Department of Psychiatry, Yale University School of Medicine, Connecticut Mental Health Center, New Haven, CT 06511, USA.
Addict Behav. 2014 Jan;39(1):13-21. doi: 10.1016/j.addbeh.2013.09.003. Epub 2013 Oct 8.
With the popularity of Internet use among adolescents, there is concern that some youth may display problematic or addictive patterns of Internet use. Although excessive patterns of Internet use was considered for inclusion in the DSM-5 with pathological gambling and substance-use disorders in a category of addictive disorders, it was determined that more research was needed on Internet-use behaviors before such actions be further considered and possibly undertaken. The present study is the first to investigate whether at-risk/problematic Internet use (ARPIU) may moderate the strength of association between problem-gambling severity and gambling-related characteristics and health and well-being measures in adolescents. Survey data from 1884 Connecticut high-school student stratified by Internet use (ARPIU vs. non-ARPIU) were examined in bivariate analyses and logistic regression models. Gambling-related characteristics and health and well-being measures were mostly positively associated with problem-gambling severity in both Internet use groups. Interaction odds ratio revealed that the strength of the associations between problem-gambling severity and marijuana, alcohol and caffeine use were stronger amongst the non-ARPIU compared to the ARPIU group, suggesting that the relationships between these substance use behaviors and problem gambling may be partially accounted for by ARPIU. Future studies should examine the extent to which preventative interventions targeting both problematic Internet use and problem gambling may synergistically benefit measures of health and reduce risk-taking behaviors in adolescence.
随着青少年互联网使用的普及,人们担心一些年轻人可能表现出有问题或成瘾的互联网使用模式。尽管过度的互联网使用模式被认为包括在 DSM-5 中,与病理性赌博和物质使用障碍一起归类为成瘾障碍,但需要更多关于互联网使用行为的研究,然后才能进一步考虑并可能采取行动。本研究首次调查了有风险/问题性互联网使用 (ARPIU) 是否会调节赌博问题严重程度与赌博相关特征以及青少年健康和幸福感措施之间的关联强度。对 1884 名康涅狄格州高中生的调查数据进行了分层分析,这些学生的互联网使用情况(ARPIU 与非 ARPIU)存在差异。在双变量分析和逻辑回归模型中对赌博相关特征和健康与幸福感措施进行了检验。在两个互联网使用群体中,赌博相关特征和健康与幸福感措施与赌博问题严重程度大多呈正相关。交互优势比显示,在非 ARPIU 组中,赌博问题严重程度与大麻、酒精和咖啡因使用之间的关联强度强于 ARPIU 组,这表明这些物质使用行为与赌博问题之间的关系部分归因于 ARPIU。未来的研究应该检验针对有问题的互联网使用和赌博问题的预防干预措施在多大程度上可以协同促进健康措施的改善,并减少青少年的冒险行为。