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Barooah R, S S, Tasneem Z, Phurailatpam J, Baruah K, Das A, Das K, Bordoloi G, Begum T, Dhar R, P N, Chhakchhuak B, Datta SS, Kumar KP, Lyngdoh JA, Rymbui DB, Rymbai I. The Effect of Lockdown on Physiological Parameters of Sleep, Diet, Bowel Movement, Physical Activity, and Menstrual Cycle of Individuals Residing in Northeast India. Cureus 2025; 17:e81651. [PMID: 40322358 PMCID: PMC12049090 DOI: 10.7759/cureus.81651] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 04/03/2025] [Indexed: 05/08/2025] Open
Abstract
Background Lockdown is a state of confinement that results in changes to the environmental factors that otherwise help entrain to circadian rhythm, and hence the need arises to understand the changes to various physiological factors during lockdown. Methodology A cross-sectional questionnaire-based study was conducted using snowball sampling, including people residing in Northeast India. A chi-square test was applied for the association between variables. A two-tailed Z test was done to analyze significant changes between two proportions. Result The final sample size was 992, and the mean age was 27.38 ± 10.887 years. A significant delay in bedtime (P = 0.0271), an increase in sleep latency (P = 0.0083), screen time duration (P = 0.0293), daytime sleep (P = 0.0155), and restfulness of sleep (P < 0.00001), as well as a decrease in sleep without awakening (P = 0.0001), were observed during lockdown compared to before the lockdown. In subjects sleeping beyond 1 AM, a significant decrease in restfulness (P = 0.00084) and an increase in sleep latency of more than one hour (P = 0.00528) were observed. An increase in water intake (508, 52%), fruit juice consumption (452, 46.1%), vegetable consumption (516, 52.9%), snacking (515, 52.8%), and body weight (447, 46.3%), along with a decrease in junk food consumption (527, 54.5%), were observed during lockdown. A significant decrease in alcohol consumption was observed during (P = 0.00338) and after (P = 0.03572) the lockdown. Breakfast timing was delayed in 395 individuals (40.5%), with a significant delay noted in those sleeping beyond 1 AM (P = 0.00634). A significant decrease in the frequency of lower stool passage (P = 0.01314) and a reduction in formed stools (P = 0.01016), along with a decrease in morning defecation (P = 0.0001), were observed. A significant decrease in morning defecation was observed in those sleeping beyond 1 AM (P = 0.01208). The changes in restfulness, sleep disturbance, screen time duration, sleep latency, defecation timing, and alcohol consumption observed during lockdown persisted even after the lockdown. Conclusions The most significant changes were seen for sleep. Changes in diet were inclined toward positive health. Sleeping beyond 1 AM, however, predisposed to longer latency of sleep, reduction in restfulness of sleep, and delayed breakfast and defecation time. Some of the changes observed during lockdown persisted even after the relaxation of restrictions.
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Affiliation(s)
- Rituparna Barooah
- Physiology, North Eastern Indira Gandhi Regional Institute of Health and Medical Sciences (NEIGRIHMS), Shillong, IND
| | - Shakthinag S
- Physiology, North Eastern Indira Gandhi Regional Institute of Health and Medical Sciences (NEIGRIHMS), Shillong, IND
| | - Zakiyyah Tasneem
- Physiology, North Eastern Indira Gandhi Regional Institute of Health and Medical Sciences (NEIGRIHMS), Shillong, IND
| | | | | | - Anupi Das
- Physiology, Jorhat Medical College, Jorhat, IND
| | - Kahua Das
- Physiology, Nagaon Medical College and Hospital, Nagaon, IND
| | | | | | - Ranjana Dhar
- Physiology, Silchar Medical College, Silchar, IND
| | - Naveen P
- Physiology, All India Institute of Medical Sciences (AIIMS), Guwahati, IND
| | | | - Shib Sekhar Datta
- Community Medicine, Tripura Medical College and Dr. BRAM Teaching Hospital, Agartala, IND
| | | | - John A Lyngdoh
- Physiology, North Eastern Indira Gandhi Regional Institute of Health and Medical Sciences (NEIGRIHMS), Shillong, IND
| | - Deisha B Rymbui
- Physiology, North Eastern Indira Gandhi Regional Institute of Health and Medical Sciences (NEIGRIHMS), Shillong, IND
| | - Iohborlang Rymbai
- Physiology, North Eastern Indira Gandhi Regional Institute of Health and Medical Sciences (NEIGRIHMS), Shillong, IND
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Pilhatsch M, Schallenberg M, Vogel-Blaschka D, Treu AB, Petzold J, Zander L, Spreer M. Impact of Covid-19 pandemic on trajectories of patients with severe alcohol use disorder treated with disulfiram. Sci Rep 2025; 15:5713. [PMID: 39962309 PMCID: PMC11832757 DOI: 10.1038/s41598-025-90081-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/21/2024] [Accepted: 02/10/2025] [Indexed: 02/20/2025] Open
Abstract
The manifestations and progression of alcohol use disorder (AUD) are influenced by a number of contextual factors, with the current coronavirus pandemic being a significant example. This pandemic has profoundly impacted nearly all aspects of human life and has, therefore, strongly influenced patients suffering from AUD. In some cases, the pandemic has led to a reduction in severity, while in others, it has had the opposite effect. In our own work we have been investigating the negative impact of the pandemic on 45 patients with AUD who were undergoing outpatient treatment, including supervised use of disulfiram (Antabuse), in a close-knit program. A linear trend analysis demonstrated significant alterations in the retention rate over a 3-year period, encompassing the pre-pandemic, pandemic, and post-pandemic periods. During the pandemic the number of treatment cancellations virtually increased. Following the pandemic, a tendency towards the normalization of patient numbers was observed. Our data indicate a high level of vulnerability among patients with severe AUD and highlight a need for the development of alternative, possibly telemedical, treatment methods.
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Affiliation(s)
- Maximilian Pilhatsch
- Department of Psychiatry and Psychotherapy, University Hospital Dresden, TUD Dresden University of Technology, Dresden, Germany.
- Department of Psychiatry and Psychotherapy, Elblandklinikum Radebeul, Radebeul, Germany.
| | - Max Schallenberg
- Department of Psychiatry and Psychotherapy, University Hospital Dresden, TUD Dresden University of Technology, Dresden, Germany
- Department of Psychiatry and Psychotherapy, Elblandklinikum Radebeul, Radebeul, Germany
| | - Diana Vogel-Blaschka
- Department of Psychiatry and Psychotherapy, Elblandklinikum Radebeul, Radebeul, Germany
| | - Ariana-Berenike Treu
- Department of Psychiatry and Psychotherapy, Elblandklinikum Radebeul, Radebeul, Germany
| | - Johannes Petzold
- Department of Psychiatry and Psychotherapy, University Hospital Dresden, TUD Dresden University of Technology, Dresden, Germany
| | - Lena Zander
- Department of Psychiatry and Psychotherapy, Elblandklinikum Radebeul, Radebeul, Germany
| | - Maik Spreer
- Department of Psychiatry and Psychotherapy, University Hospital Dresden, TUD Dresden University of Technology, Dresden, Germany
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Kim SI, Jin JC, Yoo SK, Han DH. Changes in Internet Activities and Influencing Factors for Problematic Internet Use During the COVID-19 Pandemic in Korean Adolescents: Repeated Cross-Sectional Study. JMIR Pediatr Parent 2025; 8:e66448. [PMID: 39933170 PMCID: PMC11862775 DOI: 10.2196/66448] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/13/2024] [Revised: 11/18/2024] [Accepted: 12/20/2024] [Indexed: 02/13/2025] Open
Abstract
BACKGROUND As adolescents increasingly engage with digital experiences, the internet serves as a platform for social interaction, entertainment, and learning. The COVID-19 pandemic accelerated this trend, with remote learning and restricted physical interactions driving changes in internet behavior. Adolescents spent more time on gaming and social media, reflecting a notable shift in use patterns. OBJECTIVE We hypothesized that the COVID-19 pandemic changed internet use patterns among Korean adolescents, including content types, time spent on web-based activities, and pathological use prevalence. Additionally, we anticipated that these changes would correlate with shifts in adolescents' psychological status during the pandemic. METHODS Data from 827 adolescents aged 12 to 15 years (n=144 in 2018, n=142 in 2019, n=126 in 2020, n=130 in 2021, n=143 in 2022, and n=142 in 2023) were gathered over 6 years from 43 middle schools across 16 regions and 1 hospital in South Korea. The demographic data collected included age, sex, and school year. Participants also provided information on their internet use patterns and levels of internet addiction. Additionally, psychological status, including mood, anxiety, attention, and self-esteem, was assessed. RESULTS There were significant differences in the depression scale (Patient Health Questionnaire 9). The Patient Health Questionnaire 9 scores for 2018, 2019, and 2023 decreased compared to those in 2020, 2021, and 2022 (F5=3.07; P=.007). Regarding changes in internet use behavior, game playing among adolescents decreased after the pandemic compared to before, while watching videos increased. Additionally, the rate of problematic internet use was highest for games before COVID-19, but after COVID-19, it was highest for videos, and this trend continued until 2023 (χ23=8.16, P=.04). Furthermore, this study showed that the Young's Internet Addiction Scale (YIAS) score was highest in the game group in 2018 compared to other groups before COVID-19 (F5=14.63; P<.001). In 2019, both the game and video groups had higher YIAS scores than other groups (F5=9.37; P<.001), and by 2022, the YIAS scores among the game, video, and Social Network Service groups did not differ significantly. The degree of influence on the severity of internet addiction was also greatest for games before COVID-19, but after COVID-19, the effect was greater for videos than for games. CONCLUSIONS During the COVID-19 pandemic, internet use for academic and commercial purposes, including remote classes and videoconferences, increased rapidly worldwide, leading to a significant rise in overall internet use time. The demand for and dependence on digital platforms is expected to grow even further in the coming era. Until now, concerns have primarily focused on the use of games, but it is now necessary to consider what types of internet behaviors cause problems and how to address them.
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Affiliation(s)
- Sol I Kim
- Department of Psychiatry, Woori Children's Hospital, Seoul, Republic of Korea
| | - Jae-Chan Jin
- School of Social Welfare, Soongsil University, Seoul, Republic of Korea
| | - Seo-Koo Yoo
- School of Social Welfare, Soongsil University, Seoul, Republic of Korea
| | - Doug Hyun Han
- Department of Psychiatry, Chung Ang University Hospital, Seoul, Republic of Korea
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Aljuboori D, Clary LK, Alomairah SA, Colder Carras M, Saquib N, Saquib J, Albeyahi F, Van Rooij AJ, Tuijnman A, Van der Rijst VG, Kaufman MR, Thrul J. Contextual adaptation of digital wellbeing interventions for young people: insights from a project in Saudi Arabia. Front Psychiatry 2025; 15:1455962. [PMID: 39957755 PMCID: PMC11825761 DOI: 10.3389/fpsyt.2024.1455962] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/27/2024] [Accepted: 12/18/2024] [Indexed: 02/18/2025] Open
Abstract
In today's world, the internet is seamlessly woven into every facet of our existence. This constant engagement with digital media has generated concerns about the negative effects of digital media use, especially among adolescents. These concerns have led to the development and testing of numerous digital wellbeing interventions that focus on adolescents' digital media use. However, these interventions are lacking in the Middle East and North Africa, and specifically in Saudi Arabia, where digital media use is highly prevalent and frequent. Our research team is conducting a series of studies - literature reviews, stakeholder engagement work, and a nationwide survey of adolescent digital media use - to inform, develop, and ultimately test school-based digital wellbeing intervention for high school students in Saudi Arabia. The goal of this manuscript is to explain our process of informing and creating an intervention that builds on previously established, evidence-based approaches, and is also tailored to a particular context (e.g., Saudi Arabia). Moreover, we distill the lessons learned from each study and provide recommendations to assist others in developing tailored digital wellbeing interventions for contexts that have not been the focus of previous intervention development.
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Affiliation(s)
- Dahlia Aljuboori
- Department of Mental Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, United States
| | - Laura K. Clary
- Department of Mental Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, United States
| | - Saud Abdulaziz Alomairah
- Department of Mental Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, United States
- Department of Biomedical Sciences, University of Copenhagen, Copenhagen, Denmark
| | - Michelle Colder Carras
- Department of International Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, United States
| | - Nazmus Saquib
- Sulaiman Alrajhi University, Al Bukairiyah, Saudi Arabia
| | - Juliann Saquib
- Sulaiman Alrajhi University, Al Bukairiyah, Saudi Arabia
| | - Fahad Albeyahi
- Global Digital Wellbeing program (Sync), King Abdulaziz Center for World Culture (Ithra), Dhahran, Saudi Arabia
| | | | - Anouk Tuijnman
- Department of Digital Media & Gambling, Trimbos Institute, Utrecht, Netherlands
| | | | - Michelle R. Kaufman
- Department of International Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, United States
- Department of Health, Behavior and Society, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, United States
| | - Johannes Thrul
- Department of Mental Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, United States
- Sidney Kimmel Comprehensive Cancer Center at Johns Hopkins, Baltimore, MD, United States
- Centre for Alcohol Policy Research, La Trobe University, Melbourne, VIC, Australia
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Wachholz F, Gamper N, Schnitzer M. An 8-week physical exercise intervention for e'athletes improves physical performance rather than short-term esports performance parameters - a randomized controlled trial. Front Sports Act Living 2025; 6:1504205. [PMID: 39906318 PMCID: PMC11790659 DOI: 10.3389/fspor.2024.1504205] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/30/2024] [Accepted: 12/19/2024] [Indexed: 02/06/2025] Open
Abstract
Introduction Esports have been suggested to enhance hand-eye coordination, fine motor skills, and reaction times. While physical exercise is known to improve these abilities, its impact on short-term esports performance is under-researched. This study aims to evaluate the effects of specific and general physical training on gaming performance, hypothesizing improvements in both physical and gaming-related variables. Methods Baseline and follow-up tests measured global coordination, grip strength, Aimlabs performance, single and 4-fold reaction times, and anticipation. Participants completed a weekly and an ending questionnaire. Twenty-eight participants (12.3 ± 10.1 h gaming/week) were assigned to specific (N = 10), general (N = 9), and no training (N = 9) groups for an 8-week intervention. Variable changes over time and between groups were analyzed using a repeated measures ANCOVA. Results Training significantly improved the overall coordination of those participants engaging in physical training compared to the control group [F(2,25) = 3.858, p = 0.035, η 2 = 0.236]. Grip strength also showed significant improvement [F(2,25) = 6.084, p = 0.007, η 2 = 0.327]. There were no significant time or group effects for the gaming variables, but the hours played by participants positively influenced Grid Shot [F(1,24) = 4.746, p = 0.039, η 2 = 0.165] and Track Point [F(1,24) = 9.613, p = 0.005, η 2 = 0.286] performance. The weekly questionnaire indicated a significant improvement in participants' well-being. Discussion While training improved physical variables, no effects were observed in suggested short-term performance. However, gaming hours and experience during the intervention positively influenced performance. Future research should consider the amount of time spent playing as it may affect short-term performance. Furthermore, future research should strive to differentiate between various types of esports performance, such as short-term vs. long-term outcomes. Participants reported that engaging in physical activity within the context of esports and gaming positively contributed to their overall well-being. Clinical Trial Registration ClinicalTrials.gov, identifier (NCT06264375).
