Bu Luowei, Ye Haoxian, Wang Dongfang, Liu Wenxu, Chen Dan, Fan Fang
School of Psychology, Centre for Studies of Psychological Applications, Guangdong Key Laboratory of Mental Health and Cognitive Science, Ministry of Education Key Laboratory of Brain Cognition and Educational Science, Guangdong Emergency Response Technology Research Center for Psychological Assistance in Emergencies, South China Normal University, Guangzhou, China.
School of Psychology, Centre for Studies of Psychological Applications, Guangdong Key Laboratory of Mental Health and Cognitive Science, Ministry of Education Key Laboratory of Brain Cognition and Educational Science, Guangdong Emergency Response Technology Research Center for Psychological Assistance in Emergencies, South China Normal University, Guangzhou, China.
Addict Behav. 2025 Jul;166:108306. doi: 10.1016/j.addbeh.2025.108306. Epub 2025 Feb 24.
Problematic Internet use (PIU) has been empirically identified as a risk factor for future psychotic-like experiences (PLEs) among adolescents. This study aimed to examine the short-term predictive role of PIU on PLEs in adolescents and investigate their underlying mechanisms, focusing on the mediating role of sleep disturbance and the moderating role of psychological resilience. A total of 27,260 Chinese adolescents (52.2 % males, Mean = 14.33 ± 1.49) were included for analyses in this two-wave longitudinal study conducted six months apart. The baseline survey (time 1, T1) was between December 17 and 26, 2021, and the follow-up survey (time 2, T2) was between May 17 and June 5, 2022. Participants reported their socio-demographics, T1 PIU, T1 sleep disturbance, T1 resilience, T1 PLEs, T2 PLEs, and T2 negative life events. After controlling for socio-demographics, T1 PLEs, and T2 negative life events, T1 PIU exacerbated T2 PLEs directly and indirectly through T1 sleep disturbance, with T1 resilience moderating both parts of the mediation pathway. These findings provide novel insights into the mechanisms linking PIU to PLEs among adolescents and offer valuable implications for clinical practice and school policy.
网络使用问题（PIU）已被实证确定为青少年未来出现类精神病体验（PLEs）的一个风险因素。本研究旨在探讨PIU对青少年PLEs的短期预测作用，并研究其潜在机制，重点关注睡眠障碍的中介作用和心理韧性的调节作用。在这项相隔六个月进行的两波纵向研究中，共纳入了27260名中国青少年（男性占52.2%，平均年龄=14.33±1.49岁）进行分析。基线调查（时间1，T1）于2021年12月17日至26日进行，随访调查（时间2，T2）于2022年5月17日至6月5日进行。参与者报告了他们的社会人口统计学信息、T1期的PIU、T1期的睡眠障碍、T1期的心理韧性、T1期的PLEs、T2期的PLEs以及T2期的负面生活事件。在控制了社会人口统计学因素、T1期的PLEs和T2期的负面生活事件后，T1期的PIU通过T1期的睡眠障碍直接和间接地加剧了T2期的PLEs，T1期的心理韧性调节了中介路径的两个部分。这些发现为青少年中PIU与PLEs之间的联系机制提供了新的见解，并为临床实践和学校政策提供了有价值的启示。
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