The mediation role of low social-connectedness in association of internet gaming disorder and anger among adolescents: a multi-centre, large-sample and cross-sectional study

Abstract Background Although internet improves modern life, the corresponding consequences of internet gaming disorder (IGD), low social-connectedness and anger-emotion are emerging as global concerns. However, the association between these psychopathologies remain unclear. Methods This survey enrol...

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Main Authors: Xia Yang, Lu Tan, Jia-qi Xu, Xia-can Chen, Xiang-dong Tang, Jia-jun Xu
Format: Article
Language:English
Published: BMC 2025-05-01
Series:BMC Public Health
Online Access:https://doi.org/10.1186/s12889-025-23142-z
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Summary:Abstract Background Although internet improves modern life, the corresponding consequences of internet gaming disorder (IGD), low social-connectedness and anger-emotion are emerging as global concerns. However, the association between these psychopathologies remain unclear. Methods This survey enrolled 9,616 adolescents (11–19 years) from multi-center in China from September 2022 to March 2023. Association of self-reported social-connectedness (20-item revised Social Connectedness Scale, SCS) with IGD (9-item Internet Gaming Disorder Scale-short Form) and anger (6-item DSM-5-TR-Level 2-Anger Form) were characterized. Results 197 (2.05%) adolescents had been estimated as probable IGD, 364 (3.79%) reported severe-anger, and 1056 (10.98%) shown low reality social-connectedness (RSCS). The female (OR:2.16, 95%CI: 1.67–2.79), younger (OR:1.12; 95%CI: 1.04–1.20), IGD (OR:5.17; 95%CI: 3.30–8.08) were independent correlators of sever-anger after controlling the confounding of low RSCS (OR:7.21; 95%CI: 5.61–9.27). Furthermore, the RSCS could partially mediate the effects of IGD on Anger with indirect-effect of 29.50%. Conclusion The effect of IGD contribution to anger might be not only directly accomplished by IGD itself, and also influenced by indirectly mediation of low social-connectedness with reality, especially in the negative dimension.
ISSN:1471-2458