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[网络依赖人群的临床及心理特征:一项初步研究的经验]

[Clinical and psychological features of people with internet dependence: experience of a pilot study].

作者信息

Egorov A Yu, Grechanyy S V, Chuprova N A, Soldatkin V A, Yakovlev A N, Ilyuk R D, Nikolishin A E, Ponizovskiy P A, Vantey V B, Gromyko D I, Dolgikh N V, Erofeyeva N A, Pozdnyak V V, Il'ichev A B, Khutoryanskaya J V, Egorov A A, Magomedova E A, Nechayeva A I, Pashkevich N V, Semenova J V, Sidorov A A, Khanykov V V, Kibitov A A, Krupitskiy E M, Shmukler A B, Kibitov A O

机构信息

Sechenov Institute of Evolutionary Physiology and Biochemistry, St Petersburg, Russia.

Mechnikov North-Western State Medical University, St Petersburg, Russia.

出版信息

Zh Nevrol Psikhiatr Im S S Korsakova. 2020;120(3):13-18. doi: 10.17116/jnevro202012003113.

Abstract

OBJECTIVE

The prevalence of Internet addiction (IA) is growing steadily, especially among the younger generation. The purpose of this multicenter study was to investigate the socio-demographic characteristics, clinical varieties, and profile of psychopathological symptoms of mental disorders in patients with IA.

MATERIAL AND METHODS

The study included 2 groups: the main group consisted of 44 people, aged 16 to 34 years, average age 22.00±0.66 years, 33 (75%) men, 11 (25%) women; the control group included 120 people, aged 19 to 30 years, average age 23.13±0.18 years, 90 (74.3%) men, 30 (26.7%) women. Groups were identified at the testing stage based on the total score on the Chen Internet Addiction Scale (CIAS). The main group included individuals who scored CIAS 65 points or higher. The specially developed Unified Study Card, The Mini international neuropsychiatric interview (MINI), the Hospital Anxiety and Depression Scale (HADS), the Beck Depression Questionnaire (BDI), the Prodromal Questionnaire-16 (PQ-16), the Symptom Checklist-90-Questionnaire Revised (SCL-90-R).

RESULTS AND CONCLUSION

There were more people with secondary specialized education and unemployed in the main group. The family burden of addiction and psychiatric disorders did not differ in both groups, and the heredity of somatic diseases was lower in the IA group. In the IA group, a psychiatric diagnosis was made 9 times more often. The severity of affective and anxiety disorders was higher in the IA group, while the risk of psychosis was low that allows considering the symptoms of IA outside the framework of subpsychotic mental disorders. The features of the psychopathological symptoms of IA were: total «tension» of the psychopathological profile; a relatively uniform and slightly specific profile of psychopathological symptoms with a certain tendency to the prevalence of personality-related stress manifestations.

摘要

目的

网络成瘾(IA)的患病率正在稳步上升,尤其是在年轻一代中。这项多中心研究的目的是调查IA患者的社会人口学特征、临床类型以及精神障碍的精神病理症状概况。

材料与方法

该研究包括两组:主要组由44人组成,年龄在16至34岁之间,平均年龄22.00±0.66岁,男性33人(75%),女性11人(25%);对照组包括120人,年龄在19至30岁之间,平均年龄23.13±0.18岁,男性90人(74.3%),女性30人(26.7%)。在测试阶段根据陈网络成瘾量表(CIAS)的总分确定分组。主要组包括CIAS得分65分或更高的个体。使用专门编制的统一研究卡片、迷你国际神经精神病学访谈(MINI)、医院焦虑抑郁量表(HADS)、贝克抑郁问卷(BDI)、前驱问卷-16(PQ-16)、症状自评量表-90修订版(SCL-90-R)。

结果与结论

主要组中接受中等专业教育和失业的人数较多。两组成瘾和精神障碍的家庭负担没有差异,IA组躯体疾病的遗传率较低。在IA组中,进行精神科诊断的频率高出9倍。IA组情感和焦虑障碍的严重程度较高,而精神病风险较低,这使得可以在亚精神病性精神障碍框架之外考虑IA症状。IA精神病理症状的特点是:精神病理概况总体“紧张”;精神病理症状相对统一且略有特异性,有一定倾向于人格相关应激表现的普遍性。

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