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1.
Glob Ment Health (Camb) ; 10: e75, 2023.
Article in English | MEDLINE | ID: mdl-38024803

ABSTRACT

The prevalence of workaholism has negative consequences on human health. Lack of sleep, a well-known problem among adults in modern society, is often attributed to overwork as a result of workaholism. Yet there is a lack of empirical research examining how and when workaholism will lead to sleep problems. To answer this question and to examine the longitudinal effect of workaholism on sleep in China, we investigate the mediating role of perceived evening responsibilities of work and the moderating effect of work autonomy. Two hundred and five Chinese working adults (58.0% female) voluntarily completed the online questionnaires at Time 1 (T1) and Time 2 (T2; 1-month later). Results showed that workaholism at T1 had a significant and positive correlation with sleep problem at T2. Further analysis suggested that perceived evening responsibilities of work fully mediated the relationship between workaholism and sleep problem. Work autonomy was shown to buffer the positive effect of workaholism on perceived evening responsibilities of work and attenuate the indirect effect of workaholism on sleep problem. While workers should be made aware of the negative impact of workaholism on sleep, organizations should also consider interventions to enhance employees' autonomy and control of their work.

2.
Addict Behav ; 145: 107775, 2023 10.
Article in English | MEDLINE | ID: mdl-37336094

ABSTRACT

Given the vulnerability to and prevalence of emotional problems and Internet gaming disorder (IGD) in adolescents, this study aimed to test the effects of fear of missing out (FoMO) on IGD and the mediating roles of metacognitive beliefs and anxiety symptoms based on the self-regulatory executive function (S-REF) model. At a Chinese high school, 283 participants (Mage = 16.89 years old; girls = 42.0%) with past-year gaming experience voluntarily completed an anonymous paper-and-pencil questionnaire. FoMO showed significant, positive associations with IGD, anxiety symptoms, and metacognitive beliefs. Results of path analysis showed a significant direct effect of FoMO on IGD, whereas anxiety symptoms mediated the relationship between FoMO and IGD. The indirect effects of FoMO on IGD via serial mediations of three negative metacognitive beliefs (i.e., negative beliefs about worry, low cognitive confidence, and beliefs regarding need for control) and anxiety symptoms were also statistically significant. These findings demonstrated that maladaptive metacognitive beliefs and anxiety are risk-enhancing mediators in the relationship between FoMO and IGD. Therefore, metacognitive therapy, particularly for regulating those three specific significant metacognitive beliefs, is recommended for treating IGD and anxiety, especially for those with higher levels of FoMO.


Subject(s)
Behavior, Addictive , Metacognition , Video Games , Female , Humans , Adolescent , Anxiety , Fear , Executive Function , Behavior, Addictive/psychology , Internet
3.
Psychol Res Behav Manag ; 16: 1911-1920, 2023.
Article in English | MEDLINE | ID: mdl-37255996

ABSTRACT

Introduction: The increased research examining social media addiction with its negative consequences has raised concerns over the past decade. However, little research has investigated the association between social media addiction and executive functioning as well as the mechanisms underlying this relationship. Methods: Using a survey, the present study examined the association between social media addiction and executive functioning via emotional disturbance and sleep quality among 1051 Chinese young adults, aged 18 to 27 years old (M=21.02 years [SD=1.89]; 34.41% male). Results: The results showed that social media addiction had a significant negative association with executive functioning but positive associations with emotional disturbance and poor sleep quality. Structural equation modeling suggested that there was a significant direct effect between social media addiction and executive functioning. Indirect effects via two paths (ie, emotional disturbance alone, and both emotional disturbance and sleep quality) were also statistically significant. Discussion: The findings indicate that both emotional disturbance and poor sleep quality are risk-enhancing mediators in the relationship between social media addiction and executive functioning. Intervention programs (eg, emotional regulation strategies) should be considered to reduce the adverse effects of social media addiction on cognitive impairment among young adults.

