摘要
目的:新冠肺炎疫情流行期间,问题性网络使用(problematic internet use,PIU)发生率较前明显升高。本研究拟探讨儿童青少年精神障碍患者PIU的发生率及危险因素。方法:选取精神分裂症、抑郁障碍、童年情绪障碍儿童青少年患者,收集一般人口学资料及临床数据,采用中文版杨氏网络成瘾量表(IAT)评估患者PIU的严重程度。结果:PIU组与非PIU组患者在疾病类别、自身健康水平、体育锻炼、每周早饭次数、入睡困难、夜间多醒、师生关系、家庭经济情况、遭受网络欺凌、自杀意念及自杀行为等方面存在统计学差异(P<0.05)。相关分析显示,精神障碍患儿共病PIU与较差的健康水平,较少的体育锻炼及每周早饭次数,较差的师生关系、睡眠质量及家庭经济状况,遭受过网络欺凌、既往存在自杀意念或行为等方面差异有统计学意义(P<0.05)。二元Logistic回归分析发现,较差的自身健康水平、较差的师生关系是精神障碍患儿伴PIU的危险因素。结论:与不伴PIU的精神障碍患儿相比,伴PIU的患儿表现出更多的不良生活方式、睡眠质量欠佳、较多的行为障碍。而PIU的解决可能有效缓解精神障碍儿童的病情程度,同时为疾病预后带来一定帮助。
Objective:During the COVID-19 pandemic,the prevalence of problematic internet use(PIU)increased significantly.This study aimed to investigate the incidence and risk factors of PIU in children and adolescents with mental disorders.Method:Children and adolescents with schizophrenia,depressive disorder or childhood mood disorder were selected.General demographic data and clinical data were collected.The severity of PIU was assessed by the Chinese Version of Young's Internet Addiction Test(IAT).Results:There were statistical differences between PIU group and non-PIU group in disease category,health level,physical exercise,weekly break fast frequency,difficulty in falling asleep,waking at night,teacher-student relationship,family economic situation,cyberbullying,suicidal ideation and suicidal behavior(P<0.05).Correlation analysis showed that comorbidity of PIU in children with mental disorders was significantly associated with poor health,less physical exercise and breakfast frequency per week,poor teacher-student relationship,sleep quality and family economic status,experience of cyberbullying,and history of suicidal ideation or behavior(P<0.05).Binary Logistic regression analysis showed that poor health and poor teacher-student relationship were risk factors for PIU in children and adolescents with mental disorders.Conclusion:Compared with children with mental disorders without PIU,children with PIU showed more adverse lifestyle,poor sleep quality and more behavioral disorders.The treatment of PIU may effectively alleviate the severity of children with mental disorders,and at the same time bring some help to the prognosis of the disease.
作者
刘志伟
刘寰忠
孙亮
张大鹏
张兆坤
刘云
姚高峰
杨荣春
LIU Zhi-wei;LIU Huan-zhong;SUN Liang;ZHANG Da-peng;ZHANG Zhao-kun;LIU Yun;YAO Gao-feng;YANG Rong-chun(The Third People's Hospital of Fuyang,Fuyang 236015,China)
出处
《临床精神医学杂志》
CAS
2023年第5期391-394,共4页
Journal of Clinical Psychiatry
关键词
精神障碍
儿童青少年
问题性网络使用
发生率
mental disorders
children and adolescents
problematic internet use
prevalence
