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Digital Technology Use and Adolescent Mental Health Before and During the Covid-19 Pandemic

The Roles of Internet Addiction and Digital Competence

Bibliographic Data

ID22004544
AuthorsSisi Tao (0000-0001-5953-4531, Education University of Hong Kong), Frank Reichert (0000-0003-0692-5082, Education University of Hong Kong, corresponding author), Nancy Law (0000-0003-3044-0528, Education University of Hong Kong), Nirmala Rao (0000-0002-5695-3156, Education University of Hong Kong)
Year2023
Volume26
Issue10
Pages739-746
Publication date2023-10-01
Open AccessYes
TypeARTICLE
VenueCyberpsychology Behavior and Social Networking (JOURNAL)
Journal identifiersISSN: 2152-2715 • E-ISSN: 2152-2723
PublisherSAGE Publications (PUBLISHER • US)
DOI10.1089/cyber.2023.0048
PMID37782141
OpenAlexW4387241844
LanguageEN
Citations received6
References cited33

This study examined whether Internet addiction (IA) and digital competence (DC) mediated the association between digital technology use and mental health problems in adolescents before and during the COVID-19 pandemic, when digital device use increased dramatically. Repeated cross-sectional data from a 3-year cross-cohort study adopting stratified random sampling were analyzed. In 2019, 569 adolescents (female = 312) from 14 secondary schools completed a DC assessment and an online survey on their digital technology use, IA, and mental health. In 2021, 775 adolescents (female = 397) from 11 of those 14 schools completed both instruments. Results showed that adolescents in 2021 spent more time using digital devices, were more digitally competent, and reported more mental health problems than adolescents in 2019. The prevalence of IA was 8 percent in 2019 and 12.4 percent in 2021. In both years, more frequent digital technology use predicted a higher risk of IA, which was associated with more mental health problems (indirect β = 0.08, p < 0.001 for 2019 and β = 0.05, p < 0.001 for 2021). In addition, in 2021, DC was positively associated with digital technology use and negatively with IA, which indirectly related to fewer mental health problems (indirect β = -0.01, p = 0.03). In conclusion, DC is a protective factor alleviating the positive associations of digital technology use and IA with mental health problems in adolescents when the ecological context requires high levels of digital device use

Addiction · Behavioral addiction · Cohort · Cross-sectional study · Health care · Mental health · Pandemic · Political science · Psychiatry · Stratified sampling · Telemedicine · The Internet · Child Development and Digital Technology · Clinical Psychology · Computer Science · Education, Sociology, Communication Studies · Impact of Technology on Adolescents · Medicine · Psychology · Social Psychology · Internal Medicine

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Citations per year6
Citation span2025 - 2026 (2)
Highly citedNo

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