Prevalence and patterns of psychiatric disorders in referred adolescents with Internet addiction
Prevalence and patterns of psychiatric disorders in referred adolescents with Internet addiction
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DOI：
10.1111/pcn.12065
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发表时间：
2013-07-01
影响因子：
11.9
通讯作者：
Zoroglu, S. Salih
中科院分区：
文献类型：
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作者：
Bozkurt, Hasan;Coskun, Murat;Zoroglu, S. Salih
目的：调查年轻受试者网络成瘾 (IA) 的精神疾病患病率和模式。方法：受试者样本取自 10-18 岁的患者样本，这些患者因各种行为和情感问题以及互联网使用问题而转诊至伊斯坦布尔医学院儿童和青少年精神病学部。纳入标准包括智商 70 和杨氏网络成瘾量表 (YIAS) 得分 80。使用土耳其版学龄儿童情感障碍和精神分裂症表（现有版和终生版）评估精神科合并症。结果：受试者为 45 名男孩 (75%) 和 15 名女孩 (25%)，年龄范围为 10-18 岁（平均年龄为 13.38 +/- 1.79 岁）。总共 60% (n=36) 已经使用互联网 5 年。平均每周花在互联网上的时间为 53.7 小时（范围为 30-105 小时），平均 YIAS 评分为 85。所有受试者 (100%) 至少患有一种精神疾病，88.3% (n=53) 至少患有两种精神疾病。诊断组的频率如下：行为障碍，n=52（86.7%）；焦虑症，n=43 (71.7%)；情绪障碍，n=23 (38.3%)；消除障碍，n=16 (26.7%)；抽动障碍，n=10 (16.7%)；和物质使用障碍，n=4 (6.7%)。最常见的精神疾病是注意力缺陷多动障碍 (n=53; 83.3%)、社交恐惧症 (n=21; 35.0%) 和重度抑郁症 (n=18; 30.0%)。结论：年轻 IA 受试者中精神共病的发生率很高，尤其是行为、焦虑和情绪障碍。由于精神疾病的存在可能会影响 IA 的治疗/预后，因此评估应包括其他精神疾病的评估。
Aim: To investigate prevalence and patterns of psychiatric disorders in young subjects with Internet addiction (IA).Methods: Subjects were taken from a sample of patients, aged 10-18 years old, referred to Istanbul Medical Faculty, Child and Adolescent Psychiatry Department due to a variety of behavioral and emotional problems alongside problematic Internet use. Inclusion criteria included IQ 70 and score 80 on Young's Internet Addiction Scale (YIAS). Psychiatric comorbidity was assessed using the Turkish version of the Schedule for Affective Disorders and Schizophrenia for School Age Children-Present and Lifetime Version.Results: Subjects were 45 boys (75%) and 15 girls (25%) with an age range of 10-18 years old (mean age, 13.38 +/- 1.79 years). A total of 60% (n=36) had been using Internet for 5 years. Mean hours/week spent on the Internet was 53.7 (range, 30-105h) and the average YIAS score was 85. All subjects (100%) had at least one and 88.3% (n=53) had at least two comorbid psychiatric disorders. The frequency of diagnostic groups were as follows: behavioral disorder, n=52 (86.7%); anxiety disorder, n=43 (71.7%); mood disorder, n=23 (38.3%); elimination disorder, n=16 (26.7%); tic disorder, n=10 (16.7%); and substance use disorder, n=4 (6.7%). The most common psychiatric disorders were attention-deficit hyperactivity disorder (n=53; 83.3%), social phobia (n=21; 35.0%) and major depressive disorder (n=18; 30.0%).Conclusion: High rates of psychiatric comorbidity, particularly behavioral, anxiety and mood disorders were found in young subjects with IA. Because the presence of psychiatric disorders may affect the management /prognosis of IA, assessment should include that for other psychiatric disorders.