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Exploring mediational roles for self-stigma in associations between types of problematic use of internet and psychological distress in youth with ADHD
Minist Hlth & Welf, Dept Child & Adolescent Psychiat, Jianan Psychiat Ctr, Tainan, Taiwan..
Chang Gung Univ, Coll Med, Sch Phys Therapy, Taoyuan, Taiwan.;Chang Gung Univ, Grad Inst Rehabil Sci, Coll Med, Taoyuan, Taiwan.;New Taipei City Tucheng Hosp, Chang Gung Med Fdn, Dept Pediat Internal Med, New Taipei City, Taiwan..
Chinese Univ Hong Kong, Dept Social Work, Hong Kong, Peoples R China..
Asia Univ, Coll Med & Hlth Sci, Dept Healthcare Adm, Taichung, Taiwan..
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2023 (English)In: Research in Developmental Disabilities, ISSN 0891-4222, E-ISSN 1873-3379, Vol. 133, article id 104410Article in journal (Refereed) Published
Abstract [en]

Background: Several studies have linked the problematic use of the Internet (PUI) to psychological distress. Youth with attention deficit hyperactivity disorder (ADHD) are considered a particular disadvantaged population with a high risk of developing PUI, psychological distress, and self-stigma. Nonetheless, the interrelationships of PUI, self-stigma, and psychological distress in ad-olescents with ADHD are not well understood.Aims: This study investigated whether self-stigma mediates relationships between different forms of PUI, such as problematic gaming (PG), problematic social media use (PSMU), problematic smartphone use (PSPU), and psychological distress (i.e., depression, anxiety, and stress), in children with ADHD.Methods and procedures: We recruited 100 youth with ADHD (mean age=10.80 [SD=3.07] years; 84 boys) from psychiatric outpatient clinics in Taiwan. All participants were assessed for PUI (via Internet Gaming Disorder-Short Form for PG, Bergan Social Medica Addiction Scale for PSMU, and Smartphone Application-Based Addiction Scale for PSPU), self-stigma (via Self-Stigma Short -Scale), and psychological distress (via Depression, Anxiety, Stress Scale).Outcomes and results: The results of path and bootstrapping analyses indicated that self-stigma mediated the associations between PSMU and PSPU, but not PG, and depression, anxiety, and stress.Conclusions and implications: This study expands the extant literature by revealing that self-stigma mediates the association between specific forms of PUI and psychological distress in adolescents with ADHD. Interventions aimed at reducing self-stigma and PUI, particularly PSMU and PSPU, may help decrease psychological distress among adolescents with ADHD.

Place, publisher, year, edition, pages
Elsevier, 2023. Vol. 133, article id 104410
Keywords [en]
ADHD, Addictive behavior, Impulsive behavior, Online, Psychological distress, Self-stigma, Internet addiction disorder
National Category
Psychiatry
Identifiers
URN: urn:nbn:se:hj:diva-61176DOI: 10.1016/j.ridd.2022.104410ISI: 000995780300001PubMedID: 36603311Scopus ID: 2-s2.0-85145986571OAI: oai:DiVA.org:hj-61176DiVA, id: diva2:1768976
Available from: 2023-06-16 Created: 2023-06-16 Last updated: 2023-06-16Bibliographically approved

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Pakpour, Amir H.

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Fung, Xavier C. C.Chen, Jung-ShengPakpour, Amir H.
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HHJ, Department of Nursing ScienceThe Jönköping Academy for Improvement of Health and Welfare
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