认知行为治疗青少年网络成瘾者临床疗效随访

目的 探讨认知行为治疗对青少年网络成瘾者的2年效果.方法 将70例网络成瘾者作随机对照研究,研究组随访完成36例,对照组34例.2年以来,定期进行各种形式的认知行为干预,采用中文网络成瘾量表(CIAS)、症状自评量表(SCL-90)、应付方式问卷(CSQ)三种量表,于治疗前、治疗后2个月、12个月、18个月、24个月分别给予5次评估.结果 研究组CIAS评分在治疗后的2个月、18个月、24个月低于对照组,差异有显著性[(43.53±10.37)分;(53.06±5.40)分;(47.56±10.02)分;(53.50±5.28)分;(42.68±6.23)分;(54.02±6.49)分;P＜0.05或P＜0.01];且研究组CIAS的评分随时间的延长显著下降.研究组(F=14.464,P＜0.01;对照组F=0.537,P＞0.05).研究组CSQ的解决问题和求助因子分在治疗后的2个月、18个月、24个月的评分高于对照组[(0.82±0.11)分;(0.62±0.48)分;(0.78±0.12)分;(0.65±0.38)分;(0.90±0.28)分,(0.62±0.37)分];[(0.68±0.41)分;(0.45±0.29)分;(0.74±0.30)分;(0.45±0.11)分;(0.79±0.33)分;(0.46±0.18)分];同时期内自责、幻想、退避3个因子评分低于对照组;均有显著或非常显著差异[(0.21±0.13)分;(0.40±0.27)分;(0.24±0.06)分;(0.38±0.19)分;(0.25±0.16)分;(0.42±0.24)分];[(0.27±0.02)分;(0.45±0.27)分;(0.31±0.09)分;(0.44±0.28)分;(0.30±0.24)分;(0.46±0.19)分].[(0.42±0.05)分;(0.54±0.33)分;(0.34±0.17)分;(0.55±0.29)分;(0.31±0.19)分;(0.50±0.30)分,均P＜0.05或P＜0.01].SCL-90总分在研究组和对照组之间的4次评分比较,均差异有显著性[(142.25±30.44)分;(182.56±36.23)分;(175.36±26.44)分;(191.56±38.32)分;(163.36±29.21)分;(196.75±35.46)分;(143.33±21.35)分;(194.11±28.19)分;均P＜0.05或P＜0.01].结论 本研究制定的认知行为治疗方法对青少年网络成瘾者的两年干预效果较好.

Abstract：

Objective To study the measure and two-year effects of cognitive-behavior therapy on adolescent with internet addiction disorder(IAD). Methods 76 cases with IAD were divided to randomized controlled trial, then 38 cases in each group. But 36 cases ( lost 2 cases) were completed in follow-up study group and control group of 34 cases (lost 2 cases). There were various forms of cognitive behavioral intervention in two years.The Chinese Internet Addiction Scale( CIAS), Symptom Gheck List-90 (SCL-90) scale and Coping Style Questionnaire(CSQ) were adapted to evaluate the effects when the cognitive-behavior therapy was started, after treatment at 2 months, 12 months, 18 months, 24 months respectively assessment for 5 times. Results The scores of CIAS in the study group were significantly lower than that of the control group( (43.53 ± 10. 37 ), (53.06 ± 5.40),(47.56 ± 10.02) ,(53.50 ±5.28) ,(42.68 ±6.23), (54.02 ±6.49), P＜0.05 or P＜0. 01 ) and decreased obviously with the extension of time (F= 14. 464, P＜ 0. 01; F= 0. 537, P＞ 0.05 ). Problem-solving and help factor of CSQ in the study group were significantly higher than that of control group( (0.82 ± 0. 11 ), ( 0.62 ± 0. 48 ), (0.78 ±0.12),(0.65 ±0.38) ,(0.90±0.28),(0.62 ±0. 37)); (0. 68 ±0.41), (0.45 ±0.29),(0. 74 ±0. 30),(0.45 ± 0. 11 ), (0.79 ± 0. 33 ), (0.46 ± 0. 18 ) ) and self-blame, fantasy , withdrawal factors were significantly lower than it((0. 21 ±0. 13),(0.40 ±0.27), (0.24 ±0.06),(0. 38 ±0. 19), (0.25 ±0.16),(0.42 ±0.24) );( (0.27 ±0.02) ,(0.45 ±0.27) ,(0.31 ±0.09) ,(0.44 ±0.28) ,(0.30 ±0.24) ,(0.46 ±0.19) ;(0.42 ±0.05),(0.54 ±0.33),(0.34 ±0.17),(0.55 ±0.29),(0.31 ±0. 19),(0.50 ±0.30), P＜0.05 or P＜0. 01 ). There were significant differences of SCL-90 total score between the study group and the control group at 4 times for evaluation ( ( 142.25 ± 30.44), ( 182.56 ± 36.23 ), ( 175.36 ± 26.44 ), ( 191.56 ± 38.32 ), ( 163.36 ±29.21),(196.75±35.46),(143.33±21.35),(194.11 ±28.19), P＜0. 05 orP＜0.01). Conclusion Developed cognitive-behavior therapy has obvious effects on the adolescents with IAD in two years.

