CAJ | 학술논문

目的探讨心理治疗、行为治疗、家庭治疗、药物治疗和综合干预在网络成瘾戒治和病情转归中的作用.方法对150例网络成瘾患者以随机数字表法进行分组,分为心理治疗组、行为治疗组、家庭治疗组、药物治疗组和综合干预治疗组,并分别于入组前及干预治疗16周后进行网络成瘾和总体表现量表评定.结果各组治疗后网络成瘾测评分均明显低于治疗前[心理治疗组(72.13±14.55)分,(37.57±13.71)分,行为治疗组(69.57±15.06)分,(32.95±8.75)分,家庭治疗组(74.56±16.31)分,(35.84±13.03)分,药物治疗组(72.96±18.30)分,(21.19±1.88)分,综合治疗组(78.80±13.82)分,(16.92±2.04)分](均P ＜0.01);除药物治疗组,各研究组总体表现测评分治疗前后增分均差异有显著性(P ＜0.05,＜0.01);以网络成瘾减分值为因变量的多元逐步回归分析,在α＝0.05的水准下,进入回归方程的依次是综合干预、药物治疗、上网史,标化回归系数依次为0.454,0.301,-0.139;在以总体表现测评增分值为因变量的多元逐步回归分析中,在α＝0.05的水准下,进入回归方程的依次是综合干预、家庭治疗、上网史,标化回归系数依次为0.444,0.256,-0.140.结论心理、行为、家庭、药物、综合之各种治疗方法戒治网络成瘾均有效,对总体行为表现的改善除药物治疗外其他各种治疗方法均有效,无论是网络成瘾戒治还是总体行为表现的改善均以综合干预疗效最佳;上网史与疗效呈负相关.
목적 탐토심리치료、행위치료、가정치료、약물치료화종합간예재망락성은계치화병정전귀중적작용.방법 대150례망락성은환자이수궤수자표법진행분조,분위심리치료조、행위치료조、가정치료조、약물치료조화종합간예치료조,병분별우입조전급간예치료16주후진행망락성은화총체표현량표평정.결과 각조치료후망락성은측평분균명현저우치료전[심리치료조(72.13±14.55)분,(37.57±13.71)분,행위치료조(69.57±15.06)분,(32.95±8.75)분,가정치료조(74.56±16.31)분,(35.84±13.03)분,약물치료조(72.96±18.30)분,(21.19±1.88)분,종합치료조(78.80±13.82)분,(16.92±2.04)분](균P ＜0.01);제약물치료조,각연구조총체표현측평분치료전후증분균차이유현저성(P ＜0.05,＜0.01);이망락성은감분치위인변량적다원축보회귀분석,재α＝0.05적수준하,진입회귀방정적의차시종합간예、약물치료、상망사,표화회귀계수의차위0.454,0.301,-0.139;재이총체표현측평증분치위인변량적다원축보회귀분석중,재α＝0.05적수준하,진입회귀방정적의차시종합간예、가정치료、상망사,표화회귀계수의차위0.444,0.256,-0.140.결론 심리、행위、가정、약물、종합지각충치료방법계치망락성은균유효,대총체행위표현적개선제약물치료외기타각충치료방법균유효,무론시망락성은계치환시총체행위표현적개선균이종합간예료효최가;상망사여료효정부상관.
Objective To discuss the effect and discipline during the treatment of internet addiction and turnover of pathogenetic condition by using psychotherapy, behavior therapy, family therapy, and comprehensive intervention.Methods 150 internet addiction patients were divided with random number table into psychotherapy group, behavioral therapy group, family therapy group, pharmacotherapy group and comprehensive intervention therapy group. Assessments and evaluations were taken before the grouping and 16 weeks after treatment respectively.Results For each therapy group, the points after the treatment were obviously lower than before[psychotherapy group:72.13±14.552 vs 37.57±13.711;behavior therapy group:69.57±15.065 vs 32.95±8.755;family therapy group:74.56±16.310 vs 35.84±13.034;medication group:72.96±18.308 vs 21.19±1.882;comprehensive therapy group:78.80±13.829 vs 16.92±2.040;All P ＜0.01].By using comparison among groups, obvious differences of evaluation deduction were observed in following groups:psycho-comprehensive,behavior-comprehensive,family-comprehensive,psycho-medication,behavior-medication family-medication,and medication-comprehensive. T-value one by one,5.471,5.782,4.730( P ＜0.01),3.956, 3.784( P ＜0.01), 2.786( P ＜0.01),1.740( P ＜0.05).Except for the medication group, the general performance scores before and after the treatments for each group have obvious difference.By using comparison among groups, obvious differences of general performance were observed in following groups:family-comprehensive, behavior-comprehensive, medication-comprehensive, psycho-comprehensive, psycho-family, family-medication, behavior-medication, and psycho-medication. T-value one by one,8.878, 6.734, 4.715,4.305( P ＜0.01), 3.864( P ＜0.01), 2.863, 2.553, 2.016( P ＜0.05).In the multiple regression analysis by using deduction value as the dependent variable and α=0.05, the order for entering the regression equation was as follows:comprehensive intervention, medication, on-line history. The coefficient of regression one by one: 0.454, 0.301, and -0.139.In the multiple regression analysis by using general performance scores as the dependent variable and α=0.05, the order for entering the regression equation was as follows:comprehensive intervention, family therapy, and on-line history. The coefficient of regression one by one:0.444, 0.256, -0.140.Conclusion To treat Internet addiction, psychotherapy, behavior therapy,medication, family therapy, and comprehensive therapy are all effective. Except for the medication group,all other methods have positive effect on the improvement of general performance. Comprehensive intervention guarantees the optimal effectiveness for both the Internet addiction treatment and the improvement of general performance. On-line history has a negative correlation with effectiveness.