A cluster randomised trial of an internet-based intervention program for tinnitus distress in an industrial setting
- Authors: Abbott, Jo-Anne , Kaldo, Viktor , Klein, Britt , Austin, David , Hamilton, Catherine , Piterman, Leon , Williams, Ben , Andersson, Gerhard
- Date: 2009
- Type: Text , Journal article
- Relation: Cognitive Behaviour Therapy Vol. 38, no. 3 (2009), p. 162-173
- Full Text: false
- Reviewed:
- Description: The effectiveness of a therapist-supported Internet intervention program for tinnitus distress in an industrial setting was evaluated using a cluster randomised design. Fifty-six Australian employees of two industrial organisations were randomly assigned, based on their work site (18 work sites from BP Australia and five from BHP Billiton), to either a cognitive behavioural therapy (CBT) program or an information-only control program. Participants were assessed at pre- and postprogram, measuring tinnitus distress, depression, anxiety, stress, quality of life, and occupational health. The CBT program was not found to be superior to the information program for treating tinnitus distress. A high attrition rate and small sample size limit the generalisability of the findings, and further developments of the program and assessment process are needed to enhance engagement and compliance. © 2009 Taylor & Francis.
Implicit individual differences : Relationships between implicit self-esteem, gender identity, and gender attitudes
- Authors: Aidman, Eugene , Carroll, Steve
- Date: 2003
- Type: Text , Journal article
- Relation: European Journal of Personality Vol. 17, no. 1 (Jan-Feb 2003), p. 19-37
- Full Text: false
- Reviewed:
- Description: The study examined whether the magnitude of same-sex-favouring implicit gender bias depends on individual differences in self-esteem and gender identity as theorized by Greenwald et al. The Implicit Association Test (IAT) was used to measure implicit self-esteem, gender identity, and gender attitudes. Explicit self-esteem and gender identity were measured with questionnaires. The IAT revealed a strong automatic preference for female words in 34 female undergraduates but, surprisingly, no significant gender bias in 32 males. Individual levels of this gender bias were predicted in both sexes by IAT-derived implicit measures of self-esteem and gender identity, as well as by their interaction. Neither declared gender identity nor explicit self-esteem added to the prediction. The results are discussed in terms of balanced identity design and the potential influence of method effects on the findings. Copyright (C) 2002 John Wiley Sons, Ltd.
- Description: C1
- Description: 2003000505
Mimics : A symbolic conflict/cooperation simulation program, with embedded protocol recording and automatic psychometric assessment
- Authors: Aidman, Eugene , Shmelyov, Alexander
- Date: 2002
- Type: Text , Journal article
- Relation: Behavior Research Methods, Instruments, and Computers Vol. 34, no. 1 (2002), p. 83-89
- Full Text: false
- Reviewed:
- Description: This paper describes an interactive software environment designed as a social interaction simulator with embedded comprehensive recording and flexible assessment facilities. Using schematized visual sketches similar to cross-cultural facial universals (Ekman, 1999), Mimics (Shmelyov & Aidman, 1997) employs a computer-game-like scenario that requires the subject to identify with an avatar and navigate it through a playing field inhabited by hosts who display a range of facial expressions. From these expressions (which are highly consequential), the player has to anticipate the hosts' reactions to the avatar (which may vary from friendly to obstructing or aggressive) and choose between negotiating with a host (by altering the avatar's facial expression), attacking it, or searching for an escape route. Comprehensive recording of player moves and interactions has enabled computation of several fine-grained indices of interactive behavior, such as aggressive response styles, efficiency and motivation in conflict/cooperation contexts. Initial validation data and potential applications of the method in the assessment of personality and social behavior are discussed.
