摘要
目的观察多感官刺激干预对网络成瘾综合征(IAD)大学生心理状态、神经生物学及神经电生理指标的影响,以期为IAD干预方案的优化提供高质量证据。方法于2022—2023学年的春季学期开学时,采用整群随机抽样方法选择重庆第二师范学院大一、大二年级IAD大学生114名,随机分为对照组、体育锻炼组、观察组(各28人)。对照组进行常规心理干预,体育锻炼组在对照组基础上进行常规体育锻炼,观察组在对照组基础上进行多感官刺激干预;多感官刺激干预包括色彩、香薰、音乐、含片、揿针、推拿、太极、静功8种手段。干预时间为2023年4月1日至6月30日,3组均干预12周。观察干预前后中文网络成瘾量表修订版(CIAS-R)、自我控制量表(SCS)、症状自评量表(SCL-90)得分,测量血浆多巴胺(DA)和β-内啡肽(β-EP)质量体积浓度,并通过事件相关电位(ERP)分析N200的波幅和潜伏期水平。结果干预后,观察组CIAS-R评分(36.08±4.98)低于体育锻炼组(49.55±5.19)和对照组(54.82±4.10),SCS评分(76.08±1.98)高于体育锻炼组(66.16±1.92)和对照组(52.59±1.53),差异均有统计学意义(F值分别为12.08,13.18,P值均<0.05);SCL-90各个维度得分比较,观察组在躯体化、抑郁、焦虑、精神病性4个维度均低于其余两组,差异均有统计学意义(F值分别为9.11,8.92,8.17,8.48,P值均<0.05);在强迫症状、人际关系敏感、其他3个维度观察组低于对照组(F值分别为4.20,5.16,5.60,P值均<0.05);3组在恐怖、偏执2个维度得分差异均无统计学意义(F值分别为0.24,0.19,P值均>0.05);观察组在血浆DA、β-EP及N200的波幅和潜伏期水平均优于其余两组,差异均有统计学意义(F值分别为9.92,8.93,6.24,8.05,P值均<0.05)。结论多感官刺激干预可以缓解IAD大学生的相关症状,改善神经生物学和神经电生理指标。
Objective To observe the effects of multi-sensory stimulation(MSS)intervention on the psychological state,neurobiology,and neuroelectrophysiological indicators of college students with Internet addiction disorder(IAD),so as to provide high-quality evidence for the optimization of IAD intervention plans.Methods At the beginning of the spring semester of 2022-2023 academic year,114 first-year and sophomore IAD college students from Chongqing Second Normal University were selected by group random sampling method,and were randomly assigned into control group,physical exercise group,and observation group(28 in each group).The control group received routine psychological intervention,while the physical exercise group received routine physical exercise on the basis of the control group.The observation group received a MSS intervention on the basis of the control group.The MSS intervention included 8 means of color,incense,music,lozenges,press needle,massage,Tai Chi and static work.The intervention periocl was from April 1 to June 30,2023,and all three groups were intervened for 12 weeks.The revised Chinese Internet Addiction Scale(CIAS-R),Self Control Scale(SCS),Symptom Checklist-90(SCL-90)were observed before and after intervention,dopamine(DA)and β-Endorphin(β-EP)concentration were collected,and the amplitude and latency levels of N200 were analyzed by Event Related Potential(ERP).Results The CIAS-R score of the observation group(36.08±4.98)was lower than physical exercise group(49.55±5.19)and control group(54.82±4.10),and the SCS score of the observation group(76.08±1.98)was higher than physical exercise group(66.16±1.92)and control group(52.59±1.53)(F=12.08,13.18,P<0.05).In comparison of various dimensions of SCL-90,the observation group showed lower scores in the four dimensions of somatization,depression,anxiety,and psychoticism compared to the other two groups(F=9.11,8.92,8.17,8.48,P<0.05).In the dimensions of obsessive-compulsive symptoms,interpersonal sensitivity,and others in observation group were low
作者
李科
杨昆鹏
张姗姗
LI Ke;YANG Kunpeng;ZHANG Shanshan(School of Physical Education and Health Management,Chongqing Second Normal University,Chongqing(400060),China;不详)
出处
《中国学校卫生》
CAS
北大核心
2024年第4期539-543,548,共6页
Chinese Journal of School Health
基金
国家社会科学基金教育学一般课题项目(BLA200217)
重庆市教改重点课题项目(232144)
重庆市体育科研项目(D202209)。
关键词
因特网
行为
成瘾
精神卫生
神经生物学
干预性研究
学生
Intrernet
Behavior,addictive
Mental health
Neurobiology
Intervention studies
Students
