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Internet gaming disorder and depression mediated by impaired resilience and sleep distress: a three-wave longitudinal study among Chinese adolescents.

作者信息

Peng P, Chen Z M, Ren S L, He Y, Li J G, Liao A J, Zhao L L, Shao X, Chen S S, He R N, Liang Y D, Tan Y G, Chen X G, Liao Y H, Tang J S

机构信息

Department of Psychiatry, Sir Run Run Shaw Hospital, Zhejiang University School of Medicine, Hangzhou, ZJ, China.

Department of Psychiatry, Zigong Mental Health Center, Zigong, SC, China.

出版信息

Epidemiol Psychiatr Sci. 2025 Feb 19;34:e11. doi: 10.1017/S2045796025000046.


DOI:10.1017/S2045796025000046
PMID:39965936
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11886973/
Abstract

AIMS: While the cross-sectional relationship between internet gaming disorder (IGD) and depression is well-established, whether IGD predicts future depression remains debated, and the underlying mechanisms are not fully understood. This large-scale, three-wave longitudinal study aimed to clarify the predictive role of IGD in depression and explore the mediating effects of resilience and sleep distress. METHODS: A cohort of 41,215 middle school students from Zigong City was assessed at three time points: November 2021 (T1), November 2022 (T2) and November 2023 (T3). IGD, depression, sleep distress and resilience were measured using standardized questionnaires. Multiple logistic regression was used to examine the associations between baseline IGD and both concurrent and subsequent depression. Mediation analyses were conducted with T1 IGD as the predictor, T2 sleep distress and resilience as serial mediators and T3 depression as the outcome. To test the robustness of the findings, a series of sensitivity analyses were performed. Additionally, sex differences in the mediation pathways were explored. RESULTS: (1) IGD was independently associated with depression at baseline (T1: adjusted odds ratio [AOR] = 4.76, 95% confidence interval [CI]: 3.79-5.98,  < 0.001), 1 year later (T2: AOR = 1.42, 95% CI: 1.16-1.74,  < 0.001) and 2 years later (T3: AOR = 1.24, 95% CI: 1.01-1.53,  = 0.042); (2) A serial multiple mediation effect of sleep distress and resilience was identified in the relationship between IGD and depression. The mediation ratio was 60.7% in the unadjusted model and 33.3% in the fully adjusted model, accounting for baseline depression, sleep distress, resilience and other covariates. The robustness of our findings was supported by various sensitivity analyses; and (3) Sex differences were observed in the mediating roles of sleep distress and resilience, with the mediation ratio being higher in boys compared to girls. CONCLUSIONS: IGD is a significant predictor of depression in adolescents, with resilience and sleep distress serving as key mediators. Early identification and targeted interventions for IGD may help prevent depression. Intervention strategies should prioritize enhancing resilience and improving sleep quality, particularly among boys at risk.

摘要
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1b63/11886973/7e33bfc3588d/S2045796025000046_fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1b63/11886973/bba4a172acc8/S2045796025000046_fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1b63/11886973/7e33bfc3588d/S2045796025000046_fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1b63/11886973/bba4a172acc8/S2045796025000046_fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1b63/11886973/7e33bfc3588d/S2045796025000046_fig2.jpg

相似文献

[1]
Internet gaming disorder and depression mediated by impaired resilience and sleep distress: a three-wave longitudinal study among Chinese adolescents.

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引用本文的文献

[1]
Adaptation and validation of the Chinese version of the digital addiction scale for children (DASC).

BMC Public Health. 2025-7-30

[2]
Trajectory of internet gaming disorder among Chinese adolescents: Course, predictors, and long-term mental health outcomes.

J Behav Addict. 2025-6-23

[3]
Longitudinal Network Associations Between Symptoms of Problematic Gaming and Generalized and Social Anxiety Among Adolescents.

Res Child Adolesc Psychopathol. 2025-5-27

[4]
Association Between Internet Use and Sleep Health Among Middle-Aged and Older Chinese Individuals: Nationwide Longitudinal Study.

J Med Internet Res. 2025-4-16

[5]
Impaired sleep quality mediates the relationship between internet gaming disorder and conduct problems among adolescents: a three-wave longitudinal study.

Child Adolesc Psychiatry Ment Health. 2025-3-21

本文引用的文献

[1]
Longitudinal Associations between Healthy Eating Habits, Resilience, Insomnia, and Internet Addiction in Chinese College Students: A Cross-Lagged Panel Analysis.

Nutrients. 2024-7-30

[2]
Developmental pathways from insomnia to suicidality: A resilience perspective.

J Affect Disord. 2024-10-1

[3]
Association between childhood trauma and Internet gaming disorder: a moderated mediation analysis with depression as a mediator and psychological resilience as a moderator.

BMC Psychiatry. 2024-6-4

[4]
Comorbidity among symptoms of internet gaming disorder, social withdrawal, and depression in 3430 young people in Hong Kong: A network analysis.

J Affect Disord. 2024-8-15

[5]
The mediating and moderating effects of resilience on the relationship between sleep quality and psychological distress in Chinese women with infertility.

BMC Womens Health. 2024-3-21

[6]
Sleep Quality and Self-Stigma Mediate the Association Between Problematic Use of Social Media and Quality of Life Among People With Schizophrenia in Taiwan: A Longitudinal Study.

Psychiatry Investig. 2023-11

[7]
The relationship between internet gaming disorder and psychotic experiences: cyberbullying and insomnia severity as mediators.

BMC Psychiatry. 2023-11-17

[8]
Adverse childhood experiences predict internet gaming disorder in university students: the mediating role of resilience.

Curr Opin Psychiatry. 2024-1-1

[9]
Psychological resilience mediates the association between sleep quality and anxiety symptoms: A repeated measures study in college students.

PLoS One. 2023

[10]
Effectiveness of resilience-based interventions in schools for adolescents: a systematic review and meta-analysis.

Front Psychol. 2023-10-6

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