• 文章类型: Journal Article
    背景:阿片类药物使用障碍(MOUD)的药物可降低矫正人群中过量服用的风险。在其他障碍中,每日剂量要求阻碍了治疗释放后的连续性。因此,延长释放丁丙诺啡(XR-BUP)可能是有益的。然而,证据有限。目标:进行系统评价,以检查XR-BUP在矫正人群中的可行性和有效性。方法:在Pubmed中进行搜索,Embase,和PsychINFO在2023年10月。纳入了十项报告XR-BUP可行性或有效性的研究,代表n=819个个体(81.6%为男性)。根据以下主要结果提取数据并进行叙述报告:1)可行性;2)有效性;3)障碍和促进者。结果:研究具有异质性。与非矫正人群相比,矫正人群尝试XR-BUP的可能性是两倍。XR-BUP是可行和安全的,没有转移注意力,用药过量,或死亡;报告了一些负面副作用。与其他MOUD相比,XR-BUP显著减少药物使用,导致相似或更高的治疗保留率,更少的再次监禁,并且成本效益高,每月/每年的总成本较低。XR-BUP的障碍,比如副作用和对针头的恐惧,以及促进者,例如降低阿片类药物复发的风险,也被确认了。结论:XR-BUP似乎是OUD矫正人群的可行且潜在有效的替代治疗选择。XR-BUP可以降低社区释放相关风险,如阿片类药物的使用和过量的风险,以及治疗保留的障碍。有必要努力扩大惩教人群对XR-BUP的获取和吸收。
    Background: Medications for opioid use disorder (MOUD) reduce risks for overdose among correctional populations. Among other barriers, daily dosing requirements hinder treatment continuity post-release. Extended-release buprenorphine (XR-BUP) may therefore be beneficial. However, limited evidence exists.Objectives: To conduct a systematic review examining the feasibility and effectiveness of XR-BUP among correctional populations.Methods: Searches were carried out in Pubmed, Embase, and PsychINFO in October 2023. Ten studies reporting on feasibility or effectiveness of XR-BUP were included, representing n = 819 total individuals (81.6% male). Data were extracted and narratively reported under the following main outcomes: 1) Feasibility; 2) Effectiveness; and 3) Barriers and Facilitators.Results: Studies were heterogeneous. Correctional populations were two times readier to try XR-BUP compared to non-correctional populations. XR-BUP was feasible and safe, with no diversion, overdoses, or deaths; several negative side effects were reported. Compared to other MOUD, XR-BUP significantly reduced drug use, resulted in similar or higher treatment retention rates, fewer re-incarcerations, and was cost-beneficial, with a lower overall monthly/yearly cost. Barriers to XR-BUP, such as side effects and a fear of needles, as well as facilitators, such as a lowered risk of opioid relapse, were also identified.Conclusion: XR-BUP appears to be a feasible and potentially effective alternative treatment option for correctional populations with OUD. XR-BUP may reduce community release-related risks, such as opioid use and overdose risk, as well as barriers to treatment retention. Efforts to expand access to and uptake of XR-BUP among correctional populations are warranted.
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  • 文章类型: Journal Article
    目的:该研究的目的是确定波兰医学和非医学学生暴饮暴食(BW)的危险因素。
    方法:一项符合STROBE标准的横断面观察研究,于2022年7月至2023年3月在波兰进行。基于网络的调查包括一份个人问卷,疯狂观察行为问卷,观看电视剧的动机量表,里夫幸福量表的缩短版本,和DeJongGierveld孤独量表.纳入标准是学生,并提供知情同意参加。该研究涉及726名受访者(70.5%为女性),平均年龄为22.41(SD=3.89),包括308名(44%)医学生。
    结果:在波兰医学生组中,回归模型拟合良好F(10,287)=30.189;p<0.001,R2=0.496,危险因素为逃避动机(β=0.416;p<0.001),心理健康(β=-0.165;p=0.003),情绪孤独感(β=0.152;p=0.014),和社交孤独感(β=-0.118;p=0.031)。在其他专业的波兰学生中,回归模型拟合良好F(10,378)=46.188;p<0.001,R2=0.538,逃避动机的影响(β=0.456;p<0.001),娱乐动机(β=0.258;p<0.001),学生的心理健康(β=-0.134;p=0.004),并证明了情绪孤独感(β=0.111;p=0.032)。
    结论:学生是行为成瘾的高危人群,被称为暴饮暴食。情感孤独,逃避日常生活问题的愿望,并降低了心理健康,加剧了所有研究小组的狂欢观察。娱乐动机和社交孤独感在BW危险因素方面区分了波兰医学生和非医学生群体。
    OBJECTIVE: The aim of the study was to determine the risk factors for binge-watching (BW) among Polish medical and non-medical students.
