2. interventions of internet addiction for African American college
students especially who are
depressed and not resilient in their first year.
Keywords: internet addiction, depression, resilience, African
American university students
INTRODUCTION
The Internet’s rapid and deep integration into daily life has
created a public health concern
among young adults (Christakis et al., 2011; Jelenchick, Becker,
& Moreno, 2012; Wu et al.,
2015). Building on Young’s (1996, 1998) initial
conceptualization of internet addiction, various
researchers have characterized the condition as pathological use
of the Internet, leading to
significant impairment or distress (Cash et al., 2012; Elhai et
al., 2017; Shaw & Black, 2008).
Despite the variations in its conceptual and operational
definitions, internet addiction has been
used interchangeably with internet use disorder (Kardefelt-
Winther, 2017), pathological Internet
use (Kaess et al., 2016), and problematic Internet use
(Lachmann et al., 2016). Using the term
internet addiction to cover the collective phenomenon, the
present study aimed to examine
factors associated with internet addiction among African
American university students in the
United States.
VULNERABILITY TO INTERNET ADDICTION IN
3. UNIVERSITY STUDENTS
Research indicates that internet addiction often leads to various
negative consequences,
including behavioral, emotional, or relational problems (De Leo
& Wulfert, 2013; Kuss et al.,
2014; Kuss & Lopez-Fernandez, 2016). For example, early
studies on internet addiction showed
that internet addicts are likely to do less exercise, seek less
medical care, skip meals, and sleep
late compared to common internet users (Brenner, 1997; Chou
& Hsiao, 2000; Deatherage,
Servaty-Seib, & Aksoz, 2014; Kim et al., 2010). Moreover,
internet addiction accompanies
distress in vocational and academic settings, leading to
unemployment or poor academic
performance (Kim et al., 2017; Shek, Sun, & Yu, 2013).
Previous empirical studies demonstrated
that those with internet addiction frequently experience
relational conflicts such as child neglect,
marital discord, failed marriages, and uncommitted friendships
and other interpersonal
relationships (Kerkhof, Finkenauer, & Muusses, 2011).
_______________________________
Funding for this research was provided to the first author by a
grant (TI-025590) from the Substance Abuse Mental
Health Services Administration’s (SAMHSA) Center for
Substance Abuse Treatment (CSAT) and Center for Mental
Health Services (CMHS) through the Historically Black
Colleges and Universities-Center for Excellence in Behavioral
Health (HBCU-CFE) at Morehouse School of Medicine. The
authors would like to express their gratitude to the Center
and its staff for their generous support.
This content downloaded from
5. university students to expand their relationships to faculty,
social clubs, or organizations
(Anderson, 2014; Parker et al., 2012). In accordance with the
expansion of relationships,
university students who experience dissatisfaction with close
relationships may leverage internet
contents excessively, including online communication to escape
from relational situations (Lam,
2014; Vorderer, Klimmt, & Ritterfeld, 2004; Wang, 2014).
Factors Contributing to Internet Addiction
Researchers have identified several primary factors that predict
internet addiction. Time spent
online is a key predictor of internet addiction. Internet addicts
spend average 20 to 40 hours per
week, which accounts for three to eight times more internet
usage than normal Internet users
(Young, 2010, 2015). This is partly because internet addicts
tend to have a distortion of the
amount of time spent online and, therefore, stay online longer
than non-Internet addicts do
(Bozoglan, Demirer, & Sahin, 2013). Moreover, prior research
showed that increased time on
the Internet decreases time spent with friends and increases
family conflicts (Mesch, 2006; Nie,
2002). However, research has also pointed out that an
individual’s internet addiction correlated
more significantly to the hours the person spends online for
recreational purposes than the total
amount of hours the person spends online (Tokunaga, 2014).
Furthermore, according to types of
distinct online addictive behaviors, internet addiction can vary,
including addiction pertaining to
6. cyber-sex, cyber-relationship, obsessive online shopping or
trading, information overload, and
obsessive computer game playing (Pontes, Kuss, & Griffiths,
2015).
