Parent-adolescent interaction and risk of adolescent internet addiction: a population-based study in Shanghai

BMC Psychiatry - Tập 14 - Trang 1-11 - 2014
Jian Xu1, Li-xiao Shen1, Chong-huai Yan1, Howard Hu2, Fang Yang3, Lu Wang4, Sudha Rani Kotha5, Fengxiu Ouyang1, Li-na Zhang6, Xiang-peng Liao1, Jun Zhang1, Jin-song Zhang1, Xiao-ming Shen1
1Xinhua Hospital, MOE-Shanghai Key Laboratory of Children’s Environmental Health, Department of Child and Adolescent Healthcare, Shanghai Institute for Pediatric Research, Shanghai Jiao Tong University School of Medicine, Shanghai, China
2Dalla Lana School of Public Health, University of Toronto, Toronto, Canada
3Global Health Department, University of Michigan, Ann Arbor, USA
4Biostatistics Department, School of Public Health, University of Michigan, Ann Arbor, USA
5Global Health at University of Toronto’s Faculty of Medicine, Toronto, Canada
6Biostatistics Department, Shanghai Jiao Tong University School of Medicine, Shanghai, China

Tóm tắt

Family-based intervention is essential for adolescents with behavioral problems. However, limited data are available on the relationship between family-based factors and adolescent internet addiction (AIA). We aimed to examine this relationship using a representative sample of Shanghai adolescents. In October 2007, a total of 5122 adolescents were investigated from 16 high schools via stratified-random sampling in Shanghai. Self-reported and anonymous questionnaires were used to assess parent-adolescent interaction and family environments. AIA was assessed by DRM-52 Scale, developed from Young’s Internet-addiction Scale, using seven subscales to evaluate psychological symptoms of AIA. Adjusting for adolescents’ ages, genders, socio-economic status, school performances and levels of the consumption expenditure, strong parental disapproval of internet-use was associated with AIA (vs. parental approval, OR = 2.20, 95% CI: 1.24-3.91). Worse mother-adolescent relationships were more significantly associated with AIA (OR = 3.79, 95% CI: 2.22-6.48) than worse father-adolescent relationships (OR = 1.76, 95% CI: 1.10-2.80). Marital status of “married-but-separated” and family structure of “left-behind adolescents” were associated with symptoms of some subscales. When having high monthly allowance, resident students tended to develop AIA but commuter students did not. Family social-economic status was not associated with the development of AIA. The quality of parent-adolescent relationship/communication was closely associated with the development of AIA, and maternal factors were more significantly associated with development of AIA than paternal factors. Family social-economic status moderated adolescent internet-use levels but not the development of AIA.

