Wang Dongfang, Xu Bingna, Scherffius Andrew, Wei Hao, Li Yukai, Chen Huanhuan, Ma Zijuan, Fan Fang
School of Psychology, Centre for Studies of Psychological Applications, Guangdong Key Laboratory of Mental Health and Cognitive Science, Ministry of Education Key Laboratory of Brain Cognition and Educational Science, Guangdong Emergency Response Technology Research Center for Psychological Assistance in Emergencies, South China Normal University, Guangzhou, China.
School of Marxism, Zhejiang University, Hangzhou, China.
Early Interv Psychiatry. 2025 Jun;19(6):e70069. doi: 10.1111/eip.70069.
Previous literature suggests that sleep disturbance is linked to Internet addiction, however, there was not sufficient empirical evidence to validate the causal relationships connecting these two variables. Our research intended to investigate these bidirectional associations in an adolescent population.
In all, 27 260 adolescents were assessed from December 17 to 26, 2021 and again 6 months later from May 17 to June 5, 2022. To evaluate Internet addiction, researchers employed the Revised Chinese Internet Addiction Scale (CIAS-R), while sleep disturbance was assessed through a four-item questionnaire addressing issues such as: difficulty initiating sleep, difficulty maintaining sleep, early morning awakening, and poor sleep quality.
Sleep disturbance at baseline was linked to a higher probability of developing Internet addiction within 6 months, even after adjusting for relevant covariates. Similarly, individuals with Internet addiction at baseline exhibited a markedly increased risk of developing new-onset disturbance at the six-month follow-up.
This study highlights the bidirectional prospective links between sleep disturbance and Internet addiction among adolescents. The findings hold significant educational and clinical value, offering insights for managing Internet addiction alongside addressing sleep-related issues.
以往文献表明睡眠障碍与网络成瘾有关，但尚无足够的实证证据来证实这两个变量之间的因果关系。我们的研究旨在调查青少年群体中的这些双向关联。
总共对27260名青少年进行了评估，第一次评估时间为2021年12月17日至26日，6个月后的2022年5月17日至6月5日进行了再次评估。为评估网络成瘾，研究人员采用了修订后的中文网络成瘾量表（CIAS-R），而睡眠障碍则通过一份包含四个项目的问卷进行评估，这些项目涉及入睡困难、睡眠维持困难、早醒和睡眠质量差等问题。
即使在调整了相关协变量之后，基线时的睡眠障碍与6个月内发展为网络成瘾的较高可能性相关。同样，基线时患有网络成瘾的个体在6个月随访时出现新发睡眠障碍的风险显著增加。
本研究突出了青少年睡眠障碍与网络成瘾之间的双向前瞻性联系。这些发现具有重要的教育和临床价值，为管理网络成瘾以及解决与睡眠相关的问题提供了见解。
