Yen Cheng-Fang, Chou Wen-Jiun, Liu Tai-Ling, Yang Pinchen, Hu Huei-Fan
Department of Psychiatry, Kaohsiung Medical University Hospital, Kaohsiung, Taiwan; Department of Psychiatry, Faculty of Medicine, and Graduate Institute of Medicine, College of Medicine, Kaohsiung Medical University, Kaohsiung, Taiwan.
Department of Child and Adolescent Psychiatry, Chang Gung Memorial Hospital, Kaohsiung Medical Center and College of Medicine, Chang Gung University, Kaohsiung, Taiwan.
Compr Psychiatry. 2014 Oct;55(7):1601-8. doi: 10.1016/j.comppsych.2014.05.025. Epub 2014 Jun 12.
The aims of this study were to examine the associations of the severity of Internet addiction symptoms with various dimensions of anxiety (physical anxiety symptoms, harm avoidance, social anxiety, and separation/panic) and depression symptoms (depressed affect, somatic symptoms, interpersonal problems, and positive affect) and self-esteem among adolescents diagnosed with attention-deficit/hyperactivity disorder (ADHD) in Taiwan.
A total of 287 adolescents aged between 11 and 18 years who had been diagnosed with ADHD participated in this study. Their severity of Internet addiction symptoms was assessed using the Chen Internet Addiction Scale. Anxiety and depression symptoms and self-esteem were assessed using the Taiwanese version of the Multidimensional Anxiety Scale for Children (MASC-T), the Center for Epidemiological Studies Depression Scale (CES-D), and the Rosenberg Self-Esteem Scale (RSES), respectively. The association between the severity of Internet addiction symptoms and anxiety and depression symptoms and self-esteem were examined using multiple regression analyses.
The results indicated that higher physical symptoms and lower harm avoidance scores on the MASC-T, higher somatic discomfort/retarded activity scores on the CES-D, and lower self-esteem scores on the RSES were significantly associated with more severe Internet addiction symptoms.
Prevention and intervention programs for Internet addiction in adolescents with ADHD should take anxiety, depression, and self-esteem into consideration.
本研究旨在探讨台湾地区被诊断为注意力缺陷多动障碍（ADHD）的青少年中，网络成瘾症状的严重程度与焦虑的各个维度（身体焦虑症状、回避伤害、社交焦虑以及分离/惊恐）、抑郁症状（抑郁情绪、躯体症状、人际问题以及积极情绪）和自尊之间的关联。
共有287名年龄在11至18岁之间且被诊断为ADHD的青少年参与了本研究。使用陈氏网络成瘾量表评估他们网络成瘾症状的严重程度。分别使用儿童多维焦虑量表台湾版（MASC-T）、流行病学研究中心抑郁量表（CES-D）和罗森伯格自尊量表（RSES）评估焦虑、抑郁症状和自尊。使用多元回归分析检验网络成瘾症状严重程度与焦虑、抑郁症状和自尊之间的关联。
结果表明，MASC-T上较高的身体症状得分和较低的回避伤害得分、CES-D上较高的躯体不适/活动迟缓得分以及RSES上较低的自尊得分与更严重的网络成瘾症状显著相关。
针对ADHD青少年的网络成瘾预防和干预项目应考虑焦虑、抑郁和自尊因素。
