Technology-Mediated Addictive Behaviors Constitute a Spectrum of Related Yet Distinct Conditions: A Network Perspective
Technology-Mediated Addictive Behaviors Constitute a Spectrum of Related Yet Distinct Conditions: A Network Perspective
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DOI：
10.1037/adb0000379
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发表时间：
2018-08-01
影响因子：
3.4
通讯作者：
Billieux, Joel
中科院分区：
文献类型：
--
作者：
Baggio, Stephanie;Starcevic, Vladan;Billieux, Joel
成瘾领域一个重要的持续争论是，某些技术介导的行为是否构成了站得住脚的独立结构。本研究探讨是否有问题的技术介导的行为可以被概念化为一个频谱的相关，但不同的疾病（频谱假说），使用网络的方法，认为网络的症状障碍。我们使用了来自物质使用和风险因素队列研究（C-SURF;瑞士国家科学基金会）的数据，其中包括瑞士年轻男性的代表性样本（参与技术介导行为的参与者子样本，n = 3，404）。四个技术介导的成瘾行为进行了调查，使用来自精神疾病诊断和统计手册（第5版）的症状。以及成瘾的组成模型：互联网。智能手机游戏和网络性爱网络分析包括网络估计和可视化，社区检测测试和中心性指数。网络分析确定了四个不同的集群对应于每一个条件，但只有网络成瘾与其他行为有许多关系。这一发现，沿着其他行为之间几乎没有关系的发现，表明智能手机成瘾，游戏成瘾和网络性爱成瘾是相对独立的结构。网络成瘾通常通过相同的症状与其他疾病联系在一起，这表明它可以被概念化为一个“伞式结构”。“也就是说，一个共同的载体，介导特定的在线行为。因此，网络分析提供了一个初步的支持频谱假说和重点进行网上的具体活动，同时表明，网络成瘾的结构是不够的。
An important ongoing debate in the addiction field is whether certain technology-mediated behaviors constitute tenable and independent constructs. This study investigated whether problematic technology-mediated behaviors could be conceptualized as a spectrum of related, yet distinct disorders (spectrum hypothesis), using the network approach, which considers disorders as networks of symptoms. We used data from the Cohort Study on Substance Use and Risk Factors (C-SURF; Swiss National Science Foundation), with a representative sample of young Swiss men (subsample of participants engaged in technology-mediated behaviors, n = 3,404). Four technology-mediated addictive behaviors were investigated using symptoms derived from the Diagnostic and Statistical Manual of Mental Disorders (5th ed.) and the component model of addiction: Internet. smartphone, gaming, and cybersex. Network analyses included network estimation and visualization, community detection tests, and centrality indices. The network analysis identified four distinct clusters corresponding to each condition, but only Internet addiction had numerous relationships with the other behaviors. This finding, along with the finding that there were few relationships between the other behaviors, suggests that smartphone addiction, gaming addiction, and cybersex addiction are relatively independent constructs. Internet Addiction was often connected with other conditions through the same symptoms, suggesting that it could be conceptualized as an "umbrella construct." that is, a common vector that mediates specific online behaviors. The network analysis thus provides a preliminary support to the spectrum hypothesis and the focus on the specific activities performed online, while showing that the construct of Internet addiction is inadequate.