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Affiliation(s)
- Felix Wachholz
- Department of Sport Science, University of Innsbruck, Innsbruck, Austria
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Meza-Miranda ER, Parra-Soto SL, Durán-Agüero S, Gomez G, Carpio-Arias V, Ríos-Castillo I, Murillo AG, Araneda J, Morales G, Cavagnari BM, Nava-González EJ, Bejarano-Roncancio JJ, Núñez B, Cordón-Arrivillaga K, Mauricio-Alza S, Landaeta-Díaz L. Body weight in relation to hours of sleep, and physical activity in Latin American university students during the Covid-19 pandemic. JOURNAL OF AMERICAN COLLEGE HEALTH : J OF ACH 2024; 72:1753-1758. [PMID: 35816742 DOI: 10.1080/07448481.2022.2089848] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/14/2021] [Revised: 05/23/2022] [Accepted: 06/09/2022] [Indexed: 06/15/2023]
Abstract
Introduction: Short sleep, physical inactivity, and being locked up are risk factors for weight gain. Objective: We evaluated weight gain according to sex, age, hours of sleep and physical activity in university students from 10 Latin American countries during the COVID-19 pandemic. Methods: Cross-sectional and multicenter study (n = 4880). Results: The average age was 22.5 ± 4.4 years. 60.2% were currently locked up. 73.6% were women, 48.2% increased their body weight, 66% reported insufficient sleep hours, and 65.9% were inactive. Women gained more weight than men (73.2%) and younger students gained more weight (85.1%). Those who had insufficient sleep hours gained most weight (67.6%). Inactive participants gained most weight (74.7%). Students who have insufficient sleep are 21% more likely to have changes in body weight compared to students who have optimal sleep. Conclusion: The increase in body weight and its risk factors during confinement should be considered as emerging from public health.
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Affiliation(s)
- Eliana Romina Meza-Miranda
- Universidad Nacional de Asunción - Centro Multidisciplinario de Investigaciones Tecnológicas, Asunción, Paraguay
| | - Solange Liliana Parra-Soto
- BHF Glasgow Cardiovascular Research Centre, Institute of Cardiovascular and Medical Sciences, University of Glasgow, Glasgow, UK
- Institute of Health and Wellbeing, University of Glasgow, Glasgow, UK
| | - Samuel Durán-Agüero
- Escuela de Nutrición y Dietética, Facultad de Ciencias para el Cuidado de la Salud, Universidad San Sebastián, Los Leones, Chile
| | - Georgina Gomez
- Department of Biochemistry, School of Medicine, University of Costa Rica, Ciudad de San José, Costa Rica
| | - Valeria Carpio-Arias
- Grupo de Investigación en Alimentación y Nutrición Humana (GIANH), Facultad de Salud Pública, Escuela Superior Politécnica de Chimborazo, Riobamba, Ecuador
| | - Israel Ríos-Castillo
- Organización de las Naciones Unidas para la Alimentación y la Agricultura (FAO), Oficina Subregional de la FAO para Mesoamérica, Ciudad de Panamá, Panamá
| | - Ana Gabriela Murillo
- Department of Biochemistry, School of Medicine, University of Costa Rica, Ciudad de San José, Costa Rica
| | - Jacqueline Araneda
- Departamento de Nutrición y Salud Pública, Facultad de Ciencias de la Salud y de los Alimentos, Universidad del Bío-Bío, Chillán, Chile
| | - Gladys Morales
- Departamento de Salud Pública, Facultad de Medicina, Universidad de La Frontera, Temuco, Chile
- Centro de Investigación en Epidemiología Cardiovascular y Nutricional (EPICYN), Universidad de La Frontera, Temuco, Chile
| | - Brian M Cavagnari
- Escuela de Nutrición, Facultad de Ciencias Médicas, Pontificia Universidad Católica Argentina, Caba, Argentina
| | - Edna J Nava-González
- Facultad de Salud Pública y Nutrición, Universidad Autónoma de Nuevo León, Monterrey, Mexico
| | - Jhon J Bejarano-Roncancio
- Departamento de Nutrición Humana, Facultad de Medicina, Universidad Nacional de Colombia, Sede Bogotá, Colombia
| | | | - Karla Cordón-Arrivillaga
- Unidad de Investigación en Seguridad Alimentaria y Nutricional (UNISAN), Escuela de Nutrición, Facultad de Ciencias Químicas y Farmacia, Universidad de San Carlos de Guatemala, Guatemala
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Chavan P, Ankola A, Sankeshwari R, Pai Khot A, Varghese AS, Santhosh VN, Bhatt D. Prevalence of Internet Gaming Disorder and Its Impact on Routine Activities Among Dental Students in Belagavi, India: A Cross-Sectional Study. Cureus 2024; 16:e65315. [PMID: 39184672 PMCID: PMC11344084 DOI: 10.7759/cureus.65315] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 07/23/2024] [Indexed: 08/27/2024] Open
Abstract
BACKGROUND Internet gaming has gained popularity since the millennium, greatly expanding both the game industry and the player base. Moreover, internet gaming disorder (IGD) is a condition included in the most recent version of the Diagnostic and Statistical Manual of Mental Disorders 5 (DSM-5) for further study. AIM To assess the prevalence of IGD and its association with physical symptoms among dental students in Belagavi, India. MATERIALS AND METHODS A cross-sectional study was conducted among 385 dental students, chosen through simple random sampling. Data were gathered using a pre-validated, closed-ended questionnaire, incorporating the 9-item DSM-5 short version. The questionnaire was administered to undergraduate students during theory classes and collected after 10 minutes, while postgraduate students received it in their respective departments. To identify significant differences, Chi-square and analysis of variance (ANOVA) tests were applied, with statistical significance established at p ≤ 0.05. RESULTS A total of 385 responses were collected, comprising 86 males (22.3%) and 299 females (77.7%). Among the respondents, 28 (7.2%) were diagnosed with IGD, while 123 (31.8%) were identified as risky gamers. Significant differences were found between disordered, risky, and normal gamers concerning sleep-related problems (p ≤ 0.05). CONCLUSION The prevalence of IGD and risky gamers was 7.2% and 31.8% respectively. There was a significant association between disordered, risky, and normal gamers with daily routine activities.
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Affiliation(s)
- Prajakta Chavan
- Public Health Dentistry, KLE Vishwanath Katti Institute of Dental Sciences, KLE Academy of Higher Education and Research, Belagavi, IND
| | - Anil Ankola
- Public Health Dentistry, KLE Vishwanath Katti Institute of Dental Sciences, KLE Academy of Higher Education and Research, Belagavi, IND
| | - Roopali Sankeshwari
- Public Health Dentistry, KLE Vishwanath Katti Institute of Dental Sciences, KLE Academy of Higher Education and Research, Belagavi, IND
| | - Atrey Pai Khot
- Public Health Dentistry, Goa Dental College and Hospital, Panjim, IND
- Public Health Dentistry, KLE Vishwanath Katti Institute of Dental Sciences, KLE Academy of Higher Education and Research, Belagavi, IND
- Public Health Dentistry, King George's Medical University, Lucknow, IND
| | - Anu Sara Varghese
- Public Health Dentistry, KLE Vishwanath Katti Institute of Dental Sciences, KLE Academy of Higher Education and Research, Belagavi, IND
| | - Varkey Nadakkavukaran Santhosh
- Public Health Dentistry, KLE Vishwanath Katti Institute of Dental Sciences, KLE Academy of Higher Education and Research, Belagavi, IND
| | - Deepika Bhatt
- Public Health Sciences, KLE Vishwanath Katti Institute of Dental Sciences, KLE Academy of Higher Education and Research, Belagavi, IND
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Haug E, Rønnestad M, Smith ORF. Physical activity, problematic gaming behavior, and quality of life prior and during the first 9 months of the COVID-19 pandemic: Findings from a longitudinal study among university students. Scand J Med Sci Sports 2024; 34:e14666. [PMID: 38802723 DOI: 10.1111/sms.14666] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/04/2024] [Revised: 04/28/2024] [Accepted: 05/08/2024] [Indexed: 05/29/2024]
Abstract
BACKGROUND Generally, there is limited information on longitudinal trends and the interrelations between physical activity (PA), problematic gaming behavior (PGB), described as a dysfunctional pattern of videogame activities, and quality of life (QoL) based on data that include measurements from both pre- and postpandemic onset. This is also the case for university students. As society faced unprecedented restrictions during this period, these aspects may have developed unfavorably. OBJECTIVE To examine PA, PGB, and QoL among Norwegian University students prior to and during the initial stages of the pandemic and assess their temporal interrelations. METHOD The data are derived from the "Students' Psychological Health Over Time" study (SPOT). Linear mixed models were used to examine the development from January 2020 to November 2020 over three time points for the total sample and across gender. A traditional cross-lagged panel model analysis was used to estimate temporal associations. Age, gender, socioeconomic status, and partner status were included as covariates. FINDINGS PA and QoL decreased linearly over time (Cohen's d = 0.12 and 0.35, respectively), while only male students reported a small reduction in PGB (Cohen's d = 0.03). PA levels decreased considerably more for male students than female students (Cohen's d = 0.17 and 0.09, respectively). There was a small reciprocal negative temporal association between PA and PGB (standardized β = -0.04 and -0.05, respectively). All other temporal associations were not statistically significant in the adjusted analysis. CONCLUSION The findings highlight gender-variant negative developments in PA and QoL and suggest a negative reciprocal interrelation between PA and PGB. The findings point to potential adverse health effects that should be taken into account when restrictive pandemic measures are considered.
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Affiliation(s)
- Ellen Haug
- Department of Health Promotion and Development, University of Bergen, Bergen, Norway
- Department of Teacher Education, NLA University College, Bergen, Norway
| | - Mathilde Rønnestad
- Department of Health Promotion and Development, University of Bergen, Bergen, Norway
| | - Otto Robert Frans Smith
- Department of Teacher Education, NLA University College, Bergen, Norway
- Division of Mental and Physical Health, Department of Health Promotion, Norwegian Institute of Public Health, Bergen, Norway
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Yárnoz-Goñi N, Goñi-Sarriés A, Díez-Suárez A, Pírez G, Morata-Sampaio L, Sánchez-Villegas A. COVID-19 Posttraumatic Stress Disorder and Mental Health among Spanish Adolescents: SESSAMO Project. J Clin Med 2024; 13:3114. [PMID: 38892825 PMCID: PMC11172713 DOI: 10.3390/jcm13113114] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/28/2024] [Revised: 05/17/2024] [Accepted: 05/22/2024] [Indexed: 06/21/2024] Open
Abstract
Background: Child and adolescent mental health problems have increased after the COVID-19 pandemic. The objective of this study was to establish the association of the presence and intensity of posttraumatic stress due to COVID-19 with the presence of (1) self-harm and suicide risk, (2) depressive and anxious symptoms, (3) eating disorders and (4) problematic Internet and video game use. Methods: A cross-sectional analysis was performed on a sample of second-fourth grade secondary school students (14 to 16 years old) from Navarra and the Canary Islands recruited at the SESSAMO project. Validated questionnaires were used to assess the intensity of posttraumatic stress due to COVID-19, risk of suicide and presence of self-harm, symptoms of mental disorder and problematic use of the Internet and video games. Results: Out of 1423 participants analyzed, those with the highest level of posttraumatic stress showed a significant increase in the risk of suicide (OR = 5.18; 95% CI = 2.96-9.05) and in the presence of eating disorder symptoms (OR = 3.93; 95% CI = 2.21-7.00), and higher anxiety and depression scores (b coefficient for anxiety = 11.1; CI = 9.7-12.5; for depression = 13.0; CI = 11.5-14.5) as compared to those with the lowest level. Participants with a high level of posttraumatic stress were almost 10 times more likely to present problematic video game use (OR = 9.49; 95% CI = 3.13-28.82). Conclusions: Years after the pandemic, posttraumatic stress derived from it continues to impact the mental health of adolescents. Further long-term research is needed, as well as close follow-up and intervention in this population.
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Affiliation(s)
- Nora Yárnoz-Goñi
- Hospital Nuestra Señora de Gracia, Unidad de Trastornos de la Conducta Alimentaria, Servicio Aragonés de Salud, 50004 Zaragoza, Spain;
| | - Adriana Goñi-Sarriés
- Red de Salud Mental de Navarra, Servicio Navarro de Salud-Osasunbidea, 31003 Pamplona, Spain;
- Instituto de Investigación Sanitaria de Navarra, IdiSNA, 31008 Pamplona, Spain;
| | - Azucena Díez-Suárez
- Instituto de Investigación Sanitaria de Navarra, IdiSNA, 31008 Pamplona, Spain;
- Unidad de Psiquiatría Infantil y Adolescente, Departamento de Psiquiatría y Psicología Médica, Clínica Universidad de Navarra, 31008 Pamplona, Spain
| | - Guillermo Pírez
- Complejo Hospitalario Universitario Insular-Materno Infantil, Servicio Canario de la Salud, 35016 Las Palmas de Gran Canaria, Spain;
| | - Leticia Morata-Sampaio
- Departamento de Psicología y Sociología, Universidad de Las Palmas de Gran Canaria, 35017 Las Palmas de Gran Canaria, Spain;
| | - Almudena Sánchez-Villegas
- Instituto de Investigación Sanitaria de Navarra, IdiSNA, 31008 Pamplona, Spain;
- Institute for Innovation & Sustainable Development in Food Chain, ISFOOD, Universidad Pública de Navarra (UPNA), 31006 Pamplona, Spain
- Biomedical Research Center Network on Physiopathology of Obesity and Nutrition (CIBEROBN), Institute of Health Carlos III, 28029 Madrid, Spain
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10
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Hammad MA, Al-Shahrani HF. Impulsivity and aggression as risk factors for internet gaming disorder among university students. Sci Rep 2024; 14:3712. [PMID: 38355642 PMCID: PMC10867029 DOI: 10.1038/s41598-024-53807-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/12/2023] [Accepted: 02/05/2024] [Indexed: 02/16/2024] Open
Abstract
Internet gaming addiction is a global problem, especially among young individuals. Exhibiting characteristics similar to other addictions, Internet Gaming Disorder (IGD) is linked to adverse mental health outcomes. Identified as risk factors for dependence behaviors, the association of impulsivity and aggression with IGD is relatively under-researched in the student population. The present sample of 350 university students (Mage = 21.30 years, SDage = 4.96 years) from Najran university in Saudi Arabia completed an online questionnaire that included the Internet Gaming Disorder Scale-Short-Form (IGDS9-SF), the Buss-Perry Aggression Questionnaire-Short Form, and the Barratt Impulsiveness Scale (BIS-15). Results indicated that impulsivity and aggression were positively associated with IGD severity and both personality traits explained 34.6% of the variance in IGD scores. Further bivariate analyses suggested that individuals spending 7 or more hours on internet gaming were more likely to exhibit high impulsivity and aggression, and had a relatively higher severity of IGD. These results suggest that individuals with these personality traits may be more vulnerable to developing an addiction to internet gaming. These findings need to be confirmed in future more robust studies; however, this exploratory study provides insights for potential programs to prevent IGD among young individuals.