4.
Appetite ; 182: 106448, 2023 03 01.
Article in English | MEDLINE | ID: mdl-36608768

ABSTRACT

Food addiction is associated with both physical and mental health conditions, such as obesity and depression, and is considered a public health problem. Based on life history (LH) theory, this study aimed to test the association between unpredictable childhood environment and food addiction in adulthood and to examine LH strategies and attitudes toward self as psychological mediators of this association. A random sample of 1010 adults, aged from 18 to 88 years (44.8% male; Mage = 38.52, SDage = 14.53), voluntarily participated in an anonymous telephone survey conducted in Macao, China. The results of a path analysis showed the significant and positive direct effect of childhood unpredictability on food addiction and its negative association with slow LH strategy, which in turn was negatively correlated with food addiction. In addition, slow LH strategy and self-judgment, rather than self-kindness, acted as serial mediators in the association between childhood unpredictability and food addiction. These findings support the applicability of LH theory to understanding food addiction, as well as pointing to the potential risk effect of self-judgment for food addiction in adulthood. Self-judgment reduction may be a potential supplementary approach for future food addiction intervention.


Subject(s)
Food Addiction , Life History Traits , Adult , Humans , Male , Adolescent , Young Adult , Middle Aged , Aged , Aged, 80 and over , Female , Food Addiction/psychology , Obesity , Attitude , China
5.
Article in English | MEDLINE | ID: mdl-36231843

ABSTRACT

Gaming addiction and its negative consequences have attracted public concern, but relatively little is known regarding its impact on adult workers. This study aims to test the association between gaming addiction and emotional exhaustion as well as the protective effect of recovery experiences on such an association among white-collar workers. We recruited 205 working adults (female = 58%) who voluntarily completed an online questionnaire. The results showed that male and younger workers were more vulnerable to gaming addiction. Emotional exhaustion was significantly and positively associated, while two (i.e., relaxation and control) of the four recovery experiences were negatively correlated with gaming addiction. Control experience had an indirect effect on gaming addiction via emotional exhaustion. Moreover, relaxation experience buffered the risk effect of emotional exhaustion on gaming addiction so that the effect is less pronounced at high levels of relaxation. Interventions are suggested to raise workers' awareness of effective recovery experiences (especially for control and relaxation) and to facilitate their recovery opportunities.


Subject(s)
Behavior, Addictive , Video Games , Adult , Behavior, Addictive/psychology , Emotions , Female , Humans , Male , Surveys and Questionnaires , Video Games/psychology
6.
Article in English | MEDLINE | ID: mdl-34073562

ABSTRACT

Smartphone technologies have played a crucial role in the fight against the COVID-19 pandemic; however, the increased use of smartphones during the pandemic period may expose the general public to a higher risk of problematic smartphone use (PSU). This study aimed to estimate the prevalence of PSU among Chinese community adults and adopted a social-cognitive theory and social axiom framework to evaluate the effects of beliefs on PSU. A Chinese adult sample (N = 616) was obtained through probability sampling via a telephone survey from Macao, China and included 591 smartphone users' data (39.4% men) for formal analysis. The prevalence of PSU was 43.3% in the overall sample, with 41.9% in women, and 45.5% in men. Two types of beliefs derived from the social-cognitive theory, pandemic-related self-efficacy and government efficacy, both showed significant and negative correlations with PSU (r = -0.13 and -0.10, p < 0.05). As for the two beliefs from the social axiom framework, reward for application was negatively correlated with PSU (r = -0.10, p < 0.05), whereas social cynicism was positively associated with PSU (r = 0.25, p < 0.001). Among those four beliefs, social cynicism exerted the most substantial effect on PSU when controlling for demographics. Our findings enriched the understanding of PSU during the pandemic and provided empirical direction regarding cognition-based intervention strategies for reducing PSU.


