青少年孤独感与网络或智能手机成瘾之间的关系:一项系统综述和荟萃分析

The Relationship Between Loneliness and Internet or Smartphone Addiction Among Adolescents: A Systematic Review and meta-Analysis.

作者信息

Ge Meng-Wei, Hu Fei-Hong, Jia Yi-Jie, Tang Wen, Zhang Wan-Qing, Zhao Dan-Yan, Shen Wang-Qin, Chen Hong-Lin

机构信息

School of Medicine, Nantong University, Nantong, China.

School of Public Health, Nantong University, Nantong, China.

出版信息

Psychol Rep. 2025 Jun;128(3):1429-1451. doi: 10.1177/00332941231180119. Epub 2023 Jun 1.

Abstract

Loneliness is a common public health problem that influences people's physical and mental health. There is a high incidence of loneliness in adolescents. Some research suggested that smartphone or Internet addiction (SA or IA) may be a factor. But the relationship between loneliness and SA or IA is not completely clear among adolescents. We aim to estimate the correlation coefficient r between them. Databases, consisting of PubMed and Web of Science, were retrieved systematically for studies of the association between adolescents' loneliness and SA or IA. The Newcastle-Ottawa Scale was chosen as an assessment tool in this analysis. We estimated the correlation coefficient r between loneliness and SA or IA and drew a forest plot. Moreover, moderator analyses were also conducted to explore what leads to heterogeneity in our study. 21 studies were finally included in our analysis with 27,843 samples. The pooled correlation coefficient r was 0.252 (95% confidence interval: [0.173, 0.329]; < 0.001) with low heterogeneity (I = 0.000%; Q = 23.616; < 0.001), indicating a moderate positive association. The funnel plot indicated small publication bias. A one-study removal sensitivity analysis indicated there was no significant difference between these studies. Meta-regression indicated no significant difference between the results and age (Q = 11.94, df = 18, = 0.8504). Our analysis indicated a moderate positive association between loneliness and SA or IA. The results may attract the attention of some experts who study adolescent psychological problems and behavioral problems and may provide ideas for their research in the future.

摘要

孤独是一个影响人们身心健康的常见公共卫生问题。青少年中孤独的发生率很高。一些研究表明,智能手机或网络成瘾(SA或IA)可能是一个因素。但在青少年中,孤独与SA或IA之间的关系尚不完全清楚。我们旨在估计它们之间的相关系数r。系统检索了由PubMed和Web of Science组成的数据库,以查找有关青少年孤独与SA或IA之间关联的研究。本分析选择纽卡斯尔-渥太华量表作为评估工具。我们估计了孤独与SA或IA之间的相关系数r,并绘制了森林图。此外,还进行了调节分析,以探讨导致我们研究中异质性的因素。最终,我们的分析纳入了21项研究,共27843个样本。合并相关系数r为0.252(95%置信区间:[0.173, 0.329];P<0.001),异质性较低(I² = 0.000%;Q = 23.616;P<0.001),表明存在中度正相关。漏斗图显示发表偏倚较小。一项研究剔除敏感性分析表明这些研究之间没有显著差异。Meta回归表明结果与年龄之间没有显著差异(Q = 11.94,自由度 = 18,P = 0.8504)。我们的分析表明孤独与SA或IA之间存在中度正相关。该结果可能会引起一些研究青少年心理问题和行为问题的专家的关注,并可能为他们未来的研究提供思路。

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