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Rejection Sensitivity and Problematic Internet Use Among Medical Students: A Moderated Mediation Model Involving Loneliness and Self-Control

Year: 2025
Type: article
Study design: Observational Study
Abstract: The internet has evolved into an integral facet of the life and educational experience of college students. However, the driving force behind problematic internet use in medical students remains largely unexplored. Based on the cognitive-behavioral model and the affect regulation model of vulnerability, the present study seeks to investigate the underlying mechanism of the association between rejection sensitivity and problematic internet use among medical students. A total of 435 undergraduate medical students were investigated using the Tendency to Expect Rejection Scale, Loneliness Scale, Self-control Scale, and Problematic Internet Test. The results revealed that rejection sensitivity could positively predict loneliness and problematic internet use. Mediation analyses revealed that loneliness served as a mediator in the link between rejection sensitivity and problematic internet use. Additionally, self-control moderated the second stage of the indirect effects in the relationship between rejection sensitivity and problematic internet use. These findings theoretically deepen our understanding of the psychological pathways and the boundary conditions linking medical students' rejection sensitivity to their problematic internet use, while also offering valuable practical implications for decreasing problematic internet use.
Authors: Cheng Xu, Meiling Liao, Youjuan Hong
Language: English
Open Access status: gold
Estimated APC paid: $2,654
OpenAlex ID: W4410035846
FWCI: 8.981
Cites: 46
Cited by: 5
Related to: 10