Milkovich Libby Matile, Randell Kimberly A, Sherman Ashley K, Moreno Megan A
Division of Developmental and Behavioral Health, Department of Pediatrics, Children's Mercy Kansas City, University of Missouri-Kansas City School of Medicine, Kansas City, MO.
Division of Emergency Medicine, Department of Pediatrics, Children's Mercy Kansas City, University of Missouri-Kansas City School of Medicine, Kansas City, MO.
J Dev Behav Pediatr. 2025;46(1):e40-e44. doi: 10.1097/DBP.0000000000001328. Epub 2024 Dec 3.
Adolescents with problematic internet use (PIU) have excessive, impulsive, or risky internet use that negatively affects social, physical, and functional outcomes. The role of parents in the prevention of adolescent PIU remains unclear. The purpose of this study was to evaluate possible association between adolescent PIU, parent PIU, and internet-related parenting factors.
Adolescents aged 12 to 18 years and a parent were recruited through national Qualtrics panels for an online cross-sectional survey. Adolescents and parents completed the Problematic and Risky Internet Use Screening Scale-3 (PRIUSS-3) and Internet-Specific Parenting Practices (ISPP) scales for (1) internet content (ISPP-content) and (2) time on the internet (ISPP-time). Adolescents completed ISPP for quality of parent communication regarding internet use (ISPP-Quality). Bivariate analyses examined relationships between adolescent PIU, parent PIU, and ISPP.
In total, 4558 adolescents and 4568 parents completed surveys. Adolescent PIU prevalence was 69.9%. Parent PIU prevalence was 61.4%. Among parents with PIU, 87% had an adolescent with PIU compared with only 42% of parents without PIU (OR = 9.54, 95% CI: 8.24-11.05). More lenient content parenting practices and stricter time parenting practices were associated with increased likelihood of adolescent PIU. The quality of parent communication around the internet was lower for adolescents with PIU.
Study findings suggest that coaching around positive parent-child relationships and healthy family internet use habits that include shared digital experiences may more effectively address PIU than enforcing child screen time limits.
有问题的互联网使用(PIU)的青少年存在过度、冲动或有风险的互联网使用行为,这会对社交、身体和功能方面的结果产生负面影响。父母在预防青少年PIU方面的作用仍不明确。本研究的目的是评估青少年PIU、父母PIU以及与互联网相关的养育因素之间可能存在的关联。
通过全国性的Qualtrics面板招募12至18岁的青少年及其父母参与一项在线横断面调查。青少年和父母完成了问题性和风险性互联网使用筛查量表-3(PRIUSS-3)以及针对(1)互联网内容(ISPP-内容)和(2)上网时间(ISPP-时间)的特定于互联网的养育方式(ISPP)量表。青少年完成了关于父母在互联网使用方面沟通质量的ISPP(ISPP-质量)。双变量分析检验了青少年PIU、父母PIU和ISPP之间的关系。
共有4558名青少年和4568名父母完成了调查。青少年PIU的患病率为69.9%。父母PIU的患病率为61.4%。在有PIU的父母中,87%的孩子有PIU,而在没有PIU的父母中这一比例仅为42%(比值比=9.54,95%置信区间:8.24-11.05)。更宽松的内容养育方式和更严格的时间养育方式与青少年PIU可能性的增加相关。有PIU的青少年在互联网方面的父母沟通质量较低。
研究结果表明,围绕积极的亲子关系和包括共享数字体验在内的健康家庭互联网使用习惯进行指导,可能比强制设定孩子的屏幕时间限制更有效地解决PIU问题。