非适应性认知在青少年家庭关系与网络游戏障碍间的中介作用  

The mediating role of maladaptive cognition between family relationships and internet gaming disorder in adolescents

作　　者：张艺博 赵涛 李艳歌[1] 吴洁[1] 王瑞琪 吕其炎 郎艳[1] Zhang Yibo;Zhao Tao;Li Yange;Wu Jie;Wang Ruiqi;Lyu Qiyan;Lang Yan(Department of Psychiatry,First Affiliated Hospital of Zhengzhou University,Zhengzhou 450000,China)

机构地区：[1]郑州大学第一附属医院精神医学科,郑州450000

出　　处：《中华行为医学与脑科学杂志》2024年第12期1111-1115,共5页Chinese Journal of Behavioral Medicine and Brain Science

基　　金：国家自然科学基金(82471962)。

摘　　要：目的分析非适应性认知在青少年家庭关系与网络游戏障碍(internet gaming disorder,IGD)之间的中介作用。方法2021年9月至2023年4月在郑州大学第一附属医院选取52例IGD青少年(IGD组)并在社区招募51例正常青少年(健康对照组)为研究对象。采用Young网络成瘾量表(Young internet addiction scale,YIAS)评估所有青少年的网络成瘾严重程度,采用家庭环境量表(the Chinese version of family environment scale,FES-CV)和非适应性认知量表(the Chinese adolescents'maladaptive cognitions scale,CAMCS)分别评估青少年的家庭关系和非适应性认知。采用SPSS 22.0软件进行描述性分析、相关分析和中介作用分析,计量资料比较采用独立样本t检验,计数资料比较采用χ^(2)检验,通过Pearson相关分析探究各变量之间的相关性,使用Bootstrap法进行中介效应检验。结果(1)与健康对照组相比,IGD组YIAS得分较高,差异有统计学意义[(63.69±10.36)分,(28.96±5.20)分,t=21.571,P<0.05];与健康对照组相比,IGD组FES-CV矛盾性分数较高[(4.79±2.02)分,(3.33±1.42)分,t=4.228,P<0.05],FES-CV亲密度分数较低[(4.46±1.64)分,(5.57±1.33)分,t=-3.768,P<0.05],均差异有统计学意义;与健康对照组相比,IGD组CAMCS分数较高,差异有统计学意义[(28.88±10.11)分,(22.98±9.11)分,t=3.116,P<0.05]。(2)IGD组青少年家庭关系中的矛盾性与IGD呈正相关(r=0.504,P<0.01),亲密度与IGD呈负相关(r=-0.474,P<0.01)。(3)路径分析及中介效应检验表明,家庭关系中的矛盾性正向预测IGD(β=0.331,95%CI=0.100~0.563)和非适应性认知(β=0.372,95%CI=0.108~0.636),非适应性认知正向预测IGD(β=0.464,95%CI=0.232~0.696);非适应性认知在家庭关系中的矛盾性与IGD之间具有中介作用,其中介效应值为0.173(95%CI=0.020~0.336,占总效应的34.33%(0.173/0.504)。结论青少年家庭关系与IGD有关,且非适应性认知可能在青少年家庭关系与IGD之间起中介作用。Objective To analyze the mediating role of maladaptive cognition between family relationships and internet gaming disorder(IGD)in adolescents.Methods From September 2021 to April 2023,a total of 52 adolescents with IGD(IGD group)from the First Affiliated Hospital of Zhengzhou University and 51 normal adolescents(HC group)from community were selected as study subjects.The severity of adolescent internet addiction was assessed using the Young internet addiction scale(YIAS).Family relationships and maladaptive cognition were evaluated by the Chinese version of family environment scale(FES-CV)and the Chinese adolescents’maladaptive cognitions scale(CAMCS).SPSS 22.0 software was used for descriptive analysis,correlation analysis and mediation analysis.Two-sample t-tests were used for quantitative data comparison,and chi-square tests were used for qualitative data comparison.Pearson correlation analysis was conducted to analyze the relationship of variables,and the intermediate variable test was performed using Bootstrap method.Results(1)Compared with HC group,the score of YIAS in IGD group was higher,and the difference was statistically significant((63.69±10.36),(28.96±5.20),t=21.571,P<0.05).Compared with the HC group,the conflict score of FES-CV in the IGD group was higher((4.79±2.02),(3.33±1.42),t=4.228,P<0.05),and the cohesion score of FES-CV was lower((4.46±1.64),(5.57±1.33),t=-3.768,P<0.05).Compared with the HC group,the CAMCS score in IGD group was higher,and the difference was statistically significant((28.88±10.11),(22.98±9.11),t=3.116,P<0.05).(2)There was a positive correlation between conflict of family relationships and IGD(r=0.504,P<0.01),and a negative correlation between cohesion of family relationships and IGD(r=-0.474,P<0.01)in IGD group.(3)Path analysis and mediation effect test showed that conflict in family relationships positively predicted IGD(β=0.331,95%CI=0.100-0.563)and maladaptive cognition(β=0.372,95%CI=0.108-0.636).Maladaptive cognitive positively predicted IGD(β=0.464,95%CI=0.2

关 键 词：网络游戏障碍 非适应性认知 家庭关系 青少年 中介作用 

分 类 号：G63[文化科学—教育学]