Search Results (239)

Problematic internet use (PIU) can be defined as internet use that is not well-controlled. The aim of this study was to examine the validity and reliability of the Problematic Internet Use Questionnaire Short Form (PIUQ-SF-6) among Serbian medical students and to examine the prevalence of students at risk of problematic internet use and social, lifestyle, and mental health characteristics associated with it. We conducted a cross-sectional study that included a total of 735 medical students (66.8% female and 33.2% male) attending classes in Social Medicine during the 2023/2024 school year. The instrument used was a questionnaire developed based on the questionnaires in similar studies. A total of 160 students (21.8%) were in the problematic internet use group, and 575 were in the non-problematic internet use group. Multivariate logistic regression analysis with PIU as the outcome variable showed an association between PIU and the Patient Health Questionnaire−9 score (OR: 1.10, 95% CI: 1.03–1.16) and impulsivity (OR: 1.07, 95% CI: 1.05–1.10). The mental health of medical students, as future health professionals, should be promoted through tailored interventions that are widely accessible and long-lasting. Full article

Gaming is a popular leisure activity with an increasing number of participants worldwide. It has positive aspects as well as a problematic side—Internet Gaming Disorder (IGD). This behavior attracts concern among mental health and education professionals because of possible negative psycho-emotional factors. This study aimed to assess IGD among Japanese and Israeli university students and other young adults. We explored the association of culture and IGD based on gender, burnout, and loneliness. It was hypothesized that IGD would differentiate based on the respondent country (i.e., Japan or Israel) and gender, with males reporting higher levels. Furthermore, IGD would be associated with higher levels of loneliness and burnout, regardless of country. Qualtrics and Excel platforms were used to collect responses to the Internet Gaming Disorder Scale–Short Form, De Jong Gierveld Loneliness Scale, and Short Burnout Measure (SBM). Data was gathered from a cross-cultural sample of 1318 male and female university students and other young adults in Japan and Israel, between 2022 and 2023. Japanese gamers showed less IGD (p < 0.05); and males evidenced higher levels regardless of their country (p < 0.001). IGD was significantly associated with loneliness (p < 0.001) and burnout (p < 0.001). However, multiple regression analysis showed that IGD is predicted only by burnout and gender (p < 0.001), Adjusted R² = 0.234. This study provides information for policy, prevention, and intervention purposes targeting burnout particularly among males who are a high-risk group. Additionally, this study contributes to possible joint online program development to reduce IGD among Japanese and Israeli gamers. Further research should examine the association between IGD and loneliness, controlling gender and other factors such as substance use, religiosity, eating behavior, depression, game genre, and motivation to play. Full article

Background: Adolescence is a critical stage for the development of behaviours related to problematic Internet and social media use, as well as for the experience of cybervictimisation. The literature highlights the need to examine these types of adolescent behaviours. Method: A field study was designed to analyse the prevalence of problematic Internet and social media use, as well as cybervictimisation, sexting, and grooming. In total, 666 Spanish adolescents participated, 55.4% females and 44.6% males, with an age range between 14 and 18 years (M = 15.27, SD = 1.01). Results: The results showed that 15.8% of the participants were diagnosed as at risk for Internet and social media addiction; 27.2% of the participants were diagnosed as cyberbullying victims; 14.7% of the sample engaged in sexting behaviours, and 34.7% engaged in grooming behaviours. Additionally, significant gender differences were found in cybervictimisation behaviours, with females scoring higher. Conclusions: The findings are discussed in relation to the need to develop preventive and educational strategies that promote the safe and responsible use of the digital context. Full article

