The role of depressive symptoms and social support in the association of internet addiction with non-suicidal self-injury among adolescents: a cohort study in China
Abstract Background Both internet addiction (IA) and non-suicidal self-injury (NSSI) are major public health concerns among adolescents, however, the association between IA and NSSI was not well understood. We aimed to investigate the association between IA and NSSI within a cohort study, and explor...
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| Format: | Article |
| Language: | English |
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BMC
2023-05-01
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| Series: | BMC Psychiatry |
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| Online Access: | https://doi.org/10.1186/s12888-023-04754-4 |
| _version_ | 1797827393616871424 |
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| author | Ying Ma Yanqi Li Xinyi Xie Yi Zhang Brooke A. Ammerman Stephen P Lewis Ruoling Chen Yizhen Yu Fenghua Li Jie Tang |
| author_facet | Ying Ma Yanqi Li Xinyi Xie Yi Zhang Brooke A. Ammerman Stephen P Lewis Ruoling Chen Yizhen Yu Fenghua Li Jie Tang |
| author_sort | Ying Ma |
| collection | DOAJ |
| description | Abstract Background Both internet addiction (IA) and non-suicidal self-injury (NSSI) are major public health concerns among adolescents, however, the association between IA and NSSI was not well understood. We aimed to investigate the association between IA and NSSI within a cohort study, and explore the mediated effect of depressive symptoms and the moderating effect of social support in the association. Methods A total of 1530 adolescents aged 11–14 years who completed both the baseline (T1) and 14-month follow-up (T2) survey of the Chinese Adolescent Health Growth Cohort were included for the current analysis. IA, NSSI, depressive symptoms and social support were measured at T1; depressive symptoms and NSSI were measured again at T2. Structural equation models were employed to estimate the mediated effect of depressive symptoms and the moderating effect of social support in the association between IA and NSSI at T2. Results IA was independently associated with an increased risk of NSSI at T2, with the total effect of 0.113 (95%CI 0.055–0.174). Depressive symptoms mediated the association between IA and NSSI at T2, and social support moderated the indirect but not the direct effect of IA on NSSI at T2. Sex differences were found on the mediated effect of depressive symptoms and the moderated mediation effect of social support. Conclusions Interventions that target adolescents’ NSSI who also struggle with IA may need to focus on reducing depressive symptoms and elevating social support. |
| first_indexed | 2024-04-09T12:47:34Z |
| format | Article |
| id | doaj.art-a8f8c03899ef4d0e88ee9c1bbf33b629 |
| institution | Directory Open Access Journal |
| issn | 1471-244X |
| language | English |
| last_indexed | 2024-04-09T12:47:34Z |
| publishDate | 2023-05-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Psychiatry |
| spelling | doaj.art-a8f8c03899ef4d0e88ee9c1bbf33b6292023-05-14T11:23:56ZengBMCBMC Psychiatry1471-244X2023-05-0123111110.1186/s12888-023-04754-4The role of depressive symptoms and social support in the association of internet addiction with non-suicidal self-injury among adolescents: a cohort study in ChinaYing Ma0Yanqi Li1Xinyi Xie2Yi Zhang3Brooke A. Ammerman4Stephen P Lewis5Ruoling Chen6Yizhen Yu7Fenghua Li8Jie Tang9Department of Child Healthcare, Guangzhou Women and Children’s Medical Center, Guangzhou Medical UniversityDepartment of Preventive Medicine, School of Public Health, Guangzhou Medical UniversityDepartment of Preventive Medicine, School of Public Health, Guangzhou Medical UniversityDepartment of Preventive Medicine, School of Public Health, Guangzhou Medical UniversityDepartment of Psychology, University of Notre DameDepartment of Psychology, University of GuelphFaculty of Education, Health and Wellbeing, University of WolverhamptonDepartment of Maternal and Child Healthcare, School of Public Health, Tongji Medical College, Huazhong University of Science and TechnologyZhongshan Health Care Center for Primary and Secondary SchoolsDepartment of Preventive Medicine, School of Public Health, Guangzhou Medical UniversityAbstract Background Both internet addiction (IA) and non-suicidal self-injury (NSSI) are major public health concerns among adolescents, however, the association between IA and NSSI was not well understood. We aimed to investigate the association between IA and NSSI within a cohort study, and explore the mediated effect of depressive symptoms and the moderating effect of social support in the association. Methods A total of 1530 adolescents aged 11–14 years who completed both the baseline (T1) and 14-month follow-up (T2) survey of the Chinese Adolescent Health Growth Cohort were included for the current analysis. IA, NSSI, depressive symptoms and social support were measured at T1; depressive symptoms and NSSI were measured again at T2. Structural equation models were employed to estimate the mediated effect of depressive symptoms and the moderating effect of social support in the association between IA and NSSI at T2. Results IA was independently associated with an increased risk of NSSI at T2, with the total effect of 0.113 (95%CI 0.055–0.174). Depressive symptoms mediated the association between IA and NSSI at T2, and social support moderated the indirect but not the direct effect of IA on NSSI at T2. Sex differences were found on the mediated effect of depressive symptoms and the moderated mediation effect of social support. Conclusions Interventions that target adolescents’ NSSI who also struggle with IA may need to focus on reducing depressive symptoms and elevating social support.https://doi.org/10.1186/s12888-023-04754-4Internet addictionNon-suicidal self-injuryDepressive symptomsSocial supportCohort studyAdolescent |
| spellingShingle | Ying Ma Yanqi Li Xinyi Xie Yi Zhang Brooke A. Ammerman Stephen P Lewis Ruoling Chen Yizhen Yu Fenghua Li Jie Tang The role of depressive symptoms and social support in the association of internet addiction with non-suicidal self-injury among adolescents: a cohort study in China BMC Psychiatry Internet addiction Non-suicidal self-injury Depressive symptoms Social support Cohort study Adolescent |
| title | The role of depressive symptoms and social support in the association of internet addiction with non-suicidal self-injury among adolescents: a cohort study in China |
| title_full | The role of depressive symptoms and social support in the association of internet addiction with non-suicidal self-injury among adolescents: a cohort study in China |
| title_fullStr | The role of depressive symptoms and social support in the association of internet addiction with non-suicidal self-injury among adolescents: a cohort study in China |
| title_full_unstemmed | The role of depressive symptoms and social support in the association of internet addiction with non-suicidal self-injury among adolescents: a cohort study in China |
| title_short | The role of depressive symptoms and social support in the association of internet addiction with non-suicidal self-injury among adolescents: a cohort study in China |
| title_sort | role of depressive symptoms and social support in the association of internet addiction with non suicidal self injury among adolescents a cohort study in china |
| topic | Internet addiction Non-suicidal self-injury Depressive symptoms Social support Cohort study Adolescent |
| url | https://doi.org/10.1186/s12888-023-04754-4 |
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