ArticleEpidemiology and psychiatric sciences2025
Internet gaming disorder and depression mediated by impaired resilience and sleep distress: a three-wave longitudinal study among Chinese adolescents.
Article in Epidemiology and psychiatric sciences, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.
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15 citing papers in PubMed.
- Associations in Both Directions Between Internet Gaming Disorder and Suicidal Ideation and Attempts Among Chinese Adolescent Gamers: Two-Wave Prospective Cohort Study.Journal of medical Internet research · 2026Article
- Examining the Association Between Internet Addiction and Nonsuicidal Self-Injury Among Chinese Middle School Students: Prospective Cohort Study.Journal of medical Internet research · 2026Article
- Disrupted brain functional networks in adolescents and young adults with gaming disorder during social interaction: An fNIRS study.Psychological medicine · 2026Article
- Associations Between Parental Gaming Behaviors and Conversion From Internet Gaming Disorder Noncases to Cases Among Adolescents: Prospective Longitudinal Cohort Study.JMIR serious games · 2026Article
- Academic burnout and internet gaming disorder in Chinese adolescents: The chain mediating roles of depressive symptoms and negative attentional bias.Pediatric investigation · 2026Article
- Prevalence and factors of behavioral intention of gaming time reduction among high-risk adolescents in China: an application of the Conservation of Resource Theory.BMC psychiatry · 2026Article
- [Adolescent depressive disorder: prevalence, risk factors, current status of diagnosis and treatment, and challenges].Zhongguo dang dai er ke za zhi = Chinese journal of contemporary pediatrics · 2026Article
- Longitudinal relationships among physical activity, internet gaming disorder, and insomnia: a cross-lagged panel analysis.Frontiers in psychiatry · 2026Article
- The effect of bullying victimization trajectory on internet gaming disorder and the mediating role of impaired resilience: a three-wave cohort study among Chinese adolescents.BMC psychiatry · 2025Article
- Longitudinal Network Associations Between Symptoms of Problematic Gaming and Generalized and Social Anxiety Among Adolescents.Research on child and adolescent psychopathology · 2025Article
- Adaptation and validation of the Chinese version of the digital addiction scale for children (DASC).BMC public health · 2025Article
- Trajectory of internet gaming disorder among Chinese adolescents: Course, predictors, and long-term mental health outcomes.Journal of behavioral addictions · 2025Article
- Association Between Internet Use and Sleep Health Among Middle-Aged and Older Chinese Individuals: Nationwide Longitudinal Study.Journal of medical Internet research · 2025Article
- Impaired sleep quality mediates the relationship between internet gaming disorder and conduct problems among adolescents: a three-wave longitudinal study.Child and adolescent psychiatry and mental health · 2025Article
- Prevalence, correlates, and the association of psychotic-like experience with impaired quality of life among Chinese patients with diabetes mellitus: a large-scale cross-sectional study.Frontiers in psychiatry · 2025Article
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15 authors.
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Abstract
aimsWhile the cross-sectional relationship between internet gaming disorder (IGD) and depression is well-established, whether IGD predicts future depression remains debated, and the underlying mechanisms are not fully understood. This large-scale, three-wave longitudinal study aimed to clarify the predictive role of IGD in depression and explore the mediating effects of resilience and sleep distress.
methodsA cohort of 41,215 middle school students from Zigong City was assessed at three time points: November 2021 (T1), November 2022 (T2) and November 2023 (T3). IGD, depression, sleep distress and resilience were measured using standardized questionnaires. Multiple logistic regression was used to examine the associations between baseline IGD and both concurrent and subsequent depression. Mediation analyses were conducted with T1 IGD as the predictor, T2 sleep distress and resilience as serial mediators and T3 depression as the outcome. To test the robustness of the findings, a series of sensitivity analyses were performed. Additionally, sex differences in the mediation pathways were explored.
results(1) IGD was independently associated with depression at baseline (T1: adjusted odds ratio [AOR] = 4.76, 95% confidence interval [CI]: 3.79-5.98,
conclusionsIGD is a significant predictor of depression in adolescents, with resilience and sleep distress serving as key mediators. Early identification and targeted interventions for IGD may help prevent depression. Intervention strategies should prioritize enhancing resilience and improving sleep quality, particularly among boys at risk.
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