Background: Alcohol and substance use among young people is a well-documented public health concern, and is particularly prevalent in college populations. Problematic internet use is also an emerging issue, with potential negative effects on academic achievement. University dropout remains a critical challenge, especially among freshmen, with research highlighting the role of academic engagement factors such as motivation, self-efficacy, and university connectedness in students’ academic trajectories. Methods: This study explored the relationships among risky substance use, problematic internet use, academic engagement factors, and academic outcomes, identifying potential mediators. Freshmen from an Italian university were invited to complete an online survey assessing these variables. The study defined two academic outcomes: (i) academic performance (Grade Point Average, GPA) and (ii) dropout intentions. Spearman’s rho coefficients and multiple linear regression models examined the associations among risky substance/internet use, academic engagement factors, and academic outcomes. Mediation analyses assessed whether academic engagement variables mediated the relationship between risky substance/internet use and academic outcomes. Results: The results showed that only problematic internet use was significantly associated with GPA, with self-efficacy and lack of motivation fully mediating this relationship. Regarding dropout intentions, problematic internet use and the risky use of alcohol, cannabis, and sedatives were directly and positively associated with dropout intentions. Several motivation subscales, self-efficacy, and university connectedness mediated these relationships. Conclusions: These findings highlight the role of academic engagement factors in mitigating the impact of risky behaviors on students’ academic trajectories, emphasizing the need for targeted prevention and intervention strategies. Full article

Theoretical background: The study of psychological well-being in children and adolescents living with chronic illness is of particular relevance, as the physical and psychosocial aspects of the illness can have a significant impact on their quality of life. Previous research has highlighted that depression, nonproductive thoughts and various aspects of problematic internet use may be related to life satisfaction and ways of coping with illness. This study aims to examine how depression, nonproductive thoughts, and problematic internet use interact with illness perception and burden to affect psychological well-being and life satisfaction. Methods: A cross-sectional study was conducted with 207 chronically ill children aged 10–18 years. The children, aged between 10 and 18 years old, attended regular check-ups in different specialities (gastroenterology, pulmonology, onco-haematology, and paediatric rehabilitation). A cross-sectional study was carried out using psychological instruments to measure life satisfaction (SWLS), nonproductive thoughts (NPG-K), problematic internet use (PIU-Q), illness perception (PRISM) and illness burden (PRISM-D, IIRS), and depression (BDI-R). Spearman rank correlation analysis was used to explore the associations between variables. Results: Life satisfaction was negatively related to nonproductive thoughts (r = −0.28, p < 0.001), internet obsession (r = −0.20, p < 0.01), and internet neglect (r = −0.20, p = 0.004). Conversely, a positive correlation was found with the PRISM (r = 0.14, p = 0.042), suggesting that less dominance of illness detection is associated with higher life satisfaction. Depression and nonproductive thoughts showed a strong positive relationship (r = 0.49, p < 0.001), and depression and problematic internet use also showed significant correlations for the obsession, neglect and control subscales (r = 0.23–0.29, all p < 0.001). Cluster analysis identified three psychological profiles: ‘positive fighters’, ‘avoidant sufferers’, and ‘negative observers’, distinguished by differences in depression, nonproductive thoughts, illness burden, and well-being. Conclusions: The results suggest that the quality of life of children and adolescents with chronic illness is significantly affected by mental health factors, particularly depression, nonproductive thoughts and problematic internet use. Illness perception and illness-related distress also play a key role in shaping life satisfaction and overall psychosocial well-being. These findings underscore the need for targeted psychological interventions in pediatric chronic care to enhance well-being and promote adaptive coping and suggest that psychological interventions and targeted psychosocial support can significantly improve these children’s quality of life. Further research is needed to explore intervention options and to develop optimal support strategies. Full article

Problematic internet use has become an increasing concern among university students, as it may negatively affect academic performance, emotional well-being, and social functioning. Understanding the psychological and emotional factors that influence internet use is crucial to developing effective preventive strategies. This study aimed to examine the relationship between resilience and social–emotional competence and problematic internet use among university students. This study was conducted with the participation of 191 students. The students’ problematic internet use levels were assessed using the Generalized Problematic Internet Use Scale-2, their resilience levels were assessed using the Connor–Davidson Resilience Scale, and their social–emotional competence levels were assessed using the Social–Emotional Competence Scale. Regression analysis was performed using the elastic net regression model and partial least squares (PLC) model. The general resilience level (p = 0.0015) and its sub-dimensions of tenacity (p = 0.0014), tolerance to negative affect (p = 0.0114), and spirituality (p = 0.0278) were found to be significant predictors of problematic internet use. The general social emotional competence level (p = 0.0115) and adaptability (p = 0.0278) were found to significantly predict problematic internet use. The predictive factors for the social interaction domain of problematic internet use were tenacity (p = 0.04), adaptability (p = 0.02), and expressivity (p = 0.03), while for negative results, they were tolerance to negative events (p = 0.05), spirituality (p = 0.04), and adaptability (p = 0.05). The factors affecting emotional regulation were tenacity (p = 0.03), spirituality (p = 0.03), adaptability (p = 0.03), and expressivity (p = 0.03). Only the spirituality (p = 0.05) and expressivity (p = 0.04) levels predicted insufficient self-regulation. The effects of the resilience and social–emotional competence levels on problematic internet use should not be ignored. In the plans and interventions to be developed, it is of great importance to take measures to improve the level of resilience and social–emotional competence skills. Full article