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Affiliation(s)
| | - Hend Faye Al-Shahrani
- Department of Social Work, College of Humanities and Social Sciences, Princess Nourah Bint Abdulrahman University, Riyadh, Kingdom of Saudi Arabia
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11
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Jiang S, Zhang L. Perceived stress of COVID-19 pandemic and problematic mobile phone use during quarantine conditions among Chinese adolescents: a mediated moderation model. Front Psychol 2024; 15:1333869. [PMID: 38362249 PMCID: PMC10868676 DOI: 10.3389/fpsyg.2024.1333869] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/08/2023] [Accepted: 01/09/2024] [Indexed: 02/17/2024] Open
Abstract
The relation between perceived general stress and problematic mobile phone use (PMPU) has been well established. With the outbreak of the coronavirus disease (COVID-19), the present study was designed to examine the association between perceived stress of COVID-19 as a kind of event-related stress and PMPU, and the mechanisms underlying this relation. Participants were 724 adolescents ranging from 12 to 16 years old (M = 13.28, SD = 1.05) who completed four online questionnaires addressing perceived stress of COVID-19, search for meaning in life, escapism motivation, and PMPU. The results revealed that escapism motivation mediated the relationship between perceived stress of COVID-19 and PMPU. In addition, search for meaning in life played a moderating role between perceived stress of COVID-19 and escapism motivation. These findings extend the literature by addressing how and under what conditions perceived stress of COVID-19 can contribute to PMPU. We discussed the implications for developing targeted intervention programs aimed at reducing PMPU among adolescents.
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Affiliation(s)
- Shuyang Jiang
- Department of Psychology, Suzhou University of Science and Technology, Suzhou, China
| | - Lifan Zhang
- School of Education, Yunnan Minzu University, Yunnan, China
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12
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Kubo T, Horie K, Matsushima T, Tateno M, Kuroki T, Nakao T, Kato TA. Hikikomori and gaming disorder tendency: A case-control online survey for nonworking adults. Psychiatry Clin Neurosci 2024; 78:77-78. [PMID: 37904301 PMCID: PMC11488624 DOI: 10.1111/pcn.13614] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/06/2023] [Revised: 10/15/2023] [Accepted: 10/25/2023] [Indexed: 11/01/2023]
Affiliation(s)
- Taisei Kubo
- Department of Neuropsychiatry, Graduate School of Medical SciencesKyushu UniversityFukuokaJapan
| | - Kazumasa Horie
- Department of Neuropsychiatry, Graduate School of Medical SciencesKyushu UniversityFukuokaJapan
- Department of Clinical Psychology Practice, Graduate School of Human‐Environment StudiesKyushu UniversityFukuokaJapan
| | - Toshio Matsushima
- Department of Neuropsychiatry, Graduate School of Medical SciencesKyushu UniversityFukuokaJapan
| | - Masaru Tateno
- Tokiwa Child Development CenterTokiwa HospitalSapporoJapan
| | - Toshihide Kuroki
- Department of Clinical Psychology Practice, Graduate School of Human‐Environment StudiesKyushu UniversityFukuokaJapan
| | - Tomohiro Nakao
- Department of Neuropsychiatry, Graduate School of Medical SciencesKyushu UniversityFukuokaJapan
| | - Takahiro A Kato
- Department of Neuropsychiatry, Graduate School of Medical SciencesKyushu UniversityFukuokaJapan
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13
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Imperato C, Giardina A, Manari T, Albano A, Franceschini C, Schimmenti A, Musetti A. Problematic Gaming during COVID-19 Pandemic: A Systematic Review, Meta-Analysis, and Meta-Regression. Healthcare (Basel) 2023; 11:3176. [PMID: 38132066 PMCID: PMC10742917 DOI: 10.3390/healthcare11243176] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/02/2023] [Revised: 12/07/2023] [Accepted: 12/13/2023] [Indexed: 12/23/2023] Open
Abstract
The COVID-19 pandemic led to government measures enforcing isolation in order to mitigate the spread of the virus. Consequently, online activities, including gaming, increased during this challenging period. Thus, it was possible that problematic gaming (PG) patterns also increased. In this systematic review and meta-analysis, we estimated the prevalence of PG during the COVID-19 pandemic and examined differences among subpopulations. The evaluation of 38 studies revealed that the overall prevalence of PG during the COVID-19 pandemic was 3.6%. Furthermore, higher PG scores were found in undergraduate and gamer subpopulations, as well as in studies using the Gaming Addiction Scale. Finally, meta-regression analyses suggest that stricter government measures, as identified by the Government Stringency Index, may have contributed to a lower prevalence of PG behaviors. A potential explanation of this finding is that containment measures had a protective function with respect to emotional distress, and thus towards PG; alternatively, it could be that current measures for PG become less precise if an individual's functioning is already impaired due to other reasons, such as COVID-19 restrictions. Further theoretical, methodological, and practical implications of the findings are discussed.
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Affiliation(s)
- Chiara Imperato
- Department of Humanities, Social Sciences and Cultural Industries, University of Parma, 43121 Parma, Italy; (C.I.); (T.M.)
| | - Alessandro Giardina
- Institute of Psychology, University of Lausanne, 1015 Lausanne, Switzerland;
| | - Tommaso Manari
- Department of Humanities, Social Sciences and Cultural Industries, University of Parma, 43121 Parma, Italy; (C.I.); (T.M.)
| | - Antonio Albano
- Department of Medicine and Surgery, Faculty of Medicine and Surgery, University of Parma, 43126 Parma, Italy; (A.A.); (C.F.)
| | - Christian Franceschini
- Department of Medicine and Surgery, Faculty of Medicine and Surgery, University of Parma, 43126 Parma, Italy; (A.A.); (C.F.)
| | - Adriano Schimmenti
- Faculty of Human and Social Sciences, UKE—Kore University of Enna, 94100 Enna, Italy;
| | - Alessandro Musetti
- Department of Humanities, Social Sciences and Cultural Industries, University of Parma, 43121 Parma, Italy; (C.I.); (T.M.)
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14
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Frazier P, Liu Y, Asplund A, Meredith L, Nguyen-Feng VN. US college student mental health and COVID-19: Comparing pre-pandemic and pandemic timepoints. JOURNAL OF AMERICAN COLLEGE HEALTH : J OF ACH 2023; 71:2686-2696. [PMID: 34762560 DOI: 10.1080/07448481.2021.1987247] [Citation(s) in RCA: 20] [Impact Index Per Article: 10.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/21/2020] [Revised: 09/12/2021] [Accepted: 09/26/2021] [Indexed: 06/13/2023]
Abstract
OBJECTIVE To assess mental health in US undergraduates during COVID-19; to identify key pandemic-related stressors, perceived control, and coping and their associations with mental health. PARTICIPANTS Data collected from a sample of undergraduates in April 2020 (N = 312) were compared to data collected in Spring 2017 (N = 362). METHODS Online measures of depression, anxiety, and stress symptoms and perceived control and coping (both samples); pandemic-related stressors and perceived benefits (April 2020). RESULTS Depression and stress symptoms were higher in April 2020 than in 2017. Most students reported perceiving at least some pandemic-related benefits. Top-rated stressors involved missing seeing friends and school-related stressors. Perceived control and approach coping were lower during the pandemic but related to better mental health; avoidant coping was higher during the pandemic and related to poorer mental health. CONCLUSIONS Findings can inform campuses regarding how to improve student mental health during COVID and beyond.
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Affiliation(s)
- Patricia Frazier
- Department of Psychology, University of Minnesota, Twin Cities, Minneapolis, Minnesota, USA
| | - Yuchen Liu
- Department of Psychology, University of Minnesota, Twin Cities, Minneapolis, Minnesota, USA
| | - Alexa Asplund
- Department of Psychology, University of Minnesota, Duluth, Duluth, Minnesota, USA
| | - Liza Meredith
- Department of Psychology, University of Minnesota, Twin Cities, Minneapolis, Minnesota, USA
| | - Viann N Nguyen-Feng
- Department of Psychology, University of Minnesota, Duluth, Duluth, Minnesota, USA
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15
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Zendle D, Flick C, Halgarth D, Ballou N, Cutting J, Drachen A. The Relationship Between Lockdowns and Video Game Playtime: Multilevel Time-Series Analysis Using Massive-Scale Data Telemetry. J Med Internet Res 2023; 25:e40190. [PMID: 37938889 PMCID: PMC10666013 DOI: 10.2196/40190] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/09/2022] [Revised: 11/25/2022] [Accepted: 06/09/2023] [Indexed: 11/10/2023] Open
Abstract
BACKGROUND COVID-19 led governments worldwide to enact a variety of containment and closure policies. Substantial attention has been directed toward the idea that these public health measures may have unanticipated negative side effects. One proposed effect relates to video games. There is a nascent evidence base suggesting that individuals played video games for longer and in a more disordered manner during lockdowns and school closures specifically. These increases are commonly framed as a potential health concern in relation to disordered gaming. However, the evidence base regarding changes in gaming during the COVID-19 pandemic is based on self-report and, thus, is susceptible to bias. Therefore, it is unclear what the true consequences of lockdowns were for gaming behavior worldwide. OBJECTIVE The primary objective of this study was to estimate whether any specific lockdown policy led to meaningful increases in the amount of time individuals spent playing video games. METHODS Rather than relying on self-report, we used >251 billion hours of raw gameplay telemetry data from 184 separate countries to assess the behavioral correlates of COVID-19-related policy decisions. A multilevel model estimated the impact of varying enforcement levels of 8 containment and closure policies on the amount of time that individual users spent in-game. Similar models estimated the impact of policy on overall playtime and the number of users within a country. RESULTS No lockdown policy can explain substantial variance in playtime per gamer. School closures were uniquely associated with meaningful increases in total playtime within a country (r2=0.048). However, this was associated with increases in the number of unique individuals playing games (r2=0.057) rather than increases in playtime per gamer (r2<0.001). CONCLUSIONS Previous work using self-report data has suggested that important increases in heavy gaming may occur during pandemics because of containment and closure ("lockdown") procedures. This study contrasts with the previous evidence base and finds no evidence of such a relationship. It suggests that significant further work is needed before increases in disordered or heavy gaming are considered when planning public health policies for pandemic preparedness.
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Affiliation(s)
- David Zendle
- Department of Computer Science, University of York, York, United Kingdom
| | - Catherine Flick
- School of Computer Science and Informatics, De Montfort University, Leicester, United Kingdom
| | - Darel Halgarth
- Department of Computer Science, University of York, York, United Kingdom
| | - Nick Ballou
- School of Electronic Engineering and Computer Science, Queen Mary University of London, London, United Kingdom
| | - Joe Cutting
- Department of Computer Science, University of York, York, United Kingdom
| | - Anders Drachen
- Faculty of Engineering, University of Southern Denmark, Odense, United Kingdom
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16
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Nutley SB, Burén J, Thorell LB. COVID-19 Restrictions Resulted in Both Positive and Negative Effects on Digital Media Use, Mental Health, and Lifestyle Habits. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2023; 20:6583. [PMID: 37623169 PMCID: PMC10454500 DOI: 10.3390/ijerph20166583] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/05/2023] [Revised: 07/07/2023] [Accepted: 08/04/2023] [Indexed: 08/26/2023]
Abstract
While studies have reported effects on digital media during the COVID-19 restrictions, few have included data prior to the pandemic, and most have only measured screen time. We therefore investigated changes in specific digital media activities, as well as mental health and lifestyle habits, in a longitudinal study of adolescents spanning from before the pandemic (T1) to one month into restrictions (T2) and one year later when schools had reopened (T3). Adolescents (16-19 years) rated smartphone use, problematic/addictive media use, negative experiences (e.g., victimization), mental health (i.e., irritability, stress, and closeness), and protective lifestyle habits (i.e., sleep and exercise). Results showed initial decreases in irritability and negative digital experiences, increases in sleep and exercise, as well as a decrease in closeness during remote learning (T2). However, these changes returned to, or superseded, their initial levels at follow-up (T3). There were also increases in digital media use and stress at T3. Conclusively, by investigating specific digital media activities and collecting data both prior to and during different phases of the pandemic, we were able to find both positive and negative effects.
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Affiliation(s)
- Sissela B. Nutley
- Department of Clinical Neuroscience, Karolinska Institutet, 171 77 Stockholm, Sweden (L.B.T.)
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17
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Kovačić Petrović Z, Peraica T, Blažev M, Kozarić-Kovačić D. Association between problematic Internet use and specific Internet activities and COVID-19- and earthquake-related stress, anxiety, and depression symptoms among Croatian young adults. Front Psychiatry 2023; 14:1227182. [PMID: 37645636 PMCID: PMC10461808 DOI: 10.3389/fpsyt.2023.1227182] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/22/2023] [Accepted: 07/24/2023] [Indexed: 08/31/2023] Open
Abstract
Background During the COVID-19 pandemic and concomitant earthquakes in Croatia in 2020, increased Internet use (IU) and Internet-based addictive behaviors were associated with decreasing mental well-being. We determined the changes in IU, problematic IU (PIU), and problematic specific Internet activities in young adults during the prolonged stress caused by the pandemic and earthquakes, age differences in PIU and differences in perceived source of stress (pandemic or earthquakes), and association between PIU and increase in specific Internet activities and stress, anxiety, and depression symptoms in young adults. Methods A cross-sectional online survey conducted from September 30, 2021 to October 17, 2021 included 353 young adults aged 22.6 ± 2.1 years, 382 early adults aged 32.1 ± 4.4 years, and 371 middle-aged adults aged 49.0 ± 6.5 years. Data on sociodemographic characteristics, stressors (without perceived stressors, only pandemic-related stressor, only earthquake-related stressor, and both pandemic and earthquake-related stressors), PIU and IU were collected with a self-report questionnaire. The Impact of Event Scale and the Hospital Anxiety Depression Scale were used to evaluate mental symptoms. PIU and problematic specific Internet activities were assessed using Tao et al.'s criteria. Data were anaylzed with paired-sample Wilcoxon test, McNemar's and Pearson's chi-square tests, and structural equation modeling. Results In 17% of young adults, we found increased PIU (OR = 5.15, 95% CI [2.82, 10.18]), problematic social media use (OR = 2.77, 95% CI [1.56, 5.14]), and uncontrolled online shopping (OR = 5.75, 95% CI [1.97, 22.87]) (p < 0.001 for all). PIU and problematic social media use were more common among young adults (60.8%), as well as problematic online gaming (25.9%). Problematic social media use was more frequent among young adults reporting pandemic stress than among those without perceived stress (69.9% vs. 43.2%). Increased online gaming predicted more severe avoidance symptoms (p = 0.041), increased social media use predicted more severe depression symptoms (p = 0.017), increased online shopping predicted more severe intrusion (p = 0.013) and anxiety symptoms (p = 0.001). PIU predicted more severe intrusion (p = 0.008), avoidance (p = 0.01), anxiety (p < 0.001), and depression (p = 0.012) symptoms. Conclusion Different effects of the pandemic and earthquakes on IU could reflect a different effect of various stressors on Internet behavior of young adults. Type of problematic Internet behavior may predict for the type of mental health problem.
