四种网络成瘾量表在大学生中应用评价

张雪晴; 张珂欣; 朱云娇; 魏鸿园; 王田丽; 卢晓艳; 张江辉; 张志华

doi:10.16835/j.cnki.1000-9817.2021.08.017

四种网络成瘾量表在大学生中应用评价

doi: 10.16835/j.cnki.1000-9817.2021.08.017

安徽医科大学公共卫生学院流行病与卫生统计学系，合肥 230032

基金项目:

国家自然科学基金项目 81973064

详细信息

作者简介:
张雪晴(1998-)，女，安徽宣城人，在读硕士，主要研究方向为行为流行病学

通讯作者:
张志华，E-mail：zhangzh@ahmu.edu.cn

中图分类号: G647.8 G444 B844.2
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- 被引次数: 0
出版历程
- 收稿日期: 2021-01-19
- 修回日期: 2021-03-15
- 网络出版日期: 2021-08-20
- 刊出日期: 2021-08-25

Evaluation of four Internet addiction scales in college students

Department of Epidemiology and Biostatistics, School of Public Health, Anhui Medical University, Hefei (230032), China

摘要

摘要: 目的比较网络成瘾损害量表(IAII)、中文网络成瘾量表(CIAS-R)-中国台湾修订版、CIAS-R-中国大陆修订版、自评Young网络成瘾诊断问卷(YDQ)的信度及在大学生网络成瘾测量中的一致性，为今后网络成瘾调查量表的选择和修订提供参考依据。方法分层整群选取合肥市3所高校的1 004名本科生，采用4个量表同时进行网络成瘾倾向的测量，对122名大学生在首次测评2周后进行重测。采用相关系数、符合率、Kappa值分析4个量表的一致性，采用t检验、方差分析和Logistic回归进行网络成瘾量表相关因素分析的一致性判断。结果 4个网络成瘾量表的信度均>0.7(P < 0.01)。各量表间的相关系数均大于0.5(P < 0.01)。YDQ与CIAS-R-中国大陆修订版符合率为0.87，一致性分析结果中YDQ与CIAS-R-中国台湾修订版的Kappa值为0.51(P < 0.01)，其他量表两两之间的Kappa值均<0.5。网络成瘾的相关因素分析显示，4种量表在性别、年级、专业性质因素上的差异具有一致性，CIAS-R-中国台湾修订版与YDQ在睡眠障碍因素上的统计学差异与其他量表不一致。方法 4种网络成瘾量表均具有较好的信度，但是各量表在网络成瘾判定上的一致性相对较低。建议对网络成瘾量表做进一步的完善和修订。
- 因特网 /
- 行为, 成瘾 /
- 精神卫生 /
- 问卷调查 /
- 学生
Abstract: Objective To compare the reliability of Internet Addiction Impairment Index (IAII), Revised Chen Internet Addiction Scale(CIAS-R)-Taiwan Revision, CIAS-R-Mainland Revision, Young Diagnostic Questionnaire (YDQ) and the consistency of Internet addiction using the four scales in college students. Methods A total of 1 004 undergraduates from 3 universities in Hefei were selected to measure the tendency of internet addiction simultaneously using the four scales, and 122 students were re-tested two weeks after the initial assessment. Correlation coefficient, coincidence rate and Kappa value were used to analyze the consistency of the four scales. Analysis of variance, t test and Logistic regression were used to determine the consistency of the factors related to internet addiction scale. Results The reliability of the four Internet addiction scales were greater than 0.7(P < 0.01). The correlation coefficient among all scales was greater than 0.5(P < 0.01). The agreement between YDQ and CIAS-R-Mainland Revision was 0.87. The Kappa value of YDQ and CIAS-R-Taiwan Revision in the consistency analysis was 0.51(P < 0.01), the Kappa value between the other scales was less than 0.5. Results showed that the four scales were consistent in Internet addiction prevalence by gender, grade and major, while CIAS-R-Taiwan Revision and YDQ were not consistent with the other two scales in sleep disorder. Conclusion The four Internet addiction scales all have good reliability, while low agreement in Internet addiction assessment, suggesting further improvement and revision in Internet addiction scales.
- Internet /
- Behavior, addictive /
- Mental health /
- Questionnaires /
- Students

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表 1 四种网络成瘾量表符合率

Table 1. The consistency rate of four Internet addiction scales

量表	CIAS-R-中国台湾修订版	CIAS-R-中国大陆修订版	YDQ
IAII	0.79	0.68	0.74
CIAS-R-中国台湾修订版		0.80	0.84
CIAS-R-中国大陆修订版			0.87

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表 2 不同人口统计学特征大学生网络成瘾量表得分比较

Table 2. Comparison of Internet Addiction Scale scores of college students with different characteristics

人口统计学指标		人数	统计值	IAII (x±s)	CIAS-R-中国台湾修订版(x±s)	CIAS-R-中国大陆修订版(x±s)	YDQ [M(P₂₅，P₇₅]
性别	男	408		46.31±12.85	53.83±12.91	39.36±9.46	2.00(0.00，4.00)
	女	596		45.33±11.50	55.07±11.74	40.40±8.61	2.00(1.00，3.75)
			t/Z值	1.25	-1.55	-1.78	1.96
			P值	0.21	0.12	0.08	0.05
年级	一	281		47.10±10.91	56.57±10.91	41.58±8.05	2.00(1.00，4.00)
	二	236		45.23±11.98	54.58±12.55	39.96±9.13	2.00(0.25，4.00)
	三	261		45.65±12.33	53.93±12.38	39.35±9.15	2.00(0.00，4.00)
	四	226		44.62±13.13	52.79±13.01	38.74±9.44	1.00(0.00，3.00)
			F/H值	2.00	4.38	4.91	23.47
			P值	0.11	0.01	0.00	<0.01
专业属性	理工科	696		45.16±12.39	53.75±12.40	39.39±9.07	2.00(0.00，3.00)
	文科	308		47.01±11.23	56.41±11.68	41.39±8.61	2.00(1.00，4.00)
			t/Z值	-2.33	-3.19	-3.32	4.01
			P值	0.02	0.01	0.01	<0.01

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表 3 大学生网络成瘾相关因素Logistic回归分析[n=1 004，OR值(OR值95%CI)]

Table 3. Logistic regression analysis results of related factors of Internet addiction[n=1 004, OR(OR 95%CI)]

自变量	选项	IAII	CIAS-R-中国台湾修订版	CIAS-R-中国大陆修订版	YDQ
性别	女	0.91(0.70~1.18)	0.94(0.69~1.29)	0.61(0.32~1.14)	0.80(0.57~1.13)
年级	二	0.80(0.56~1.14)	1.05(0.71~1.56)	0.38(0.14~1.07)	1.20(0.74~1.92)
	三	0.83(0.59~1.18)	0.82(0.54~1.25)	0.71(0.31~1.60)	1.09(0.68~1.75)
	四	0.73(0.50~1.05)	0.84(0.53~1.33)	0.82(0.36~1.86)	1.07(0.66~1.75)
专业	文科	1.17(0.89~1.55)	1.36(0.96~1.93)	0.97(0.49~1.93)	1.40(0.98~2.00)
睡眠障碍	有	1.26(0.87~1.83)	1.93(1.30~2.86)^**	1.68(0.76~3.72)	1.62(1.03~2.54)^*
注：性别以男为参照，年级以一年级为参照，专业以理工科为参照，睡眠障碍以无为参照。*P < 0.01，P < 0.05。

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