Hacettepe University Faculty of Medicine, Department of Child and Adolescent Psychiatry, Ankara, Turkey.
Hacettepe University Faculty of Medicine, Department of Child and Adolescent Psychiatry, Ankara, Turkey.
Compr Psychiatry. 2019 Jul;92:22-27. doi: 10.1016/j.comppsych.2019.03.003. Epub 2019 Apr 3.
AIM: The aim of this study is to investigate parental attitudes, perceived social support, emotion regulation and the accompanying psychiatric disorders seen in adolescents who, having been diagnosed with Internet Addiction (IA), were referred to an outpatient child and adolescent psychiatric clinic. METHODS: Of 176 adolescents aged 12-17, 40 were included in the study group. These scored 80 or higher on Young's Internet Addiction Test (IAT) and met Young's diagnostic criteria for IA based on psychiatric interviews. Forty adolescents who matched them in terms of age, gender and socio-economic level were included in the control group. The Schedule for Affective Disorders and Schizophrenia for School-Age Children (K-SADS-PL), the Parenting Style Scale (PSS), the Lum Emotional Availabilty of Parents (LEAP), the Social Support Appraisals Scale for Children (SSAS-C), the Difficulties in Emotion Regulation Scale (DERS) and the Toronto Alexithymia Scale-20 (TAS-20) were applied. RESULTS: The results showed that the parents of adolescents with IA were more frequently inadequate in acceptance/involvement, supervision/monitoring and they had less emotional availability. The adolescents with IA had less perceived social support, greater difficulty in the identification and verbal expression of their feelings and emotion regulation. Lower parental strictness/supervision, higher alexithymia and the existence of an anxiety disorder were found to be significant predictors of IA. Internet addicted adolescents with comorbid major depressive disorder had higher levels of alexithymia and lower levels of emotional availability in their parents. CONCLUSION: It can be concluded that strategies for the prevention and treatment of IA in adolescents should focus on improving the quality of parenting parent-adolescent relationships, enhancing perceived social support and emotion regulation while reducing the associated psychiatric symptoms in adolescents.
目的:本研究旨在调查被诊断为网络成瘾(IA)并转介至儿童和青少年精神病门诊的青少年的父母态度、感知社会支持、情绪调节以及伴随的精神障碍。
方法:在 176 名 12-17 岁的青少年中,有 40 名青少年被纳入研究组。他们在 Young 的网络成瘾测试(IAT)中得分 80 或更高,并根据精神病访谈符合 Young 的 IA 诊断标准。在年龄、性别和社会经济水平方面与他们相匹配的 40 名青少年被纳入对照组。使用儿童青少年心境障碍和精神分裂症诊断定式访谈量表(K-SADS-PL)、父母教养方式量表(PSS)、父母情绪可用性问卷(LEAP)、儿童感知社会支持量表(SSAS-C)、情绪调节困难量表(DERS)和多伦多述情障碍量表-20 版(TAS-20)。
结果:结果表明,IA 青少年的父母在接受/参与、监督/监测方面往往不足,情绪可用性较低。IA 青少年感知到的社会支持较少,情绪识别和表达困难较大,情绪调节能力较差。较低的父母严格/监督、较高的述情障碍和存在焦虑障碍被发现是 IA 的显著预测因素。伴有重性抑郁障碍的网络成瘾青少年的述情障碍水平较高,父母的情绪可用性较低。
结论:可以得出结论,预防和治疗青少年 IA 的策略应侧重于改善父母与青少年的关系质量,增强感知社会支持和情绪调节,同时减少青少年相关的精神症状。
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