Subject(s)
Behavior, Addictive , COVID-19 , Adult , China/epidemiology , Female , Humans , Macau , Male , Pandemics , SARS-CoV-2 , Smartphone
7.
Addict Behav ; 120: 106978, 2021 09.
Article in English | MEDLINE | ID: mdl-33971499

ABSTRACT

AIMS: Despite the high prevalence of both depression and smartphone addiction among Chinese adolescents, research examining their bidirectional relationship has been limited. Moreover, longitudinal research regarding the influence of maladaptive metacognitive beliefs on smartphone addiction is scarce. This 6-month longitudinal study aimed to address these research gaps by testing a cross-lagged panel model of maladaptive metacognition, depression, and smartphone addiction. METHODS: Four hundred and fifty-nine Chinese high school students voluntarily completed an anonymous questionnaire at baseline, and 313 of them (36.1% male; age = 14 to 18; M = 16.88, SD = 0.62) completed the same questionnaire at follow-up. RESULTS: Positive correlations were shown among depression, smartphone addiction, and maladaptive metacognition at both waves (r = 0.16 to 0.57, p < .01). The results of the cross-lagged analysis demonstrated only the prospective effect of depression on smartphone addiction (ß = 0.18, p < .001) but not vice versa. Moreover, maladaptive metacognition assessed at baseline significantly predicted subsequent depression (ß = 0.14, p < .01) but not smartphone addiction (p>.05). Additional path analysis showed a significant indirect effect of baseline maladaptive metacognition (0.099 [95% CI = 0.042, 0.183]) on subsequent smartphone addiction, via depression. CONCLUSIONS: Findings of this study showed that the relationship between depression and smartphone addiction was unidirectional rather than bidirectional among Chinese adolescents. Specifically, depression predicted smartphone addiction, while maladaptive metacognition predicted depression. Depression also mediated the relationship between maladaptive metacognition and smartphone addiction. The findings suggest that incorporating metacognition and depression interventions into smartphone addiction prevention designs for adolescents may be beneficial.


Subject(s)
Metacognition , Adolescent , China/epidemiology , Depression/epidemiology , Female , Humans , Internet Addiction Disorder , Longitudinal Studies , Male , Prospective Studies , Smartphone
8.
Evol Psychol ; 18(4): 1474704920969111, 2020.
Article in English | MEDLINE | ID: mdl-33140654

ABSTRACT

Life history (LH) strategies explain how organisms adapt to the environment and make the best use of their resources to fulfill bodily maintenance, growth, reproduction and other functions. The K-SF-42 is a short version of the 199-item Arizona Life History Battery for assessing seven different domains of LH strategies. This article aims to evaluate the psychometric properties of a Chinese version of the K-SF-42. We recruited 1,016 Chinese university students, who aged 16 to 28 years old (M age = 19.47, SD = 1.17) to participant in an anonymous questionnaire. Results of the confirmatory factor analysis supported the second-order six-factor model (except romantic partner attachment), and the scale and subscales of such measurement displayed good internal consistencies. With the exception of religiosity, all of the subscales showed significant positive correlations with a brief unidimensional measure of LH strategies (i.e., the Mini-K). The criterion-related validity of the scale was further supported by the association between its higher score (suggesting slower LH strategies) and the lower levels of childhood harshness and unpredictability. This study provided evidence for the satisfactory applicability of the Chinese version of the K-SF-42 to a Chinese population and contributed to the further investigation of the LH strategies' mechanisms underlying human behavior across cultures.


