Associations between Online Addiction, Attachment Style, Emotion Regulation, Depression and Anxiety in General Population: Testing the Proposed Diagnostic Criteria for Internet Addiction
Ebubekir Ceyhan, Murat Boysan, Muhammed Tayyip Kadak
Sleep and Hypnosis: A Journal of Clinical Neuroscience and Psychopathology 2019;21(2):123-139
The focus of this study was twofold. The first aim of the study was to investigate psychometric properties of the Turkish version of the Chen Internet Addiction Scale (CIAS). Second, we explored the relations between Internet Addiction, Attachment Style, Emotion Regulation, Depression and Anxiety among college students. A total of 754 college students participated in the study. The CIAS, Young Internet Addiction Test (YIAT), Experiences in Close Relationship-Revised (ECR-R), Difficulties in Emotional Regulation Scale (DERS), Center for Epidemiological Studies Depression Scale (CES-D), Beck Anxiety Inventory (BAI), and WHO Disability Assessment Schedule 2.0 (WHODAS 2.0) were administered in the study. The CIAS was subjected to confirmatory factor analysis. The associations between Internet addiction, attachment styles, difficulty in emotion regulation, anxiety and depression were evaluated using one-way analysis of variance and logistic regression analysis. The signal detection analysis showed that a cut value of 64 for the CIAS, with diagnostic accuracy of 97.1% and a cut value of 40 for the YIAT, with diagnostic accuracy of 86.9% were evaluated to be best diagnostic cutoff points. Considering univariate relationships between variables of interest, fearful and preoccupied attachment were significantly associated with pathological Internet use. Logistic regression analyses demonstrated that being male, difficulties in emotional regulation, anxiety and depression statistically significantly contributed to the risk for development of Internet addiction. Internet addiction as indexed by the CIAS cutoff is a highly debilitating mental disorder.
REFERENCES
Aboujaoude, E. (2010). Problematic Internet use: an overview. World Psychiatry, 9(2), 85-90.
Akbari, M. (2017). Metacognitions or distress intolerance: The mediating role in the relationship between emotional dysregulation and problematic internet use. Addictive Behaviors Reports, 6, 128-133. doi:10.1016/j.abrep.2017.10.004
Al-Gamal, E., Alzayyat, A., & Ahmad, M. M. (2016). Prevalence of Internet addiction and its association with psychological distress and coping strategies among university students in Jordan. Perspectives in Psychiatric Care, 52(1), 49-61. doi:10.1111/ppc.12102
Aldao, A., Nolen-Hoeksema, S., & Schweizer, S. (2010). Emotion-regulation strategies across psychopathology: A meta-analytic review. Clinical Psychology Review, 30(2), 217-237. doi:10.1016/j.cpr.2009.11.004
American Psychiatric Association. (2013). Diagnostic and Statistical Manual of Mental Disorders, 5th Edition (DSM-5). Washington, DC: American Psychiatric Publishing.
Anderson, E. L., Steen, E., & Stavropoulos, V. (2017). Internet use and Problematic Internet use: A systematic review of longitudinal research trends in adolescence and emergent adulthood. International Journal of Adolescence and Youth, 22(4), 430-454. doi:10.1080/02673843.2016.1227716
Bartholomew, K., & Horowitz, L. M. (1991). Attachment styles among young adults: A test of a four category model. Journal of Personality and Social Psychology, 61, 226–244.
Beck, A. T., Brown, G., Epstein, N., & Steer, R. A. (1988). An inventory for measuring clinical anxiety: Psychometric properties. Journal of Consulting and Clinical Psychology, 56(6), 893-897. doi:Doi 10.1037/0022-006x.56.6.893
Benaiges, I., Prat, G., & Adan, A. (2010). Neuropsychological aspects of dual diagnosis. Current Drug Abuse Review, 3, 175-188.
Billieux, J., & Van der Linden, M. (2012). Problematic use of the Internet and self-regulation: A review of the initial studies. The Open Addiction Journal, 5 (Suppl 1), 24-29.
Blackwell, D., Leaman, C., Tramposch, R., Osborne, C., & Liss, M. (2017). Extraversion, neuroticism, attachment style and fear of missing out as predictors of social media use and addiction. Personality and Individual Differences, 116, 69-72. doi:10.1016/j.paid.2017.04.039
Bowlby, J. (1988). A secure base: Parent-child attachment and healthy human development. New York, NY: Basic Books.
