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中国青少年样本中冲动性与网络成瘾之间的关系。

The relationship between impulsivity and Internet addiction in a sample of Chinese adolescents.

作者信息

Cao Fenglin, Su Linyan, Liu Tieqiao, Gao Xueping

机构信息

The 2nd Xiangya Hospital of Central South University, No. 139 Renmin Road, Changsha, Hunan 410011, P.R. China.

出版信息

Eur Psychiatry. 2007 Oct;22(7):466-71. doi: 10.1016/j.eurpsy.2007.05.004. Epub 2007 Aug 31.

Abstract

OBJECTIVE

Previous studies regarding Internet addiction have investigated associated psychological variables such as shyness, loneliness, self-consciousness, anxiety, depression and interpersonal relations. Few studies about the relationship between Internet Addiction and impulsivity have been done. This study aimed to assess whether Internet addiction is related to impulsivity among Chinese adolescents.

METHOD

This study was performed in two stages. We screened for the presence of Internet Addiction among 2620 high school students(age ranging from 12years to 18years) from four high schools of Changsha City using Diagnostic Questionnaire for Internet Addiction (YDQ). According to the modified YDQ criteria by Beard, 64 students were diagnosed as Internet addiction. Excluding current psychiatric comorbidity, 50 students who were diagnosed as Internet Addiction (mean age, 14.8+/-1.4years) and 50 normal students in Internet usage(mean age, 14.5+/-1.8years) were included in a case control study. The two groups were assessed using Barratt Impulsiveness Scale 11 (BIS-11) and behavioral measure of impulsivity (GoStop Impulsivity Paradigm).

RESULTS

Sixty-four students met the modified YDQ criteria by Beard, of whom 14 students suffered from comorbid psychiatric disorders, especially comorbid ADHD. The Internet Addiction group had significantly higher scores on the BIS-11 subscales of Attentional key, Motor key, and Total scores than the control group (P<0.05). The Internet Addiction group scored higher than the control group on the failure to inhibit responses of GoStop Impulsivity Paradigm (P<0.05). There was a significant positive correlation between YDQ scores and BIS-11subscales and the number of failure to inhibit responses of GoStop Impulsivity Paradigm.

CONCLUSION

This study suggests that adolescents with Internet addiction exhibit more impulsivity than controls and have various comorbid psychiatric disorders, which could be associated with the psychopathology of Internet addiction.

摘要

目的

以往关于网络成瘾的研究调查了相关的心理变量,如害羞、孤独、自我意识、焦虑、抑郁和人际关系。关于网络成瘾与冲动性之间关系的研究较少。本研究旨在评估中国青少年的网络成瘾是否与冲动性有关。

方法

本研究分两个阶段进行。我们使用网络成瘾诊断问卷(YDQ)对长沙市四所高中的2620名高中生(年龄在12岁至18岁之间)进行网络成瘾筛查。根据Beard修改后的YDQ标准,64名学生被诊断为网络成瘾。排除当前的精神共病,50名被诊断为网络成瘾的学生(平均年龄,14.8±1.4岁)和50名网络使用正常的学生(平均年龄,14.5±1.8岁)被纳入病例对照研究。两组使用巴拉特冲动性量表11(BIS-11)和冲动性行为测量(GoStop冲动性范式)进行评估。

结果

64名学生符合Beard修改后的YDQ标准,其中14名学生患有共病精神障碍,尤其是共病注意力缺陷多动障碍(ADHD)。网络成瘾组在BIS-11的注意力因子、运动因子和总分上的得分显著高于对照组(P<0.05)。网络成瘾组在GoStop冲动性范式中抑制反应失败的得分高于对照组(P<0.05)。YDQ得分与BIS-11因子以及GoStop冲动性范式中抑制反应失败的次数之间存在显著正相关。

结论

本研究表明,网络成瘾的青少年比对照组表现出更多的冲动性,并且患有各种共病精神障碍,这可能与网络成瘾的精神病理学有关。

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