Sakamoto Shoko, Miyawaki Dai, Goto Ayako, Hirai Kaoru, Hama Hiroki, Kadono Shin, Nishiura Sayaka, Inoue Koki
Department of Neuropsychiatry, Osaka Metropolitan University Graduate School of Medicine, Osaka, Japan.
Department of Neuropsychiatry, Osaka City University Graduate School of Medicine, Osaka, Japan.
Neuropsychiatr Dis Treat. 2022 Oct 21;18:2421-2430. doi: 10.2147/NDT.S383160. eCollection 2022.
Internet addiction (IA) has become a global problem and is one of the most common reasons for children to be referred for intervention because IA results in social and educational dysfunction and conflict with parents. IA is associated with various comorbid psychiatric disorders, with notable association between IA and family factors. However, little is known about parental psychopathology. This study aimed to examine the prevalence of IA and association between IA and maternal depression and anxiety in clinical samples after adjusting for comorbidities.
A cross-sectional study was conducted between April 2020 and August 2021 at the Department of Neuropsychiatry of Osaka Metropolitan University Hospital in Japan. A total of 218 clinically referred children and adolescents (aged 8 to 15 years) were assessed using the Internet Addiction Test, which is one of the most popular questionnaires to evaluate IA, the Child Behavior Checklist (CBCL), and The Kiddie Schedule for Affective Disorders and Schizophrenia for School-Age Children-Present and Lifetime Version. IA was defined as a total score on the Internet Addiction Test ≥ 50. Of those, for the evaluation of maternal depression and anxiety, the 132 mothers of the children who were referred after January 2021 completed K6 as well.
A total of 68 participants (31.2%) presented with IA and had higher total and externalizing scores of CBCL, social anxiety disorder, and oppositional defiant disorder compared to those without IA. IA was associated with the six-item Kessler scale scores of mothers, being raised by single parents, and anxiety disorders after adjusting for age, sex, and family income (95% CI: 1.023-1.215).
Maternal depression and anxiety may be one of the risk factors for children and adolescents to develop IA. Care for maternal depression and anxiety may contribute to intervention for children and adolescents with IA.
网络成瘾（IA）已成为一个全球性问题，是儿童被转介进行干预的最常见原因之一，因为网络成瘾会导致社会和教育功能障碍以及与父母发生冲突。网络成瘾与各种共病的精神障碍相关，网络成瘾与家庭因素之间存在显著关联。然而，关于父母的精神病理学情况知之甚少。本研究旨在在调整共病因素后，检查临床样本中网络成瘾的患病率以及网络成瘾与母亲抑郁和焦虑之间的关联。
2020年4月至2021年8月在日本大阪市立大学医院神经精神科进行了一项横断面研究。共对218名临床转介的儿童和青少年（8至15岁）使用网络成瘾测试进行评估，该测试是评估网络成瘾最常用的问卷之一，还使用了儿童行为清单（CBCL）以及学龄儿童情感障碍和精神分裂症的儿童版——目前和终生版。网络成瘾被定义为网络成瘾测试总分≥50分。其中，为了评估母亲的抑郁和焦虑情况，2021年1月之后转介的儿童的132名母亲也完成了K6测试。
共有68名参与者（31.2%）表现出网络成瘾，与未患网络成瘾者相比，他们在CBCL的总分、外化得分、社交焦虑障碍和对立违抗障碍方面得分更高。在调整年龄、性别和家庭收入后，网络成瘾与母亲的六项凯斯勒量表得分、由单亲抚养以及焦虑障碍相关（95%可信区间：1.023 - 1.215）。
母亲的抑郁和焦虑可能是儿童和青少年患网络成瘾的危险因素之一。关注母亲的抑郁和焦虑可能有助于对患有网络成瘾的儿童和青少年进行干预。
