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[网络成瘾与焦虑及抑郁症状的关系]

[The relationship of internet addiction with anxiety and depressive symptomatology].

作者信息

Soulioti E, Stavropoulos V, Christidi S, Papastefanou Y, Roussos P

机构信息

Department of 18 ANO Dependence Treatment Unit, Department for Problematic Use of Internet (Adults), Psychiatric Hospital of Attica, Athens, Greece.

出版信息

Psychiatriki. 2018 Apr-Jun;29(2):160-171. doi: 10.22365/jpsych.2018.292.160.

Abstract

Internet stimulates the user's senses causing a variety of subjective experiences and sensations, even though it has no inherent addictive quality. These experiences could be positive, as the improvement of education, or adverse, as the development of internet addiction. There are many people who prefer to invest their time and energy in the virtual world of the internet. They choose to withdraw their emotional investments from face to face communication, while in some cases the internet connection signifies the user's disconnection from the real life, as the person is isolated from the surrounding and lives in a virtual environment. Under these conditions the excessive use of internet may lead to addiction. The purpose of the present study was to investigate the relationship between internet addiction and anxiety and depressive symptomatology of the user. Participants were 203 internet users aged between 17 and 58 years (Mean=26.03, SD=7.92) who approached the Department For Problematic Use Of Internet, Addiction Unit "18ANO" in Psychiatric Hospital Of Attica to receive specialized help for their pathological internet use. Internet Addiction Test (IAT) was used for the assessment of internet addiction and Symptom Checklist- 90-R (SCL-90-R) was administered for the evaluation of anxiety and depressive symptomatology. The analysis of the survey data showed that gender difference is not observed as to the intensity internet dependence. Younger users are more likely to develop addictive behaviour (in relation to internet use). At this point it should be noted that although positive, this association does not present to be statistically significant. Finally, regarding the relationship between psychopathology and internet addiction, anxiety symptomatology, which was moderately correlated with the overall score at IAT, was found to predict in regression analysis the internet addiction. There was no statistically significant association between internet addiction and depressive symptomatology, with women however, who presented with depressive symptoms to appear more vulnerable than men (who requested therapy from the department). Exploration of the effects of sex and age on internet addiction is expected contribute to the design of the appropriate preventive and therapeutic programs, whereas the study of the relationship between internet addiction and other psychiatric disorders would contribute the understanding of the mechanisms underpinning the development and onset of the addiction.

摘要

互联网刺激用户的感官,引发各种主观体验和感觉,即便它本身并无成瘾性。这些体验可能是积极的,比如教育水平的提高;也可能是负面的,比如网络成瘾的形成。有许多人更愿意将时间和精力投入到互联网的虚拟世界中。他们选择从面对面交流中撤回情感投入,而在某些情况下,网络连接意味着用户与现实生活脱节,因为此人与周围环境隔绝,生活在虚拟环境中。在这些情况下,过度使用互联网可能导致成瘾。本研究的目的是调查网络成瘾与用户焦虑和抑郁症状之间的关系。参与者为203名年龄在17至58岁之间的互联网用户(平均年龄=26.03,标准差=7.92),他们前往阿提卡精神病院的网络问题使用部门“18ANO”成瘾科,寻求针对其病理性网络使用的专业帮助。使用网络成瘾测试(IAT)评估网络成瘾情况,并采用症状自评量表90修订版(SCL-90-R)评估焦虑和抑郁症状。调查数据分析表明,在网络依赖强度方面未观察到性别差异。年轻用户更有可能出现成瘾行为(与网络使用有关)。在此应指出,尽管存在这种关联,但在统计学上并不显著。最后,关于精神病理学与网络成瘾之间的关系,发现与IAT总分呈中度相关的焦虑症状,在回归分析中可预测网络成瘾。网络成瘾与抑郁症状之间没有统计学上的显著关联,不过,出现抑郁症状的女性似乎比男性(向该部门寻求治疗的男性)更易受影响。探索性别和年龄对网络成瘾的影响,有望为设计适当的预防和治疗方案提供帮助,而研究网络成瘾与其他精神障碍之间的关系,将有助于理解成瘾发展和发作的潜在机制。

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