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Prevalence of Internet Addiction Disorder and Its Correlates Among Clinically Stable Adolescents With Psychiatric Disorders in China During the COVID-19 Outbreak.
Li, Zong-Lei; Liu, Rui; He, Fan; Li, Shu-Ying; Zhao, Yan-Jie; Zhang, Wu-Yang; Zhang, Yao; Cheung, Teris; Jackson, Todd; Tang, Yi-Lang; Xiang, Yu-Tao.
  • Li ZL; Department of Psychiatry, Xiamen Xianyue Hospital, Xiamen, China.
  • Liu R; Beijing Key Laboratory of Mental Disorders Beijing Anding Hospital, The Advanced Innovation Center for Human Brain Protection, The National Clinical Research Center for Mental Disorders, School of Mental Health, Capital Medical University, Beijing, China.
  • He F; Beijing Key Laboratory of Mental Disorders Beijing Anding Hospital, The Advanced Innovation Center for Human Brain Protection, The National Clinical Research Center for Mental Disorders, School of Mental Health, Capital Medical University, Beijing, China.
  • Li SY; Department of Psychiatry, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, China.
  • Zhao YJ; Unit of Psychiatry, Department of Public Health and Medicinal Administration, & Institute of Translational Medicine, Faculty of Health Sciences, University of Macau, Macao, Macao SAR, China.
  • Zhang WY; Centre for Cognitive and Brain Sciences, University of Macau, Macao, Macao SAR, China.
  • Zhang Y; Institute of Advanced Studies in Humanities and Social Sciences, University of Macau, Macao, Macao SAR, China.
  • Cheung T; Department of Psychiatry, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, China.
  • Jackson T; Department of Psychiatry, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, China.
  • Tang YL; School of Nursing, Hong Kong Polytechnic University, Hong Kong, Hong Kong SAR, China.
  • Xiang YT; Department of Psychology, University of Macau, Macao, Macao SAR, China.
Front Psychiatry ; 12: 686177, 2021.
Article in English | MEDLINE | ID: covidwho-1450841
ABSTRACT

Background:

Since the Coronavirus disease 2019 (COVID-19) pandemic emerged, Internet usage has increased among adolescents. Due to this trend, the prevalence of Internet addiction disorder (IAD) may have increased within this group. This study examined the prevalence of IAD and its correlates among clinically stable adolescents with psychiatric disorders in China during the COVID-19 outbreak.

Method:

A multi-center, cross-sectional study was carried out between April 29 and June 9, 2020 in three major tertiary mental health centers in China. IAD and depressive symptoms were assessed using the Internet Addiction Test (IAT) and the 9-item Patient Health Questionnaire (PHQ-9), respectively.

Results:

A total of 1,454 adolescent psychiatric patients were included in final analyses. The prevalence of IAD was 31.2% (95% CI 28.8-33.6%) during the COVID-19 pandemic. A multiple logistic regression analysis revealed that poor relationships with parents (P < 0.001, OR = 2.34, 95%CI 1.49-3.68) and elevated total PHQ-9 scores (P < 0.001, OR = 1.19, 95%CI 1.16-1.21) were significantly associated with higher risk for IAD while longer daily physical exercise durations (P = 0.04, OR = 0.67, 95%CI 0.46-0.98) and rural residence (P = 0.003, OR = 0.62, 95%CI 0.46-0.85) were significant correlates of lower risk for IAD.

Conclusions:

IAD was common among adolescent patients with clinically stable psychiatric disorders during the COVID-19 pandemic; regular physical exercise, healthy relationships with parents and fewer symptoms of depression were associated with lower risk within this population.
Keywords

Full text: Available Collection: International databases Database: MEDLINE Type of study: Observational study / Prognostic study / Randomized controlled trials Topics: Long Covid Language: English Journal: Front Psychiatry Year: 2021 Document Type: Article Affiliation country: Fpsyt.2021.686177

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Full text: Available Collection: International databases Database: MEDLINE Type of study: Observational study / Prognostic study / Randomized controlled trials Topics: Long Covid Language: English Journal: Front Psychiatry Year: 2021 Document Type: Article Affiliation country: Fpsyt.2021.686177