Subject(s)
Adverse Childhood Experiences , Life Change Events , Life History Traits , Psychometrics/instrumentation , Psychometrics/standards , Adolescent , Adult , China , Female , Humans , Male , Reproducibility of Results , Young Adult
9.
J Affect Disord ; 277: 417-424, 2020 12 01.
Article in English | MEDLINE | ID: mdl-32866800

ABSTRACT

BACKGROUND: This study investigated the psychometric properties of a Chinese version of the short form of Metacognitions Questionnaire (MCQ-30), which is an effective tool to assess metacognitive beliefs that have been linked to mental disturbance/disorder. We also tested whether metacognition factors would correlate with Internet gaming disorder (IGD) tendency. METHODS: Six hundred and eighty Chinese university students (Mean age=19.72, SD=1.38; 31.9% male) voluntarily completed an anonymous online questionnaire. Using standard translation procedures, the MCQ-30 items were translated from English into Chinese language and then back-translated. Depression, anxiety, and IGD tendency were assessed by validated scales. RESULTS: Confirmatory factor analysis (CFA) results supported the five-factor structure of the MCQ-30, with satisfactory model fit and good reliability. Criterion-related validity was also supported by significant positive correlations between the five factors and depression/anxiety symptoms. All of the five metacognition factors were also significantly correlated with IGD tendency, with positive beliefs about worry and cognitive confidence being the most salient factor after controlling for gender and age. LIMITATIONS: This study did not examine the test-retest reliability of this scale, and the generalizability of the findings to other age groups remains unclear. CONCLUSIONS: This study showed satisfactory psychometric properties of a Chinese version of the MCQ-30 and is the first to demonstrate a positive association between specific metacognition factors and IGD tendency among Chinese people. The latter finding supports an application of metacognitive therapy to the treatment of behavioral addictions, including IGD.


Subject(s)
Metacognition , Adult , China , Factor Analysis, Statistical , Female , Humans , Language , Male , Psychometrics , Reproducibility of Results , Surveys and Questionnaires , Young Adult
10.
J Behav Addict ; 9(3): 654-663, 2020 Oct 12.
Article in English | MEDLINE | ID: mdl-32897871

ABSTRACT

BACKGROUND AND AIMS: Internet gaming disorder (IGD) has been recognized as a mental illness. Cognitive and emotional illness representations affect coping and health outcomes. Very little is known about such perceptions related to IGD, in both general and diseased populations. This study examined the psychometric properties of the Revised Illness Perception Questionnaire (IPQ-R) for IGD in a general population that included mostly non-cases while a small proportion of the sample was IGD cases. METHODS: An anonymous cross-sectional telephone survey was conducted in a random sample of 1,501 Chinese community-dwelling adults (41.3% male; mean age = 40.42, SD = 16.85) in Macao, China. RESULTS: The confirmatory factor analysis identified a modified 6-factor model (i.e., timeline cyclical, consequences, personal control, treatment control, illness coherence, and emotional representations) of 26 items that showed satisfactory model fit and internal consistency. Criterion-related validity was supported by the constructs' significant correlations with stigma (positive correlations: timeline cyclical, consequence, emotional representations; negative correlations: illness coherence). Ever-gamers, compared to never-gamers, reported higher mean scores in the subscales of personal control and illness coherence, and lower mean scores in time cyclical, consequence, and emotional representations. Among the sampled gamers, probable IGD cases were more likely than non-IGD cases to perceive IGD as cyclical and involved more negative emotions. CONCLUSIONS: This study shows that the revised 26-item version of IPQ-R is a valid instrument for assessing illness representation regarding IGD in a general population of Chinese adults. It can be used in future research that examines factors of incidence and prevention related to IGD.


Subject(s)
Diagnostic Self Evaluation , Health Knowledge, Attitudes, Practice , Internet Addiction Disorder/diagnosis , Psychometrics/standards , Adult , Cross-Sectional Studies , Female , Humans , Macau , Male , Middle Aged , Psychometrics/instrumentation , Reproducibility of Results , Young Adult
11.
J Behav Addict ; 9(3): 756-765, 2020 Oct 12.
Article in English | MEDLINE | ID: mdl-32817587

