Journal of Shandong University (Health Sciences) ›› 2024, Vol. 62 ›› Issue (12): 65-70.doi: 10.6040/j.issn.1671-7554.0.2024.0903

• Mechanism and Treatment of Adolescent Psychiatric and Psychological Disorders • Previous Articles    

Relationship between adolescent depressive disorder and internet addiction: the mediating effects of social avoidance and academic defeat

ZHAO Xinrui1,2, LI Jingya2, KONG Linghua3, LI Congran2, WEI Yuhuan4, YANG Ying2   

  1. 1. School of Special Education and Rehabilitation, Binzhou Medical University, Yantai 264003, Shandong, China;
    2. Shandong Mental Health Center, Jinan 250014, Shandong, China;
    3. School of Nursing and Rehabilitation, Shandong University, Jinan 250012, Shandong, China;
    4. School of Mental Health, Jining Medical Uniersity, Jining 272013, Shandong, China
  • Published:2024-12-09

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Abstract: Objective To examine the mediating effects of social avoidance and academic defeat on the relationship between adolescent depressive disorder and internet addiction. Methods A total of 463 adolescents diagnosed with a diagnosis of depressive disorder, who sought outpatient and inpatient treatment in mental facilities between May 2021 and October 2022 were assessed using Childrens Depression Inventory, Social Avoidance and Distress Scale, Defeat Scale, and Internet Addiction Test. The mediating effect analysis was performed using SPSS 26.0 with the PROCESS v4.1 macro, using the bias-corrected non-parametric percentile bootstrap method for mediation testing. Results Significant positive correlations were found between internet addiction, depression severity, social avoidance, and academic defeat. Social avoidance and academic defeat played parallel mediating roles in the relationship between depressive severity and internet addiction, with mediation effects of 0.136(95%CI: 0.028-0.243)and 0.276(95%CI: 0.079-0.475), respectively. Conclusion The severity of depression in adolescents with depressive disorder not only directly influences internet addiction, but also indirectly affects it through the mediating roles of social avoidance and academic defeat. Future clinical practice should implement interventions targeting social avoidance and academic defeat to reduce the risk of internet addiction in adolescents with depressive disorder.

Key words: Adolescents, Depressive disorder, Internet addiction, Social avoidance, Academic defeat

CLC Number: 

  • R395.1
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