hunan, 410011, China. Electronic address: zhaojingping@csu.edu.cn. FAU - Wu, Ying AU - Wu Y AD - Department of Intensive Care Unit, The Second Xiangya Hospital, Central South University, Changsha, Hunan, 410011, China. Electronic address: biovivian@126.com. FAU - Huang, Jing AU - Huang J AD - Psychiatry Department and Mental Health Institute of the Second Xiangya Hospital, Central South University, China National Clinical Research Center on Mental Disorders, China National Technology Institute on Mental Disorders, Hunan Key Laboratory of Psychiatry and Mental Health, Changsha, Hunan, 410011, China. Electronic address: jinghuangserena001@csu.edu.cn. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20220705 PL - England TA - J Psychiatr Res JT - Journal of psychiatric research JID - 0376331 SB - IM MH - Adolescent MH - *Behavior, Addictive/psychology MH - China/epidemiology MH - Cross-Sectional Studies MH - Depression/epidemiology/psychology MH - Female MH - Humans MH - Internet MH - Internet Addiction Disorder/epidemiology MH - Male MH - *Obsessive-Compulsive Disorder/epidemiology MH - Prevalence MH - Risk Factors MH - *Sleep Initiation and Maintenance Disorders/epidemiology OTO - NOTNLM OT - Insomnia OT - Internet addiction OT - Obsessive-compulsive symptoms OT - Psychological states OT - Structural equation model EDAT- 2022/07/11 06:00 MHDA- 2022/08/24 06:00 CRDT- 2022/07/10 18:15 PHST- 2021/10/12 00:00 [received] PHST- 2022/06/22 00:00 [revised] PHST- 2022/07/01 00:00 [accepted] PHST- 2022/07/11 06:00 [pubmed] PHST- 2022/08/24 06:00 [medline] PHST- 2022/07/10 18:15 [entrez] AID - S0022-3956(22)00369-7 [pii] AID - 10.1016/j.jpsychires.2022.07.003 [doi] PST - ppublish SO - J Psychiatr Res. 2022 Sep;153:134-140. doi: 10.1016/j.jpsychires.2022.07.003. Epub 2022 Jul 5.