Boysan, M., & Çam, Z. (2016). An investigation into the role of attachment insecurities in obsessive-compulsive symptoms. British Journal of Guidance & Counselling, 1-16. doi:10.1080/03069885.2016.1262533
Boysan, M., Kuss, D. J., Barut, Y., Aykose, N., Gulec, M., & Ozdemir, O. (2017). Psychometric properties of the Turkish version of the Internet Addiction Test (IAT). Addictive Behaviors, 64, 247-252. doi:10.1016/j.addbeh.2015.09.002
Brand, M., Laier, C., & Young, K. S. (2014). Internet addiction: coping styles, expectancies, and treatment implications. Frontiers in Psychology, 5. doi:10.3389/fpsyg.2014.01256
Brand, M., Young, K. S., & Laier, C. (2014). Prefrontal control and Internet addiction: a theoretical model and review of neuropsychological and neuroimaging findings. Frontiers in Human Neuroscience, 8. doi:10.3389/fnhum.2014.00375
Brand, M., Young, K. S., Laier, C., Wolfling, K., & Potenza, M. N. (2016). Integrating psychological and neurobiological considerations regarding the development and maintenance of specific Internet-use disorders: An Interaction of Person-Affect-Cognition-Execution (I-PACE) model. Neuroscience and Biobehavioral Reviews, 71, 252-266. doi:10.1016/j.neubiorev.2016.08.033
Brennan, K. A., Clark, C. L., & Shaver, P. R. (1998). Self-report measurement of adult attachment: An integrative overview. In J. A. Simpson & W. S. Rholes (Eds.), Attachment theory and close relationships (pp. 46-76). New York, NY: Guilford Press.
Cash, H., Rae, C. D., Steel, A. H., & Winkler, A. (2012). Internet addiction: A brief summary of research and practice. Current Psychiatry Reviews, 8(4), 292-298. doi:10.2174/157340012803520513
Chen, S.-H., Weng, L.-J., Su, Y.-J., Wu, H.-M., & Yang, P.-F. (2003). Development of a Chinese Internet Addiction Scale and its psychometric study. Chinese Journal of Psychology, 45(3), 279-294.
Cheng, C., Sun, P. Z., & Mak, K. K. (2015). Internet addiction and psychosocial maladjustment: Avoidant coping and coping inflexibility as psychological mechanisms. Cyberpsychology Behavior and Social Networking, 18(9), 539-546. doi:10.1089/cyber.2015.0121
Cho, S. M., Sung, M. J., Shin, K. M., Lim, K. Y., & Shin, Y. M. (2013). Does psychopathology in childhood predict Internet addiction in male adolescents? Child Psychiatry and Human Development, 44(4), 549-555. doi:10.1007/s10578-012-0348-4
Chou, W. P., Ko, C. H., Kaufman, E. A., Crowell, S. E., Hsiao, R. C., Wang, P. W., . . . Yen, C. F. (2015). Association of stress coping strategies with Internet addiction in college students: The moderating effect of depression. Comprehensive Psychiatry, 62, 27-33. doi:10.1016/j.comppsych.2015.06.004
Ciarrochi, J., Parker, P., Sahdra, B., Marshall, S., Jackson, C., Gloster, A. T., & Heaven, P. (2016). The development of compulsive Internet use and mental health: A four-year study of adolescence. Developmental Psychology, 52(2), 272-283. doi:10.1037/dev0000070
Cozolino, L. (2013). The neuroscience of human relationships: Attachment and the developing social brain (Second edition ed.). New York, NY: W. W. Norton & Company.
Dong, G., Lu, Q., Zhou, H., & Zhao, X. (2011). Precursor or sequela: Pathological disorders in people with Internet addiction disorder. PLoS One, 6(2), e14703. doi:10.1371/journal.pone.0014703
Dong, G. H., & Potenza, M. N. (2014). A cognitive-behavioral model of Internet gaming disorder: Theoretical underpinnings and clinical implications. Journal of Psychiatric Research, 58, 7-11. doi:10.1016/j.jpsychires.2014.07.005
Durkee, T., Kaess, M., Carli, V., Parzer, P., Wasserman, C., Floderus, B., . . . Wasserman, D. (2012). Prevalence of pathological internet use among adolescents in Europe: demographic and social factors. Addiction, 107(12), 2210-2222. doi:10.1111/j.1360-0443.2012.03946.x
Flores, P. J. (2004). Addiction as an attachment disorder. Lanham: Jason Aronson.
