Psychiatry Investig.  2024 Jan;21(1):18-27. 10.30773/pi.2023.0178.

Adolescent Screen Use: Problematic Internet Use and the Impact of Gender

Affiliations
  • 1Adolescent Medicine Outpatient Program, Pediatrics Department, Universidade Federal de Sao Paulo-Escola Paulista de Medicina, São Paulo, Brazil
  • 2Impulse Control Disorder and Behavioral Addictions Outpatient Unit (PRO-AMITI), Institute of Psychiatry (IPq), Hospital das Clínicas HCFMUSP, Faculdade de Medicina, Universidade de Sao Paulo, São Paulo, Brazil
  • 3Department of Psychology, Toronto Metropolitan University, Toronto, Canada
  • 4University of Ottawa Institute of Mental Health Research at The Royal, Ottawa, Canada
  • 5Department of Psychology, University of Calgary, Calgary, Canada

Abstract


Objective
The relationship between screen use and problematic internet use (PIU; i.e., internet addiction) amongst adolescents has not been sufficiently explored. Further, there is even less research on how gender is associated with this relationship. The goal of the study was to examine adolescent screen use, PIU, and its impact on day-to-day routines of adolescents.
Methods
Participants were recruited from an outpatient pediatric clinic in São Paulo, Brazil. A total of 180 adolescents completed questionnaires related to their screen use, extracurricular activities, and symptoms of PIU. Univariate and multivariate statistics were used to determine correlates and predictors of PIU, and to explore gender differences.
Results
A total of 26.1% of adolescents met the criteria for PIU. There were no significant differences between boys and girls in PIU severity. However, there were significant gender differences in preferred use of the Internet, with boys being more likely to access the Internet to play video games (odds ratio [OR]=27.1) and girls being more likely to socialize with friends (OR=4.51). PIU severity increased proportionally to the number of hours of use of all screen devices with moderate-to-large effect sizes (η2=0.060–0.157). Using screens during meals and missing extracurricular activities were both associated with PIU.
Conclusion
Though gender was not associated with PIU, both excessive use of screen devices during meals and neglect of offline extracurriculars activities were identified as risk factors for PIU. Prevention measures should consider the impact of gender and associated patterns of motivation and Internet use.

Keyword

Problematic internet use; Screen time; Internet addiction; Gender differences
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