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低自我控制和攻击性在青少年中注意力不集中/多动问题与网络游戏障碍严重程度之间存在纵向的序列中介作用。

Low self-control and aggression exert serial mediation between inattention/hyperactivity problems and severity of internet gaming disorder features longitudinally among adolescents.

机构信息

1Department of Preventive Medicine, College of Medicine, Catholic University of Korea, Seoul, Korea.

2Department of Psychiatry, College of Medicine, Catholic University of Korea, Seoul, Korea.

出版信息

J Behav Addict. 2020 Jun 6;9(2):401-409. doi: 10.1556/2006.2020.00039. Print 2020 Jun.

Abstract

OBJECTIVES

We examined serial mediating roles of low self-control and aggression in explaining relationships between levels of inattention and hyperactivity problems (IHPs) and severity of Internet gaming disorder (IGD) features when exposed to online games among adolescents without Attention deficit hyperactivity disorder (ADHD) stratified by gender using three-wave longitudinal study.

METHOD

The sample comprised a total of 1,732 family dyads from a study that was conducted among seventh graders without diagnoses of ADHD at baseline. Levels of IHPs were assessed by the parent reported Korean version of the ADHD rating scale at baseline (wave1). Severity of IGD features was assessed by the Internet Game Use-Elicited Symptom Screen (IGUESS) at wave3. Both levels of self-control (wave1) and aggression (wave2) were assessed by self-report. The mediating role of low self-control and aggression in the relationships between level of IHPs and severity of IGD were evaluated using serial mediation analysis separately for each gender.

RESULTS

Levels of IHPs were related directly to severity of IGD features in both genders. The indirect effects via low self-control were also significant in both genders, however, the indirect effects via aggression was significant only in women. The serial mediation effect via low self-control and aggression between levels of IHPs and IGD features was significant in both genders (men, coefficient:0.009, 95%CI 0.005-0.019; women, coefficient:0.010, 95%CI:0.005-0.026).

CONCLUSION

We revealed a possible mechanism underlying a serial mediation chain from low self-control to aggression explaining the effects of IHPs on severity of IGD features. However, this conclusion should be taken with a caution, because the effect sizes were very low.

摘要

目的

本研究采用三波纵向研究,对未患注意缺陷多动障碍(ADHD)的青少年进行了分层,考察了低自我控制和攻击性在解释注意缺陷多动障碍(ADHD)水平与网络成瘾障碍(IGD)特征严重程度之间关系中的连续中介作用,当青少年接触网络游戏时,这些作用与注意缺陷多动障碍(ADHD)水平与网络成瘾障碍(IGD)特征严重程度之间存在关系。

方法

本研究共纳入了 1732 对来自基线时未被诊断为 ADHD 的七年级学生的家庭对子。在基线时(第 1 波),使用家长报告的韩国版 ADHD 评定量表评估 IHPs 水平。在第 3 波时,使用网络游戏使用诱发症状筛查(IGUESS)评估 IGD 特征的严重程度。在第 1 波和第 2 波时,分别使用自我报告评估低自我控制和攻击性的水平。使用串行中介分析分别评估了在男性和女性中,低自我控制和攻击性在 IHPs 水平与 IGD 特征严重程度之间的关系中的中介作用。

结果

在两性中,IHPs 水平与 IGD 特征的严重程度直接相关。在两性中,通过低自我控制的间接效应也是显著的,然而,通过攻击性的间接效应仅在女性中是显著的。在两性中,通过低自我控制和攻击性的连续中介效应在 IHPs 水平与 IGD 特征之间是显著的(男性,系数:0.009,95%CI:0.005-0.019;女性,系数:0.010,95%CI:0.005-0.026)。

结论

我们揭示了一种可能的机制,即通过低自我控制到攻击性的连续中介链,解释 IHPs 对 IGD 特征严重程度的影响。然而,由于效应量非常低,因此应该谨慎得出这一结论。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/05d8/8939404/b8e8629c45f7/jba-9-401-g001.jpg

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