Fraley, R. C., Waller, N. G., & Brennan, K. A. (2000). An item response theory analysis of self-report measures of adult attachment. Journal of Personality and Social Psychology, 78(2), 350-365. doi:Doi 10.1037/0022-3514.78.2.350
Gamez-Guadix, M. (2014). Depressive symptoms and problematic Internet use among adolescents: Analysis of the longitudinal relationships from the cognitive-behavioral model. Cyberpsychology Behavior and Social Networking, 17(11), 714-719. doi:10.1089/cyber.2014.0226
Gamez-Guadix, M., Orue, I., Smith, P. K., & Calvete, E. (2013). Longitudinal and reciprocal relations of cyberbullying with depression, substance use, and problematic Internet use among adolescents. Journal of Adolescent Health, 53(4), 446-452. doi:10.1016/j.jadohealth.2013.03.030
Gentile, D. (2009). Pathological video-game use among youth ages 8 to 18: A national study. Psychological Science, 20(5), 594-602. doi:10.1111/j.1467-9280.2009.02340.x
Gentile, D. A., Choo, H., Liau, A., Sim, T., Li, D. D., Fung, D., & Khoo, A. (2011). Pathological video game use among youths: A two-year longitudinal study. Pediatrics, 127(2), E319-E329. doi:10.1542/peds.2010-1353
Gratz, K. L., & Roemer, L. (2004). Multidimensional assessment of emotion regulation and dysregulation: Development, factor structure, and initial validation of the difficulties in emotion regulation scale. Journal of Psychopathology and Behavioral Assessment, 26(1), 41-54. doi:10.1023/B:Joba.0000007455.08539.94
Griffiths, M. (2005). A ‘components’ model of addiction within a biopsychosocial framework. Journal of Substance Use, 10(4), 191-197. doi:10.1080/14659890500114359
Griffiths, M. D., van Rooij, A. J., Kardefelt-Winther, D., Starcevic, V., Kiraly, O., Pallesen, S., . . . Demetrovics, Z. (2016). Working towards an international consensus on criteria for assessing internet gaming disorder: a critical commentary on Petry et al. (2014). Addiction, 111(1), 167-175. doi:10.1111/add.13057
Grusser, S. M., Thalemann, R., & Griffiths, M. D. (2007). Excessive computer game playing: Evidence for addiction and aggression? Cyberpsychology & Behavior, 10(2), 290-292. doi:10.1089/cpb.2006.9956
Hormes, J. M., Kearns, B., & Timko, C. A. (2014). Craving Facebook? Behavioral addiction to online social networking and its association with emotion regulation deficits. Addiction, 109(12), 2079-2088. doi:10.1111/add.12713
Hu, L. T., & Bentler, P. M. (1999). Cutoff criteria for fit indexes in covariance structure analysis: Conventional criteria versus new alternatives. Structural Equation Modeling-a Multidisciplinary Journal, 6(1), 1-55. doi:10.1080/10705519909540118
Irandoust, K., & Taheri, M. (2017). The effect of vitamin D supplement and indoor vs outdoor physical activity on depression of obese depressed women. Asian Journal of Sports Medicine, 8(3), e13311. doi:10.5812/asjsm.13311
Jenkins-Guarnieri, M. A., Wright, S. L., & Hudiburgh, L. M. (2012). The relationships among attachment style, personality traits, interpersonal competency, and Facebook use. Journal of Applied Developmental Psychology, 33(6), 294-301. doi:10.1016/j.appdev.2012.08.001
Kardefelt-Winther, D. (2017). Conceptualizing Internet use disorders: Addiction or coping process? Psychiatry and Clinical Neurosciences, 71(7), 459-466. doi:10.1111/pcn.12413
Kim, K., & Kim, K. (2015). Internet game addiction, parental attachment, and parenting of adolescents in South Korea. Journal of Child & Adolescent Substance Abuse, 24(6), 366-371. doi:10.1080/1067828x.2013.872063
Ko, C. H., Liu, T. L., Wang, P. W., Chen, C. S., Yen, C. F., & Yen, J. Y. (2014). The exacerbation of depression, hostility, and social anxiety in the course of Internet addiction among adolescents: A prospective study. Comprehensive Psychiatry, 55, 1377–1384.
