青少年抑郁网络成瘾及遭受校园欺凌网络建模分析

杨文漪; 杨婕; 余小金

doi:10.16835/j.cnki.1000-9817.2023.05.007

青少年抑郁网络成瘾及遭受校园欺凌网络建模分析

doi: 10.16835/j.cnki.1000-9817.2023.05.007

杨文漪^{1, 2},
杨婕²,
余小金^1, ,

1.
东南大学公共卫生学院，江苏南京 210009
2.
江苏省疾病预防控制中心儿童青少年健康促进所

详细信息

作者简介:
杨文漪(1989-)，女，江苏南京人，硕士，主管医师，主要从事学校卫生相关工作

通讯作者:
E-mail：xiaojinyu@seu.edu.cn

利益冲突声明 所有作者声明无利益冲突
中图分类号: B844.2 C913.5 R179
计量
- 文章访问数: 335
- HTML全文浏览量: 145
- PDF下载量: 66
- 被引次数: 0
出版历程
- 收稿日期: 2022-09-14
- 修回日期: 2023-02-08
- 网络出版日期: 2023-05-25
- 刊出日期: 2023-05-25

Network modeling analysis of depression, Internet addiction and campus bullying in adolescents

YANG Wenyi^{1, 2},
YANG Jie²,
YU Xiaojin^{1
, ,}

1.
The Public Health School of Southeast University, Nanjing(210009), China

摘要

摘要: 目的探究青少年抑郁情绪、网络成瘾及校园欺凌及其影响因素间的网络关系，为青少年心理状况及相关危险行为的综合防控提供理论依据。方法于2020年9月采用分层随机整群抽样方法，在江苏省13个市抽取1个城区、1个郊县，共抽5 000名在校中学生进行调查，采用结构方程模型对抑郁、网络成瘾、校园欺凌及其相关影响因素进行分析。结果青少年抑郁与网络成瘾呈正向相关(β=0.35，P < 0.01)；青少年遭受校园欺凌与抑郁状态和网络成瘾呈正向相关(β值分别为0.23，0.05，P值均 < 0.01)。青少年抑郁在睡眠时长对网络成瘾的影响中发挥部分中介作用，间接效应为-0.01，占总效应的63.6%。青少年抑郁在中高强度运动频次对网络成瘾的影响中发挥部分中介作用，间接效应为-0.01，占总效应的21.8%。结论青少年抑郁、网络成瘾、遭受校园欺凌间相互影响，在制定预防和干预策略时需全面考虑其影响因素，从而有针对性地提出综合预防和干预策略，为促进学生身心健康提供科学有效的保障。
- 抑郁 /
- 因特网 /
- 行为，成瘾 /
- 暴力 /
- 精神卫生 /
- 青少年
Abstract: Objective To explore network relationships among depression, Internet addiction and campus bullying among adolescents, so as to provide a theoretical basis for the comprehensive prevention and control of adolescents' psychological status and risky behaviors. Methods In September 2020, a stratified random cluster sampling method was adopted to select 5 000 middle-school students for investigation. A structural equation model was used to analyze depression, Internet addiction and bullying and their related influencing factors in order to clarify the pathway and magnitude of effects. Results Depression had a positive effect on Internet addiction with adolescents(β=0.35, P < 0.01), school bullying had a positive effect on depression and Internet addiction with adolescents(β=0.23, 0.05, P < 0.01). Adolescent depression was found to play a partial mediating role with respect to the influence of sleep duration on Internet addiction, and the indirect effect was -0.01, accounting for 63.6% of the total effect. Depression played a partial mediating role regarding the influence of the frequency of moderate and high intensity exercise on Internet addiction in adolescents; the indirect effect was -0.01, accounting for 21.8% of the total effect. Conclusion Considering the interaction among adolescent depression, Internet addiction, and school bullying, it's important to include associated factors when developing effective prevention and intervention strategies, which can thus promote the physical and mental health of students, and provide scientific and effective protection.
- Depression /
- Internet /
- Behavior, addictive /
- Violence /
- Mental health /
- Adolescent
注释:

