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中国青少年社交媒体成瘾与网络游戏障碍中心理和睡眠症状的不同特征——一项网络分析

Different Characteristics of Psychological and Sleep Symptoms Across Social Media Addiction and Internet Gaming Disorder in Chinese Adolescents- A Network Analysis.

作者信息

Zhang Wanling, Jiang Liwen, Yu Minglan, Ma Rong, Wang Tingting, Liang Xuemei, He Rongfang, Xu Chun, Hu Shasha, Tan Youguo, Liu Kezhi, Xiang Bo

机构信息

Department of Psychiatry, Fundamental and Clinical Research on Mental Disorders Key Laboratory of Luzhou, Medical Laboratory Center, Affliated Hospital of Southwest Medical University, Luzhou, China.

School of Pharmacy, Southwest Medical University, Luzhou, China.

出版信息

Psychiatry Investig. 2024 Jul;21(7):782-791. doi: 10.30773/pi.2023.0103. Epub 2024 Jul 24.

Abstract

OBJECTIVE

Previous research has explored a variety of mental disorders associated with Internet Gaming Disoder (IGD) and Social Media Addiction (SMA). To date, few studies focused on the network characteristics and investigated mood and sleep symptoms across SMA and IGD of adolescence at a group-specific level. This study aims to identify different characteristics of IGD and SMA and further determine the group-specific psychopathology process among adolescents.

METHODS

We conducted a cross-sectional study to recruit a cohort of 7,246 adolescents who were scored passing the cutoff point of Internet Gaming Disorder Scale-Short Form and Bergen Social Media Addiction Scale, as grouped in IGD and SMA, or otherwise into the control group. Patient Health Questionnaire-9, Generalized Anxiety Disorder 7-item, and Pittsburgh Sleep Quality Index were assessed for the current study, and all assessed items were investigated using network analysis.

RESULTS

Based on the analytical procedure, the participants were divided into three groups, the IGD group (n=789), SMA group (n=713) and control group (n=5,744). The edge weight bootstrapping analysis shows that different groups of networks reach certain accuracy, and the network structures of the three groups are statistically different (pcontrol-IGD=0.004, pcontrol-SMA<0.001, pIGD-SMA<0.001). The core symptom of SMA is "feeling down, depressed, or hopeless", while IGD is "feeling tired or having little energy".

CONCLUSION

Although IGD and SMA are both subtypes of internet addiction, the psychopathology processes of IGD and SMA are different. When dealing with IGD and SMA, different symptoms should be addressed.

摘要

目的

以往研究探索了与网络游戏障碍(IGD)和社交媒体成瘾(SMA)相关的多种精神障碍。迄今为止,很少有研究关注网络特征,并在特定群体层面调查青少年SMA和IGD中的情绪和睡眠症状。本研究旨在识别IGD和SMA的不同特征,并进一步确定青少年中特定群体的精神病理过程。

方法

我们进行了一项横断面研究,招募了7246名青少年队列,他们在网络游戏障碍量表简版和卑尔根社交媒体成瘾量表的截止点得分合格,分为IGD组和SMA组,或其他分为对照组。本研究评估了患者健康问卷-9、广泛性焦虑症7项和匹兹堡睡眠质量指数,所有评估项目均采用网络分析进行调查。

结果

根据分析程序,参与者分为三组,IGD组(n = 789)、SMA组(n = 713)和对照组(n = 5744)。边权重自举分析表明,不同组的网络达到了一定的准确性,三组的网络结构在统计学上存在差异(p对照组-IGD = 0.004,p对照组-SMA < 0.001,pIGD-SMA < 0.001)。SMA的核心症状是“情绪低落、沮丧或绝望”,而IGD是“感到疲倦或精力不足”。

结论

虽然IGD和SMA都是网络成瘾的亚型,但IGD和SMA的精神病理过程不同。在处理IGD和SMA时,应针对不同症状进行处理。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f0e5/11298265/07c07434e9a2/pi-2023-0103f1.jpg

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