Excessive use of the Internet and digital devices has become a growing public health concern, contributing to mental health issues, sedentary lifestyles, and decreased well-being. Despite the increasing prevalence of digital overuse, there is no consensus on effective interventions to mitigate its impact. This article aimed to provide an updated perspective on current research into problematic use of digital devices and the Internet, and to explore the potential of physical exercise as a key strategy in prevention and treatment programs aimed at reducing such use. Based on the two previous objectives, this study also aimed to provide author-informed recommendations for digital detox interventions, supporting the inclusion of regular exercise, particularly outdoor exercise in natural environments, as a central component of such programs. Thirteen recommendations for physical exercise programs to be included as core parts of digital detox are suggested: (a) the type of physical exercise selected according to the participant’s motivations, (b) exercise intensity and volume adapted to the participant’s characteristics, (c) the avoidance of digital devices during exercise, (d) a duration of ≥12 weeks and ≥3 days/week, (e) the integration of other physical activities for a more active lifestyle, (f) the enhancement of mental health as a main goal, (g) collaborative and competitive physical exercise and sports, (h) the participant’s awareness of the improvements through feedback and information, (i) mindful activities, (j) outdoor physical activities and exercise, especially in natural environments, (k) conducted by multidisciplinary teams, (l) assessments using validated tests and scales, and (m) evaluation of long-term effects. In summary, this perspective article supports the inclusion of physical exercise as a key strategy in digital detox programs by offering recommendations for intervention designs aimed at reducing problematic digital use and enhancing overall well-being in individuals who have developed maladaptive patterns of digital device use. Full article

Background: After the end of the COVID-19 pandemic, abusive use of the internet and new information and communication technologies (ICT) among university students was detected. Our research questions were as follows: what has been the impact on the academic performance of university students, and how did the pandemic affect students’ relationship with ICTs? The aim of this research was to explore the use of cell phones and the internet in students from different cultures (Spanish and Japanese) after the pandemic. Methods: This descriptive and exploratory study analysed 206 university students from Spanish and Japanese cultures to understand their perceptions of academic performance after the pandemic, their general use of ICT, and their abusive use of the internet and mobile phones. Instruments included the Internet Overuse Scale (IOS) and the Cell-Phone Overuse Scale (COS), adapted for both Spanish and Japanese populations. Differences between quantitative variables were analyzed using the non-parametric Mann–Whitney U test for independent samples (Spanish and Japanese students or by sex). Contingency tables were created to record and analyse relationships between qualitative variables using the chi-squared test, with statistical significance set at p < 0.05. Results: Approximately 29.6% of participants displayed excessive internet use, while 25.2% showed pathological mobile phone use. A strong association was found between high internet and mobile phone usage. Significant cultural and gender differences were observed, with higher problematic use among Japanese students and female participants. Conclusions: Excessive ICT use remains a concern in university settings, with gender and cultural factors playing key roles. These findings highlight the need for targeted digital well-being interventions. Full article

