女大学生抑郁、健康相关行为与网络成瘾的关系。
Relationships between depression, health‑related behaviors, and internet addiction in female junior college students.
机构信息
Department of Occupational Therapy, College of Medical and Health Science, Asia University, Taichung, Taiwan.
Department of Healthcare Administration, College of Medical and Health Science, Asia University, Taichung, Taiwan.
出版信息
PLoS One. 2019 Aug 9;14(8):e0220784. doi: 10.1371/journal.pone.0220784. eCollection 2019.
INTRODUCTION
Depressive emotions can lead to subsequent unhealthy behaviors such as Internet addiction, especially in female adolescents; therefore, studies that examine the relationships among depression, health‑related behaviors, and Internet addiction in female adolescents are warranted.
PURPOSE
To examine (1) the relationship between depression and health-related behaviors and (2) the relationship between depression and Internet addiction.
METHOD
A cross-sectional study design was adopted using a structured questionnaire to measure depression, health-related behaviors, and Internet addiction in female adolescents. The data were collected from students of a junior college in southern Taiwan using convenience sampling to select the participants. The questionnaire was divided into four sections: demographics, the Center for Epidemiologic Studies Depression Scale (CES-D), the Health Promoting Lifestyle Profile (HPLP), and the Internet Addiction Test (IAT).
RESULTS
The final sample comprised 503 female junior college students, with the participants mainly aged between 15 to 22 years (mean age = 17.30 years, SD = 1.34). Regarding the HPLP scores, the overall score, nutrition subscale score, and self-actualization subscale score were significantly and negatively associated with the CES-D depression score (p < 0.05-0.01). In other words, depression level was lower in students who exhibited more healthy behaviors, put more emphasis on dietary health, and had higher levels of self-admiration and confidence toward life. Regarding the IAT scores, the overall score and six domain scores were all positively associated (p < 0.01) to the CES-D depression score. In other words, the higher an individual's Internet addiction score was, the higher her depression level was.
CONCLUSIONS
The results confirmed the relationship between depression, health-related behaviors, and Internet addiction. The cultivation of health-related behaviors may help in lowering depressive symptoms. Teenagers with depression have higher risks of developing Internet addiction, and such addiction is likely to affect their daily functioning.
简介
抑郁情绪会导致随后的不健康行为，如网络成瘾，尤其是在女性青少年中；因此，有必要研究女性青少年抑郁、健康相关行为和网络成瘾之间的关系。
目的
检验（1）抑郁与健康相关行为的关系，以及（2）抑郁与网络成瘾的关系。
方法
采用横断面研究设计，使用结构化问卷测量女性青少年的抑郁、健康相关行为和网络成瘾。数据是通过方便抽样从台湾南部一所大专院校的学生中收集的。问卷分为四部分：人口统计学、中心流行病学研究抑郁量表（CES-D）、健康促进生活方式量表（HPLP）和网络成瘾测试（IAT）。
结果
最终样本包括 503 名女性大专生，参与者主要年龄在 15 至 22 岁之间（平均年龄=17.30 岁，SD=1.34 岁）。在 HPLP 评分方面，总分、营养分量表评分和自我实现分量表评分与 CES-D 抑郁评分呈显著负相关（p<0.05-0.01）。换句话说，表现出更多健康行为、更注重饮食健康、对生活有更高的自我赞赏和自信的学生，抑郁水平较低。在 IAT 评分方面，总分和六个领域的评分均与 CES-D 抑郁评分呈正相关（p<0.01）。换句话说，个体的网络成瘾得分越高，她的抑郁水平就越高。
结论
结果证实了抑郁、健康相关行为和网络成瘾之间的关系。培养健康相关行为可能有助于降低抑郁症状。患有抑郁的青少年有更高的网络成瘾风险，这种成瘾可能会影响他们的日常功能。
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