Ko, C. H., Wang, P. W., Liu, T. L., Yen, C. F., Chen, C. S., & Yen, J. Y. (2015). Bidirectional associations between family factors and Internet addiction among adolescents in a prospective investigation. Psychiatry and Clinical Neurosciences, 69(4), 192-200. doi:10.1111/pcn.12204
Ko, C. H., Yen, C. F., Yen, C. N., Yen, J. Y., Chen, C. C., & Chen, S. H. (2005). Screening for Internet addiction: an empirical study on cut-off points for the Chen Internet Addiction Scale. The Kaohsiung Journal of Medical Sciences, 21(12), 545-551. doi:10.1016/S1607-551X(09)70206-2
Ko, C. H., Yen, J. Y., Chen, C. C., Chen, S. H., & Yen, C. F. (2005). Proposed diagnostic criteria of Internet addiction for adolescents. The Journal of nervous and mental disease, 193(11), 728-733. doi:10.1097/01.nmd.0000185891.13719.54
Ko, C. H., Yen, J. Y., Chen, C. S., Yeh, Y. C., & Yen, C. F. (2009). Predictive values of psychiatric symptoms for Internet addiction in adolescents A 2-year prospective study. Archives of Pediatrics and Adolescent Medicine, 163(10), 937-943. doi:10.1001/archpediatrics.2009.159
Ko, C. H., Yen, J. Y., Chen, S. H., Yang, M. J., Lin, H. C., & Yen, C. F. (2009). Proposed diagnostic criteria and the screening and diagnosing tool of Internet addiction in college students. Comprehensive Psychiatry, 50(4), 378-384. doi:10.1016/j.comppsych.2007.05.019
Kun, B., & Demetrovics, Z. (2010). Emotional intelligence and addictions: A systematic review. Substance Use and Misuse, 45(7-8), 1131-1160. doi:10.3109/10826080903567855
Kuss, D. J. (2013). Internet gaming addiction: current perspectives. Psychology Research and Behavior Management, 6, 125–137. doi:10.2147/PRBM.S39476
Kuss, D. J., Griffiths, M. D., Karila, L., & Billieux, J. (2014). Internet addiction: A systematic review of epidemiological research for the last decade. Current Pharmaceutical Design, 20(25), 4026-4052. doi:10.2174/13816128113199990617
Kuss, D. J., & Lopez-Fernandez, O. (2016). Internet addiction and problematic Internet use: A systematic review of clinical research. World Journal of Psychiatry, 6(1), 143-176. doi:10.5498/wjp.v6.i1.143
LaRose, R. (2010). The problem of media habits. Communication Theory, 20(2), 194-+. doi:10.1111/j.1468-2885.2010.01360.x
LaRose, R., & Eastin, M. S. (2004). A social cognitive theory of Internet uses and gratifications: Toward a new model of media attendance. Journal of Broadcasting & Electronic Media, 48(3), 358-377. doi:10.1207/s15506878jobem4803_2
LaRose, R., Lin, C. A., & Eastin, M. S. (2003). Unregulated Internet usage: Addiction, habit, or deficient self-regulation? Media Psychology, 5(3), 225-253. doi:Doi 10.1207/S1532785xmep0503_01
Lee, D. Y. (2013). The role of attachment style in building social capital from a social networking site: The interplay of anxiety and avoidance. Computers in Human Behavior, 29(4), 1499-1509. doi:10.1016/j.chb.2013.01.012
Lehmann, V., Makine, C., Karsidag, C., Kadioglu, P., Karsidag, K., & Pouwer, F. (2011). Validation of the Turkish version of the Centre for Epidemiologic Studies Depression Scale (CES-D) in patients with type 2 diabetes mellitus. Bmc Medical Research Methodology, 11. doi:10.1186/1471-2288-11-109
Lei, L., & Wu, Y. (2007). Adolescents’ paternal attachment and Internet use. Cyberpsychology & Behavior, 10(5), 633-639. doi:https://doi.org/10.1089/cpb.2007.9976
Li, D. P., Zhang, W. H., Li, X., Zhou, Y. Y., Zhao, L. Y., & Wang, Y. H. (2016). Stressful life events and adolescent Internet addiction: The mediating role of psychological needs satisfaction and the moderating role of coping style. Computers in Human Behavior, 63, 408-415. doi:10.1016/j.chb.2016.05.070
Lin, J. H. (2015). The role of attachment style in Facebook use and social capital: Evidence from university students and a national sample. Cyberpsychology, Behavior, and Social Networking, 18(3), 173–180. doi:10.1089/cyber.2014.0341
Lin, J. H. (2016). Need for relatedness: A self-determination approach to examining attachment styles, Facebook use, and psychological well-being. Asian Journal of Communication, 26(2), 153–173. doi:10.1080/01292986.2015.1126749
Lin, M. P., Ko, H. C., & Wu, J. Y. W. (2011). Prevalence and psychosocial risk factors associated with internet addiction in a nationally representative sample of college students in Taiwan. Cyberpsychology, Behavior, and Social Networking, 14(12), 741–746. doi:10.1089/cyber.2010.0574
Linehan, M. M. (2014). DBT® skills training manual (Second Edition ed.). New York, NY: Guilford.
