病理性网络使用青少年的家庭环境特征:一项以医院为基础的病例对照研究  

FAMILY ENVIRONMENT CHARACTERISTICS OF ADOLESCENTS WITH PROBLEMATIC INTERNET USE: A HOSPITAL-BASED CASE CONTROL STUDY

作　　者：钟宝亮[1] 崔娟[2] 卢瑾[3] 何民富[2] 李超[4] 陈红辉[1] 

机构地区：[1]华中科技大学同济医学院附属精神卫生中心,武汉430022 [2]中国疾病预防控制中心慢性非传染性疾病预防控制中心,北京100050 [3]昆明医学院附属第一医院精神科,昆明650032 [4]云南省精神病医院,昆明650224

出　　处：《中国药物依赖性杂志》2011年第1期29-33,共5页Chinese Journal of Drug Dependence

基　　金：国家自然科学基金项目(30770754)

摘　　要：目的:探索家庭环境特征与青少年病理性网络使用(PIU)之间的关系。方法:采用以医院为基础的病例对照研究设计,对190例PIU青少年和386例频数(性别、年龄)匹配的医院对照进行一般情况和家庭环境量表中文版(FES-CV)评定;使用Logistic回归筛选PIU的相关因素。结果:单因素分析显示,PIU青少年家庭的亲密度(5.64±s2.66vs.7.38±s1.95)、情感表达(4.72±s1.89vs.5.49±s1.62)、知识性(3.82±s2.03vs.4.73±s2.02)、娱乐性(3.45±s2.34vs.4.37±s2.09)和组织性(5.79±s2.02vs.6.28±s1.86)得分显著低于对照组(P均≤0.005),矛盾性(4.14±s2.32vs.2.78±s1.90)和控制性(4.09±s2.06vs.3.52±s1.95)得分显著高于对照组(P均≤0.001);Logistic回归分析表明,父母婚姻状态为在婚(OR=0.62)、抚养人为父母(OR=0.58)、亲密度高(OR=0.81)、知识性高(OR=0.79)和组织性高(OR=0.84)为PIU的保护因素;家长关系差(OR=2.30)、家长有烟酒嗜好(OR=2.11)、母亲受教育年限高(OR=1.12)、父亲受教育年限高(OR=1.18)、矛盾性高(OR=1.14)和控制性高(OR=1.11)为PIU的危险因素。结论:PIU的发生与父母因素、家庭环境有关;预防青少年PIU,需要改善不良的父母因素和家庭因素。Objective：To study the relationship between family environment characteristics and adolescents with problematic Internet use（PIU）.Methods：Hospital-based case control design was adopted.One hundred and ninety PIU adolescents and 386 frequency matched（gender,age）controls from general hospitals completed social-demographic variable questionnaire and family environment scale（Chinese version）;Logistic regression was used to identify factors associated with PIU.Results：Univariate analysis showed that,PIU group had lower score on cohesion（5.64±s 2.66 vs.7.38±s 1.95）,expressiveness（4.72±s 1.89 vs.5.49±s 1.62）,intellectual-cultural orientation（3.82±s 2.03 vs.4.73±s 2.02）,active-recreational orientation（3.45±s 2.34 vs.4.37±s 2.09）and organization（5.79±s 2.02 vs.6.28±s 1.86）,but had higher score on conflict（4.14±s 2.32 vs.2.78±s 1.90） and control（4.09±s 2.06 vs.3.52±s 1.95）,compared with the control group,P≤0.005;Logistic regression analysis indicated that being married of parents（OR=0.62）,biological parents fostering（OR=0.58）,high cohesion score（OR=0.81）,high intellectual-cultural orientation score（OR=0.79） and high organization score（OR=0.84）were protective factors for PIU;bad family relationship（OR=2.30）,patriarch member addicted to alcohol/smoking（OR=2.11）,mother with high education（OR=1.12）,father with high education（OR=1.18）,high conflict score（OR=1.14） and high control score（OR=1.11） were risk factors for PIU.Conclusion：The occurrence of PIU is associated with parent factors and family environment.We should improve parent and family environment factors to prevent PIU.

关 键 词：病理性网络使用 青少年 家庭环境量表 

分 类 号：R479.7[医药卫生—护理学]