Department of Child and Adolescent Psychiatry, Istanbul Medical Faculty, Istanbul University, Istanbul, Turkey.
Psychiatry Clin Neurosci. 2013 Jul;67(5):352-9. doi: 10.1111/pcn.12065.
To investigate prevalence and patterns of psychiatric disorders in young subjects with Internet addiction (IA).
Subjects were taken from a sample of patients, aged 10-18 years old, referred to Istanbul Medical Faculty, Child and Adolescent Psychiatry Department due to a variety of behavioral and emotional problems alongside problematic Internet use. Inclusion criteria included IQ ≥70 and score ≥80 on Young's Internet Addiction Scale (YIAS). Psychiatric comorbidity was assessed using the Turkish version of the Schedule for Affective Disorders and Schizophrenia for School Age Children-Present and Lifetime Version.
Subjects were 45 boys (75%) and 15 girls (25%) with an age range of 10-18 years old (mean age, 13.38 ± 1.79 years). A total of 60% (n = 36) had been using Internet for ≥5 years. Mean hours/week spent on the Internet was 53.7 (range, 30-105 h) and the average YIAS score was 85. All subjects (100%) had at least one and 88.3% (n = 53) had at least two comorbid psychiatric disorders. The frequency of diagnostic groups were as follows: behavioral disorder, n = 52 (86.7%); anxiety disorder, n = 43 (71.7%); mood disorder, n = 23 (38.3%); elimination disorder, n = 16 (26.7%); tic disorder, n = 10 (16.7%); and substance use disorder, n = 4 (6.7%). The most common psychiatric disorders were attention-deficit hyperactivity disorder (n = 53; 83.3%), social phobia (n = 21; 35.0%) and major depressive disorder (n = 18; 30.0%).
High rates of psychiatric comorbidity, particularly behavioral, anxiety and mood disorders were found in young subjects with IA. Because the presence of psychiatric disorders may affect the management /prognosis of IA, assessment should include that for other psychiatric disorders.
调查青少年网络成瘾者（IA）中精神障碍的患病率和模式。
从因各种行为和情绪问题以及网络使用问题而到伊斯坦布尔医学学院儿童和青少年精神病学系就诊的患者样本中抽取研究对象。纳入标准包括智商≥70 且 Young 的网络成瘾量表（YIAS）得分≥80。使用儿童青少年情感障碍和精神分裂症的日程表-现病史和终生版本的土耳其语版本评估精神共病。
研究对象为 45 名男孩（75%）和 15 名女孩（25%），年龄在 10-18 岁之间（平均年龄为 13.38±1.79 岁）。60%（n=36）的人使用互联网的时间≥5 年。每周上网时间平均为 53.7 小时（范围为 30-105 小时），平均 YIAS 得分为 85。所有研究对象（100%）至少有一种，88.3%（n=53）至少有两种共患精神障碍。诊断组的频率如下：行为障碍，n=52（86.7%）；焦虑障碍，n=43（71.7%）；心境障碍，n=23（38.3%）；排泄障碍，n=16（26.7%）；抽搐障碍，n=10（16.7%）；物质使用障碍，n=4（6.7%）。最常见的精神障碍是注意缺陷多动障碍（n=53；83.3%）、社交恐惧症（n=21；35.0%）和重度抑郁症（n=18；30.0%）。
在青少年网络成瘾者中发现了很高的精神共病率，特别是行为、焦虑和情绪障碍。由于精神障碍的存在可能会影响 IA 的管理/预后，因此评估应包括其他精神障碍。