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Affiliation(s)
- Zrnka Kovačić Petrović
- Department of Psychiatry and Psychological Medicine, University of Zagreb, School of Medicine, Zagreb, Croatia
- Department of Addiction, University Psychiatric Hospital Vrapče, Zagreb, Croatia
| | - Tina Peraica
- Department of Psychiatry, Referral Center for Stress-related Disorders of the Ministry of Health, University Hospital Dubrava, Zagreb, Croatia
- Department of Forensic Sciences, University of Split, Split, Croatia
| | - Mirta Blažev
- Ivo Pilar Institute of Social Sciences, Zagreb, Croatia
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18
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Di Carlo F, Verrastro V, Alessi MC, Sociali A, Altomare AI, Di Natale C, Stigliano G, Miuli A, Lalli A, Di Petta G, Chiappini S, Pettorruso M, Bowden-Jones H, Griffiths MD, Martinotti G. High-Risk Gaming Is Associated with Frequent Substance Use: An Exploratory Survey among Young Adults. Eur Addict Res 2023; 29:241-252. [PMID: 37276845 DOI: 10.1159/000529544] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/27/2021] [Accepted: 12/19/2022] [Indexed: 06/07/2023]
Abstract
INTRODUCTION Internet gaming disorder (IGD) is an emerging condition within the field of behavioural addictions. IGD has been demonstrated to be highly comorbid with many other mental health disorders. Among these, substance use has been associated with IGD, and there are underlying similarities between behavioural addictions and substance use disorders. The main aims of the present study were (i) to investigate the association between high-risk gaming and substance use among young adults drawn from the general Italian population; and (ii) to explore the psychopathological correlates of high-risk gaming. METHODS Lifetime substance use, type of substances consumed, and frequency of use were investigated through an online survey in a sample of 913 adults aged 18-40 years. High-risk gaming was assessed using the ten-item Internet Gaming Disorder Test (IGDT-10). Psychopathology was assessed using the Revised 90-item Symptom Checklist (SCL-90-R). RESULTS High-risk gaming prevalence rate was 4.4%. High-risk gamers scored higher on all dimensions of psychopathology, confirming the association between high-risk gaming and psychiatric distress. Regarding substance use, high-risk gamers were more commonly polysubstance users and more commonly made use of psychodysleptic substances. High-risk gamers were more commonly frequent substance users, and 32.5% of high-risk gamers used or had used psychoactive substances often or everyday throughout their lives. DISCUSSION AND CONCLUSION The findings are in line with the concept of a common neurobiological vulnerability for both gaming and substance use. There is the need for more research to examine the phenomenology of gaming and its interplay with substance use to help develop effective interventions and prevention strategies.
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Affiliation(s)
- Francesco Di Carlo
- Department of Neuroscience, Imaging, Clinical Sciences, University G. d'Annunzio of Chieti-Pescara, Chieti, Italy
| | | | - Maria Chiara Alessi
- Department of Neuroscience, Imaging, Clinical Sciences, University G. d'Annunzio of Chieti-Pescara, Chieti, Italy
| | - Antonella Sociali
- Department of Neuroscience, Imaging, Clinical Sciences, University G. d'Annunzio of Chieti-Pescara, Chieti, Italy
| | - Arianna Ida Altomare
- Department of Neuroscience, Imaging, Clinical Sciences, University G. d'Annunzio of Chieti-Pescara, Chieti, Italy
| | - Chiara Di Natale
- Department of Neuroscience, Imaging, Clinical Sciences, University G. d'Annunzio of Chieti-Pescara, Chieti, Italy
| | | | - Andrea Miuli
- Department of Mental Health, ASL2 Abruzzo, Chieti, Italy
| | - Aliseo Lalli
- Department of Neuroscience, Imaging, Clinical Sciences, University G. d'Annunzio of Chieti-Pescara, Chieti, Italy
| | | | - Stefania Chiappini
- Psychopharmacology, Drug Misuse and Novel Psychoactive Substances Research Unit, School of Life and Medical Sciences, University of Hertfordshire, Hatfield, UK
| | - Mauro Pettorruso
- Department of Neuroscience, Imaging, Clinical Sciences, University G. d'Annunzio of Chieti-Pescara, Chieti, Italy
| | - Henrietta Bowden-Jones
- Department of Psychiatry, University of Cambridge, Cambridge, UK
- Faculty of Brain Sciences, University College London, London, UK
| | - Mark D Griffiths
- Psychology Department, International Gaming Research Unit, Nottingham Trent University, Nottingham, UK
| | - Giovanni Martinotti
- Department of Neuroscience, Imaging, Clinical Sciences, University G. d'Annunzio of Chieti-Pescara, Chieti, Italy
- Department of Clinical and Pharmaceutical Sciences, University of Hertfordshire, Hatfield, UK
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19
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Aydin MK, Kuş M. Nomophobia and smartphone addiction amidst COVID-19 home confinement: the parallel mediating role of digital gaming and social media tools usage across secondary school students. Front Psychol 2023; 14:1175555. [PMID: 37260962 PMCID: PMC10227601 DOI: 10.3389/fpsyg.2023.1175555] [Citation(s) in RCA: 6] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/27/2023] [Accepted: 04/25/2023] [Indexed: 06/02/2023] Open
Abstract
Introduction With the inevitable technological boom enforced by the COVID-19 lockdowns and online emergency remote teaching practices, the prevalence of nomophobia (NMP) and smartphone addiction (SA) among adolescents has become a pressing issue, which has come under scrutiny. However, the impact of social media tools usage (SMTU) and digital gaming behavior (DGB) on these phenomena remains unclear since there is little research focusing on the complex interplay among these variables. Regarding this context, the present study aimed to explore the parallel mediating role of secondary school students' SMTU and DGB in the relation between NMP and SA. Methods In line with this aim, we employed a cross-sectional design with a critical case sampling strategy and collected data through an online survey from a total of 427 secondary school students in Istanbul in the 2021-2022 academic year. In order to test the parallel mediation model, we employed multiple linear regression models by utilizing PROCESS models with 5000 BC bootstrap samples and 95% CI. Results and discussion Results illustrated that there was an increase in the prevalence of NMP and SA during the COVID-19 home confinement as consistent with the previous research. The results also indicated that among the multiple mediators, the mediating role of SMTU was significant in the relation between NMP and SA. This means NMP has direct and indirect significant impact on SA through SMTU. However, the mediating role of DGB was found nonsignificant in this relationship. Our results are robust and hold key contributions to both theoria and praxis in educational psychology research realm by disentangling the complex underlying mechanism between NMP, SMTU, DGB, and SA. On the practical side, our results provide insightful implications for school boards and researchers in the development of effective interventions.
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Affiliation(s)
- Mehmet Kemal Aydin
- Distance Education and Research Center, Hitit University, Çorum, Türkiye
- Department of Physical Education and Sports, Faculty of Sports Sciences, Hitit University, Çorum, Türkiye
| | - Metin Kuş
- Department of Physical Education and Sports, Faculty of Sports Sciences, Hitit University, Çorum, Türkiye
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20
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Gopali L, Dhital R, Koirala R, Shrestha T, Bhusal S, Rimal R, Shrestha C, Shah R. Effect of COVID-19 pandemic on internet gaming disorder among general population: A systematic review and meta-analysis. PLOS GLOBAL PUBLIC HEALTH 2023; 3:e0001783. [PMID: 37027365 PMCID: PMC10081738 DOI: 10.1371/journal.pgph.0001783] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/22/2022] [Accepted: 03/09/2023] [Indexed: 04/08/2023]
Abstract
Internet gaming disorder (IGD) has been rising in recent years. The COVID-19 pandemic has led to a noticeable shift in the way people interact with technology, which could have further contributed to an increase in IGD. Post-pandemic, the concern for IGD is likely to continue as people have become increasingly reliant on online activities. Our study aimed to assess the prevalence of IGD among the general population globally during the pandemic. Relevant studies that assessed IGD during COVID-19 were identified using PubMed, EMBASE, Scopus, CINAHL, and PsycNET between 2020, Jan 1 and 2022, May 23. We used NIH Quality Assessment Tool for Observational Cohort and Cross-Sectional Studies to assess the risk of bias, and GRADEpro for the certainty of the evidence. Three separate meta-analyses were performed using Comprehensive meta-analysis software and Revman 5.4. In total, 362 studies were identified, of which 24 observational (15 cross-sectional and 9 longitudinal) studies among 83,903 population were included in the review, and 9 studies in the meta-analysis. The risk of bias assessment showed an overall fair impression among the studies. The meta-analysis for a single group of 3 studies showed the prevalence rate of 8.00% for IGD. Another meta-analysis of 4 studies for a single group showed a pooled mean of 16.57 which was lower than the cut-off value of the IGDS9-SF tool. The two-group meta-analysis of 2 studies showed no significant difference between the groups before and during COVID-19. Our study showed no clear evidence of increased IGD during COVID-19 due to limited number of comparable studies, substantial heterogeneity, and low certainty of evidence. Further well-designed studies are needed to provide stronger evidence to implement suitable interventions to address IGD worldwide. The protocol was registered and published in the International Prospective Register for Systematic Review (PROSPERO) with the registration number CRD42021282825.
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Affiliation(s)
| | | | | | | | | | | | | | - Richa Shah
- Health Action and Research, Kathmandu, Nepal
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21
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Shan D, Dai Z, Ge F, Zhang Y, Zheng Y, Gao X, Han J. The Mediating Role of Positive Attitudes on the Relationship Between Esports Gaming Hours and Psychological Well-Being During the COVID-19 Pandemic. Cureus 2023; 15:e36334. [PMID: 37077609 PMCID: PMC10109217 DOI: 10.7759/cureus.36334] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 03/18/2023] [Indexed: 03/19/2023] Open
Abstract
Electronic sports game (esports) gaming has seen a surge in popularity, especially during the coronavirus disease 2019 (COVID-19) pandemic, with more young people turning to it as an alternative to physical activities. However, the impact of esports gaming on mental health is a matter of concern. Previous studies have produced inconsistent findings on the relationship between gaming hours and mental health, and the moderating factors involved remain unexplored. This study aimed to investigate the moderating effect of participants' subjective attitudes toward esports gaming on the relationship between daily gaming hours and psychological well-being (PWB) among Chinese young adults during the COVID-19 lockdown. A nationwide online survey was conducted on 550 Chinese young adults using the Credamo platform. Ryff's Psychological Well-Being Scales (42-Item version) were used to assess PWB levels. The analysis included 453 participants. Gaming hours were negatively correlated with PWB scores. However, when considering the moderating effect of subjective attitudes, the association between gaming hours and PWB scores was largely positive. Our study suggests that subjective attitudes toward esports gaming outweigh gaming hours in promoting personal psychological well-being. We propose practical recommendations for healthy esports participation patterns that prioritize positive attitudes, especially in similar future scenarios like COVID-19. Our findings may inform future psychological intervention and research in the esports domain.
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22
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Kogler AM, Schöttl SE. Sports-related leisure behavior in Alpine regions during the COVID-19 pandemic-A cross-sectional study in Austria, Germany and Italy. Front Public Health 2023; 11:1136191. [PMID: 36969658 PMCID: PMC10033945 DOI: 10.3389/fpubh.2023.1136191] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/02/2023] [Accepted: 02/20/2023] [Indexed: 03/29/2023] Open
Abstract
Introduction As a planetary health challenge, COVID-19 forced governments around the world to take action to prevent the most severe consequences resulting from the spread of the virus. These measures ranged from stay-at-home orders to limitations on indoor and outdoor activities, travel restrictions and the cancelation of sports events, all of which affected people's leisure activities and daily lives. Therefore, the aim of this study is to examine changes in sports-related leisure behavior in terms of attending major sports events, following major sports events via media, travel intentions and the use of new sports offerings. Furthermore, we aimed to identify variables associated with changed sports-related leisure behavior during the pandemic. Methods A cross-sectional online survey (n = 1,809) was conducted from December 2020 to January 2021 in the Alpine regions of Austria, Germany and Italy. Sports-related leisure behavior was investigated for changes during the pandemic compared to the time before the coronavirus outbreak and for differences between the three countries. Results Results showed that the self-reported importance of attending major sports events decreased significantly in the Alpine regions of all three countries during COVID-19. Prevailing restrictions affected vacation planning for over 80% of participants. A majority of approximately three quarters of respondents stated they had spent their holidays at home during the travel restrictions. Sports facilities and opportunities played an important role in the choice of vacation destination for more than half of participants. A binary logistic regression showed significant correlations between vacation planning during COVID-19 and the variables gender, income, quality of life and mental health. 31.9% of all respondents tried new sports offerings during extended restrictions, with a large proportion (72.4%) using apps, online tools or courses. Furthermore, approximately 30% of respondents increased their e-sports consumption. Discussion The results showed that sports-related leisure behavior in Alpine regions changed in the course of the COVID-19 pandemic. In the future, policymakers as well as sports and leisure providers should react to these behavioral changes and adapt their portfolio and services to meet consumers92 demands.
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Affiliation(s)
- Anna-Maria Kogler
- Department of Sport Science, University of Innsbruck, Innsbruck, Austria
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23
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Kamolthip R, Yang YN, Latner JD, O’Brien KS, Chang YL, Lin CC, Pakpour AH, Lin CY. The effect of time spent sitting and excessive gaming on the weight status, and perceived weight stigma among Taiwanese young adults. Heliyon 2023; 9:e14298. [PMID: 36938463 PMCID: PMC10018563 DOI: 10.1016/j.heliyon.2023.e14298] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/29/2022] [Revised: 02/15/2023] [Accepted: 02/28/2023] [Indexed: 03/08/2023] Open
Abstract
BACKGROUND During the COVID-19 pandemic, physical inactivity and sedentary behaviors (i.e., longer sitting time and excessive gaming) increased because governments across the globe adopted stringent mitigation strategies such as social distancing and lockdowns to curb the spread of the virus. Excessive gaming was one of the coping mechanisms used to deal with the pressure associated with the pandemic. Moreover, perceived weight stigma (PWS) and weight status became more salient concerns among young adults during the COVID-19 pandemic. The current study sought to investigate the relationship between time spent sitting, excessive gaming, weight status, and PWS of Taiwanese Young adults. Additionally, weight status and PWS were examined as mediators between both sedentary behaviors. METHODS This cross-sectional study involved 600 participants who were recruited through Taiwan universities. All participants completed a demographic questionnaire (including weight and height) and self-report measures including the International Physical Activity Questionnaire short form (IPAQ-SF), the Perceived Weight Stigma Scale (PWSS), and the Internet Gaming Disorder Scale-short form (IGDS9-SF). PROCESS model was performed to test the potential mediation roles of weight status and PWS. Moreover, we categorized participants into two groups based on the sitting-time item in the IPAQ-SF: students whose sitting time was less than 8 h daily, and those more than 8 h daily. RESULTS The group that had less than 8 h had significantly higher PWS and IGDS9-SF scores than the other group. Sitting time was negatively associated with weight status, PWS, and IGDS9-SF. Additionally, we found a significantly direct effect between time spent sitting and excessive gaming. Both weight status and PWS were significant mediators in the association between time spent sitting and excessive gaming.Conclusions: The present study demonstrated important negative correlates of excessive sedentary behaviors. Prevention efforts should focus on promoting physical activity and providing information to decrease sedentary behavior among university students.