Regarding demographic variables, age and gender are also
factors that influence Internet
addiction. Younger people are more likely to experience
Internet addiction compared to older
people (Aboujaoude, 2010; Morrison & Gore, 2010).
Furthermore, a systematic review study
revealed that the male gender is associated with internet
addiction, indicating that there is no
significant difference in frequency of internet use, while
behavioral aspects related to internet
addiction differ by activities on the Internet (Fattore et al.,
2014). However, multiple studies
showed that males are at higher risk for internet addiction, with
their preferences for online
games and online sex compared to females (Canan et al., 2012;
Choi et al., 2015; Çuhadar, 2012;
Lin, Ko, & Wu, 2011). In contrast, recent studies revealed that
females are vulnerable to Internet
addiction because of familial conflicts and poorer mental health,
with their preferences for online
communicative activities such as chatting, messaging, and
blogging (Ciarrochi et al., 2016;
Coyne et al., 2015; Heo et al., 2014).
Researchers have indicated that depression (i.e., major
depressive disorder or clinical
depression) is a common but serious mood disorder, being a
critical determinant to Internet
addiction among adolescents and university students
(Bahrainian et al., 2014; Boonvisudhi &
Kuladee, 2017; Christakis et al., 2011; Orsal et al., 2013).
8. association between internet addiction
and depression is bi-directional, suggesting that depression can
be outcomes of Internet addiction
(Ciarrochi et al., 2016; Dong, Kalmaz, & Savides, 2011; Gentile
et al., 2011).
Whereas many studies have examined factors contributing to
internet addiction, few studies
have paid attention to the factors that potentially function as a
buffer to Internet addiction. Social
support, especially from family, correlates reversely to internet
addiction (Chen, Chen, & Gau,
2015; Thorsteinsson & Davey, 2014). Additionally, quality
relationships correlate negatively to
Internet addiction. For example, Kerkhof and colleagues (2011)
found compulsive Internet use
is negatively associated with relationship quality among
newlywed couples. Furthermore, Jin
and Berge (2016) reported the potential mediational effect of
marital intimacy on the link
between acculturative stress and internet addiction among Asian
married couples. Longitudinal
studies demonstrated familial or peer relationships have
protective effects on Internet addiction
among adolescents through improving communication skills
(Gámez-Guadix et al., 2013; Wang,
Wu, & Lau, 2016; Yu & Shek, 2013).
Moreover, resilience may play a significant role in protecting
individuals from developing
Internet addiction. Resilience, originally defined as the ability
to cope with negative experiences,
such as acute stress, trauma, or more chronic forms of adversity,
permits a person to maintain
psychological well-being (Choi et al., 2015; d’Haenens,
Vandoninck, & Donoso, 2013; Jung et
9. al., 2012). Accordingly, resilience may enable individuals to
appropriately deal with factors
contributing to internet addiction, consequently resulting in
protecting them from developing the
disorder (Russo et al., 2012). Choi and associates (2015) found
resilience correlates negatively
with Internet addiction and smartphone addiction among
university students. Resilience has a
partial mediational effect on the relationships between internet
addiction and perceived class
climate and alienation, suggesting that improved resilience can
lead to reduced internet addiction
(Li et al., 2010). Another study also found that resilience
mediates the relationship between stress
and internet addiction among high school males (Jang & Choi,
2012). Moreover, multiple studies
found resilience to have a negative association with depression
(Gloria & Steinhardt, 2016;
Holden et al., 2013; Spies & Seedat, 2014). These findings
suggest that resilience may mitigate
the effects of depression on Internet addiction (Kuss et al.,
2013; Wisniewski et al., 2015).
Research Gaps
Previous studies have evaluated factors at individual and
contextual levels that are predicative
of internet addiction. While these studies provide useful
information for developing approaches
that focus on reducing negative consequences pertaining to
internet addiction, the information is
limited in addressing resilience toward internet addiction.
