儿童青少年高危精神病性体验与数字成瘾的关系:睡眠紊乱的中介作用  

The Relationship Between High-Risk Psychotic Experiences and Digital Addiction in Children and Adolescents:The Mediating Role of Sleep Disturbances

作　　者：刘芊 陈张铭 高东波[2] LIU Qian;CHEN Zhang-ming;GAO Dong-bo(Department of Psychiatry,Second Xiangya Hospital,Central South University,National Clinical Research Center for Mental Disorders,Hunan Key Laboratory of Psychiatry and Mental Health,Changsha 410011,China;Dundee International Institute of Central South University,Changsha 410083,China)

机构地区：[1]中南大学湘雅二医院精神科,国家精神心理疾病临床医学研究中心,精神病学与精神卫生学湖南省重点实验室,长沙410011 [2]中南大学邓迪国际学院,长沙410083

出　　处：《中国临床心理学杂志》2024年第3期511-518,共8页Chinese Journal of Clinical Psychology

基　　金：政府间国际科技创新合作/港澳台科技创新合作重点专项项目(2021YFE0191400)。

摘　　要：目的:考察儿童青少年群体高危精神病性体验的检出率,探索其与数字成瘾的关系以及睡眠紊乱在其中的中介作用。方法:分别在2021年及2022年,对四川省某市全体中小学生进行流行病学调查。在2022年的样本中,筛查了高危精神病性体验个体,测量了网络游戏成瘾程度、手机成瘾程度、社交媒体成瘾程度、睡眠质量以及心理健康问题,并在2021年样本中进行验证。结果:(1)约十分之一的儿童青少年经历过高危精神病性体验。(2)三种数字成瘾均与高危精神病性体验存在独立的关联性,并与高危精神病性体验的严重程度和亚型均存在中等程度的相关,其中与妄想症状关联度更高。(3)睡眠紊乱在儿童青少年数字成瘾与高危精神病性体验之间起到中介作用。结论:数字成瘾是高危精神病性体验的新兴风险因素。Objective:To investigate the rate of high-risk psychotic-like experiences among adolescent cohort,explore their association with digital addiction and the mediation role of sleep disturbances.Methods:Epidemiological surveys were conducted in a city in Sichuan Province,China,among primary and secondary school students in 2021 and 2022,re⁃spectively.In the 2022 sample,individuals with high-risk psychotic-like experiences were screened,and measurements were taken for the levels of internet gaming addiction,smartphone addiction,social media addiction,sleep quality,and men⁃tal health issues.Validation was performed in the 2021 sample.Results:(1)Approximately one in ten adolescents had high-risk psychotic-like experiences;(2)All three forms of digital addiction showed independent associations with highrisk psychotic-like experiences,correlating moderately with their severity and subtypes,with a higher correlation observed with delusional symptoms;(3)Sleep disturbances mediated the relationship between childhood and adolescent digital addic⁃tion and high-risk psychotic experiences.Conclusion:Digital addiction may be an emerging risk factor for high-risk psy⁃chotic-like experiences.

关 键 词：高危精神病性体验 数字成瘾 心理健康问题 睡眠紊乱 

分 类 号：R395.2[哲学宗教—心理学]