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Affiliation(s)
- Ruckwongpatr Kamolthip
- Institute of Allied Health Sciences, College of Medicine, National Cheng Kung University, Tainan, Taiwan
| | - Yung-Ning Yang
- Department of Pediatrics, E-DA Hospital, I-Shou University, Kaohsiung, Taiwan
- School of Medicine, I-Shou University, Kaohsiung, Taiwan
| | - Janet D. Latner
- Department of Psychology, University of Hawaii at Manoa, Honolulu, HI, USA
| | - Kerry S. O’Brien
- School of Social Sciences, Faculty of Arts, Monash University, Melbourne, VIC, Australia
| | - Yen-Ling Chang
- Department of Family Medicine, Cardinal Tien Hospital, New Taipei, Taiwan
| | - Chien-Chin Lin
- Department of Laboratory Medicine, National Taiwan University Hospital, Taipei, Taiwan
- Division of Hematology and Internal Medicine, National Taiwan University Hospital, Taipei, Taiwan
- Graduate Institute of Clinical Medicine, National Taiwan University, Taipei, Taiwan
| | - Amir H. Pakpour
- Department of Nursing, School of Health and Welfare, Jönköping University, Jönköping, Sweden
| | - Chung-Ying Lin
- Institute of Allied Health Sciences, College of Medicine, National Cheng Kung University, Tainan, Taiwan
- Department of Occupational Therapy, College of Medicine, National Cheng Kung University, Tainan 701401, Taiwan
- Biostatistics Consulting Center, National Cheng Kung University Hospital, College of Medicine, National Cheng Kung University, Tainan 701401, Taiwan
- Department of Public Health, College of Medicine, National Cheng Kung University, Tainan 701401, Taiwan
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Putra PY, Fithriyah I, Zahra Z. Internet Addiction and Online Gaming Disorder in Children and Adolescents During COVID-19 Pandemic: A Systematic Review. Psychiatry Investig 2023; 20:196-204. [PMID: 36990662 PMCID: PMC10064211 DOI: 10.30773/pi.2021.0311] [Citation(s) in RCA: 16] [Impact Index Per Article: 8.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/21/2021] [Revised: 06/21/2022] [Accepted: 11/27/2022] [Indexed: 03/31/2023] Open
Abstract
The Indonesian government has enforced several social restrictions to prevent the spread of the coronavirus disease-2019 (COVID-19) virus, such as closures of in-person schools, public areas, and playgrounds as well as reduced outdoor activities. These restrictions will affect mental health of school-age children and adolescents. The internet is chosen as one of the media to keep academic activities running, but excessive internet use will increase internet addiction and online gaming disorder. This study aimed to understand the prevalence and psychological impacts of internet addiction and online gaming disorder on children and adolescents globally during the pandemic. Systematic searches were carried out on the PubMed, ProQuest, and Google Scholar search engines. All studies were assessed according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses 2020 criteria and the Newcastle Ottawa Scale. Five studies met the criteria for assessing internet addiction and online gaming disorder cases in children and adolescents. Four studies discussed internet addiction, and one study addressed the negative impacts of online gaming on children and adolescents during the COVID-19 pandemic. There has been an increase in internet use and online gaming disruption in children and adolescents in almost all parts of Asian and Australian countries during the COVID-19 pandemic period.
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Affiliation(s)
- Patria Yudha Putra
- Department of Psychiatry, Faculty of Medicine, Universitas Airlangga/Dr. Soetomo General Academic Hospital, Surabaya, Indonesia
| | - Izzatul Fithriyah
- Department of Psychiatry, Faculty of Medicine, Universitas Airlangga/Dr. Soetomo General Academic Hospital, Surabaya, Indonesia
| | - Zulfa Zahra
- Department of Psychiatry, Faculty of Medicine, Universitas Syiah Kuala, Banda Aceh, Indonesia
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Pape M, Geisler BL, Cornelsen L, Bottel L, te Wildt BT, Dreier M, Herpertz S, Dieris-Hirche J. A short-term manual for webcam-based telemedicine treatment of Internet use disorders. Front Psychiatry 2023; 14:1053930. [PMID: 36911137 PMCID: PMC9995520 DOI: 10.3389/fpsyt.2023.1053930] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/26/2022] [Accepted: 02/02/2023] [Indexed: 02/25/2023] Open
Abstract
In recent decades, the number of people who experience their Internet use behavior as problematic has risen dramatically. In Germany, a representative study from 2013 estimated the prevalence of Internet use disorder (IUD) to be about 1.0%, with higher rates among younger people. A 2020 meta-analysis shows a global weighted average prevalence of 7.02%. This indicates that developing effective IUD treatment programs is more critical than ever. Studies show that motivational interviewing (MI) techniques are widely used and effective in treating substance abuse and IUDs. In addition, an increasing number of online-based health interventions are being developed to provide a low-threshold treatment option. This article presents a short-term online-based treatment manual for IUDs that combines MI techniques with therapy tools from cognitive behavioral therapy (CBT) and acceptance and commitment therapy (ACT). The manual includes 12 webcam-based therapy sessions, each lasting 50 min. Each session is framed by a standardized beginning, conclusion, outlook, and flexible session content. In addition, the manual contains example sessions to illustrate the therapeutic intervention. Finally, we discuss the advantages and disadvantages of online-based therapy compared to analog treatment settings and provide recommendations for dealing with these challenges. By combining established therapeutic approaches with an online-based therapeutic setting based on flexibility and motivation, we aim to provide a low-threshold solution for treating IUDs.
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Affiliation(s)
- Magdalena Pape
- Department of Psychosomatic Medicine and Psychotherapy, LWL-University Hospital, Ruhr University Bochum, Bochum, Germany
| | | | - Lorraine Cornelsen
- Department of Psychosomatic Medicine and Psychotherapy, LWL-University Hospital, Ruhr University Bochum, Bochum, Germany
| | - Laura Bottel
- Department of Psychosomatic Medicine and Psychotherapy, LWL-University Hospital, Ruhr University Bochum, Bochum, Germany
| | | | - Michael Dreier
- Department of Psychosomatic Medicine and Psychotherapy, University Medical Center Mainz, Johannes Gutenberg University Mainz, Mainz, Germany
| | - Stephan Herpertz
- Department of Psychosomatic Medicine and Psychotherapy, LWL-University Hospital, Ruhr University Bochum, Bochum, Germany
| | - Jan Dieris-Hirche
- Department of Psychosomatic Medicine and Psychotherapy, LWL-University Hospital, Ruhr University Bochum, Bochum, Germany
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A randomized controlled trial to assess effectiveness of GamE- an e-Health intervention to self-manage gaming with an aim to prevent gaming disorder. Asian J Psychiatr 2023; 80:103389. [PMID: 36516699 DOI: 10.1016/j.ajp.2022.103389] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/15/2022] [Revised: 08/27/2022] [Accepted: 09/17/2022] [Indexed: 12/12/2022]
Abstract
Gaming disorder is a health concern associated with significant impairment. Digital technology can be helpful for implementing preventive measures for gaming disorder. This randomized trial aimed to assess the effectiveness of an e-Health intervention to prevent gaming disorder among college students. This randomized trial compared an online intervention module aimed at improving knowledge, skill and attitude of the students and empower them with self- help strategies to monitor and regulate their gaming behavior with an aim to prevent gaming disorder, with wait list control. The sample comprised of 30 cases and 33 controls. The understanding of the concept of gaming, understanding of difference between gaming and gaming disorder, understanding of adverse effects associated with gaming disorder, understanding of screening of gaming disorder and self-help techniques of regulating gaming disorder increased more in the intervention group than control. The participants most favored self-monitoring and strategies to promote healthy lifestyles for regulating gaming. Online digital intervention can be effectively used as a strategy to prevent gaming disorder among college students. Such an intervention can empower students with strategies to regulate their extent of gaming.
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Danilevska N, Kurylo V, Tkachenko O, Podsevakhina S, Chabanna O. Inducing situations and pathogenetic chains of health deterioration in combatants in the context of COVID-19 and quarantine. ELECTRONIC JOURNAL OF GENERAL MEDICINE 2023. [DOI: 10.29333/ejgm/12734] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/24/2022]
Abstract
<b>Introduction: </b>The purpose of the study was to investigate the mechanisms underlying COVID-19 (coronavirus disease 2019) pandemic and the ensuing health problems associated with quarantine.<br />
<b>Methods: </b>All combatants who were hospitalized during the first and most severe quarantine restrictions in Ukraine (from 12 March 2020 to 22 May 2020) were surveyed. Through clinical, anamnestic, psychopathological, and psychodiagnostic examination, including psychoanalysis and the fear of COVID-19 scale, the authors identified combatants’ health disorders and their association with pandemic and quarantine-related experiences.<br />
<b>Results: </b>The authors found that the following situations could provoke deterioration in the health of combatants due to fear: contact with a patient with COVID-19, planned posting to the hotbed of COVID-19, military service in the area of high risk of contact with patients with COVID-19, receiving information about COVID-19, receiving false information about COVID-19, disruption of critical infrastructure due to quarantine measures.the authorshave provided an algorithm by which these traumatic situations provoke the development of health disorders. In particular, they cause fear of social and work stigmatization due to infection with SARS-CoV-2 (severe acute respiratory syndrome coronavirus 2), fear of suffering or death during COVID-19, ear that family members will become infected, erroneous conclusions about someone deliberately exaggerating the dangers of COVID-19, feeling of injustice and incorrectness of the quarantine measures, household discomfort and organizational stress. These experiences change the subjective picture of the future of combatants, and this provokes the development or exacerbation of pre-existing mental and somatic disorders. The impact of information on COVID-19 on combatant health disorders was investigated.<br />
<b>Conclusions: </b>The authors believe that this knowledge will help to develop special psychoprophylactic approaches that would prevent the development of mental and somatic disorders due to the COVID-19 pandemic and improve the quality of quarantine measures. It will also allow measures to be taken to prevent a reduction in the army’s combat effectiveness through a pandemic and quarantine.
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Affiliation(s)
- Natalia Danilevska
- Department of Psychiatry, Psychotherapy, General and Medical Psychology, Narcology and Sexology, Zaporizhzhia State Medical University, Zaporizhzhia, UKRAINE
| | - Vitalii Kurylo
- Department of Psychiatry, Psychotherapy, General and Medical Psychology, Narcology and Sexology, Zaporizhzhia State Medical University, Zaporizhzhia, UKRAINE
| | - Olha Tkachenko
- Department of Therapy and Endocrinology, Zaporizhzhia Medical Academy of Postgraduate Education of the Ministry of Health of Ukraine, Zaporizhzhia, UKRAINE
| | - Svitlana Podsevakhina
- Department of Therapy and Endocrinology, Zaporizhzhia Medical Academy of Postgraduate Education of the Ministry of Health of Ukraine, Zaporizhzhia, UKRAINE
| | - Olena Chabanna
- Department of Therapy and Endocrinology, Zaporizhzhia Medical Academy of Postgraduate Education of the Ministry of Health of Ukraine, Zaporizhzhia, UKRAINE
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28
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Egorov AY. [Behavioral (non-chemical) addictions and COVID-19]. Zh Nevrol Psikhiatr Im S S Korsakova 2023; 123:41-46. [PMID: 36719118 DOI: 10.17116/jnevro202312301141] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/01/2023]
Abstract
The review examines the impact of the COVID-19 pandemic on the prevalence, manifestation, as well as the possibility of preventing and treating behavioral (non-chemical) addictions. Particular attention is paid to various manifestations of Internet addiction (IA): gaming, gambling, cybersexual and food addiction (FA). During the pandemic, Internet use increased significantly, leading to an increase in IA, mainly due to gaming, which correlated with the level of psychosocial problems. The increase in gambling occurred mainly in individuals with addiction or risk groups, while in the population the frequency of gambling decreased or did not change. Immediately after the start of the COVID-19 pandemic, the number of requests to porn sites increased dramatically, suggesting an increase in cybersex addiction. However, longitudinal studies in adolescents show a slight decrease in the interest in pornography in boys, and an increase from an initially low level in girls. The proportion of eating disorders and FA significantly increased. An increase in FA was associated with depression, anxiety, and also in obese individuals. In the era of COVID-19 prevention practices and general remedial activity should take into account the needs of the general population, emphasizing the importance of self-regulating and balanced lifestyles with moderate and sensible Internet use during the pandemic.
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Affiliation(s)
- A Y Egorov
- Sechenov Institute of Evolutionary Physiology and Biochemistry of the Russian Academy of Sciences, St. Petersburg, Russia.,Mechnikov North-West State Medical University, St. Petersburg, Russia.,Saint Petersburg State University, St. Petersburg, Russia
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Prevalence of Internet Gaming Disorder among Saudi Arabian university students: relationship with psychological distress. Heliyon 2022; 8:e12334. [PMID: 36590512 PMCID: PMC9798179 DOI: 10.1016/j.heliyon.2022.e12334] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/28/2022] [Revised: 10/12/2022] [Accepted: 12/07/2022] [Indexed: 12/23/2022] Open
Abstract
Background and aim Given the exponential growth of the gaming industry, Internet Gaming Disorder (IGD) merits further research. This study investigated the prevalence of IGD among Saudi Arabian university students and its relationship with the level of functioning, psychological distress, and potential for comorbid depression, as well as the effect of the COVID-19 lockdown on gaming behavior. Materials and methods 306 participants were randomly selected from various Saudi Arabian universities and surveyed using the 20-item Internet Gaming Disorder Test (IGD-20 Test), the Patient Health Questionnaire (PHQ-9), and the 6-item Kessler Psychological Distress Scale (Kessler-6). Results The estimated prevalence of IGD was 10.1%, and significantly higher risk was observed among IGD and respective at risk groups with psychological distress. Moreover, 67.4% of the participants reported an increase in playtime during the COVID-19 lockdown. Based on the Kesseler-6, psychological distress was observed in 19.9% of the participants. Conclusions This study suggests that IGD is a growing mental health risk associated with a dysfunctional impact and psychological distress.
