{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T21:56:21Z","timestamp":1790805381228,"version":"4.1.0"},"reference-count":73,"publisher":"MDPI AG","issue":"3","license":[{"start":{"date-parts":[[2016,3,8]],"date-time":"2016-03-08T00:00:00Z","timestamp":1457395200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["IJERPH"],"abstract":"<jats:p>Risk-behaviors are a major contributor to the leading causes of morbidity among adolescents and young people; however, their association with pathological Internet use (PIU) is relatively unexplored, particularly within the European context. The main objective of this study is to investigate the association between risk-behaviors and PIU in European adolescents. This cross-sectional study was conducted within the framework of the FP7 European Union project: Saving and Empowering Young Lives in Europe (SEYLE). Data on adolescents were collected from randomized schools within study sites across eleven European countries. PIU was measured using Young\u2019s Diagnostic Questionnaire (YDQ). Risk-behaviors were assessed using questions procured from the Global School-Based Student Health Survey (GSHS). A total of 11,931 adolescents were included in the analyses: 43.4% male and 56.6% female (M\/F: 5179\/6752), with a mean age of 14.89 \u00b1 0.87 years. Adolescents reporting poor sleeping habits and risk-taking actions showed the strongest associations with PIU, followed by tobacco use, poor nutrition and physical inactivity. Among adolescents in the PIU group, 89.9% were characterized as having multiple risk-behaviors. The significant association observed between PIU and risk-behaviors, combined with a high rate of co-occurrence, underlines the importance of considering PIU when screening, treating or preventing high-risk behaviors among adolescents.<\/jats:p>","DOI":"10.3390\/ijerph13030294","type":"journal-article","created":{"date-parts":[[2016,3,8]],"date-time":"2016-03-08T10:14:25Z","timestamp":1457432065000},"page":"294","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":127,"title":["Pathological Internet Use and Risk-Behaviors among European Adolescents"],"prefix":"10.3390","volume":"13","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1655-0926","authenticated-orcid":false,"given":"Tony","family":"Durkee","sequence":"first","affiliation":[{"name":"National Centre for Suicide Research and Prevention of Mental Ill-Health (NASP), Karolinska Institutet, Stockholm SE-17177, Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vladimir","family":"Carli","sequence":"additional","affiliation":[{"name":"National Centre for Suicide Research and Prevention of Mental Ill-Health (NASP), Karolinska Institutet, Stockholm SE-17177, Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Birgitta","family":"Floderus","sequence":"additional","affiliation":[{"name":"Department of Clinical Neuroscience, Karolinska Institutet, Stockholm SE-17177, Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Camilla","family":"Wasserman","sequence":"additional","affiliation":[{"name":"Department of Medicine and Health Science, University of Molise, Campobasso 86100, Italy"},{"name":"Department of Child and Adolescent Psychiatry, New York State Psychiatric Institute, Columbia University, New York, NY 10032, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marco","family":"Sarchiapone","sequence":"additional","affiliation":[{"name":"Department of Medicine and Health Science, University of Molise, Campobasso 86100, Italy"},{"name":"National Institute for Migration and Poverty, Via San Gallicano, Roma 25\/A, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alan","family":"Apter","sequence":"additional","affiliation":[{"name":"Feinberg Child Study Centre, Schneider Children\u2019s Medical Centre, Tel Aviv University, Tel Aviv 49202, Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3587-6892","authenticated-orcid":false,"given":"Judit","family":"Balazs","sequence":"additional","affiliation":[{"name":"Vadaskert Child and Adolescent Psychiatric Hospital, Budapest 1021, Hungary"},{"name":"Institute of Psychology, E\u00f6tv\u00f6s Lor\u00e1nd University, Budapest 1064, Hungary"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Julio","family":"Bobes","sequence":"additional","affiliation":[{"name":"Department of Psychiatry, Center for Biomedical Research in the Mental Health Network (CIBERSAM), University of Oviedo, Oviedo 33006, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Romuald","family":"Brunner","sequence":"additional","affiliation":[{"name":"Section for Disorders of Personality Development, Clinic of Child and Adolescent Psychiatry, Centre of Psychosocial Medicine, University of Heidelberg, Heidelberg 69115, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Paul","family":"Corcoran","sequence":"additional","affiliation":[{"name":"National Suicide Research Foundation, Western Rd., Cork, Ireland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Doina","family":"Cosman","sequence":"additional","affiliation":[{"name":"Department of Clinical Psychology, Iuliu Hatieganu University of Medicine and Pharmacy, Str. Victor Babes Nr. 8, Cluj-Napoca 400000, Romania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christian","family":"Haring","sequence":"additional","affiliation":[{"name":"Research Division for Mental Health, University for Medical Information Technology (UMIT), Klagenfurt, Innsbruck 6060, Austria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christina","family":"Hoven","sequence":"additional","affiliation":[{"name":"Department of Child and Adolescent Psychiatry, New York State Psychiatric Institute, Columbia University, New York, NY 10032, USA"},{"name":"Department of Epidemiology, Mailman School of Public Health, Columbia University, New York, NY 10032, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael","family":"Kaess","sequence":"additional","affiliation":[{"name":"Section for Disorders of Personality Development, Clinic of Child and Adolescent Psychiatry, Centre of Psychosocial Medicine, University of Heidelberg, Heidelberg 69115, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jean-Pierre","family":"Kahn","sequence":"additional","affiliation":[{"name":"Department of Psychiatry, Centre Hospitalo-Universitaire de Nancy, Universit\u00e9 de Lorraine, Nancy, Vandoeuvre-l\u00e8s-Nancy 54500, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bogdan","family":"Nemes","sequence":"additional","affiliation":[{"name":"Department of Clinical Psychology, Iuliu Hatieganu University of Medicine and Pharmacy, Str. 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