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Predicting Effects of Psychological Inflexibility/Experiential Avoidance and Stress Coping Strategies for Internet Addiction, Significant Depression, and Suicidality in College Students: A Prospective Study

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  • Wei-Po Chou

    (Department of Psychiatry, Kaohsiung Medical University Hospital, Kaohsiung 807, Taiwan
    Department of Psychiatry, Tsyr-Huey Mental Hospital, Kaohsiung Jen-Ai’s Home, Kaohsiung 831, Taiwan)

  • Cheng-Fang Yen

    (Department of Psychiatry, Kaohsiung Medical University Hospital, Kaohsiung 807, Taiwan
    Department of Psychiatry, School of Medicine, and Graduate Institute of Medicine, College of Medicine, Kaohsiung Medical University, Kaohsiung 807, Taiwan)

  • Tai-Ling Liu

    (Department of Psychiatry, Kaohsiung Medical University Hospital, Kaohsiung 807, Taiwan
    Department of Psychiatry, School of Medicine, and Graduate Institute of Medicine, College of Medicine, Kaohsiung Medical University, Kaohsiung 807, Taiwan)

Abstract

The aims of this study were to evaluate the predicting effects of psychological inflexibility/experiential avoidance (PI/EA) and stress coping strategies for Internet addiction, significant depression and suicidality among college students during the follow-up period of one year. A total of 500 college students participated in this study. The level of PI/EA and stress coping strategies were evaluated initially. One year later, 324 participants were invited to complete the Chen Internet Addiction Scale, Beck Depression Inventory-II and the questionnaire for suicidality to evaluate depression symptoms and internet addiction and suicidality. The predicting effects of PI/EA and stress coping strategies were examined by using logistic regression analysis controlling for the effects of gender and age. The results indicated that PI/EA at the initial assessment increased the risk of Internet addiction (OR = 1.087, 95% CI: 1.042–1.135), significant depression (OR = 1.125, 95% CI: 1.081–1.170), and suicidality (OR = 1.099, 95% CI: 1.053–1.147) at the follow-up assessment. Less effective coping at the initial assessment also increased the risk of Internet addiction (OR = 1.074, 95% CI: 1.011–1.140), significant depression (OR = 1.091, 95% CI: 1.037–1.147), and suicidality (OR = 1.074, 95% CI: 1.014–1.138) at the follow-up assessment. Problem focused and emotion-focus coping at the initial assessment was not significantly associated with the risks of Internet addiction, significant depression, and suicidality at the follow-up assessment. College students who have high PI/EA or are accustomed to using less effective stress coping strategies should be the target of prevention programs for IA (internet addiction), depression, and suicidality.

Suggested Citation

  • Wei-Po Chou & Cheng-Fang Yen & Tai-Ling Liu, 2018. "Predicting Effects of Psychological Inflexibility/Experiential Avoidance and Stress Coping Strategies for Internet Addiction, Significant Depression, and Suicidality in College Students: A Prospective," IJERPH, MDPI, vol. 15(4), pages 1-11, April.
  • Handle: RePEc:gam:jijerp:v:15:y:2018:i:4:p:788-:d:141768
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    Citations

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    Cited by:

    1. Louise Brådvik, 2018. "Suicide Risk and Mental Disorders," IJERPH, MDPI, vol. 15(9), pages 1-4, September.
    2. Cecilia Peñacoba Puente & Carlos Suso-Ribera & Sheila Blanco Rico & Dolores Marín & Jesús San Román Montero & Patricia Catalá, 2021. "Is the Association between Postpartum Depression and Early Maternal–Infant Relationships Contextually Determined by Avoidant Coping in the Mother?," IJERPH, MDPI, vol. 18(2), pages 1-14, January.
    3. Wen-Jiun Chou & Ray C. Hsiao & Chih-Cheng Chang & Cheng-Fang Yen, 2021. "Predictors of Depressive Symptoms in Caregivers of Children with Attention-Deficit/Hyperactivity Disorder: A One-Year Follow-Up Study," IJERPH, MDPI, vol. 18(16), pages 1-13, August.
    4. Tatiana Berta-Otero & Alberto Barceló-Soler & Jesus Montero-Marin & Shannon Maloney & Adrián Pérez-Aranda & Alba López-Montoyo & Vera Salvo & Marcio Sussumu & Javier García-Campayo & Marcelo Demarzo, 2022. "Experiential Avoidance in Primary Care Providers: Psychometric Properties of the Brazilian “Acceptance and Action Questionnaire” (AAQ-II) and Its Criterion Validity on Mood Disorder-Related Psychologi," IJERPH, MDPI, vol. 20(1), pages 1-13, December.
    5. Wen-Huai Hsieh & Dong-Her Shih & Po-Yuan Shih & Shih-Bin Lin, 2019. "An Ensemble Classifier with Case-Based Reasoning System for Identifying Internet Addiction," IJERPH, MDPI, vol. 16(7), pages 1-17, April.

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