Relationship between internet gaming disorder, interpersonal needs, loneliness, and depression among adolescents using a chain mediation model

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 depressi...

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Main Authors: GAO-QU Yige, MUZAI Baier, DONG Jingwen, ZHAO Yuxi, ZHU Pengyu, GU Xicheng, LIU Shangbin, CAI Yong, YUAN Dong, WANG Ying
Format: Article
Language:zho
Published: Shanghai Preventive Medicine Association 2024-11-01
Series:Shanghai yufang yixue
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Online Access:http://www.sjpm.org.cn/article/doi/10.19428/j.cnki.sjpm.2024.24000?viewType=HTML
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author GAO-QU Yige
MUZAI Baier
DONG Jingwen
ZHAO Yuxi
ZHU Pengyu
GU Xicheng
LIU Shangbin
CAI Yong
YUAN Dong
WANG Ying
author_facet GAO-QU Yige
MUZAI Baier
DONG Jingwen
ZHAO Yuxi
ZHU Pengyu
GU Xicheng
LIU Shangbin
CAI Yong
YUAN Dong
WANG Ying
author_sort GAO-QU Yige
collection DOAJ
description 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.
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spelling doaj-art-7e87db609c9646d092f9470f278f31ca2025-01-23T23:27:10ZzhoShanghai Preventive Medicine AssociationShanghai yufang yixue1004-92312024-11-0136111087109310.19428/j.cnki.sjpm.2024.240001004-9231(2024)11-1087-07Relationship between internet gaming disorder, interpersonal needs, loneliness, and depression among adolescents using a chain mediation modelGAO-QU Yige0MUZAI Baier1DONG Jingwen2ZHAO Yuxi3ZHU Pengyu4GU Xicheng5LIU Shangbin6CAI Yong7YUAN Dong8WANG Ying9Shanghai Tongren Hospital Affiliated to Shanghai Jiao Tong University School of Medicine, Shanghai200050, ChinaShanghai Tongren Hospital Affiliated to Shanghai Jiao Tong University School of Medicine, Shanghai200050, ChinaHarvard T.H. Chan School of Public Health, Boston, Massachusetts02115, USAShanghai World Foreign Language Academy, Shanghai200233, ChinaShanghai Weiyu High School, Shanghai200231, ChinaUniversity of Rochester, Rochester, New York 14627, USAShanghai Tongren Hospital Affiliated to Shanghai Jiao Tong University School of Medicine, Shanghai200050, ChinaShanghai Tongren Hospital Affiliated to Shanghai Jiao Tong University School of Medicine, Shanghai200050, ChinaShanghai Municipal Center for Disease Control and Prevention, Shanghai200336, ChinaShanghai Tongren Hospital Affiliated to Shanghai Jiao Tong University School of Medicine, Shanghai200050, ChinaObjectiveTo 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.http://www.sjpm.org.cn/article/doi/10.19428/j.cnki.sjpm.2024.24000?viewType=HTMLinternet gaming disorderadolescentdepressioninterpersonal needlonelinesschain mediating effect
spellingShingle GAO-QU Yige
MUZAI Baier
DONG Jingwen
ZHAO Yuxi
ZHU Pengyu
GU Xicheng
LIU Shangbin
CAI Yong
YUAN Dong
WANG Ying
Relationship between internet gaming disorder, interpersonal needs, loneliness, and depression among adolescents using a chain mediation model
Shanghai yufang yixue
internet gaming disorder
adolescent
depression
interpersonal need
loneliness
chain mediating effect
title Relationship between internet gaming disorder, interpersonal needs, loneliness, and depression among adolescents using a chain mediation model
title_full Relationship between internet gaming disorder, interpersonal needs, loneliness, and depression among adolescents using a chain mediation model
title_fullStr Relationship between internet gaming disorder, interpersonal needs, loneliness, and depression among adolescents using a chain mediation model
title_full_unstemmed Relationship between internet gaming disorder, interpersonal needs, loneliness, and depression among adolescents using a chain mediation model
title_short Relationship between internet gaming disorder, interpersonal needs, loneliness, and depression among adolescents using a chain mediation model
title_sort relationship between internet gaming disorder interpersonal needs loneliness and depression among adolescents using a chain mediation model
topic internet gaming disorder
adolescent
depression
interpersonal need
loneliness
chain mediating effect
url http://www.sjpm.org.cn/article/doi/10.19428/j.cnki.sjpm.2024.24000?viewType=HTML
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