CAJ | 학술논문

目的了解网络成瘾住院患者冲动、攻击性人格特点以及经过综合性网瘾戒治后转归情况.方法采用Barratt冲动性量表(BIS)、Buss行为攻击问卷(BAS)、症状自评量表(SCL-90)分别对58例网络成瘾住院患者在入院1周内和综合性网瘾戒治3月后进行评估,并与54例正常对照比较.结果 ①IAD组治疗前冲动、攻击量表各因子分以及总分均比正常对照组高[BIS评分(99.3±15.1)分,(75.0±15.4)分,t=8.47,P＜0.01;BAS评分(78.3±24.4)分,(54.8±17.7)分,t=5.87,P＜0.01];治疗后冲动、攻击量表除躯体攻击外,其余各因子分以及总分明显降低但仍比正常对照高[BIS评分(86.3±16.6)分,(75.0±15.4)分,t=4.98,P＜0.01;BAS评分(66.2±22.6)分,(54.8±17.7)分,t=3.65,P＜0.01];②IAD组SCL-90总分与BAS量表总分存在显著相关性(r=0.376,P＜0.01),治疗后SCL-90总分降低值与BAS降低值亦存在相关(r=0.508,P＜0.01).结论网络成瘾组冲动、攻击性比正常对照组高,经治疗后其冲动、攻击性降低,但仍高于对照组.
목적 료해망락성은주원환자충동、공격성인격특점이급경과종합성망은계치후전귀정황.방법 채용Barratt충동성량표(BIS)、Buss행위공격문권(BAS)、증상자평량표(SCL-90)분별대58례망락성은주원환자재입원1주내화종합성망은계치3월후진행평고,병여54례정상대조비교.결과 ①IAD조치료전충동、공격량표각인자분이급총분균비정상대조조고[BIS평분(99.3±15.1)분,(75.0±15.4)분,t=8.47,P＜0.01;BAS평분(78.3±24.4)분,(54.8±17.7)분,t=5.87,P＜0.01];치료후충동、공격량표제구체공격외,기여각인자분이급총분명현강저단잉비정상대조고[BIS평분(86.3±16.6)분,(75.0±15.4)분,t=4.98,P＜0.01;BAS평분(66.2±22.6)분,(54.8±17.7)분,t=3.65,P＜0.01];②IAD조SCL-90총분여BAS량표총분존재현저상관성(r=0.376,P＜0.01),치료후SCL-90총분강저치여BAS강저치역존재상관(r=0.508,P＜0.01).결론 망락성은조충동、공격성비정상대조조고,경치료후기충동、공격성강저,단잉고우대조조.
Objective To explore the impulsivity and aggressivity,and its treatment outcomes of the inpatients with intemet addiction disorder (IAD) by intergration interview. Methods Barratt Impulsiveness Scale ( BIS), Buss Aggressive Scale (BAS) were used to assess the impulsiveness and aggressivity in 58 IAD patients, at the first week and after the point of intergration interview 3 months,54 normal subjects in the control group were conducted by BIS and BAS only when they were recruited. Results ①The intemet addiction group had significantly higher scores on the BIS and BAS total scores than the control group at the first week ( BIS score 99.3 ±15. 1vs 75.0 ± 15.4, t=8.47, P＜0. 01; BAS score 78.3 ±24.4 vs 54.8 ± 17.7, t=5.87 , P＜0. 01 ). IAD group had lower scores on the total scores of BIS-Ⅱ and BAS after intergration interview than before, but the subscales and total scores were higher than those in the control group ( BIS score 86.3 ± 16.6 vs 75.0 ± 15.4, t =4.98, P ＜ 0.01 ;BAS score 66.2 ± 22.6 vs 54.8 ± 17.7, t = 3.65, P ＜ 0. 01 ). ②Total score of SCL-90 in IAD group were significantly correlated with the BAS total score ( r=0. 376, P＜0. 01 ) ,and the decreased SCL-90 total score was also related with the decreased BAS score ( r= 0.508, P＜ 0. 01 ). Conclusion This study suggests that IAD group exhibit more impulsivity and aggressivity than those in the control group. After interview, their impulsivity and aggressivity are significantly decreased, but are still higher than those in the normal control group.