网络使用问题、游戏成瘾与心理困扰之间的关联：睡眠质量是否重要？
The link between problematic internet use, problematic gaming, and psychological distress: does sleep quality matter?
机构信息
School of Public Health, Shanghai Jiao Tong University School of Medicine, 227 S Chongqing Rd, Huangpu District, Shanghai, 200025, China.
Econometrica, Inc., 7475 Wisconsin Avenue, Suite 1000, Bethesda, MD, 20814, USA.
出版信息
BMC Psychiatry. 2021 Feb 16;21(1):103. doi: 10.1186/s12888-021-03105-5.
INTRODUCTION
This study aimed to examine the mediating role of sleep quality in the association of problematic internet use (PIU) and problematic gaming with psychological distress among college students in China.
METHODS
Data of 1040 full-time students from multiple colleges in China were examined. Respondents were asked about their internet use and gaming behaviors, sleep quality, psychological distress, and sociodemographic characteristics. The mediating role of sleep quality in the PIU- and problematic gaming-psychological distress link was examined respectively.
RESULTS
PIU was associated with decreased sleep quality (r = .32, p < .001) and increased psychological distress (r = .46, p < .001). Problematic gaming was also associated with decreased sleep quality (r = .22, p < .001) and increased psychological distress (r = .46, p < .001). Sleep quality accounted for 23.5% of the indirect effect of PIU on psychological distress, and 17.9% of the indirect effect of problematic gaming on psychological distress.
CONCLUSIONS
Sleep quality had a meaningful mediating effect on the PIU-psychological distress link, but only exerted a small mediating effect on the problematic gaming-psychological distress link. In addition to promoting healthy internet usage, strategies aimed at mitigating the negative effect of excessive internet use on psychological health might benefit from those aimed at improving sleep quality.
引言
本研究旨在考察睡眠质量在中国大学生中在网络成瘾（PIU）和游戏成瘾与心理困扰之间的中介作用。
方法
对来自中国多所高校的 1040 名全日制学生进行了数据分析。要求受访者报告他们的网络使用和游戏行为、睡眠质量、心理困扰和社会人口学特征。分别考察了睡眠质量在 PIU 和游戏成瘾与心理困扰之间的中介作用。
结果
PIU 与睡眠质量下降（r=0.32，p<0.001）和心理困扰增加（r=0.46，p<0.001）有关。游戏成瘾也与睡眠质量下降（r=0.22，p<0.001）和心理困扰增加（r=0.46，p<0.001）有关。睡眠质量解释了 PIU 对心理困扰的间接效应的 23.5%，解释了游戏成瘾对心理困扰的间接效应的 17.9%。
结论
睡眠质量对 PIU 与心理困扰之间的关系具有重要的中介作用，但对游戏成瘾与心理困扰之间的关系仅具有较小的中介作用。除了促进健康的网络使用外，旨在减轻过度网络使用对心理健康的负面影响的策略可能受益于旨在改善睡眠质量的策略。
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