Computerized interaction simulation in the assessment of aggression-related response style and dispositions
- Authors: Aidman, Eugene
- Date: 2001
- Type: Text , Journal article
- Relation: Aggressive Behavior Vol. 27, no. 3 (2001), p. 212-212
- Full Text: false
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The influence of self-reported exercise addiction on acute emotional and physiological responses to brief exercise deprivation
- Authors: Aidman, Eugene , Woollard, Simon
- Date: 2003
- Type: Text , Journal article
- Relation: Psychology of Sport and Exercise Vol. 4, no. 3 (2003), p. 225-236
- Full Text: false
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- Description: Objectives: To examine the association between self-reported exercise addiction among competitive runners and their emotional and physiological response to a one-day deprivation from scheduled training. Design: A controlled experiment was utilised with random selection to exercise-deprived and control groups to examine the causal link between acute exercise deprivation and the presence and magnitude of withdrawal symptoms. Method : Club-level runners (n=60) who had been training at least five times weekly towards a major regional competition (30 women and 30 men, average age: 24.2 years) volunteered to abstain from a one-day training fixture with less than 24-hours' notice. All subjects completed the Profile of Mood States (POMS), Running Addiction Scale (RAS) and resting heart rate (RHR) measurements. From this group, 15 men and 15 women were randomly selected to miss the next scheduled training (exercise-deprived group), while the remaining 30 runners continued their training uninterrupted (controls). Both groups repeated POMS and RHR measures within 24 hours after the experiment. Results: The exercise-deprived group reported significant withdrawal-like symptoms of depressed mood, reduced vigour and increased tension, anger, fatigue and confusion (measured by POMS), as well as significantly elevated RHR, within 24 hours after the missed training session. The control group showed no changes in mood or RHR. More importantly, the observed negative mood changes and RHR response in the exercise-deprived group were moderated by self-reported exercise addiction. The sub-median RAS scorers experienced significantly less mood change and RHR shifts than the higher scoring half of the sample. Further, correlations between RAS scores and the magnitude of increases in tension, anger, confusion, depression and RHR ranged from 0.46 to 0.58. Conclusions: Self-reported exercise addiction in habitual exercisers moderates their emotional and physiological responses to a short-term controlled exercise deprivation, indicating that the magnitude of these responses may, in turn, serve as early markers of exercise dependence. © 2002 Elsevier Science Ltd. All rights reserved.
- Description: C1
Implicit concept mapping : A computerized tool for knowledge assessment in undergraduate psychology
- Authors: Aidman, Eugene , Ward, Janine
- Date: 2002
- Type: Text , Journal article
- Relation: MPR-online Vol. 7, no. 3 (2002), p. 31-48
- Full Text: false
- Description: The study continued validating the computerised method of implicit concept mapping (Aidman & Egan, 1998), while extending it from assessing the map's structural properties to content-based expert evaluation. The on-line concept mapping task (Aidman & Egan, 1998) was modified to elicit similarity / contrast judgements for a set of basic personality concepts, in a group of 65 introductory psychology students. The resulting individual concept proximity matrices were scored for complexity and internal consistency, as well as individually factor- and cluster analysed. Hierarchical cluster tree and un-rotated factorial representations were generated for each individual map. Students were asked to interpret their own cluster trees and factor plots by naming the clusters and factor axes (a brief statement accompanying the name was allowed). Three independent experts (lecturers in the subject) rated the clarity and accuracy of these interpretations, as well as the soundness of cluster trees and the factorial representations themselves. These data were compared with the overall grade the students had obtained in the Introductory Psychology course immediately prior to participating in the study. Internal consistency and complexity of students' implicit concept maps produced only crude associations with their course achievement. The expert ratings of cluster- and factorial representations of the maps, especially expert ratings of students' own interpretations of their maps, showed a more refined association with course achievement, thus confirming that structural assessment of the implicit maps needs to be complemented by their content-based evaluation in order to achieve a more accurate estimate of the learner's level of expertise in the subject.
Attitudes of healthcare providers towards family involvement and presence in adult critical care units in Saudi Arabia : A quantitative study
- Authors: Al Mutair, Abbas , Plummer, Virginia , O'Brien, Anthony , Clerehan, Rosemary
- Date: 2014
- Type: Text , Journal article
- Relation: Journal of Clinical Nursing Vol. 23, no. 5-6 (2014), p. 744-755
- Full Text: false
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- Description: Aims and objectives: To describe healthcare providers' attitudes to family involvement during routine care and family presence during resuscitation or other invasive procedures in adult intensive care units in Saudi Arabia. Background: Previous research has shown that healthcare professionals have revealed a diversity of opinions on family involvement during routine care and family presence during resuscitation or other invasive procedures. Attitude assessment can provide an indication of staff acceptance or rejection of the practice and also help identify key potential barriers that will need to be addressed. It has also been evident that participation in the care has potential benefits for patients and families as well as healthcare providers. Design: A quantitative descriptive design. Methods: A questionnaire was used with a convenience sample of 468 healthcare providers who were recruited from eight intensive care units. Results: The analysis found that healthcare providers had positive attitudes towards family involvement during routine care, but negative attitudes towards family presence during resuscitation or other invasive procedures. Physicians expressed more opposition to the practice than did nurses and respiratory therapists. Staff indicated a need to develop written guidelines and policies, as well as educational programmes, to address this sensitive issue in clinical practice. Conclusion: Family is an important resource in patient care in the context of the critical care environment. Clinical barriers including resources, hospital policies and guidelines, staff and public education should be taken into account to facilitate family integration to the care model. Relevance to clinical practice: The findings can help to develop policies and guidelines for safe implementation of the practice. They can also encourage those who design nursing and other medical curricula to place more emphasis on the role of the family especially in critical care settings. © 2013 John Wiley & Sons Ltd.
