OBJECTIVES: Adolescents who deal with more emotional problems have been found to seek escape online, and struggle with excessive internet use (EIU). Poor social relationships have been linked with emotional problems. The current study investigated positive family and school relationships as protective factors against emotional problems and a preference for online social interaction (POSI), both specified as mediators of the association of family and school relationships with EIU. Cross-cultural differences in the model were tested. METHODS: A multi-group SEM was tested on representative samples of 4104 adolescents (Mage = 14.40 years, SD = 1.65, range 12-17, 50% female) from four European countries from Southern, Northern, Central, and Eastern Europe (Italy, Norway, Czech Republic, and Serbia, respectively). RESULTS: Results suggested consistent associations across countries. Positive family relationships and positive school relationships were associated with lower EIU, with 63-64% of the effect of family, and 91-93% of the effect of school relationships mediated by emotional problems and POSI. CONCLUSIONS: Positive family and school relationships protect adolescents against excessive internet usage, regardless of culture and indirectly-through emotional problems and POSI.

• MeSH
• Adolescent Behavior psychology   MeSH
• Child MeSH
• Interpersonal Relations * MeSH
• Humans MeSH
• Adolescent MeSH
• Internet Use statistics & numerical data   MeSH
• Family Relations psychology   MeSH
• Schools MeSH
• Social Isolation psychology   MeSH
• Check Tag
• Child MeSH
• Humans MeSH
• Adolescent MeSH
• Male MeSH
• Female MeSH
• Publication type
• Journal Article MeSH
• Geographicals
• Czech Republic MeSH
• Italy MeSH
• Norway MeSH
• Serbia MeSH

OBJECTIVES: Excessive internet use (EIU) has been studied predominantly within the context of individual risk factors. Less attention has been paid to social factors, especially in a fashion complex enough to include the multiple domains of adolescent socialization. This study examined the relationship between EIU and constraints within family, school, peer groups, and neighbourhoods, while controlling for emotional and behavioural difficulties. METHODS: This study was based on survey data from the Health Behaviour in School-aged Children study, which was conducted in Slovakia in 2018. The sample of representative adolescents totalled 8400 (mean age: 13.44 years; SDage = 1.33; 50.9% boys). RESULTS: Multiple-step linear regression revealed that, after controlling for sociodemographic factors and emotional and behavioural difficulties, peer problems had the least effect, while the constraints related to family and neighbourhood stood out as especially problematic. Combined variables explained 20% variance of EIU. CONCLUSIONS: Social constraints proved to be important factors in adolescent EIU. The important role of a problematic neighbourhood is a novel finding and suggests that it should be targeted in prevention.

• MeSH
• Residence Characteristics * MeSH
• Adolescent Behavior psychology   MeSH
• Child MeSH
• Adult MeSH
• Humans MeSH
• Adolescent MeSH
• Internet Use statistics & numerical data   MeSH
• Surveys and Questionnaires MeSH
• Family Relations psychology   MeSH
• Schools * MeSH
• Social Isolation psychology   MeSH
• Peer Group MeSH
• Check Tag
• Child MeSH
• Adult MeSH
• Humans MeSH
• Adolescent MeSH
• Male MeSH
• Female MeSH
• Publication type
• Journal Article MeSH
• Geographicals
• Slovakia MeSH

Internet usage may have both positive and negative impacts on people with eating disorders. In research to date, most of the focus has been put on the harms connected with platforms that support people in continuing their disorder. Less studied have been the benefits of other technology platforms used by people with eating disorders. When these different platforms were investigated, users were rarely interviewed about their experience. To fill this gap, we conducted 30 interviews with participants aged 16 to 28, all female, living in the Czech Republic. The interviews focused on their experiences with the harmful and helpful impacts of the internet on the course of their eating disorders. The data were analyzed via thematic analysis. The results provided insight into the participants' experience with the following online environments: 1) nonprofessional pro-eating disorder platforms; 2) nonprofessional pro-recovery platforms; 3) social networking sites (SNS); 4) platforms for counting calories and setting weight goals; 5) platforms about food, exercise, and lifestyle; and 6) platforms providing professional help. The participants noted many benefits these platforms could provide; however, their ability to achieve the benefits was affected by their motivation for treatment. As a result, even platforms designed to support recovery could be used for illness maintenance. The results are discussed in the context of research on the changing motivations for recovery in people with eating disorders and the theory of different processes connected to the course of the eating disorders according to the differential interactivity of digital platforms.

• MeSH
• Adult MeSH
• Humans MeSH
• Adolescent MeSH
• Young Adult MeSH
• Feeding and Eating Disorders * epidemiology   rehabilitation   therapy   MeSH
• Internet Use * statistics & numerical data   MeSH
• Check Tag
• Adult MeSH
• Humans MeSH
• Adolescent MeSH
• Young Adult MeSH
• Female MeSH
• Publication type
• Journal Article MeSH
• Research Support, Non-U.S. Gov't MeSH
• Geographicals
• Czech Republic MeSH