Therefore, there is the need to better
understand how resilience—the ability to recover quickly from
11. of internet usage on structure values and social behaviors (Park
& Villar, 2015). While Pew
Research Center’s Internet and American Life Project (Fox &
Duggan, 2012) revealed that
young African Americans use Twitter the most in the U.S., this
did not fully reflect internet
behaviors among African American university students (Smith,
2015; Smith, Rainie, & Zickuhr,
2011). Moreover, this project also reported that cell phone
ownership rate is comparable between
Blacks and Whites in the United States (Pew Research Center,
2017), but African American cell
phone users are more likely to seek health information on their
phones compared to White cell
phone users (Fox & Duggan, 2012). Therefore, it is necessary to
explore internet usage among
African American university students. Such research can lead to
the development of
interventions designed to provide mental health information
especially regarding depression.
These interventions and information are likely to be easily
accessible via a cellphone to African
American university students who suffer from internet
addiction. To the authors’ knowledge, the
present study is the first to assess the mediating effect of
resilience between depression and
internet addiction among African American university students.
The findings of the study will
offer critical implications to mental health practitioners and
university professionals, as these
results will illuminate the need for targeted interventions that
help tackle internet addiction by
improving resilience among African American university
students.
12. PURPOSE OF THE STUDY
The present study examined the interactions between factors of
internet addiction in African
American university students, with a specific focus on
resilience. Particularly, this study
investigated the relationships between internet addiction and
depression and social-demographic
variables, including gender, age, income, classification, grade
point average (GPA.), marital
status, number of children, employment status, and recreational
and essential time spent online.
This study also evaluated the mediating effect of resilience
between depression and internet
addiction. The following research questions were established:
• Research question 1: Which set of factors best predicts
internet addiction?
• Research question 2: Are there statistically significant
associations between internet addiction and
gender, depression, and resilience?
• Research question 3: Does resilience mediate the relationship
between depression and internet
addiction?
METHODS
Study Design and Sampling Procedure
The study used convenience and purposive sampling to recruit
13. African American university
students at an HBCU in the southeastern region of the U.S.
during April 2014. To reduce
sampling bias inherent in nonprobability sampling, the classes
for data collection were randomly
selected from a list of the university course tally. The research
team contacted instructors of the
selected classes by email to explain the study purpose and data
collection procedure and seek
their permission to administer a self-reported cross-sectional
survey by the research team during
class. The research team set up a schedule for the survey
administration by email with the
instructors who agreed. With class instructors’ permission, staff
of the research team briefly
explained the nature and purpose of the study, and then
administrated the survey questionnaires
and informed consent documents to students who were
interested in the study. Instructors
allowed students who did not want to participate to leave the
classroom. The survey took about
15 minutes to complete. Three hundred and twenty-six African
American undergraduate and
graduate students from five of the university’s schools
participated in this study. At the time of
data collection, the university had about 3,500 students enrolled
of which 74% were female and
less than 5% were non-Black students, including international
students. Given a small percentage
of non-Black students at the university, the research team
decided not to collect information
regarding race or ethnicity of participants in that, the number of
potential non-Black participants
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15. or “A” (40.2%, n = 131). With
respect to internet usage, participants reported spending on
average seven hours (SD = 5.40) per
day using the Internet for recreational purposes and five hours
(SD = 3.96) per day using the
Internet for essential purposes. The sample represented the
characteristics of the university
demographics.
Measurements
Internet addiction. To measure the influence of internet use on
everyday life and social
interactions, this study used Young’s (1998) Internet Addiction
Test (IAT). The IAT consists of
20 items with a six-point Likert scale ranging from 0 = “rarely”
to 5 = “always.” A total score
higher than 50 and less than 80 indicates moderate internet
addiction—internet users with a score
in the range may experience occasional problems because of
excessive internet use. When it is
between 80 and 100, internet users with a score may experience
significant problems in their life
because of the Internet. The IAT has been used to assess
internet addiction (Aboujaoude, 2010).
With the Cronbach’s alpha of .94 in this study, the internal
consistency of the items indicates
excellent reliability.
Depression. This study assessed depressive symptomology using
the Center for
Epidemiologic Studies Depression Scale (CES-D; Radloff,
16. 1977). The CES-D, a self-reported
20-item measurement, assesses depression across various age
ranges on a four-point Likert scale
with 0 indicating “rarely” and 3 indicating “almost all the
time.” Its clinical cutoff for depression
is 16 or more; that indicates individuals at high risk of
depression. The CES-D’s Cronbach’s
alpha for this study was .85, indicating good internal
consistency between items.
