Relationships between problematic internet use and problem-gambling severity: findings from a high-school survey.
Relationships between problematic internet use and problem-gambling severity: findings from a high-school survey.
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DOI：
10.1016/j.addbeh.2013.09.003
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发表时间：
2014-01
影响因子：
4.4
通讯作者：
Potenza, Marc N.
中科院分区：
文献类型：
--
作者：
Yau, Yvonne H. C.;Pilver, Corey E.;Steinberg, Marvin A.;Rugle, Loreen J.;Hoff, Rani A.;Krishnan-Sarin, Suchitra;Potenza, Marc N.
随着青少年使用互联网的普及，人们担心一些青少年可能会表现出有问题或成瘾的互联网使用模式。尽管过度的互联网使用模式被认为与病理性赌博和物质使用障碍一起纳入 DSM-5 的成瘾性疾病类别，但确定在进一步考虑和可能采取此类行动之前，需要对互联网使用行为进行更多研究。本研究首次调查了青少年中高风险/有问题的互联网使用 (ARPIU) 是否可以调节问题赌博的严重程度与赌博相关特征以及健康和福祉指标之间的关联强度。通过双变量分析和逻辑回归模型对 1884 名康涅狄格州高中生的调查数据进行了按互联网使用情况（ARPIU 与非 ARPIU）进行分层的分析。在两个互联网使用群体中，与赌博相关的特征以及健康和福祉指标大多与赌博问题的严重程度呈正相关。交互优势比显示，与 ARPIU 组相比，非 ARPIU 组的问题赌博严重程度与大麻、酒精和咖啡因使用之间的关联强度更强，这表明这些物质使用行为与问题赌博之间的关系可能部分由 ARPIU 解释。未来的研究应该探讨针对问题互联网使用和问题赌博的预防性干预措施在多大程度上可以协同有益于健康措施并减少青春期的冒险行为。
With the popularity of Internet use among adolescents, there is concern that some youth may display problematic or addictive patterns of Internet use. Although excessive patterns of Internet use was considered for inclusion in the DSM-5 with pathological gambling and substance-use disorders in a category of addictive disorders, it was determined that more research was needed on Internet-use behaviors before such actions be further considered and possibly undertaken. The present study is the first to investigate whether at-risk/problematic Internet use (ARPIU) may moderate the strength of association between problem-gambling severity and gambling-related characteristics and health and well-being measures in adolescents. Survey data from 1884 Connecticut high-school student stratified by Internet use (ARPIU vs. non-ARPIU) were examined in bivariate analyses and logistic regression models. Gambling-related characteristics and health and well-being measures were mostly positively associated with problem-gambling severity in both Internet use groups. Interaction odds ratio revealed that the strength of the associations between problem-gambling severity and marijuana, alcohol and caffeine use were stronger amongst the non-ARPIU compared to the ARPIU group, suggesting that the relationships between these substance use behaviors and problem gambling may be partially accounted for by ARPIU. Future studies should examine the extent to which preventative interventions targeting both problematic Internet use and problem gambling may synergistically benefit measures of health and reduce risk-taking behaviors in adolescence.
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