Outpatient Clinic for Behavioral Addiction, Department of Psychosomatic Medicine and Psychotherapy, University Medical Center, Johannes Gutenberg University Mainz, Mainz, Germany.
Outpatient Clinic for Behavioral Addiction, Department of Psychosomatic Medicine and Psychotherapy, University Medical Center, Johannes Gutenberg University Mainz, Mainz, Germany.
J Adolesc Health. 2018 Feb;62(2):234-240. doi: 10.1016/j.jadohealth.2017.09.011. Epub 2017 Nov 22.
Problematic Internet use (PIU) that has recently been referred to as Internet-related disorder is a growing health concern. Yet, it is unclear why some adolescents are developing problematic use, whereas others sustain control. Based on previous research, we hypothesize that personality traits (low conscientiousness and high neuroticism) act as predispositions for PIU. We further hypothesize that PIU can be understood as a maladaptive reaction toward critical life events and that these maladaptive reactions are exacerbated by dysfunctional personality traits.
The study investigates the prevalence of distinct subtypes of PIU among a sample of adolescents (n = 1,489; 10-17 years). Personality traits (Big Five Inventory-10 [BFI-10]), perceived stress (Perceived Stress Scale 4 [PSS-4]), and their relations to PIU (Scale for the Assessment of Internet and Computer Game Addiction [AICA-S]) were examined. As novel research questions, associations between PIU and adjustment disorders (Adjustment Disorder-New Module [ADNM]-6) and the mediating role of personality were investigated.
The prevalence of PIU was 2.5%; girls (3.0%) were more often affected than boys (1.9%). Social networking sites in girls and online games in boys were most often associated with PIU. Low conscientiousness and high neuroticism generally predicted PIU. Significantly more adolescents with PIU (70%) reported critical life events compared with those without PIU (42%). PIU was related to heightened stress and higher adjustment disorder symptoms. These associations were exacerbated by conscientiousness and neuroticism.
Although the overall prevalence for PIU is in line with previous studies, it appeared unexpectedly that girls were affected more often than boys. Adjustment disorders and stress showed strong associations with PIU. This bears implications for adapting etiopathological assumptions and early intervention strategies.
最近被称为与互联网相关障碍的问题性互联网使用(PIU)是一个日益严重的健康问题。然而,尚不清楚为什么有些青少年会出现问题性使用,而有些青少年则能保持控制。基于先前的研究,我们假设人格特质(低尽责性和高神经质)是 PIU 的倾向因素。我们进一步假设,PIU 可以被理解为对关键生活事件的适应不良反应,而这些适应不良反应会因人格特质的功能障碍而加剧。
本研究调查了青少年样本中不同类型的 PIU 患病率(n=1489;10-17 岁)。人格特质(大五人格量表-10 [BFI-10])、感知压力(感知压力量表 4 [PSS-4])及其与 PIU 的关系(互联网和计算机游戏成瘾评估量表 [AICA-S])进行了评估。作为新的研究问题,研究了 PIU 与适应障碍(适应障碍新模块 [ADNM]-6)的关系以及人格的中介作用。
PIU 的患病率为 2.5%;女孩(3.0%)比男孩(1.9%)更容易受到影响。在女孩中,社交网站,在男孩中,网络游戏与 PIU 最相关。低尽责性和高神经质通常预示着 PIU。与没有 PIU 的青少年(42%)相比,有 PIU 的青少年(70%)报告更多的关键生活事件。PIU 与压力升高和更高的适应障碍症状有关。这些关联因尽责性和神经质而加剧。
尽管 PIU 的总体患病率与先前的研究一致,但令人意外的是,女孩的受影响程度高于男孩。适应障碍和压力与 PIU 有很强的关联。这对改变病因学假设和早期干预策略具有重要意义。