Department of Psychiatry, Kaohsiung Medical University Hospital, and School of Medicine and Graduate Institute of Medicine, College of Medicine, Kaohsiung Medical University, Kaohsiung, Taiwan; Department of Psychiatry, Tsyr-Huey Mental Hospital, Kaohsiung Jen-Ai's Home, Kaohsiung, Taiwan.
Department of Psychiatry and Behavioral Sciences, University of Washington School of Medicine, Seattle, WA, USA; Department of Psychiatry, Children's Hospital and Regional Medical Center, Seattle, WA, USA.
J Formos Med Assoc. 2020 Jun;119(6):1093-1100. doi: 10.1016/j.jfma.2019.10.006. Epub 2019 Oct 22.
BACKGROUND/PURPOSE: This prospective study evaluated the predictive ability of psychiatric symptoms at initial consultation for the occurrence and remission of Internet addiction during a 1-year follow-up period among college students. Furthermore, it evaluated the predictive ability of changes in psychiatric symptoms for Internet addiction at the initial consultation during the 1-year follow-up period among college students.
Five hundred college students (262 women and 238 men) were recruited. The baseline and follow-up consultations measured the levels of Internet addiction and psychiatric symptoms using the Chen Internet Addiction Scale and Symptom Checklist-90 Revised, respectively.
The results indicated that severe interpersonal sensitivity and paranoia symptoms might predict the incidence of Internet addiction at 1-year follow-up. The college students with internet addiction did not have significant improvement in the severities of psychopathology, whereas those without internet addiction had significant improvement in obsession-compulsion, interpersonal sensitivity, paranoid and psychoticism during the same period.
Psychiatric symptoms and Internet addiction exhibited bidirectional relationships in college students during the 1-year follow-up period.
背景/目的：本前瞻性研究评估了大学生初始咨询时的精神症状对网瘾发生和缓解的预测能力，随访时间为 1 年。此外，还评估了大学生在初始咨询时精神症状变化对网瘾的预测能力，随访时间为 1 年。
招募了 500 名大学生（262 名女性和 238 名男性）。基线和随访咨询分别使用陈网络成瘾量表和症状清单 90 修订版评估网络成瘾和精神症状的水平。
结果表明，严重的人际关系敏感和偏执症状可能预测 1 年后网络成瘾的发生。有网瘾的大学生的精神病理学严重程度没有显著改善，而没有网瘾的大学生在同一时期的强迫观念、人际关系敏感、偏执和精神病性方面有显著改善。
在 1 年的随访期间，大学生的精神症状和网络成瘾之间存在双向关系。
