大学生童年创伤与网络游戏障碍的关系：结构方程模型。
The relationship between childhood trauma and Internet gaming disorder among college students: A structural equation model.
机构信息
1 School of Education, Hunan University of Science and Technology, Xiangtan, Hunan,China.
2 The National Clincial Research Center for Mental Disorders & Beijing Key Laboratory of Mental Disorders, Beijing Anding Hospital, Capital Medical University, Beijing,China.
出版信息
J Behav Addict. 2020 Apr 1;9(1):175-180. doi: 10.1556/2006.2020.00002.
BACKGROUND
The aim of this study was to investigate the mechanisms of Internet gaming disorder (IGD) and the associated interaction effects of childhood trauma, depression and anxiety in college students.
METHODS
Participants were enrolled full-time as freshmen at a University in the Hunan province, China. All participants reported their socio-demographic characteristics and undertook a standardized assessment on childhood trauma, anxiety, depression and IGD. The effect of childhood trauma on university students' internet gaming behaviour mediated by anxiety and depression was analysed using structural equation modelling (SEM) using R 3.6.1.
RESULTS
In total, 922 freshmen participated in the study, with an approximately even male-to-female ratio. A mediation model with anxiety and depression as the mediators between childhood trauma and internet gaming behaviour allowing anxiety and depression to be correlated was tested using SEM. The SEM analysis revealed that a standardised total effect of childhood trauma on Internet gaming was 0.18, ( = 5.60, 95% CI [0.02, 0.05], < 0.001), with the direct effects of childhood trauma on Internet gaming being 0.11 ( = 3.41, 95% CI [0.01, 0.03], = 0.001), and the indirect effects being 0.02 ( = 2.32, 95% CI [0.00, 0.01], = 0.020) in the pathway of childhood trauma-depression-internet gaming; and 0.05 ( = 3.67, 95% CI [0.00, 0.02], < 0.001) in the pathway of childhood trauma-anxiety-Internet gaming. In addition, the two mediators anxiety and depression were significantly correlated ( = 0.50, = 13.54, 95% CI [3.50, 5.05], < 0.001).
CONCLUSIONS
The study revealed that childhood trauma had a significant impact on adolescents' Internet gaming behaviours among college students. Anxiety and depression both significantly mediated the relationship between childhood trauma and internet gaming and augmented its negative influence. Discussion of the need to understand the subtypes of childhood traumatic experience in relationship to addictive behaviours is included.
背景
本研究旨在探讨大学生网络成瘾（IGD）的发病机制，以及童年创伤、抑郁和焦虑的相互作用。
方法
参与者均为湖南省某大学全日制新生。所有参与者均报告了其社会人口学特征，并接受了关于童年创伤、焦虑、抑郁和 IGD 的标准化评估。使用 R 3.6.1 中的结构方程模型（SEM）分析童年创伤对大学生网络游戏行为的影响，以及焦虑和抑郁的中介作用。
结果
共有 922 名新生参加了这项研究，男女比例大致相当。采用 SEM 测试了焦虑和抑郁作为中介，允许焦虑和抑郁相关的童年创伤与网络游戏行为之间的中介模型。SEM 分析表明，童年创伤对网络游戏的标准化总效应为 0.18（ = 5.60，95%CI [0.02，0.05]， < 0.001），童年创伤对网络游戏的直接效应为 0.11（ = 3.41，95%CI [0.01，0.03]， = 0.001），间接效应为 0.02（ = 2.32，95%CI [0.00，0.01]， = 0.020）在童年创伤-抑郁-网络游戏的途径中；童年创伤-焦虑-网络游戏途径中的 0.05（ = 3.67，95%CI [0.00，0.02]， < 0.001）。此外，两个中介焦虑和抑郁显著相关（ = 0.50， = 13.54，95%CI [3.50，5.05]， < 0.001）。
结论
本研究表明，童年创伤对大学生网络成瘾行为有显著影响。焦虑和抑郁均显著中介了童年创伤与网络游戏之间的关系，并增强了其负面影响。讨论了需要了解与成瘾行为相关的童年创伤经历的亚类。
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