Department of Psychiatry, Catholic University of Daegu School of Medicine, Daegu, Korea.
Medical Unit of the 7th Division, Korea Army, Hwacheon, Korea.
J Korean Med Sci. 2017 Oct;32(10):1674-1679. doi: 10.3346/jkms.2017.32.10.1674.
With widespread use of the smartphone, clinical evidence for smartphone addiction remains unclear. Against this background, we analyzed the effect of smartphone use patterns on smartphone addiction in Korean adolescents. A total of 370 middle school students participated. The severity of smartphone addiction was measured through clinical interviews and the Korean Smartphone Addiction Proneness Scale. As a result, 50 (13.5%) were in the smartphone addiction group and 320 (86.5%) were in the healthy group. To investigate the effect of smartphone use patterns on smartphone addiction, we performed self-report questionnaires that assessed the following items: smartphone functions mostly used, purpose of use, problematic use, and parental attitude regarding smartphone use. For smartphone functions mostly used, the addiction group showed significantly higher scores in "Online chat." For the purpose of use, the addiction group showed significantly higher "habitual use," "pleasure," "communication," "games," "stress relief," "ubiquitous trait," and "not to be left out." For problematic use, the addiction group showed significantly higher scores on "preoccupation," "tolerance," "lack of control," "withdrawal," "mood modification," "conflict," "lies," "excessive use," and "loss of interest." For parental attitude regarding children's smartphone use, the addiction group showed significantly higher scores in "parental punishment." Binary logistic regression analysis indicated that "female," "use for learning," "use for ubiquitous trait," "preoccupation," and "conflict" were significantly correlated with smartphone addiction. This study demonstrated that the risk factors for smartphone addiction were being female, preoccupation, conflict, and use for ubiquitous trait; the protective factor was use for learning. Future studies will be required to reveal the additional clinical evidence of the disease entity for smartphone addiction.
随着智能手机的广泛使用，智能手机成瘾的临床证据仍不清楚。在此背景下，我们分析了韩国青少年智能手机使用模式对智能手机成瘾的影响。共有 370 名中学生参与了研究。通过临床访谈和韩国智能手机成瘾倾向量表来衡量智能手机成瘾的严重程度。结果，50 人（13.5%）属于智能手机成瘾组，320 人（86.5%）属于健康组。为了研究智能手机使用模式对智能手机成瘾的影响，我们进行了自我报告问卷调查，评估了以下项目：智能手机主要使用的功能、使用目的、问题使用和父母对智能手机使用的态度。在智能手机主要使用的功能方面，成瘾组在“在线聊天”方面的得分明显更高。在使用目的方面，成瘾组在“习惯性使用”、“愉悦”、“沟通”、“游戏”、“缓解压力”、“无处不在的特质”和“不被忽视”方面的得分明显更高。在问题使用方面，成瘾组在“着迷”、“容忍”、“缺乏控制”、“戒断”、“情绪调节”、“冲突”、“谎言”、“过度使用”和“失去兴趣”方面的得分明显更高。在父母对孩子使用智能手机的态度方面，成瘾组在“父母惩罚”方面的得分明显更高。二元逻辑回归分析表明，“女性”、“用于学习”、“用于无处不在的特质”、“着迷”和“冲突”与智能手机成瘾显著相关。本研究表明，女性、着迷、冲突和用于无处不在的特质是智能手机成瘾的风险因素；保护因素是用于学习。未来的研究将需要揭示智能手机成瘾这一疾病实体的更多临床证据。
