Department of Children and Adolescents, Huazhong University of Science and Technology, Wuhan, China.
Psychiatry Clin Neurosci. 2014 Jun;68(6):471-8. doi: 10.1111/pcn.12153. Epub 2014 Feb 19.
This study investigated the clinical characteristics of internet addiction using a cross-sectional survey and psychiatric interview.
A structured questionnaire consisted of demographics, Symptom Checklist 90, Self-Rating Anxiety Scale, Self-Rating Depression Scale, and Young's Internet Addiction Test (YIAT) was administered to students of two secondary schools in Wuhan, China. Students with a score of 5 or higher on the YIAT were classified as having Internet Addiction Disorder (IAD). Two psychiatrists interviewed students with IAD to confirm the diagnosis and evaluate their clinical characteristics.
Of a total of 1076 respondents (mean age 15.4 ± 1.7 years; 54.1% boys), 12.6% (n = 136) met the YIAT criteria for IAD. Clinical interviews ascertained the Internet addiction of 136 pupils and also identified 20 students (14.7% of IAD group) with comorbid psychiatric disorders. Results from multinomial logistic regression indicated that being male, in grade 7-9, poor relationship between parents and higher self-reported depression scores were significantly associated with the diagnosis of IAD.
These results advance our understanding of the clinical characteristics of Internet addiction in Chinese secondary school students and may help clinicians, teachers, and other stakeholders better manage this increasingly serious mental condition.
本研究采用横断面调查和精神病学访谈，调查了网络成瘾的临床特征。
对中国武汉市两所中学的学生进行了一项结构问卷，包括人口统计学、症状清单 90、自评焦虑量表、自评抑郁量表和杨的网络成瘾测试（YIAT）。YIAT 得分在 5 分或以上的学生被归类为患有网络成瘾障碍（IAD）。两名精神病学家对 IAD 患者进行访谈，以确认诊断并评估其临床特征。
在总共 1076 名应答者（平均年龄 15.4±1.7 岁；54.1%为男性）中，12.6%（n=136）符合 YIAT 网络成瘾障碍的标准。临床访谈确定了 136 名小学生的网络成瘾问题，还确定了 20 名患有共病精神障碍的学生（IAD 组的 14.7%）。多分类逻辑回归的结果表明，男性、7-9 年级、父母关系不佳和较高的自我报告抑郁评分与 IAD 的诊断显著相关。
这些结果提高了我们对中国中学生网络成瘾临床特征的认识，可能有助于临床医生、教师和其他利益相关者更好地管理这种日益严重的精神状况。
