Adverse childhood experiences on internet gaming disorder mediated through insomnia in Chinese young people
BackgroundAdverse childhood experiences (ACEs) have been associated with addictions such as substance use disorders. Few have examined ACEs on internet gaming disorder (IGD) as a newly established behavioral addiction, and the potential mediating role of insomnia remains unclear. We examined the ass...
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| Format: | Article |
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Frontiers Media S.A.
2023-11-01
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| Series: | Frontiers in Public Health |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fpubh.2023.1283106/full |
| _version_ | 1797489736614412288 |
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| author | Ningyuan Guo Xue Weng Sheng Zhi Zhao Juan Zhang Man Ping Wang Li Li Lin Wang |
| author_facet | Ningyuan Guo Xue Weng Sheng Zhi Zhao Juan Zhang Man Ping Wang Li Li Lin Wang |
| author_sort | Ningyuan Guo |
| collection | DOAJ |
| description | BackgroundAdverse childhood experiences (ACEs) have been associated with addictions such as substance use disorders. Few have examined ACEs on internet gaming disorder (IGD) as a newly established behavioral addiction, and the potential mediating role of insomnia remains unclear. We examined the associations between ACE number and types, IGD, and insomnia.MethodsParticipants included 1, 231 Chinese university students (54.5% male; 56.9% aged 18–20 years) who had played internet games at least once in the previous month. ACEs were measured using the 10-item ACE questionnaire (yes/no). Symptoms of insomnia and IGD were measured using the Insomnia Severity Index and the 9-item Internet Gaming Disorder Scale–Short-Form, respectively. Multivariable regressions examined the associations, adjusting for sex, age, maternal and paternal educational attainment, monthly household income, smoking, and alcohol drinking. The mediating role of insomnia symptoms was explored.ResultsThe prevalence of ACEs≥1 was 40.0%. Childhood verbal abuse was the most prevalent (17.4%), followed by exposure to domestic violence (17.1%) and childhood physical abuse (15.5%). More ACE numbers showed an association with IGD symptoms (adjusted OR = 1.11, 95% CI 1.04, 1.17). Specifically, IGD symptoms were observed for childhood physical neglect, emotional neglect, sexual abuse, parental divorce or separation, and household substance abuse. Insomnia symptoms mediated the associations of ACE number and types with IGD symptoms (proportion of total effect mediated range 0.23–0.89).ConclusionThe number and specific types of ACEs showed associations with IGD mediated through insomnia. Screening of ACEs is recommended in future studies on IGD. Longitudinal data are warranted to determine the causality of the observed associations. |
| first_indexed | 2024-03-10T00:20:56Z |
| format | Article |
| id | doaj.art-82214cf5263042bca99b26a2d87124e9 |
| institution | Directory Open Access Journal |
| issn | 2296-2565 |
| language | English |
| last_indexed | 2024-03-10T00:20:56Z |
| publishDate | 2023-11-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Public Health |
| spelling | doaj.art-82214cf5263042bca99b26a2d87124e92023-11-23T15:42:47ZengFrontiers Media S.A.Frontiers in Public Health2296-25652023-11-011110.3389/fpubh.2023.12831061283106Adverse childhood experiences on internet gaming disorder mediated through insomnia in Chinese young peopleNingyuan Guo0Xue Weng1Sheng Zhi Zhao2Juan Zhang3Man Ping Wang4Li Li5Lin Wang6School of Nursing, Shanghai Jiao Tong University, Shanghai, ChinaInstitute of Advanced Studies in Humanities and Social Sciences, Beijing Normal University, Zhuhai, ChinaSchool of Nursing, The University of Hong Kong, Hong Kong, Hong Kong SAR, ChinaThe International Peace Maternity and Child Health Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, ChinaSchool of Nursing, The University of Hong Kong, Hong Kong, Hong Kong SAR, ChinaShanghai Mental Health Center, Shanghai Jiao Tong University School of Medicine, Shanghai, ChinaSchool of Nursing, Shanghai Jiao Tong University, Shanghai, ChinaBackgroundAdverse childhood experiences (ACEs) have been associated with addictions such as substance use disorders. Few have examined ACEs on internet gaming disorder (IGD) as a newly established behavioral addiction, and the potential mediating role of insomnia remains unclear. We examined the associations between ACE number and types, IGD, and insomnia.MethodsParticipants included 1, 231 Chinese university students (54.5% male; 56.9% aged 18–20 years) who had played internet games at least once in the previous month. ACEs were measured using the 10-item ACE questionnaire (yes/no). Symptoms of insomnia and IGD were measured using the Insomnia Severity Index and the 9-item Internet Gaming Disorder Scale–Short-Form, respectively. Multivariable regressions examined the associations, adjusting for sex, age, maternal and paternal educational attainment, monthly household income, smoking, and alcohol drinking. The mediating role of insomnia symptoms was explored.ResultsThe prevalence of ACEs≥1 was 40.0%. Childhood verbal abuse was the most prevalent (17.4%), followed by exposure to domestic violence (17.1%) and childhood physical abuse (15.5%). More ACE numbers showed an association with IGD symptoms (adjusted OR = 1.11, 95% CI 1.04, 1.17). Specifically, IGD symptoms were observed for childhood physical neglect, emotional neglect, sexual abuse, parental divorce or separation, and household substance abuse. Insomnia symptoms mediated the associations of ACE number and types with IGD symptoms (proportion of total effect mediated range 0.23–0.89).ConclusionThe number and specific types of ACEs showed associations with IGD mediated through insomnia. Screening of ACEs is recommended in future studies on IGD. Longitudinal data are warranted to determine the causality of the observed associations.https://www.frontiersin.org/articles/10.3389/fpubh.2023.1283106/fulladverse childhood experiencesinsomniainternet gaming disordermediationlife course |
| spellingShingle | Ningyuan Guo Xue Weng Sheng Zhi Zhao Juan Zhang Man Ping Wang Li Li Lin Wang Adverse childhood experiences on internet gaming disorder mediated through insomnia in Chinese young people Frontiers in Public Health adverse childhood experiences insomnia internet gaming disorder mediation life course |
| title | Adverse childhood experiences on internet gaming disorder mediated through insomnia in Chinese young people |
| title_full | Adverse childhood experiences on internet gaming disorder mediated through insomnia in Chinese young people |
| title_fullStr | Adverse childhood experiences on internet gaming disorder mediated through insomnia in Chinese young people |
| title_full_unstemmed | Adverse childhood experiences on internet gaming disorder mediated through insomnia in Chinese young people |
| title_short | Adverse childhood experiences on internet gaming disorder mediated through insomnia in Chinese young people |
| title_sort | adverse childhood experiences on internet gaming disorder mediated through insomnia in chinese young people |
| topic | adverse childhood experiences insomnia internet gaming disorder mediation life course |
| url | https://www.frontiersin.org/articles/10.3389/fpubh.2023.1283106/full |
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