ABSTRACT

BACKGROUND AND AIMS: Gambling disorder (GD) is a mental disorder with a relatively higher prevalence in university students compared to adolescents and adults. Its reciprocity with mental being indicators, such as psychological flourishing, would be expected, but prior to this study had not yet been empirically examined. In addition, the predictive value of purpose in life (PIL) on university students' GD and psychological flourishing also remained unknown. This 1-year longitudinal study was the first to test the potential bidirectional relationships among PIL, self-reported GD symptoms, and psychological flourishing. METHODS: In this study, a total of 283 university students (39.6% females; age = 18-27 years, M = 20.47, SD = 1.15) completed an anonymous questionnaire at both baseline and a year later in a follow-up study. RESULTS: The results of our cross-lagged analysis did not show the hypothesized reciprocity between GD symptoms and psychological flourishing (P > 0.05). However, PIL significantly predicted fewer GD symptoms (ß = -0.23, P < 0.001) and higher levels of psychological flourishing (ß = 0.30, P < 0.001) in the follow-up study. Moreover, psychological flourishing predicted PIL a year later. CONCLUSION: The findings demonstrate the potential efficacy of purpose/meaning oriented interventions in gambling prevention and in well-being promotion programs.


Subject(s)
Gambling/psychology , Psychosocial Functioning , Social Values , Students/psychology , Adolescent , Adult , Female , Humans , Longitudinal Studies , Male , Universities , Young Adult
12.
Addict Behav ; 111: 106552, 2020 12.
Article in English | MEDLINE | ID: mdl-32717501

ABSTRACT

The steep rise of smartphone use has raised public concerns about smartphone addiction and its associated negative health consequences, such as poor sleep quality; however, limited research has examined the psychological mechanisms underlying these associations. The current study tested the effects of smartphone addiction on poor sleep quality, through self-regulation and bedtime procrastination, among 427 Chinese undergraduate students, aged 18 or older (M = 19.36; female = 66%), who voluntarily completed an anonymous online questionnaire. The results showed that 1/3 of participants reported poor subjective sleep quality. Smartphone addiction and bedtime procrastination had a significant positive relationship, whereas self-regulation had a significant negative association, with poor sleep quality (which was assessed by sleep latency, sleep duration, and subjective sleep quality). Despite its nonsignificant direct effects, the indirect effects of smartphone addiction, via both self-regulation and bedtime procrastination, on the three indicators of poor sleep quality were statistically significant. The findings have supported the premise that both bedtime procrastination and poor self-regulation are risk-enhancing mediators on the association between smartphone addiction on poor sleep quality. Therefore, they should be considered in intervention programs (e.g., self-regulation skill training) to reduce smartphone addiction and improve sleep quality and physical wellbeing among university students.


Subject(s)
Procrastination , Self-Control , Adolescent , China , Female , Humans , Internet Addiction Disorder , Sleep , Smartphone , Students , Universities
13.
Appl Psychol Health Well Being ; 12(3): 749-769, 2020 11.
Article in English | MEDLINE | ID: mdl-32578946

ABSTRACT

BACKGROUND: This longitudinal study investigated the temporal stability of social axioms, which are generalised social beliefs, and tested their prospective effects on individuals' flourishing, among students, as well as the extent to which they can be potentially mediated by perceived sense of belonging at school. METHODS: Participants were 195 Chinese university students, who voluntarily completed a questionnaire measuring social axioms (at baseline, 1-year follow-up, and 2-year follow-up studies), school belonging (at 1-year follow-up study), and flourishing (at baseline and 2-year follow-up studies). RESULTS: Results showed supportive evidence for five types of social axioms being generally stable across these time intervals. After controlling for baseline flourishing, high baseline social cynicism significantly predicted a lower level of follow-up flourishing, whereas high baseline reward for application predicted a higher level of follow-up flourishing. Furthermore, higher levels of social cynicism predicted lower levels of school belonging, and the latter partially mediated the effect of social cynicism on follow-up flourishing. CONCLUSIONS: All social axioms are relatively stable across time. Social cynicism, reward for applications, and school belonging are the most salient predictors for flourishing among Chinese university students.


