Xu Cheng, Liao Meiling, Hong Youjuan
School of Nursing, Fujian Medical University, Fuzhou 350122, China.
School of Health, Fujian Medical University, Fuzhou 350122, China.
Behav Sci (Basel). 2025 Apr 27;15(5):589. doi: 10.3390/bs15050589.
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.
互联网已成为大学生生活和教育经历中不可或缺的一部分。然而，医学生网络使用问题背后的驱动因素在很大程度上仍未得到探索。基于认知行为模型和脆弱性情感调节模型，本研究旨在探讨医学生拒绝敏感性与网络使用问题之间关联的潜在机制。使用拒绝预期倾向量表、孤独感量表、自我控制量表和网络使用问题测试对435名本科医学生进行了调查。结果显示，拒绝敏感性能够正向预测孤独感和网络使用问题。中介分析表明，孤独感在拒绝敏感性与网络使用问题之间的联系中起中介作用。此外，自我控制调节了拒绝敏感性与网络使用问题关系中间接效应的第二阶段。这些发现从理论上加深了我们对医学生拒绝敏感性与其网络使用问题之间心理路径及边界条件的理解，同时也为减少网络使用问题提供了有价值的实践启示。
