Longitudinal pathways from emotional abuse to problematic gaming in adolescents: The role of psychoticism.

IF 4.3 2区 医学 Q1 PSYCHIATRY Comprehensive psychiatry Pub Date : 2025-02-01 Epub Date: 2024-12-26 DOI:10.1016/j.comppsych.2024.152569
Valeria Verrastro, Valeria Saladino, Fiorenza Giordano, Danilo Calaresi
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Abstract

Background: Problematic gaming (PG) has emerged as a major concern due to its potential impact on adolescents' everyday lives. Emotional abuse (EA) and psychoticism are considered factors influencing PG, but their long-term interactions have not been extensively studied. This research investigates these relationships over time using the Interaction of Person-Affect-Cognition-Execution (I-PACE) model.

Methods: The study involved 1902 Italian adolescents (mean age = 15.45, SD = 1.10) in a three-wave longitudinal study. Surveys were conducted at the beginning (T1), after six months (T2), and after twelve months (T3). Structural equation modeling (SEM) was used to evaluate bidirectional relationships and mediation effects among the variables.

Results: The findings indicated that EA consistently predicted both psychoticism and PG, while psychoticism consistently predicted PG. However, psychoticism did not predict EA, and PG did not predict either EA or psychoticism. Significant mediation effects were found from EA at T1 to PG at T3 through EA at T2, psychoticism at T2, and PG at T2, as well as from psychoticism at T1 to PG at T3 through psychoticism at T2 and PG at T2. No significant indirect effect was observed from psychoticism at T2 to PG at T3 through EA at T2.

Conclusions: The results suggest that adolescents experiencing EA are more prone to PG, with psychoticism worsening this effect. Effective interventions might include emotional support programs and therapies targeting psychoticism traits. Combining these approaches could improve treatment outcomes for adolescents with PG.

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青少年从情绪虐待到问题游戏的纵向路径:精神病的作用。
背景:问题游戏(PG)由于其对青少年日常生活的潜在影响而成为人们关注的主要问题。情绪虐待(EA)和精神病被认为是影响PG的因素,但它们之间的长期相互作用尚未得到广泛研究。本研究利用人-情感-认知-执行(I-PACE)模型研究这些关系随时间的变化。方法:对1902名意大利青少年(平均年龄15.45岁,SD = 1.10)进行三波纵向研究。调查分别在开始(T1)、6个月(T2)和12个月(T3)进行。采用结构方程模型(SEM)评价变量之间的双向关系和中介效应。结果:EA对精神质和PG的预测一致,而精神质对PG的预测一致。然而,精神质不能预测EA, PG不能预测EA和精神质。从T1 EA到T3 PG,再到T2 EA,再到T2精神质,再到T2 PG,以及从T1精神质到T3 PG,再到T2精神质和T2 PG,均存在显著的中介作用。从T2的精神状态到T3的PG,再到T2的EA,没有观察到明显的间接影响。结论:结果表明,经历EA的青少年更容易发生PG,而精神状态会加重这种影响。有效的干预措施可能包括情感支持计划和针对精神病特征的治疗。结合这些方法可以改善青少年PG的治疗效果。
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来源期刊
Comprehensive psychiatry
Comprehensive psychiatry 医学-精神病学
CiteScore
12.50
自引率
1.40%
发文量
64
审稿时长
29 days
期刊介绍: "Comprehensive Psychiatry" is an open access, peer-reviewed journal dedicated to the field of psychiatry and mental health. Its primary mission is to share the latest advancements in knowledge to enhance patient care and deepen the understanding of mental illnesses. The journal is supported by a diverse team of international editors and peer reviewers, ensuring the publication of high-quality research with a strong focus on clinical relevance and the implications for psychopathology. "Comprehensive Psychiatry" encourages authors to present their research in an accessible manner, facilitating engagement with clinicians, policymakers, and the broader public. By embracing an open access policy, the journal aims to maximize the global impact of its content, making it readily available to a wide audience and fostering scientific collaboration and public awareness beyond the traditional academic community. This approach is designed to promote a more inclusive and informed dialogue on mental health, contributing to the overall progress in the field.
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