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青少年精神病患者网络使用问题的双向视角:预测因素与相关因素

Two-way perspective on problematic internet use in adolescent psychiatric patients: predictive and associated factors.

作者信息

Gul Melike Kevser, Demirci Esra, Ozmen Sevgi

机构信息

Department of Child and Adolescent Psychiatry, Erciyes University School of Medicine, Kayseri, Türkiye.

出版信息

Nord J Psychiatry. 2025 Jul;79(5):372-379. doi: 10.1080/08039488.2025.2508947. Epub 2025 May 23.

Abstract

OBJECTIVE

This study aimed to investigate the relationship between problematic Internet use (PIU) and suicide probability, aggression, and impulsivity in an adolescent clinical sample.

METHODS

Four hundred and eighty-four adolescents who applied to the child psychiatry outpatient clinic of a university hospital were included in the study. They filled out a sociodemographic data form, the Internet Addiction Test (IAT), the Suicide Probability Scale (SPS), the Barratt Impulsiveness Scale-11-Short Form (BIS-11-SF), and the Buss-Perry Aggression Questionnaire (BPAQ).

RESULTS

The time spent on the Internet, BIS-11-SF/MI, BIS-11-SF/AI, SPS subscales, and BPAQ scores of adolescents with PIU were significantly higher compared to those of normal Internet users. Having a computer at home, having a smartphone, time spent on the Internet, older age, SPS/hopelessness, and BPAQ scores were found to be predictive factors of PIU, but psychiatric diagnoses had no predictive effect ( > 0.05). SPS/hopelessness and BPAQ scores were statistically significant in distinguishing adolescents with PIU from those without. BIS-11-SF, SPS/hopelessness scores, and time spent on the Internet were the most important factors in predicting IAT total scores.

CONCLUSIONS

Determining the relationship between PIU, aggression, suicidal behavior, and impulsivity in adolescents will be effective in protecting them from potential harm.

摘要

目的

本研究旨在调查青少年临床样本中网络使用问题(PIU)与自杀可能性、攻击性和冲动性之间的关系。

方法

本研究纳入了484名申请大学医院儿童精神科门诊的青少年。他们填写了一份社会人口统计学数据表、网络成瘾测试(IAT)、自杀可能性量表(SPS)、巴拉特冲动性量表-11-简表(BIS-11-SF)和布斯-佩里攻击性问卷(BPAQ)。

结果

与正常网络使用者相比,有PIU的青少年在互联网上花费的时间、BIS-11-SF/MI、BIS-11-SF/AI、SPS子量表和BPAQ得分显著更高。发现家中有电脑、有智能手机、在互联网上花费的时间、年龄较大、SPS/绝望感和BPAQ得分是PIU的预测因素,但精神科诊断没有预测作用(>0.05)。SPS/绝望感和BPAQ得分在区分有PIU和无PIU的青少年方面具有统计学意义。BIS-11-SF、SPS/绝望感得分和在互联网上花费的时间是预测IAT总分的最重要因素。

结论

确定青少年PIU、攻击性、自杀行为和冲动性之间的关系将有效地保护他们免受潜在伤害。

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