Follow-up study of cognitive-behavior therapy on adolescent with internet addiction disorder

Objective To study the measure and two-year effects of cognitive-behavior therapy on adolescent with internet addiction disorder(IAD). Methods 76 cases with IAD were divided to randomized controlled trial, then 38 cases in each group. But 36 cases ( lost 2 cases) were completed in follow-up study group and control group of 34 cases (lost 2 cases). There were various forms of cognitive behavioral intervention in two years.The Chinese Internet Addiction Scale( CIAS), Symptom Gheck List-90 (SCL-90) scale and Coping Style Questionnaire(CSQ) were adapted to evaluate the effects when the cognitive-behavior therapy was started, after treatment at 2 months, 12 months, 18 months, 24 months respectively assessment for 5 times. Results The scores of CIAS in the study group were significantly lower than that of the control group( (43.53 ± 10. 37 ), (53.06 ± 5.40),(47.56 ± 10.02) ,(53.50 ±5.28) ,(42.68 ±6.23), (54.02 ±6.49), P＜0.05 or P＜0. 01 ) and decreased obviously with the extension of time (F= 14. 464, P＜ 0. 01; F= 0. 537, P＞ 0.05 ). Problem-solving and help factor of CSQ in the study group were significantly higher than that of control group( (0.82 ± 0. 11 ), ( 0.62 ± 0. 48 ), (0.78 ±0.12),(0.65 ±0.38) ,(0.90±0.28),(0.62 ±0. 37)); (0. 68 ±0.41), (0.45 ±0.29),(0. 74 ±0. 30),(0.45 ± 0. 11 ), (0.79 ± 0. 33 ), (0.46 ± 0. 18 ) ) and self-blame, fantasy , withdrawal factors were significantly lower than it((0. 21 ±0. 13),(0.40 ±0.27), (0.24 ±0.06),(0. 38 ±0. 19), (0.25 ±0.16),(0.42 ±0.24) );( (0.27 ±0.02) ,(0.45 ±0.27) ,(0.31 ±0.09) ,(0.44 ±0.28) ,(0.30 ±0.24) ,(0.46 ±0.19) ;(0.42 ±0.05),(0.54 ±0.33),(0.34 ±0.17),(0.55 ±0.29),(0.31 ±0. 19),(0.50 ±0.30), P＜0.05 or P＜0. 01 ). There were significant differences of SCL-90 total score between the study group and the control group at 4 times for evaluation ( ( 142.25 ± 30.44), ( 182.56 ± 36.23 ), ( 175.36 ± 26.44 ), ( 191.56 ± 38.32 ), ( 163.36 ±29.21),(196.75±35.46),(143.33±21.35),(194.11 ±28.19), P＜0. 05 orP＜0.01). Conclusion Developed cognitive-behavior therapy has obvious effects on the adolescents with IAD in two years.