中学生焦虑失眠和家庭亲密度与网络成瘾及非自杀性自伤行为的关系

刘芳妒; 杨亚明; 肖月; 蒋炫励; 王晓宇; 盛佳婷; 李敏辉; 苏立燕; 马俊; 张徐军

doi:10.16835/j.cnki.1000-9817.2023.12.003

中学生焦虑失眠和家庭亲密度与网络成瘾及非自杀性自伤行为的关系

doi: 10.16835/j.cnki.1000-9817.2023.12.003

1.
东南大学公共卫生学院流行病与卫生统计学系，江苏南京 210009
2.
江苏省宜兴市疾病预防控制中心科教科

基金项目:

江苏省重点研发计划(社会发展)专项基金项目 BE2021617

详细信息

作者简介:
刘芳妒(1999-)，女，江苏南通人，在读硕士，主要研究方向为伤害流行病学

通讯作者:
张徐军, E-mail: xjzhang@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: G444 G78 TN711
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- 被引次数: 0
出版历程
- 收稿日期: 2023-07-13
- 修回日期: 2023-11-28
- 网络出版日期: 2023-12-26
- 刊出日期: 2023-12-25

Association of anxiety, insomnia, and family cohesion with Internet addiction and non-suicidal self-injury behavior in junior and senior school students

1.
Department of Epidemiology and Biostatistics, School of Public Health, Southeast University, Nanjing (210009), Jiangsu Province, China

摘要

摘要: 目的探讨中学生焦虑、失眠和家庭亲密度在网络成瘾与非自杀性自伤(NSSI)行为间的中介效应，以期为促进青少年心理健康提供参考。方法采用分层随机整群抽样方法，于2022年12月—2023年2月在江苏省宜兴市选取3 026名初、高中学生，利用渥太华自我伤害调查表(OSI)、抑郁-焦虑-压力量表简版(DASS-21)、家庭环境量表中文版(FES-CV)、失眠严重程度指数量表(ISI)和中文网络成瘾量表修订版(CIAS-R)进行调查。采用中介效应模型分析焦虑、失眠和家庭亲密度在网络成瘾与NSSI间的中介效应。结果 NSSI行为与网络成瘾(r=0.24)、失眠(r=0.28)和焦虑(r=0.27)均呈正相关，与家庭亲密度(r=-0.23)呈负相关(P值均 < 0.01)。中介效应模型拟合良好(CFI=0.999，TLI=0.978，RMSEA=0.030)。焦虑(中介效应值为0.12，95%CI=0.08~0.18)和家庭亲密度(中介效应值为0.08，95%CI=0.03~0.13)构成单独中介效应；焦虑和失眠(中介效应值为0.14，95%CI=0.10~0.20)、家庭亲密度和焦虑(中介效应值为0.05，95%CI=0.03~0.07)、家庭亲密度和失眠(中介效应值为0.05，95%CI=0.03~0.07)以及家庭亲密度、焦虑和失眠(中介效应值为0.06，95%CI=0.04~0.08)构成链式中介效应，中介效应占比分别为14.9%，10.1%，17.5%，6.0%，5.6%，7.1%。结论焦虑、失眠和家庭亲密度在中学生网络成瘾与NSSI中发挥部分中介作用。学校和家庭应关注青少年网络成瘾情况，采取相应干预措施促进青少年的心理健康，减少NSSI的发生。
- 焦虑 /
- 睡眠障碍 /
- 家庭 /
- 因特网 /
- 行为，成瘾 /
- 自我伤害行为 /
- 学生
Abstract: Objective To explore the mediating effect of anxiety, insomnia, and family cohesion between Internet addiction and non-suicidal self-injury (NSSI) behavior among junior and senior school students, so as to develop interventions to promote adolescent mental health. Methods A total of 3 026 junior and senior school students from Yixing, Jiangsu Province, China, were selected by stratified cluster sampling from December 2022 to February 2023, and were administered the Ottawa Self-injury Inventory (OSI), Depression, Anxiety and Stress Scale-21 (DASS-21), Family Environment Scale-Chinese Version (FES-CV), Insomnia Severity Index (ISI), and Chinese Internet Addiction Scale Revised (CIAS-R). A mediating effect model was constructed to analyze the mediating effect of anxiety, insomnia, and family cohesion on Internet addiction and NSSI. Results Internet addiction (r=0.24), insomnia (r=0.28), and anxiety (r=0.27) were positively correlated with NSSI, while the latter was negatively correlated with family cohesion (r=-0.23) (P < 0.01). The mediating effect model was well fitted (CFI=0.999, TLI=0.978, RMSEA=0.030). Anxiety (mediation effect value: 0.12, 95%CI=0.08-0.18) and family cohesion (mediation effect value: 0.08, 95%CI=0.03-0.13) had a separate mediating effect. A chain meditating effect was found in the case of anxiety and insomnia (mediation effect value: 0.14, 95%CI=0.10-0.20), family cohesion and anxiety (mediation effect value: 0.05, 95%CI=0.03-0.07), family cohesion and insomnia (mediation effect value: 0.05, 95%CI=0.03-0.07), and family cohesion, anxiety, and insomnia (mediation effect value: 0.06, 95%CI=0.04-0.08). The mediating effect accounted for 14.9%, 10.1%, 17.5%, 6.0%, 5.6%, and 7.1%, respectively. Conclusions Anxiety, insomnia, and family cohesion partially mediate Internet addiction and NSSI. Schools and families should pay attention to Internet addiction among junior and senior school students and develop appropriate interventions to promote adolescent mental health, so as to reduce the prevalence of NSSI.
- Anxiety /
- Sleep disorders /
- Family /
- Internet /
- Behavior, addictive /
- Self-injurious behavior /
- Students
注释:

1) 利益冲突声明 所有作者声明无利益冲突。

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图 1 中学生焦虑、失眠和家庭亲密度在网络成瘾与NSSI之间中介效应模型分析

Figure 1. The mediating effect model of anxiety, insomnia, and family cohesion in the association between junior and senior school students Internet addictive behavior and NSSI

下载: 全尺寸图片幻灯片

表 1 不同组别中学生NSSI报告率比较

Table 1. Comparison of prevalence rates of NSSI in different groups of junior and senior school students

组别	选项	人数	报告人数	χ²值	P值
网络成瘾	正常	2 631	74(2.8)	181.17	< 0.01
	网络依赖	270	39(14.4)
	网络成瘾	125	30(24.0)
性别	男	1 540	53(3.4)	11.49	< 0.01
	女	1 486	90(6.1)
年级	初一	579	23(4.0)	8.03	0.16
	初二	551	34(6.2)
	初三	514	28(5.4)
	高一	526	29(5.5)
	高二	489	17(3.5)
	高三	367	12(3.3)
独生子女	否	1 922	90(4.7)	0.02	0.88
	是	1 104	53(4.8)
学习成绩	进步	823	24(2.9)	31.41	< 0.01
	稳定	1 147	38(3.3)
	退步	1 056	81(7.7)
注： ()内数字为报告率/%。

下载: 导出CSV

表 2 中学生焦虑、失眠和家庭亲密度在网络成瘾与NSSI之间中介效应的Bootstrap分析(n=3 026)

Table 2. Bootstrap analysis of the mediating effect of anxiety, insomnia and family cohesion between Internet addictive behavior and NSSI among junior and senior school students(n=3 026)

效应类型	中介效应值 (95%CI)	标准误	中介效应占比/%
总效应	0.82(0.67~0.96)	0.08
直接效应	0.32(0.16~0.46)	0.08
总间接效应	0.50(0.42~0.59)	0.05	61.2
网络成瘾—焦虑—NSSI	0.12(0.08~0.18)	0.03	14.9
网络成瘾—家庭亲密度—NSSI	0.08(0.03~0.13)	0.03	10.1
网络成瘾—焦虑—失眠—NSSI	0.14(0.10~0.20)	0.02	17.5
网络成瘾—家庭亲密度—焦虑—NSSI	0.05(0.03~0.07)	0.01	6.0
网络成瘾—家庭亲密度—失眠—NSSI	0.05(0.03~0.07)	0.01	5.6
网络成瘾—家庭亲密度—焦虑—失眠—NSSI	0.06(0.04~0.08)	0.01	7.1

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