Liu, H. H., Shi, J. Q., Liu, Y. H., & Sheng, Z. T. (2013). The moderating role of attachment anxiety on social network site use intensity and social capital. Psychological Reports, 112(1), 252-265. doi:10.2466/21.02.17.Pr0.112.1.252-265
Lopez-Fernandez, O. (2015). How has Internet addiction research evolved since the advent of Internet Gaming Disorder? An overview of cyberaddictions from a psychological perspective. Current Addiction Reports, 2(3), 263-271. doi:10.1007/s40429-015-0067-6
Monacis, L., de Palo, V., Griffiths, M. D., & Sinatra, M. (2017a). Exploring individual differences in online addictions: the role of identity and attachment. International Journal of Mental Health and Addiction, 15(4), 853-868. doi:10.1007/s11469-017-9768-5
Monacis, L., De Palo, V., Griffiths, M. D., & Sinatra, M. (2017b). Social networking addiction, attachment style, and validation of the Italian version of the Bergen Social Media Addiction Scale. Journal of Behavioral Addictions, 6(2), 178-186. doi:10.1556/2006.6.2017.023
Montag, C., Sindermann, C., Becker, B., & Panksepp, J. (2016). An affective neuroscience framework for the molecular study of Internet addiction. Frontiers in Psychology, 7. doi: 10.3389/fpsyq.2016.01906
Morsunbul, U. (2014). Internet addiction in adolescence period: its relations with identity style and ruminative exploration. Anadolu Psikiyatri Dergisi-Anatolian Journal of Psychiatry, 15(1), 77-83. doi:10.5455/apd.43504
Odaci, H., & Cikrikci, O. (2014). Problematic internet use in terms of gender, attachment styles and subjective well-being in university students. Computers in Human Behavior, 32, 61-66. doi:10.1016/j.chb.2013.11.019
Oktan, V. (2011). The predictive relationship between emotion management skills and Internet addiction. Social Behavior and Personality, 39(10), 1425-1430. doi:10.2224/sbp.2011.39.10.1425
Oldmeadow, J. A., Quinn, S., & Kowert, R. (2013). Attachment style, social skills, and Facebook use amongst adults. Computers in Human Behavior, 29(3), 1142-1149. doi:10.1016/j.chb.2012.10.006
Park, S. K., Kim, J. Y., & Cho, C. B. (2008). Prevalence of Internet addiction and correlations with family factors among South Korean adolescents. Adolescence, 43(172), 895-909.
Pontes, H. M., Kuss, D. J., & Griffiths, M. D. (2015). Clinical psychology of Internet addiction: a review of its conceptualization, prevalence, neuronal processes, and implications for treatment. Neuroscience & Neuroeconomics, 4, 11-23. doi:http://dx.doi.org/10.2147/NAN.S60982
Radloff, L. S. (1977). The CES-D Scale: A self-report depression scale for research in the general population. Applied Psychological Measurement, 1(3), 385-401.