Resilience. In this study, the Brief Resilience Scale (BRS)
assessed resilience in students.
Smith and colleagues (2008) developed the BRS, which consists
of six items with a five-point
Likert scale ranging from “strongly disagree” to “strongly
agree.” The content includes items
related to various components of resilience, including the
ability to bounce back (e.g., “I tend to
bounce back from quickly hard times”) or recover from stress
(e.g., “It does not take me long to
recover from a stressful event,” Agnes, 2005). In this study, the
original scale yielded an alpha
coefficient of .36, which suggests poor internal consistency
between items. Therefore, a factor
analysis determined which item or items to eliminate. Results
from the principal component
analysis showed that item number three had a low loading
(.027), which is lower than .30, and
consequently, it was removed from the analysis. Eliminati ng
this item increased the reliability
coefficient to .76, which indicates good internal consistency
between the five items.
DATA ANALYSIS
18. The first research question used a stepwise multiple-regression
analysis to estimate the
model. It was necessary to determine which factors to enter into
the analysis; therefore, Pearson’s
correlation evaluated the relationship between internet addiction
and all continuous variables,
including age, depression, time spent online for recreational and
essential purposes. Independent
t-test evaluated mean differences between males and females
with regard to internet addiction.
Lastly, one-way ANOVA determined mean differences between
groups of more than three
(socioeconomic status, classification, GPA, marital status,
number of children, employment
status, and income), with regard to internet addiction.
Depression level and classification
emerged as significant factors. Because it was categorical,
classification was recoded into five
dummy variables, and therefore, eleven factors were entered
into the analysis. The second
research question used three chi-square tests to examine three
sets of relationships: (a) the
association between internet addiction and gender; (b) the
association between Internet addiction
and depression; (c) and the association between internet
addiction and resilience. The last
research question examined the significance of the effect of
resilience as mediating variable. It
used a hierarchal multiple regression analysis, and all
assumptions were satisfied to conduct this
analysis.
RESULTS
19. Which set of factors best predicts internet addiction? (Research
Question 1)
Table 1 shows results of multiple regression analysis that
examined factors associated with
Internet addiction among participants (F = 30.48, p < .001).
Depression was the strongest factor,
with a beta of .38 (p < .001). Freshman status emerged as the
second strongest predictor, with a
beta of .13 (p < .05). This model explains approximately 16
percent (R = .40) of the variance in
internet addiction.
Are there statistically significant associations between internet
addiction and gender,
depression, and resilience? (Research Question 2)
Chi-square tests examined the association of internet addiction
(addicts vs. non-addicts) with
gender (female vs. male), depression (depressed vs. not
depressed), and resilience (resilient vs.
not resilient), among a sample of 326 participants. The results
of the chi-square tests revealed
internet addiction was significantly associated with depression
(χ2 [df = 2] = 4.264, p < .05) and
with resilience (χ2 [df = 1] = 4.754, p < .05) while there was no
statistically significant
association between internet addiction and gender (χ2 [df = 1] =
.177, p > .05; see Table 2).
Table 1
21. Yes 122 38.6 14 4.4 108 34.2
No 194 61.4 10 3.2 184 58.2
Total 316 100 24 7.6 292 92.4
Resilience 4.754 < .05
Yes 82 25.7 11 3.4 71 22.3
No 237 74.3 14 4.4 223 69.9
Total 319 100 25 7.8 294 92.2
Note. a Internet addict; b Two-tailed alpha.
_____________________________________________________
________________
Furthermore, the Phi-coefficient (ɸ) examined the association
between dichotomous
variables. The results showed a non-significant negative
association between internet addiction
and gender (ɸ 2 = -.024), a significant positive association
between internet addiction and
depression (ɸ 2 = .116), and a significant negative association
between internet addiction and
resilience (ɸ 2 = -.122), respectively. These results indicate that
depressed people are likely to
have internet addiction (accounting for 1.4 percent of the
variance), whereas people who are not
resilient are more likely to have internet addiction (accounting
for 1.5 percent of the variance).
