A bidirectional association between psychotic‐like experiences and problematic Internet use: A large‐sample longitudinal study among Chinese adolescents.

Purpose: Psychotic‐like experiences (PLEs) are associated with problematic Internet use (PIU), but empirical studies on the causal relationships between both are lacking. This study aimed to investigate the bidirectional associations between PLEs and PIU through a large prospective study involving C...

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Publicado en:British Journal of Clinical Psychology Vol. 65; no. 1; pp. 119 - 132
Autores principales: Chen, Dan, Zhang, Yifan, Bu, Luowei, Ye, Haoxian, Wang, Dongfang, Fan, Fang
Formato: research tables/charts Journal Article
Publicado: Wiley-Blackwell Mar2026
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Mar2026
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      pub: Wiley-Blackwell
      place: Malden, Massachusetts
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        atl: A bidirectional association between psychotic‐like experiences and problematic Internet use: A large‐sample longitudinal study among Chinese adolescents.
      aug:
        au:
          Chen, Dan
          Zhang, Yifan
          Bu, Luowei
          Ye, Haoxian
          Wang, Dongfang
          Fan, Fang
        affil: School of Psychology, Centre for Studies of Psychological Applications, Guangdong Key Laboratory of Mental Health and Cognitive Science, Ministry of Education Key Laboratory of Brain Cognition and Educational Science, Guangdong Emergency Response Technology Research Center for Psychological Assistance in Emergencies, South China Normal University, Guangzhou, China
      sug:
        subj:
          Chinese Persons Psychosocial Factors
          Psychotic Disorders Complications
          Internet Addiction Risk Factors
          Internet Addiction Complications
          Psychotic Disorders Risk Factors
          Risk Assessment
          Human
          China
          Funding Source
          Prospective Studies
          Adolescence
          Descriptive Statistics
          Male
          Female
          Scales
          Internet Addiction Evaluation
          Logistic Regression
          Odds Ratio
          Confidence Intervals
          Checklists
          Cross Sectional Studies
          Multiple Logistic Regression
          Univariate Statistics
          Chi Square Test
          Data Analysis Software
          Adolescent: 13-18 years
          Male
          Female
      ab: Purpose: Psychotic‐like experiences (PLEs) are associated with problematic Internet use (PIU), but empirical studies on the causal relationships between both are lacking. This study aimed to investigate the bidirectional associations between PLEs and PIU through a large prospective study involving Chinese adolescents. Methods: A total of 27,260 adolescents (Mage = 14.3 ± 1.5 years; 47.8% of females) were assessed at baseline from December 17 to 12, 2021 (Time 1, T1) and 6 months later from May 17 to June 5, 2022 (Time 2, T2). The 8‐item Positive Subscale of the Community Assessment of Psychic Experiences and the Revised Chinese Internet Addiction Scale were used to assess PLEs and PIU, respectively. Socio‐demographics at T1 and negative life events at T2 were also evaluated. Results: Binary logistic regression indicated that PLEs at baseline significantly increased the risk of incident PIU at the 6‐month follow‐up (OR = 1.44, 95% CI = 1.25–1.66), even after adjusting for covariates. PIU at baseline was significantly associated with increased odds of incident PLEs at the 6‐month follow‐up (OR = 1.44, 95% CI = 1.14–1.82). Moreover, similar associations were also observed in the PIU and subdimensions of PLEs, that is, hallucinatory experience and delusional experience. Conclusion: This study demonstrated that the relationship between PLEs and PIU among adolescents was bidirectional. These findings have significant implications for educational and clinical strategies aimed at managing PIU and preventing PLEs among adolescents.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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