Choi Bo Young, Huh Sun, Kim Dai-Jin, Suh Sang Won, Lee Sang-Kyu, Potenza Marc N
Department of Physiology, College of Medicine, Hallym University, Chuncheon, Republic of Korea.
Department of Parasitology, College of Medicine, Hallym University, Chuncheon, Republic of Korea.
Psychiatry Investig. 2019 Jun;16(6):433-442. doi: 10.30773/pi.2019.04.02.1. Epub 2019 Jun 25.
Longitudinal studies may help elucidate the factors associated with Problematic Internet Use (PIU); however, little prospective research has been conducted on the subject. The aim of the current study was to prospectively examine PIU in children/adolescents and identify the possible risk factors associated with transitions in PIU severity.
650 middle-school boys were surveyed at two points one year apart and assessed for PIU using the Internet Addiction Proneness Scale for Youth (KS-II) and on other psychological characteristics.
We found that 15.3% at baseline and 12.4% at one year met the criteria for at-risk/high-risk PIU (ARHRPIU). Both the persistent-ARHRPIU and emerging-ARHRPIU groups revealed greater depressive, motor impulsive, and smart-phone-addiction tendencies than the remitting-ARHRPIU group or the persistent low-risk group. In addition, we found that individuals exhibiting higher hyperkinetic attention-deficit/hyperactivity disorder (ADHD) scores were less likely to remit from ARHRPIU, and that individuals exhibiting more ADHD-related cognitive dysfunction and reporting fewer Internet-game-free days were more likely to demonstrate an emergence of ARHRPIU.
The present findings support previous studies in that specific negative-health features are linked to transitions in ARHRPIU. Furthermore, these findings suggest that intervention is needed and may be best targeted at specific groups of youths.
纵向研究可能有助于阐明与问题性互联网使用(PIU)相关的因素;然而,关于该主题的前瞻性研究很少。本研究的目的是前瞻性地研究儿童/青少年的PIU,并确定与PIU严重程度转变相关的可能风险因素。
对650名初中男生进行了为期一年的两次调查,并使用青少年互联网成瘾倾向量表(KS-II)和其他心理特征对PIU进行评估。
我们发现,基线时15.3%的人以及一年后12.4%的人符合有风险/高风险PIU(ARHRPIU)的标准。持续ARHRPIU组和新发ARHRPIU组均比缓解ARHRPIU组或持续低风险组表现出更大的抑郁、运动冲动和智能手机成瘾倾向。此外,我们发现,多动注意力缺陷/多动障碍(ADHD)得分较高的个体从ARHRPIU中缓解的可能性较小,而表现出更多ADHD相关认知功能障碍且报告无网络游戏天数较少的个体更有可能出现ARHRPIU。
本研究结果支持先前的研究,即特定的负面健康特征与ARHRPIU的转变有关。此外,这些结果表明需要进行干预,并且可能最好针对特定的青年群体。