網路成癮與精神病理學於大學生的雙向關聯性―前瞻性研究

Bidirectional relationships of psychiatric symptoms with Internet addiction in college students: a prospective study

林晏如(Yen-Ju Lin)

指導教授 ： 顏正芳

高雄醫學大學/醫學院/醫學研究所碩士班/碩士(2019年)

摘要

背景：近數十年來網路成癮在全球的盛行率急遽攀升，造成許多人在現實生活中出現人際互動、學業、工作及日常活動的困難。雖有許多橫斷面研究證實網路成癮與諸多精神病理症狀之間的關聯性，然而針對大學生網路成癮與精神病理間關聯性的前瞻性研究較少。本研究目的是要探究精神病理學症狀能否預測未來一年網路成癮的發生，並了解網路成癮是否影響精神病理學症狀的變化。
研究方法：共500名大學生參與本研究。首先以陳氏網路成癮量表(Chen Internet Addiction Scale)評估受試者近一個月內網路成癮的嚴重度，並以症狀檢核表(Symptom Checklist-90 Revised)來評估受試者整體精神病理學症狀。一年後再邀請受試者接受相同量表評估，以了解一年後網路成癮和精神病理學症狀之嚴重度，並與起始點進行比較。
結果：研究發現：起始點的人際敏感度與疑心嚴重度能預測未來一年內網路成癮的發生。一年後追蹤則顯示，起始點時無網路成癮的大學生，於強迫性症狀、人際敏感度、疑心及離群等面向有顯著減少，但有網路成癮的大學生在各向度精神病理症狀嚴重度皆無明顯減少。
結論：大學生在一年追蹤期間，網路成癮與部分精神病理學症狀間具有相互影響的關聯性。

關鍵字

網路成癮 ； 精神病理學症狀 ； 大學生

並列摘要

This prospective study evaluated the predictive value of psychiatric symptoms at initial consultation for the occurrence and remission of Internet addiction during a 1-year follow-up period among college students. Furthermore, it evaluated the predictive ability of changes in psychiatric symptoms for Internet addiction at the initial consultation during the 1-year follow-up period among college students. Five hundred college students (262 women and 238 men) were recruited. The baseline and follow-up consultations measured the levels of Internet addiction and psychiatric symptoms using the Chen Internet Addiction Scale and Symptom Checklist-90 Revised, respectively. The results indicated that severe interpersonal sensitivity and paranoia symptoms might predict the incidence of Internet addiction at 1-year follow-up. The college students with internet addiction did not have significant improvement in the severities of psychopathology, whereas those without internet addiction had significant improvement in obsession-compulsion, interpersonal sensitivity, paranoid and psychoticism during the same period. Psychiatric symptoms and Internet addiction exhibited bidirectional relationships in college students during the 1-year follow-up period.

並列關鍵字

Internet addiction ； psychiatric symptoms ； college student

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