Wartberg Lutz, Moll Bettina, Baldus Christiane, Thomsen Monika, Thomasius Rainer
1 Deutsches Zentrum für Suchtfragen des Kindes- und Jugendalters (DZSKJ), Universitätsklinikum Hamburg-Eppendorf.
Z Kinder Jugendpsychiatr Psychother. 2017 Jul;45(4):313-322. doi: 10.1024/1422-4917/a000477. Epub 2016 Aug 25.
In epidemiological studies high prevalence estimates for pathological Internet use in adolescence were reported. There are only few studies published, reporting data of adolescents seeking treatment concerning their pathological Internet use. Currently, a comparison of patients in inpatient versus outpatient treatment is not available.
We investigated 74 adolescents reporting pathological Internet use with standardized questionnaires concerning problematic Internet use, psychopathological symptoms and life satisfaction. Overall, 35 adolescents were treated in an outpatient and another 39 adolescents in an inpatient setting.
A substantial portion in both groups showed comorbid mental health problems. There were no differences in the degree of problematic Internet use between the two groups. However, compared to adolescents in an outpatient setting, adolescents in inpatient treatment reported longer average Internet usage times, a lower life satisfaction as well as more anxiety/depressiveness and self-esteem problems. In a multivariate logistic regression analysis Internet usage time and life satisfaction were identified as statistically significant factors for the affiliation to one of the two treatment groups.
The results of the present study could be useful as a further description of this group of patients and more general to develop interventions for adolescents reporting pathological Internet use.
在流行病学研究中,有报告称青少年病理性互联网使用的患病率估计值较高。已发表的研究很少,报告了青少年因病理性互联网使用而寻求治疗的数据。目前,尚无住院治疗与门诊治疗患者的比较。
我们使用关于问题性互联网使用、心理病理症状和生活满意度的标准化问卷,对74名报告有病理性互联网使用的青少年进行了调查。总体而言,35名青少年接受门诊治疗,另外39名青少年接受住院治疗。
两组中相当一部分人都存在合并心理健康问题。两组在问题性互联网使用程度上没有差异。然而,与门诊治疗的青少年相比,住院治疗的青少年报告的平均上网时间更长,生活满意度更低,以及更多的焦虑/抑郁和自尊问题。在多因素逻辑回归分析中,上网时间和生活满意度被确定为两个治疗组归属的统计学显著因素。
本研究结果可能有助于进一步描述这组患者,并更广泛地为报告有病理性互联网使用的青少年制定干预措施。