International Journal of Mental Health and Addiction

, Volume 17, Issue 6, pp 1508–1520 | Cite as

Social Anxiety May Modify the Relationship Between Internet Addiction and Its Determining Factors in Chinese Adolescents

  • Bao Dong
  • Feng Zhao
  • Xiao-Shuang Wu
  • Wen-Jing Wang
  • Yi-Feng Li
  • Zhi-Hua ZhangEmail author
  • Ye-Huan SunEmail author
Original Article


The aim of this study was to explore Internet addiction (IA) and its associated factors among Chinese adolescents. Ten thousand one hundred fifty-eight Chinese adolescents were selected in this study by using random cluster sampling. The prevalence rate of IA among Chinese adolescents was 10.4%. Multivariate logistic regression analyses showed gender, the only child, father-adolescent relationship, annual family income, academic performance, physical exercise, Rosenberg Self-esteem Scale (RSES) score, and Liebowitz Social Anxiety Scale (LSAS) score were significantly associated with IA among adolescents in social anxiety group (P < 0.05). In addition, gender, parental control, annual family income, academic performance, physical exercise, RSES score, and LSAS score were significantly associated with Internet addiction among adolescents in non-social anxiety group (P < 0.05). The mediating effects of social anxiety between multiple factors and IA were also significant. These findings can provide guidance aimed at reducing IA among Chinese adolescents.


Adolescents China Internet addition Social anxiety Associated factors 



We would like to particularly thank the students who gave of their time to participate in the project.


This study was funded by National Natural Science Foundation of China (no.81202224) and the Anhui Provincial Natural Science Foundation (no.1208085QH148).

Compliance with Ethical Standards

Conflict of Interest

The authors declare that they have no conflicts of interest.

Ethical Approval

All procedures followed were in accordance with the ethical standards of the responsible committee on human experimentation (institutional and national) and with the Helsinki Declaration of 1975, as revised in 2000.

Informed Consent

Informed consent was obtained from all participants for being included in the study.


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Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature 2018

Authors and Affiliations

  1. 1.Department of Epidemiology and Health Statistics, School of Public HealthAnhui Medical UniversityHefeiChina
  2. 2.Department of Preventive MedicineCommunity Health Center of Jiading Industrial ZoneShanghaiChina
  3. 3.Centre for Evidence-Based PracticeAnhui Medical UniversityHefeiChina

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