1) 利益冲突声明 所有作者声明无利益冲突

HTML全文

图 1 青少年抑郁及相关危险行为结构方程模型拟合结构

Figure 1. The fitting structure of the structural equation model of depression and related risky behaviors in adolescents

下载: 全尺寸图片幻灯片

表 1 青少年抑郁网络成瘾及遭受校园欺凌各变量间相关性分析(n=5 000，r值)

Table 1. Correlation analysis among variables of adolescent depression, Internet addiction and exposure to school bullying(n=5 000, r)

变量	抑郁情绪	躯体症状与活动迟滞	人际	网络成瘾	校园欺凌	中高强度运动频次
躯体症状与活动迟滞	0.83^**
人际	0.71^**	0.64^**
网络成瘾	0.31^**	0.34^**	0.26^**
校园欺凌	0.25^**	0.22^**	0.31^**	0.14^**
中高强度运动频次	-0.08^**	-0.10^**	-0.06^**	-0.12^**	-0.03*
睡眠时间	-0.20^**	-0.20^**	-0.14^**	-0.12^**	-0.05^**	0.07^**
注：P < 0.05，*P < 0.01。

下载: 导出CSV

表 2 青少年抑郁、网络成瘾及遭受校园欺凌模型区分效度检验(n=5 000，r值)

Table 2. A model of adolescent depression, Internet addiction, and exposure to school bullying to test for discriminant validity(n=5 000, r)

变量	AVE值	校园欺凌	抑郁	网络成瘾
校园欺凌	0.53	0.73^a
抑郁	0.86	0.23	0.93^a
网络成瘾	0.43	0.13	0.38	0.65^a
注：a为将AVE值开方后结果。

下载: 导出CSV

表 3 青少年抑郁对网络成瘾结构模型路径估计(n=5 000)

Table 3. Path estimation of structural equation models of adolescent depression, Internet addiction, and exposure to school bullying(n=5 000)

路径	估计值	β值	标准误	CR值	P值
校园欺凌→抑郁	0.61	0.23	0.04	14.21	< 0.01
抑郁→网络成瘾	0.13	0.35	0.01	19.74	< 0.01
校园欺凌→网络成瘾	0.05	0.05	0.02	2.93	< 0.01

下载: 导出CSV

参考文献(26)

