文献类型：期刊文献

英文题名：A systematic review of internet addiction in hospitalized adolescents: proposing a hospital-adapted moderated dual mediation model of emotional dysregulation and social compensation

作者：Qi, Xin[1];He, Juan[2];Wang, Qilong[1];Liu, Sha[1];Zhang, Lei[1];Zhao, Jianpeng[1];Ma, Dongmei[1];Zhao, Dongrong[2]

第一作者：Qi, Xin

通信作者：He, J[1];Zhao, DR[1]

机构：[1]Gansu Univ Chinese Med, Lanzhou, Gansu, Peoples R China;[2]Gansu Prov Peoples Hosp, Lanzhou, Gansu, Peoples R China

第一机构：甘肃中医药大学

通信机构：[1]corresponding author), Gansu Prov Peoples Hosp, Lanzhou, Gansu, Peoples R China.

年份：2026

卷号：17

外文期刊名：FRONTIERS IN PSYCHIATRY

收录：;WOS:【SSCI(收录号:WOS:001781166600001)，SCI-EXPANDED(收录号:WOS:001781166600001)】；

基金：The author(s) declared that financial support was received for this work and/or its publication. Supported by Gansu University of Traditional Chinese Medicine Postgraduate Innovation and Entrepreneurship Fund. (Grant No. 2026CXCY-120, Project Name: A Longitudinal Correlation Study on Short Video Social Network Characteristics and Depression Risk in Adolescents).

语种：英文

外文关键词：emotional dysregulation; hospital-adapted theoretical model; hospitalized adolescents; internet addiction; mediating effect; social compensation

摘要：Hospitalized adolescents face unique medical and psychosocial stressors that elevate their risk of internet addiction, yet mainstream theoretical frameworks such as the I-PACE model fail to adequately capture context-specific mechanisms within inpatient medical settings. This narrative systematic review systematically searched four databases (Web of Science Core Collection, PubMed, PsycINFO, Scopus) from database inception to September 30, 2025, in accordance with PRISMA 2020 guidelines, to map existing evidence on the dual mediating pathways of emotional dysregulation and social compensation underlying internet addiction in adolescent inpatient populations. Given significant methodological heterogeneity across included studies (I & sup2; >75% in pilot meta-regression), a narrative synthesis approach aligned with ENTREQ guidelines was employed for thematic integration, rather than quantitative meta-analysis. Key findings are as follows (1): Medical stressors prime emotional dysregulation in hospitalized adolescents, lowering their emotional tolerance thresholds and reinforcing online escape behaviors (2); Forced social deprivation in inpatient settings triggers social compensation motivation, while institutional restrictions on electronic device use create a phenomenon of "compensatory frustration" that paradoxically accelerates addiction progression (3); These two pathways form a self-reinforcing loop, the strength of which is amplified by longer hospitalization duration and greater disease severity. The Hospital-Adapted Moderated Dual Mediation Model proposed in this review extends the classic I-PACE framework by integrating inpatient-specific contextual moderators and provides a theoretical foundation for the development of precision mental health interventions in clinical settings.