多感官刺激干预对网络成瘾大学生心理状态与神经生物学及电生理指标的影响

李科; 杨昆鹏; 张姗姗

doi:10.16835/j.cnki.1000-9817.2024102

多感官刺激干预对网络成瘾大学生心理状态与神经生物学及电生理指标的影响

doi: 10.16835/j.cnki.1000-9817.2024102

1.
重庆第二师范学院体育与健康管理学院，重庆 400060
2.
重庆市中医骨科医院中医骨伤科
3.
重庆医科大学附属第一医院康复医学科

基金项目:

国家社会科学基金教育学一般课题项目 BLA200217

重庆市教改重点课题项目 232144

重庆市体育科研项目 D202209

详细信息

作者简介:
李科(1978-)，男，四川乐山人，硕士，副教授，主要研究方向为大学生常见疾病的中医干预技术

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中图分类号: R179 TN711.5 C913.5 B845.5
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出版历程
- 收稿日期: 2023-12-06
- 修回日期: 2023-12-30
- 网络出版日期: 2024-04-25
- 刊出日期: 2024-04-25

Impact of multi-sensory stimulation intervention on the psychological state, neurobiology, and neuroelectrophysiological indicators of college students with Internet addiction

1.
School of Physical Education and Health Management, Chongqing Second Normal University, Chongqing (400060), China

摘要

摘要: 目的观察多感官刺激干预对网络成瘾综合征(IAD)大学生心理状态、神经生物学及神经电生理指标的影响，以期为IAD干预方案的优化提供高质量证据。方法于2022—2023学年的春季学期开学时，采用整群随机抽样方法选择重庆第二师范学院大一、大二年级IAD大学生114名，随机分为对照组、体育锻炼组、观察组(各28人)。对照组进行常规心理干预，体育锻炼组在对照组基础上进行常规体育锻炼，观察组在对照组基础上进行多感官刺激干预；多感官刺激干预包括色彩、香薰、音乐、含片、揿针、推拿、太极、静功8种手段。干预时间为2023年4月1日至6月30日，3组均干预12周。观察干预前后中文网络成瘾量表修订版(CIAS-R)、自我控制量表(SCS)、症状自评量表(SCL-90)得分，测量血浆多巴胺(DA)和β-内啡肽(β-EP)质量体积浓度，并通过事件相关电位(ERP)分析N200的波幅和潜伏期水平。结果干预后，观察组CIAS-R评分(36.08±4.98)低于体育锻炼组(49.55±5.19)和对照组(54.82±4.10)，SCS评分(76.08±1.98)高于体育锻炼组(66.16±1.92)和对照组(52.59±1.53)，差异均有统计学意义(F值分别为12.08，13.18，P值均 < 0.05)；SCL-90各个维度得分比较，观察组在躯体化、抑郁、焦虑、精神病性4个维度均低于其余两组，差异均有统计学意义(F值分别为9.11，8.92，8.17，8.48，P值均 < 0.05)；在强迫症状、人际关系敏感、其他3个维度观察组低于对照组(F值分别为4.20，5.16，5.60，P值均 < 0.05)；3组在恐怖、偏执2个维度得分差异均无统计学意义(F值分别为0.24，0.19，P值均>0.05)；观察组在血浆DA、β-EP及N200的波幅和潜伏期水平均优于其余两组，差异均有统计学意义(F值分别为9.92，8.93，6.24，8.05，P值均 < 0.05)。结论多感官刺激干预可以缓解IAD大学生的相关症状，改善神经生物学和神经电生理指标。
- 因特网 /
- 行为，成瘾 /
- 精神卫生 /
- 神经生物学 /
- 干预性研究 /
- 学生
Abstract: Objective To observe the effects of multi-sensory stimulation (MSS) intervention on the psychological state, neurobiology, and neuroelectrophysiological indicators of college students with Internet addiction disorder (IAD), so as to provide high-quality evidence for the optimization of IAD intervention plans. Methods At the beginning of the spring semester of 2022-2023 academic year, 114 first-year and sophomore IAD college students from Chongqing Second Normal University were selected by group random sampling method, and were randomly assigned into control group, physical exercise group, and observation group (28 in each group). The control group received routine psychological intervention, while the physical exercise group received routine physical exercise on the basis of the control group. The observation group received a MSS intervention on the basis of the control group. The MSS intervention included 8 means of color, incense, music, lozenges, press needle, massage, Tai Chi and static work. The intervention periocl was from April 1 to June 30, 2023, and all three groups were intervened for 12 weeks. The revised Chinese Internet Addiction Scale (CIAS-R), Self Control Scale (SCS), Symptom Checklist-90 (SCL-90) were observed before and after intervention, dopamine (DA) and β-Endorphin (β-EP) concentration were collected, and the amplitude and latency levels of N200 were analyzed by Event Related Potential (ERP). Results The CIAS-R score of the observation group (36.08±4.98) was lower than physical exercise group (49.55±5.19) and control group (54.82±4.10), and the SCS score of the observation group (76.08±1.98) was higher than physical exercise group (66.16±1.92) and control group (52.59±1.53) (F=12.08, 13.18, P < 0.05). In comparison of various dimensions of SCL-90, the observation group showed lower scores in the four dimensions of somatization, depression, anxiety, and psychoticism compared to the other two groups (F=9.11, 8.92, 8.17, 8.48, P < 0.05). In the dimensions of obsessive-compulsive symptoms, interpersonal sensitivity, and others in observation group were lower than the control group (F=4.20, 5.16, 5.60, P < 0.05). However, there was no difference in the two dimensions of terror and paranoia among the three groups (F=0.24, 0.19, P>0.05). The levels in plasma DA, β-EP and the amplitude and latency of N200 among observation group were better than other two groups, and the differences were statistically significant (F=9.92, 8.93, 6.24, 8.05, P < 0.05). Conclusion MSS intervention can alleviate the related symptoms of IAD college students, improve neurobiological and neurophysiological indicators.
- Intrernet /
- Behavior, addictive /
- Mental health /
- Neurobiology /
- Intervention studies /
- Students
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表 1 不同组别大学生干预前后CIAS-R、SCS评分比较(x ± s)

