青少年網路成癮與憂鬱對自殺意念的影響

The Effects of Internet Addiction and Depression on Suicidal Ideation among Adolescents

郭佳妹(Chia-Mei Kuo)

指導教授 ： 楊浩然

中山醫學大學/健康管理學院/公共衛生學系碩士班/碩士(2016年)

摘要

研究目的:本世紀的青少年族群網路成癮情形嚴重。雖然憂鬱與自殺在許多文獻中可以確定其關係，但是缺乏文獻探討在網路成癮與自殺之間，憂鬱具有何關聯，以及性別上的差異。因此本研究希望藉著網路成癮與自殺意念，來探討網路成癮與自殺意念之間憂鬱對青少年所造成的影響為何；以及探討相關社會環境因素造成的影響。
研究方法:本研究整體抽樣族群為中部地區三個縣市的國、高中公立學校的學生，採取雙階層隨機抽樣方式進行。第一階段分析樣本為2494位學生，進行方式為網路成癮量表及憂鬱量表的自填。第二階段分析樣本為391位學生，抽樣方是根據CES-D分數高低抽出部份樣本來進行，並對其進行自傷量表的面訪診斷。本研究自殺意念採用現行診斷的自殺意念進行資料分析，所有資料均以SAS9.4版統計軟體進行加權分析。
研究結果: 在變項調整後，不論性別，青少年網路成癮皆與自殺意念無關，憂鬱在自殺意念及網路成癮並無中介效果存在。區分性別後，女性的憂鬱與自殺意念具有正相關；男性在下列變項：居住狀況、家中排行、母親籍貫、父親教育程度，與自殺意念呈現顯著的影響。
結論:家庭方面的因素與其他研究的研究方法的不同，這兩方面可能是網路成癮並未與自殺意念有顯著相關的原因。青少年在成長過程受到家庭生活影響，如果家庭成員能在青少年有困難時適時施予援手、多加關心，或者維持良好的家庭氛圍來減少青少年壓力，應可有效阻止男性青少年的自殺意念。

關鍵字

網路成癮 ； 憂鬱 ； 自殺意念 ； 青少年 ； 性別

並列摘要

Objective: In this century t Internet Addiction is serious among adolescents. Although the relationship between depression and suicide are found in many literatures now, lacking of literatures to explore about the role of depression between internet addiction and suicide in gender difference. Therefore, the aim of this study is exploring about the role of depression between internet addiction and suicide among adolescent and also exploring the effects of social environmental factors among adolescents.
Method: This study population was sampling from three counties of the central region in the country, high school students in public schools and conducted with two-phase sampling manner. The first phase of the analysis of samples for the 2494 students, invited to complete the Chinese Internet Addiction Scale and Depression Scale by themselves. The second phase of the analysis of samples is 391 students. This sampling party was extraction from part of the sample according to the level of CES-D scores, and then they were interviewed in-person by well-trained interviewers and obtained the information about suicide by using Self-Injurious Thought and behaviors Interview (SITBI). In this study, we used of existing diagnostic suicidal ideation as suicidal ideation. All data used weighted and analyzed by SAS statistics.
Results: After adjusting the variables, regardless of gender, internet addiction and suicidal ideation are irrelevant, depression didn’t have intermediary effect between internet addiction and suicidal ideation among adolescents. After distinguishing gender, depression and suicidal ideation status of girls has a positive correlation. In Boys, the following variables: living status, the ranking of sibling, mother's ethnicity, father's education level, and suicidal ideation are presented significant correlation.
Conclusion: Family factors and the different research methods from other study may be able to explain why internet addiction didn’t association with suicidal ideation among adolescents. When grown up, adolescents were deeply affected by family status. If family members can be administered in a timely helping hand when adolescents have difficulty, be more concerned, or to maintain a good family atmosphere to reduce the pressure on adolescents. These actions would be able to effectively prevent suicide ideation among adolescents.

並列關鍵字

internet addiction ； depression ； suicidal ideation ； adolescents ； gender

參考文獻

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