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Ghafouri R, Qadimi A, Karami Khomaam H. Coping strategy with coronavirus disease-2019 health anxiety in nursing students. JOURNAL OF EDUCATION AND HEALTH PROMOTION 2022; 11:381. [PMID: 36618466 PMCID: PMC9818706 DOI: 10.4103/jehp.jehp_861_21] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 06/11/2021] [Accepted: 01/25/2022] [Indexed: 06/17/2023]
Abstract
BACKGROUND The high prevalence of coronavirus disease-2019 (COVID-19) has a lot of stress on medical students. This study was conducted to investigating the adaptation strategy with COVID-19 health anxiety in nursing students. MATERIALS AND METHODS This study was designed as a cross-sectional study. Participants of the study were 431 students of the Nursing and Midwifery Faculty of Shahid Beheshti University of Medical Sciences. Inclusion criteria were studying at the time of the outbreak of COVID-19 and willingness to participate in the study. Data collection tools included participated in the study. Data collection tools included a demographic questionnaire, Health Anxiety and Coping Inventory for Stressful Situations (Short Form). Reliability of tools was assessed and confirmed with Cronbach's alpha coefficient. Cronbach's alpha coefficient of health anxiety was 0.76 and Cronbach's alpha coefficient of Coping Inventory for Stressful Situations was 0.79. Data were collected between July 2020 and September 2020. Pearson's correlation coefficient was used to examine the relationship between the data. Data were analyzed with SPSS 26. RESULTS Findings indicated that most of the participants were female, single, 22-28 years old, and undergraduate students. The mean of COVID-19 health anxiety was 5.59 ± 17.04. Results showed that 19.58 ± 5.05 of the participants used avoidance-focused adaptation strategies, 25.12 ± 3.88 problem-focused adaptation strategies, and 19.32 ± 5.13 emotion-focused adaptation strategies. CONCLUSION The COVID-19 health anxiety was higher in female, young, and married students. The problem-focused adaptation strategy should be further taught so that students can better coping with COVID-19 health anxiety.
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Affiliation(s)
- Raziyeh Ghafouri
- Department of Medical and Surgical Nursing, School of Nursing and Midwifery, Shahid Beheshti University of Medical Science, Tehran, Iran
| | - Arezoo Qadimi
- Department of Medical Surgical Nursing, Student Research Committee, Shahid Beheshti University of Medical Science, Tehran, Iran
| | - Hosna Karami Khomaam
- Department of Medicine, School Of Medical Science, Student Research Committee, Tehran University of Medical Science, Tehran, Iran
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31
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Calandri E, Cattelino E, Graziano F. Is playing video games during COVID-19 lockdown related to adolescent well-being? The role of emotional self-efficacy and positive coping. EUROPEAN JOURNAL OF DEVELOPMENTAL PSYCHOLOGY 2022. [DOI: 10.1080/17405629.2022.2148651] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022]
Affiliation(s)
- Emanuela Calandri
- Department of Psychology, University of Torino (Italy), Torino, Italy
| | - Elena Cattelino
- Department of Human and Social Sciences, University of Aosta Valley, Aosta, Italy
| | - Federica Graziano
- Department of Psychology, University of Torino (Italy), Torino, Italy
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Sharma SK, Joseph J, Varkey BP, Dhandapani M, Varghese A, Sharma S, Kumar TKA, Kaririya S, Mathews E. Prevalence of anxiety and depressive symptoms during COVID-19 pandemic among the general population in India: A systematic review and meta-analysis. J Neurosci Rural Pract 2022; 13:608-617. [PMID: 36743765 PMCID: PMC9894328 DOI: 10.25259/jnrp-2022-1-21-r3-(2324)] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/16/2022] [Accepted: 09/30/2022] [Indexed: 12/15/2022] Open
Abstract
Objective The novel coronavirus (n COVID-19) has affected every walk of life across the world including India. Several studies have been available on the COVID-19-related anxiety and depressive symptoms in the public health context. However, there is a dearth of evidence of a meta-analysis regarding the pooled estimates of anxiety and depressive symptoms related to this pandemic based on the existing studies conducted among the general population of India. The aim of the study was to estimate the pooled prevalence of COVID-19-related anxiety and depressive symptoms among the general population in India. Material and Methods We searched the following electronic bibliographic databases: PubMed, Ovid, Science Direct, and Wiley online library for studies conducted from the onset of the COVID-19 pandemic and until September 25, 2021. We separately analyzed the outcome measures based on the risk of bias assessment. The publication bias was evaluated by funnel plots and Egger's test. Results We used a random-effect model due to the significant heterogeneity between the studies (Anxiety symptoms - I2 = 99.40% and Depressive symptoms - I2 = 95.3%). According to the index meta-analysis, the pooled estimates of anxiety and depressive symptoms among general population of India during COVID-19 pandemic are 23.5% (95% CI: 17.4-29.6%; n = 21 studies) and 20.2% (95% CI: 17.2-23.2%; n = 17 studies), respectively. In subgroup analyses, good-quality studies (Score ≥7/9) had a significant effect on the pooled prevalence. Conclusion About one-fifth of the general population of India reported having anxiety and depressive symptoms during the COVID-19 pandemic. The pooled estimates varied with the methodological quality of included studies. The present study provides a comprehensive picture of the overall magnitude of anxiety and depressive symptoms due to the COVID-19 outbreak which will guide the policy makers to measure the burden of similar pandemics more judiciously in the future.
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Affiliation(s)
- Suresh K. Sharma
- Principal, College of Nursing, All India Institute of Medical Sciences, Jodhpur, Rajasthan, India
| | - Jaison Joseph
- Department of Psychiatric Nursing, College of Nursing, Pt. B.D. Sharma University of Health Sciences, Rohtak, Haryana, India
| | - Biji P. Varkey
- Department of Nursing, DGHS, Government of Kerala, Rohtak, Haryana, India
| | - Manju Dhandapani
- Department of Education, National Institute of Nursing Education, PGIMER, Chandigarh, Haryana, India
| | - Abin Varghese
- Assistant Professor, Faculty, College of Nursing, AIIMS, Nagpur, Maharashtra, India
| | - Sunita Sharma
- Associate Professor, National Institute of Nursing Education, PGIMER, Chandigarh, India
| | - T. K. Ajesh Kumar
- Associate Professor, College of Nursing, All India Institute of Medical Sciences, New Delhi, India
| | - Sarika Kaririya
- Department of Psychiatric Nursing, College of Nursing, Pt. B.D. Sharma University of Health Sciences, Rohtak, Haryana, India
| | - Elezebeth Mathews
- Department of Public Health and Community Medicine, Central University of Kerala, Kasaragod, Kerala, India
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Primi C, Sanson F, Vecchiato M, Serra E, Donati MA. Loot boxes use, video gaming, and gambling in adolescents: Results from a path analysis before and during COVID-19-pandemic-related lockdown in Italy. Front Psychol 2022; 13:1009129. [PMID: 36237679 PMCID: PMC9551606 DOI: 10.3389/fpsyg.2022.1009129] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/01/2022] [Accepted: 09/01/2022] [Indexed: 11/13/2022] Open
Abstract
Loot Boxes (LBs), i.e., virtual items embedded within video games with numerous features reminiscent of gambling, are increasingly widespread among adolescents. LB use is associated with problem gambling in youth, but few studies have been conducted on the association between LB use and gambling behavior considering adolescents. Thus, the mechanisms underlying this relationship are not clear. As LB use is a significant and positive risk factor for video gaming severity, and video gaming is associated with problem gambling, we hypothesized that LB use would be related to gambling frequency and problem gambling through the intermediary role of video gaming frequency and problem video gaming. We tested our hypothesis before COVID-19-pandemic-related lockdown and during COVID-19-pandemic-related lockdown, in Italy. Study 1 was conducted with 1,078 high school students (39% boys, mean age = 16.46, SD = 1.28) before COVID-19-pandemic-related lockdown, and Study 2 was conducted with 1,204 high school students (57% boys, mean age = 15.62, SD = 0.64) during COVID-19-pandemic-related lockdown. A path analysis was carried out to analyze the significance of indirect effects from LB use to gambling behavior and problem gambling through video gaming and problem video gaming. In both the studies, results showed that LB use exerted significant and positive direct effects on video gaming frequency, problem video gaming, and gambling frequency. Moreover, LB use had indirect significant and positive effects on problem gambling through video gaming frequency, problem video gaming, and gambling frequency. Findings attest that LB use can be related to problem gambling through a greater involvement in videogames. Thus, a specific subtype of young gamblers can develop Gambling Disorder symptoms from the use of LBs and through an intense use of video games. Practical implications for prevention and treatment are discussed.
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Affiliation(s)
- Caterina Primi
- NEUROFARBA Department, University of Florence, Florence, Italy
| | | | - Marta Vecchiato
- Addictions Department, Azienda ULSS n. 4 Veneto Orientale, Venice, Italy
| | - Emilia Serra
- Addictions Department, Azienda ULSS n. 4 Veneto Orientale, Venice, Italy
| | - Maria Anna Donati
- NEUROFARBA Department, University of Florence, Florence, Italy
- *Correspondence: Maria Anna Donati,
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Daşdemir F, Orbatu D, Bektaş M, Özkan B. Impact of the coronavirus disease 2019 pandemic on obesity, internet addiction, and sleep quality in adolescents. J Pediatr Nurs 2022; 66:196-201. [PMID: 35850000 PMCID: PMC9286851 DOI: 10.1016/j.pedn.2022.07.011] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/22/2022] [Revised: 07/08/2022] [Accepted: 07/08/2022] [Indexed: 11/23/2022]
Abstract
PURPOSE This descriptive cross-sectional study aimed to examine the effects of the coronavirus disease-19 (COVID-19) pandemic on obesity, Internet addiction, and sleep quality in adolescents. METHODS In this study, data were collected from 395 healthy adolescents using a sociodemographic form, an Internet addiction scale, and a sleep quality scale. Descriptive statistics were analyzed as numbers, percentages, and mean values. The Wilcoxon test was performed to compare the mean body mass index (BMI), Internet addiction, and sleep quality scores of the participants before and after the COVID-19 pandemic. The differences were significant at a p value of <0.05. RESULTS The mean age of the participants was 15.04 ± 1.81 years, and 53% of them were female. The difference between the mean BMI scores of adolescents before and after the COVID-19 pandemic was significant (p < 0.01). The difference between the mean Internet addiction scale scores of the participants before and after the COVID-19 pandemic was significant (p < 0.01). The difference between the mean sleep quality scale scores before and after the COVID-19 pandemic was also significant (p < 0.01). Approximately 27.1% and 34.9% of the participants were obese before and after COVID-19, respectively. CONCLUSION The obesity rate, BMI, and Internet addiction levels of children increased, whereas their sleep quality decreased after the COVID-19 pandemic. PRACTICAL IMPLICATIONS During the pandemic period, online trainings for parents should be organized on planning physical activities during closure periods, regulating the adolescents' sleep and eating habits.
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Affiliation(s)
- Fatma Daşdemir
- Department of Pediatric Nursing, Health Science Institute, Dokuz Eylul University, İzmir, Türkiye
| | - Dilek Orbatu
- Department of Pediatrics, University of Health Sciences, Dr. Behçet Uz Child Disease and Pediatric Surgery Training and Research Hospital, İzmir, Türkiye
| | - Murat Bektaş
- Department of Pediatric Nursing, Faculty of Nursing, Dokuz Eylul University, İzmir, Türkiye.
| | - Behzat Özkan
- Department of Pediatric Endocrinology and Metabolism, University of Health Sciences, Dr. Behçet Uz Child Disease and Pediatric Surgery Training and Research Hospital, İzmir, Türkiye
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Kovačić Petrović Z, Peraica T, Kozarić-Kovačić D, Palavra IR. Internet use and internet-based addictive behaviours during coronavirus pandemic. Curr Opin Psychiatry 2022; 35:324-331. [PMID: 35855504 DOI: 10.1097/yco.0000000000000804] [Citation(s) in RCA: 20] [Impact Index Per Article: 6.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/24/2022]
Abstract
PURPOSE OF REVIEW The COVID-19 outbreak profoundly influenced human lives on different levels. This narrative review aims to present recent data relating to the COVID-19 pandemic and internet use and internet-based addictive behaviours [problematic Internet use (PIU), Internet addiction, Internet gaming disorder, problem gambling or gambling disorder, social media addiction including smartphone use disorder, problematic pornography use, and compulsive buying]. RECENT FINDINGS During the COVID-19 pandemic, the prevalence of Internet use and Internet-based addictive behaviours increased in all age groups. The COVID-19 pandemic and related containment measures were been associated with increased levels of stress, anxiety, and depression in the general population, especially among children and adolescents, which are the vulnerable groups for the development of mental disorders during the crisis. Furthermore, the fear resulting from the disease, the 'lockdown' measures, high levels of uncertainty regarding the future, and financial insecurity increased levels of loneliness, PIU, and Internet addiction. SUMMARY Longitudinal researches focused on the negative impacts of Internet use in prolonged stress situations on mental health, vulnerable groups, and quality of life (QoL) are needed to help clinicians and policymakers to reduce adverse consequences. Prevention programs for Internet use and Internet-based addictive behaviours must be customized to meet the needs of children, adolescents, and adults. Also, treatment programs must be tailored to the needs of patients with different Internet-based addictions.
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Affiliation(s)
- Zrnka Kovačić Petrović
- Department of Psychiatry and Psychological Medicine, University of Zagreb School of Medicine
- Department of Addiction, University Hospital Vrapče
| | - Tina Peraica
- Department of Psychiatry, Referral Centre for Stress-Related Disorders of the Ministry of Health, University Hospital Dubrava, Zagreb
- Department of Forensic Sciences, University of Split, Split
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Karhulahti VM, Nerg H, Laitinen T, Päivinen A, Chen Y. Eight Hypotheses on Technology Use and Psychosocial Wellbeing: A Bicultural Phenomenological Study of Gaming during the COVID-19 Pandemic. CURRENT PSYCHOLOGY 2022:1-19. [PMID: 36035253 PMCID: PMC9393080 DOI: 10.1007/s12144-022-03586-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 07/29/2022] [Indexed: 11/03/2022]
Abstract
In this nonconfirmatory qualitative study, we pursued a range of hypotheses regarding how gaming operates in the lives and psychosocial wellbeing of those who actively play videogames during a crisis, such as the COVID-19 pandemic in 2020. Informed by an explorative survey (N = 793), interpretive phenomenological analysis was applied to interview data from actively gaming Chinese (n = 10) and Finnish (n = 10) participants. Our findings demonstrate how the general increase of pandemic-time gaming did not manifest in all player groups, but in some life contexts gaming activity rather decreased along with reformations in subjective meaning hierarchies and values. Ultimately, eight subordinate themes were refined into testable hypotheses. The study encourages policies that promote socially supportive gaming during pandemic-like situations to consider including personally meaningful solitary play in their recommendations and highlighting context-specificity over generalization. Finally, as almost all our data points echoing experiences of decreasing gaming activity came from China, we stress the importance of culturally diverse samples in the psychological study of global phenomena. Supplementary Information The online version contains supplementary material available at 10.1007/s12144-022-03586-x.