Table 1. Comparison of CIAS-R and SCS scores among three groups (x ± s)

组别	人数	CIAS-R			SCS
组别	人数	干预前	干预后	t值	干预前	干预后	t值
对照组	28	71.93±5.17	54.82±4.10	4.47^*	29.40±1.87	52.59±1.53	-7.08^*
体育锻炼组	28	72.08±6.74	49.55±5.19	5.09^*	28.96±1.59	66.16±1.92	-8.20^*
观察组	28	72.05±6.25	36.08±4.98	6.46^*	30.01±1.62	76.08±1.98	-9.63^*
F值		0.17	12.08		0.49	13.18
P值		0.86	< 0.01		0.52	< 0.01
注：*P < 0.05。

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表 2 不同组别大学生干预前后SCL-90各个维度评分比较(x ± s)

Table 2. Comparison of SCL-90 scores in various dimensions among three groups (x ± s)

组别	人数	躯体化			强迫症状			人际关系敏感			抑郁			焦虑
组别	人数	干预前	干预后	t值	干预前	干预后	t值	干预前	干预后	t值	干预前	干预后	t值	干预前	干预后	t值
对照组	28	1.56±0.18	1.50±0.14	4.05^*	1.45±0.17	1.37±0.16	3.96^*	1.67±0.14	1.52±0.13	5.29^*	1.68±0.17	1.50±0.14	5.32^*	1.68±0.16	1.55±0.13	5.24^*
体育锻炼组	28	1.56±0.16	1.45±0.14	4.81^*	1.43±0.16	1.30±0.15	5.12^*	1.67±0.15	1.38±0.14	6.68^*	1.68±0.15	1.44±0.12	6.50^*	1.66±0.13	1.47±0.15	6.39^*
观察组	28	1.57±0.17	1.38±0.13	5.57^*	1.45±0.17	1.31±0.15	5.11^*	1.67±0.14	1.37±0.15	6.69^*	1.67±0.15	1.35±0.13	6.74^*	1.68±0.15	1.38±0.13	6.70^*
F值		0.10	9.11		0.51	4.20		0.06	5.16		0.20	8.92		0.27	8.17
P值		0.85	< 0.01		0.48	0.02		0.94	< 0.01		0.78	< 0.01		0.69	< 0.01

组别	人数	敌对			恐怖			偏执			精神病性			其他
组别	人数	干预前	干预后	t值	干预前	干预后	t值	干预前	干预后	t值	干预前	干预后	t值	干预前	干预后	t值
对照组	28	1.25±0.12	1.24±0.10	1.79	1.26±0.13	1.22±0.13	3.41^*	1.36±0.09	1.32±0.10	3.29^*	1.56±0.17	1.43±0.12	4.53^*	1.45±0.12	1.35±0.11	4.91^*
体育锻炼组	28	1.27±0.13	1.16±0.12	4.26^*	1.24±0.12	1.22±0.12	3.40^*	1.37±0.11	1.33±0.10	3.29^*	1.56±0.15	1.35±0.11	6.79^*	1.44±0.13	1.32±0.11	5.03^*
观察组	28	1.26±0.13	1.15±0.11	4.27^*	1.24±0.11	1.21±0.11	3.43^*	1.37±0.10	1.32±0.11	3.30^*	1.57±0.14	1.29±0.09	7.80^*	1.45±0.10	1.32±0.11	5.04^*
F值		0.69	4.05		0.88	0.24		0.20	0.19		0.10	8.48		0.13	5.60
P值		0.27	0.03		0.15	0.73		0.75	0.76		0.85	< 0.01		0.83	< 0.01
注：*P < 0.05。

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表 3 不同组别大学生干预前后血浆DA、β-EP及N200的波幅和潜伏期水平比较(x ± s)

Table 3. Comparison of levels the plasma DA, β-EP and the amplitude and latency of N200 in 3 groups (x ± s)

组别	人数	血浆DA/(ng·L^-1)			血浆β-EP/(ng·L^-1)			N200波幅/μV			N200潜伏期/ms
组别	人数	干预前	干预后	t值	干预前	干预后	t值	干预前	干预后	t值	干预前	干预后	t值
对照组	28	51.69±3.26	48.06±3.12	3.86^*	92.63±8.15	93.04±7.41	-1.06	-5.13±6.82	-5.24±6.04	3.50^*	271.15±24.38	263.35±24.02	4.99^*
体育锻炼组	28	51.30±4.73	58.19±3.61	-5.61^*	91.90±7.81	99.18±7.10	-4.55^*	-5.17±6.08	-6.38±6.72	5.14^*	268.93±28.06	250.06±26.39	6.07^*
观察组	28	51.75±4.12	64.98±4.08	-6.70^*	90.44±8.20	106.93±8.46	-7.12^*	-5.22±6.10	-8.46±6.91	8.52^*	270.37±25.09	241.99±24.22	7.59^*
F值		0.65	9.92		0.86	8.93		0.18	6.24		0.44	8.05
P值		0.30	< 0.01		0.16	< 0.01		0.76	< 0.01		0.51	< 0.01
注：*P < 0.05。

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