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      The association between intolerance of uncertainty and Internet addiction during the second wave of the coronavirus disease 2019 pandemic: A multiple mediation model considering depression and risk perception

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          Abstract

          Repeated outbreaks of coronavirus disease 2019 (COVID‐19) have forced people to shift most of their work and life activities from offline to online, leading to a growing problem of Internet dependence and even Internet addiction. However, the mechanism of the association between COVID‐19‐related intolerance of uncertainty (COVID‐19 IU) and Internet addiction during the second wave of COVID‐19 is still unclear. The current study explored the association between COVID‐19 IU and Internet addiction as mediated by depression and risk perception based on the Uncertainty‐Depression‐Perception‐Addiction model (UDPA). A total of 1,137 adult participants were recruited, and COVID‐19 IU, depression, risk perception, Internet addiction, and demographic variables were analyzed. The results showed that COVID‐19 IU was significantly and positively associated with Internet addiction and that this relationship was mediated in parallel by depression and risk perception. Our findings further extend the Interaction of Person‐Affect‐Cognition‐Execution (I‐PACE) model from the perspective of applicability in the unique context of COVID‐19. Furthermore, the study suggests that individuals could decrease their dependence on the Internet to prevent Internet addiction during the second wave of the pandemic through effective interventions that include lowering COVID‐19 IU, improving emotion regulation, and developing reasonable perceptions of risk.

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          Most cited references62

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          The Patient Health Questionnaire-2: validity of a two-item depression screener.

          A number of self-administered questionnaires are available for assessing depression severity, including the 9-item Patient Health Questionnaire depression module (PHQ-9). Because even briefer measures might be desirable for use in busy clinical settings or as part of comprehensive health questionnaires, we evaluated a 2-item version of the PHQ depression module, the PHQ-2. The PHQ-2 inquires about the frequency of depressed mood and anhedonia over the past 2 weeks, scoring each as 0 ("not at all") to 3 ("nearly every day"). The PHQ-2 was completed by 6000 patients in 8 primary care clinics and 7 obstetrics-gynecology clinics. Construct validity was assessed using the 20-item Short-Form General Health Survey, self-reported sick days and clinic visits, and symptom-related difficulty. Criterion validity was assessed against an independent structured mental health professional (MHP) interview in a sample of 580 patients. As PHQ-2 depression severity increased from 0 to 6, there was a substantial decrease in functional status on all 6 SF-20 subscales. Also, symptom-related difficulty, sick days, and healthcare utilization increased. Using the MHP reinterview as the criterion standard, a PHQ-2 score > or =3 had a sensitivity of 83% and a specificity of 92% for major depression. Likelihood ratio and receiver operator characteristic analysis identified a PHQ-2 score of 3 as the optimal cutpoint for screening purposes. Results were similar in the primary care and obstetrics-gynecology samples. The construct and criterion validity of the PHQ-2 make it an attractive measure for depression screening.
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                Author and article information

                Contributors
                daibibing@tmu.edu.cn
                Journal
                Psych J
                Psych J
                10.1002/(ISSN)2046-0260
                PCHJ
                Psych Journal
                John Wiley & Sons Australia, Ltd (Melbourne )
                2046-0252
                2046-0260
                06 April 2022
                06 April 2022
                : 10.1002/pchj.545
                Affiliations
                [ 1 ] Department of Psychiatry and Psychology, School of Basic Medical Sciences Tianjin Medical University Tianjin China
                [ 2 ] Beijing Key Laboratory of Learning and Cognition, School of Psychology Capital Normal University Beijing China
                [ 3 ] CAS Key Laboratory of Behavioral Science Institute of Psychology Beijing China
                [ 4 ] Department of Psychology University of Chinese Academy of Sciences Beijing China
                [ 5 ] Department of Psychology Dalian Medical University Dalian China
                [ 6 ] Department of Psychology Lake Superior State University Sault St. Marie Michigan USA
                Author notes
                [*] [* ] Correspondence

                Dr. Bibing Dai, Department of Psychiatry and Psychology, School of Basic Medical Sciences, Tianjin Medical University, 22 Qixiangtai Road, Heping District, Tianjin 300070, China.

                Email: daibibing@ 123456tmu.edu.cn

                Author information
                https://orcid.org/0000-0003-2460-9155
                https://orcid.org/0000-0003-1366-8926
                Article
                PCHJ545
                10.1002/pchj.545
                9088591
                35385213
                5bd0c963-c2ab-4093-9263-360472652c7a
                © 2022 Institute of Psychology, Chinese Academy of Sciences and John Wiley & Sons Australia, Ltd.

                This article is being made freely available through PubMed Central as part of the COVID-19 public health emergency response. It can be used for unrestricted research re-use and analysis in any form or by any means with acknowledgement of the original source, for the duration of the public health emergency.

                History
                : 16 February 2022
                : 22 October 2021
                : 28 February 2022
                Page count
                Figures: 2, Tables: 3, Pages: 9, Words: 8024
                Funding
                Funded by: The Key Project of Beijing Education Science Planning, Reevaluation and Cognitive Training to Treat College Students with Internet Addiction (BEAA21046)
                Categories
                Original Article
                Original Articles
                Custom metadata
                2.0
                corrected-proof
                Converter:WILEY_ML3GV2_TO_JATSPMC version:6.1.5 mode:remove_FC converted:10.05.2022

                depression,internet addiction,intolerance of uncertainty,risk perception,the second wave of coronavirus disease 2019

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