    METHODS: A STROBE-compliant cross-sectional observational study, was carried out in Poland from July 2022 - March 2023. The web-based survey consisted of a personal questionnaire, a Binge-Watching Behaviour Questionnaire, a Scale of Motivation for Watching TV Series, a shortened version of the Ryff Well-Being Scale, and the De Jong Gierveld Loneliness Scale. Inclusion criteria were being a student and providing informed consent to participate. The study involved 726 respondents (70.5% female) with an average age of 22.41 (SD=3.89), including 308 (44%) medical students.
    RESULTS: In the group of Polish medical students, the regression model was well-fitted F(10,287)=30.189; p<0.001, R2=0.496, and the risk factors were escape motivation (β=0.416; p<0.001), psychological well-being (β=-0.165; p=0.003), emotional loneliness (β=0.152; p=0.014), and social loneliness (β=-0.118; p=0.031). Among Polish students of other majors, the regression model was well-fitted F(10,378)=46.188; p<0.001, R2=0.538, and the influence of escape motivation (β=0.456; p<0.001), entertainment motivation (β=0.258; p<0.001), the psychological well-being of students (β=-0.134; p=0.004), and emotional loneliness (β=0.111; p=0.032) was demonstrated.
    CONCLUSIONS: Students are in a high-risk group for behavioural addiction known as binge-watching. Emotional loneliness, the desire to escape from everyday life problems, and reduced psychological well-being intensified binge-watching in all the studied groups. Entertainment motivation and social loneliness differentiated the groups of Polish medical and non-medical students in terms of BW risk factors.
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  • 文章类型: Journal Article
    互联网游戏障碍(IGD)是一种新兴的公共卫生问题;有效的治疗方法仍在开发中。这篇小型评论侧重于总结来自心理学的主要科学证据,药理学,脑成像,以及新兴的IGD治疗方法。我们使用与IGD和治疗相关的关键词搜索PubMed和Scopus数据库。认知行为疗法(CBT)是IGD研究最广泛的心理治疗方法,由几个随机对照试验(RCT)支持。其他有前途的方法包括正念,预防复发,禁欲协议,和家庭治疗。安非他酮和艾司西酞普兰等药物治疗已显示出益处,尤其是当IGD与重性抑郁症等疾病并存时。然而,心理干预的证据质量中等,但药理学方法的证据质量低到中等.新兴治疗,如经颅直流电刺激(tDCS),重复经颅磁刺激(rTMS),和电针已证明在减轻IGD症状和调节大脑活动方面有效。脑成像技术,如功能磁共振成像(fMRI)已经提供了对IGD和治疗效果的潜在神经机制的见解,尽管这些研究缺乏随机对照设计。虽然多模式方法显示出希望,较大,需要精心设计的RCT来建立有效的IGD治疗。
    Internet Gaming Disorder (IGD) is an emerging public health concern; effective treatments are still under development. This mini-review focuses on summarizing the main scientific evidence from psychological, pharmacological, brain imaging, and emerging treatment approaches for IGD. We searched PubMed and Scopus databases using keywords related to IGD and treatment. Cognitive behavioral therapy (CBT) is the most extensively researched psychological treatment for IGD, supported by several randomized controlled trials (RCTs). Other promising approaches include mindfulness, relapse prevention, abstinence protocols, and family therapy. Pharmacological treatments like bupropion and escitalopram have shown benefits, especially when IGD is comorbid with conditions like major depressive disorder. However, the quality of evidence is moderate for psychological interventions but low to moderate for pharmacological approaches. Emerging treatments such as transcranial direct current stimulation (tDCS), repetitive transcranial magnetic stimulation (rTMS), and electro-acupuncture have demonstrated efficacy in reducing IGD symptoms and modulating brain activity. Brain imaging techniques like functional magnetic resonance imaging (fMRI) have provided insights into the neural mechanisms underlying IGD and treatment effects, although these studies lack randomized controlled designs. While multimodal approaches show promise, larger, well-designed RCTs are needed to establish effective IGD treatments.
