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Is Internet addiction transitory or persistent? Incidence and prospective predictors of remission of Internet addiction among Chinese secondary school students
Lau,Joseph T.F.1,2; Wu,Anise M.S.3; Gross,Danielle L.1; Cheng,Kit man1; Lau,Mason M.C.1
2019-06-19
Source PublicationAddictive Behaviors
ISSN0306-4603
Volume74Pages:55-62
Abstract

Background Internet addiction (IA) is prevalent among adolescents but it is potentially revertible. Only three Taiwan adolescent studies reported IA remission and a few related factors. We investigated incidence and predictors of remission among Hong Kong Chinese secondary school students with a 12-month longitudinal study. Methods IA was defined as Chen Internet Addiction Scale (CIAS) score > 63. Validated measures were used to assess students' psychosocial wellbeing at baseline and follow-up. Results Of 1545 students with IA at baseline, 1296 (83.9%) provided matched baseline/12-month follow-up data; their data were analyzed. Incidence of remission (CIAS ≤ 63 at follow-up) was 59.29/100 person-years. Significant predictors included: 1) baseline CIAS score (ORa = .95), 2) baseline health belief model (HBM) constructs [perception of having severe IA (ORa = .34), perceived susceptibility to IA (ORa = 0.82), perceived barrier (ORa = 0.95), cue to action from parents (ORa = 0.82), and self-efficacy for reducing Internet use (ORa = 1.13)], and 3) baseline psychosocial health measures [self-esteem (ORa = 1.03), severe depression (ORa = 0.72) and social anxiety (ORa = 0.96)] and their changes over time [depression (ORa = .95), anxiety (ORa = .94), loneliness (ORa = .93), self-esteem (ORa = 1.07), positive affect (ORa = 1.10) and family support (ORa = 1.03)]. Two-thirds (64.3%) of the remission group presented reduced CIAS score > 1.5 SD, and recorded larger improvements in psychosocial status over time than the non-remission group. Conclusion Without noticeable interventions, incidence of remission was high and related to improvements in psychosocial health. Most of the HBM constructs, and baseline/changes in psychosocial measures predicted remission. Interventions to increase remission should modify these factors.

KeywordAdolescent Chinese Health Belief Model Internet Addiction Psychosocial Health Remission
DOI10.1016/j.addbeh.2017.05.034
URLView the original
Indexed BySSCI
Language英语
WOS Research AreaPsychology ; Substance Abuse
WOS SubjectPsychology, Clinical ; Substance Abuse
WOS IDWOS:000407536100009
CSCD IDCSCD:PERGAMON-ELSEVIER SCIENCE LTD
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Cited Times [WOS]:8   [WOS Record]     [Related Records in WOS]
Document TypeJournal article
CollectionDEPARTMENT OF PSYCHOLOGY
Corresponding AuthorLau,Joseph T.F.
Affiliation1.Centre for Health Behaviours ResearchThe Jockey Club School of Public Health and Primary CareFaculty of MedicineThe Chinese University of Hong Kong,Hong Kong
2.Shenzhen Research InstituteThe Chinese University of Hong Kong,Shenzhen,China
3.Department of PsychologyFaculty of Social SciencesUniversity of Macau,Macao
Recommended Citation
GB/T 7714
Lau,Joseph T.F.,Wu,Anise M.S.,Gross,Danielle L.,et al. Is Internet addiction transitory or persistent? Incidence and prospective predictors of remission of Internet addiction among Chinese secondary school students[J]. Addictive Behaviors,2019,74:55-62.
APA Lau,Joseph T.F.,Wu,Anise M.S.,Gross,Danielle L.,Cheng,Kit man,&Lau,Mason M.C..(2019).Is Internet addiction transitory or persistent? Incidence and prospective predictors of remission of Internet addiction among Chinese secondary school students.Addictive Behaviors,74,55-62.
MLA Lau,Joseph T.F.,et al."Is Internet addiction transitory or persistent? Incidence and prospective predictors of remission of Internet addiction among Chinese secondary school students".Addictive Behaviors 74(2019):55-62.
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