Evidence map›Paper›PMID 39856636›Full record

ArticleBMC public health2025

Cross-cultural insights into internet addiction and mental health: a network analysis from China and Malawi.

Mengze Li, Yidi Wang, Bin Liu, Xiaoli Ni, Zhujing Ma, Fengzhan Li, Tifei Yuan, Hongyi Chen, Zhongying Wu, Qiannan Jia and 3 more

Abstract read
In one paragraph

Article in BMC public health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
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

13 authors.

Mengze Li *Department of Military Medical Psychology, Air Force Medical University, Chinese People's Liberation Army (PLA), 169 West Changle Road, Xi'an, 710032, Shaanxi, China.
Yidi Wang *School of Humanities and Social Science, Xi'an Jiaotong University, Xi'an, China.
Bin Liu *Department of Military Medical Psychology, Air Force Medical University, Chinese People's Liberation Army (PLA), 169 West Changle Road, Xi'an, 710032, Shaanxi, China.
Xiaoli NiSchool of Humanities and Social Science, Xi'an Jiaotong University, Xi'an, China.
Zhujing MaDepartment of Military Medical Psychology, Air Force Medical University, Chinese People's Liberation Army (PLA), 169 West Changle Road, Xi'an, 710032, Shaanxi, China.
Fengzhan LiDepartment of Military Medical Psychology, Air Force Medical University, Chinese People's Liberation Army (PLA), 169 West Changle Road, Xi'an, 710032, Shaanxi, China.
Tifei YuanShanghai Mental Health Center, Shanghai Jiaotong University School of Medicine, Shanghai, China.
Hongyi ChenDepartment of Military Medical Psychology, Air Force Medical University, Chinese People's Liberation Army (PLA), 169 West Changle Road, Xi'an, 710032, Shaanxi, China.
Zhongying WuDepartment of Military Medical Psychology, Air Force Medical University, Chinese People's Liberation Army (PLA), 169 West Changle Road, Xi'an, 710032, Shaanxi, China.
Qiannan JiaDepartment of Military Medical Psychology, Air Force Medical University, Chinese People's Liberation Army (PLA), 169 West Changle Road, Xi'an, 710032, Shaanxi, China.
Lei SongDepartment of Military Medical Psychology, Air Force Medical University, Chinese People's Liberation Army (PLA), 169 West Changle Road, Xi'an, 710032, Shaanxi, China.
Yinchuan JinDepartment of Military Medical Psychology, Air Force Medical University, Chinese People's Liberation Army (PLA), 169 West Changle Road, Xi'an, 710032, Shaanxi, China. jyc_fmmu@163.com.
Qun YangDepartment of Military Medical Psychology, Air Force Medical University, Chinese People's Liberation Army (PLA), 169 West Changle Road, Xi'an, 710032, Shaanxi, China. yangqun1125@hotmail.com.

Funding

the National Social Science Foundation of China No. AKJ23WS1J002
6 · The paper itself

Abstract

backgroundInternet addiction has emerged as a significant mental health issue among university students. The study aimed to compare the network structures of Internet addiction and mental health symptoms among university students in China and Malawi, which provide insights into culturally sensitive prevention and intervention strategies.

methodsNetwork analysis was used on two datasets: Malawi (n = 688) and China (n = 975) using the Internet Addiction Test and the Self-Reporting Questionnaire. Network estimation, centrality, bridge estimation and network comparison, were conducted using R software.

resultsThe prevalence of internet addiction and mental health was significantly higher in China than Malawi. In Malawi, the strongest edges were "school work" - "job performance" and "worthless" - "unable to play a useful part". The central nodes were "daily work suffering", "fantasize" and "lost interest". In China, the strongest edges were "neglect household" - "neglect partner" and "difficult to enjoy" - "daily work suffering". The central nodes were "trouble thinking", "unhappiness", and "unable to play a useful part". Bridge symptoms varied between the countries, with functional impairments (school work, daily work suffering and difficult to make decision) being more prominent in Malawi and emotional disturbances (daily work suffering, act annoyed and difficult to enjoy) in China.

conclusionsThe study highlights significant differences in the network structures of internet addiction and mental health between China and Malawi, which underscore the importance of culturally sensitive mental health interventions. In Malawi, addressing functional impairments related to academic and work performance is crucial, while in China, interventions should focus on emotional and relational aspects.

Indexed as

Behavior, AddictiveCross-Cultural ComparisonInternet Addiction DisorderMental HealthStudentsAdolescentAdultChinaFemaleHumansMalawiMaleSocial Network AnalysisSurveys and QuestionnairesYoung AdultCultural differenceInternet addictionMental healthNetwork analysis

Identifiers

PMID39856636
PMCPMC11762860

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.