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The Relationship Between Impulsivity, Anxiety and Internet Addiction in Adolescents with Autism Spectrum Disorder: A Moderated Mediation Model.

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Τίτλος: The Relationship Between Impulsivity, Anxiety and Internet Addiction in Adolescents with Autism Spectrum Disorder: A Moderated Mediation Model.
Συγγραφείς: Sevincok D; Department of Child and Adolescent Psychiatry, Istinye University, Istanbul, Turkey. dsevincok@hotmail.com., Gurbuz Ozgur B; Department of Child and Adolescent Psychiatry, Izmir Democracy University, Izmir, Turkey., Gercek HG; Department of Child and Adolescent Psychiatry, Afyonkarahisar Health Sciences University, Afyon, Turkey., Tatli S; Department of Child and Adolescent Psychiatry, Aydin Adnan Menderes University, Aydin, Turkey., Aksu H; Department of Child and Adolescent Psychiatry, Tinaztepe University, Izmir, Turkey.
Πηγή: The Psychiatric quarterly [Psychiatr Q] 2026 Jun; Vol. 97 (2), pp. 365-384. Date of Electronic Publication: 2025 Nov 01.
Τύπος έκδοσης: Journal Article
Γλώσσα: English
Στοιχεία περιοδικού: Publisher: Kluwer Academic/Plenum Publishers Country of Publication: United States NLM ID: 0376465 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1573-6709 (Electronic) Linking ISSN: 00332720 NLM ISO Abbreviation: Psychiatr Q Subsets: MEDLINE
Imprint Name(s): Publication: 1999- : New York, NY : Kluwer Academic/Plenum Publishers
Original Publication: Utica, N. Y.
Ιατρικοί όροι (MeSH): Internet Addiction Disorder*/epidemiology , Internet Addiction Disorder*/physiopathology , Impulsive Behavior*/physiology , Autism Spectrum Disorder*/epidemiology , Autism Spectrum Disorder*/physiopathology , Anxiety, Separation*/epidemiology , Anxiety, Separation*/physiopathology , Anxiety*/epidemiology, Generalized Anxiety Disorder/epidemiology ; Humans ; Female ; Adolescent ; Male ; Child ; Mediation Analysis ; Comorbidity ; Internet
Περίληψη: We aimed to examine the relationship between impulsivity and Internet Addiction (IA) evaluating autism symptoms, inattention, hyperactivity, loneliness, anxiety, and depression in adolescents with Autism Spectrum Disorders (ASD). We also investigated whether symptoms of autism, anxiety or depression moderate and/or mediate the relationship between impulsivity and study variables in predicting the severity of IA. Participants (n = 46 adolescents with ASD, ages 12-18) were assessed through Autism Spectrum Screening Questionnaire (ASSQ), Revised Child Anxiety and Depression Scales, Turgay DSM-IV-Based Disruptive Behavioral Disorders Screening and Rating Scale, The Barratt Impulsiveness Scale-Brief, Young Internet Addiction Scale, and UCLA Loneliness Scale. For all the mediation models, total effect of impulsivity on IA was statistically significant (b = 0.329, p < 0.05). The mediator effects of Separation Anxiety Disorder (SpAD) (b = 0.495, CI = 0.039-1.256), and Generalized Anxiety Disorder (GAD) (b = 0.786, CI = 0.113-1.811) were statistically significant on the path between impulsivity and IA. The direct effect of impulsivity on SpAD was moderated by ASSQ (b = 0.041, p < 0.05). SpAD and GAD mediates the relationship between impulsivity and IA. The higher the autism level, the more likely the individual with ASD is to become an internet addict, strengthening higher relationship between impulsivity, SpAD, and GAD.
(© 2025. The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.)
Competing Interests: Declarations. Ethics Approval: The study protocol was approved by the Ethics Committee of Aydin Adnan Menderes University (Ref. Num: 2023/03). The study protocol was in accordance with the Declaration of Helsinki. Patient Consent: Written informed consent was obtained both from adolescents and their parents. Clinical Trial Registration: Reg. No: 2023/038 Conflict of interest: No potential financial or non-financial conflict of interest were declared by the authors.
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Contributed Indexing: Keywords: Anxiety; Autism spectrum disorders; Impulsivity; Internet addiction
Entry Date(s): Date Created: 20251101 Date Completed: 20260702 Latest Revision: 20260702
Update Code: 20260702
DOI: 10.1007/s11126-025-10224-9
PMID: 41174331
Βάση Δεδομένων: MEDLINE
Περιγραφή
ISSN:1573-6709
DOI:10.1007/s11126-025-10224-9