The internet has evolved into an integral facet of the life and educational experience of college students. However, the driving force behind problematic internet use in medical students remains largely unexplored. Based on the cognitive–behavioral model and the affect regulation model of vulnerability, the present study seeks to investigate the underlying mechanism of the association between rejection sensitivity and problematic internet use among medical students. A total of 435 undergraduate medical students were investigated using the Tendency to Expect Rejection Scale, Loneliness Scale, Self-control Scale, and Problematic Internet Test. The results revealed that rejection sensitivity could positively predict loneliness and problematic internet use. Mediation analyses revealed that loneliness served as a mediator in the link between rejection sensitivity and problematic internet use. Additionally, self-control moderated the second stage of the indirect effects in the relationship between rejection sensitivity and problematic internet use. These findings theoretically deepen our understanding of the psychological pathways and the boundary conditions linking medical students’ rejection sensitivity to their problematic internet use, while also offering valuable practical implications for decreasing problematic internet use. Full article

This study investigates the moderating effect of language attitude on the relationships among social media addiction, social pain, and internet trolling among college students. A sample of 891 students from various colleges and universities completed validated measures assessing their levels of social media addiction, social pain, internet trolling, and language attitude. Using a latent variable approach within a multigroup structural equation modeling (SEM) framework, participants were divided into three groups (high, medium, and low language attitude) based on their language attitude scores. The SEM analysis revealed distinct patterns across groups. In the high language attitude group, both social media addiction and social pain significantly predicted internet trolling, with standardized regression coefficients of 0.564 and 0.728, respectively. In the medium language attitude group, the predictive effects remained significant; however, the magnitude of the coefficients decreased markedly (0.264 for social media addiction and 0.562 for social pain). In contrast, in the low language attitude group, neither social media addiction nor social pain emerged as significant predictors of internet trolling. Interestingly, the covariance between social media addiction and social pain remained consistent across the three groups, suggesting a stable interrelationship irrespective of language attitude level. These findings imply that language attitude plays a crucial moderating role in the interplay among social media addiction, social pain, and internet trolling. Specifically, higher levels of language attitude appear to amplify the effects of social media addiction and social pain on internet trolling behavior, while lower levels attenuate these associations. The results underscore the importance of considering individual differences in language attitudes when developing intervention strategies aimed at mitigating problematic online behaviors among college students. Full article

Problematic internet use (PIU) is linked to psychological distress and cognitive alterations, yet its early pre-clinical effects remain unclear. This study explored the psychological, behavioral, and neurophysiological correlates of PIU in a healthy, non-clinical population, focusing on response inhibition and execution within internet use patterns. A total of 133 participants (74 females, aged 18–35) were assessed using PIUQ-9 and DPIU questionnaires, along with measures of anxiety, depression, and obsessive–compulsive symptoms. An auditory equiprobable Go/NoGo task was used and event-related potentials (ERPs; N1/N2/P2/P3) were analyzed in relation to PIU severity and different online activities engagement. Additionally, behavioral, psychological, and neurophysiological profiles of individuals with high and low PIU levels were compared. PIU severity correlated with anxiety, depression, and obsessive–compulsive symptoms, while Go/NoGo task accuracy was unaffected. N1 amplitudes negatively correlated with PIU severity and gaming engagement, suggesting altered early sensory processing. NoGo-P3 latency positively correlated with information search engagement, indicating delayed inhibitory processing in frequent online searchers. High and low PIU groups differed in psychological measures but not in ERP or behavioral measures. Our findings confirm psychological distress in PIU alongside subtle neurophysiological alterations, suggesting that ERP measures in the equiprobable Go/NoGo task may not be highly sensitive PIU risk biomarkers in non-clinical populations. Full article

Background: Veterinary students experience high levels of mental health issues. Objectives: To analyze substance use, internet consumption, and mental health factors among students and academic staff of the Faculty of Veterinary Medicine of the University of Las Palmas de Gran Canaria, identifying factors associated with well-being and dissatisfaction. Methods: A total of 226 respondents participated, including 177 students (78.3%) and 49 staff members (21.7%). Data were collected between 30 October 2024 and 14 January 2025 using an adapted EDADES-based survey assessing substance use (alcohol, tobacco, electronic nicotine delivery systems (ENDSs), anxiolytics, and illicit drugs), internet habits, and psychological well-being among participants. Binary logistic regression was applied to identify factors associated with dissatisfaction. Results: Students exhibited higher binge drinking rates, greater ENDS consumption, and more problematic internet use than staff. Significant gender differences were observed, with females reporting greater emotional distress and a higher need for psychological support. Water pipe use (OR = 2.79, 95% CI = 1.45–5.38), anxiolytic consumption (OR = 2.31, 95% CI = 1.08–4.92), and excessive internet use (OR = 4.83, 95% CI = 1.66–14.1) were associated with lower overall satisfaction. Age was inversely associated with dissatisfaction (OR = 0.96, 95% CI = 0.94–0.98), and females were significantly more likely to report dissatisfaction (OR = 2.79, 95% CI = 1.45–5.38). Conclusions: Veterinary students exhibited higher psychological distress than teaching staff. Implementing targeted interventions to address substance use and internet habits is needed in order to enhance psychological well-being. Full article