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Affiliation(s)
- Veli-Matti Karhulahti
- Faculty of Humanities and Social Sciences, Department of Music, Art and Culture Studies, University of Jyväskylä, PO Box 35, FI-40014 Jyväskylä, Finland
| | - Henri Nerg
- Faculty of Humanities and Social Sciences, Department of Music, Art and Culture Studies, University of Jyväskylä, PO Box 35, FI-40014 Jyväskylä, Finland
| | - Tanja Laitinen
- Faculty of Humanities and Social Sciences, Department of Music, Art and Culture Studies, University of Jyväskylä, PO Box 35, FI-40014 Jyväskylä, Finland
| | - Antti Päivinen
- Faculty of Humanities and Social Sciences, Department of Music, Art and Culture Studies, University of Jyväskylä, PO Box 35, FI-40014 Jyväskylä, Finland
| | - Yingrong Chen
- Faculty of Humanities and Social Sciences, Department of Music, Art and Culture Studies, University of Jyväskylä, PO Box 35, FI-40014 Jyväskylä, Finland
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Goldstein Ferber S, Shoval G, Zalsman G, Weller A. Does COVID-19 related symptomatology indicate a transdiagnostic neuropsychiatric disorder? - Multidisciplinary implications. World J Psychiatry 2022; 12:1004-1015. [PMID: 36158308 PMCID: PMC9476837 DOI: 10.5498/wjp.v12.i8.1004] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/11/2022] [Revised: 04/28/2022] [Accepted: 07/25/2022] [Indexed: 02/05/2023] Open
Abstract
The clinical presentation that emerges from the extensive coronavirus disease 2019 (COVID-19) mental health literature suggests high correlations among many conventional psychiatric diagnoses. Arguments against the use of multiple comorbidities for a single patient have been published long before the pandemic. Concurrently, diagnostic recommendations for use of transdiagnostic considerations for improved treatment have been also published in recent years. In this review, we pose the question of whether a transdiagnostic mental health disease, including psychiatric and neuropsychiatric symptomology, has emerged since the onset of the pandemic. There are many attempts to identify a syndrome related to the pandemic, but none of the validated scales is able to capture the entire psychiatric and neuropsychiatric clinical presentation in infected and non-infected individuals. These scales also only marginally touch the issue of etiology and prevalence. We suggest a working hypothesis termed Complex Stress Reaction Syndrome (CSRS) representing a global psychiatric reaction to the pandemic situation in the general population (Type A) and a neuropsychiatric reaction in infected individuals (Type B) which relates to neurocognitive and psychiatric features which are part (excluding systemic and metabolic dysfunctions) of the syndrome termed in the literature as long COVID. We base our propositions on multidisciplinary scientific data regarding mental health during the global pandemic situation and the effects of viral infection reviewed from Google Scholar and PubMed between February 1, 2022 and March 10, 2022. Search in-clusion criteria were "mental health", "COVID-19" and "Long COVID", English language and human studies only. We suggest that this more comprehensive way of understanding COVID-19 complex mental health reactions may promote better prevention and treatment and serve to guide implementation of recommended administrative regulations that were recently published by the World Psychiatric Association. This review may serve as a call for an international investigation of our working hypothesis.
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Affiliation(s)
- Sari Goldstein Ferber
- Department of Psychology and Gonda Brain Research Center, Bar Ilan University, Ramat Gan 5317000, Israel
| | - Gal Shoval
- Department of Psychiatry, Tel Aviv University, Tel Aviv 6997801, Israel
- Department of Neuroscience, Princeton University, Princeton, NJ 08544, United States
| | - Gil Zalsman
- Department of Psychiatry, Tel Aviv University, Tel Aviv 6997801, Israel
- Department of Psychiatry, Columbia University, New York, NY 10032, United States
| | - Aron Weller
- Department of Psychology and Gonda Brain Research Center, Bar Ilan University, Ramat Gan 5317000, Israel
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How the COVID-19 Pandemic Changed Adolescents’ Use of Technologies, Sense of Community, and Loneliness: A Retrospective Perception Analysis. Behav Sci (Basel) 2022; 12:bs12070228. [PMID: 35877298 PMCID: PMC9311528 DOI: 10.3390/bs12070228] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/15/2022] [Revised: 07/08/2022] [Accepted: 07/11/2022] [Indexed: 02/05/2023] Open
Abstract
The COVID-19 pandemic has brought important changes to how we engage in relationships of any kind. To combat the spread of the virus, schools resorted to remote-learning, and teenagers had to rely on various technologies to meet many of the needs that they used to satisfy offline (e.g., social, informational, and recreational/leisure purposes). This article was written to investigate the changes that the students at an Italian high school went through in terms of use of technologies, loneliness, and sense of community, through a survey focusing on their retrospective perceptions. The study was carried out on 917 students. In general, we have found that the COVID-19 pandemic has greatly increased the perception of loneliness in teenagers (especially in female respondents), as well as their use of technologies for social, informational, and leisure purposes. However, maybe thanks to the opportunities provided by ICTs and remote learning, the sense of community in Italian teenagers was only marginally impacted.
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Formosa J, Johnson D, Türkay S, Mandryk RL. Need satisfaction, passion and wellbeing effects of videogame play prior to and during the COVID-19 pandemic. COMPUTERS IN HUMAN BEHAVIOR 2022; 131:107232. [PMID: 35165496 PMCID: PMC8829687 DOI: 10.1016/j.chb.2022.107232] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/17/2021] [Revised: 01/31/2022] [Accepted: 02/05/2022] [Indexed: 12/15/2022]
Abstract
Since the outbreak of COVID-19, reports have shown a significant rise in videogame engagement due to stay-at-home and quarantine restrictions, which has led to further concerns regarding the wellbeing impacts of videogames. Due to the challenges and stressors associated with living in a pandemic, it is even more crucial now to understand how engagement with videogames influence players’ wellbeing. This study, therefore, utilises Self-Determination Theory and the Dualistic Model of Passion to explore the relationships between people’s need satisfaction (and frustration), passion for videogames, and wellbeing prior to and during the COVID-19 pandemic. Findings showed that, during both periods, in-game need satisfaction could lead to either harmonious or obsessive passion for videogames, while frustration of needs through important life domains was more likely to determine an obsessive passion. The findings also highlighted significant differences in wellbeing outcomes seen prior to and during the COVID-19 pandemic, suggesting that videogame engagement may play an important role in improving players’ vitality and lowering psychological distress during this time.
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Ebrahim AH, Dhahi A, Husain MA, Jahrami H. The Psychological Well-Being of University Students amidst COVID-19 Pandemic: Scoping review, systematic review and meta-analysis. Sultan Qaboos Univ Med J 2022; 22:179-197. [PMID: 35673293 PMCID: PMC9155030 DOI: 10.18295/squmj.6.2021.081] [Citation(s) in RCA: 11] [Impact Index Per Article: 3.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/15/2021] [Revised: 04/28/2021] [Accepted: 06/07/2021] [Indexed: 12/02/2022] Open
Abstract
This review aimed to summarise the current evidence relating to university students' psychological well-being amidst the COVID-19 pandemic. A scoping review, using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews guidelines, was first conducted to determine if the evidence can be systematically reviewed and meta-analysed. The search was performed via Google Scholar, MEDLINE/PubMed, Science Direct, Scopus and Web of Science. A total of 90 original articles were selected for the scoping review. Meta-analysis of a total of 46,284 cases revealed an overall pooled prevalence rate of 29.1% (95% confidence interval [CI]: 20.9-39.0; K = 9, N = 22357) for anxiety symptoms and 23.2% (95% CI: 15.7-32.9; K = 12, N = 23927) for depression symptoms. This data revealed that COVID-19 had a significant impact on university students' psychological well-being.
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Affiliation(s)
- Ahmed H. Ebrahim
- Ministry of Health, Manama, Bahrain
- College of Graduate Studies and Research, Ahlia University, Manama, Bahrain
| | | | - Mohamed A. Husain
- College of Health and Sport Science (CHSS), University of Bahrain, Sakheer, Bahrain
| | - Haitham Jahrami
- Ministry of Health, Manama, Bahrain
- College of Medicine and Medical Sciences, Arabian Gulf University, Manama, Bahrain
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Disordered gaming, loneliness, and family harmony in gamers before and during the COVID-19 pandemic. Addict Behav Rep 2022; 15:100426. [PMID: 35434242 PMCID: PMC9001174 DOI: 10.1016/j.abrep.2022.100426] [Citation(s) in RCA: 9] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/29/2022] [Revised: 03/17/2022] [Accepted: 04/09/2022] [Indexed: 12/20/2022] Open
Abstract
(Internet) Gaming Disorder scores increased significantly during the pandemic years. Loneliness and family harmony did not change significantly. Correlations between (I)GD and loneliness/poorer family harmony increased. The COVID-19 pandemic might have negatively affected the well-being of gamers. The aim of this study was to investigate if and how disordered gaming, loneliness, and family relations have changed throughout the COVID-19 pandemic (from 2019 to 2021), and whether there were any changes in the association between these variables across three samples of gamers (for each respective year). Samples from 2019, 2020, and 2021 were matched by using propensity score matching across socio-demographic characteristics. The total effective sample comprised 897 gamers (N = 299 per year). These samples were compared in terms of disordered gaming – separately as Gaming Disorder (GD; WHO framework) and Internet Gaming Disorder (IGD; APA framework), loneliness, and family harmony scores with analyses of covariance (ANCOVAs), with age and gender as covariates. Steiger tests were used for correlation differences testing. ANCOVAs showed that while GD and IGD scores have increased significantly during the pandemic years, loneliness and family harmony did not change significantly. Furthermore, the correlation differences tests indicated that the correlations between both IGD and GD with loneliness as well as poorer family harmony have increased during the pandemic years. This study provides empirical evidence that the well-being of gamers might have been negatively affected during the COVID-19 pandemic. While loneliness and family harmony did not increase, the stronger correlations between Gaming Disorder and other variables might suggest that gaming may have been used to cope with loneliness and poorer family harmony.
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Tiphaine DR, Céline B. Impact de la pandémie liée au COVID-19 sur la pratique des jeux vidéo selon la personnalité et le type de passion dans une population adulte. PSYCHOLOGIE FRANCAISE 2022. [PMCID: PMC9046064 DOI: 10.1016/j.psfr.2022.04.002] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
Abstract
Introduction La pandémie liée au COVID-19 a modifié les habitudes quotidiennes de la population. Dans ce contexte, certaines activités ont été favorisées, parfois même encouragées, telles que l’usage des jeux vidéo (JV). Objectif L’objectif de cette étude était d’investiguer l’impact de la pandémie sur la pratique des JV en tenant compte du type de passion et de la personnalité. Méthode Une méthodologie mixte a été utilisée. En sus de la quantité de pratique des JV, le Big Five Inventory a permis d’évaluer la personnalité et l’Echelle de passion de distinguer le type de passion selon le modèle dualiste. Un entretien semi-directif permettait d’évaluer l’impact des confinements sur la pratique ludique et le ressenti du joueur durant cette période. Parmi les 137 joueurs de JV (âge moyen de 30,26 ans) ayant rempli les auto-questionnaires, 10 ont participé à l’entretien semi-directif. Résultats Quel que soit le type de passion, le temps de pratique des JV a augmenté durant les confinements (en fréquence et en temps). Une relation négative a été retrouvée entre l’Ouverture et le temps de pratique des JV la semaine avant et durant la pandémie, ainsi qu’avec la passion obsessive. Les données qualitatives ont montré que le JV est apparu comme une activité occupationnelle, source de plaisir, d’évasion par rapport émotions négatives liées à la crise sanitaire, et de soutien social. Conclusion L’usage des JV a été évoqué par les participants comme une stratégie efficace pour faire face aux difficultés engendrées par la pandémie de COVID-19.
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Panakaje N, Rahiman HU, Rabbani MR, Kulal A, Pandavarakallu MT, Irfana S. COVID-19 and its impact on educational environment in India. ENVIRONMENTAL SCIENCE AND POLLUTION RESEARCH INTERNATIONAL 2022; 29:27788-27804. [PMID: 34981385 PMCID: PMC8723802 DOI: 10.1007/s11356-021-15306-2] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/07/2021] [Accepted: 07/01/2021] [Indexed: 05/29/2023]
Abstract
The impact of COVID-19 has revamped all aspects of human life including education sector, and it has completely changed the educational environment across the globe. Due to the pandemic, the methodical functions of educational institutions have stopped, and new phases have started like online class, online evaluation, and indoor activities. Students are the vital players in education sector, and their opinions play an indispensable role while formulating the policies by the government. In the pandemic, students' perspective on education environment finds new dimension. Therefore, this paper has made an honest attempt to know the coastal Karnataka students' stance on college educational environment. In this study, six major components of education environment are considered, namely (1) online class, (2) teaching and learning, (3) evaluation, (4) college administration, (5) extracurricular activities, and (6) teachers. The study is descriptive in nature, and data was collected from 347 college students of Coastal Karnataka. To support the main objective, a hypothesis has been developed with the help of review of literature and is tested by using ANOVA and independent t-test. The path analysis is used to analyze the casual relationships among components of college educational environment, overall perception, and student performance. The result of the study found that the college students have positive perception towards online class (M=3.14), teaching and learning (M=3.704), evaluation (M=3.38), college and administration (M=3.83), extracurricular activities (M=3.87), and teachers (M=3.63). The result of the hypothesis testing revealed that there is no significant difference in the student perception towards various components of college education system. Path analysis results show that there is relation and effect between components of college education, overall perception, and students' performance. The study concludes that students agree with policies and actions taken by colleges to carry out classes during COVID-19 pandemic irrespective of demographic and educational difference.
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Affiliation(s)
- Niyaz Panakaje
- College of Management and Commerce, Srinivas University, Karnataka, India
| | - Habeeb Ur Rahiman
- College of Business Administration, Kingdom University, Riffa, Bahrain
| | - Mustafa Raza Rabbani
- Department of Economics and Finance, College of Business Administration, University of Bahrain, Zallaq, Bahrain
| | | | | | - Shakira Irfana
- Department of Commerce, Mangalore University, Karnataka, India
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Wu Q, Luo T, Tang J, Wang Y, Wu Z, Liu Y, Chen W, Deng Q, Liao Y. Gaming in China Before the COVID-19 Pandemic and After the Lifting of Lockdowns: a Nationwide Online Retrospective Survey. Int J Ment Health Addict 2022; 21:1-13. [PMID: 35382159 PMCID: PMC8969819 DOI: 10.1007/s11469-022-00792-3] [Citation(s) in RCA: 9] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Accepted: 02/23/2022] [Indexed: 12/12/2022] Open
Abstract
With the lockdown and social distancing during the outbreak of coronavirus disease 2019 (COVID-19), gaming has become a popular leisure activity. This study aimed to explore changes in gaming behavior after the lifting of COVID-19 lockdowns and risk factors for increased gaming behavior. This online retrospective study included 5268 gamers. A total of 5% gamers scored 32 or higher on the 9-item Internet Gaming Disorder Scale-Short-Form (IGDS9-SF), suggesting diagnosis of internet gaming disorder (IGD). Over one-third of gamers reported an increase in time spent on gaming per day after the lockdowns were lifted. Logistic regression analysis revealed that gamers who were female, students, experienced stress, or scored higher on IGDS9-SF were more likely to spend more time on gaming per day after the lifting of lockdowns. These findings highlighted the needs for more effective coping strategies or interventions to prevent excessive gaming, especially for females and students.