[1]	李玖玲, 陈星, 赵春华, 等. 中国儿童青少年抑郁症状流行率的Meta分析[J]. 中国儿童保健杂志, 2016, 24(3): 295-298. https://www.cnki.com.cn/Article/CJFDTOTAL-ERTO201603022.htm LI J L, CHEN X, ZHAO C H, et al. Prevalence of depression in Chinese children and adolescents: a Meta-analysis[J]. Chin J Child Health Care, 2016, 24(3): 295-298. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-ERTO201603022.htm
[2]	傅小兰, 张侃, 陈雪峰. 心理健康蓝皮书: 中国国民心理健康发展报告(2019—2020)[M]. 北京: 社会科学文献出版社, 2021. FU X L, ZHANG K, CHEN X F. Mental health blue book: report on the development of national mental health in China(2019-2020)[M]. Beijing: Social Science Academic Press, 2021. (in Chinese)
[3]	中国互联网络信息中心. 中国互联网络发展状况统计报告[EB/OL]. (2021-07)[2023-02-05]. http://www.cnnic.net.cn/hlwfzyj/hlwxzbg/ . China Internet Network Information Center. Statistical report on the development of the Internet in China[EB/OL]. (2021-07)[2023-02-05].http://www.cnnic.net.cn/hlwfzyj/hlwxzbg/ .(in Chinese)
[4]	姚伟宁. 青少年网民群体特征与上网行为的动态变迁: 历年《中国青少年上网行为调查报告》研析[J]. 中国青年研究, 2017(2): 90-97. doi: 10.3969/j.issn.1002-9931.2017.02.014 YAO W N. Dynamic changes of youth netizen group characteristics and Internet behavior: research and analysis of China Youth Internet Behavior Investigation Report over the years[J]. Chin Youth Study, 2017(2): 90-97. (in Chinese) doi: 10.3969/j.issn.1002-9931.2017.02.014
[5]	PATTON D U, HONG J S, PATEL S, et al. A systematic review of research strategies used in qualitative studies on school bullying and victimization[J]. Traum Viol Abus, 2017, 18(1): 3-16. doi: 10.1177/1524838015588502
[6]	YOUNG K S, MIN-SU K, BUMJUNG P, et al. Lack of sleep is associated with Internet use for leisure[J]. PLoS One, 2018, 13(1): e191713.
[7]	俞丹丹, 刘霄玮, 孙重秀, 等. 青少年欺凌受害与抑郁症状关系: 睡眠质量与网络成瘾链式中介作用[J]. 现代预防医学, 2021, 48(24): 4457-4460. doi: 10.3969/j.issn.1003-8507.2021.24.xdyfyx202124009 YU D D, LIU X W, SUN C X, et al. Relationship between bullying victimization and depression in adolescents: multiple mediating effects of Internet addiction and sleep quality[J]. Mod Prev Med, 2021, 48(24): 4457-4460. (in Chinese) doi: 10.3969/j.issn.1003-8507.2021.24.xdyfyx202124009
[8]	RADLOFF L S. The CES-D scale: a self-report depression scale for research in the general population[J]. Appl Psychol Meas, 1977, 1(3): 385-401. doi: 10.1177/014662167700100306
[9]	YOUNG K S. Internet addiction: the emergence of a new clinical disorder[J]. Cyberpsychol Behav, 2009, 1(3): 237-244.
[10]	张云婷, 马生霞, 陈畅, 等. 中国儿童青少年身体活动指南[J]. 中国循证儿科杂志, 2017, 12(6): 401-409. doi: 10.3969/j.issn.1673-5501.2017.06.001 ZHANG Y T, MA S X, CHEN C, et al. Guidelines for physical activity in Chinese children and adolescents[J]. Chin J Evid based Pediatr, 2017, 12(6): 401-409. (in Chinese) doi: 10.3969/j.issn.1673-5501.2017.06.001
[11]	张江辉, 张雪晴, 卢晓艳, 等. 抑郁情绪在青少年的儿童期虐待与网络成瘾关联中的中介作用[J]. 中国健康心理学杂志, 2022, 30(11): 1693-1698. https://www.cnki.com.cn/Article/CJFDTOTAL-JKXL202211017.htm ZHANG J H, ZHANG X Q, LU X Y, et al. Relationship between adolescent childhood trauma, and Internet addiction: the mediating role of depression[J]. Chin J Health Psychol, 2022, 30(11): 1693-1698. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-JKXL202211017.htm
[12]	CAPLAN S E. Preference for online social interaction a theory of problematic Internet use and psychosocial well-being[J]. Commun Res, 2003, 30(6): 625-648. doi: 10.1177/0093650203257842
[13]	陈佳怡, 赵颖, 李可晗, 等. 儿童青少年网络欺凌现状及其与焦虑、抑郁症状的关联性分析[J]. 现代预防医学, 2022, 49(5): 808-813. https://www.cnki.com.cn/Article/CJFDTOTAL-XDYF202205009.htm CHEN J Y, ZHAO Y, LI K H, et al. Status quo of cyberbullying among children and adolescents and its correlation with anxiety and depressive symptoms[J]. Mod Prev Med, 2022, 49(5): 808-813. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-XDYF202205009.htm
