Semenova N B, Tereshchenko S Yu, Evert L S, Shubina M V
Scientific Research Institute for Medical Problems of the North of the Krasnoyarsk Scientific Center of the Siberian Branch of the Russian Academy of Sciences, Krasnoyarsk, Russia.
Zh Nevrol Psikhiatr Im S S Korsakova. 2021;121(5):105-110. doi: 10.17116/jnevro2021121051105.
To study the prevalence of Internet addiction (IA) in adolescents in Central Siberia and the association of IA with mental health problems.
The study included 2950 adolescents (44.7% boys and 54.3% girls), aged 11-18 years (mean age 14.5±1.3). Younger adolescents (11-14 years old) accounted for 52.4%, senior ones (15-18 years old) did 47.6%. The Chen scale (CIAS) with a cutoff level of 65 points was used to evaluate IA. The overall CIAS value of 27-42 points was regarded to be adaptive Internet use (AIU); 43-64 points being non-adaptive Internet use (NIU); 65 points and above were considered to be IA. Mental health was assessed using SDQ, which includes five scales: 1) prosocial behavior; 2) emotional symptoms; 3) behavior problems; 4) hyperactivity; 5) peer problems.
The prevalence of AIU is 50.3% (55.9% among boys and 45.6% among girls, <0.01), NIU was found in 42.9% (38.9/46.3%, <0.001), IA occurred in 6.8% (5.1/8.2%, <0.001). The prevalence of IA among adolescents, aged 11-14 years old, was 5.9%, between the ages of 15-18 it was 7.8% (=0.04). In the AIU group, emotional symptom** were observed in 5.1% of adolescents, behavior problems in 6.1%, hyperactivity in 3.6%; in the NIU group - in 14.9%, 11.7% and 9.4% of adolescents; in the IA group, there were 34%, 24% and 26% of adolescents, respectively. In terms of odds ratio (OR), the greatest effect size was observed for hyperactivity (OR=5.23, <0.001) and emotional disorders (OR=4.85, <0001).
The prevalence of IA is 6.8%. IA is more common in girls and increases with age. IA is associated with mental health problems, the greatest effect size is observed for hyperactivity and emotional disorders. The incidence of psychopathological manifestations increases depending on the degree of impairment in network behavior.
研究中西伯利亚青少年网络成瘾（IA）的患病率及其与心理健康问题的关联。
该研究纳入了2950名11至18岁的青少年（男孩占44.7%，女孩占54.3%），平均年龄14.5±1.3岁。年龄较小的青少年（11至14岁）占52.4%，年龄较大的青少年（15至18岁）占47.6%。采用陈式量表（CIAS），以65分为临界值评估网络成瘾情况。CIAS总分在27至42分被视为适应性网络使用（AIU）；43至64分被视为非适应性网络使用（NIU）；65分及以上被视为网络成瘾。使用优势和困难问卷（SDQ）评估心理健康，该问卷包括五个分量表：1）亲社会行为；2）情绪症状；3）行为问题；4）多动；5）同伴问题。
适应性网络使用的患病率为50.3%（男孩为55.9%，女孩为45.6%，P<0.01），非适应性网络使用为42.9%（男孩为38.9%，女孩为46.3%，P<0.001），网络成瘾为6.8%（男孩为5.1%，女孩为8.2%，P<0.001）。11至14岁青少年的网络成瘾患病率为5.9%，15至18岁为7.8%（P=0.04）。在适应性网络使用组中，5.1%的青少年有情绪症状，6.1%有行为问题，3.6%有多动症状；在非适应性网络使用组中，相应比例分别为14.9%、11.7%和9.4%；在网络成瘾组中，分别为34%、24%和26%。就优势比（OR）而言，多动（OR=5.23，P<0.001）和情绪障碍（OR=4.85，P<0.001）的效应量最大。
网络成瘾的患病率为6.8%。网络成瘾在女孩中更常见，且随年龄增长而增加。网络成瘾与心理健康问题相关，多动和情绪障碍的效应量最大。心理病理表现的发生率随网络行为受损程度的增加而上升。
