焦虑和认知情绪调节在青少年网络成瘾与抑郁之间的中介作用
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上海市公共卫生体系建设三年行动计划(2020— 2022 年)重点学科建设计划项目(GWV- 10.1-XK18);2020 年上海市“医苑新星”青年医学人才培养计划


Mediating effects of anxiety and cognitive emotion regulation on Internet addiction and depression in adolescents
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    摘要:

    目的 探讨青少年网络成瘾与抑郁的关系以及焦虑与认知情绪调节的中介作用。 方法 采用网络成瘾测评量表、广泛性焦虑量表、Kutcher 青少年抑郁量表和认知情绪调节问卷于 2015 年 12 月至 2016 年 1 月对上海市 5 所普通公立初级中学选取的 2 751 名学生进行现场问卷调查。 结果 初中生抑郁症状的检出率为 22.2%(610/2 751),在高年级、家庭情况较差的学生中的抑郁症状更 常见(P< 0.05)。相关分析结果显示,网络成瘾、抑郁、焦虑和非适应性认知情绪调节策略两两均呈正 相关,相关系数为 0.354~0.755(均P< 0.01)。结构方程模型分析结果显示,焦虑和非适应性认知情绪 调节策略在青少年网络成瘾和抑郁间起中介作用,非标准化的间接效应值分别为 0.340 和 0.031,两者的 中介效应量分别占总间接效应的 91.64% 和 8.36%,且该作用为并行式中介作用;多个拟合度指标显示, 中介效应模型拟合较好(χ2/DF=1.035,GFI=0.975,AGFI=0.939,RMSEA=0.004,TLI=0.999,CFI=0.999, NFI=0.975,IFI=0.999,RFI=0.967)。结论 青少年网络成瘾对抑郁有一定预测作用,也可以通过焦虑和 非适应性认知情绪调节策略发挥间接作用。

    Abstract:

    Objective To explore the association between Internet addiction and depression among adolescents, as well as the mediating effects of anxiety and cognitive emotion regulation. Methods An on-site questionnaire survey was conducted among 2 751 students selected from five public junior middle schools in Shanghai from December 2015 to January 2016 by using the Internet Addiction Assessment Scale, Generalized Anxiety Disorder-7, Kutcher Adolescent Depression Scale and Cognitive Emotion Regulation Questionnaire. Results The detection rate of depression was 22.2% (610/2 751), and depression symptoms were more common among students in higher grades and poorer families (P < 0.05). The results of correlation analysis showed that Internet addiction, depression, anxiety, and non-adaptive cognitive emotion regulation strategies were significantly positively correlated, with correlation coefficients ranging from 0.354-0.755 (all P < 0.01). The structural equation model (SEM) indicated that anxiety and maladaptive strategies played parallel mediating roles between Internet addiction and depression. The non-standardized indirect effect values of anxiety and nonadaptive strategies are 0.340 and 0.031, respectively, and the mediating effect of the two accounts for 91.64% and 8.36% of the total indirect effect. Various fit measures indicate that the mediation effect model fits well. (χ2/DF=1.035, GFI=0.975, AGFI=0.939, RMSEA=0.004, TLI=0.999, CFI=0.999, NFI=0.975, IFI=0.999, RFI=0.967). Conclusions Adolescent Internet addiction can predict depression, and it can also play an indirect role through anxiety and non adaptive cognitive emotion regulation strategies.

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何思源,刘彦丽,陈春梅,等.焦虑和认知情绪调节在青少年网络成瘾与抑郁之间的中介作用[J].神经疾病与精神卫生,2022,22(2):94-99. DOI:10.3969/j. issn.1009-6574.2022.02.004.

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  • 在线发布日期: 2022-02-23