Relationship between adolescent depressive disorder and internet addiction:the mediating effects of social avoidance and academic defeat
Objective To examine the mediating effects of social avoidance and academic defeat on the relationship between adolescent depressive disorder and internet addiction.Methods A total of 463 adolescents diagnosed with a diagnosis of depressive disorder,who sought outpatient and inpatient treatment in mental facilities between May 2021 and October 2022 were assessed using Children's Depression Inventory,Social Avoidance and Distress Scale,Defeat Scale,and Internet Addiction Test.The mediating effect analysis was performed using SPSS 26.0 with the PROCESS v4.1 macro,using the bias-corrected non-parametric percentile bootstrap method for mediation testing.Results Signifi-cant positive correlations were found between internet addiction,depression severity,social avoidance,and academic defeat.Social avoidance and academic defeat played parallel mediating roles in the relationship between depressive severity and internet addiction,with mediation effects of 0.136(95%CI:0.028-0.243)and 0.276(95%CI:0.079-0.475),respectively.Conclusion The severity of depression in adolescents with depressive disorder not only directly influences internet addiction,but also indirectly affects it through the mediating roles of social avoidance and academic defeat.Future clinical practice should implement interventions targeting social avoidance and academic defeat to reduce the risk of internet addiction in adolescents with depressive disorder.
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