Association between problematic Internet use, sleep disturbance, and suicidal behavior in Chinese adolescents

Lan Guo · Min Luo · Wanxin Wang · Guoliang Huang · Yan Xu · Xue Gao +2 more

114 citations0/0 files storedJournal of Behavioral Addictions

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Impact of Technology on Adolescents Suicide and Self-Harm Studies Sleep and related disorders

Abstract

BACKGROUND AND AIMS: This large-scale study aimed to test (a) associations of problematic Internet use (PIU) and sleep disturbance with suicidal ideation and suicide attempts among Chinese adolescents and (b) whether sleep disturbance mediates the association between PIU and suicidal behavior. METHODS: Data were drawn from the 2017 National School-based Chinese Adolescents Health Survey. A total of 20,895 students' questionnaires were qualified for analysis. The Young's Internet Addiction Test was used to assess PIU, and level of sleep disturbance was measured by the Pittsburgh Sleep Quality Index. Multilevel logistic regression models and path models were utilized in analyses. RESULTS: Of the total sample, 2,864 (13.7%) reported having suicidal ideation, and 537 (2.6%) reported having suicide attempts. After adjusting for control variables and sleep disturbance, PIU was associated with an increased risk of suicidal ideation (AOR = 1.04, 95% CI = 1.03-1.04) and suicide attempts (AOR = 1.03, 95% CI = 1.02-1.04). Findings of the path models showed that the standardized indirect effects of PIU on suicidal ideation (standardized β estimate = 0.092, 95% CI = 0.082-0.102) and on suicide attempts (standardized β estimate = 0.082, 95% CI = 0.068-0.096) through sleep disturbance were significant. Conversely, sleep disturbance significantly mediated the association of suicidal behavior on PIU. DISCUSSION AND CONCLUSIONS: There may be a complex transactional association between PIU, sleep disturbance, and suicidal behavior. The estimates of the mediator role of sleep disturbance provide evidence for the current understanding of the mechanism of the association between PIU and suicidal behavior. Possible concomitant treatment services for PIU, sleep disturbance, and suicidal behavior were recommended.

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References

2014Diagnostic and Statistical Manual of Mental Disorders, 5th ed.1998Caught in the Net: How to Recognize the Signs of Internet Addiction--and a Winning Strategy for Recovery 2005Psychometric Evaluation of the Chinese Version of the Pittsburgh Sleep Quality Index (CPSQI) in Primary Insomnia and Control Subjects 2005Internet addiction in Korean adolescents and its relation to depression and suicidal ideation: A questionnaire survey 2016Internet addiction and problematic Internet use: A systematic review of clinical research 2012Prevalence of pathological internet use among adolescents in E urope: demographic and social factors 2008Brain activities associated with gaming urge of online gaming addiction 2014The association between internet addiction and psychiatric co-morbidity: a meta-analysis

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