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印度东部学童中青少年网络成瘾:家庭、人格及共病精神病理学的作用

Internet addiction in adolescents: Role of family, personality and comorbid psychopathology in school children in Eastern India.

作者信息

Rathi Megha, Guha Prathama, Neogi Rajarshi

机构信息

Department of Applied Psychology, Calcutta University, West Bengal, India.

Department of Psychiatry, Calcutta National Medical College, Kolkata, West Bengal, India.

出版信息

Indian J Psychiatry. 2022 Jul-Aug;64(4):408-414. doi: 10.4103/indianjpsychiatry.indianjpsychiatry_783_21. Epub 2022 Jul 13.

DOI:10.4103/indianjpsychiatry.indianjpsychiatry_783_21
PMID:36060726
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9435623/
Abstract

CONTEXT

There is an increasing prevalence of internet addiction among adolescents during the COVID-19 pandemic, but very few Indian studies have assessed and taken into account various factors that can explain internet addiction in this vulnerable population.

AIMS

We examine the differences in family functioning, temperament, character and psychopathology in adolescents with and without internet addiction.

SETTINGS AND DESIGN

1000 adolescents from urban middle-class families were included in this cross-sectional, two-randomized-group designed, comparative study. Clinical and control group population were selected from high schools. Those with severe internet addiction were compared to those with no addiction.

METHODS AND MATERIALS

Internet Addiction Test, Temperament and Character Inventory, Devereux Scale of Mental Disorders and McMaster Family Assessment Device were administered along with General Health and CRAFFT Questionnaire as screening tool.

STATISTICAL ANALYSIS USED

Mann-Whitney test was done along with Spearman's rank-difference coefficient of correlation.

RESULT

Adolescents with internet addiction had high novelty seeking and low persistence. Internet addiction was also associated with conduct problems and depression. There was a significant positive association between depression and years of internet usage. Family of adolescents with internet addiction had increased difficulty in problem solving, communication, affective responsiveness, affective involvement and behavior control.

CONCLUSION

Adolescents with internet addiction have temperament difficulties, more psychopathology and belong to dysfunctional families. Since the family plays a central role in an Indian context, family-focused strategies must also be included in the management of internet addiction.

摘要

背景

在新冠疫情期间,青少年网络成瘾的患病率呈上升趋势,但印度很少有研究评估并考虑到能解释这一弱势群体网络成瘾的各种因素。

目的

我们研究有无网络成瘾的青少年在家庭功能、气质、性格和精神病理学方面的差异。

设置与设计

这项横断面、双随机组设计的比较研究纳入了1000名来自城市中产阶级家庭的青少年。临床组和对照组人群从高中选取。将重度网络成瘾者与无成瘾者进行比较。

方法与材料

使用网络成瘾测试、气质与性格量表、德弗鲁精神障碍量表和麦克马斯特家庭评估工具,同时使用一般健康问卷和CRAFFT问卷作为筛查工具。

所用统计分析方法

采用曼-惠特尼检验以及斯皮尔曼等级相关系数。

结果

网络成瘾的青少年寻求新奇的程度高且坚持性低。网络成瘾还与行为问题和抑郁有关。抑郁与上网年限之间存在显著正相关。有网络成瘾问题的青少年家庭在解决问题、沟通、情感反应、情感投入和行为控制方面的困难增加。

结论

有网络成瘾问题的青少年存在气质方面的困难,精神病理学问题更多,且来自功能失调的家庭。由于在印度背景下家庭起着核心作用,因此网络成瘾的管理中也必须纳入以家庭为重点的策略。