Problematic internet usage in US college students: a pilot study.
Problematic internet usage in US college students: a pilot study.
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DOI：
10.1186/1741-7015-9-77
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发表时间：
2011-06-22
期刊：
影响因子：
9.3
通讯作者：
Zhou C
中科院分区：
文献类型：
--
作者：
Christakis DA;Moreno MM;Jelenchick L;Myaing MT;Zhou C
美国大学生中的网瘾仍是一个令人担忧的问题，但缺乏对其流行率的可靠估计。我们对美国两所大学的307名大学生进行了试点调查。参与者完成了网络成瘾测试(IAT)和患者健康问卷。两者都分别是对有问题的互联网使用和抑郁的有效衡量标准。我们使用改进的泊松回归方法评估了有问题的互联网使用与中度到重度抑郁症之间的联系。此外，我们还检查了IAT中各个条目与抑郁之间的关系。共有224名合资格的受访者完成了调查(回复率为73%)。总体而言，4%的学生在IAT上的分数处于偶尔出现问题或上瘾的范围内，12%的学生患有中度至重度抑郁症。对个别有问题的使用项目的认可程度从1%到70%不等。在回归分析中，抑郁症状与几个单独的项目显著相关。由于细胞体积较小，无法估计20个项目中的3个项目的相对风险。在剩下的17个条目中，抑郁症状与其中13个条目显著相关，另外3个条目的P值小于0.10。有问题的互联网使用总体与中度至重度抑郁之间也有显著关联(相对危险度24.0795%可信区间3.95%至146.69；P=0.001)。美国大学生中普遍存在的互联网使用问题令人担忧，可能需要在最脆弱的群体中进行干预和治疗。这项研究报告的患病率低于其他研究报告的患病率，但高危人群非常高，也建议采取预防措施。
Internet addiction among US college students remains a concern, but robust estimates of its prevalence are lacking. We conducted a pilot survey of 307 college students at two US universities. Participants completed the Internet Addiction Test (IAT) as well as the Patient Health Questionnaire. Both are validated measures of problematic Internet usage and depression, respectively. We assessed the association between problematic Internet usage and moderate to severe depression using a modified Poisson regression approach. In addition, we examined the associations between individual items in the IAT and depression. A total of 224 eligible respondents completed the survey (73% response rate). Overall, 4% of students scored in the occasionally problematic or addicted range on the IAT, and 12% had moderate to severe depression. Endorsement of individual problematic usage items ranged from 1% to 70%. In the regression analysis, depressive symptoms were significantly associated with several individual items. Relative risk could not be estimated for three of the twenty items because of small cell sizes. Of the remaining 17 items, depressive symptoms were significantly associated with 13 of them, and three others had P values less than 0.10. There was also a significant association between problematic Internet usage overall and moderate to severe depression (relative risk 24.07, 95% confidence interval 3.95 to 146.69; P = 0.001). The prevalence of problematic Internet usage among US college students is a cause for concern, and potentially requires intervention and treatment amongst the most vulnerable groups. The prevalence reported in this study is lower than that which has been reported in other studies, however the at-risk population is very high and preventative measures are also recommended.