Latent-level relations between DSM-5 PTSD symptom clusters and problematic smartphone use.

Latent-level relations between DSM-5 PTSD symptom clusters and problematic smartphone use.
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DOI:
10.1016/j.chb.2017.02.051
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发表时间:
2017-07
影响因子:
9.9
通讯作者:
Elhai JD
Elhai JD
中科院分区:
心理学1区
文献类型:
--
作者:
Contractor AA;Frankfurt SB;Weiss NH;Elhai JD

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在经历潜在的创伤性事件后,常见的心理健康后果包括创伤后应激障碍(PTSD)和成瘾行为。智能手机使用问题是成瘾行为的一种新表现。患有严重焦虑症(如创伤后应激障碍)的人可能有使用智能手机作为应对症状的手段的风险。据我们所知,我们评估了PTSD症状群与有问题的智能手机使用之间的关系。参与者(N = 347),通过亚马逊的机械土耳其人(MTurk)招募,完成了创伤后应激障碍和智能手机成瘾的措施。参数约束的Wald检验结果表明,有问题的智能手机使用与PTSD的认知和情绪(NACM)的负面变化比PTSD的回避因子Wald χ2(1,N = 347)= 12.51,p = 0.0004;与PTSD的回避因子相比,更多的是PTSD的唤醒,Wald χ2(1,N = 347)= 14.89,p = 0.0001。结果表明,有问题的智能手机的使用是最相关的创伤暴露的个人之间的负面影响和唤醒。影响包括需要临床评估有问题的智能手机使用的创伤暴露的个人提出较高的NACM和觉醒的严重程度;和针对NACM和觉醒症状,以减轻有问题的智能手机使用的影响。
Common mental health consequences following the experience of potentially traumatic events include Posttraumatic Stress Disorder (PTSD) and addictive behaviors. Problematic smartphone use is a newer manifestation of addictive behaviors. People with anxiety severity (such as PTSD) may be at risk for problematic smartphone use as a means of coping with their symptoms. Unique to our knowledge, we assessed relations between PTSD symptom clusters and problematic smartphone use. Participants (N = 347), recruited through Amazon’s Mechanical Turk (MTurk), completed measures of PTSD and smartphone addiction. Results of the Wald tests of parameter constraints indicated that problematic smartphone use was more related to PTSD’s negative alterations in cognitions and mood (NACM) than to PTSD’s avoidance factor, Wald χ2(1, N = 347) = 12.51, p = 0.0004; and more to PTSD’s arousal compared to PTSD’s avoidance factor, Wald χ2(1, N = 347) = 14.89, p = 0.0001. Results indicate that problematic smartphone use is most associated with negative affect and arousal among trauma-exposed individuals. Implications include the need to clinically assess problematic smartphone use among trauma-exposed individuals presenting with higher NACM and arousal severity; and targeting NACM and arousal symptoms to mitigate the effects of problematic smartphone use.
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