- 期刊
北部地區青少年網路使用與其健康相關因素之探討
Effect of Internet Use and Related Factors on Adolescents in North Taiwan
摘要
全球青少年網路成癮現象逐年攀升，但網路成癮應該被歸類為衝動控制疾患或是行為成癮尚未有定論，且網路成癮亦未被納入最新於2013年出版的精神疾病診斷統計手冊第5版（DSM-V），也尚未發展出標準化的治療流程，青少年網路成癮現象需要有更多研究及評估工具來確認後續輔導與治療原則。本研究採問卷調查法，於2016年針對北部（新北市、桃園市）4所公、私立技職校院，抽樣473名大專院校青少年，針對學生每週上網時數、健康危害行為、性知識、性態度開放程度、網路成癮特徵數與健康控制歸因進行問卷調查。研究結果發現學生平均每天上網117分鐘，每週上網時數會受其年齡、有約會經驗、平日及假日有上網習慣及上網未受父母限制者，其每週上網時數亦較長，且達統計顯著差異。學生自填網路使用目的前3項分別為使用社群網站、聽歌／看影片及線上聊天。學生網路成癮危險性與其每週上網時數增加、平均睡眠時間減少、性態度愈保守及健康控制歸因受強勢他人外控愈少者有關。本研究使用網路成癮8個主要特徵，發現有網路成癮危險學生占11%，其中又有3人（占0.64%，皆為男性）合併每週上網超過40小時，須尋求精神科醫師協助，此結果可為學校、教師、臨床實務協助諮商輔導及青少年網路成癮防治之參考。
並列摘要
Internet addiction among adolescents worldwide is rising yearly; nonetheless, whether Internet addiction should be classified as an impulse control disorder or behavioral addiction has not yet been determined. In addition, Internet addiction is not included in the latest (fifth) edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-V), which was published in 2013. Additionally, standard treatment processes have not yet been developed, and more research must be performed and assessment scales developed to assess Internet addiction among young people. Such progress would confirm the treatment principles and role of follow-up counseling. This was a cross-sectional study conducted in 2016. Four public and private vocational colleges and universities in the north of Taiwan (New Taipei City and Taoyuan City) were targeted, and 473 students were recruited in an investigation that collected data on the students' number of hours online per week, health hazard behaviors, sexual knowledge, sexual attitude, internet addiction characteristics, and health control attribution through a questionnaire survey. The students were discovered to spend an average of 117 minutes a day online, to have dating experience, and to have Internet access and habits on weekdays and holidays that were not restricted by parents, and to spend longer online each week than others. The three most common tasks for which the students used the Internet were the use of social networking sites, listening to songs or watching videos, and online chat. A higher risk of internet addiction among students was related to an increase in the number of weekly online hours, a decrease in the average sleep duration, a more conservative sexual attitude, and a decrease in health control attributable to the stronger control of other individuals. This study used eight main characteristics of Internet addiction and discovered that 11% of students were at risk of Internet addiction, including three (0.64%, all male) who in combination spent more than 40 hours online each week. The results obtained in this study can be used as a reference for schools, teachers, clinical practice, counseling, and the prevention and treatment of Internet addiction among adolescents.