Tsitsika Artemis, Critselis Elena, Kormas Georgios, Filippopoulou Anastasia, Tounissidou Despoina, Freskou Aliki, Spiliopoulou Theodora, Louizou Amalia, Konstantoulaki Eleftheria, Kafetzis Dimitrios
Second Department of Pediatrics, P. & A. Kyriakou Children's Hospital, Adolescent Health Unit, University of Athens, Leoforos Mesogeion 24, Goudi, Athens, 11527, Greece.
Eur J Pediatr. 2009 Jun;168(6):655-65. doi: 10.1007/s00431-008-0811-1. Epub 2008 Sep 2.
The internet is an integral tool for information, communication, and entertainment among adolescents. As adolescents devote increasing amounts of time to utilizing the internet, the risk for adopting excessive and pathological internet use is inherent. The study objectives include assessing the characteristics and predictors of excessive internet use and evaluating the prevalence of pathological internet use among Greek adolescents. A cross-sectional study design was applied to this effect. The study population (n = 897) consisted of a random sample of adolescents residing in Athens, Greece. Self-completed questionnaires, pertaining to internet access characteristics and Young's Internet Addiction Scale (YIAS) score, were applied in order to investigate the study objectives. The multivariate regression analysis indicated that the most significant predictors of overall internet use included accessing the internet via one's own home portal and for the purpose of social interaction. Internet access via the school environment was a significant deterrent among low (1-3 h/week) internet users, while access via internet cafés was a significant predictor for high (11-20 h/week) internet users. Moreover, accessing the internet for the purposes of game playing was the most significant predictor for excessive (>20 h/week) internet use. The prevalence of borderline internet use among the study population was 12.8%, while 1.00% reported addictive internet use. Also, 10.4% of male excessive internet users reported addictive internet use (p < 0.0001). In conclusion, excessive internet use is predicted solely by the location of internet access (own home portal) and the scope of internet use (i.e., sites relating to socialization and game playing) and may lead to internet addiction, particularly among male adolescents.
互联网是青少年获取信息、进行交流和娱乐的重要工具。随着青少年花费越来越多的时间使用互联网,过度和病理性使用互联网的风险也随之而来。本研究的目的包括评估过度使用互联网的特征和预测因素,以及评估希腊青少年中病理性互联网使用的患病率。为此采用了横断面研究设计。研究人群(n = 897)由居住在希腊雅典的青少年随机样本组成。为了调查研究目的,使用了自我填写的问卷,内容涉及互联网接入特征和杨氏互联网成瘾量表(YIAS)得分。多变量回归分析表明,总体互联网使用的最重要预测因素包括通过自己的家庭门户访问互联网以及用于社交互动的目的。对于低(每周1 - 3小时)互联网用户来说,通过学校环境访问互联网是一个重要的阻碍因素,而对于高(每周11 - 20小时)互联网用户来说,通过网吧访问互联网是一个重要的预测因素。此外,为了玩游戏而访问互联网是过度(每周>20小时)使用互联网的最重要预测因素。研究人群中边缘性互联网使用的患病率为12.8%,而报告有成瘾性互联网使用的比例为1.00%。此外,10.4%的男性过度互联网用户报告有成瘾性互联网使用(p < 0.0001)。总之,过度使用互联网仅由互联网接入地点(自己的家庭门户)和互联网使用范围(即与社交和游戏相关的网站)预测,并且可能导致互联网成瘾,尤其是在男性青少年中。