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Affiliation(s)
- Qiuxia Wu
- Department of Psychiatry, and National Clinical Research Center for Mental Disorders, The Second Xiangya Hospital of Central South University, Changsha, 410011 Hunan China
| | - Tao Luo
- The Treatment Center for Addiction, Jiangxi Mental Hospital, Nanchang, 330029 Jiangxi China
| | - Jinsong Tang
- Department of Psychiatry, Sir Run Run Shaw Hospital, School of Medicine, Zhejiang University, Hangzhou, 310016 Zhejiang China
| | - Yunfei Wang
- Department of Psychiatry, and National Clinical Research Center for Mental Disorders, The Second Xiangya Hospital of Central South University, Changsha, 410011 Hunan China
| | - Zhenzhen Wu
- Ningbo Kangning Hospital, Ningbo, 315201 Zhejiang China
| | - Yueheng Liu
- Department of Psychiatry, and National Clinical Research Center for Mental Disorders, The Second Xiangya Hospital of Central South University, Changsha, 410011 Hunan China
| | - Wei Chen
- Department of Psychiatry, Sir Run Run Shaw Hospital, School of Medicine, Zhejiang University, Hangzhou, 310016 Zhejiang China
- Key Laboratory of Medical Neurobiology of Zhejiang Province, Hangzhou, 310016 China
| | - Qijian Deng
- Department of Psychiatry, and National Clinical Research Center for Mental Disorders, The Second Xiangya Hospital of Central South University, Changsha, 410011 Hunan China
| | - Yanhui Liao
- Department of Psychiatry, Sir Run Run Shaw Hospital, School of Medicine, Zhejiang University, Hangzhou, 310016 Zhejiang China
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Brasso C, Bellino S, Blua C, Bozzatello P, Rocca P. The Impact of SARS-CoV-2 Infection on Youth Mental Health: A Narrative Review. Biomedicines 2022; 10:772. [PMID: 35453522 PMCID: PMC9031156 DOI: 10.3390/biomedicines10040772] [Citation(s) in RCA: 18] [Impact Index Per Article: 6.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/01/2022] [Revised: 03/03/2022] [Accepted: 03/22/2022] [Indexed: 01/27/2023] Open
Abstract
BACKGROUND COVID-19 pandemic has affected the physical health, psychological wellbeing, and mental health of the whole population. Young people are among those most at risk of developing mental health symptoms or disorders related to the pandemic. PURPOSE the present narrative review is aimed at providing an updated overview of the current literature concerning the psychological impact of the SARS-CoV-2 infection but also of the COVID-19 outbreak, environmental restriction, and social distancing on mental health outcomes among the youth population aged between 15 and 25 years. METHODS in December 2021, an electronic search on this topic was performed on PubMed. Relevant publications from January 2020 until December 2021 were included. FINDINGS 53 cross-sectional studies, 26 longitudinal studies, 4 ecological studies, 1 qualitative study, and 1 systematic review were included. We found many methodological limitations in the studies included, especially poor choice of study samples and short follow-ups. Little literature was in support of a strong relationship between SARS-CoV-2 infection and consequences on youth mental health. On the contrary, many studies showed how extraordinary measures to limit the spread of the virus have impacted young people in terms of onset of new mental disorders and symptoms, suicidality, and access to emergency psychiatric services. Depressive and anxiety symptoms and disorders show the greatest increase in incidence, especially in girls and young women. CONCLUSIONS it seems important to pay attention to the mental health of young people in relation to the consequences of the COVID-19 pandemic. However, studies with more robust methodologies and longer follow-ups are needed to establish precise indications for targeted interventions in this context.
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Affiliation(s)
- Claudio Brasso
- Department of Neuroscience “Rita Levi Montalcini”, University of Turin, 10126 Turin, Italy; (S.B.); (C.B.); (P.B.); (P.R.)
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Werling AM, Walitza S, Gerstenberg M, Grünblatt E, Drechsler R. Media use and emotional distress under COVID-19 lockdown in a clinical sample referred for internalizing disorders: A Swiss adolescents' perspective. J Psychiatr Res 2022; 147:313-323. [PMID: 35124401 PMCID: PMC8811353 DOI: 10.1016/j.jpsychires.2022.01.004] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/13/2021] [Revised: 12/19/2021] [Accepted: 01/03/2022] [Indexed: 11/18/2022]
Abstract
The COVID-19 outbreak has profoundly affected adolescents' life. Adolescents with pre-existing psychiatric disorders have been at particular risk of increased mental health problems and problematic media use. 178 patients, aged 12-18 years, referred before the COVID-19 outbreak to child and adolescent psychiatry, participated in an anonymous online survey on the impact of the lockdown on media use and mental well-being. The survey was conducted approximately one month after the first easing of restrictions following a six-week lockdown in Switzerland. Based on self-report, half of the patients had been diagnosed with internalizing disorders (ID; depression or anxiety disorder) and the other half with other disorders (non-ID, e.g. ADHD, autistic spectrum disorder). Patients with ID reported higher emotional distress during the lockdown, and a larger number of patients with ID indicated a deterioration of pre-existing symptoms compared to non-ID patients. Although more patients with ID than with non-ID indicated spending a large amount of time on social media, social media time per day in hours was not significantly higher in ID. Patients with ID indicated a higher impact of media use on well-being and mood in everyday life during the lockdown. Social media time was higher in worsened than in improved non-ID patients, while the opposite was found in ID patients, indicating a possible protective effect of media use at least for some ID patients. The results confirm positive as well as negative associations between mental health, emotional well-being and media use for adolescents with ID during the lockdown.
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Affiliation(s)
- Anna Maria Werling
- Department of Child and Adolescent Psychiatry and Psychotherapy, Psychiatric University Hospital Zurich, University of Zurich, Switzerland.
| | - Susanne Walitza
- Department of Child and Adolescent Psychiatry and Psychotherapy, Psychiatric University Hospital Zurich, University of Zurich, Switzerland; Zurich Center for Integrative Human Physiology, University of Zurich, Switzerland; Neuroscience Center Zurich, University of Zurich and ETH Zurich, Switzerland
| | - Miriam Gerstenberg
- Department of Child and Adolescent Psychiatry and Psychotherapy, Psychiatric University Hospital Zurich, University of Zurich, Switzerland
| | - Edna Grünblatt
- Department of Child and Adolescent Psychiatry and Psychotherapy, Psychiatric University Hospital Zurich, University of Zurich, Switzerland; Zurich Center for Integrative Human Physiology, University of Zurich, Switzerland; Neuroscience Center Zurich, University of Zurich and ETH Zurich, Switzerland
| | - Renate Drechsler
- Department of Child and Adolescent Psychiatry and Psychotherapy, Psychiatric University Hospital Zurich, University of Zurich, Switzerland
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Menon V, Cherian AV, Vijayakumar L. Rising incidence and changing demographics of suicide in India: Time to recalibrate prevention policies? Asian J Psychiatr 2022; 69:102983. [PMID: 34974320 DOI: 10.1016/j.ajp.2021.102983] [Citation(s) in RCA: 11] [Impact Index Per Article: 3.7] [Reference Citation Analysis] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/26/2021] [Accepted: 12/22/2021] [Indexed: 12/24/2022]
Affiliation(s)
- Vikas Menon
- Dept of Psychiatry, Jawaharlal Institute of Postgraduate Medical Education and Research (JIPMER), Puducherry 605006, India.
| | - Anish V Cherian
- Dept of Psychiatric Social Work, National Institute of Mental Health and Neurosciences (NIMHANS), Bengaluru 560029, India
| | - Lakshmi Vijayakumar
- Founder SNEHA, Chennai 600028, India; Dept of Psychiatry, Voluntary Health Services, Chennai 600113, India; University of Melbourne, Australia; University of Griffith, Australia
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Nilsson A, Rosendahl I, Jayaram-Lindström N. Gaming and social media use among adolescents in the midst of the COVID-19 pandemic. NORDIC STUDIES ON ALCOHOL AND DRUGS 2022; 39:347-361. [PMID: 35999947 PMCID: PMC8819558 DOI: 10.1177/14550725221074997] [Citation(s) in RCA: 24] [Impact Index Per Article: 8.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/29/2020] [Accepted: 12/05/2022] [Indexed: 01/09/2023] Open
Abstract
Background and aims: The COVID-19 pandemic has dramatically changed life circumstances for adolescents worldwide. With schools being closed and regular activities being cancelled, gaming and social media use are activities that might gain in importance. There is a risk that these online behaviours have negative effects on other important activities, such as being physically active, sleeping, and studying, as well as general well-being. The aim of this study was to investigate the effects of the COVID-19 pandemic on gaming and social media use, and its effects on the well-being of adolescents. Methods: A total of 1232 adolescents (82.5% female) participated in an anonymous web survey containing questions on gaming, social media use, and perceived negative consequences of gaming and social media use during the COVID-19 pandemic. The results were analysed with a quasi-Poisson regression model. Results: The results indicated an increase in gaming and social media use, which was associated with negative consequences and perceived well-being. A majority of adolescents reported that they used social media more than they felt comfortable with. There were large differences between boys and girls, with girls being more negatively affected across measures. Discussion: The increase in gaming and social media use during the COVID-19 pandemic might have negative effects on the well-being of adolescents, and on other activities that are important to health. Our interpretation of the findings is that gaming and social media use might partly function as coping mechanisms to deal with stress and/or boredom resulting from COVID-19 restrictions. There is a risk that these coping strategies become maladaptive over time. Conclusions: The restrictions from the COVID-19 pandemic have resulted in an increase in the amount of time adolescents spend gaming and on social media, which might have negative effects on their well-being. This study highlights the urgent need to consider adaptive and healthy coping strategies for adolescents given the pandemic may mean that daily living could continue to be altered in the near future.
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Affiliation(s)
- Anders Nilsson
- Anders Nilsson, Centrum för psykiatriforskning, Norra Stationsgatan 69, 7tr, 113 64 Stockholm, Sweden.
| | - Ingvar Rosendahl
- Karolinska Institutet & Stockholm Health Care Services, Stockholm County Council, Sweden
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Wu Q, Ren Q, Zhong N, Bao J, Zhao Y, Du J, Chen T, Zhao M. Internet behavior patterns of adolescents before, during, and after COVID-19 pandemic. Front Psychiatry 2022; 13:947360. [PMID: 36440398 PMCID: PMC9685307 DOI: 10.3389/fpsyt.2022.947360] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/18/2022] [Accepted: 10/24/2022] [Indexed: 11/11/2022] Open
Abstract
BACKGROUND The outbreak of COVID-19 has affected the mental health of adolescents. To describe the Internet behavior-changing patterns of adolescents and to understand the impact of clinical features on changing patterns during the COVID-19 pandemic. MATERIALS AND METHODS We conducted a cross-sectional cohort study using data collected through online investigation in China. A total of 625 adolescents completed the online survey from May 15 to June 7, 2020. The adolescents were asked to retrospect to the Internet behaviors and game behaviors of three time periods as follows: before the COVID-19 outbreak in China, during the COVID-19 outbreak in China, and back to school. The clinical variables of the demographic data, family functionality, and emotional and behavioral symptoms were also collected. According to the Internet behaviors and game behaviors patterns across the three time periods, the subjects will be sub-grouped. RESULTS Four Internet behavior-changing patterns during the COVID-19 was identified: (1) Continuous Normal Group (55.52%); (2) Normal to Internet Addiction Group (5.28%); (3) Internet Addiction to Normal Group (14.56%); and (4) Continuous Internet Addiction Group (24.64%). Years of education, academic score ranking, family functionality, and emotional and behavioral symptoms were different across the four groups. Proportions of game behaviors, scores of Strengths and Difficulties Questionnaire (SDQ), and SDQ subscale during the period before the COVID-19 outbreak were significant in predicting changing patterns. CONCLUSION The Internet behavior patterns of adolescents during the COVID-19 period were various. Clinical features before the COVID-19 pandemic may predict changing patterns. The heterogeneity in characteristics between different changing patterns should be considered when intervening in adolescents' problematic Internet behavior.
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Affiliation(s)
- Qianying Wu
- Shanghai Mental Health Center, Shanghai Jiao Tong University School of Medicine, Shanghai, China
| | - Qihuan Ren
- Shanghai Hongkou Mental Health Center, Shanghai, China
| | - Na Zhong
- Shanghai Mental Health Center, Shanghai Jiao Tong University School of Medicine, Shanghai, China
| | - Juwang Bao
- Jiangxi Maternal and Child Health Hospital, Maternal and Child Health Affiliated Hospital of Nanchang University, Nanchang, China
| | - Yan Zhao
- Shanghai Mental Health Center, Shanghai Jiao Tong University School of Medicine, Shanghai, China
| | - Jiang Du
- Shanghai Mental Health Center, Shanghai Jiao Tong University School of Medicine, Shanghai, China
| | - Tianzhen Chen
- Shanghai Mental Health Center, Shanghai Jiao Tong University School of Medicine, Shanghai, China
| | - Min Zhao
- Shanghai Mental Health Center, Shanghai Jiao Tong University School of Medicine, Shanghai, China.,Shanghai Key Laboratory of Psychotic Disorders, Shanghai, China.,Institute of Psychological and Behavioral Science, Shanghai Jiao Tong University, Shanghai, China.,CAS Center for Excellence in Brain Science and Intelligence Technology (CEBSIT), Chinese Academy of Sciences, Shanghai, China
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Bera L, Souchon M, Ladsous A, Colin V, Lopez-Castroman J. Emotional and Behavioral Impact of the COVID-19 Epidemic in Adolescents. Curr Psychiatry Rep 2022; 24:37-46. [PMID: 35102536 PMCID: PMC8803571 DOI: 10.1007/s11920-022-01313-8] [Citation(s) in RCA: 36] [Impact Index Per Article: 12.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Accepted: 12/04/2021] [Indexed: 01/03/2023]
Abstract
PURPOSE OF REVIEW This review of the literature aims to explore the impact of the COVID-19 pandemic and the lockdown on teenagers' mental health. We distinguish two groups: adolescents who had already been diagnosed with a mental disorder and the general population of adolescents. RECENT FINDINGS An increase in the number of mental health-related difficulties in adolescents has already been reported in previous health crises. Accordingly, the perceived well-being of teenagers declined during the COVID-19 pandemic. Adolescents with mental disorders were significantly more affected by the lockdown than those in the general population. The effect of the COVID-19 crisis on the mental health of adolescents has been heterogeneous. The first pandemic wave was essentially associated with an increase of internalizing symptoms in adolescents, particularly anxiety, depression and eating disorders. The impact on externalizing symptoms was less clear, and seem to concern mostly adolescents with pre-existing behavioral disorders. During the second and later waves of the pandemic, an upsurge of suicidal ideation and attempts among adolescents have been reported in many countries.
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Affiliation(s)
- Laure Bera
- Département de psychiatrie, CHU Nîmes, Nîmes, France
| | | | | | - Vincent Colin
- Département de psychiatrie, CHU Nîmes, Nîmes, France
| | - Jorge Lopez-Castroman
- Département de psychiatrie, CHU Nîmes, Nîmes, France.
- IGF, CNRS-INSERM, Montpellier, France.
- University of Montpellier, Montpellier, France.
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