Department of Pediatrics, Brigham and Women's Hospital, Boston, MA, USA.
Department of Psychology, Willamette University, Salem, OR, USA.
Anxiety Stress Coping. 2024 Nov;37(6):775-793. doi: 10.1080/10615806.2024.2383766. Epub 2024 Jul 31.
Problematic internet use (PIU), which includes social media misuse (SMM) and gaming misuse (GM), is uncontrollable and associated with significant psychological impairment. PIU is a coping behavior for COVID-19-related stress. We explored distress-related predictors of PIU in a young adult racially diverse sample during the pandemic.
Analyses used cross-sectional survey data ( = 1956). Psychological diagnoses, financial distress, COVID-19-related emotions, psychological distress, distress tolerance, social support, loneliness, SMM and GM were measured. Hierarchical multiple regressions identified predictors of PIU. Race-stratified exploratory analyses sought to understand if predictors held true across racial groups.
Low distress tolerance was associated with SMM and GM, as were depression symptoms, with racial differences observed. SMM was associated with younger age, and GM was associated with male gender. PTSD symptoms predicted more GM. SMM and GM rates varied between racial groups. COVID-19-related adjustment challenges and stress predicted SMM and GM respectively, with racial differences observed.
Individual psychological distress and low distress tolerance markedly increased PIU risk. Clinicians should screen for stress-related PIU risk factors and bolster distress tolerance in vulnerable patients. Comparing PIU to different forms of coping in a larger sample would further clarify groups differences in stress coping behaviors.
问题性互联网使用(PIU)包括社交媒体滥用(SMM)和游戏滥用(GM),是无法控制的,并且与严重的心理障碍有关。PIU 是应对 COVID-19 相关压力的一种行为。我们在大流行期间探索了一个种族多样化的年轻成年人样本中与痛苦相关的 PIU 预测因素。
分析使用了横断面调查数据(n=1956)。测量了心理诊断、经济困难、与 COVID-19 相关的情绪、心理困扰、困扰容忍度、社会支持、孤独、SMM 和 GM。分层多元回归确定了 PIU 的预测因素。按种族分层的探索性分析旨在了解预测因素是否在不同种族群体中成立。
低困扰容忍度与 SMM 和 GM 相关,抑郁症状也是如此,并观察到了种族差异。SMM 与年龄较小有关,GM 与男性性别有关。创伤后应激障碍症状预测 GM 更多。SMM 和 GM 的比率在不同种族群体之间有所不同。与 COVID-19 相关的调整挑战和压力分别预测了 SMM 和 GM,观察到了种族差异。
个体心理困扰和低困扰容忍度显著增加了 PIU 的风险。临床医生应筛查与压力相关的 PIU 风险因素,并在脆弱患者中增强困扰容忍度。在更大的样本中比较 PIU 与不同形式的应对方式将进一步阐明应激应对行为中的群体差异。