國中生網路過度使用與憂鬱症之關連性

The Association between Excessive Use of Internet and Depression in Junior High School Students

潘嘉和(Chia-Ho Pan) ； 李雅玲(Ya-Ling Lee) ； 周碧瑟(Pesus Chou) ； 璩大成(Da-Chen Chu)

《北市醫學雜誌》 13卷3期 (2016/09) Pp. 25-35

https://doi.org/10.6200/TCMJ.2016.13.3.04

摘要

目的：國中階段的學生憂鬱症是個影響健康及安全的重大議題，而網路過度使用更是全球關注的方向，本研究旨在探討國中生憂鬱風險及其相關因子。方法：本研究為橫斷性研究，研究對象為台北市某國中七到九年級學生，以班級為單位採集體網路自填相關問卷，共收集252位學生，分析憂鬱相關風險，並分析與網路使用、性別、年齡、吸菸、失眠等相關變項之相關性。結果：本研究統計之國中生可能罹患憂鬱症之盛行率為11.9%；可能罹患重度憂鬱症之盛行率則為7.9%；在校正篩檢問卷之效度後得出國中生可能罹患憂鬱症之盛行率為6.15%；可能罹患重度憂鬱症盛行率則為1.18%。且其中有15.5% 為網路過度使用者。而可能罹患憂鬱症相關因子之勝算比，以網路過度使用者為最高（8.12 倍，95% 信賴空間3.13-21.05）；女性（勝算比5.55 倍，95% 信賴區間1.9~15.68）與失眠（勝算比4.98 倍，95% 信賴區間1.29~19.11）亦為與國中生可能罹患憂鬱之顯著相關之因子。但在男、女國中生中，可能罹患憂鬱症之相關因子不同。結論：國中生具有相對偏高之可能罹患憂鬱症之盛行率，而網路過度使用則為可發現且可注意之高度相關性因子，可提供家長及學校保持警覺，提早發現個案，以便及早介入處理。

關鍵字

青少年憂鬱 ； 盛行率 ； 網路過度使用

並列摘要

Objectives: Depressive disorder among adolescent students in junior high school is of a major concern for their general well-being and safety and its association with excessive usage of internet is followed closely by the whole world. This study aimed to examine the prevalence of depressive disorder among junior high school students and its possible risk factors. Methods: We adopted a cross-sectional design in this study. All 252 students filled in the questionnaires. The prevalence rate was calculated and then adjusted with the validity of the screening questionnaires, and the contributing factors were extracted by regression. Results: The prevalence rate for possible depressive disorders was 11.9% and the prevalence rate for possible major depressive disorder was 7.9%. After adjusted with validity of the questionnaire, the prevalence rates for possible depressive disorders and possible major depressive disorder were 6.15% and 1.18%, respectively. Excessive internet users (OR=8.12; 95%CI=3.13- 21.05), girl students (OR=5.55; 95%CI=1.90-21.05), and insomnia (OR=4.98; 95%CI=1.29-19.11), were significant associated with possible depression. Risk factors for possible depressive disorder among adolescents in junior high school between different genders were different. Conclusions: We found that the prevalence rate of depressive disorders and major depressive disorder among adolescent students were relatively high, and was significantly associated with noticeable and preventable excessive internet use. Great efforts of professionals are required to make early clinical diagnosis. The findings of this study may be provided to parents and teachers for early awareness and intervention.

並列關鍵字

Adolescent depression ； prevalence ； excessive internet using