Department of Psychiatry, Kaohsiung Medical University Hospital, Kaohsiung Medical University, Kaohsiung City, Taiwan 807; Department of Psychiatry, Kaohsiung Municipal Hsiao-Kang Hospital, Kaohsiung Medical University, Kaohsiung City, Taiwan 812; Department of Psychiatry, Faculty of Medicine, College of Medicine, Kaohsiung Medical University, Kaohsiung City, Taiwan 807.
Department of Psychiatry, Kaohsiung Medical University Hospital, Kaohsiung Medical University, Kaohsiung City, Taiwan 807.
Compr Psychiatry. 2014 Aug;55(6):1377-84. doi: 10.1016/j.comppsych.2014.05.003. Epub 2014 May 17.
In adolescent populations worldwide, Internet addiction is prevalent and is often comorbid with depression, hostility, and social anxiety of adolescents. This study aimed at evaluating the exacerbation of depression, hostility, and social anxiety in the course of getting addiction to Internet or remitting from Internet addiction among adolescents.
This study recruited 2293 adolescents in grade 7 to assess their depression, hostility, social anxiety and Internet addiction. The same assessments were repeated one year later. The incidence group was defined as subjects classified as non-addicted in the first assessment and as addicted in the second assessment. The remission group was defined as subjects classified as addicted in the first assessment and as non-addicted in the second assessment.
The incidence group exhibited increased depression and hostility more than the non-addiction group and the effect of on depression was stronger among adolescent girls. Further, the remission group showed decreased depression, hostility, and social anxiety more than the persistent addiction group.
Depression and hostility worsen in the addiction process for the Internet among adolescents. Intervention of Internet addiction should be provided to prevent its negative effect on mental health. Depression, hostility, and social anxiety decreased in the process of remission. It suggested that the negative consequences could be reversed if Internet addiction could be remitted within a short duration.
在全球青少年人群中，网络成瘾较为普遍，且常与青少年的抑郁、敌意和社交焦虑共病。本研究旨在评估青少年网络成瘾或戒除网络成瘾过程中抑郁、敌意和社交焦虑的恶化情况。
本研究招募了 2293 名 7 年级青少年，评估他们的抑郁、敌意、社交焦虑和网络成瘾情况。一年后重复同样的评估。将发病组定义为第一次评估时未成瘾而第二次评估时成瘾的受试者。缓解组定义为第一次评估时成瘾而第二次评估时未成瘾的受试者。
发病组比非成瘾组表现出更高的抑郁和敌意，且对女孩的抑郁影响更强。此外，缓解组比持续成瘾组表现出更低的抑郁、敌意和社交焦虑。
青少年网络成瘾过程中抑郁和敌意会加重。应提供网络成瘾干预措施，以防止其对心理健康的负面影响。缓解过程中抑郁、敌意和社交焦虑降低。这表明，如果在短时间内戒除网络成瘾，负面后果可能会逆转。
