青少年学生网络成瘾与心理健康的关系

目的探讨网络成瘾症（IAD）和网络成瘾倾向（IAT）学生抑郁症、焦虑症状况,分析IAD、IAT与学生心理健康的关系。方法整群分层随机抽取天津市9所学校8 694名学生为研究对象,以自行设计的“青少年学生网络成瘾调查信息测评系统”为工具,对学生网络使用情况和身心健康状况进行调查。结果上网者抑郁症检出率为24.47%,IAD抑郁症检率32.16%,IAT抑郁症检出率26.83%,上网无瘾（Non-IA）抑郁症检出率23.17%。上网者焦虑症检出率为3.32%,IAD焦虑症检率12.13%,IAT焦虑症检出率3.72%,上网无瘾焦虑症检出率2.26%。抑郁等级、焦虑等级均与网络成瘾程度有线性相关关系（P〈0.05）。既有抑郁症又有焦虑症的IAD检出率为8.08%,IAT检出率为2.78%,Non-IA检出率为1.55%。16种身体自觉症状与网络成瘾程度均有正相关关系（P〈0.05）,同时存在〉6个症状的比例IAD（3.71%）〉IAT（0.72%）〉Non-IA（0.34%）。结论随着网络成瘾程度的增加,抑郁症与焦虑症的严重程度相应地增加,网络成瘾与青少年的心理健康关系十分密切,但其因果关系有待进一步研究证实。

A Study on Relationship between IAD,IAT and Mental Health among Adolescent Students

Objective To investigate the detection rate of IAD or IAT and the degree of depression,anxiety and self-conscious-symptoms of IAD or IAT cases in adolescent students,and to analyze the relationship between IA and mental health.Methods 8 694 students from 9 schools in Tianjin by systemic stratified random sampling were investigated on the conditions of internet using and state of psychological and body health with questionnaire designed by ourselves.Result Among the students with internet using,the detection rate of depression was 24.47%.The detection rate of depression in students using internet is 24.47%.IAD,IAT and Non-IA are 32.16%,26.83%,23.17%,respectively.The detection rate of anxiety in students using internet is 3.32%.IAD,IAT and Non-IA are 12.13%,3.72%,2.26% respectively.There was a linear correlation of IA with the degree of depression and anxiety（P〈0.05）.For those cases with both depression and anxiety,the rate of IAD was 8.08%,IAT was 2.78%,and Non-IA was 1.55%.16 self-conscious-symptoms had positive correlation with the degree of IA（P〈0.05）.The proportion of IAD in cases having six or more self-conscious-symptoms was 3.71%,IAT was 0.72%,and Non-IA was 0.34%.Conclusions The level of depression and anxiety becomes more serious with the degree of internet addiction.IA is closely related to mental health of adolescent students,but the cause-effect relationship need to be proven by further study.