52例网络成瘾青少年心理社会综合干预的疗效观察

The Effect of Integrated Psychosocial Intervention on 52 Adolescents with Internet Addiction Disorder

目的:评估心理社会综合干预对网络成瘾(IAD)青少年的疗效。方法:将52例IAD青少年进行以焦点解决短期疗法为主并与家庭治疗结合的心理社会综合干预,疗程为3月,用IAD诊断问卷(IAD-DQ)、症状自评量表(SCL-90)评估其心理健康状况和临床疗效。结果:治疗显效率和总有效率分别为61.54%(32例)和86.54%(45例),其治疗后的IAD-DQ评分、上网时间较治疗前均明显下降,差异具有显著性意义(P<0.01)。治疗前IAD青少年的SCL-90评分与国内常模比较,除躯体化(S)、精神病性(P)及偏执(Pa)因子无显著差异外,其SCL-90总分及强迫(Oc)、人际敏感(Is)、抑郁(D)、焦虑(A)、敌对(H)、恐怖(Ph)因子分均明显高于常模值(P<0.05或P<0.01);而治疗后上述计分均较治疗前显著降低(P<0.05或P<0.01)。结论:心理社会综合干预能显著减少IAD青少年上网时间及改善其情绪和心理功能。

Objective： To Investigate the effect of integrated psychosocial Intervention on 52 adolescent cases with internet addiction disorder（IAD）.Methods： Solution-Focused Brief Therapy（SFBT） with family therapy was employed on 52 adolescents with Internet Addiction Disorder for 3 months. The mental health condition and clinical effect was assessed with the IAD-diagnosis questionnaire （IAD-DQ） and the symptom checklist （SCL-90）. Results： The score Of IAD-DQ and the online time decreased significantly （P 〈0.01）after three months treatment, the significant improved clinical effect rates and total effect improved rates were 61.54% and 86.54% respectively. Except the scores of somatization（S）, paranoid ideation（Pi） and psychoticism（P）,the SCL-90 total scores and factor scores of obsessive compulsive disorder（Oc）,interpersonal sensitivity（Is）,depression（D）,anxiety（A）,hostility（H）,and phobic anxiety（Ph） in pre-treatment were significantly higher those that of the domestic norm,and significantly reduced after treatment （P〈0.05 or P〈0.01）. Conclusion： The integrated psychosocial intervention can significantly induce the online time and improve psychological function showing in profiles of SCL-90 for the adolescents with IAD.