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      Structural Validity of the Diagnostic Interview for Internet Addiction Scale for Clinical Samples in Korean Children and Adolescents: Exploratory and Confirmatory Factor Analysis

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          Abstract

          Objective

          This study aimed to validate the reliability and validity of the Diagnostic Interview for the Internet Addiction Scale (DIA) among Korean children and adolescents in the clinical setting.

          Methods

          We collected the clinical data from university hospitals in South Korea and 194 children and adolescents (aged 7–18 years) completed the questionnaire. The content validity was conducted on 10 items of the DIA and an internal consistency test was performed for the verification of reliability.

          Results

          Participants on average, aged 13.17 years (standard deviation=2.46), and 75.3% (n=146) were boys. The DIA was highly correlated with the scores of the Korean scale for Internet addiction for adolescents, Young’s Internet Addiction Test, Internet addiction proneness scale for children and adolescents. The overall sampling suitability of the 10-item scale was tested using the Kaiser–Meyer–Olkin, resulting in a high value of 0.861. The DIA revealed a two-factor structure and the Cronbach’s alpha correlation coefficient for the total scale was 0.806. Confirmatory factor analysis showed an acceptable model fit (root-mean square error of approximation=0.058, comparative fit index=0.950, and Tucker-Lewis Index=0.919).

          Conclusion

          The DIA may suggest in-depth-scale examinations of the factors that influence Internet addiction. We may expect that DIA would be used efficiently for the diagnosing of Internet addiction and further studies for the assessment.

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          Most cited references35

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          Internet Addiction: The Emergence of a New Clinical Disorder

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            The Smartphone Addiction Scale: Development and Validation of a Short Version for Adolescents

            Objective This study was designed to investigate the revised and short version of the smartphone addiction scale and the proof of its validity in adolescents. In addition, it suggested cutting off the values by gender in order to determine smartphone addiction and elaborate the characteristics of smartphone usage in adolescents. Method A set of questionnaires were provided to a total of 540 selected participants from April to May of 2013. The participants consisted of 343 boys and 197 girls, and their average age was 14.5 years old. The content validity was performed on a selection of shortened items, while an internal-consistency test was conducted for the verification of its reliability. The concurrent validity was confirmed using SAS, SAPS and KS-scale. Receiver operating characteristics analysis was conducted to suggest cut-off. Results The 10 final questions were selected using content validity. The internal consistency and concurrent validity of SAS were verified with a Cronbach's alpha of 0.911. The SAS-SV was significantly correlated with the SAS, SAPS and KS-scale. The SAS-SV scores of gender (p<.001) and self-evaluation of smartphone addiction (p<.001) showed significant difference. The ROC analysis results showed an area under a curve (AUC) value of 0.963(0.888–1.000), a cut-off value of 31, sensitivity value of 0.867 and specificity value of 0.893 in boys while an AUC value of 0.947(0.887–1.000), a cut-off value of 33, sensitivity value of 0.875, and a specificity value of 0.886 in girls. Conclusions The SAS-SV showed good reliability and validity for the assessment of smartphone addiction. The smartphone addiction scale short version, which was developed and validated in this study, could be used efficiently for the evaluation of smartphone addiction in community and research areas.
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              Development of Korean Smartphone Addiction Proneness Scale for Youth

              This study developed a Smartphone Addiction Proneness Scale (SAPS) based on the existing internet and cellular phone addiction scales. For the development of this scale, 29 items (1.5 times the final number of items) were initially selected as preliminary items, based on the previous studies on internet/phone addiction as well as the clinical experience of involved experts. The preliminary scale was administered to a nationally representative sample of 795 students in elementary, middle, and high schools across South Korea. Then, final 15 items were selected according to the reliability test results. The final scale consisted of four subdomains: (1) disturbance of adaptive functions, (2) virtual life orientation, (3) withdrawal, and (4) tolerance. The final scale indicated a high reliability with Cronbach's α of .880. Support for the scale's criterion validity has been demonstrated by its relationship to the internet addiction scale, KS-II (r  =  .49). For the analysis of construct validity, we tested the Structural Equation Model. The results showed the four-factor structure to be valid (NFI  =  .943, TLI  =  .902, CFI  =  .902, RMSEA  =  .034). Smartphone addiction is gaining a greater spotlight as possibly a new form of addiction along with internet addiction. The SAPS appears to be a reliable and valid diagnostic scale for screening adolescents who may be at risk of smartphone addiction. Further implications and limitations are discussed.
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                Author and article information

                Journal
                Psychiatry Investig
                Psychiatry Investig
                PI
                Psychiatry Investigation
                Korean Neuropsychiatric Association
                1738-3684
                1976-3026
                February 2025
                17 February 2025
                : 22
                : 2
                : 167-174
                Affiliations
                [1 ]Faculty of Psychology, University of Warsaw, Warsaw, Poland
                [2 ]Department of Preventive Medicine, College of Medicine, The Catholic University of Korea, Seoul, Republic of Korea
                [3 ]Department of Psychiatry, Samsung Medical Center, School of Medicine, Sungkyunkwan University, Seoul, Republic of Korea
                [4 ]Department of Psychiatry, College of Medicine, The Catholic University of Korea, Seoul, Republic of Korea
                [5 ]Department of Psychiatry, Nowon Eulji University Hospital, Eulji University School of Medicine, Seoul, Republic of Korea
                [6 ]Eulji Psychiatry and Medical Science Center, Eulji University, Seongnam, Republic of Korea
                Author notes
                Correspondence: Yong-Sil Kweon, MD, PhD Department of Psychiatry, College of Medicine, The Catholic University of Korea, 271 Cheonbo-ro, Uijongbu 11765, Republic of Korea Tel: +82-31-820-3055, Fax: +82-31-847-3630, E-mail: yskwn@ 123456catholic.ac.kr
                Correspondence: Soo-Young Bhang, MD, MPH, PhD Department of Psychiatry, Nowon Eulji University Hospital, Eulji University School of Medicine, 68 Hangeulbiseok-ro, Nowon-gu, Seoul 01830, Republic of Korea Tel: +82-2-970-8303, Fax: +82-2-970-8429, E-mail: bsy1@ 123456eulji.ac.kr
                Author information
                http://orcid.org/0000-0003-2918-0546
                http://orcid.org/0000-0003-2139-0522
                http://orcid.org/0000-0001-5638-6350
                http://orcid.org/0000-0001-5254-0314
                Article
                pi-2024-0145
                10.30773/pi.2024.0145
                11878136
                40017280
                7e384eec-5b8d-456d-b54a-42ae2eae664d
                Copyright © 2025 Korean Neuropsychiatric Association

                This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License ( http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

                History
                : 23 April 2024
                : 6 November 2024
                : 16 December 2024
                Categories
                Original Article

                Clinical Psychology & Psychiatry
                exploratory factor analysis,internet addiction,smartphone addiction,diagnostic interview,dia

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