高职学生述情障碍与手机依赖的关联研究

Study on the relationship between alexithymia and problematic mobile phone usage among high vocational college students

目的 在描述高职学生手机依赖行为流行特征的基础之上,分析述情障碍与手机依赖行为的关联强度,为干预高职学生手机依赖行为提供循证依据。方法 通过整群抽样选取安徽省三所高职学校学生作为研究对象,采用青少年手机使用依赖自评问卷（SQAPMPU）、多伦多述情障碍量表（TAS-20）评价高职学生的手机依赖和述情障碍。结果 高职学生中度、高度手机依赖行为检出率为49.3%、26.4%,其中女生中高度手机依赖行为检出率79.1%高于男生67.8%（P〈0.001）;高职学生高程度组手机依赖的述情障碍TAS总分和因子分均高于手机依赖低度/中度组（P〈0.001）;不同程度手机依赖总得分、分维度得分与述情障碍TAS分和因子得分均呈正相关;控制性别、年龄等变量后,与有述情障碍的学生相比,无述情障碍组发生中度、高度手机依赖行为的风险更低（OR=0.49,CI=0.35-0.70;OR=0.18,CI=0.13-0.25）。结论 高职学生中手机依赖行为比较普遍,有述情障碍的高职学生可作为手机依赖干预的重点人群,应给予高度重视和关注。

Objective Based on the description of epidemic characteristics of problematic mobile phone usage （PMPU） among high vocational college students, we analyzed the relationship between PMPU and alexithymia in order to provide evidence for the intervention of PMPU. Methods Students from three high vocational colleges in Anhui Province were recruited by cluster sampling and their PMPU and alexithymia were respectively evaluated by the Self- rating Questionnaire for Adolescent Problem- atic Mobile Phone Use （SQAPMPU） and Toronto Alexithymia Scale （TAS- 20）. Results The prevalence of moderate and high dependence of PMPU was 49.3 % and 26.4 %, respectively. The prevalence of moderate and high dependence of PMPU was higher among girls （79.1% ） than boys （67.8 %, P 〈 0.001 ）. The TAS scores and factor scores of alexithymia in the high dependence group of PMPU were higher than those in the low and moderate dependence group （P〈0. 001 ）. A positive correlation existed between the PMPU and alexithyrnia with respect to both their total scores and factor scores. When the gender, age and other variables were controlled, the group without alexithymia had lower risk for moderate and high PMPU than that with alexithymia（OR =0.49, 95%CI=0.35-0.70; OR=0.18, 95%CI-0.13-0.25）. Conclusions The PMPU is common among high vocational college students in Anhui Province. The students with alexithymia are the key population for the intervention of PMPU and should be paid more concern.