School of Medicine, Department of Child and Adolescent Psychiatry, Selçuk University, Konya-Turkey.
School of Medicine, Department of Child and Adolescent Psychiatry, Selçuk University, Konya-Turkey.
J Affect Disord. 2020 Jun 1;270:51-58. doi: 10.1016/j.jad.2020.03.046. Epub 2020 Mar 25.
This study aimed to compare adolescents diagnosed with major depressive disorder (MDD) and healthy adolescents with regard to cyberbullying, cyber victimization, internet addiction, and digital game addiction.
This cross-sectional study was performed in Selçuk University Hospital. The study sample consisted of 34 adolescents with MDD and 39 controls without any psychopathology. A socio-demographic data form, the Cyber bullying Scale (CBS), Cyber Victimization Scale (CVS), Cyber bullying Sensibility Scale (CBSS), Internet Addiction Scale (IAS), Digital Game Dependence Scale (DGA-7), and Children's Anxiety and Depression Scale-Refurbished (RCADS) were administered to all participants.
CBS, CVS, IAS and DGAS-7 scores of the MDD group were significantly higher than those of the control group. The significant differences persisted even after controlling for confounding factors such as age, gender, socio-economic level, and parental educational levels with MANCOVA. A strong positive correlation existed between CBS and CVS scores, and higher IAS scores were associated with higher CBS scores in the MDD group. CBSS scores negatively correlated with DGAS-7 scores in the MDD group.
Due to the cross-sectional design of this study, conclusions about causality remain speculative.
This study demonstrated the importance of assessing problems related to the online environment in the presence of depression in adolescents. Our results suggested that evaluating the use of technology with a view to the potential for cyber bullying and cyber victimization as well as internet addiction and addiction to digital games may be necessary as a holistic approach in the follow-up of adolescent depression.
本研究旨在比较患有重度抑郁症（MDD）的青少年与健康青少年在网络欺凌、网络受害、网络成瘾和数字游戏成瘾方面的差异。
这是一项在塞尔丘克大学医院进行的横断面研究。研究样本包括 34 名患有 MDD 的青少年和 39 名无任何精神病理学的对照组。所有参与者都接受了社会人口统计学数据表格、网络欺凌量表（CBS）、网络受害量表（CVS）、网络欺凌敏感性量表（CBSS）、网络成瘾量表（IAS）、数字游戏依赖量表（DGA-7）和儿童焦虑和抑郁量表修订版（RCADS）的评估。
MDD 组的 CBS、CVS、IAS 和 DGAS-7 评分明显高于对照组。即使在使用 MANCOVA 控制年龄、性别、社会经济水平和父母教育程度等混杂因素后，差异仍然显著。MDD 组中 CBS 和 CVS 评分之间存在强烈的正相关，而较高的 IAS 评分与 CBS 评分较高相关。CBSS 评分与 MDD 组的 DGAS-7 评分呈负相关。
由于本研究采用横断面设计，因此关于因果关系的结论仍具有推测性。
本研究表明，在青少年抑郁症患者中评估与在线环境相关的问题非常重要。我们的结果表明，评估技术的使用，以评估网络欺凌和网络受害的潜在风险，以及网络成瘾和数字游戏成瘾，可能需要作为青少年抑郁症随访的一种整体方法。
