中国大学生的网络成瘾与自杀意念：精神病样体验的中介作用。
Internet addiction and suicidal ideation among Chinese college students: the mediating role of psychotic-like experiences.
机构信息
Graduate Institute for Taiwan Studies, Xiamen University, Xiamen, China.
Institute of Education, Xiamen University, Xiamen, China.
出版信息
Front Public Health. 2023 Sep 28;11:1276496. doi: 10.3389/fpubh.2023.1276496. eCollection 2023.
BACKGROUND
Individuals with Internet addiction (IA) are at significant risk of suicide-related behaviors. This study aimed to investigate the relationships among IA, psychotic-like experiences (PLEs), and suicidal ideation (SI) among college students.
METHODS
A total of 5,366 college students (34.4% male, mean age 20.02 years) were assessed using the self-compiled sociodemographic questionnaires, Revised Chinese Internet Addiction Scale (CIAS-R), 15-item Positive subscale of the Community Assessment of Psychic Experiences (CAPE-P15), Self-rating Idea of Suicide Scale (SIOSS), and 2-item Patient Health Questionnaire (PHQ-2).
RESULTS
The prevalence of IA and SI were 9.3 and 12.1% among Chinese college students, respectively. There were direct effects of IA and PLEs on SI. The total effect of IA on SI was 0.18 ( < 0.001). PLEs mediated the relationship between IA and SI (Indirect effect = 0.07).
CONCLUSION
IA had both direct and indirect effects on SI. These findings enable us to elucidate the mechanism of how IA influences individual SI, which can provide vital information for developing and implementing targeted interventions and strategies to alleviate SI among Chinese college students.
背景
网络成瘾者（IA）自杀相关行为的风险显著增加。本研究旨在探讨大学生网络成瘾、类精神病体验（PLEs）和自杀意念（SI）之间的关系。
方法
共评估了 5366 名大学生（34.4%为男性，平均年龄 20.02 岁），使用自编的社会人口学问卷、修订后的中文网络成瘾量表（CIAS-R）、社区心理体验评估的 15 项阳性量表（CAPE-P15）、自杀意念自评量表（SIOSS）和 2 项患者健康问卷（PHQ-2）。
结果
中国大学生的网络成瘾和自杀意念的患病率分别为 9.3%和 12.1%。IA 和 PLEs 对 SI 有直接影响。IA 对 SI 的总效应为 0.18（<0.001）。PLEs 介导了 IA 与 SI 之间的关系（间接效应=0.07）。
结论
IA 对 SI 有直接和间接的影响。这些发现使我们能够阐明 IA 影响个体 SI 的机制，为开发和实施针对中国大学生 SI 的干预和策略提供重要信息。
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