Subject(s)
Attitude , Human Development , Social Behavior , Social Norms , Students/psychology , Universities , Adolescent , Adult , Female , Humans , Longitudinal Studies , Male , Young Adult
14.
Article in English | MEDLINE | ID: mdl-32422914

ABSTRACT

Despite the increasing research attention being paid to gaming disorder globally, a screening tool developed specifically for the Chinese population is still lacking. This study aims to address this gap by constructing a screening tool to assess Internet gaming disorder (IGD) symptomology, defined by the fifth edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5), among Chinese gamers. Based on expert interviews and consultations, a focus group of gamers, a background literature review, and the IGD criteria proposed by the DSM-5, we developed the Chinese Internet Gaming Disorder Checklist (C-IGDC). This study evaluated its dimensional structure, reliability, validity, and screening efficacy with 464 Chinese past-year gamers (53% female; mean age = 19.84). The two-level structure of the 27-item C-IGDC showed a satisfactory model fit, acceptable reliability, as well as good validity via expected associations with Internet addiction, gameplay frequency, and depressive symptoms. The optimal screening cutoff score (≥20) was proposed to detect probable IGD cases. The C-IGDC is the first DSM-5-based, multidimensional IGD screening tool designed specifically for Chinese gamers. Further evaluation of the C-IGDC in epidemiological studies and clinical settings is recommended.


Subject(s)
Behavior, Addictive , Checklist , Video Games , Adolescent , Behavior, Addictive/diagnosis , Female , Humans , Internet , Male , Reproducibility of Results , Young Adult
15.
Subst Use Misuse ; 55(1): 156-166, 2020.
Article in English | MEDLINE | ID: mdl-31474171

ABSTRACT

Background and Objectives: Based on the theory of reasoned action, the present study investigated the relative effects of drinking outcome expectancies and parental norms, as well as the mediating effect of drinking motivations, on hazardous drinking in Chinese university students. Method: A sample of Chinese university students in Hong Kong and Macao (N = 973, M = 19.82, SD = 1.57, 48.9% males), who reported drinking in the past 3 months, voluntarily completed an anonymous questionnaire. Path analysis was used to test the effects of the variables on hazardous drinking. Results: All the psychosocial variables showed positive correlations with hazardous drinking. In the path model, controlling for sex, parental norms had both direct and indirect effects on hazardous drinking through social and enhancement motivations. Courage had the strongest indirect effect on drinking behavior through social, enhancement, and coping motivations, whereas the relationship between tension reduction and hazardous drinking was mediated by enhancement and coping motivations. Sociality and sexuality only had indirect effect through social and coping motivations respectively. Negative outcome expectancies had no direct nor indirect effects on hazardous drinking. Conclusions: Perceived approval from parents and positive alcohol outcome expectancies may enhance individuals' tendency to engage in hazardous drinking by increasing their motivation to drink to be social, for enjoyment, and to cope with problems. Parents should explicitly show their disapproval of their children's drinking, and education efforts should focus on decreasing positive outcome expectancies and associated motivations for drinking among Chinese university students.


Subject(s)
Adaptation, Psychological/physiology , Alcohol Drinking/psychology , Motivation , Students/psychology , Adolescent , Female , Health Behavior , Hong Kong , Humans , Macau , Male , Surveys and Questionnaires , Universities , Young Adult
16.
Article in English | MEDLINE | ID: mdl-31382434

