Family factors in Internet addiction among Chinese youth: A review of English- and Chinese-language studies

Approximately 513 million Chinese citizens used the Internet in 2011, with adolescents reporting comparatively high levels of use. Although numerous studies (reviewed herein) indicate that Internet Addiction/Pathological Internet Use (IA/PIU) is endemic among Chinese youth and trending upward, no prior review has examined family correlates of IA/PIU in Chinese youth. Thus, our principal aim was to evaluate methodological features and substantive findings of all studies examining family correlates of IA/PIU in Chinese youth.

Internet, demographic, psychosocial, and psychiatric/behavioral correlates of IA/PIU, and prevalence estimates for adolescent IA/PIU, were also examined using the large set of studies evaluated in association with our principal aim. Comprehensive bibliographic searches identified 42 pertinent investigations.

Youth with IA/PIU reported greater global dissatisfaction with their families; less organized, cohesive and adaptable families; greater inter-parental and parent–child conflict; and perceived their parents as more punitive, and less supportive, warm, and involved compared to non-IA youth. IA/PIU youth were significantly more likely to have divorced parents, live with a single parent, and be an only child than non-IA/PIU youth. IA/PIU is prevalent among Chinese youth and associated with diverse family, psychosocial and psychiatric/behavioral impairments, but rarely is the focus of prevention and treatment interventions.