Hamad Nagwa Ibrahim, Eweida Rasha Salah, Rashwan Zohour Ibrahim, Menessy Reem Farag Mahrous, Khaled Asmaa Mohammed Saad
Pediatric Nursing Department, Faculty of Nursing, Alexandria University, Egypt.
Psychiatric and Mental Health Nursing Department, Faculty of Nursing, Alexandria University, Egypt; Psychiatric and Mental Health Specialty, Nursing Department, College of Health and Sport Sciences, University of Bahrain, Bahrain.
J Pediatr Nurs. 2023 Nov-Dec;73:e227-e235. doi: 10.1016/j.pedn.2023.09.015. Epub 2023 Sep 23.
This study aimed to investigate the relationship between Compulsive Digital Use (CDU), escapism, and loneliness among school-age children.
A quantitative, non-experimental, descriptive correlational study was conducted at 16 governmental preparatory schools affiliated with the Ministry of Education in Alexandria, Egypt. A simple random sampling of 300 school-age children participated in the study after obtaining the informed consent from the parents/guardians and assent from children.
The main study findings showed that 74% of school-age children had a subthreshold level of CDU, and 21.7% demonstrated a pathological/ addictive level. Compulsive digital use showed a significant positive correlation with both total escapism and loneliness scores (r = 0.689, p < 0.001 and r = 0.329, p = 0.005, respectively).
Children spend more than the recommended daily duration online. They reported having sleeping problems, especially insomnia, and poor academic achievement due to internet overuse. Most children had subthreshold level of CDU and one-quarter of them reached the addictive level. They reported that internet use helped them escape from the world of reality, unpleasant and worrisome things, as well as problems and pressures. Children reported loneliness and felt that people were around but not with them. Female gender and the employment of both parents were significantly associated with developing CDU. Escapism and loneliness among children were positively correlated with CDU.
Awareness-raising campaigns regarding internet usage should be launched for school-age children and their parents to address its emerging psychosocial risks and challenges.
本研究旨在调查学龄儿童强迫性数字使用(CDU)、逃避现实和孤独感之间的关系。
在埃及亚历山大市教育部下属的16所政府预备学校进行了一项定量、非实验性、描述性相关性研究。在获得家长/监护人的知情同意和儿童的同意后,对300名学龄儿童进行简单随机抽样参与研究。
主要研究结果显示,74%的学龄儿童有亚阈值水平的CDU,21.7%表现出病理性/成瘾水平。强迫性数字使用与逃避现实总分和孤独感得分均呈显著正相关(分别为r = 0.689,p < 0.001和r = 0.329,p = 0.005)。
儿童上网时间超过推荐的每日时长。他们报告有睡眠问题,尤其是失眠,且因过度使用互联网学业成绩不佳。大多数儿童有亚阈值水平的CDU,其中四分之一达到成瘾水平。他们报告称上网帮助他们逃离现实世界、不愉快和令人担忧的事情以及问题和压力。儿童报告感到孤独,觉得身边有人但却没有陪伴。女性性别和父母双方就业与CDU的发展显著相关。儿童的逃避现实和孤独感与CDU呈正相关。
应为学龄儿童及其家长开展关于互联网使用的提高认识活动,以应对其新出现的社会心理风险和挑战。