[14]	王京京, 侯皓, 裴一霏, 等. 网络成瘾和睡眠时长在青少年受校园欺凌与抑郁间的链式中介作用[J]. 现代预防医学, 2022, 49(4): 636-639. https://www.cnki.com.cn/Article/CJFDTOTAL-XDYF202204013.htm WANG J J, HOU H, PEI Y F, et al. The link mediating effect of Internet addiction and sleep duration on school bullying and depression in adolescents[J]. Mod Prev Med, 2022, 49(4): 636-639. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-XDYF202204013.htm
[15]	SCHIMMENTI A, PASSANISI A, CARETTI V, et al. Traumatic experiences, alexithymia, and Internet addiction symptoms among late adolescents: a moderated mediation analysis[J]. Addict Behav, 2017, 64: 314-320. doi: 10.1016/j.addbeh.2015.11.002
[16]	ZHAI B, LI D, JIA J, et al. Peer victimization and problematic Internet use in adolescents: the mediating role of deviant peer affiliation and the moderating role of family functioning[J]. Addict Behav, 2019, 96: 43-49. doi: 10.1016/j.addbeh.2019.04.016
[17]	孙延林, 王志庆, 姚家新, 等. 体育锻炼与心理健康: 认知、焦虑、抑郁和自我概念的研究进展[J]. 生理研究进展, 2014, 45(5): 337-342. https://www.cnki.com.cn/Article/CJFDTOTAL-SLKZ201405006.htm SUN Y L, WANG J, YAO J X, et al. Physical exercise and mental health: cognition, anxiety, depression and self-concept[J]. Progress Physiol Sci, 2014, 45(5): 337-342. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-SLKZ201405006.htm
[18]	杨轲馨. 济南某校初中生焦虑、抑郁、人格特征与网络过度使用的关系研究[D]. 济南: 山东大学, 2021. YANG K X. A study on the relationship between anxiety, depression, personality traits and Internet overuse among junior middle school students in a school in Jinan[D]. Jinan: Shandong University, 2021. (in Chinese)
[19]	MONTEIRO-JUNIOR R. Neuroscience of exercise and virtual reality applications[J]. ARC J Neurosci, 2016(1): 3-4.
[20]	TRIANTAFILLOU S, SAEB S, LATTIE E G, et al. Relationship between sleep quality and mood: ecological momentary assessment study[J]. JMIR Ment Health, 2019, 6(3): e12613.
[21]	BAO Y P, HAN Y, MA J, et al. Cooccurrence and bidirectional prediction of sleep disturbances and depression in older adults: Meta-analysis and systematic review[J]. Neurosci Biobehav Rev, 2017, 75: 257-273.
[22]	CALDWELL D M, DAVIES S R, HETRICK S E, et al. School-based interventions to prevent anxiety and depression in children and young people: a systematic review and network Meta-analysis[J]. Lancet Psychiatry, 2019, 6(12): 1011-1020.
[23]	詹文韵. 中学生校园欺凌的特点及其与应对方式的关系研究[D]. 南昌: 南昌大学, 2020. ZHAN W Y. A study on the characteristics of campus bullying in middle school students and its relationship with coping style[D]. Nanchang: Nanchang University, 2020. (in Chinese)
[24]	韩宁, 郭菲, 侯金芹, 等. 青少年抑郁情绪与睡眠问题双向关系的追踪研究[J]. 中华行为医学与脑科学杂志, 2016, 25(10): 937-941. HAN N, GUO F, HOU J Q, et al. A longitudinal study of the bidirectional relationship between adolescent depression and sleep problems[J]. Chin J Behav Med Brain Sci, 2016, 25(10): 937-941. (in Chinese)
[25]	祁梅. 初中生网瘾运动干预的个案研究[J]. 体育世界(学术版), 2019(7): 177-178. https://www.cnki.com.cn/Article/CJFDTOTAL-TYSJ201907108.htm QI M. A case study of exercise intervention for Internet addiction among junior high school students[J]. Sports World(Scholarly), 2019(7): 177-178. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-TYSJ201907108.htm
[26]	徐涛, 周县委, 张天成, 等. 运动干预青少年抑郁症状效果的Meta分析[J]. 体育研究与教育, 2022, 37(1): 78-84. https://www.cnki.com.cn/Article/CJFDTOTAL-SXST202201013.htm XU T, ZHOU X W, ZHANG T C, et al. The effects of exercise intervention on depression symptoms in adolescent: a Meta-analysis[J]. Sports Res Educ, 2022, 37(1): 78-84. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-SXST202201013.htm