CAJ | 학술논문

背景：网络成瘾是否应该像赌博障碍一样被视为一种非物质相关的行为成瘾，一直以来倍受争论。如果这是一种行为成瘾，那么应该用什么诊断标准来定义这一成瘾。现有的网络成瘾诊断标准中生理症状和社会功能后果具有同样的诊断权重。目的：评估在网络成瘾者中与社会功能受损相关的心理因素。方法：广济医院从2011年7月至2013年12月接诊了因过度使用互联网产生相关心理问题并符合杨氏网络成瘾诊断标准的学生共133名。在符合网络成瘾社会功能受损严格标准的38名学生中，有31名完成了整套心理测验，在社会功能未受损的95名学生中随机抽取的44名也完成了心理测验。整套测验包括明尼苏达多相个性调查表（MMPI）中的7个附加量表、父母教养方式评价量表、领悟社会支持量表、特质应对方式问卷以及90项症状自评量表。结果：相较于社会功能未受损者，那些社会功能受损的网络成瘾学生人际关系敏感、敌对和偏执的程度要高，而社会责任感较弱，焦虑水平低，自我控制较差，家庭社会支持较弱，更可能采用消极的应对策略。然而，两组学生的父母教养方式没有显著差异。结论：符合网络成瘾生理标准的人群中只有一小部分报告同时存在使用网络相关的社会功能受损。一些心理社会测量工具可以区分网络成瘾者的社会功能是否受损。需要进一步的研究以确定社会功能受损或未受损是否为网络成瘾的两种不同亚型，并确定社会功能未受损的网络成瘾者是否应该被归为患有“精神障碍”。
배경：망락성은시부응해상도박장애일양피시위일충비물질상관적행위성은，일직이래배수쟁론。여과저시일충행위성은，나요응해용십요진단표준래정의저일성은。현유적망락성은진단표준중생리증상화사회공능후과구유동양적진단권중。목적：평고재망락성은자중여사회공능수손상관적심리인소。방법：엄제의원종2011년7월지2013년12월접진료인과도사용호련망산생상관심리문제병부합양씨망락성은진단표준적학생공133명。재부합망락성은사회공능수손엄격표준적38명학생중，유31명완성료정투심리측험，재사회공능미수손적95명학생중수궤추취적44명야완성료심리측험。정투측험포괄명니소체다상개성조사표（MMPI）중적7개부가량표、부모교양방식평개량표、령오사회지지량표、특질응대방식문권이급90항증상자평량표。결과：상교우사회공능미수손자，나사사회공능수손적망락성은학생인제관계민감、활대화편집적정도요고，이사회책임감교약，초필수평저，자아공제교차，가정사회지지교약，경가능채용소겁적응대책략。연이，량조학생적부모교양방식몰유현저차이。결론：부합망락성은생리표준적인군중지유일소부분보고동시존재사용망락상관적사회공능수손。일사심리사회측량공구가이구분망락성은자적사회공능시부수손。수요진일보적연구이학정사회공능수손혹미수손시부위망락성은적량충불동아형，병학정사회공능미수손적망락성은자시부응해피귀위환유“정신장애”。
Background:There is ongoing controversy about whether or not internet addiciton should be considered a non-substance behavioral addiction (like gambling disorder) and, if so, what diagnostic criteria should be used to deifne the condiiton. Current criteria for internet addiciton give equal diagnositc weight to the physiological symptoms and the social consequences of internet addiciton. Aim: Assess the psychological correlates of social dysfunciton among individuals with internet addiciton. Methods: A total of 133 students who sought treatment at the Guangji Psychiatric Hospital from July 2011 to December 2013 for psychological problems related to excessive internet use and who currently met Young criteria for internet addiciton were idenitifed; 31 of the 38 students who meet rigorous criteria for concurrent internet-related social dysfunciton and a random sample of 44 of the 95 students without concurrent social dysfunciton completed a battery of psychosocial measures: seven supplementary scales of the Minnesota Multiphasic Personality Inventory (MMPI), the Egna Minnen av Barndoms Uppfostran perceived parenitng scale, the Perceived Social Support Scale, the Trait Coping Style Quesitonnaire, and the Symptom Checklist 90. Results: Compared to persons with internet addiciton without accompanying social dysfunciton, those with social dysfunciton had higher levels of interpersonal sensiitvity, hositlity, and paranoia; lower levels of social responsibility, anxiety, self-control, and family social support; and they were more likely to employ negaitve coping strategies. There were however, no differences in perceived parenitng styles between the two groups. Conclusions: A relatively small proportion of individuals who meet the physiological markers of internet addiciton simultaneously report signiifcant internet-related social dysfunciton. There are several psychosocial measures that distinguish persons with internet addiction who do or do not have concurrent social dysfunction. Further research is needed to determine whether or not these are two distinct subtypes of internet addiciton and whether or not persons with internet addiciton without concurrent social dysfunciton should be classiifed as suffering from a ‘mental disorder’.