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The Association Between Internet Addiction and Anxiety in Nursing Students: A Network Analysis
Cai, Hong1,2,3; Xi, Hai Tao4; An, Fengrong5; Wang, Zhiwen6; Han, Lin7; Liu, Shuo8; Zhu, Qianqian5; Bai, Wei1,2,3; Zhao, Yan Jie1,2,3; Chen, Li4; Ge, Zong Mei4; Ji, Mengmeng6; Zhang, Hongyan7; Yang, Bing Xiang8; Chen, Pan8; Cheung, Teris9; Jackson, Todd10; Tang, Yi Lang11,12; Xiang, Yu Tao1,2,3
2021-08-25
Source PublicationFrontiers in Psychiatry
ISSN1664-0640
Volume12
Abstract

Background: Nursing students who suffer from co-occurring anxiety experience added difficulties when communicating and interacting with others in a healthy, positive, and meaningful way. Previous studies have found strong positive correlations between Internet addiction (IA) and anxiety, suggesting that nursing students who report severe IA are susceptible to debilitating anxiety as well. To date, however, network analysis (NA) studies exploring the nature of association between individual symptoms of IA and anxiety have not been published. Objective: This study examined associations between symptoms of IA and anxiety among nursing students using network analysis. Methods: IA and anxiety symptoms were assessed using the Internet Addiction Test (IAT) and the Generalized Anxiety Disorder Screener (GAD-7), respectively. The structure of IA and anxiety symptoms was characterized using “Strength” as a centrality index in the symptom network. Network stability was tested using a case-dropping bootstrap procedure and a Network Comparison Test (NCT) was conducted to examine whether network characteristics differed on the basis of gender and by region of residence. Results: A total of 1,070 nursing students participated in the study. Network analysis showed that IAT nodes, “Academic decline due to Internet use,” “Depressed/moody/nervous only while being off-line,” “School grades suffer due to Internet use,” and “Others complain about your time spent online” were the most influential symptoms in the IA-anxiety network model. Gender and urban/rural residence did not significantly influence the overall network structure. Conclusion: Several influential individual symptoms including Academic declines due to Internet use, Depressed/moody/nervous only while being off-line, School grades suffering due to Internet use and Others complain about one's time spent online emerged as potential targets for clinical interventions to reduce co-occurring IA and anxiety. Additionally, the overall network structure provides a data-based hypothesis for explaining potential mechanisms that account for comorbid IA and anxiety.

KeywordAnxiety Internet Addiction Network Analysis Nursing Students Symptoms
DOI10.3389/fpsyt.2021.723355
URLView the original
Language英語English
WOS Research AreaPsychiatry
WOS SubjectPsychiatry
WOS IDWOS:000697979000001
PublisherFRONTIERS MEDIA SA, AVENUE DU TRIBUNAL FEDERAL 34, LAUSANNE CH-1015, SWITZERLAND
Scopus ID2-s2.0-85114712679
Fulltext Access
Citation statistics
Document TypeJournal article
CollectionDEPARTMENT OF PUBLIC HEALTH AND MEDICINAL ADMINISTRATION
Faculty of Health Sciences
INSTITUTE OF COLLABORATIVE INNOVATION
INSTITUTE OF ADVANCED STUDIES IN HUMANITIES AND SOCIAL SCIENCES
Corresponding AuthorXiang, Yu Tao
Affiliation1.Unit of Psychiatry, Department of Public Health and Medicinal Administration, Institute of Translational Medicine, Faculty of Health Sciences, University of Macau, Macao
2.Centre for Cognitive and Brain Sciences, University of Macau, Taipa, Macao
3.Institute of Advanced Studies in Humanities and Social Sciences, University of Macau, Taipa, Macao
4.Jilin University Nursing College, Changchun, China
5.The National Clinical Research Center for Mental Disorders, Beijing Key Laboratory of Mental Disorders Beijing Anding Hospital, The Advanced Innovation Center for Human Brain Protection, School of Mental Health, Capital Medical University, Beijing, China
6.School of Nursing, Peking University, Beijing, China
7.School of Nursing, Lanzhou University, Lanzhou, China
8.School of Health Sciences, Wuhan University, Wuhan, China
9.School of Nursing, Hong Kong Polytechnic University, Kowloon, Hong Kong
10.Department of Psychology, University of Macau, Taipa, Macao
11.Department of Psychiatry and Behavioral Sciences, Emory University, Atlanta, United States
12.Atlanta Veterans Affairs Medical Center, Decatur, United States
First Author AffilicationFaculty of Health Sciences;  University of Macau
Corresponding Author AffilicationFaculty of Health Sciences;  University of Macau
Recommended Citation
GB/T 7714
Cai, Hong,Xi, Hai Tao,An, Fengrong,et al. The Association Between Internet Addiction and Anxiety in Nursing Students: A Network Analysis[J]. Frontiers in Psychiatry, 2021, 12.
APA Cai, Hong., Xi, Hai Tao., An, Fengrong., Wang, Zhiwen., Han, Lin., Liu, Shuo., Zhu, Qianqian., Bai, Wei., Zhao, Yan Jie., Chen, Li., Ge, Zong Mei., Ji, Mengmeng., Zhang, Hongyan., Yang, Bing Xiang., Chen, Pan., Cheung, Teris., Jackson, Todd., Tang, Yi Lang., & Xiang, Yu Tao (2021). The Association Between Internet Addiction and Anxiety in Nursing Students: A Network Analysis. Frontiers in Psychiatry, 12.
MLA Cai, Hong,et al."The Association Between Internet Addiction and Anxiety in Nursing Students: A Network Analysis".Frontiers in Psychiatry 12(2021).
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