Evidence map›Paper›PMID 32967648›Full record

ArticleBMC psychiatry2020

Serial multiple mediation of the association between internet gaming disorder and suicidal ideation by insomnia and depression in adolescents in Shanghai, China.

Yuelin Yu, Xue Yang, Suping Wang, Huwen Wang, Ruijie Chang, Lhakpa Tsamlag, Shuxian Zhang, Chen Xu, Xiaoyue Yu, Yong Cai and 1 more

Open access · goldAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in BMC psychiatry, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 50 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
50citing papers in PubMed, 5 pooled it
17.8field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

50 citing papers in PubMed, 5 syntheses or guidelines pooled it, 88 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors at 2 institutions in 2 countries.

Yuelin YuSchool of Public Health, School of Medicine, Shanghai Jiao Tong University, Shanghai, 200025, PR China.
Xue YangCentre for Health Behaviors Research, JC School of Public Health and Primary Care, the Chinese University of Hong Kong, Hong Kong, 810016, SAR, China.
Suping WangSchool of Public Health, School of Medicine, Shanghai Jiao Tong University, Shanghai, 200025, PR China.
Huwen WangSchool of Public Health, School of Medicine, Shanghai Jiao Tong University, Shanghai, 200025, PR China.
Ruijie ChangSchool of Public Health, School of Medicine, Shanghai Jiao Tong University, Shanghai, 200025, PR China.
Lhakpa TsamlagSchool of Public Health, School of Medicine, Shanghai Jiao Tong University, Shanghai, 200025, PR China.
Shuxian ZhangSchool of Public Health, School of Medicine, Shanghai Jiao Tong University, Shanghai, 200025, PR China.
Chen XuSchool of Public Health, School of Medicine, Shanghai Jiao Tong University, Shanghai, 200025, PR China.
Xiaoyue YuSchool of Public Health, School of Medicine, Shanghai Jiao Tong University, Shanghai, 200025, PR China.
Yong CaiSchool of Public Health, School of Medicine, Shanghai Jiao Tong University, Shanghai, 200025, PR China. caiyong202028@hotmail.com.ORCID 0000-0002-5706-7906
Joseph T F LauCentre for Health Behaviors Research, JC School of Public Health and Primary Care, the Chinese University of Hong Kong, Hong Kong, 810016, SAR, China. jlau@cuhk.edu.hk.
Shanghai Jiao Tong University · CNChinese University of Hong Kong · HK

Funding

National Key Scientific Instrument and Equipment Development Projects of China 2018YFC1705100National Key Scientific Instrument and Equipment Development Projects of China 2018YFC1705103National Natural Science Foundation of China 71673187National Natural Science Foundation of China 81373021
6 · The paper itself

Abstract

backgroundHigh prevalence and strong relationships among suicidal ideation, Internet gaming disorder (IGD), insomnia, and depression have been reported for adolescents worldwide, but the mechanism underlying these psychological problems remains unclear. This cross-sectional study explored the mediating effect of insomnia and depression on the association between IGD and suicidal ideation.

methodsParticipants were 1066 adolescents (median age = 13.0 years) with Internet games exposure in the previous 12 months from junior high schools in Shanghai, China. Questionnaire measures of suicidal ideation, IGD, insomnia, depressive symptoms, and background characteristics were obtained. Path analysis was conducted to test the multiple mediating roles of insomnia and depression.

resultsSuicidal ideation, IGD, insomnia, and depression prevalence was 27.2, 13.6, 9.2, and 17.0%, respectively. A serial multiple mediation model was generated. The mediation effect of insomnia and depression on the pathway from IGD to suicidal ideation was 45.5% (direct effect: standardized estimate [Std. estimate] = 0.186; total indirect effect: Std. estimate = 0.155). The association between IGD and depression was partially mediated by insomnia (direct effect: Std. estimate = 0.211; indirect effect: Std. estimate = 0.135). The proposed model fit the data well.

conclusionsInsomnia and depression may serially mediate the association between IGD and suicidal ideation. IGD was positively associated with insomnia, then with depression, which in turn positively contributed to suicidal ideation. We suggest greater monitoring of Internet use and prevention of insomnia and depression to mitigate the risk of suicidal ideation among Chinese adolescents.

Indexed as

Sleep Initiation and Maintenance DisordersSuicidal IdeationAdolescentChinaCross-Sectional StudiesDepressionHumansInfantInternetInternet Addiction DisorderDepressionInsomniaInternet gaming disorderMediationSuicidal ideation

Identifiers

PMID32967648
PMCPMC7510306
OpenAlexW3089024339

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.