Chen Yao, Tian Xiwen, Zhou Xuhui
The School of Clinical Medicine, Hunan University of Chinese Medicine, Changsha, Hunan, China.
Department of Addiction Medicine, Hunan Institute of Mental Health, The Second People's Hospital of Hunan Province (Brain Hospital of Hunan Province), Changsha, Hunan, China.
Front Psychiatry. 2025 Jul 8;16:1628723. doi: 10.3389/fpsyt.2025.1628723. eCollection 2025.
This study investigates the characteristics and typologies of family cohesion and adaptability among individuals diagnosed with Internet Addiction Disorder (IAD), and explores the associations between these family dynamics and levels of depression and anxiety. The findings aim to inform the theoretical underpinnings of family-based therapeutic interventions for IAD.
A cross-sectional survey design was adopted, employing four well-validated instruments: the Young Diagnostic Questionnaire for Addiction, the Family Cohesion and Adaptability Scale, the Depression Scale, and the Anxiety Scale. The sample comprised 150 individuals diagnosed with IAD from the outpatient department of the Second People's Hospital of Hunan Province, and a control group of 150 age- and gender-matched individuals without IAD. Statistical analyses, including independent sample t-tests and Pearson correlation analyses, were conducted using SPSS version 27.0.
(1) Compared to the control group, individuals with IAD reported significantly lower scores in both actual intimacy and actual adaptability, as well as in ideal adaptability, on the FACES scale (all P < 0.001). Dissatisfaction scores for both intimacy and adaptability were significantly higher in the IAD group (P < 0.002). The predominant family typologies identified in the IAD group were disengaged (49.3%) and rigid (80.0%). (2) Levels of depression and anxiety were significantly elevated in the IAD group compared to the control group (P < 0.001). (3) Actual and ideal scores of family intimacy and adaptability were negatively correlated with depression and anxiety scores in the IAD group (P < 0.05).
The findings highlight the necessity of a dual-focused intervention strategy. Preventive programs should prioritize individuals exhibiting lower levels of family cohesion and adaptability, with an emphasis on educating parents about the crucial influence of family dynamics on child development and providing guidance on improving the home environment. Concurrently, attention to the mental health of children is essential. Early identification and intervention for symptoms of depression and anxiety may help prevent the escalation of comorbid conditions such as Internet Addiction Disorder and emotional dysregulation, thereby enhancing the effectiveness of therapeutic outcomes.
本研究调查被诊断为网络成瘾障碍（IAD）的个体的家庭凝聚力和适应性的特征及类型，并探讨这些家庭动态与抑郁和焦虑水平之间的关联。研究结果旨在为基于家庭的IAD治疗干预的理论基础提供信息。
采用横断面调查设计，使用四种经过充分验证的工具：青少年成瘾诊断问卷、家庭凝聚力和适应性量表、抑郁量表和焦虑量表。样本包括来自湖南省第二人民医院门诊部的150名被诊断为IAD的个体，以及150名年龄和性别匹配的无IAD的对照组个体。使用SPSS 27.0进行统计分析，包括独立样本t检验和Pearson相关分析。
（1）与对照组相比，IAD个体在FACES量表上的实际亲密度、实际适应性以及理想适应性得分均显著较低（所有P < 0.001）。IAD组在亲密度和适应性方面的不满得分均显著更高（P < 0.002）。IAD组中确定的主要家庭类型是疏离型（49.3%）和僵硬型（80.0%）。（2）与对照组相比，IAD组的抑郁和焦虑水平显著升高（P < 0.001）。（3）IAD组中家庭亲密度和适应性的实际得分和理想得分与抑郁和焦虑得分呈负相关（P < 0.05）。
研究结果凸显了双重点干预策略的必要性。预防项目应优先关注家庭凝聚力和适应性水平较低的个体，重点是教育父母家庭动态对儿童发展的关键影响，并提供改善家庭环境的指导。同时，关注儿童的心理健康至关重要。对抑郁和焦虑症状的早期识别和干预可能有助于预防诸如网络成瘾障碍和情绪失调等共病状况的升级，从而提高治疗效果。
