Zamboni Lorenzo, Portoghese Igor, Congiu Alessio, Carli Silvia, Munari Ruggero, Federico Angela, Centoni Francesco, Rizzini Adelelmo Lodi, Lugoboni Fabio
Department of Neurosciences, University of Verona, Verona, Italy.
Unit of Addiction Medicine, Department of Internal Medicine, Integrated University Hospital of Verona, Policlinico "G.B. Rossi", Verona, Italy.
Front Psychol. 2020 Nov 10;11:571638. doi: 10.3389/fpsyg.2020.571638. eCollection 2020.
The considerable prominence of internet addiction (IA) in adolescence is at least partly explained by the limited knowledge thus far available on this complex phenomenon. In discussing IA, it is necessary to be aware that this is a construct for which there is still no clear definition in the literature. Nonetheless, its important clinical implications, as emerging in recent years, justify the lively interest of researchers in this new form of behavioral addiction. Over the years, studies have associated IA with numerous clinical problems. However, fewer studies have investigated what factors might mediate the relationship between IA and the different problems associated with it. Ours is one such study. The Italian version of the SCL-90 and the IAT were administered to a sample of almost 800 adolescents aged between 16 and 22 years. We found the presence of a significant association between IA and two variables: somatization (β = 7.80; < 0.001) and obsessive-compulsive symptoms (β = 2.18; < 0.05). In line with our hypothesis, the results showed that somatization predicted the relationship between obsessive-compulsive symptoms and IA (β = -2.75; = -3.55; < 0.001), explaining 24.5% of its variance (Δ = 1.2%; = 12.78; < 0.01). In addition, simple slopes analyses revealed that, on reaching clinical significance (+1 SD), somatization showed higher moderation effects in the relationship between obsessive-compulsive symptoms and IA (β = 6.13; = 7.83; < 0.001). These results appear to be of great interest due to the absence of similar evidence in the literature, and may open the way for further research in the IA field. Although the absence of studies in the literature does not allow us to offer an exhaustive explanation of these results, our study supports current addiction theories which emphasize the important function performed by the enteroceptive system, alongside the more cited reflexive and impulsive systems.
网络成瘾(IA)在青少年中相当突出,这一复杂现象目前的相关知识有限,至少可以部分解释这一情况。在讨论网络成瘾时,必须意识到这是一个在文献中尚无明确定义的概念。尽管如此,近年来其重要的临床意义引发了研究人员对这种新形式行为成瘾的浓厚兴趣。多年来,研究已将网络成瘾与众多临床问题联系起来。然而,较少有研究探讨哪些因素可能介导网络成瘾与其相关的不同问题之间的关系。我们的研究就是其中之一。对近800名年龄在16至22岁之间的青少年样本进行了SCL - 90意大利语版和网络成瘾测试(IAT)。我们发现网络成瘾与两个变量之间存在显著关联:躯体化(β = 7.80;< 0.001)和强迫症状(β = 2.18;< 0.05)。与我们的假设一致,结果表明躯体化预测了强迫症状与网络成瘾之间的关系(β = -2.75;= -3.55;< 0.001),解释了其24.5%的方差(Δ = 1.2%;= 12.78;< 0.01)。此外,简单斜率分析显示,当达到临床显著性(+1标准差)时,躯体化在强迫症状与网络成瘾之间的关系中表现出更高的调节作用(β = 6.13;= 7.83;< 0.001)。由于文献中缺乏类似证据,这些结果似乎很有意义,并可能为网络成瘾领域的进一步研究开辟道路。尽管文献中缺乏相关研究,我们无法对这些结果做出详尽解释,但我们的研究支持了当前的成瘾理论,这些理论强调了内感受系统所发挥的重要作用,以及更常被提及的反射和冲动系统。