Outpatient Clinic for Behavioral Addiction, Department of Psychosomatic Medicine and Psychotherapy, University Medical Center, Johannes Gutenberg University Mainz, 55131 Mainz, Germany.
Department of Communication, Johannes Gutenberg University Mainz, 55128 Mainz, Germany.
Int J Environ Res Public Health. 2022 Jan 4;19(1):529. doi: 10.3390/ijerph19010529.
Internet-related disorders (IRD) are increasingly becoming a major health issue. IRD are defined as the predominant use of online content, related to a loss of control and continued use despite negative consequences. Despite findings from cross-sectional studies, the causality of pathways accelerating the development of IRD are unclear. While etiological models emphasize the role of personality as risk factor, mutual influences between IRD and personality have not been examined. A prospective study with two assessments was conducted with = 941 adolescents (mean age of 13.1 years; 10-17 years). Our aim was to validate etiological assumptions and to examine the effects of IRD-symptoms on the maturation of personality. IRD were measured with the Scale of the Assessment of Internet and Computer game Addiction (AICA-S). Personality traits were assessed using the Brief Five Factor Inventory (BFI). Conscientiousness and neuroticism were predictive for IRD symptoms one year later, and were likewise prone to changes depending on incidence or remission of IRD. Conscientiousness and openness moderated the course of IRD symptoms. Our findings point to complex trait-pathology associations. Personality influences the risk of development and maintenance of IRD symptoms and pre-existing IRD-symptoms affect the development of personality. Adaptations to etiological models are discussed and perspectives for novel intervention strategies are suggested.
网络相关障碍（IRD）日益成为一个主要的健康问题。IRD 被定义为主要使用在线内容，表现为失去控制和持续使用，尽管有负面后果。尽管横断面研究有发现，但加速 IRD 发展的途径的因果关系尚不清楚。虽然病因学模型强调个性作为风险因素的作用，但 IRD 和个性之间的相互影响尚未得到检验。一项前瞻性研究对 941 名青少年（平均年龄 13.1 岁；10-17 岁）进行了两次评估。我们的目的是验证病因学假设，并研究 IRD 症状对人格成熟的影响。IRD 使用网络和计算机游戏成瘾评估量表（AICA-S）进行测量。个性特征使用简短五因素量表（BFI）进行评估。尽责性和神经质在一年后对 IRD 症状具有预测作用，并且同样容易因 IRD 的发生或缓解而发生变化。尽责性和开放性调节了 IRD 症状的病程。我们的研究结果表明存在复杂的特质病理关联。个性影响 IRD 症状的发展和维持的风险，而预先存在的 IRD 症状则影响个性的发展。讨论了对病因学模型的调整，并提出了新的干预策略的观点。
