Department of Psychiatry, Korea University Guro Hospital, Korea University College of Medicine, Seoul, Korea.
Department of Psychiatry, Soonchunhyang University Bucheon Hospital, Bucheon, Korea.
J Korean Med Sci. 2018 Dec 19;33(52):e347. doi: 10.3346/jkms.2018.33.e347. eCollection 2018 Dec 24.
Smartphone addiction has recently been highlighted as a major health issue among adolescents. In this study, we assessed the degree of agreement between adolescents' and parents' ratings of adolescents' smartphone addiction. Additionally, we evaluated the psychosocial factors associated with adolescents' and parents' ratings of adolescents' smartphone addiction.
In total, 158 adolescents aged 12-19 years and their parents participated in this study. The adolescents completed the Smartphone Addiction Scale (SAS) and the Isolated Peer Relationship Inventory (IPRI). Their parents also completed the SAS (about their adolescents), SAS-Short Version (SAS-SV; about themselves), Generalized Anxiety Disorder-7 (GAD-7), and Patient Health Questionnaire-9 (PHQ-9). We used the paired t-test, McNemar test, and Pearson's correlation analyses.
Percentage of risk users was higher in parents' ratings of adolescents' smartphone addiction than ratings of adolescents themselves. There was disagreement between the SAS and SAS-parent report total scores and subscale scores on positive anticipation, withdrawal, and cyberspace-oriented relationship. SAS scores were positively associated with average minutes of weekday/holiday smartphone use and scores on the IPRI and father's GAD-7 and PHQ-9 scores. Additionally, SAS-parent report scores showed positive associations with average minutes of weekday/holiday smartphone use and each parent's SAS-SV, GAD-7, and PHQ-9 scores.
The results suggest that clinicians need to consider both adolescents' and parents' reports when assessing adolescents' smartphone addiction, and be aware of the possibility of under- or overestimation. Our results cannot only be a reference in assessing adolescents' smartphone addiction, but also provide inspiration for future studies.
智能手机成瘾最近已成为青少年的一个主要健康问题。在本研究中,我们评估了青少年和其父母对青少年智能手机成瘾程度的评估之间的一致性。此外,我们还评估了与青少年和父母对青少年智能手机成瘾评估相关的心理社会因素。
共有 158 名 12-19 岁的青少年及其父母参与了本研究。青少年完成了智能手机成瘾量表(SAS)和孤立同伴关系量表(IPRI)。他们的父母还完成了 SAS(关于他们的青少年)、SAS 短版(SAS-SV;关于他们自己)、广泛性焦虑障碍-7 项(GAD-7)和患者健康问卷-9 项(PHQ-9)。我们使用了配对 t 检验、McNemar 检验和 Pearson 相关分析。
父母对青少年智能手机成瘾的评估中,风险用户的比例高于青少年自己的评估。在积极期待、戒断和网络空间导向关系的 SAS 和 SAS-家长报告总分和子量表得分上存在分歧。SAS 得分与工作日/假日智能手机使用的平均分钟数以及 IPRI 和父亲的 GAD-7 和 PHQ-9 得分呈正相关。此外,SAS-家长报告得分与工作日/假日智能手机使用的平均分钟数以及每个家长的 SAS-SV、GAD-7 和 PHQ-9 得分呈正相关。
研究结果表明,临床医生在评估青少年智能手机成瘾时需要同时考虑青少年和家长的报告,并意识到低估或高估的可能性。我们的研究结果不仅可以作为评估青少年智能手机成瘾的参考,也为未来的研究提供了启示。