认知情绪调节策略在大学生网络成瘾类别与抑郁间的中介作用  

Mediating effect of cognitive emotion regulation strategies between internet addiction categories and depressive disorder in university students

作　　者：李曦苗 郜珍妮 冯静 寇学芳 赵文铎 杨世昌[1,3,4,5] Li Ximiao;Gao Zhenni;Feng Jing;Kou Xuefang;Zhao Wenduo;Yang Shichang(Department of Psychiatry,the Second Affiliated Hospital of Xinxiang Medical University,Xinxiang 453002,China;Department of Mental Health,Xinxiang Central Hospital&the Fourth Clinical College of Xinxiang Medical University,Xinxiang 453000,China;Xinxiang Key Laboratory of Integrated Chinese and Western Medicine Diagnosis and Treatment for Psychoneurological Diseases,Xinxiang 453002,China;Integrated Chinese and Western Medicine Clinical Medical Center for Mental Diseases,Xinxiang Medical University,Xinxiang 453002,China;Henan Provincial Collaborative Innovation Center for the Prevention and Treatment of Mental and Psychological Diseases,Xinxiang 453002,China)

机构地区：[1]新乡医学院第二附属医院精神科,453002 [2]新乡市中心医院,新乡医学院第四临床学院精神卫生科,453000 [3]新乡市精神神经疾病中西医诊疗重点实验室,453002 [4]新乡医学院精神疾病中西医结合临床医学中心,453002 [5]精神心理疾病防治河南省协同创新中心,新乡453002

出　　处：《神经疾病与精神卫生》2025年第3期153-160,共8页Journal of Neuroscience and Mental Health

摘　　要：目的采用潜在剖面分析探讨大学生网络成瘾的不同类别与抑郁症状的关系,并分析认知情绪调节策略在两者之间的中介效应。方法采用随机抽样法,于2023年1月在新乡市4所高校随机抽取5个年级中889名大学生为研究对象,采用一般人口学信息、网络成瘾问卷、认知情绪调节策略问卷(CERQ)、9条目患者健康问卷抑郁量表(PHQ-9)对大学生的网络成瘾、抑郁与认知情绪调节策略情况进行调查。采用Mplus 8.3对网络成瘾进行潜在剖面分析;采用Pearson相关分析大学生网络成瘾、认知情绪调节策略及抑郁的相关关系;采用SPSS 27.0的PROCESS程序检验在网络成瘾类别与抑郁之间,认知情绪调节策略起到的中介作用。结果本研究发放问卷889份,回收802份,问卷有效回收率为90.21%。802名大学生网络成瘾问卷总分为(44.33±13.03)分;CERQ中适应性认知情绪调节策略维度评分为(66.20±11.48)分,非适应性认知情绪调节策略维度评分为(42.71±9.51)分;PHQ-9评分为(5.98±4.51)分;Pearson相关分析显示,网络成瘾、适应性认知情绪调节策略、非适应性认知情绪调节策略及抑郁症均存在相关关系(r=-0.091~0.486,均P<0.01)。以网络成瘾问卷各条目作为分析指标进行潜在剖面分析,由潜在类别为1开始逐步增加类别数,本研究共拟合了5个类别模型,模型3为最佳模型。依据条目作答特点命名各个类别,结果显示,大学生网络成瘾存在3个潜在类型,分别为正常网络使用组(36.3%)、低水平网络成瘾组(43.3%)、高水平网络成瘾组(20.3%)。以正常网络使用组作为参照组时,低水平网络成瘾组和高水平网络成瘾组均能正向预测抑郁(β=0.33,P<0.001;β=0.75,P<0.001);在高水平网络成瘾组与抑郁间,适应性认知情绪调节策略和非适应性认知情绪调节策略均存在中介效应,中介效应值分别为0.06(95%CI:0.016~0.120);0.39(95%CI:0.291~0.491),在低水平网络成瘾组和抑郁�Objective To explore the relationship between different categories of internet addiction and depressive symptoms among university students using latent profile analysis and analyze the mediating effect of cognitive emotion regulation strategies between the two.Methods Random sampling was used to select 889 university students in five grades from four colleges and universities in Xinxiang City in January 2023 for the study.The General Demographic Information Questionnaire,internet Addiction Questionnaire,Cognitive Emotion Regulation Questionnaire(CERQ),and Patient Health Questionnaire-9(PHQ-9)were used to investigate internet addiction,depressive disorder,and cognitive emotion regulation strategies among university students.Mplus 8.3 was used to analyze the latent profile of internet addiction.Pearson correlation was used to analyze the correlation between internet addiction,cognitive emotion regulation strategies,and depressive disorder among university students.PROCESS procedure of SPSS 27.0 was used to test for the mediating role played in the relationship between internet addiction categories and depressive disorder and cognitive emotion regulation strategies.Results A total of 889 questionnaires were distributed and 802 were recovered,with an effective recovery rate of 90.21%.Among 802 university students,the total score of internet Addiction Questionnaire,adaptive cognitive emotion regulation strategy dimension score,non-adaptive cognitive emotion regulation strategy dimension score in CERQ,and PHQ-9 score were(44.33±13.03),(66.20±11.48),(42.71±9.51),and(5.98±4.51),respectively.Pearson correlation analysis showed that,internet addiction,adaptive cognitive emotion regulation strategies,non-adaptive cognitive emotion regulation strategies and depressive disorder see were all correlated,with statistically significant differences(r=-0.091-0.486;all P<0.01).Latent profile analysis was conducted using each entry of the internet Addiction Questionnaire as an analytical indicator,and the number of categories was

关 键 词：大学生 抑郁 网络成瘾 潜在剖面分析 认知情绪调节策略 中介效应 

分 类 号：R74[医药卫生—神经病学与精神病学]