医学生网络成瘾现状及与心理健康的相关性

Study on the relationship between internet addiction and mental health among medical students

目的了解医学生网络成瘾现状及与心理健康的相关性。方法采用便利抽样法,抽取某医学院校大学生1 353人,采用网络成瘾量表(CIAS)、症状自评量表(SCL-90)、家庭关怀度指数问卷进行调查。结果1 353人网络成瘾得分为51.44±13.68,网络成瘾检出率为17.1%;SCL-90总分为147.05±54.44,自评阳性率22.3%,10个因子中,强迫症状最高为28.0%,人际关系敏感最低为14.1%。正常、有沉迷倾向、网络成瘾者的SCL-90总分及各因子得分差异均有统计学意义(F=150.890~819.671,P值均<0.01),网络成瘾总分及各维度与SCL-90总分及各因子得分均呈正相关(r=0.335~0.475,P值均<0.01)。多因素logistic回归分析结果显示,生源地、是否喜欢自己专业、家庭组合方式与网络成瘾有统计学关联(P值均<0.01)。结论医学生网络成瘾发生率较高,与心理健康水平相关,应采取有效预防和干预措施。

Objective To investigate the internet addiction status of medical students and its correlation with mental health condition.Methods A total of 1 353 medical students were selected by convenient sampling method,who were investigated by self-made general situation questionnaire,Chinese Internet Addiction Scale(CIAS),symptom Checklist-90(SCL-90)and family care index questionnaire.Results The internet addiction score of medical students was(51.44±13.68),the positive detection rate was 17.1%;the total score of SCL-90 was(147.05±54.44),the positive detection rate was 22.3%.Among 10 factors,the highest detection rate was obsessive-compulsive symptoms(28.0%),the lowest rate was interpersonal sensitivity(14.1%).There were statistically significant differences for SCL-90 scores and factor scores among subjects who were normal,with addiction tendency and with internet addiction(F=150.890-819.671,all P<0.01).There was a positive correlation between the total score of internet addiction and the total score of SCL-90(r = 0.335-0.475,all P<0.01).The results of multivariate logistic regression analysis showed that there was a significant correlation between the hometown of students,whether they like their major and family combination pattern(all P<0.01)with internet addiction.Conclusion The internet addiction rate among medical students is relatively high,which is related to their mental health condition.Effective prevention and intervention measures should be taken.