Family needs and involvement in the intensive care unit : A literature review
- Authors: Al Mutair, Abbas , Plummer, Virginia , O'Brien, Anthony , Clerehan, Rosemary
- Date: 2013
- Type: Text , Journal article , Review
- Relation: Journal of Clinical Nursing Vol. 22, no. 13-14 (2013), p. 1805-1817
- Full Text: false
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- Description: Aims and objectives: To understand the needs of critically ill patient families', seeking to meet those needs and explore the process and patterns of involving family members during routine care and resuscitation and other invasive procedures. Methods: A structured literature review using Cumulative Index to Nursing and Allied Health Literature, Pubmed, Proquest, Google scholar, Meditext database and a hand search of critical care journals via identified search terms for relevant articles published between 2000 and 2010. Results: Thirty studies were included in the review either undertaken in the Intensive Care Unit or conducted with critical care staff using different methods of inquiry. The studies were related to family needs; family involvement in routine care; and family involvement during resuscitation and other invasive procedures. The studies revealed that family members ranked both the need for assurance and the need for information as the most important. They also perceived their important needs as being unmet, and identified the nurses as the best staff to meet these needs, followed by the doctors. The studies demonstrate that both family members and healthcare providers have positive attitudes towards family involvement in routine care. However, family members and healthcare providers had significantly different views of family involvement during resuscitation and other invasive procedures. Conclusion: Meeting Intensive Care Unit family needs can be achieved by supporting and involving families in the care of the critically ill family member. More emphasis should be placed on identifying the family needs in relation to the influence of cultural values and religion held by the family members and the organisational climate and culture of the working area in the Intensive Care Unit. © 2013 Blackwell Publishing Ltd.
Eye tracking to investigate cue processing in medical decision making : A scoping review
- Authors: Al-Moteri, Modi , Symmons, Mark , Plummer, Virginia , Cooper, Simon J.
- Date: 2017
- Type: Text , Journal article , Review
- Relation: Computers in Human Behavior Vol. 66, no. (2017), p. 52-66
- Full Text: false
- Reviewed:
- Description: Eye-tracking techniques have been adopted as a research tool for a wide range of applications in healthcare studies. Recently, healthcare researchers have started to show interest in using eye-tracking techniques to study medical decision-making. Mapping the literature pertaining to eye tracking using a systematic approach is valuable at this point to bring together all the studies to date on how medical decision-makers make decisions, and the results may contribute to clinical training. This review follows Arksey and O'Malley's scoping review framework to improve our understanding of visual cue processing in medical decision-making. A diverse range of studies was identified, and the results are presented descriptively to develop a more coherent understanding of different aspects of cue processing and errors in medical decision-making. The review shows the need for more extensive investigations of cue processing and medical decision-making. Crown Copyright (C) 2016 Published by Elsevier Ltd. All rights reserved.
Psychometric properties of the Greek translation of the social phobia inventory
- Authors: Argyrides, Marios , Alexi, Nektarios , Moore, Kathleen
- Date: 2014
- Type: Text , Journal article
- Relation: Hellenic Journal of Psychology Vol. 11, no. (2014), p. 47-55
- Full Text: false
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- Description: In the current study we examined the psychometric properties of the Greek adaptation of the Social Phobic Inventory (SoPhI) (Moore & Gee, 2003). The questionnaire is a 21-item self-report measure that assesses social anxiety based on the criteria of the DSM-IV-TR and DSM-5. A total of 221 university students volunteered to complete the SoPhI. Exploratory Principal Components Analysis indicated the presence of a single factor explaining 38% of the variance. The internal reliability was strong (· = .92). These results provide evidence for the utility of this instrument to assess social anxiety in countries where Greek is spoken as well as for research involving cross-cultural comparisons. Future directions in research using this instrument are discussed.
