CAJ | 학술논문

目的了解网络成瘾与青少年自杀行为的相关关系,如果存在相关关系,并考察能否被抑郁以及冲动相关行为部分或全部解释.方法合肥市3507名使用网络的中学生完成问卷调查.内容包括Young网络成瘾诊断量表,自杀行为、抑郁量表,冲动相关的行为以及不良经历等调查表.采用层次logistic回归模型在调整混杂因素的基础上,分析网络成瘾与青少年自杀行为的相关关系及抑郁和冲动相关行为在上述相关关系中的作用.结果 3507名学生有182名(5.2%)被诊断为网络成瘾;过去一年有自杀意念、计划和未遂的学生比例分别为27.4%、9.5%和2.6%.网络成瘾与自杀意念、计划和未遂的关联指标OR值分别为1.79(95%CI:1.32～2.44)、2.32(95%CI:1.57～3.42)和2.08(95%CI:1.03～4.22),调整人口学和不良经历变量后,网络成瘾与自杀未遂的关联无统计学意义.抑郁和冲动相关行为分别引入以网络成瘾为自变量的方程,网络成瘾与自杀意念和计划的关联出现不同程度的下降;相反,若将网络成瘾引入以抑郁或(和)冲动相关行为自变量的方程,抑郁或(和)冲动相关行为与自杀意念和计划的关联未见明显变化.结论网络成瘾与自杀意念、自杀计划存在关联,且该关联的路径可能由抑郁和冲动相关行为介导.
목적 료해망락성은여청소년자살행위적상관관계,여과존재상관관계,병고찰능부피억욱이급충동상관행위부분혹전부해석.방법 합비시3507명사용망락적중학생완성문권조사.내용포괄Young망락성은진단량표,자살행위、억욱량표,충동상관적행위이급불량경력등조사표.채용층차logistic회귀모형재조정혼잡인소적기출상,분석망락성은여청소년자살행위적상관관계급억욱화충동상관행위재상술상관관계중적작용.결과 3507명학생유182명(5.2%)피진단위망락성은;과거일년유자살의념、계화화미수적학생비례분별위27.4%、9.5%화2.6%.망락성은여자살의념、계화화미수적관련지표OR치분별위1.79(95%CI:1.32～2.44)、2.32(95%CI:1.57～3.42)화2.08(95%CI:1.03～4.22),조정인구학화불량경력변량후,망락성은여자살미수적관련무통계학의의.억욱화충동상관행위분별인입이망락성은위자변량적방정,망락성은여자살의념화계화적관련출현불동정도적하강;상반,약장망락성은인입이억욱혹(화)충동상관행위자변량적방정,억욱혹(화)충동상관행위여자살의념화계화적관련미견명현변화.결론 망락성은여자살의념、자살계화존재관련,차해관련적로경가능유억욱화충동상관행위개도.
Objective To examine the association between internet addiction and suicidal behaviors in adolescences and to explore whether the association could be partly or fully accounted by depression or/and behaviors related to the impulsity. Methods A total of 3507 urban adolescent students in Hefei were administered to complete the questionnaire concerning interact addiction disorder(IAD), suicidal behaviors during the 12 months preceding the survey, behaviors related to the impulsity, Center for Epidemiologic Studies Depression Scale and early childhood adversities,respectively. Hierarchical logistic regressions were used to evaluate the associations and possible roles of depression and behaviors related to the impulsity between internet addition and suicidal behaviors after adjustment for confounding factors. Results Of the 3507 participants, 5.2% were diagnosed as IAD, 27.4% reported suicidal ideation during the 12 months preceding the survey, with another 9.5% had a plan and 2.6% had an attempt. Internet addition was associated with suicidal ideation(OR=1.79, 95%CI: 1.32-2.44), plan(OR=2.32, 95%CI: 1.57-3.42), and attempt(OR=2.08, 95%CI:1.03-4.22). After adjustment for potential confounding factors, the association between internet addition and attempt was insignificant. When depression and behaviors related to the impulsity were entered into Hierarchical regression respectively, the associations between internet addition, suicidal ideation and plan were substantially reduced. While internet addition was enter into Hierarchical regression, the associations between depression, behaviors related to the impulsity, suicidal ideation and plan were not reduced. Conclusion Adolescent intemet addition seems to be associated with suicidal ideation and plan, and the association is possibly mediated by depression and behaviors related to the impulsity.