青少年非自杀性自伤行为和网络成瘾的相关性

Association of non-suicidal self-injury with Internet addictive behavior among adolescents

目的探讨青少年非自杀性自伤行为与网络成瘾的关系,为提升青少年健康,预防不良危险行为的发生提供科学依据。方法采用随机整群抽样方法,抽取中国黑龙江、湖北、安徽、广东、云南5个省15538名初中和高中生为研究对象,采用课题组编制的《青少年心理行为健康状况调查问卷》调查非自杀性自伤行为、网络成瘾行为、一般人口学特征、家庭情况及心理状况等。结果调查前1年,被试非自杀性自伤行为、网络成瘾、可疑网络成瘾的自我报告率分别为28.7%,3.3%和29.9%。有无自伤行为组间孤独感和情绪管理得分差异均有统计学意义(t值分别为-22.35,25.62,P值均<0.05)。单因素分析显示,非自杀性自伤行为与网络成瘾有相关性(P<0.05);在控制性别、民族、年级、独生子女、父亲文化程度、家庭类型、管教方式、情绪管理、孤独感等因素后,多因素Logistic回归分析显示,非自杀性自伤行为的各类型与网络成瘾各类型仍有相关性(OR=1.30~2.79),且网络成瘾者发生各类型NSSI风险均高于可疑网络成瘾者。结论网络成瘾和可疑网络成瘾行为是非自杀性自伤行为的独立危险因子。加强对网络成瘾的预防可减少自伤行为的发生。

Objective To explore the relationship between non-suicidal self-injury and Internet addictive behavior in adolescents.Methods A cross-sectional survey of 15 538 middle school students across 5 provinces in China.Participants reported self-injury behavior during the past year and the Internet addition behaviors were assessed through Young's Internet Addiction Test(IAT).Results The prevalence of self-reported 1-year NSSI,Internet addictive behavior and pre-addictive behaviors was 28.7%,3.3%and 29.9%,respectively.After controlling for potential confounders,the Internet addition was positively correlated with NS.SI,and the risk of all types of NSSI was higher in adolescent with Internet addition than those with mild suspected Internet addictive behavior(OR=1.3-2.8).Conclusion These findings indicate that Internet addition is associated with the incidence of NSSI in adolescents.