网络成瘾青少年的家庭亲密度和适应性

FAMILY ADAPTABILITY AND COHESION OF INTERNET ADDICTION ADOLESCENT

目的:探讨家庭亲密度和适应性与青少年网络成瘾(IA)之间的关系。方法:采用以医院为基础的病例对照研究设计,190例IA青少年患者和386例性别与年龄频数匹配的医院对照,完成一般社会人口学问卷和家庭亲密度和适应性量表中文版(FACES II-CV)评定;使用单因素和多因素Logistic回归筛选IA的相关因素。结果:单因素分析显示,IA青少年家庭的实际亲密度[(60.27±s 11.44)vs.(69.34±s 9.84)]、理想亲密度[(69.25±s11.82)vs.(72.57±s 10.34)]、实际适应性[(42.09±s 10.20)vs.(49.79±s 8.24)]和理想适应性[(52.02±s10.59)vs.(54.02±s 9.13)]得分均显著低于对照组(P均<0.05);亲密度不满程度[中位数,全距:(5,52)vs.(4,54)]和适应性不满程度[中位数,全距:(9,51)vs.(4,38)]得分均显著高于对照组(P均<0.001);多因素分析表明,父母婚姻状况为在婚(OR=0.55)、抚养人为父母(OR=0.50)和实际亲密度高(OR=0.88)为IA的保护因素;家人关系差(OR=4.15)、家人有烟酒嗜好(OR=1.62)、亲密度不满度高(OR=1.11)和适应性不满度高(OR=1.06)为IA的危险因素。结论:青少年IA的发生与父母因素和低家庭亲密度和适应性有关;需要注重发挥父母作用和改善家庭功能以防治青少年IA。

Objective：To study the relationship between family adaptability ＆ cohesion and adolescent Internet addiction（IA）.Methods：Using hospital-based case-control design,one hundred and ninety IA adolescents and 386 age-and gender-matched controls from general hospitals completed social-demographic variable questionnaire and Family Adaptability and Cohesion Scale II-CV（Chinese Version）;Univariate analysis and multivariate Logistic regression was used to identify factors associated with IA.Results：Univariate analysis showed that IA group had lower score on real cohesion[（60.27±s 11.44） vs.（69.34±s 9.84）],ideal cohesion [（69.25±s 11.82） vs.（72.57±s 10.34）],real adaptability [（42.09±s 10.20） vs.（49.79±s 8.24）] and ideal adaptability [（52.02±s 10.59） vs.（54.02±s 9.13）],but had higher score on cohesion dissatisfaction degree [Median,Range：（5,52） vs.（4,54）] and adaptability dissatisfaction degree [Median,Range：（9,51） vs.（4,38）],compared to control group（P〈0.05）;Logistic regression analysis indicated that being married of parents（OR=0.55）,biological parent fostering（OR=0.50）,and high real cohesion score（OR=0.88） were protective factors for IA;bad family relationship（OR=4.15）,family member addicted to alcohol/smoking（OR=1.62）,high cohesion dissatisfaction degree（OR=1.11） and high adaptability dissatisfaction degree（OR=1.06） were risk factors for IA.Conclusion：The occurrence of IA is associated with parenting and low family adaptability ＆ cohesion.We should improve bad parenting and family function to prevent and treat IA.