青少年抑郁障碍与网络成瘾的关系:社交回避和学业挫败感的中介作用

doi:10.6040/j.issn.1671-7554.0.2024.0903

摘要/Abstract

摘要： 目的探讨社交回避与学业挫败感在青少年抑郁障碍与网络成瘾关系中的中介效应。方法选择2021年5月至2022年10月在精神卫生类机构门诊就诊和住院治疗的463例青少年抑郁障碍患者。采用儿童抑郁量表、社交回避与苦恼量表、挫败感量表以及Young的网络成瘾量表进行评估。使用SPSS 26.0 PROCESS v4.1程序进行中介效应分析,采用偏差矫正的非参数百分位Bootstrap方法进行中介效应检验。结果网络成瘾、抑郁障碍青少年抑郁程度、社交回避、学业挫败感两两之间呈显著正相关。社交回避和学业挫败感在抑郁障碍青少年抑郁程度与网络成瘾之间起平行中介作用,中介效应量分别为0.136(95%CI:0.028~0.243)和0.276(95%CI:0.079~0.475)。结论抑郁障碍青少年抑郁程度不仅直接影响网络成瘾,而且还通过社交回避和学业挫败感的中介作用间接影响网络成瘾。未来在临床工作中应采用针对社交回避和学业挫败感的干预方式,以减少抑郁障碍青少年发生网络成瘾的风险。

关键词: 青少年, 抑郁障碍, 网络成瘾, 社交回避, 学业挫败感

Abstract: Objective To examine the mediating effects of social avoidance and academic defeat on the relationship between adolescent depressive disorder and internet addiction. Methods A total of 463 adolescents diagnosed with a diagnosis of depressive disorder, who sought outpatient and inpatient treatment in mental facilities between May 2021 and October 2022 were assessed using Childrens Depression Inventory, Social Avoidance and Distress Scale, Defeat Scale, and Internet Addiction Test. The mediating effect analysis was performed using SPSS 26.0 with the PROCESS v4.1 macro, using the bias-corrected non-parametric percentile bootstrap method for mediation testing. Results Significant positive correlations were found between internet addiction, depression severity, social avoidance, and academic defeat. Social avoidance and academic defeat played parallel mediating roles in the relationship between depressive severity and internet addiction, with mediation effects of 0.136(95%CI: 0.028-0.243)and 0.276(95%CI: 0.079-0.475), respectively. Conclusion The severity of depression in adolescents with depressive disorder not only directly influences internet addiction, but also indirectly affects it through the mediating roles of social avoidance and academic defeat. Future clinical practice should implement interventions targeting social avoidance and academic defeat to reduce the risk of internet addiction in adolescents with depressive disorder.

Key words: Adolescents, Depressive disorder, Internet addiction, Social avoidance, Academic defeat

中图分类号:

R395.1

赵心睿,李静雅,孔令华,李丛冉,韦雨欢,杨楹. 青少年抑郁障碍与网络成瘾的关系:社交回避和学业挫败感的中介作用[J]. 山东大学学报 (医学版), 2024, 62(12): 65-70.

ZHAO Xinrui, LI Jingya, KONG Linghua, LI Congran, WEI Yuhuan, YANG Ying. Relationship between adolescent depressive disorder and internet addiction: the mediating effects of social avoidance and academic defeat[J]. Journal of Shandong University (Health Sciences), 2024, 62(12): 65-70.

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