A comprehensive measure assessing different types of problematic use of the internet among Chinese adolescents: The Assessment of Criteria for Specific Internet-use Disorders (ACSID-11)

Mohsen Saffari; Chao-Ying Chen; I-Hua Chen; Kamolthip Ruckwongpatr; Mark D. Griffiths; Marc N. Potenza; Xue Lian Wang; Yu-Ting Huang; Jung-Sheng Chen; Ching-Chung Tsai; Chung-Ying Lin

Comprehensive Psychiatry (Oct 2024)

A comprehensive measure assessing different types of problematic use of the internet among Chinese adolescents: The Assessment of Criteria for Specific Internet-use Disorders (ACSID-11)

Mohsen Saffari,
Chao-Ying Chen,
I-Hua Chen,
Kamolthip Ruckwongpatr,
Mark D. Griffiths,
Marc N. Potenza,
Xue Lian Wang,
Yu-Ting Huang,
Jung-Sheng Chen,
Ching-Chung Tsai,
Chung-Ying Lin

Affiliations

Mohsen Saffari: Health Research Center, Life Style institute, Baqiyatallah University of Medical Sciences, Tehran 14345916417, Iran; Health Education Department, Faculty of Health, Baqiyatallah University of Medical Sciences, Tehran 14345916417, Iran
Chao-Ying Chen: School of Physical Therapy and Graduate Institute of Rehabilitation Science, College of Medicine, Chang Gung University, Taoyuan, Taiwan; New Taipei City Tucheng Hospital (Chang Gung Medical Foundation), Department of Pediatric Internal Medicine, New Taipei City, Taiwan
I-Hua Chen: Chinese Academy of Education Big Data, Qufu Normal University, Qufu 273165, China
Kamolthip Ruckwongpatr: Institute of Allied Health Sciences, College of Medicine, National Cheng Kung University, Tainan, Taiwan
Mark D. Griffiths: International Gaming Research Unit, Psychology Department, Nottingham Trent University, Nottingham, UK
Marc N. Potenza: Department of Psychiatry, Yale School of Medicine, 300 George St., Suite 901, New Haven, CT 06511, USA; Connecticut Mental Health Center, 34 Park St., New Haven, CT 06519, USA; Connecticut Council on Problem Gambling, 100 Great Meadow Rd., Suite 704, Wethersfield, CT 06109, USA; Child Study Center, Yale School of Medicine, 350 George St., New Haven, CT 06511, USA; Department of Neuroscience, Yale University, New Haven, CT, USA; Wu Tsai Institute, Yale University, 200 South Frontage Rd., SHM C-303, New Haven, CT 06510, USA
Xue Lian Wang: Yancheng College of Mechatronic Technology, Yancheng 224006, China; International College, Krirk University, Bangkok 10110, Thailand
Yu-Ting Huang: Institute of Allied Health Sciences, College of Medicine, National Cheng Kung University, Tainan, Taiwan
Jung-Sheng Chen: Department of Medical Research, E-Da Hospital, I-Shou University, Kaohsiung 824005, Taiwan
Ching-Chung Tsai: Department of Pediatrics, E-Da Hospital, I-Shou University, No.1, Yi-Da Road, Yan-Chao District, Kaohsiung City 82445, Taiwan; School of Medicine for International Students, College of Medicine, I-Shou University, No. 8, Yi-Da Road, Yan-Chao District, Kaohsiung City 82445, Taiwan; Correspondence to: C.-C. Tsai, Department of Pediatrics, E-Da Hospital, I-Shou University, No.1, Yi-Da Road, Yan-Chao District, Kaohsiung City 82445, Taiwan.
Chung-Ying Lin: Institute of Allied Health Sciences, College of Medicine, National Cheng Kung University, Tainan, Taiwan; Biostatistics Consulting Center, National Cheng Kung University Hospital, College of Medicine, National Cheng Kung University, Tainan 701401, Taiwan; Department of Occupational Therapy, College of Medicine, National Cheng Kung University, Tainan 701401, Taiwan; Department of Public Health, College of Medicine, National Cheng Kung University, Tainan 701401, Taiwan; Correspondence to: C.-Y. Lin, Institute of Allied Health Sciences, Departments of Occupational Therapy and Public Health, and Biostatistics Consulting Center, National Cheng Kung University Hospital, College of Medicine, National Cheng Kung University, 1 University Rd, Tainan 701401, Taiwan.

Journal volume & issue: Vol. 134
p. 152517

Abstract

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Background: Problematic use of the internet (PUI) is prevalent, particularly among adolescents and young adults. Given the limited measures to assess specific types of PUI, which encompasses a broad spectrum of activities such as online gaming, social media use, pornography use, shopping, gambling, and web-streaming, Muller et al. (2022) developed the Assessment of Criteria for Specific Internet-use Disorders (ACSID-11) to comprehensively assess different types of PUI (i.e., gaming, shopping, social media use, gambling, and pornography use). The present study aimed to validate the Chinese ACSID-11 among adolescents incorporating cross-cultural adaptations. Methods: Using forward-backward translation method, a culturally adapted version of the ACSID-11 was prepared. Then, a cross-sectional online survey was administered between September 8 and September 26, 2023. Adolescents, using a convenience sample (N = 11,492; mean age = 16.42 years [SD ± 0.91]; 59.1% male), were recruited from six schools to complete the translated ACSID-11, Internet Gaming Disorder Scale-Short Form (IGDS9-SF), Bergen Social Media Addiction Scale (BSMAS), and Smartphone Application Based Addiction Scale (SABAS) via an online platform. Pearson correlation coefficients assessed convergent/discriminant validity. Factor structure and measurement invariance were examined through confirmatory factor analysis (CFA) and multi-group CFA. Cronbach's alpha and McDonald's omega tested internal consistency. Results: Associations between the ACSID-11 components and other scales supported convergent validity (i.e., ACSID-11 gaming scale with IGDS9-SF [0.37 ≤ r ≤ 0.41]; social networks use scale with BSMAS [0.24 ≤ r ≤ 0.31]) and discriminant validity (i.e., online gambling scale with BSMAS [0.16 ≤ r ≤ 0.19] and with SABAS [0.11 ≤ r ≤ 0.13]). A four-factor solution indicated good fit with comparative fit index (CFI) ranging from 0.982 to 0.958. The ACSID-11 was measurement invariant across sexes (∆CFI = -0.001 to 0.000) and different levels of related addictive behaviors (∆CFI = -0.001 to 0.000). Both Cronbach's alpha and McDonald's omega (0.63 to 0.97) were acceptable for both frequency and intensity of responses. Conclusions: The ACSID-11 is an appropriate scale to assess different kinds of PUI among Chinese adolescents and students. Psychometric assessment of the measure in other cultures and among clinical samples is recommended.

Published in Comprehensive Psychiatry

ISSN: 0010-440X (Print); 1532-8384 (Online)
Publisher: Elsevier
Country of publisher: United States
LCC subjects: Medicine: Internal medicine: Neurosciences. Biological psychiatry. Neuropsychiatry: Neurology. Diseases of the nervous system: Psychiatry
Website: https://www.journals.elsevier.com/comprehensive-psychiatry

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