The impact of family climate on problematic internet use: Findings from one nationwide study in China

IF 4.9 2区 医学 Q1 CLINICAL NEUROLOGY Journal of affective disorders Pub Date : 2024-09-03 DOI:10.1016/j.jad.2024.09.010
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Abstract

Background

With the growing attention paid to problematic internet use (PIU), this study aims to i) explore the prevalence of PIU based on a nationally representative sample and ii) propose and validate the theoretical model that correlates family climate with PIU.

Methods

One national cross-sectional study was conducted with probability sampling and stratified sampling. Overall, 21,854 sample were included and analyzed. Validated measures of family climate, loneliness, and PIU was distributed and collected from June 2022 to August 2022.

Results

The overall prevalence of PIU in the sample population is approximately 30.86 %. The model findings showed that family communication and family health had indirect effects of −0.12 and − 0.05 on PIU by the mediating effects of loneliness. The indirect effect explained 80.0 % of the total effect of family communication on PIU and 38.5 % of family health on PIU, highlighting the dominance effects of path family communication and PIU via loneliness. Extended family type (−0.047, p = 0.050), low family income (income≤3000 group, −0.127, p < 0.001) were identified as protective factors against PIU, while not living with family members (0.034, p = 0.021) was identified as risk factors of PIU.

Limitations

The nature of cross-sectional data have the limitation of preventing examining the casual relationships of PIU and the loneliness and family climate, in which future longitudinal study design is needed.

Conclusions

The high prevalence of PIU should be given adequate attention. Optimizing the family climate or family atmosphere by improving positive communication skills, providing family support and family health external resources can be served as effective strategies for controlling PIU.

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家庭氛围对问题网络使用的影响:中国一项全国性研究的结果。
研究背景随着人们对问题性网络使用(PIU)的关注与日俱增,本研究旨在 i) 基于具有全国代表性的样本,探讨 PIU 的流行率;ii) 提出并验证将家庭氛围与 PIU 相关联的理论模型:方法:通过概率抽样和分层抽样进行了一项全国性横断面研究。总共纳入并分析了 21 854 个样本。从 2022 年 6 月到 2022 年 8 月,发放并收集了经过验证的家庭氛围、孤独感和 PIU 测量方法:样本人群中 PIU 的总体患病率约为 30.86%。模型结果显示,通过孤独感的中介效应,家庭沟通和家庭健康对 PIU 的间接效应分别为-0.12 和-0.05。间接效应解释了家庭沟通对 PIU 总效应的 80.0%,以及家庭健康对 PIU 总效应的 38.5%,凸显了家庭沟通和 PIU 通过孤独的路径效应的主导性。扩展家庭类型(-0.047,P = 0.050)、低家庭收入(收入≤3000 组,-0.127,P 限制:横断面数据的性质有其局限性,无法研究 PIU 与孤独感和家庭氛围之间的偶然关系,因此今后需要进行纵向研究设计:结论:PIU 的高发病率应引起足够重视。通过提高积极的沟通技巧、提供家庭支持和家庭健康外部资源来优化家庭氛围或家庭气氛,可作为控制 PIU 的有效策略。
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来源期刊
Journal of affective disorders
Journal of affective disorders 医学-精神病学
CiteScore
10.90
自引率
6.10%
发文量
1319
审稿时长
9.3 weeks
期刊介绍: The Journal of Affective Disorders publishes papers concerned with affective disorders in the widest sense: depression, mania, mood spectrum, emotions and personality, anxiety and stress. It is interdisciplinary and aims to bring together different approaches for a diverse readership. Top quality papers will be accepted dealing with any aspect of affective disorders, including neuroimaging, cognitive neurosciences, genetics, molecular biology, experimental and clinical neurosciences, pharmacology, neuroimmunoendocrinology, intervention and treatment trials.
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