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Cited by 104Impact of Technology on AdolescentsGambling Behavior and TreatmentsSexuality, Behavior, and Technology

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The Relationship between Impulsivity and Internet Gaming Disorder in Young Adults: Mediating Effects of Interpersonal Relationships and Depression

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Ryu, Hyera, Lee, Ji-Yoon, Choi, Aruem, Park, Sunyoung, Kim, Dai-Jin, Choi, Jung-Seok·2018·International Journal of Environmental Research and Public Health
DOI 10.3390/ijerph15030458PMC PMC5877003
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Abstract

Background: This study aimed to explore relationships between impulsivity, interpersonal relationships, depression, and Internet Gaming Disorder (IGD) symptoms. Methods: A total of 118 young adults participated in this study: 67 IGD patients who met five or more of the DSM-5 diagnostic criteria for IGD and 56 healthy controls. We administered questionnaires to assess IGD symptoms (Young’s Internet Addiction Test; Y-IAT), impulsivity (Barratt Impulsiveness Scale; BIS-11), interpersonal relationship (Relationship Change Scale; RCS), and depression (Beck Depression Inventory; BDI). We used PROCESS macro in SPSS to perform mediation analysis. Results: IGD symptom was positively related to depression and impulsivity, and negatively related to the quality of interpersonal relationships. Mediation analysis revealed full mediation effects of interpersonal relationships and depression on the association between impulsivity and IGD symptoms in the IGD group. Specifically, even after adjusting for gender as a covariate, high impulsivity was associated with greater difficulty with interpersonal relationships; which further affected depression and increased the risk of IGD. Conclusions: These results demonstrate the importance of early intervention in IGD patients, particularly in young adults with high impulsivity. When intervening in adults’ IGD, we should consider not only individual factors (e.g., depression) but also socioenvironmental factors (e.g., interpersonal relationships).

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Crossref · 10.3390/ijerph15030458

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Figure 1 Serial mediation effects on problematic internet use in IGD group (n = 61). BIS-11 = Barratt Impulsiveness Scale; RCS = Relationship Change scale; BDI = Beck Depression Inventory; Y-IAT = Young’s Internet Addiction Test; Solid lines showed significant paths with standardized path coefficients and dashed line represents a nonsignificant path. c’ means direct effect of impulsivity (X) on internet addiction (Y) and c means indirect effect of impulsivity (X) on internet addiction (Y) through interpersonal relationship (M1) and depression (M2) in serial. Results showed that high impulsivity affected more difficulty in interpersonal relationships, which further affected depression and increased the risk of internet gaming disorder symptoms in IGD group. * p < 0.05, ** p < 0.001.
Figure 1 Serial mediation effects on problematic internet use in IGD group (n = 61). BIS-11 = Barratt Impulsiveness Scale; RCS = Relationship Change scale; BDI = Beck Depression Inventory; Y-IAT = Young’s Internet Addiction Test; Solid lines showed significant paths with standardized path coefficients and dashed line represents a nonsignificant path. c’ means direct effect of impulsivity (X) on internet addiction (Y) and c means indirect effect of impulsivity (X) on internet addiction (Y) through interpersonal relationship (M1) and depression (M2) in serial. Results showed that high impulsivity affected more difficulty in interpersonal relationships, which further affected depression and increased the risk of internet gaming disorder symptoms in IGD group. * p < 0.05, ** p < 0.001.CC BY · PubMed Central

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Research works printed but not linked: 7

  1. Choi, 2012, Internet addiction: Why we become addicted to the internet?, Asia Pac. J. Clin. Oncol., 4, 12
  2. Choi, 2013, In the modified integrated pathways model of internet addiction, J. Behav. Addict., 2, 10
  3. Seifi, 2014, The study of the relationship between internet addiction and depression, anxiety and stress among students of Islamic Azad University of Birjand, Int. J. Econ. Manag. Soc. Sci., 3, 28
  4. Kim, 2003, The validation of korean adolescent internet addiction scale (K-AIAS), Korean J. Clin. Psychol., 22, 125
  5. Schlein, S., Guerney, B., and Stover, L. (1971). The Interpersonal Relationship Scale. [Ph.D. Thesis, Pennsylvania State University]. Unpublished work.
  6. Chun, 1995, The social skills training for social adjustment of the schizophrenic patients, Ment. Health Soc. Work, 2, 33
  7. Hayes, A. (2016). Process for SPSS (Version 2.16) [Macros], The Guilford Press.

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Metadata

Authors
Ryu, H., Lee, J.-Y., Choi, A., Park, S., Kim, D.-J., & Choi, J.-S.
Affiliations
  • SNUH SMG-SNU Boramae Medical Center (KR)
  • The Catholic University of Korea Seoul St. Mary's Hospital (KR)
  • Seoul National University (KR)
Corresponding author
Choi, Jung-Seok
ORCID
Venue
International Journal of Environmental Research and Public Health
Publisher
MDPI AG
Published
2018-03-06
Volume
15
Issue
3
Pages
458
ISSN
1660-4601 (ISSN-L)
DOI
10.3390/ijerph15030458
PMC
PMC5877003
OpenAlex
W2790200283
Cited by
104
References
50
Citations by year
2026: 4 · 2025: 10 · 2024: 12 · 2023: 22 · 2022: 17 · 2021: 12 · 2020: 11 · 2019: 13 · 2018: 3
FWCI
22.14
Type
journal article
Language
en
Open access
Licence
Locations
  • International Journal of Environmental Research and Public Health (publishedVersion, cc-by)
  • Europe PMC (PubMed Central) (publishedVersion, cc-by)
  • PubMed Central (publishedVersion, cc-by)
  • PubMed (publishedVersion)
  • RePEc: Research Papers in Economics (submittedVersion)
  • DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion)
Funders
the National Research Foundation of Korea (NRF-2014M3C7A1062894)
Topics
  • Social Sciences › Sociology and Political Science › Impact of Technology on Adolescents
  • Social Sciences › Psychology › Clinical Psychology › Gambling Behavior and Treatments
  • Social Sciences › Psychology › Clinical Psychology › Sexuality, Behavior, and Technology
Keywords
internet gaming disorder, impulsivity, interpersonal relationships, depression, mediation, young adults, internet addiction, relationship quality, early intervention
MeSH terms
Adult, Depression, Female, Humans, Impulsive Behavior, Interpersonal Relations, Male, Psychiatric Status Rating Scales, Surveys and Questionnaires, Behavior, Addictive, Video Games, Internet, Young Adult

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