ABSTRACT

This one-year longitudinal study examined trait emotional intelligence as a predictor of Internet gaming disorder (IGD). To date, only cross-sectional research has been conducted to test the protective effects of emotional intelligence against IGD tendency. Based on the Interaction of Person-Affect-Cognition-Execution (I-PACE) model, this study aimed to address the research gap by examining not only the direct effects of trait emotional intelligence, but also its indirect effects (via depressive symptoms and coping flexibility) on IGD, with both a cross-sectional and longitudinal design. The participants were 282 Chinese university students (mean age = 20.47; 39.4% males) who voluntarily completed an anonymous questionnaire at both baseline (W1) and one-year follow-up (W2). Path analysis results revealed that trait emotional intelligence had a protective but indirect effect on IGD tendency in both our cross-sectional and longitudinal data. Depression was found to have a significant, full mediating effect on the relationship between: (i) trait emotional intelligence and IGD tendency (W2) and (ii) coping flexibility and IGD tendency (W2), after adjusting for IGD tendency at the baseline (W1). Gender invariance of the path coefficient was also observed in the prospective model. This study provided longitudinal evidence to support the I-PACE model. Interventions should address both IGD and depressive symptoms, and school-based workshops to increase emotional intelligence and coping flexibility are also recommended.


Subject(s)
Behavior, Addictive/diagnosis , Emotional Intelligence , Video Games , Adolescent , Adult , Cross-Sectional Studies , Depression , Female , Humans , Internet , Longitudinal Studies , Male , Prospective Studies , Surveys and Questionnaires , Young Adult
17.
Addict Behav ; 99: 106070, 2019 12.
Article in English | MEDLINE | ID: mdl-31430620

ABSTRACT

AIMS: Given the high prevalence of Internet gaming disorder (IGD) among university students and the beneficial effects of positive psychological factors on mental illness, the present longitudinal research aimed to investigate whether purpose in life and social support yields long-term results in protecting university students from IGD. METHODS: We recruited 469 Chinese university students to voluntarily fill out an anonymous questionnaire at baseline, and 283 of them were followed up and given similar measures after one year. RESULTS: The prevalence of probable IGD at the baseline and follow-up surveys was 14.8% and 9.9% respectively. Purpose in life and social support were negatively correlated with IGD symptoms in both surveys (p < .05). The results of a cross-lagged analysis showed that purpose in life, but not social support, assessed at baseline predicted fewer IGD symptoms at follow-up (p < .001). In addition, social support and purpose in life predicted one another across time. CONCLUSIONS: The prevalence of probable IGD was high among Chinese university students. Purpose in life was shown to be an effective significant protective factor against IGD, while the effect of social support might be indirect. Positive psychology interventions, which promote the search for and attainment life purpose, may be incorporated in school-based program for IGD prevention.


Subject(s)
Behavior, Addictive/epidemiology , Internet , Social Support , Students/statistics & numerical data , Video Games , Adolescent , Adult , Behavior, Addictive/psychology , China/epidemiology , Female , Humans , Male , Prevalence , Protective Factors , Students/psychology , Surveys and Questionnaires , Universities , Young Adult
18.
Addict Behav ; 90: 389-394, 2019 03.
Article in English | MEDLINE | ID: mdl-30529995

ABSTRACT

AIM: This study evaluated the psychometric properties of the Chinese version of the Brief Young Adult Alcohol Consequences Questionnaire (B-YAACQ). METHOD: In this study, 1616 Chinese university students (male = 58.66%; Mage = 19.88) reporting past-year drinking experience voluntarily completed an anonymous questionnaire. Rasch analysis, reliability analysis, and linear modeling were performed to examine the psychometric properties of the Chinese version of B-YAACQ. RESULTS: Results of Rasch analysis and reliability analysis supported the assumption of uni-dimensionality, local independence, and internal consistency of the 24-item B-YAACQ in our Chinese sample. However, six items had marginal outfit statistics and/or potential gender bias; therefore, a model with 18 items was also tested after removing these items. The 18-item model showed excellent fit to the uni-dimensional model with no gender bias. However, the Pearson correlation between the 24-item and 18-item versions was r = 0.98, suggesting highly similar measurement. Both versions demonstrated concurrent validity through positive association with the Alcohol Use Disorder Identification Test (AUDIT) subscales, even after controlling for the effects of age and gender. CONCLUSION: This study is the first to validate a measurement tool for negative drinking consequences for university students in China. Despite some limitations, the original 24-item B-YAACQ was shown to have satisfactory psychometric properties when applied to Chinese university students. We recommend the shorter 18-item version without significant gender bias for testing gender differences.


