Sussman Steve, Arpawong Thalida Em, Sun Ping, Tsai Jennifer, Rohrbach Louise A, Spruijt-Metz Donna
Institute for Health Promotion and Disease Prevention Research, University of Southern California Keck School of Medicine, Alhambra, CA, USA.
J Behav Addict. 2014 Apr 1;3(1):33-40. doi: 10.1556/JBA.3.2014.005.
Recent work has studied multiple addictions using a matrix measure, which taps multiple addictions through single responses for each type.
The present study investigated use of a matrix measure approach among former alternative high school youth (average age = 19.8 years) at risk for addictions. Lifetime and last 30-day prevalence of one or more of 11 addictions reviewed in other work (Sussman, Lisha & Griffiths, 2011) was the primary focus (i.e., cigarettes, alcohol, other/hard drugs, eating, gambling, Internet, shopping, love, sex, exercise, and work). Also, the co-occurrence of two or more of these 11 addictive behaviors was investigated. Finally, the latent class structure of these addictions, and their associations with other measures, was examined.
We found that ever and last 30-day prevalence of one or more of these addictions was 79.2% and 61.5%, respectively. Ever and last 30-day co-occurrence of two or more of these addictions was 61.5% and 37.7%, respectively. Latent Class Analysis suggested two groups: a generally Non-addicted Group (67.2% of the sample) and a "Work Hard, Play Hard"-addicted Group that was particularly invested in addiction to love, sex, exercise, the Internet, and work. Supplementary analyses suggested that the single-response type self-reports may be measuring the addictions they intend to measure.
We suggest implications of these results for future studies and the development of prevention and treatment programs, though much more validation research is needed on the use of this type of measure.
近期研究采用矩阵测量法对多种成瘾行为进行了研究，该方法通过对每种类型的单一反应来探究多种成瘾行为。
本研究调查了有成瘾风险的前替代高中青年（平均年龄 = 19.8岁）中矩阵测量法的使用情况。主要关注的是其他研究（Sussman、Lisha和Griffiths，2011年）中所提及的11种成瘾行为中一种或多种的终生患病率和过去30天患病率（即香烟、酒精、其他/硬性毒品、饮食、赌博、互联网、购物、恋爱、性、运动和工作）。此外，还对这11种成瘾行为中两种或更多种行为的共现情况进行了调查。最后，研究了这些成瘾行为的潜在类别结构及其与其他测量指标的关联。
我们发现，这些成瘾行为中一种或多种的终生患病率和过去30天患病率分别为79.2%和61.5%。两种或更多种这些成瘾行为的终生共现率和过去30天共现率分别为61.5%和37.7%。潜在类别分析表明存在两组：一组为一般非成瘾组（占样本的67.2%），另一组为“努力工作，尽情玩乐”成瘾组，该组特别沉迷于恋爱、性、运动、互联网和工作。补充分析表明，单反应类型的自我报告可能测量的是其想要测量的成瘾行为。
我们提出了这些结果对未来研究以及预防和治疗项目发展的启示，不过对于这类测量方法的使用还需要更多的验证研究。