Does resilience mediate the relationship between internet
addiction and depression?
(Research Question 3)
To test the mediational effect of resilience between depression
and internet addiction, it was
necessary to establish the following three conditions: (a)
depression significantly correlates with
23. The present study examined factors associated with internet
addiction in African American
students at an HBCU. Particularly, this study focused on
assessing the mediational effect of
resilience on the association between depression and internet
addiction. The findings of the study
shed light on interventions aimed at reducing internet addiction
by leveraging its relevant factors.
The study found that levels of depression positively predict
levels of Internet addiction,
which are consistent with previous studies (Boonvisudhi &
Kuladee, 2017; Christakis et al.,
2011; Torres, 2011). This finding suggests that African
American students with higher levels of
depression can be at increased risk of developing internet
addiction. This also implies that when
students visit to a university health center complaining of
internet addiction, it is important for
mental health practitioners at the health center to assess the
coexistence of depression along with
internet addiction. Given some students’ low-income status and
academic burdens, stressors
might significantly contribute to depression, which, in turn,
influenced their levels of internet
addiction (Orsal et al., 2013; Tang et al., 2014). Therefore,
future studies should examine the
relationships among stressors, depression, and internet
addiction in African American university
students.
Although this study did not support the mediational model, the
findings provide a potential
critical role of resilience in positively influencing i nternet
25. internet addiction should focus
not only on eliminating risk factors such as depression, but also
on enhancing protective factors
such as resilience. Therefore, it is worthwhile for university
professionals to develop resilience-
enhancing programs for African American students, particularly
focusing on ethnicity identity
development, stress coping sessions, on/off-line peer support
groups, or physical exercise
activities.
Finally, the findings revealed that freshmen students are more
likely than upper class
students are to present with internet addiction. Existing
literature has also focused on internet
addiction among freshmen university students, indicating their
heightened vulnerability to
internet addiction (Han et al., 2017; Yao et al., 2013). This may
be in part because freshmen
typically undergo a more stressful adjustment to new school life
and environment than other
classes (Chou et al., 2015; Deatherage, Seraty-Seib, & Aksoz,
2014). Therefore, to escape from
the stressful situations, younger students might increase their
internet use that might lead to their
higher levels of internet addiction. Another possible explanation
is that younger students (e.g.,
freshman class in this study) might have more experiences of
using the Internet than older
students (e.g., graduates in this study). Younger people,
referred to as ‘digital natives,’ generally
have earlier exposure to and are more adept at using new
technologies and devices than older
people who are referred to as ‘digital immigrants’ (Benotsch et
al., 2013; Lee & Coughlin, 2015).
Existing research also has indicated that there is a potential gap
26. in usage of technologies between
digital natives and digital immigrants. Variations exist even
within digital natives according to
accessibility and use of technologies for their socialization and
learning (Bennett & Corrin, 2018;
Bullen & Morgan, 2016; Kirschner & De Bruyckere, 2017). This
implies that universities need
early intervention strategies for students’ internet addiction. For
example, during orientation for
freshmen, universities can assess students’ internet behaviors
and internet addiction, as well as,
other pertinent risk factors including depression. Counseling
centers on campus also need to
track internet addiction and related factors among freshmen
students and continue providing
treatment services throughout their matriculation.
LIMITATIONS
This study has some limitations. First, the study employed a
cross-sectional survey. Although
the findings of this study provided useful information on factors
affecting internet addiction,
longitudinal designs will provide clearer evidence for causal
relationships between internet
addiction and risk factors. Additionally, the time of survey
administration (i.e., close to final
exam period) might have influenced both depression and
internet addiction scores. Given the
link between depression and stressful events and that depression
is a major risk factor of internet
addiction, future studies need to consider the possible effect
that survey administration timing
has on study variables. Lastly, while this study was the first to
investigate internet addiction
among African American students and identify its factors among
28. students with internet addiction might
prove useful. Lastly, more culturally appropriate interventions
for internet addiction among
African American university students are necessary.
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