Kim Kyoung Min, Kim Haebin, Choi Jae-Won, Kim Soo Yeon, Kim Jun Won
Department of Psychiatry, College of Medicine, Dankook University, Cheonan, Republic of Korea.
Department of Psychiatry, Kyung Hee University Hospital, Seoul, Republic of Korea.
Neuropsychiatr Dis Treat. 2020 Apr 20;16:1031-1041. doi: 10.2147/NDT.S247292. eCollection 2020.
This study investigated the prevalence and correlates of problematic internet use (PIU) in a large sample of adolescents based on the type of internet service used.
The study was conducted from 2008 to 2010, and 223,542 adolescents aged 12 to 18 years participated in the study. The participants responded to a self-report questionnaire including items for demographic factors, internet usage time, most used internet service and mental health. The PIU was assessed with the Internet Addiction Proneness Scale for Youth-Short Form.
The overall prevalence rate of PIU was 5.2%, and the prevalence rates stratified by sex were 7.7% in boys and 3.8% in girls. The distribution of most used internet services was significantly different across sexes. The most commonly used internet services were gaming (58.1%) in boys and blogging (22.1%) and messenger/chatting (20.3%) in girls. The odds ratio for PIU was significantly different according to the most used internet service; using the internet mostly for pornography compared to information searching had the highest odds ratio (4.526-fold higher). Depressive episodes, suicidal ideation, and suicidal attempts were significantly associated with higher odds ratios for PIU (1.725-, 1.747- and 1.361-fold, respectively).
The present study identified clinically important information about PIU in adolescents. The distribution of PIU has different patterns based on sex and specific internet services. Studies of PIU with well-defined methodology and assessment tools for PIU of each specific internet service are needed.
本研究基于所使用的互联网服务类型，调查了大量青少年中有问题的互联网使用（PIU）的患病率及其相关因素。
该研究于2008年至2010年进行，223,542名12至18岁的青少年参与了研究。参与者回答了一份自我报告问卷，内容包括人口统计学因素、互联网使用时间、最常使用的互联网服务和心理健康状况。使用青少年互联网成瘾倾向量表简表对PIU进行评估。
PIU的总体患病率为5.2%，按性别分层的患病率，男孩为7.7%，女孩为3.8%。不同性别的最常使用的互联网服务分布存在显著差异。男孩最常使用的互联网服务是游戏（58.1%），女孩是博客（22.1%）和即时通讯/聊天（20.3%）。根据最常使用的互联网服务，PIU的优势比有显著差异；与信息搜索相比，主要用于色情内容的互联网使用具有最高的优势比（高4.526倍）。抑郁发作、自杀意念和自杀未遂与PIU的较高优势比显著相关（分别为1.725倍、1.747倍和1.361倍）。
本研究确定了有关青少年PIU的重要临床信息。PIU的分布因性别和特定互联网服务而异。需要采用明确的方法和针对每种特定互联网服务的PIU评估工具来开展PIU研究。
