Latent profile analysis on the association of psychological abuse and neglect with mobile phone dependence among adolescences
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摘要:
目的 考察不同性别青少年心理虐待与忽视的潜在模式及其与手机依赖的关系,为青少年心理健康制定有效的预防和干预策略提供依据。 方法 采用整群随机抽样方法于2017年10月选取江西省赣州市2所中学和湖北省武汉市3所中学的1 070名初、高中学生为研究对象,采用儿童心理虐待与忽视量表(CPANS)、手机依赖指数量表(MPAI)和自编基本信息问卷对其进行横断面调查,采用潜在剖面分析构建不同性别群体心理虐待和忽视类型,并采用多元线性回归分析心理虐待和忽视与手机依赖的关系。 结果 男女生存在不同的心理虐待与忽视模式。男生分为低水平心理虐待与忽视组(56.68%,29.80%,13.52%)3组;女生分为低、中、高水平心理虐待与忽视组(49.38%,29.01%,11.12%)和高水平心理虐待组(10.49%)。遭受心理虐待与忽视的青少年更容易对手机产生过度依赖,男生对手机依赖表现为失控性[中水平:B值(95%CI)=0.28(0.12~0.44);高水平:B值(95%CI)=0.37(0.16~0.59),P值均<0.01]、戒断性[中水平:B值(95%CI)=0.29(0.11~0.46);高水平:B值(95%CI)=0.42(0.19~0.65),P值均<0.01]、逃避型[高水平:B值(95%CI)=0.33(0.07~0.59),P<0.05]和低效性[中水平:B值(95%CI)=0.35(0.16~0.53);高水平:B值(95%CI)=0.50(0.25~0.74),P值均<0.01],女生在高水平心理虐待中表现为逃避性和低效性[B值(95%CI)分别为0.34(0.01~0.67),0.46(0.14~0.78),P值均<0.05]。 结论 不同性别青少年心理虐待与忽视存在异质性差异,各潜在类别与手机依赖的关系不一致。 Abstract:Objective To identity patterns of psychological abuse and neglect among male and female adolescents, and to examine the relationship between psychological abuse and neglect with mobile phone dependence. Methods A total of 1 070 adolescents from 5 middle schools in Ganzhou and Wuhan were investigated with Child Psychological Abuse and Neglect Scale (CPANS), Mobile Phone Addiction Index Scale (MPAI) and demographic questionnaire. Latent profile analysis (LPA) was used to construct typologies of psychological abuse and neglect involvement in male and female adolescents. Results Three latent classes were identified for boys: low-level psychological abuse and neglect group (56.68%), medium-level psychological abuse and neglect group (29.80%), high-level psychological abuse and neglect group (13.52%). For girls, four latent classes were identified including low-level psychological abuse and neglect group (49.38%), medium-level psychological abuse and neglect group (29.01%), high-level psychological abuse and neglect group (11.12%); high-level psychological abuse group (10.49%). Adolescents who suffered from psychological abuse and neglect were more likely to be dependent on mobile phones. Among them, boys' dependence on mobile phones was manifested as out of control, withdrawal, escape and inefficiency[Medium level: B(95%CI)=0.28(0.12-0.44), 0.29(0.11-0.46), 0.35(0.16-0.53), high level: B(95%CI)=0.37(0.16-0.59), 0.42(0.19-0.65), 0.33(0.07-0.59), 0.50(0.25-0.74), P < 0.05], while girls showed evasion and inefficiency in high levels of psychological abuse[B(95%CI)=0.34(0.01-0.67), 0.46(0.14-0.78), P < 0.05]. Conclusion There are heterogeneous differences in psychological abuse and neglect between male and female adolescents, and the relationship between each category and mobile phone dependence varies. The results provide suggestions for adolescent mental health intervention. -
Key words:
- Torture /
- Mental health /
- Behavior, addictive /
- Regression analysis /
- Adolescent
1) 利益冲突声明 所有作者声明无利益冲突。 -
表 1 不同性别青少年心理虐待与忽视的潜在剖面分析拟合指数
Table 1. Fitting index of latent profile analysis of psychological abuse and neglect among gender-specific adolescents
性别 类别 AIC值 BIC值 nBIC值 Entropy值 PBLRT值 PLMR值 男
(n=584)2 7 608.72 7 691.75 7 631.43 0.82 < 0.01 < 0.01 3 7 389.58 7 503.19 7 420.65 0.80 < 0.01 < 0.01 4 7 216.95 7 361.15 7 256.39 0.79 0.32 0.09 5 7 118.36 7 293.15 7 166.17 0.83 0.24 0.07 6 7 048.00 7 253.38 7 104.17 0.81 0.23 0.80 女
(n=486)2 6 126.14 6 205.68 6 145.38 0.89 < 0.01 < 0.01 3 5 917.03 6 025.87 5 943.35 0.83 0.27 0.19 4 5 745.93 5 884.08 5 779.34 0.85 0.01 0.02 5 5 633.24 5 800.69 5 673.73 0.84 0.09 0.45 6 5 579.85 5 776.60 5 627.43 0.85 0.47 0.22 表 2 不同性别青少年心理虐待与忽视潜在类别和手机依赖及4个维度间多元线性回归分析(n=1 070)
Table 2. Regression analysis results of potential categories of psychological abuse and neglect and mobile phone dependence (including 4 dimensions)among gender-specific students(n=1 070)
性别 心理虐待与忽视 手机依赖 失控性 戒断性 逃避性 低效性 标准误 B值(B值95%CI) 标准误 B值(B值95%CI) 标准误 B值(B值95%CI) 标准误 B值(B值95%CI) 标准误 B值(B值95%CI) 男 中水平心理虐待与忽视 0.29 1.06(0.50~1.62)** 0.08 0.28(0.12~0.44)** 0.09 0.29(0.11~0.46)** 0.10 0.15(-0.04~0.35) 0.09 0.35(0.16~0.53)** 高水平心理虐待与忽视 0.38 1.62(0.87~2.37)** 0.11 0.37(0.16~0.59)** 0.12 0.42(0.19~0.65)** 0.13 0.33(0.07~0.59)* 0.13 0.50(0.25~0.74)** 女 中水平心理虐待与忽视 0.35 0.56(-0.12~1.24) 0.10 0.11(-0.08~0.30) 0.10 0.07(-0.13~0.27) 0.12 0.22(-0.01~0.45) 0.11 0.16(-0.07~0.38) 高水平心理虐待与忽视 0.49 0.51(-0.46~1.47) 0.14 -0.02(-0.28~0.25) 0.15 0.10(-0.19~0.39) 0.17 0.28(-0.05~0.60) 0.16 0.15(-0.17~0.46) 高水平心理虐待 0.50 1.08(0.09~2.07)* 0.14 0.24(-0.03~0.51) 0.15 0.04(-0.26~0.33) 0.17 0.34(0.01~0.67)* 0.16 0.46(0.14~0.78)** 注:*P<0.05,**P < 0.01。 -
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