Subject(s)
Alcohol Drinking in College , Alcoholism/diagnosis , Surveys and Questionnaires/statistics & numerical data , Surveys and Questionnaires/standards , Adult , China , Female , Humans , Male , Psychometrics , Reproducibility of Results , Sex Factors , Students/statistics & numerical data , Young Adult
19.
Article in English | MEDLINE | ID: mdl-30544506

ABSTRACT

Macao, China's only city with legalized casinos, has maintained a high prevalence of gambling participation and gambling disorder (GD) over the past decade. The mental health risks associated with such high levels have been overlooked. In order to estimate the comorbid prevalence of GD with depression, anxiety, and Internet gaming disorder (IGD) and to explore the potential buffering effect of psychological resilience and purpose in life, this study obtained a representative adult Chinese sample (N = 1000, 44% male, aged 18⁻97 years) from a telephone survey conducted between October and November of 2016. As hypothesized, the highest psychiatric comorbid prevalence was observed in the GD subgroup (n = 19, 21.1% probable IGD, 26.3% probable depression, and 37.0% probable anxiety). All these mental health problems could increase one's proclivity to GD, and vice versa. Psychological resilience was found to buffer the association between anxiety symptoms and probable GD (χ²(1) = 4.30, p = 0.04/GD symptoms, Fchange (1,162) = 6.29, p = 0.01), whereas purpose in life did not display any hypothesized moderating effect. These results indicate the usefulness of mental health screening for GD, taking into consideration its associated risks, and of fostering psychological resilience in prevention and treatment programs.


Subject(s)
Anxiety/epidemiology , Depression/epidemiology , Gambling/epidemiology , Resilience, Psychological , Adolescent , Adult , Aged , Aged, 80 and over , Anxiety/psychology , China/epidemiology , Comorbidity , Depression/psychology , Female , Gambling/psychology , Humans , Macau/epidemiology , Male , Mental Health , Middle Aged , Prevalence , Quality of Life , Risk Factors , Young Adult
20.
Article in English | MEDLINE | ID: mdl-30274292

ABSTRACT

Given the high prevalence of mental distress indicators, such as depression, among emerging adults, it is imperative to identify not only factors that place them at risk for mental distress, but also those that protect against it. This study tested the direct and indirect effects (via purpose in life) of gratitude, two aspects of grit (i.e., consistency of interest and perseverance of effort), and school belonging on three indicators of mental distress (i.e., depression, anxiety, and stress). A total of 468 Chinese university students (58.3% female), aged 18 to 27, in Macao, China responded to an anonymous questionnaire between April to May, 2016. As expected, all psychosocial factors were negatively associated with all three indicators of mental distress (r = -0.15 to -0.42, p < 0.05), with the exception of perseverance of effort, which had a significant, negative association with depression only. The results of path analysis showed that purpose in life significantly mediated the effect of school belonging and perseverance of effort on depression, whereas school belonging, gratitude, and consistency of interest all had direct effects on all three indicators of mental distress (p < 0.05). Our results also suggested that the two components of grit may have differential effects on mental distress among Chinese emerging adults. School-based programs should consider positive psychology interventions in Chinese populations.


Subject(s)
Anxiety Disorders/epidemiology , Asian People/psychology , Depressive Disorder/epidemiology , Quality of Life/psychology , Stress, Psychological/complications , Students/psychology , Adolescent , Adult , Anxiety Disorders/etiology , China , Depressive Disorder/etiology , Female , Humans , Male , Prevalence , Schools , Surveys and Questionnaires , Young Adult
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