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Temporal associations between problematic use of the internet and self-stigma among people with substance use disorders: A cross-lagged model across one year
Chinese Academy of Education Big Data, Qufu Normal University, Shandong, Qufu City, China.
Department of General Psychiatry, Jianan Psychiatric Center, Ministry of Health and Welfare, Tainan, Taiwan.
Graduate Institute of Social Work, National Taiwan Normal University, Taipei, Taiwan.
Institute of Environmental Toxin and Emerging Contaminant, Cheng Shiu University, Kaohsiung, 83347, Taiwan.
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2022 (English)In: Journal of Psychiatric Research, ISSN 0022-3956, E-ISSN 1879-1379, Vol. 156, p. 339-348Article in journal (Refereed) Published
Abstract [en]

Self-stigma is a common experience for people with substance use disorders (SUDs). Understanding factors associated with self-stigma may aid in intervention development. This study investigated the reciprocal relationship between three types of problematic use of the internet [PUI; i.e. problematic use of social media (PUSM), problematic smartphone use (PSPU), and problematic gaming (PG)] and self-stigma among people with SUDs. This longitudinal study involved five waves of a survey given to individuals with SUDs in Taiwan. A total of 319 participants (85% male), with a mean age of 42.2 years (SD = 8.9), were recruited. The Smartphone Application-Based Addiction Scale, Bergen Social Media Addiction Scale, Internet Gaming Disorder-Short Form, and Self-Stigma Scale-Short Form were used. No significant associations between PUI and self-stigma were found in early waves (i.e., Waves 1 and 2). The earliest significant finding was identified between Wave 2 PSPU (smartphone) and Wave 3 self-stigma. Additionally, Wave 3 PSPU (smartphone) and PG (gaming) were associated with Wave 4 self-stigma, and Wave 4 PSPU (smartphone), PG (gaming), and PUSM (social media) were associated with Wave 5 self-stigma. Therefore, all three types of PUI (internet) may elevate self-stigma at different time points for individuals with SUDs. However, the reciprocal effects between self-stigma and PUI (internet) only occurred in PUSM (social media) at a later stage (i.e., from Wave 4 to Wave 5). In conclusion, people with SUDs who have PUI (internet) are at increased likelihood of developing more self-stigma, which may then increase subsequent PUSM (social media), forming a vicious cycle. 

Place, publisher, year, edition, pages
Elsevier, 2022. Vol. 156, p. 339-348
Keywords [en]
Addictive behaviors, Internet addiction, Self-stigma, Smartphone, Social media, Substance-related disorders
National Category
Psychiatry
Identifiers
URN: urn:nbn:se:hj:diva-58828DOI: 10.1016/j.jpsychires.2022.10.044ISI: 000933368900009PubMedID: 36323137Scopus ID: 2-s2.0-85140622448OAI: oai:DiVA.org:hj-58828DiVA, id: diva2:1709245
Available from: 2022-11-08 Created: 2022-11-08 Last updated: 2023-03-09Bibliographically approved

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Pakpour, Amir H.

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