Tài liệu tham khảo

Moreno MA, Jelenchick L, Cox E, Young H, Christakis DA: Problematic internet use among US youth: a systematic review. Arch Pediatr Adolesc Med. 2011, 165: 797-805. 10.1001/archpediatrics.2011.58. Durkee T, Kaess M, Carli V, Parzer P, Wasserman C, Floderus B, Apter A, Balazs J, Barzilay S, Bobes J, Brunner R, Corcoran P, Cosman D, Cotter P, Despalins R, Graber N, Guillemin F, Haring C, Kahn JP, Mandelli L, Marusic D, Mészáros G, Musa GJ, Postuvan V, Resch F, Saiz PA, Sisask M, Varnik A, Sarchiapone M, Hoven CW, et al: Prevalence of pathological Internet use among adolescents in Europe: demographic and social factors. Addiction. 2012, 107: 2210-2222. 10.1111/j.1360-0443.2012.03946.x. Block JJ: Issues for DSM-V: Internet Addiction. Am J Psychiatry. 2008, 165: 306-307. 10.1176/appi.ajp.2007.07101556. Cao H, Sun Y, Wan Y, Hao J, Tao F: Problematic Internet use in Chinese adolescents and its relation to psychosomatic symptoms and life satisfaction. BMC Public Health. 2011, 11: 802-10.1186/1471-2458-11-802. Xu J, Shen LX, Yan CH, Hu H, Yang F, Wang L, Kotha SR, Zhang LN, Liao XP, Zhang J, Ouyang FX, Zhang JS, Shen XM: Personal characteristics related to the risk of adolescent internet addiction: a survey in Shanghai, China. BMC Public Health. 2012, 12: 1106-10.1186/1471-2458-12-1106. Christakis DA: Internet addiction: a 21st century epidemic?. BMC Med. 2010, 8: 61-10.1186/1741-7015-8-61. Stone R: Science in society. China reins in wilder impulses in treatment of ’Internet addiction. Science. 2009, 324: 1630-1631. 10.1126/science.324_1630. Thomée S, Härenstam A, Hagberg M: Computer use and stress, sleep disturbances, and symptoms of depression among young adults–a prospective cohort study. BMC Psychiatry. 2012, 12: 176-10.1186/1471-244X-12-176. Floros G, Siomos K: The relationship between optimal parenting, Internet addiction and motives for social networking in adolescence. Psychiatry Res. 2013, 209: 529-534. 10.1016/j.psychres.2013.01.010. Wang H, Zhou X, Lu C, Wu J, Deng XQ, Hong L: Problematic Internet Use in high school students in Guangdong Province, China. PLoS ONE. 2011, 6: e19660-10.1371/journal.pone.0019660. Weinstein A, Lejoyeux M: Internet addiction or excessive internet use. Am J Drug Alcohol Abuse. 2010, 36: 277-283. 10.3109/00952990.2010.491880. Young KS: Psychology of computer use: XL. Addictive use of the internet: a case that breaks the stereotype. Psychol Rep. 1996, 79: 899-902. 10.2466/pr0.1996.79.3.899. Yen JY, Cheng-Fang Y, Chen CS, Chang YH, Yeh YC, Ko CH: The bidirectional interactions between addiction, behaviour approach and behaviour inhibition systems among adolescents in a prospective study. Psychiatry Res. 2012, 200: 588-592. 10.1016/j.psychres.2012.03.015. Wei HT, Chen MH, Huang PC, Bai YM: The association between online gaming, social phobia, and depression: an internet survey. BMC Psychiatry. 2012, 12: 92-10.1186/1471-244X-12-92. Yen JY, Ko CH, Yen CF, Chen SH, Chung WL, Chen CC: Psychiatric symptoms in adolescents with Internet addiction: Comparison with substance use. Psychiatry Clin Neurosci. 2008, 62: 9-16. 10.1111/j.1440-1819.2007.01770.x. Yuan K, Qin W, Wang G, Zeng F, Zhao L, Yang X, Liu P, Liu J, Sun J, Von Deneen KM, Gong Q, Liu Y, Tian J: Microstructure Abnormalities in Adolescents with Internet Addiction Disorder. PLoS ONE. 2011, 6: e20708-10.1371/journal.pone.0020708. Barrett AE, Turner RJ: Family structure and substance use problems in adolescence and early adulthood: examining explanations for the relationship. Addiction. 2006, 101: 109-120. 10.1111/j.1360-0443.2005.01296.x. Yen JY, Yen CF, Chen CC, Chen SH, Ko CH: Family factors of Internet addiction and substance use experience in Taiwanese adolescents. Cyberpsychol Behav. 2007, 10: 323-329. 10.1089/cpb.2006.9948. Giannakopoulos G, Mihas C, Dimitrakaki C, Tountas Y: Family correlates of adolescents’ emotional/ behavioral problems: evidence from a Greek school-based sample. Acta Paediatr. 2009, 98: 1319-1323. 10.1111/j.1651-2227.2009.01314.x. Schinke SP, Fang L, Cole KC: Computer-delivered, parent-involvement intervention to prevent substance use among adolescent girls. Prev Med. 2009, 49: 429-435. 10.1016/j.ypmed.2009.08.001. Parker JS, Benson MJ: Parent-adolescent relations and adolescent functioning: self-esteem, substance abuse, and delinquency. Adolescence. 2004, 39: 519-530. Lin CH, Lin SL, Wu CP: The effects of parental monitoring and leisure boredom on adolescents’ Internet addiction. Adolescence. 2009, 44: 993-1004. Park SK, Kim JY, Cho CB: Prevalence of Internet addiction and correlations with family factors among South Korean adolescents. Adolescence. 2008, 43: 895-909. Shanghai Youth Federation, Hong Kong Federation of Youth Groups, Singapore People’s Association Youth Movement: Adolescent Internet Addiction, Recognition and Intervention. 2006, Shanghai: East China University of Science and Technology Press, Book in Chinese, 3 Dittus PJ, Jaccard J: Adolescents’ perceptions of maternal disapproval of sex: relationship to sexual outcomes. J Adolesc Health. 2000, 26: 268-278. 10.1016/S1054-139X(99)00096-8. Manaf RA, Shamsuddin K: Smoking among young urban Malaysian women and its risk factors. Asia Pac J Public Health. 2008, 20: 204-213. 10.1177/1010539508316973. Llorens N, Barrio G, Sánchez A, Suelves JM, ESTUDES Working Group: Effects of socialization and family factors on adolescent excessive drinking in Spain. Prev Sci. 2011, 12: 150-161. 10.1007/s11121-010-0195-0. Aroian K, Hough E, Templin TN, Kulwicki A, Ramaswamy V, Katz A: A model of mother-child adjustment in Arab Muslim immigrants to the US. Soc Sci Med. 2009, 69: 1377-1386. 10.1016/j.socscimed.2009.08.027. Burk WJ, Laursen B: Mother and adolescent reports of associations between child behavior problems and mother-child relationship qualities: separating shared variance from individual variance. J Abnorm Child Psychol. 2010, 38: 657-667. 10.1007/s10802-010-9396-z. Romo LF, Lefkowitz ES, Sigman M, Au TK: A longitudinal study of maternal messages about dating and sexuality and their influence on Latino adolescents. J Adolesc Health. 2002, 31: 59-69. 10.1016/S1054-139X(01)00402-5. Fan F, Su L, Gill MK, Birmaher B: Emotional and behavioral problems of Chinese left-behind children: a preliminary study. Soc Psychiatry Psychiatr Epidemiol. 2009, 45: 655-664. Liu Z, Li X, Ge X: Left too early: the effects of age at separation from parents on Chinese rural children’s symptoms of anxiety and depression. Am J Public Health. 2009, 99: 2049-2054. 10.2105/AJPH.2008.150474. Shapira NA, Lessig MC, Goldsmith TD, Szabo ST, Lazoritz M, Gold MS, Stein DJ: Problematic internet use: proposed classification and diagnostic criteria. Depress Anxiety. 2003, 17: 207-216. 10.1002/da.10094. Aboujaoude E: Problematic Internet use: an overview. World Psychiatry. 2010, 9: 85-90. Tao R, Huang X, Wang J, Zhang H, Zhang Y, Li M: Proposed diagnostic criteria for internet addiction. Addiction. 2010, 105: 556-564. 10.1111/j.1360-0443.2009.02828.x. The pre-publication history for this paper can be accessed here:http://www.biomedcentral.com/1471-244X/14/112/prepub
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BMC Psychiatry

Tập 14

1-11

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