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  • 文章类型: Journal Article
    目的:物质使用在精神分裂症(SCZ)及相关疾病患者中非常普遍,然而,没有同时解决成瘾和精神病症状的广谱药物治疗。社会心理(PS)干预,在分别治疗精神病和物质依赖方面取得了有希望的结果,显示潜力,但在组合时尚未进行系统评估。
    方法:随机对照试验(RCTs)的系统评价和随机效应荟萃分析,调查PS干预措施对患有共病物质使用和精神病的个体,包括SCZ和精神分裂症谱系障碍(SSD)。我们纳入了MEDLINE发表的相关研究,PsycINFO,和谷歌学者到2023年5月。
    结果:我们纳入了35项RCT(总共5176名参与者;SSD约2840名)。干预持续时间为30分钟至3年。荟萃分析未发现对主要主要结局有统计学意义的合并PS干预效果,物质使用(18项研究;803项干预,733名对照参与者;标准化平均差,-0.05标准差[SD];95%CI,-0.16,0.07SD;I2=18%)。PS干预对其他结果的影响也没有统计学意义。证据的总体等级确定性较低。
    结论:目前,文献缺乏足够的证据支持使用PS干预措施,而不是显着改善药物使用的替代治疗方法,症状学,或SCZ和相关疾病患者的功能。然而,证据的低确定性排除了确定的结论。需要进一步的随机对照试验来确定PS治疗对双重诊断(DD)患者的疗效,单独或与药物治疗联合使用。
    OBJECTIVE: Substance use is highly prevalent among people with schizophrenia (SCZ) and related disorders, however, there is no broad-spectrum pharmacotherapy that concurrently addresses both addiction and psychotic symptoms. Psychosocial (PS) interventions, which have yielded promising results in treating psychosis and substance dependence separately, demonstrate potential but have not been systematically evaluated when combined.
    METHODS: Systematic review and random-effects meta-analyses of randomized controlled trials (RCTs) investigating PS interventions for individuals with comorbid substance use and psychotic disorders, encompassing SCZ and schizophrenia spectrum disorders (SSD). We included relevant studies published from MEDLINE, PsycINFO, and Google Scholar through May 2023.
    RESULTS: We included 35 RCTs (5176 participants total; approximately 2840 with SSD). Intervention durations ranged from 30 min to 3 years. Meta-analysis did not identify a statistically significant pooled PS intervention effect on the main primary outcome, substance use (18 studies; 803 intervention, 733 control participants; standardized mean difference, -0.05 standard deviation [SD]; 95% CI, -0.16, 0.07 SD; I2 = 18%). PS intervention effects on other outcomes were also not statistically significant. Overall GRADE certainty of evidence was low.
    CONCLUSIONS: At present, the literature lacks sufficient evidence supporting the use of PS interventions as opposed to alternative therapeutic approaches for significantly improving substance use, symptomatology, or functioning in people with SCZ and related disorders. However, firm conclusions were precluded by low certainty of evidence. Further RCTs are needed to determine the efficacy of PS treatments for people with dual-diagnoses (DD), either alone or in combination with pharmacotherapy.
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  • 文章类型: Journal Article
    目的:从运动心理学的角度来看,为了调查大学生有问题的互联网使用(PIU)的先兆,揭示自我控制和孤独感在体育锻炼和PIU之间的连锁中介效应。
    方法:重庆市1081名大学生,通过身体活动评定量表(PARS-3)对中国进行了调查,自我控制量表(SCS),孤独量表(UCLA),和网络成瘾量表(CIAS-R),数据采用SPSS25.0和AMOS21.0软件进行统计学分析。
    结果:(1)体育锻炼与PIU呈显著负相关,前者对后者有直接的负预测作用。(2)体育锻炼可以通过自我控制和孤独感的部分中介作用间接影响大学生的PIU,分别。(3)体育锻炼也可以通过“自我控制→孤独”的连锁中介间接影响PIU。
    结论:保持规律的体育锻炼能促进大学生自我控制能力的提高和孤独感的减弱,然后帮助防止或减轻PIU行为,这对心理和行为健康具有重要意义。
    OBJECTIVE: From the perspective of exercise psychology, to investigate the antefacts of problematic internet use (PIU) in college students, and to reveal the chain mediating effect of self-control and loneliness between physical exercise and PIU.
    METHODS: 1081 college students in Chongqing, China were investigated by Physical Activity Rating Scale (PARS-3), Self-control Scale (SCS), Loneliness Scale (UCLA), and Internet Addiction Scale (CIAS-R), and the data were statistically analyzed by SPSS25.0 and AMOS21.0 software.
