Evidence map›Paper›PMID 38825582›Full record

ArticleSchizophrenia bulletin2024

Association of Problematic Internet Use With Psychotic Experiences and Depression in Adolescents: A Cohort Study.

Zui Narita, Shuntaro Ando, Syudo Yamasaki, Mitsuhiro Miyashita, Jordan DeVylder, Satoshi Yamaguchi, Mariko Hosozawa, Miharu Nakanishi, Mariko Hiraiwa-Hasegawa, Toshiaki A Furukawa and 2 more

Abstract read
In one paragraph

Article in Schizophrenia bulletin, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
–field-weighted citation impact
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

16 citing papers in PubMed.

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  9. Trajectories of psychotic-like experiences in youth and associations with lifestyle factors.Journal of child psychology and psychiatry, and allied disciplines · 2026
    Article
  10. Article
  11. The silent crisis in girls' mental health.Nature human behaviour · 2025
    Article
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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

12 authors.

Zui NaritaDepartment of Behavioral Medicine, National Institute of Mental Health, National Center of Neurology and Psychiatry, Tokyo, Japan.ORCID 0000-0001-7022-2141
Shuntaro AndoUnit for Mental Health Promotion, Research Center for Social Science & Medicine, Tokyo Metropolitan Institute of Medical Science, Tokyo, Japan.
Syudo YamasakiUnit for Mental Health Promotion, Research Center for Social Science & Medicine, Tokyo Metropolitan Institute of Medical Science, Tokyo, Japan.
Mitsuhiro MiyashitaUnit for Mental Health Promotion, Research Center for Social Science & Medicine, Tokyo Metropolitan Institute of Medical Science, Tokyo, Japan.ORCID 0000-0002-7798-1834
Jordan DeVylderUnit for Mental Health Promotion, Research Center for Social Science & Medicine, Tokyo Metropolitan Institute of Medical Science, Tokyo, Japan.
Satoshi YamaguchiUnit for Mental Health Promotion, Research Center for Social Science & Medicine, Tokyo Metropolitan Institute of Medical Science, Tokyo, Japan.ORCID 0000-0002-3988-1330
Mariko HosozawaNational Center for Global Health and Medicine, Tokyo, Japan.
Miharu NakanishiUnit for Mental Health Promotion, Research Center for Social Science & Medicine, Tokyo Metropolitan Institute of Medical Science, Tokyo, Japan.
Mariko Hiraiwa-HasegawaSchool of Advanced Science, SOKENDAI (Graduate University for Advanced Studies), Kanagawa, Japan.
Toshiaki A FurukawaDepartment of Health Promotion and Human Behavior, Kyoto University Graduate School of Medicine/ School of Public Health, Kyoto, Japan.
Kiyoto KasaiDepartment of Neuropsychiatry, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan.
Atsushi NishidaUnit for Mental Health Promotion, Research Center for Social Science & Medicine, Tokyo Metropolitan Institute of Medical Science, Tokyo, Japan.

Funding

International Research Center for NeurointelligenceJapan Society for the Promotion of Science KAKENHI JP20H01777University of Tokyo Institutes for Advanced StudyUTokyo Institute for Diversity and Adaptation of Human Mind
6 · The paper itself

Abstract

background and hypothesisProblematic internet use (PIU) is prevalent among adolescents. Past research suggested cross-sectional associations between PIU and psychotic experiences, but little information is available on the longitudinal association. We hypothesized that PIU in adolescence may be longitudinally associated with psychotic experiences, adjusting for confounders. STUDY

designWe analyzed a random sample of adolescents in the Tokyo Teen Cohort to examine how PIU at ages 10 (2012-2015), 12 (2014-2017), and 16 (2019-2021) was associated with mental health issues at age 16. PIU was evaluated by the modified Compulsive Internet Use Scale, psychotic experiences by the Adolescent Psychotic-like Symptom Screener, and depression by the Short Mood and Feelings Questionnaire. We also examined the mediating role of social withdrawal. STUDY

resultsWe analyzed 3171 adolescents; 151 reported psychotic experiences and 327 reported depression at age 16. Compared with the lowest tertile PIU group, the highest tertile PIU group at age 12 showed an increased adjusted risk of psychotic experiences (RD 3.3%, 95% CI 2.9%-3.7%; RR 1.65, 95% CI 1.55-1.73) and depression (RD 5.9%, 95% CI 5.5%-6.3%; RR 1.61, 95% CI 1.55-1.68) at age 16. PIU at age 16 showed analogous results, while PIU at age 10 suggested a smaller impact. Social withdrawal mediated 9.4%-29.0% of the association between PIU and psychotic experiences.

conclusionsPIU is longitudinally associated with psychotic experiences and depression in adolescents. Further longitudinal and intervention studies are warranted to provide robust public health implications and foster a safer digital future.

Indexed as

DepressionInternet Addiction DisorderPsychotic DisordersAdolescentAdolescent BehaviorChildCohort StudiesFemaleHumansLongitudinal StudiesMaleTokyopsychosis/schizophrenia/major depressive disorder/psychosocial factor/hikikomori/public health

Identifiers

PMID38825582
PMCPMC11661944

What OpenQuestion holds

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Registered trials

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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.