Evidence map›Paper›PMID 40119352›Full record

ArticleChild and adolescent psychiatry and mental health2025

Impaired sleep quality mediates the relationship between internet gaming disorder and conduct problems among adolescents: a three-wave longitudinal study.

Pu Peng, Jieyin Jin, Zhangming Chen, Silan Ren, Ying He, Jinguang Li, Aijun Liao, Linlin Zhao, Xu Shao, Shanshan Chen and 6 more

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In one paragraph

Article in Child and adolescent psychiatry and mental health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing 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

9 citing papers in PubMed.

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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

16 authors.

Pu PengDepartment of Psychiatry, Sir Run Run Shaw Hospital, Zhejiang University School of Medicine, Hangzhou, Zhejiang, China.
Jieyin JinDepartment of Psychiatry, Sir Run Run Shaw Hospital, Zhejiang University School of Medicine, Hangzhou, Zhejiang, China.
Zhangming ChenDepartment of Psychiatry, Zigong Mental Health Center, Zigong, Sichuan, China.
Silan RenDepartment of Nursing, Sichuan Vocational College of Health and Rehabilitation, Zigong, Sichuan, China.
Ying HeDepartment of Psychiatry, National Center for Mental Disorders, National Clinical Research Center for Mental Disorders, The Second Xiangya Hospital of Central South University, Changsha, 410011, Hunan, China.
Jinguang LiDepartment of Psychiatry, National Center for Mental Disorders, National Clinical Research Center for Mental Disorders, The Second Xiangya Hospital of Central South University, Changsha, 410011, Hunan, China.
Aijun LiaoDepartment of Psychiatry, National Center for Mental Disorders, National Clinical Research Center for Mental Disorders, The Second Xiangya Hospital of Central South University, Changsha, 410011, Hunan, China.
Linlin ZhaoDepartment of Psychiatry, National Center for Mental Disorders, National Clinical Research Center for Mental Disorders, The Second Xiangya Hospital of Central South University, Changsha, 410011, Hunan, China.
Xu ShaoDepartment of Psychiatry, Sir Run Run Shaw Hospital, Zhejiang University School of Medicine, Hangzhou, Zhejiang, China.
Shanshan ChenDepartment of Psychiatry, Sir Run Run Shaw Hospital, Zhejiang University School of Medicine, Hangzhou, Zhejiang, China.
Ruini HeDepartment of Psychiatry, Zigong Mental Health Center, Zigong, Sichuan, China.
Yudiao LiangDepartment of Psychiatry, Zigong Mental Health Center, Zigong, Sichuan, China.
Youguo TanDepartment of Psychiatry, Zigong Mental Health Center, Zigong, Sichuan, China.
Xiaogang ChenDepartment of Psychiatry, National Center for Mental Disorders, National Clinical Research Center for Mental Disorders, The Second Xiangya Hospital of Central South University, Changsha, 410011, Hunan, China.
Jinsong TangDepartment of Psychiatry, Sir Run Run Shaw Hospital, Zhejiang University School of Medicine, Hangzhou, Zhejiang, China.
Yanhui LiaoDepartment of Psychiatry, Sir Run Run Shaw Hospital, Zhejiang University School of Medicine, Hangzhou, Zhejiang, China. liaoyanhui@zju.edu.cn.

Funding

Joint Funds of the Zhejiang Provincial Natural Science Foundation of China LBD23H090001Municipal Key R&D Program of Ningbo 2023Z175National Natural Science Foundation of China U22A20302STI 2030-Major Projects of China 2022ZD0211200
6 · The paper itself

Abstract

backgroundResearch increasingly demonstrates a positive association between Internet Gaming Disorder (IGD) and conduct problems among adolescents. However, longitudinal data are limited, and the mediating mechanisms remain unclear. This study aimed to examine the predictive effect of IGD on conduct problems and explore the mediating role of impaired sleep quality.

methodA cohort of 20,137 Chinese seventh- and tenth-grade students was recruited and assessed at three time points: November 2020 (T1), 2021 (T2), and 2022 (T3). IGD, conduct problems, and impaired sleep quality were measured using the Internet Gaming Disorder Scale Short Form, the Strengths and Difficulties Questionnaire, and the Pittsburgh Sleep Quality Index, respectively. Mediation analyses were conducted to evaluate the direct and indirect effect of IGD on conduct problems, with subgroup analyses based on sex and developmental stage.

resultsIGD was found to be an independent risk factor for conduct problems both cross-sectionally and longitudinally. Impaired sleep quality partially mediated the relationship between IGD and conduct problems, accounting for approximately 17.3% of the total effect. Subgroup analyses revealed that the mediation effect of impaired sleep quality was more pronounced in early adolescents and varied by sex, with a stronger total and direct effect in boys.

conclusionsThese findings highlight the need for comprehensive interventions targeting both IGD and impaired sleep quality, tailored to specific sexes and developmental stages, to effectively reduce conduct problems.

Indexed as

AdolescentsConduct problemsInternet gaming disorderLongitudinal studySleep quality

Identifiers

PMID40119352
PMCPMC11929296

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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.