title: Psychometric properties of the Revised Chen Internet Addiction Scale (CIAS-R) in Chinese adolescents.
abstract: The Revised Chen Internet Addiction Scale (CIAS-R) was developed to assess Internet addiction in Chinese populations, but its psychometric properties in adolescents have not been examined. This study aimed to evaluate the factor structure and psychometric properties of CIAS-R in Hong Kong Chinese adolescents. 860 Grade 7 to 13 students (38 % boys) completed the CIAS-R, the Young's Internet Addiction Test (IAT), and the Health of the Nation Outcome Scales for Children and Adolescents (HoNOSCA) in a survey. The prevalence of Internet addiction as assessed by CIAS-R was 18 %. High internal consistency and inter-item correlations were reported for the CIAS-R. Results from the confirmatory factor analysis suggested a four-factor structure of Compulsive Use and Withdrawal, Tolerance, Interpersonal and Health-related Problems, and Time Management Problems. Moreover, results of hierarchical multiple regression supported the incremental validity of the CIAS-R to predict mental health outcomes beyond the effects of demographic differences and self-reported time spent online. The CIAS is a reliable and valid measure of internet addiction problems in Hong Kong adolescents. Future study is warranted to validate the cutoffs of the CIAS-R for identification of adolescents with Internet use problems who may have mental health needs.
authors.affiliation: Department of Community Medicine and School of Public Health, Faculty of Medicine, University of Hong Kong, 21 Sassoon Road, Pokfulam, Hong Kong, kkmak@graduate.hku.hk.
authors.forename: Kwok-Kei
authors.initials: KK
authors.lastname: Mak
authors.forename: Ching-Man
authors.initials: CM
authors.lastname: Lai
authors.forename: Chih-Hung
authors.initials: CH
authors.lastname: Ko
authors.forename: Chien
authors.initials: C
authors.lastname: Chou
authors.forename: Dong-Il
authors.initials: DI
authors.lastname: Kim
authors.forename: Hiroko
authors.initials: H
authors.lastname: Watanabe
authors.forename: Roger C M
authors.initials: RC
authors.lastname: Ho
mesh_terms: D000293:Adolescent; D000294:Adolescent Behavior / Q000523:psychology*; D044466:Asian People; D016739:Behavior, Addictive / Q000175:diagnosis* / Q000453:epidemiology / Q000523:psychology; D005163:Factor Analysis, Statistical; D005260:Female; D006723:Hong Kong / Q000453:epidemiology; D006801:Humans; D020407:Internet; D008297:Male; D015995:Prevalence; D011569:Psychiatric Status Rating Scales; D011594:Psychometrics; D015203:Reproducibility of Results; D011795:Surveys and Questionnaires / Q000592:standards