Introduction/objectives: Brain development changes during adolescence are directly linked to various cognitive and behavioral challenges characteristic of this stage. The main objective of this study is to investigate the risks associated with Internet use and its relationship with Executive Functions (EFs) and anxiety in a representative sample of Spanish secondary school students. Methods: The sample consisted of 1164 participants (48% males) aged 12 to 17 years (M age = 14.86; SD = 1.41) from five selected academic centers. Executive Functions were assessed using the Adolescent and Adult Executive Functioning Questionnaire (ADEXI), anxiety was measured with the Depression, Anxiety and Stress Scale (DASS-21), and Problematic Internet Use (PIU) was evaluated with the Internet Addiction Test (IAT). Results: Significant positive correlations were found between the PIU, EF, anxiety, and cyberbullying variables. Predictive models were developed to explain the different variables. Conclusions: The results emphasize the need to increase awareness of these issues and to develop effective intervention strategies. Programs that promote responsible Internet use, along with classroom activities addressing anxiety and Executive Functions, could provide clear benefits. Full article

Smartphone addiction has emerged as a pressing public health issue in recent years, which negatively impacts university students’ academic performance, physical and mental health, and social functioning. Therefore, it is crucial to explore the significant factors related to smartphone addiction. While previous research has suggested a potential link between self-compassion and problematic internet or smartphone use, studies specifically examining the relationship between self-compassion and smartphone addiction tendency remain limited. From a positive psychology perspective, this study aims to explore the relationship between self-compassion and smartphone addiction tendency, as well as its internal mechanism. A total of 641 Chinese college students were recruited to complete online questionnaires assessing their self-compassion, self-concept clarity, experiential avoidance, and smartphone addiction tendency. The results show that self-compassion not only directly and negatively predicts smartphone addiction tendency, but also indirectly predicts it through the independent mediating effects of self-concept clarity and experiential avoidance. Additionally, there is a chain-mediating effect of self-concept clarity and experiential avoidance. This study provides a new perspective for the prevention and intervention of smartphone addiction tendency among college students. Full article

Background: Attention-Deficit/Hyperactivity Disorder (ADHD) is a neurodevelopmental condition characterized by inattention, hyperactivity, and impulsivity. Adolescents with ADHD have an elevated risk of developing Internet Gaming Disorder (IGD), a condition involving excessive gaming that disrupts daily life. IGD is linked to traits such as low frustration tolerance and sensation-seeking, with comorbid conditions like anxiety and depression further increasing vulnerability. Gaming frequently serves as a coping strategy due to emotional regulation difficulties. The dynamics within family units and peer relationships play a pivotal role, with dysfunctional environments heightening the risks and positive interactions serving as protective factors. Methods: This scoping review analyzed empirical studies published in the last decade exploring the association between ADHD, Problematic Internet Use (PIU), or IGD, focusing on neurobiological, psychological, and environmental factors. Results: The findings highlight that impulsivity and emotional dysregulation in ADHD contribute to IGD. Gaming is frequently used as a maladaptive coping strategy, with social and family influences modulating risk. Diagnostic complexities arise in distinguishing ADHD-related behaviors from IGD symptoms. Conclusions: Addressing these comorbid conditions requires interdisciplinary collaboration and evidence-based interventions. Future research should focus on understanding ADHD, PIU, or IGD interactions and developing targeted interventions. Longitudinal studies are necessary to establish causal links and assess effective treatment strategies. Full article