Rehm, J., Üstün, T. B., Saxena, S., Nelson, C. B., Chatterji, S., Ivis, F., & Adlaf, E. D. (1999). On the development and psychometric testing of the WHO screening instrument to assess disablement in the general population. International Journal of Methods in Psychiatric Research, 8(2), 110-122. doi:10.1002/mpr.61
Ruganci, R. N., & Gencoz, T. (2010). Psychometric properties of a Turkish Version of the Difficulties in Emotion Regulation Scale. Journal of Clinical Psychology, 66(4), 442-455. doi:10.1002/jclp.20665
Salguero, R. A. T., & Moran, R. M. B. (2002). Measuring problem video game playing in adolescents. Addiction, 97(12), 1601-1606.
Savci, M., & Aysan, F. (2016). The role of attachment styles, peer relations, and affections in predicting Internet addiction. Addicta-the Turkish Journal on Addictions, 3(3), 416-432. doi:10.15805/addicta.2016.3.0028
Schimmenti, A., Guglielmucci, F., Barbasio, C., & Granieri, A. (2012). Attachment disorganization and dissociation in virtual worlds: A study on problematic Internet use among players of online role playing games. Clinical Neuropsychiatry, 9(5), 195-202.
Schimmenti, A., Passanisi, A., Gervasi, A. M., Manzella, S., & Fama, F. I. (2014). Insecure attachment attitudes in the onset of problematic Internet use among late adolescents. Child Psychiatry & Human Development, 45(5), 588-595. doi:10.1007/s10578-013-0428-0
Schore, A. N. (2016). Affect regulation and the origin of the self : the neurobiology of emotional development. New York, NY: Routledge.
Schreiber, L. R. N., Grant, J. E., & Odlaug, B. L. (2012). Emotion regulation and impulsivity in young adults. Journal of Psychiatric Research, 46(5), 651-658. doi:10.1016/j.jpsychires.2012.02.005
Selcuk, E., Gunaydin, G., Sumer, N., & Uysal, A. (2005). A new measure for adult attachment styles: The psychometric evaluation of Experiences in Close Relationships – Revised (ECR-R) on a Turkish sample. Turkish Psychological Articles, 8, 1-11.
Severino, S., & Craparo, G. (2013). Internet addiction, attachment styles, and social self-efficacy. Global Journal of Psychology Research, 1, 9–16.
Shaffer, H. J., Hall, M. N., & Vander Bilt, J. (2000). “Computer addiction”: A critical consideration. American Journal of Orthopsychiatry, 70(2), 162-168. doi:DOI 10.1037/h0087741
Shin, S. E., Kim, N. S., & Jang, E. Y. (2011). Comparison of problematic Internet and alcohol use and attachment styles among industrial workers in Korea. Cyberpsychology Behavior and Social Networking, 14(11), 665-672. doi:10.1089/cyber.2010.0470
Siddiqui, J. A., Qureshi, S. F., & Alghamdi, A. K. (2018). Internet gaming disorder: A case report. Journal of Behavioral Health, 7(1), 43–46. doi:10.5455/jbh.20170928054951
Siegel, D. J. (2012). The developing mind : How relationships and the brain interact to shape who we are (Second Edition ed.). New York, NY: Guilford.
Spada, M. M. (2014). An overview of problematic Internet use. Addictive Behaviors, 39(1), 3-6. doi:10.1016/j.addbeh.2013.09.007
Spada, M. M., Langston, B., Nikcevic, A. V., & Moneta, G. B. (2008). The role of metacognitions in problematic Internet use. Computers in Human Behavior, 24(5), 2325-2335. doi:10.1016/j.chb.2007.12.002
Spada, M. M., & Marino, C. (2017). Metacognitions and emotion regulation as predictors of problematic Internet use in adolescents. Clinical Neuropsychiatry, 14(1), 59-63.
Starcevic, V. (2010). Problematic Internet use: a distinct disorder, a manifestation of an underlying psychopathology, or a troublesome behaviour? World Psychiatry, 9(2), 92-93.