Changing perception of average person's risk does not suffice to change perception of comparative risk
- Authors: Aucote, Helen , Gold, Ron
- Date: 2008
- Type: Text , Journal article
- Relation: Psychology, Health and Medicine Vol. 13, no. 4 (2008), p. 461-470
- Full Text: false
- Reviewed:
- Description: The direct method of assessing "unrealistic optimisim" employs a question of the form, "Compared with the average person, what is the chance that event X will occur to you?" It has been proposed that when individuals construct their responses to this question (direct-estimates) they focus much more strongly on estimates of their own risk (self-estimates) than on estimates of the average person's risk (other-estimates). A challenge to this proposal comes from findings that interventions that alter other-estimates also change direct-estimates. Employing a novel intervention technique, we tested the possibility that such interventions may indirectly also change self-estimates and that this is what accounts for their effect on dierct-estimates. Study 1 (n = 58) showed that an intervention which was designed to (and did) affect other-estimates also affected self-estimates, while Study 2 (n = 101) showed that it affected direct-estimates. Study 3 (n = 79) confirmed that we could modify the intervention so as to maintain the effect on other-estimates, but eliminate that on self-estimates. Study 4 (n = 112) demonstrated that when this was done, there was no longer any effect on direct-estimates. The findings are consistent with the proposal that dierct-estimates are constructed largely just out of self-estimates. Implications for health education programs are discussed.
- Description: C1
- Description: 2003006767
The influence of unrealistic optimism on event anxiety
- Authors: Aucote, Helen
- Date: 2004
- Type: Text , Journal article
- Relation: International Journal of Psychology Vol. 39, no. 5-6 (Oct-Dec 2004), p. 378-378
- Full Text: false
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- Description: C1
Interpretation and misinterpretation of warning signage : Perceptions of rockfalls in a naturalistic setting
- Authors: Aucote, Helen , Miner, Anthony , Dahlhaus, Peter
- Date: 2012
- Type: Text , Journal article
- Relation: Psychology, Health and Medicine Vol. 17, no. 5 (2012), p. 522-529
- Full Text: false
- Reviewed:
- Description: The aim of the present study was to investigate the factors relating to non-adherence to warning signs about falling rocks from coastal cliff faces. Face-to-face interviews (n=62) in a naturalistic setting (in the vicinity of a high-risk rockfall area) were conducted to investigate attention to and comprehension of warning signs, as well as beliefs relating to non-adherence of the signage. It was found that, while most participants could correctly identify the danger in the area and had noticed the warning signage, less than half of the participants could correctly interpret the signage. The perception of danger did not differ significantly between the participants who had, or had not, entered the high-risk zone. Differences in knowledge and beliefs between local residents and visitors to the area were identified. It was concluded that the warning signs did not provide enough detail for people to make informed decisions about safe behaviours. Comprehension of the signage may have been hampered by a lack of prior-knowledge of the particular risk, a failure to think carefully about the situation (i.e. low-effort processing), and the pictorial representation on the signs misleading the participants as to the true danger. © 2012 Copyright Taylor and Francis Group, LLC.
The relationship between attachment style, anxiety sensitivity and interpretive bias among adolescent nonclinical panickers
- Authors: Austin, David , Jamieson, Rachel , Richards, Jeffrey , Winkelman, John
- Date: 2006
- Type: Text , Journal article
- Relation: Behaviour Change Vol. 23, no. 1 (2006), p. 31-41
- Full Text: false
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- Description: Elevated anxiety sensitivity and the tendency to catastrophically misinterpret ambiguous bodily sensations has been demonstrated in people who experience nonclinical levels of panic (Richards, Austin, & Alvarenga, 2001), and anxiety sensitivity has been shown to be associated with insecure attachment in adolescents and young adults (Weems, Berman, Silverman, & Saavedra, 2001). This study investigated the relationship between attachment style, anxiety sensitivity and catastrophic misinterpretation among 11 nonclinical panickers and 58 nonanxious controls aged 18 to 19 years. Participants completed the Brief Bodily Sensations Interpretation Questionnaire (BBSIQ), Anxiety Sensitivity Index (ASI) and an attachment questionnaire. The hypothesis that insecurely attached individuals would demonstrate greater catastrophic misinterpretation and higher anxiety sensitivity than securely attached individuals was not supported; however, nonclinical panickers gave more anxiety-related interpretations of ambiguous internal stimuli than nonanxious controls. Results do not support the notion that attachment style is related to anxiety sensitivity or catastrophic misinterpretation (regardless of panic experience). Results do, however, support the notion that anxiety-related misinterpretation of ambiguous somatic sensations precedes the onset of panic disorder.
