意大利的研究表明,新冠疫情相关的社交隔离可能导致人们出现网络成瘾和在线游戏成瘾问题。
COVID-19-Related Social Isolation Predispose to Problematic Internet and Online Video Gaming Use in Italy.
机构信息
Clinical Psychiatry Unit, Department of Clinical Neurosciences, School of Medicine, Università Politecnica delle Marche, Via Tronto 10/A, 60126 Ancona, Italy.
Department of Medicine, Surgery and Health Sciences, University of Trieste and Department of Mental Health, Azienda Sanitaria Universitaria Giuliano Isontina-ASUGI, 34148 Trieste, Italy.
出版信息
Int J Environ Res Public Health. 2022 Jan 29;19(3):1539. doi: 10.3390/ijerph19031539.
COVID-19 pandemic and its related containment measures have been associated with increased levels of stress, anxiety and depression in the general population. While the use of digital media has been greatly promoted by national governments and international authorities to maintain social contacts and healthy lifestyle behaviors, its increased access may also bear the risk of inappropriate or excessive use of internet-related resources. The present study, part of the COVID Mental hEalth Trial (COMET) study, aims at investigating the possible relationship between social isolation, the use of digital resources and the development of their problematic use. A cross sectional survey was carried out to explore the prevalence of internet addiction, excessive use of social media, problematic video gaming and binge watching, during Italian phase II (May-June 2020) and III (June-September 2020) of the pandemic in 1385 individuals (62.5% female, mean age 32.5 ± 12.9) mainly living in Central Italy (52.4%). Data were stratified according to phase II/III and three groups of Italian regions (northern, central and southern). Compared to the larger COMET study, most participants exhibited significant higher levels of severe-to-extremely-severe depressive symptoms (46.3% vs. 12.4%; < 0.01) and extremely severe anxiety symptoms (77.8% vs. 7.5%; < 0.01). We also observed a rise in problematic internet use and excessive gaming over time. Mediation analyses revealed that COVID-19-related general psychopathology, stress, anxiety, depression and social isolation play a significant role in the emergence of problematic internet use, social media addiction and problematic video gaming. Professional gamers and younger subjects emerged as sub-populations particularly at risk of developing digital addictions. If confirmed in larger and more homogenous samples, our findings may help in shedding light on possible preventive and treatment strategies for digital addictions.
新型冠状病毒肺炎(COVID-19)大流行及其相关的遏制措施已导致普通人群的压力、焦虑和抑郁水平升高。虽然各国政府和国际机构大力推广使用数字媒体来保持社交联系和健康的生活方式行为,但数字媒体的普及也可能带来过度或不适当使用互联网资源的风险。本研究是 COVID 心理健康试验(COMET)研究的一部分,旨在调查社会隔离、数字资源的使用及其问题性使用的发展之间的可能关系。通过横断面调查,在意大利疫情的第二阶段(2020 年 5 月至 6 月)和第三阶段(2020 年 6 月至 9 月),对 1385 名(62.5%为女性,平均年龄 32.5±12.9)个体中,调查了互联网成瘾、过度使用社交媒体、问题性视频游戏和 binge-watching 的流行率,这些个体主要居住在意大利中部(52.4%)。根据第二阶段/第三阶段和意大利三个地区(北部、中部和南部)对数据进行分层。与较大的 COMET 研究相比,大多数参与者表现出严重到极度严重的抑郁症状(46.3%比 12.4%;<0.01)和极度严重的焦虑症状(77.8%比 7.5%;<0.01)显著更高。我们还观察到随着时间的推移,问题性互联网使用和过度游戏的增加。中介分析表明,与 COVID-19 相关的一般精神病理学、压力、焦虑、抑郁和社会隔离在出现问题性互联网使用、社交媒体成瘾和问题性视频游戏中起着重要作用。专业游戏玩家和年轻的参与者成为易患数字成瘾的亚人群。如果在更大和更同质的样本中得到证实,我们的研究结果可能有助于阐明数字成瘾的可能预防和治疗策略。