Examining the unique relationships between problematic use of the internet and impulsive and compulsive tendencies: network approach

Author:

Liu ChangORCID,Rotaru Kristian,Ren Lei,Chamberlain Samuel R.ORCID,Christensen Erynn,Brierley Mary-EllenORCID,Richardson Karyn,Lee Rico S. C.,Segrave Rebecca,Grant Jon E.ORCID,Kayayan Edouard,Hughes Sam,Fontenelle Leonardo F.ORCID,Lowe Amelia,Suo Chao,Freichel RenéORCID,Wiers Reinout W.,Yücel Murat,Albertella Lucy

Abstract

Background Both impulsivity and compulsivity have been identified as risk factors for problematic use of the internet (PUI). Yet little is known about the relationship between impulsivity, compulsivity and individual PUI symptoms, limiting a more precise understanding of mechanisms underlying PUI. Aims The current study is the first to use network analysis to (a) examine the unique association among impulsivity, compulsivity and PUI symptoms, and (b) identify the most influential drivers in relation to the PUI symptom community. Method We estimated a Gaussian graphical model consisting of five facets of impulsivity, compulsivity and individual PUI symptoms among 370 Australian adults (51.1% female, mean age = 29.8, s.d. = 11.1). Network structure and bridge expected influence were examined to elucidate differential associations among impulsivity, compulsivity and PUI symptoms, as well as identify influential nodes bridging impulsivity, compulsivity and PUI symptoms. Results Results revealed that four facets of impulsivity (i.e. negative urgency, positive urgency, lack of premeditation and lack of perseverance) and compulsivity were related to different PUI symptoms. Further, compulsivity and negative urgency were the most influential nodes in relation to the PUI symptom community due to their highest bridge expected influence. Conclusions The current findings delineate distinct relationships across impulsivity, compulsivity and PUI, which offer insights into potential mechanistic pathways and targets for future interventions in this space. To realise this potential, future studies are needed to replicate the identified network structure in different populations and determine the directionality of the relationships among impulsivity, compulsivity and PUI symptoms.

Publisher

Royal College of Psychiatrists

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