ArticleBMC psychiatry2025
The relationship between childhood trauma and internet addiction in adolescents with depression: the mediating role of insomnia and alexithymia.
Article in BMC psychiatry, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.
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Who cites it
6 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Prevalence of alexithymia in Chinese adolescents: a systematic review and meta‑analysis.BMC psychiatry · 2026Pooled it
- The correlations between psychotic symptoms and childhood maltreatment as well as sex differences in adolescents with major depressive disorder.European archives of psychiatry and clinical neuroscience · 2026Article
- The impact of internet addiction on depressive symptoms among college students: the chain mediating roles of psychological resilience and hope.Scientific reports · 2026Article
- Internet addiction and psychological inflexibility in young adults: a parallel mediation analysis of alexithymia facets within an I-PACE framework.Frontiers in psychiatry · 2026Article
- Exploring the relationship between childhood trauma and internet addiction among nursing students: a latent profile and mediation analysis.Frontiers in psychiatry · 2026Article
- The mediating role of alexithymia in the relationship between childhood trauma and exercise addiction.Frontiers in psychology · 2026Article
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8 authors.
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Abstract
backgroundThe correlation between depressive symptoms and internet addiction in adolescents is strengthened, and childhood trauma is an important predictor of internet addiction. However, the mechanism of childhood trauma on internet addiction in adolescents with depression remains unclear. This study investigates the current status and factors influencing internet addiction in adolescents with depression and further examines whether insomnia and alexithymia mediate childhood trauma and internet addiction in adolescents with depression.
methodsThis study investigated 300 adolescent patients in 7 hospitals in Anhui province. General demographic characteristics such as age and gender were collected. The clinical characteristics of the patients were measured using the Childhood Trauma Questionnaire Short Form (CTQ-SF), Internet Addiction Test (IAT), Insomnia Severity Index (ISI) and 20-item Toronto Alexithymia Scale (TAS-20). PROCESS (Model 4) was used to examine the mediating effects of insomnia and alexithymia.
resultsThe prevalence of internet addiction among adolescents with depression was 50.2%. There were statistically significant differences between the internet addiction group and the non-internet addiction group in terms of relationships with classmates, relationships with teachers, family relations, and economic status. The total score of CTQ and its five subscale scores were significantly and positively correlated with the total score of IAT. Insomnia and externally oriented thinking (EOT) played a significant mediating role in the effect of physical neglect (PN) on internet addiction.
conclusionInsomnia and alexithymia play a significant mediating role between childhood trauma and internet addiction in adolescents with depression, which expand the existing understanding of internet addiction in adolescents with depression, and provide some theoretical references to address the problem of internet addiction in adolescents with depression and prevent the development of adolescent depression.
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