Starcevic, V. (2013). Is Internet addiction a useful concept? Australian and New Zealand Journal of Psychiatry, 47(1), 16-19. doi:10.1177/0004867412461693
Suissa, A. J. (2015). Cyber addictions: toward a psychosocial perspective. Addictive Behaviors, 43, 28-32. doi:10.1016/j.addbeh.2014.09.020
Taheri, M., & Irandoust, K. (2018). The exercise-induced weight loss improves self-reported quality of sleep in obese elderly women with sleep disorders. Sleep and Hypnosis, 20(1), 54-59. doi:http://dx.doi.org/10.5350/Sleep.Hypn.2017.19.0134
Tao, R., Huang, X. Q., Wang, J. N., Zhang, H. M., Zhang, Y., & Li, M. C. (2010). Proposed diagnostic criteria for internet addiction. Addiction, 105(3), 556-564. doi:10.1111/j.1360-0443.2009.02828.x
Tokunaga, R. S. (2015). Perspectives on Internet addiction, problematic Internet use, and deficient self-regulation: Contributions of communication research. In E. L. Cohen (Ed.), Communication yearbook (Vol. 39, pp. 131-161). New York; NY: New York: Routledge.
Tokunaga, R. S. (2017). A meta-analysis of the relationships between psychosocial problems and internet habits: Synthesizing internet addiction, problematic internet use, and deficient self-regulation research. Communication Monographs, 84(4), 423-446. doi:10.1080/03637751.2017.1332419
Tokunaga, R. S., & Rains, S. A. (2010). An evaluation of two characterizations of the relationships between problematic Internet use, time spent using the Internet, and psychosocial problems. Human Communication Research, 36(4), 512-545. doi:10.1111/j.1468-2958.2010.01386.x
Ulusoy, M., Sahin, N. H., & Erkmen, H. (1998). Turkish version of the Beck Anxiety Inventory: Psychometric properties. Journal of Cognitive Psychotherapy, 12(2), 63-172.
Üstün, T. B., Kostanjsek, N., Chatterji, S., & Rehm, J. (2010). Measuring health and disability: Manual for WHO Disability Assessment Schedule (WHODAS 2.0). Malta: World Health Organization.
van den Eijnden, R. J. J. M., Meerkerk, G. J., Vermulst, A. A., Spijkerman, R., & Engels, R. C. M. E. (2008). Online communication, compulsive Internet use, and psychosocial well-being among adolescents: A longitudinal study. Developmental Psychology, 44(3), 655-665. doi:10.1037/0012-1649.44.3.655
Vandelanotte, C., Sugiyama, T., Gardiner, P., & Owen, N. (2009). Associations of leisure-time Internet and computer use with overweight and obesity, physical activity and sedentary behaviors: cross-sectional study. Journal of Medical Internet Research, 11(3). doi: 10.2196/jmir.1084
Yang, X. J., Zhu, L., Chen, Q., Song, P. P., & Wang, Z. H. (2016). Parent marital conflict and Internet addiction among Chinese college students: The mediating role of father-child, mother-child, and peer attachment. Computers in Human Behavior, 59, 221-229. doi:10.1016/j.chb.2016.01.041
Yen, J. Y., Yeh, Y. C., Wang, P. W., Liu, T. L., Chen, Y. Y., & Ko, C. H. (2018). Emotional regulation in young adults with Internet gaming disorder. International Journal of Environmental Research and Public Health, 15(1). doi:10.3390/ijerph15010030
Yen, J. Y., Yen, C. F., Chen, C. C., Chen, S. H., & Ko, C. H. (2007). Family factors of Internet addiction and substance use experience in Taiwanese adolescents. Cyberpsychology & Behavior, 10(3), 323-329. doi:10.1089/cpb.2006.9948
Yildiz, M. A. (2017). Emotion regulation strategies as predictors of internet addiction and smartphone addiction in adolescents. Journal of Educational Sciences & Psychology, 7(1), 66-78.
Young, K. (1998). Caught in the net. New York, NY: Wiley.
Young, K. S. (1998). Internet addiction: The emergence of a new clinical disorder. Cyberpsychology & Behavior, 1(3), 237-244. doi:10.1089/cpb.1998.1.237
Yu, J. J., Kim, H., & Hay, I. (2013). Understanding adolescents’ problematic Internet use from a social/cognitive and addiction research framework. Computers in Human Behavior, 29(6), 2682-2689. doi:10.1016/j.chb.2013.06.045
Zhou, Y. Y., Li, D. P., Li, X., Wang, Y. H., & Zhao, L. Y. (2017). Big five personality and adolescent Internet addiction: The mediating role of coping style. Addictive Behaviors, 64, 42-48. doi:10.1016/j.addbeh.2016.08.009