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Specific Internet Disorders in University Students in Taiwan and Hong Kong: Psychometric Properties with Invariance Testing for the Traditional Chinese Version of the Assessment of Criteria for Specific Internet-Use Disorders (ACSID-11)

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Abstract

The Assessment of Criteria for Specific Internet-use Disorder (ACSID-11) is a psychometric instrument assessing different types of problematic internet use. The aim of the present study was to assess the psychometric properties of the traditional Chinese version and evaluate whether the traditional Chinese version showed similar and robust psychometric evidence to that of original ACSID-11 using a German sample. The present study was longitudinal and comprised 1257 university students in the first study and 409 university students in the follow-up study. Cronbach’s α and McDonald’s ω were used for testing internal consistency of the ACSID-11. A confirmatory factor analysis (CFA) was conducted to examine construct validity. Multi-group CFA was performed to assess the invariance of the factor structure across region and sex. Moreover, Pearson correlations were conducted to examine the test–retest reliability and concurrent validity of ACSID-11. The results suggested satisfactory levels of test–retest reliability, internal consistency, and validity of the ACSID-11. The four-factor structure of the ACSID-11 was replicated and confirmed in both Taiwan and Hong Kong samples. The study findings demonstrated that the traditional Chinese version of the ACSID-11 is reliable and valid for assessing and distinguishing specific internet-use disorders and is applicable across regions and sexes among emerging adults in Taiwan and Hong Kong.

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Funding

This project was funded by the National Science and Technology Council, Taiwan (NSTC 112–2410-H-006–089-SS2), the Higher Education Sprout Project, Ministry of Education to the Headquarters of University Advancement at National Cheng Kung University (NCKU), by the International Research Collaboration Fund granted by the Department of Social Work, The Chinese University of Hong Kong (Grant number: 19231106), and by the internal grant from E-Da Hospital (Grant numbers: EDPJ111063 and EDPJ111066).

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Authors and Affiliations

  1. Institute of Allied Health Sciences, College of Medicine, National Cheng Kung University, 1 University Rd, Tainan, 701, Taiwan

    Yu-Ting Huang, Kamolthip Ruckwongpatr & Chung-Ying Lin

  2. Department of Social Work, Chinese University of Hong Kong, Hong Kong, Hong Kong

    Ji-Kang Chen

  3. Department of Nursing, School of Health and Welfare, Jönköping University, Jönköping, Sweden

    Amir H. Pakpour

  4. Department of Educational Psychology and Counselling, University Malaya, Kuala Lumpur, Malaysia

    Yan-Li Siaw

  5. Department of Nutrition, Faculty of Public Health, Universitas Airlangga, Surabaya, Indonesia

    Siti Rahayu Nadhiroh

  6. Department of Public Health, College of Medicine, National Cheng Kung University Hospital, National Cheng Kung University, Tainan, 701, Taiwan

    Shikha Kukreti & Chung-Ying Lin

  7. Department of Medical Research, E-Da Hospital, I-Shou University, Kaohsiung, 824, Taiwan

    Jung-Sheng Chen

  8. Department of Psychiatry, Yale School of Medicine, 300 George St., Suite 901, New Haven, CT, 06511, USA

    Marc N. Potenza

  9. Connecticut Mental Health Center, 34 Park St, New Haven, CT, 06519, USA

    Marc N. Potenza

  10. Connecticut Council On Problem Gambling, 100 Great Meadow Rd., Suite 704, Wethersfield, CT, 06109, USA

    Marc N. Potenza

  11. Child Study Center, Yale School of Medicine, 350 George St, New Haven, CT, 06511, USA

    Marc N. Potenza

  12. Department of Neuroscience, Yale University, New Haven, CT, USA

    Marc N. Potenza

  13. Wu Tsai Institute, Yale University, 200 South Frontage Rd., SHM C-303, New Haven, CT, 06510, USA

    Marc N. Potenza

  14. School of Social Sciences, Nottingham Trent University, Nottingham, NG1 4BU, UK

    Mark D. Griffiths

  15. Faculty of Nursing, Universitas Padjadjaran, West Java, 45363, Indonesia

    Chung-Ying Lin

  16. Biostatistics Consulting Center, College of Medicine, National Cheng Kung University Hospital, National Cheng Kung University, Tainan, 701, Taiwan

