Relationship between psychological inflexibility and experiential avoidance and internet addiction: Mediating effects of mental health problems (2017)

Psychiatry Res. 2017 Jul 11;257:40-44. doi: 10.1016/j.psychres.2017.07.021.

Chou WP1, Lee KH2, Ko CH3, Liu TL4, Hsiao RC5, Lin HF6, Yen CF7.

Abstract

Internet addiction became a major mental health problem in college student. Our objective was to examine the relationship between psychological inflexibility and experiential avoidance (PIEA) and Internet addiction (IA) and the mediating effects of mental health problem indicators. 500 college students (238 men and 262 women) participated in this study. The level of PIEA was examined using the Acceptance and Action Questionnaire-II. The severity of IA was assessed using the Chen Internet Addiction Scale. The levels of depression, anxiety, interpersonal sensitivity, and hostility were evaluated using the Symptom Checklist-90 item-Revised Scale. The relationship among PIEA, mental health problems, and IA was examined using structural equation modeling. The severity of PIEA was positively associated with the severity of IA as well as positively associated with the severity of mental health problems. In addition, the severity of mental health problem indicators was positively associated with the severity of IA. These results provide the severity of PIEA is directly related to the severity of IA and indirectly related to the severity of IA through increasing the severity of mental health problems. The PIEA should be one of the target objectives when administer cognitive-behavioral therapy to college students with IA and mental health problems.

KEYWORDS: Anxiety; Depression; Experiential avoidance; Hostility; Internet addiction; Interpersonal sensitivity; Psychological inflexibility

PMID: 28719830

DOI: 10.1016/j.psychres.2017.07.021