臺灣大學生網路成癮與健康相關生活品質之關聯性探討

An Exploration of the Relationships between Internet Addiction and Health-Related Quality of Life (HRQOL) among College Students in Taiwan

陳凱強(Kae-Chyang Chern)

指導教授 ： 黃俊豪

國立臺灣大學/公共衛生學院/健康政策與管理研究所/碩士(2013年)

https://doi.org/10.6342/NTU.2013.10728

摘要

無資料

關鍵字

網路成癮 ； 健康相關生活品質 ； 中文網路成癮量表 ； 世界衛生組織生活品質問卷 ； 大學生 ； 臺灣

並列摘要

Background: Internet use has become an integral part of our daily lives, especially for college students whose learning and social interactions involve extensive use of the Internet, which places them at high risk for Internet addiction (IA). A variety of negative health and social consequences have also been reported to be associated with IA; yet, little is known about the relationships between IA and health-related quality of life (HRQOL) among college students.
Objectives: To empirically examine the relationships of IA and IA behavioral manifestations with HRQOL among college students in Taiwan.
Methods: Data from a total of 1,452 college students were collected from a self-administered survey (response rate=90.8%), using the proportional stratified cluster sampling method. IA (including 5 IA behavioral manifestations) and HRQOL were assessed by the Chen Internet Addiction Scale (CIAS) and the World Health Organization Quality of Life (WHOQOL-BREF) Taiwan version, respectively. To adjust for potential confounding effects, the multivariate linear regression analyses also accounted for participants’ background characteristics, health conditions (ADHD, depression, diagnosed physical and mental disorders), and risk behaviors.
Results: The mean domain score of WHOQOL-BREF was 12.49 (SD = 1.78) in physical health, 13.16 (SD = 2.39) in the psychological domain, 13.55 (SD = 2.22) in social relationships, and 14.07 (SD = 1.96) in the environment domain. Multivariate analyses indicated that IA was significantly associated with all 4 domains of HRQOL (β = -.130, -.147, -.103, -.085, respectively), after controlling for potential confounding factors. Further, IA behavioral manifestations such as compulsivity, interpersonal and health problems, and time management problems were found significantly associated with decreased HRQOL in physical health (β=-.096, -.100, -.083, respectively); compulsivity was also negatively associated with HRQOL in the psychological (β=-.166) and environment (β=-.163) domains; lastly, interpersonal and health problems significantly affected HRQOL (β=-.088) in social relationships. Severity of depression had the strongest negative effects on HRQOL across all 4 domains.
Conclusions: This study demonstrated that IA has impacted all aspects of HRQOL among college students and further illustrated how various IA behavioral manifestations might affect HRQOL in different domains. Considering that Internet use has permeated into our daily lives, more research is warranted to illuminate the mechanisms of how IA affects our HRQOL, and to facilitate the development of effective intervention programs to prevent the negative consequences of Internet misuse.

並列關鍵字

Internet addiction ； health-related quality of life (HRQOL) ； Chen Internet Addiction Scale (CIAS) ； WHOQOL-BREF ； college students ； Taiwan

參考文獻

Morahan-Martin, J., & Schumacher, P. (2000). Incidence and correlates of pathological Internet use among college students. Computers in Human Behavior, 16(1), 13-29. doi: 10.1016/s0747-5632(99)00049-7

英文論文文獻：

Block, J. J. (2008). Issues for DSM-V: internet addiction. Am J Psychiatry, 165(3), 306-307. doi: 10.1176/appi.ajp.2007.07101556

Canan, F., Ataoglu, A., Ozcetin, A., & Icmeli, C. (2012). The association between Internet addiction and dissociation among Turkish college students. Comprehensive Psychiatry, 53(5), 422-426. doi: 10.1016/j.comppsych.2011.08.006

Cao, H., Sun, Y., Wan, Y., Hao, J., & Tao, F. (2011). Problematic Internet use in Chinese adolescents and its relation to psychosomatic symptoms and life satisfaction. BMC Public Health, 11, 802. doi: 10.1186/1471-2458-11-802