网络成瘾青少年初始沙盘特征

Sandplay therapy among adolescents with Internet addiction

目的探讨青少年网络成瘾者的初始沙盘特征,丰富沙盘游戏治疗的理论和实践,为青少年网络成瘾者的临床诊断提供参考。方法使用青少年病理性互联网使用量表(Adolescent Pathological Internet Use Scale,APIUS)选取重庆市60名初中生被试(30名网络成瘾青少年,30名正常青少年),探究青少年网络成瘾者初始沙盘特征。结果青少年网络成瘾者多使用军事类沙具(t=2.079,P=0.046),少使用自然元素(t=-1.979,P=0.050)和生活元素类(t=-2.375,P=0.024);在沙盘主题上多出现分裂和混乱2个创伤主题,少出现整合和深入2个治愈主题(χ~2值分别为4.504,2.079,7.878,5.271,P值均<0.05)。沙盘主题特征的Logistic回归分析显示,整合、深入2个主题特征是青少年网络成瘾者的保护因素(B值分别为-0.591,-0.548,F=3.005,P<0.05,△R^2=0.211)。结论青少年网络成瘾者在沙具使用、沙盘的主题2个维度上有特征表现。初始沙盘对青少年网络成瘾者具有临床心理筛查与测评的功能和参考价值。

Objective To understand characteristics of sandplay therapy among adolescents Internet addiction. Methods Sixty adolescents with Internet addition assessed by APIUS scale was provided with sandplay therapy. Results Adolescents with Internet additions were more likely to use military set（ t = 2.079,P = 0.046） compared with natural（ t =-1.979, P = 0.050） and daily life set（ t =-2.375, P = 0.024）. Two trauma themes about division（ χ~2= 4. 504, P = 0. 034） and confusion（ χ~2= 2. 079, P〈 0. 01）were adopted more frequently than the two healing themes on integration（ χ~2= 7.878, P = 0.005） and penetration（ χ~2= 5.271, P =0.022）. Logistic regression analysis showed that playing with integration and penetration theme associated with Internet addicts among adolescents（ F = 3.005, P〈0.05, △R^2= 0.21）. Conclusion Adolescents with Internet addition show specific favorite of miniature in sandplay therapy. Sandtray can be used for screening and evaluation of Internet addiction among adolescents.