中国实用儿科杂志

中国实用儿科杂志

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中学生互联网过度使用与注意缺陷多动障碍

曹枫林1,苏林雁1,王洪2,高雪屏1,王恬3,王玉凤4   

  1. 1.中南大学湘雅二医院精神卫生研究所，湖南长沙410011；2.解放军463医院，辽宁沈阳110042；3.长沙市教育科学研究所，湖南长沙410003；4.北京大学精神卫生研究所，北京100083第一作者为中南大学精神卫生研究所在职博士生，委培单位为山东大学护理学院
  • 收稿日期:2006-11-25 修回日期:2007-01-20 出版日期:2007-04-06 发布日期:2007-04-06
  • 通讯作者: 苏林雁

Internet overuse and attention deficit hyperactivity disorder in middle school students.

CAO Feng-lin,SU Lin-yan,WANG Hong,et al.   

  1. Mental Health Institute,the Second Xiangya Hospital,Central South University,Changsha 410011,China
  • Received:2006-11-25 Revised:2007-01-20 Online:2007-04-06 Published:2007-04-06

摘要： 目的探讨中学生互联网过度使用(IOU)与注意缺陷多动障碍(ADHD)的关系。 方法采用网络成瘾诊断问卷(YDQ)、长处和困难问卷父母版(SDQ)、注意缺陷多动障碍诊断量表父母版(ADHDDS-P)对64例互联网过度使用中学生 和64名对照中学生进行评定和比较，并依据美国精神障碍诊断与统计手册第4版(DSM-Ⅳ)中的ADHD诊断标准进行诊断性访谈。 结果(1)IOU组符合DSM-Ⅳ中ADHD诊断标准的学生有14例，其中注意缺陷为主型5例，多动冲动为主型1例，混合型8例；对照组中符合ADHD诊断标 准的学生有3例，均为混合型。(2)SDQ：IOU组多动注意不能、品行问题、情绪症状、困难总分等因子的得分均高于对照组，在亲社会行为因子 上的得分显著低于对照组(P<0.01或P<0.05)；(3)ADHDDS-P：IOU组注意缺陷、多动/冲动因子得分和总分均显著高于对照组(P<0.01或P<0.05)； (4)条件Logistic回归分析发现注意缺陷、多动注意不能是IOU的危险因素，亲社会行为是IOU的保护因素。 结论互联网过度使用中学生存在着较多的注意缺陷多动障碍，其可能是造成中学生互联网过度使用的危险因素。

关键词: 互联网过度使用, 注意缺陷多动障碍, 中学生

Abstract: AbstractObjectiveTo explore the relationship between internet overuse(IOU) and attention deficit hyperactivity disorder(ADHD) in middle school students. MethodsThe case-control study included 64 middle school students with IOU and 64 healthy controls.The subjects were assessed with the Diagnostic Questionnaire for Internet Addiction (YDQ),Strength and Difficulties Questionnaire (SDQ) and ADHD Diagnostic Scale-Parent Version(ADHDDS-P).All subjects were administered a standardized diagnostic interview according to DSM-Ⅳ criteria for ADHD.ResultsFourteen IOU students met DSM-Ⅳ criteria for ADHD,of whom 5 students met predominantly inattention type;1 student met redominantly hyperactive-impulsive type,8 students met combined type.Three students of control group met DSM-Ⅳ criteria for ADHD,all of whom met combined type.The IOU group had significantly higher scores on the SDQ subscales of emotional symptoms,conduct problems,hyperactivity and total difficulties and less scores on the subscales of prosocial behaviors than the normal group(P<0.05~<0.01).IOU group had significantly higher scores on the ADHDDS-P of inattention factor and hyperactivity/impulsivity factor than the normal group (P<0.01).Logistic regression analysis showed that inattention and hyperactivity were risk factors of internet overuse，prosocial behaviors was protective factor of internet overuse in middle school students. ConclusionAttention deficit hyperactivity disorder may be an important risk factor of internet overuse in middle school students.

Key words: Middle school students , ADHD