Evidence map›Paper›PMID 42741055›Full record

ArticleFrontiers in psychiatry2026

Internet addiction and psychological inflexibility in young adults: a parallel mediation analysis of alexithymia facets within an I-PACE framework.

Daniele Mollaioli, Clara Lombardo, Barbara Salvo, Maria Imbesi, Luana Sorrenti, Federica Zuccalà, Carmela Mento

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Article in Frontiers in psychiatry, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

What it found

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

7 authors.

Daniele MollaioliDepartment of Clinical and Experimental Medicine, University of Messina, Messina, Italy.
Clara LombardoDepartment of "Health Sciences", University Magna Graecia of Catanzaro, Catanzaro, Italy.
Barbara SalvoDepartment of Human Pathology, Medical Oncology Unit, Polyclinic Hospital, Messina, Italy.
Maria ImbesiDepartment of "Health Sciences", University Magna Graecia of Catanzaro, Catanzaro, Italy.
Luana SorrentiDepartment of Clinical and Experimental Medicine, University of Messina, Messina, Italy.
Federica ZuccalàPsychiatric Unit, Polyclinic Hospital, Messina, Italy.
Carmela MentoDepartment of Biomedical and Dental Sciences and Morphofunctional Imaging, University of Messina, Messina, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Internet Addiction (IA) is a rising issue among young adults and is associated with emotional, relational, and cognitive difficulties. In line with the I-PACE model, this study aimed to explore the mediating role of the three dimensions of alexithymia (Difficulty Identifying Feelings-DIF; Difficulty Describing Feelings-DDF; and Externally-Oriented Thinking-EOT) in the relationship between IA severity and psychological inflexibility. Method: The study involved 224 young Italian adults (Mage = 23.76, SD = 5.82) with mild and moderate levels of IA, defined by a total score on the Internet Addiction Test (IAT) of ≥ 30. A parallel multiple mediation analysis was conducted using the PROCESS macro for R. Results: The results showed that the severity of IA was positively associated with all dimensions of alexithymia. The mediation analysis revealed two significant indirect pathways: DIF negatively mediated the relationship between IA and psychological inflexibility, while EOT showed a positive mediation effect. In contrast, DDF did not produce any significant indirect effects. Discussion: Overall, the results suggest that different dimensions of alexithymia contribute in different ways to the relationship between IA and psychological inflexibility. The observed association may reflect an apparent flexibility rather than actual adaptive capacity, highlighting the need for longitudinal studies to further clarify the underlying mechanisms.

Indexed as

alexithymiaemotion regulationinternet addictionpsychological inflexibilityyoung adults

Identifiers

PMID42741055
PMCPMC13572586

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.