    RESULTS: (1) There was a significant negative correlation between physical exercise and PIU, and the former has a direct negative predictive effect on the latter. (2) Physical exercise could indirectly influence the PIU of college students through the partial mediating effect of self-control and loneliness, respectively. (3) Physical exercise could also indirectly influence PIU through the chain mediation of \"self-control → loneliness\".
    CONCLUSIONS: Maintaining regular physical exercise can promote the improvement of self-control and the weakening of the loneliness experience of college students, and then help to prevent or alleviate PIU behavior, which is of great significance for psychological and behavioral health.
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  • 文章类型: Journal Article
    我们的目的是分析吸毒成瘾个体的犯罪行为与冲动性之间的关联,并调查冲动性是否介导了吸毒严重程度与法律问题之间的关系。
    这项横断面研究包括773名被诊断患有成瘾的男性(295名酒精使用者和478名可卡因/多物质使用者),同时接受成瘾治疗。BIS-11和ASI-6用于评估冲动,犯罪行为,和药物使用。
    在酒精使用者中,犯罪行为的患病率为41.7%(n=123),在裂纹/多物质使用者中,犯罪行为的患病率为64.9%(n=310)。在有犯罪史的个体中观察到较早使用不同物质和较高的冲动得分。调解分析表明,冲动是物质使用和犯罪行为之间的中介因素,提高法律问题的严重性。
    我们的研究结果可以帮助决定量身定制的治疗策略,不仅关注物质的使用,而且在预防社会问题上,犯罪,和冲动。
    UNASSIGNED: Our aim was to analyze the association between criminal behavior and impulsivity in individuals with drug addiction and investigate whether impulsiveness mediates the relationship between drug use severity and legal problems.
    UNASSIGNED: This cross-sectional study included 773 men diagnosed with addiction (295 alcohol users and 478 users of crack/polysubstance) while undergoing addiction treatment. The BIS-11 and ASI-6 were applied to assess impulsivity, criminal behavior, and drug use.
    UNASSIGNED: The prevalence of criminal behavior was 41.7% (n = 123) in alcohol users and 64.9% (n = 310) in users of crack/polysubstance. Earlier use of different substances and higher impulsivity scores were observed in individuals with criminal history. Mediation analyses revealed that impulsiveness acts as a mediator factor between substance use and criminal behavior, enhancing the severity of legal problems.
    UNASSIGNED: Our findings can help in deciding on tailored treatment strategies, focusing not only on substance use, but also on the prevention of social problems, criminality, and impulsivity.
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  • 文章类型: Journal Article
    背景:网络成瘾和网络成瘾是学生中普遍存在的破坏性行为。这项研究的目的是评估phubbing之间的关系,智能手机成瘾和牙科本科生的一些相关心理影响。
    方法:在印度五所不同牙科学院的本科生中进行了一项基于多中心的横断面预验证问卷的研究。问卷包括张量表,Barratt冲动量表(BIS),基于智能手机应用的成瘾量表(SABAS)和罗森博格自尊量表(RSES)。使用IBMSPSS21版分析数据,然后进行t检验,方差分析(ANOVA),和斯皮尔曼的相互关系,以发现研究对象之间不同心理变量之间的关联。
    结果:总样本为1226人,平均年龄为22.35岁。SABAS显示较高的平均值±标准偏差(SD)评分(3.17±0.93)。张量表与SABAS(0.658)呈正相关,结果具有高度统计学意义(P=0.01)。
    结论:本研究发现,在牙科学生中,误吸和智能手机成瘾的患病率更高。我们的结果表明,冲动会导致网络成瘾,因此,在交流过程中寻找慰藉以逃避焦虑和困扰的一种方式。
    BACKGROUND: Internet Addiction and phubbing are prevalent disruptive behaviours among students. The aim of this study was to assess the relationship between phubbing, smartphone addiction and some of the related psychological effects among dental undergraduates.
    METHODS: A multi-centric cross-sectional pre-validated questionnaire-based study was conducted among undergraduate students of five different dental colleges across India. The questionnaire included the Phubbing Scale, Barratt Impulsiveness Scale (BIS), Smartphone Application-based Addiction Scale (SABAS), and Rosenberg Self-Esteem Scale (RSES). The data were analysed with IBM SPSS version 21, followed by a t-test, analysis of variance (ANOVA), and Spearmen\'s co-relation to find the association between different psychological variables among study subjects.