- Description: C1
The catastrophic misinterpretation model of panic disorder
- Authors: Austin, David , Richards, Jeffrey
- Date: 2001
- Type: Text , Journal article
- Relation: Behaviour Research and Therapy Vol. 39, no. 11 (2001), p. 1277-1291
- Full Text: false
- Reviewed:
- Description: In the catastrophic misinterpretation model of panic ark [Behav. Res. Ther. 24(1986)1461] proposes that panic attacks result from the misinterpretation of autonomic arousal stimuli as precursors to a physical or psychological emergency. The model has been widely examined, with many researchers suggesting that this specific cognitive bias is implicated in both the phenomenon of panic, and the aetiology and maintenance of panic disorder. Various research methodologies have provided only partial or inconclusive support for the model as being uniquely associated with panic, and as a cognitive process underpinning the experience of panic. This paper reviews the body of existing evidence and its implications for the model and proposes future research directions. The influence of implicit operational definitions of key terms in the catastrophic misinterpretation literature (e.g. 'catastrophe', 'threat', 'anxiety-related') are examined, and clarifications proposed. Inconsistencies and limitations in the measurement of catastrophic misinterpretation are highlighted, and subsequently developments to measurement instruments are proposed. © 2001 Elsevier Science Ltd. All rights reserved.
Modification of the body sensations interpretation questionnaire (BSIQ-M) : Validity and reliability
- Authors: Austin, David , Richards, Jeffrey , Klein, Britt
- Date: 2006
- Type: Text , Journal article
- Relation: Journal of Anxiety Disorders Vol. 20, no. 2 (2006), p. 237-251
- Full Text: false
- Reviewed:
- Description: The catastrophic misinterpretation model [Behav. Res. Ther. 24 (1986) 461-470] proposes that panic attacks result from misinterpretation of interoceptive stimuli as precursors to physical or psychological emergency. Inconclusive evidence for the model may be partly explained by limitations of the questionnaires developed to measure catastrophic misinterpretation. For example, the Body Sensations Interpretation Questionnaire (BSIQ) is unable to clarify whether anxiety-related interpretations of ambiguous interoceptive stimuli represent catastrophic misinterpretations or responses masking feared outcomes (e.g., heart failure). Additionally, it lacks items relating to several DSM-IV criteria for panic, thereby limiting content validity. Reliability is also potentially compromised due to experimenter-coding of participant-generated responses. A modified form of the BSIQ was developed to address these limitations and evaluated with non-anxious controls (n=34) and people with panic disorder (n=38). The revised questionnaire demonstrated good to excellent internal consistency, inter-rater reliability, and construct validity and is a useful development of the BSIQ.
'In a blink of an eye your life can change ' : Experiences of players sustaining a rugby-related acute spinal cord injury
- Authors: Badenhorst, Marelise , Verhagen, Evert , Lambert, Michael , van Mechelen, Willem , Brown, James
- Date: 2019
- Type: Text , Journal article
- Relation: Injury Prevention Vol. 25, no. 4 (2019), p. 313-320
- Full Text: false
- Reviewed:
- Description: Background Though rare, rugby union carries a risk for serious injuries such as acute spinal cord injuries (ASCI), which may result in permanent disability. Various studies have investigated injury mechanisms, prevention programmes and immediate medical management of these injuries. However, relatively scant attention has been placed on the player's experience of such an injury and the importance of context. Aim The aim of this study was to explore the injury experience and its related context, as perceived by the catastrophically injured player. Methods A qualitative approach was followed to explore the immediate, postevent injury experience. Semi-structured interviews were conducted with 48 (n=48) players who had sustained a rugby-related ASCI. Results Four themes were derived from the data. Participants described the context around the injury incident, which may be valuable to help understand the mechanism of injury and potentially minimise risk. Participants also described certain contributing factors to their injury, which included descriptions of foul play and aggression, unaccustomed playing positions, pressure to perform and unpreparedness. The physical experience included signs and symptoms of ASCI that is important to recognise by first aiders, fellow teammates, coaches and referees. Lastly, participants described the emotional experience which has implications for all ASCI first responders. Significance All rugby stakeholders, including players, first responders, coaches and referees, may gain valuable information from the experiences of players who have sustained these injuries. This information is also relevant for rugby safety initiatives in shaping education and awareness interventions.
