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普通人群样本中网络成瘾的发生率:一项潜在类别分析。

Occurence of internet addiction in a general population sample: a latent class analysis.

作者信息

Rumpf Hans-Jürgen, Vermulst Ad A, Bischof Anja, Kastirke Nadin, Gürtler Diana, Bischof Gallus, Meerkerk Gert-Jan, John Ulrich, Meyer Christian

机构信息

Department of Psychiatry and Psychotherapy, University of Lübeck, Research Group S:TEP, Lübeck, Germany.

出版信息

Eur Addict Res. 2014;20(4):159-66. doi: 10.1159/000354321. Epub 2013 Dec 24.

Abstract

BACKGROUND

Prevalence studies of Internet addiction in the general population are rare. In addition, a lack of approved criteria hampers estimation of its occurrence.

AIMS

This study conducted a latent class analysis (LCA) in a large general population sample to estimate prevalence.

METHODS

A telephone survey was conducted based on a random digit dialling procedure including landline telephone (n=14,022) and cell phone numbers (n=1,001) in participants aged 14-64. The Compulsive Internet Use Scale (CIUS) served as the basis for a LCA used to look for subgroups representing participants with Internet addiction or at-risk use. CIUS was given to participants reporting to use the Internet for private purposes at least 1 h on a typical weekday or at least 1 h on a day at the weekend (n=8,130).

RESULTS

A 6-class model showed best model fit and included two groups likely to represent Internet addiction and at-risk Internet use. Both groups showed less social participation and the Internet addiction group less general trust in other people. Proportions of probable Internet addiction were 1.0% (CI 0.9-1.2) among the entire sample, 2.4% (CI 1.9-3.1) in the age group 14-24, and 4.0% (CI 2.7-5.7) in the age group 14-16. No difference in estimated proportions between males and females was found. Unemployment (OR 3.13; CI 1.74-5.65) and migration background (OR 3.04; CI 2.12-4.36) were related to Internet addiction.

CONCLUSIONS

This LCA-based study differentiated groups likely to have Internet addiction and at-risk use in the general population and provides characteristics to further define this rather new disorder.

摘要

背景

普通人群中网络成瘾的患病率研究较少。此外,缺乏认可的标准阻碍了对其发生率的估计。

目的

本研究在一个大型普通人群样本中进行了潜在类别分析(LCA)以估计患病率。

方法

基于随机数字拨号程序进行电话调查,包括14至64岁参与者的固定电话(n = 14,022)和手机号码(n = 1,001)。强迫性网络使用量表(CIUS)作为LCA的基础,用于寻找代表网络成瘾或有风险使用的参与者的亚组。CIUS被给予那些报告在典型工作日至少使用互联网1小时用于私人目的或在周末至少使用互联网1小时的参与者(n = 8,130)。

结果

一个6类模型显示出最佳的模型拟合,包括两组可能代表网络成瘾和有风险的网络使用。两组都表现出较少的社交参与,而网络成瘾组对他人的总体信任度较低。在整个样本中,可能的网络成瘾比例为1.0%(95%置信区间0.9 - 1.2),在14至24岁年龄组中为2.4%(95%置信区间1.9 - 3.1),在14至16岁年龄组中为4.0%(95%置信区间2.7 - 5.7)。未发现男性和女性在估计比例上的差异。失业(比值比3.13;95%置信区间1.74 - 5.65)和移民背景(比值比3.04;95%置信区间2.12 - 4.36)与网络成瘾有关。

结论

这项基于LCA的研究在普通人群中区分了可能患有网络成瘾和有风险使用的群体,并提供了进一步定义这种相当新的疾病的特征。

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