Zamboni Lorenzo, Carli Silvia, Belleri Marika, Giordano Rosaria, Saretta Giulia, Lugoboni Fabio
Department of Internal Medicine, Unit of Addiction Medicine, G.B. Rossi Hospital, Verona.
Department of Neuroscience, Biomedicine and Movement, University of Verona, Italy.
J Public Health Res. 2021 Feb 15;10(1):1759. doi: 10.4081/jphr.2021.1759. eCollection 2021 Jan 14.
The COVID-19 pandemic and control measures may have had an impact on unpleasant emotions experimented during the lockdown (LD). This may have increased the number of hours spent online and could have impacted the quality of the enacted behavior, in terms of loss of control of Internet use. In this online survey, we were interested in measure how much loss of control was perceived regarding online gambling, online shopping, the fruition of online pornographic content and web navigation. The online survey was carried out during the COVID-19 pandemic in the post-lockdown and 1232 subjects participated in the survey. In the participating sample, healthcare workers (HW) were 43.1% of the sample, of which 18.7% were directly involved in the Coronavirus emergency, and 52.3% of the sample is not a HW. Only 0.6% of the sample gambled online and 37.5% of those reported losing control of their gambling mode. Most of the sample shopped online during the LD (70.1%), but only 7.2% of those lost control by buying and/or spending more than what they had set themselves. Significant data emerged showing that those who lost control while online shopping also lost control regarding the amount of time spent online (p<0.001); 21.6% of the sample, reported making use of online pornographic material during LD, 4.7% of them stated that the frequency increased and 5.1% reported losing control by having spent more money or more time than what was intended. Finally, 44.7% of the sample have experienced loss of control during the web navigation. Furthermore, during the LD 67.8% of the sample reports having experienced unpleasant emotions. Of these, 8.4% state that they enacted behaviors such as online gambling, online shopping, online pornographic material viewing and web navigation to counter their negative emotions. Interestingly, we found a correlation between loss of control during web navigation and online shopping and the emotional states "upset", "scared" and "restless" (p<0.05). To conclude, there was no significant increase in potentially addictive behaviors, nor an increase in loss of control of these behaviors when enacted online. However, the loss of control in online shopping and web navigation was significantly correlated to the unpleasant emotional states of nervousness, fear and restlessness, whereas those who reported feeling strong and able to handle the situation experienced a lower loss of control in their web navigation. These correlations may suggest that these online behaviors may act as modulators of unpleasant emotional states.
新冠疫情及防控措施可能对封锁期间体验到的不良情绪产生了影响。这可能增加了上网时长,并可能在网络使用失控方面影响了既定行为的质量。在这项在线调查中,我们感兴趣的是衡量在网络赌博、网购、在线色情内容浏览和网页浏览方面感知到的失控程度。该在线调查是在新冠疫情期间封锁解除后进行的,1232名受试者参与了调查。在参与样本中,医护人员占样本的43.1%,其中18.7%直接参与了新冠疫情应急工作,52.3%的样本不是医护人员。样本中只有0.6%的人参与网络赌博,其中37.5%的人表示对自己的赌博方式失去了控制。大部分样本在封锁期间网购(70.1%),但其中只有7.2%的人因购买和/或花费超过自己设定的金额而失去控制。出现的重要数据表明,那些在网购时失去控制的人在上网时长方面也失去了控制(p<0.001);21.6%的样本报告在封锁期间使用过在线色情材料,其中4.7%的人表示频率增加,5.1%的人报告因花费的金钱或时间超过预期而失去控制。最后,44.7%的样本在网页浏览过程中经历过失控。此外,在封锁期间,67.8%的样本报告经历过不良情绪。其中,8.4%的人表示他们采取了网络赌博、网购、在线色情材料浏览和网页浏览等行为来应对负面情绪。有趣的是,我们发现网页浏览和网购过程中的失控与“心烦意乱”“害怕”和“坐立不安”等情绪状态之间存在相关性(p<0.05)。总之,潜在成瘾行为没有显著增加,在网上进行这些行为时对其失控情况也没有增加。然而,网购和网页浏览中的失控与紧张、恐惧和坐立不安等不良情绪状态显著相关,而那些报告感觉坚强且能够应对局面的人在网页浏览中的失控程度较低。这些相关性可能表明这些在线行为可能是不良情绪状态的调节因素。