Physical activity alone and with others as predictors of sense of belonging and mental health in retirees
- Authors: Bailey, Maria , McLaren, Suzanne
- Date: 2005
- Type: Text , Journal article
- Relation: Aging and Mental Health Vol. 9, no. 1 (2005), p. 82-90
- Full Text: false
- Reviewed:
- Description: A high sense of belonging to the community and physical activity are associated with improved mental health in older people. The present study tested a model incorporating physical activities performed alone and with others as predictors of sense of belonging, depression and suicide ideation. One hundred and ninety four retired adults (87 males, 107 females, mean age 68 years) completed the Yale Physical Activity Survey, the Sense of Belonging Instrument, the Suicide Subscale of the General Health Questionnaire and the Zung Depression Inventory. Within the context of the model, neither participating in physical activities alone, nor with at least one other person, predicted sense of belonging, depression or suicide ideation. Having the abilities and motivation to belong was a predictor of participating in physical activities with others and actual feelings of belonging and contributed to predicting mental health in retirees. It was concluded that simply performing activities with others was not associated with a sense of belonging or mental health. Rather, sense of belonging may need to be facilitated in order for mental health to be enhanced.
- Description: C1
- Description: 2003001229
Effect of standing or walking at a workstation on cognitive function : A randomized counterbalanced trial
- Authors: Bantoft, Christina , Summers, Mathew , Tranent, Peter , Palmer, Matthew , Cooley, Dean , Pedersen, Scott
- Date: 2016
- Type: Text , Journal article
- Relation: Human Factors Vol. 58, no. 1 (2016), p. 140-149
- Full Text: false
- Reviewed:
- Description: Objective: In the present study, we examined the effect of working while seated, while standing, or while walking on measures of short-term memory, working memory, selective and sustained attention, and information-processing speed. Background: The advent of computer-based technology has revolutionized the adult workplace, such that average adult full-time employees spend the majority of their working day seated. Prolonged sitting is associated with increasing obesity and chronic health conditions in children and adults. One possible intervention to reduce the negative health impacts of the modern office environment involves modifying the workplace to increase incidental activity and exercise during the workday. Although modifications, such as sit-stand desks, have been shown to improve physiological function, there is mixed information regarding the impact of such office modification on individual cognitive performance and thereby the efficiency of the work environment. Method: In a fully counterbalanced randomized control trial, we assessed the cognitive performance of 45 undergraduate students for up to a 1-hr period in each condition. Results: The results indicate that there is no significant change in the measures used to assess cognitive performance associated with working while seated, while standing, or while walking at low intensity. Conclusion: These results indicate that cognitive performance is not degraded with short-term use of alternate workstations. Copyright © 2015, Human Factors and Ergonomics Society.
Age of initiation and Internet gaming disorder : The role of self-esteem
- Authors: Beard, Charlotte , Haas, Amie , Wickham, Robert , Stavropoulos, Vasileios
- Date: 2017
- Type: Text , Journal article
- Relation: Cyberpsychology, Behavior, and Social Networking Vol. 20, no. 6 (2017), p. 397-401
- Full Text: false
- Reviewed:
- Description: The link between early initiation and problematic use has been observed for substance use disorders; however, this link has not been as clearly established for Internet gaming disorder (IGD). Available studies indicate that individuals who initiate Internet use at younger ages exhibit an increased risk for general Internet addiction. Prior research also suggests unique cognitive processes in online gaming, such that an individual's overall sense of self-worth can become contingent upon self-esteem derived from the gaming environment. The current research examines the mediational role of self-esteem variables in the relationship between age of initiation and IGD symptomatology. Data were analyzed from 1,044 adult participants (mean age = 30.90; standard deviation: 9.28; 35.0% female) recruited from Amazon Mechanical Turk who reported playing massively multiplayer online role-playing games. Age of gaming initiation is directly linked to IGD, as earlier age predicted overall IGD symptom severity (b = -0.10, 95% confidence interval [CI: -0.17, -0.03]), controlling for self-esteem factors. In addition, self-esteem factors emerged as mediators of the effect, where global self-esteem served as a protective factor (b = -0.05, 95% CI: [-0.07, -0.02]) and high gaming-contingent self-worth (GCSW; b = -0.10, 95% CI: [-0.15, -0.04]) was associated with more negative outcomes. Earlier age of gaming initiation is associated with IGD symptomatology. Although risks of screen time are often referred to in terms of physical consequences, the present study provides support regarding the inclusion of self-esteem factors in the link between early use and IGD. © Copyright 2017, Mary Ann Liebert, Inc. 2017.