    Chung-Ying Lin

  17. Department of Occupational Therapy, College of Medicine, National Cheng Kung University, Tainan, 701, Taiwan

    Chung-Ying Lin

Authors
  1. Yu-Ting Huang
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  2. Kamolthip Ruckwongpatr
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  3. Ji-Kang Chen
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  4. Amir H. Pakpour
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  5. Yan-Li Siaw
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  6. Siti Rahayu Nadhiroh
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  7. Shikha Kukreti
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  8. Jung-Sheng Chen
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  9. Marc N. Potenza
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  11. Chung-Ying Lin
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Contributions

Conceptualization: Y-TH, KR, J-SC, C-YL; data curation: KR, J-KC, C-YL; formal analysis: KR; funding acquisition: J-SC, J-KC, C-YL; investigation: KR, J-KC, AHP, J-SC, C-YL; methodology: AHP, Y-LS, SRN, SK, MNP, MDG, C-YL; project administration: KR, C-YL; resources: C-YL, J-KC, J-SC; software: KR, J-KC, C-YL; supervision: C-YL; validation: MNP, MDG, C-YL; visualization: KR; writing—original draft: Y-TH, KR; writing—editing and review: J-KC, AHP, Y-LS, SRN, SK, J-SC, MNP, MDG, C-YL. All authors had full access to all data in the study and take responsibility for the integrity of the data and the accuracy of the data analysis.

Corresponding authors

Correspondence to Jung-Sheng Chen or Chung-Ying Lin.

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Conflict of interest

The authors declare no conflict of interest. MNP has consulted for Opiant Pharmaceuticals, Idorsia Pharmaceuticals, AXA, Game Day Data, Baria-Tek, and the Addiction Policy Forum; has been involved in a patent application with Yale University and Novartis; has received research support (to Yale) from Mohegan Sun Casino and the Connecticut Council on Problem Gambling; has participated in surveys, mailings or telephone consultations related to drug addiction, impulse-control disorders or other health topics; has consulted for and/or advised gambling and legal entities on issues related to impulse-control/addictive disorders; has performed grant reviews for research-funding agencies; has edited journals and journal sections; has given academic lectures in grand rounds, CME events and other clinical or scientific venues; and has generated books or book chapters for publishers of mental health texts. MDG has received research funding from Norsk Tipping (the gambling operator owned by the Norwegian government). MDG has received funding for a number of research projects in the area of gambling education for young people, social responsibility in gambling, and gambling treatment from Gamble Aware (formerly the Responsibility in Gambling Trust), a charitable body which funds its research program based on donations from the gambling industry. MDG undertakes consultancy for various gambling companies in the area of player protection and social responsibility in gambling. The other authors declare no disclosures.

Ethics approval and consent to participate

All procedures of this study were conducted in accordance with the Declaration of Helsinki. Additionally, this present study protocol was reviewed and approved by National Cheng Kung University Human Research Ethics Committee (Approval No. NCKU HREC-E-110–486-2) and the National Cheng Kung University Hospital Institute of Review Board (IRB No. A-ER-111–445) prior to data collection. All subjects were informed about the study, and all provided informed consent.

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Appendix

Appendix

Table 8 Mardia’s multivariate skewness and kurtosis values
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Huang, YT., Ruckwongpatr, K., Chen, JK. et al. Specific Internet Disorders in University Students in Taiwan and Hong Kong: Psychometric Properties with Invariance Testing for the Traditional Chinese Version of the Assessment of Criteria for Specific Internet-Use Disorders (ACSID-11). Int J Ment Health Addiction (2024). https://doi.org/10.1007/s11469-024-01270-8

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