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. 2020 Apr 1;9(1):175-180.
doi: 10.1556/2006.2020.00002.

The relationship between childhood trauma and Internet gaming disorder among college students: A structural equation model

Lijuan Shi  1 , Yuanyuan Wang  2 , Hui Yu  3 , Amanda Wilson  3 , Stephanie Cook  3 , Zhizhou Duan  4 , Ke Peng  5   6 , Zhishan Hu  7 , Jianjun Ou  8 , Suqian Duan  9 , Yuan Yang  10 , Jiayu Ge  1 , Hongyan Wang  1 , Li Chen  1 , Kaihong Zhao  1 , Runsen Chen  2   8   11
Affiliations

The relationship between childhood trauma and Internet gaming disorder among college students: A structural equation model

Lijuan Shi et al. J Behav Addict. .

Abstract

Background: The aim of this study was to investigate the mechanisms of Internet gaming disorder (IGD) and the associated interaction effects of childhood trauma, depression and anxiety in college students.

Methods: Participants were enrolled full-time as freshmen at a University in the Hunan province, China. All participants reported their socio-demographic characteristics and undertook a standardized assessment on childhood trauma, anxiety, depression and IGD. The effect of childhood trauma on university students' internet gaming behaviour mediated by anxiety and depression was analysed using structural equation modelling (SEM) using R 3.6.1.

Results: In total, 922 freshmen participated in the study, with an approximately even male-to-female ratio. A mediation model with anxiety and depression as the mediators between childhood trauma and internet gaming behaviour allowing anxiety and depression to be correlated was tested using SEM. The SEM analysis revealed that a standardised total effect of childhood trauma on Internet gaming was 0.18, (Z = 5.60, 95% CI [0.02, 0.05], P < 0.001), with the direct effects of childhood trauma on Internet gaming being 0.11 (Z = 3.41, 95% CI [0.01, 0.03], P = 0.001), and the indirect effects being 0.02 (Z = 2.32, 95% CI [0.00, 0.01], P = 0.020) in the pathway of childhood trauma-depression-internet gaming; and 0.05 (Z = 3.67, 95% CI [0.00, 0.02], P < 0.001) in the pathway of childhood trauma-anxiety-Internet gaming. In addition, the two mediators anxiety and depression were significantly correlated (r = 0.50, Z = 13.54, 95% CI [3.50, 5.05], P < 0.001).

Conclusions: The study revealed that childhood trauma had a significant impact on adolescents' Internet gaming behaviours among college students. Anxiety and depression both significantly mediated the relationship between childhood trauma and internet gaming and augmented its negative influence. Discussion of the need to understand the subtypes of childhood traumatic experience in relationship to addictive behaviours is included.

Keywords: Internet gaming disorder; anxiety symptoms; childhood trauma; college students; depressive symptoms.

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Conflict of interest statement

The authors declare no conflict of interest.

Figures

Figure 1.
Figure 1.
Final model with the standardized coefficients, and unstandardized coefficients presented in the parentheses. Note. *P < 0.05, **P < 0.01, ***P < 0.001
See this image and copyright information in PMC

References

    1. American Psychiatric Association . (2013). Diagnostic and statistical manual of mental disorders (DSM-5). Washingtong, DC: American Psychiatric Association.
    1. Bernstein, D. P., Stein, J. A., Newcomb, M. D., Walker, E., Pogge, D., Ahluvalia, T., et al. (2003). Development and validation of a brief screening version of the Childhood Trauma Questionnaire. Child Abuse & Neglect, 27(2), 169–190. 10.1016/S0145-2134(02)00541-0. - DOI - PubMed
    1. Brand, M., Young, K. S., Laier, C., Wolfling, K., & Potenza, M. N. (2016). Integrating psychological and neurobiological considerations regarding the development and maintenance of specific Internet-use disorders: An Interaction of Person-Affect-Cognition-Execution (I-PACE) model. Neuroscience and Biobehavioral Reviews, 71, 252–266. 10.1016/j.neubiorev.2016.08.033. - DOI - PubMed
    1. Chen, R., Gillespie, A., Zhao, Y., Xi, Y., Ren, Y., & McLean, L. (2018). The efficacy of eye movement desensitization and reprocessing in children and adults who have experienced complex childhood trauma: A systematic review of randomized controlled trials. Frontiers in Psychology, 9, 534. - PMC - PubMed
    1. Dalbudak, E., Evren, C., Aldemir, S., & Evren, B. (2014). The severity of Internet addiction risk and its relationship with the severity of borderline personality features, childhood traumas, dissociative experiences, depression and anxiety symptoms among Turkish University Students. Psychiatry Research, 219(3), 577–582. 10.1016/j.psychres.2014.02.032. - DOI - PubMed