    RESULTS: The total sample comprise of 1226 with mean age of 22.35. The SABAS showed a higher mean ± standard deviation (SD) score (3.17 ± 0.93). The Phubbing Scale showed a positive correlation with the SABAS (0.658), the results were found to be highly statistically significant (P = 0.01).
    CONCLUSIONS: The present study found a higher prevalence of phubbing and smartphone addiction among dental students. Our results showed that impulsiveness leads to internet addiction and thus phubbing is becoming a way to find solace during communication to escape anxiety and distress.
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  • 文章类型: Journal Article
    背景:有效的酒精和其他药物(AOD)治疗已被证明可以提高生产率并降低社区成本。远程医疗先前已被证明在正确的环境中有效地提供AOD治疗。然而,澳大利亚目前的医疗保险资金限制了电话咨询。
    目的:我们假设治疗方式影响出勤率。具体来说,电话咨询可以消除获得治疗的障碍,因此,可以增加出勤率。
    方法:我们从2022年7月1日至2023年6月30日对我们的成瘾医学专科门诊进行了回顾性审核。使用混合效应逻辑回归模型分析与出勤率相关的因素。
    结果:该研究共有576名参与者,在12个月的研究期间,预订了3354次预约。其中,2695人面对面,541是电话,118是视频。电话组未调整的原始出勤率最高(87.24%),其次是面对面(73.02%)和视频(44.92%)。在调整协变量后,与面对面治疗相比,电话咨询与就诊几率显著增加相关(比值比(OR)=2.60,95%置信区间(CI)=1.90~3.54,P<0.001).与面对面治疗相比,视频咨询与参加的几率降低了69%(OR=0.31,95%CI=0.019-0.49,P<0.001)。
    结论:虽然特定的临床护理可能需要体检,电话咨询与出勤率增加有关,并且可以成为提供成瘾治疗的重要辅助手段。考虑到物质使用障碍的巨大成本,这可以为政府政策和资金优先事项提供信息,以进一步改善获得和治疗结果。
    BACKGROUND: Effective alcohol and other drugs (AODs) treatment has been proven to increase productivity and reduce costs to the community. Telehealth has previously been proven effective at delivering AOD treatment in the right settings. Yet, Australia\'s current Medicare funding restricts telephone consultations.
    OBJECTIVE: We hypothesise that treatment modality influences attendance rates. Specifically, telephone consultations can remove barriers to accessing treatment and, therefore, can increase attendance.
    METHODS: We conducted a retrospective audit on our addiction medicine specialist outpatient service from 1 July 2022 to 30 June 2023. A mixed-effects logistic regression model was used to analyse factors associated with attendance rates.
    RESULTS: There were 576 participants in the study, and 3354 appointments were booked over the 12-month study period. Of these, 2695 were face-to-face, 541 were telephone and 118 were video. The unadjusted raw attendance rate was highest in the telephone group (87.24%), followed by face-to-face (73.02%) and video (44.92%). After adjusting for covariates, telephone consultation was associated with significantly increased odds of attending compared to face-to-face (odds ratio (OR) = 2.60, 95% confidence interval (CI) = 1.90-3.54, P < 0.001). Video consultation was associated with a 69% reduction in the odds of attending compared to face-to-face (OR = 0.31, 95% CI = 0.019-0.49, P < 0.001).
    CONCLUSIONS: While physical attendance may be required for specific clinical care, telephone consultations are associated with increased attendance and can form an important adjunct to delivering addiction treatment. Given the substantial costs of substance use disorders, this could inform government policies and funding priorities to further improve access and treatment outcomes.
