团体心理干预对青少年网络成瘾的效果研究

Effect of Group Psychological Intervention in Adolescents on Internet Addiction

目的探讨团体心理干预对青少年网络成瘾的效果。方法将2008年3月1日—2008年7月31日收入北京军区总医院成瘾医学治疗中心的51例14～25岁的网瘾青少年作为研究对象,根据随机化原则选取28名网瘾青少年作为实验组,参加本研究设计的团体心理干预,余23例为对照组未参加该团体心理干预。实验组成员参加本研究设计的团体心理干预至少6次,实验组与对照组成员均参加治疗中心的其他治疗。采用戴维斯在线认知量表(OCS)、家庭功能评定量表(FAD)、领悟社会支持量表(PSSS)、马氏量表IV版本1(Mach Scale IV version1),分别对2组研究对象作干预前、干预后即时、干预后1个月和干预后3个月情况的测查。结果1)实验组OCS中各维度及总分、FAD中沟通、角色、情感反应、总的功能分量表、PSSS总分和马氏量表IV版本1总分在干预前、后的组间差异均有统计学意义,且干预前与干预后3个时相两两比较差异也有统计学意义;2)对照组仅OCS各维度及总分在干预前、后的组间差异有统计学意义,且干预前与干预后3个时相两两比较差异有统计学意义;3)实验组与对照组的OCS总分及社交安慰维度、FAD角色及总的功能分量表和PSSS总分在干预后3个月的得分差异有统计学意义。结论本研究设计的团体心理干预不仅对网络成瘾青少年成瘾总体情况和社交安慰方面有显著改善,而且对家庭功能的角色、总的功能及领悟社会支持方面的情况均有显著改善作用。

Objective To explore the effect of group psychological intervention in adolescents on internet addiction. Methods A total of 51 internet addictive adolescents, aged between 14 and 25, were treated in Addiction Medicine Center of General Hospital, Beijing Military Command, Chinese People＇s Liberation Army from March 1st to July 31st, 2008. The experimental group was made up of 28 adolescents who volunteered to participate in an added group psychological intervention and the control group was composed of 23 adolescents who refused to receive the intervention. The experimental group received intervention at least 6 times. At the time of preintervention, post- intervention, 1 month and 3 months after intervention, both groups were investigated with questionnaires of Davis＇ Online Cognition Scale（ OCS）, Family Assessment Device（ FAD）, Perceived Social Support Scale（PSSS） and Math Scale IV version I. Results 1 ） In experimental group, there are significant inter-subject differences in the score of OCS total, Social comfort, Loneliness/ depression, Diminished impulse control, Distraction, FAD＇s sub-scale Communication, Roles, Affective Responsiveness, General Functioning, PSSS and Mach Scale IV version. Meanwhile, significant differences were found between pre-intervention and post - intervention （including all the three post-survey mentioned above） ; 2） In control group, there were significant inter-subject differences in the score of OCS total, Social comfort, Loneliness/depression, Diminished impulse control and Distraction. Meanwhile, significant differences are found between pre-intervention and post-intervention（ including all the three post-survey mentioned above） ; 3 ） There were significant differences between two groups in the score of OCS total, Social comfort, FAD＇s sub-scale Roles, General Functioning and PSSS 3 months after intervention. Conclusion Group psychological intervention can significantly relieve the symptoms of internet addiction, strengthen the social comfort, and improve FAD＇s roles, general functioning, and PSSS situations.