Department of Child and Adolescent Psychiatry, SBÜ Diyarbakır Gazi Yaşargil Training and Research Hospital, Diyarbakır, Turkey.
Department of Child and Adolescent Psychiatry, Istanbul University, Istanbul, Turkey.
Child Adolesc Ment Health. 2021 Sep;26(3):220-227. doi: 10.1111/camh.12440. Epub 2020 Dec 5.
To evaluate the relationships between problematic internet use (PIU) and psychiatric comorbid disorders and internet use habits in a clinical sample of adolescents with attention-deficit/hyperactivity disorder (ADHD).
This cross-sectional study included 95 adolescents with ADHD. Problematic behaviors and symptoms related to internet use were evaluated via Young's Internet Addiction Scale (YIAS), and subjects with a YIAS score of ≥50 were categorized as PIU while those with a score of <50 were defined as normal internet use (NIU). The two groups were compared with respect to demographics and psychometric tests. While psychiatric disorders were examined by a semistructured instrument, self-report and parent-report scales were used to assess other individual and clinical characteristics of participants.
33.7% (n = 32) of the participants were determined to have PIU. There was no gender (p = .058) or age (p = .426) difference between the PIU and NIU groups. Current presence of social phobia (p = .035) and history of major depressive disorder (p = .006) were more frequent in the PIU group than the NIU group. Multivariable regression analysis revealed that PIU was independently associated with online gaming (OR: 2.375, 95% CI: 1.532-3.681), e-mail use (OR: 1.864, 95% CI: 1.170-2.971), social networking (OR: 1.834, 95% CI: 1.156-2.910), and Social Phobia Scale for Children and Adolescents (SPSCA) score (OR: 1.058, 95% CI: 1.020-1.098).
PIU may be common among adolescents with ADHD. The severity of social phobia and particular online activities (playing online games, e-mailing, social networking) may be associated with a higher risk of PIU in adolescents with ADHD.
评估在患有注意缺陷多动障碍（ADHD）的临床青少年样本中，网络成瘾（PIU）与精神共病障碍以及网络使用习惯之间的关系。
本横断面研究纳入了 95 名患有 ADHD 的青少年。通过 Young 的网络成瘾量表（YIAS）评估与网络使用相关的行为和症状，YIAS 得分≥50 的患者被归类为 PIU，而得分＜50 的患者被定义为正常网络使用（NIU）。比较两组在人口统计学和心理测试方面的差异。使用半结构化工具检查精神障碍，同时使用自我报告和家长报告量表评估参与者的其他个体和临床特征。
33.7%（n=32）的参与者被确定为存在 PIU。PIU 组与 NIU 组在性别（p=0.058）或年龄（p=0.426）方面无差异。PIU 组中当前存在社交恐惧症（p=0.035）和既往患有重度抑郁症（p=0.006）的比例高于 NIU 组。多变量回归分析显示，PIU 与在线游戏（OR：2.375，95%CI：1.532-3.681）、电子邮件使用（OR：1.864，95%CI：1.170-2.971）、社交网络（OR：1.834，95%CI：1.156-2.910）和儿童青少年社交恐惧症量表（SPSCA）得分（OR：1.058，95%CI：1.020-1.098）独立相关。
PIU 在 ADHD 青少年中可能较为常见。社交恐惧症的严重程度和特定的在线活动（玩在线游戏、电子邮件、社交网络）可能与 ADHD 青少年中更高的 PIU 风险相关。