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  • 文章类型: Journal Article
    超加工食品(UPFs),如糕点,包装零食,快餐,加糖饮料在现代食品供应中占主导地位,并与许多公共卫生问题密切相关。虽然UPF摄入量对身体健康的影响已得到充分证明(例如,心脏代谢疾病的风险增加),较少的实证讨论强调了长期UPF消费的心理健康后果。值得注意的是,UPFs的独特特征(例如,人工高水平的增强成分)影响生物过程(例如,多巴胺信号)的方式可能会导致某些个体的心理功能较差。重要的是,黄金标准的行为生活方式干预和专门针对饮食失调的治疗方法不承认UPFs可能在敏感奖励相关的神经功能中发挥的直接作用,扰乱代谢反应,并激发随后的UPF渴望和摄入。缺乏对UPFs对心理健康的影响的考虑尤其成问题,因为对这些食物的成瘾性的科学支持越来越多,并且超加工食物成瘾(UPFA)作为一种新的临床表型得到了14-20%的认可。本综述的总体目标是总结UPFs如何影响心理健康的科学,强调贡献的生物学机制。具体来说,作者将(1)描述公司赞助的研究和财务议程如何促进关于UPFs在健康中的作用的争论和辩论;(2)定义UPFs及其营养特征;(3)审查观察到的UPF摄入量与心理健康状况之间的关联,尤其是抑郁症患者;(4)概述UPFA的证据;(5)描述UPFA和饮食失调合并症的细微差别治疗注意事项。
    Ultra-processed foods (UPFs) like pastries, packaged snacks, fast foods, and sweetened beverages have become dominant in the modern food supply and are strongly associated with numerous public health concerns. While the physical health consequences of UPF intake have been well documented (e.g., increased risks of cardiometabolic conditions), less empirical discussion has emphasized the mental health consequences of chronic UPF consumption. Notably, the unique characteristics of UPFs (e.g., artificially high levels of reinforcing ingredients) influence biological processes (e.g., dopamine signaling) in a manner that may contribute to poorer psychological functioning for some individuals. Importantly, gold-standard behavioral lifestyle interventions and treatments specifically for disordered eating do not acknowledge the direct role that UPFs may play in sensitizing reward-related neural functioning, disrupting metabolic responses, and motivating subsequent UPF cravings and intake. The lack of consideration for the influences of UPFs on mental health is particularly problematic given the growing scientific support for the addictive properties of these foods and the utility of ultra-processed food addiction (UPFA) as a novel clinical phenotype endorsed by 14-20% of individuals across international samples. The overarching aim of the present review is to summarize the science of how UPFs may affect mental health, emphasizing contributing biological mechanisms. Specifically, the authors will (1) describe how corporate-sponsored research and financial agendas have contributed to contention and debate about the role of UPFs in health; (2) define UPFs and their nutritional characteristics; (3) review observed associations between UPF intake and mental health conditions, especially with depression; (4) outline the evidence for UPFA; and (5) describe nuanced treatment considerations for comorbid UPFA and eating disorders.
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  • 文章类型: Journal Article
    背景:一些研究集中在互联网问题使用(PUI)的患病率及其对全球心理健康的相应影响上。本研究调查了意大利不同文化背景下PUI与相关心理变量之间的关系,西班牙,厄瓜多尔,秘鲁。方法:共675名参与者,18至54岁(M=22.73;SD=4.05),已完成评估网络成瘾的措施,社交媒体成瘾,害怕错过,网络游戏障碍,还有张量.结果:发现了明显的文化差异,与其他国家相比,意大利参与者表现出更高的网络成瘾水平,但社交媒体成瘾水平较低。在意大利,对失踪的恐惧更高,与秘鲁相比,意大利样本显示出更低的互联网游戏障碍水平。关于张量引起的通信干扰,意大利样本的得分明显高于秘鲁样本.线性回归分析揭示了每个国家有问题的互联网使用的不同预测因素,强调在理解这一现象时考虑文化背景的重要性。结论:这些发现为文化因素的相互作用提供了有价值的见解,心理变量,和有问题的互联网使用,指导未来的研究和干预。
    Background: Several studies focused on the escalating prevalence of Problematic Use of Internet (PUI) and its consequential impact on mental health globally. This study investigates the relationship between PUI and associated psychological variables across different cultural contexts in Italy, Spain, Ecuador, and Peru. Method: A total of 675 participants, aged 18 to 54 (M = 22.73; SD = 4.05), completed measures assessing Internet addiction, social media addiction, Fear of Missing Out, Internet Gaming Disorder, and Phubbing. Results: Significant cultural variations were found, with Italian participants showing higher levels of Internet addiction but lower levels of social media addiction compared to other countries. Fear of Missing Out was higher in Italy, while the Italian sample exhibited lower Internet Gaming Disorder levels compared to Peru. As regards the communication disturbance caused by Phubbing, the Italian sample demonstrated significantly higher scores than the Peruvian sample. Linear regression analyses revealed distinct predictors for problematic Internet use in each country, emphasizing the importance of considering the cultural context in understanding this phenomenon. Conclusions: These findings contribute valuable insights into the interplay of cultural factors, psychological variables, and problematic Internet use, guiding future research and interventions.
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