摘要
目的探讨安全感、自我接纳、自我概念、网络成瘾、焦虑、抑郁对网络成瘾患者自杀意念的影响。方法对220例网络成瘾患者的安全感、自我接纳、自我概念、网络成瘾、焦虑、抑郁等进行测评，以自杀意念为因变量，以各影响因素为自变量，进行相关分析、多元逐步回归分析和路径分析。结果自杀意念[（12．65±5．72）分]与网瘾评估[（73．35±15．83）分]、抑郁自评[（56．33±13．75）分]、焦虑自评[（48．93±17．20）分]呈正相关（r=0．250，0．636，0．531，P〈0．01）；与安全感[（50．26±12．33）分]、自我接纳[（38．29±7．15）分]、自我概念[（56．47±17．92）分]呈负相关（r=-0．390，-0．297，-0．298，P〈0．01）；进入多元逐步回归方程的依次是抑郁（β=0．571，P〈0．01）、焦虑（β=0．173，P=0．003）；以结构方程模型为基础的路径分析显示，自杀意念与抑郁、焦虑呈现直接效应，效应值分别为0．583、0．176，与自我概念、自我接纳、安全感、网瘾评估呈间接效应，效应值分别为-0．137、-0．117、-0．281、0．034；自杀意念与自我概念、自我接纳、安全感、网瘾评估、抑郁自评、焦虑自评间的总效应值分别为-0．137、-0．117、-0．281、0．034、0．583、0．176。结论安全感、自我接纳、自我概念对自杀意念的影响是通过抑郁和焦虑的中介作用而产生，且呈负相关预测作用，网络成瘾与自杀意念之间没有直接的因果关系。
Objective To explore the effect of security, self-acceptance, self-concept, intemet addiction, anxiety, depression on the suicidal ideation of internet addiction patients. Methods The safety, self- acceptance, self-concept, intemet addiction, anxiety and depression of 220 internet addiction patients were assessed using the corresponding scale tools.Suicidal ideation was used as the dependent variable,and each influencing factor was used as the independent variable.Correlation analysis, multiple stepwise regression analysis and path analysis were utilized to analyze the predisposing factors. Results The suicidal ideation （ 12.65±5.72 ） was positively correlated with internet addiction assessment （ 73.35±15.83） , depression self-evaluation （ 56.33±13.75） and anxiety self-assessment （48.93±17.20 ） （ r= 0.250,0.636,0.531, P〈 0.01 ）, while negatively correlated with security（50.26±12.33）, self-acceptance （ 38.29±7.15）, and self-concept（ 56.47±17.92） （ r= -0.390, -0.297, -0.298, P〈0.01 ）. Sequentially depression （β= 0.571, P〈0.01 ）, anxiety （β= 0.173 ,P= 0.003） were entered into the multiple regression equation.Path analysis based on the structural equation model showed that suicidal ideation had a direct effect with depression and anxiety,with effect values of 0.583 and 0.176.There were indirect effects of self-concept, self-acceptance, sense of security, and interact addiction assessment.The effect values were -0.137,-0.117,-0.281 ,and 0.034. The total effect of suicidal ideation and self-concept, self-acceptance, sense of security, intemet addiction, depression self-assessment, and anxiety self-assessment were -0.137, -0.117, -0.281,0.034,0.583 and 0.176 respectively. Conclusions The influence of security, self-acceptance, and self-concept on suicidal ideation is produced through the mediating effects of depression and anxiety, and it has a negative predictive effect.There is no direct causal relationship between internet addiction and suicidal ideation.
作者
吴绍兰
杨永信
王春梅
范玉兰
秦菲
卢艳
Wu Shaolan, Yang Yongxin, Wang Chunmei, Fan Yulan, Qin Fei, Lu Yan(Psychological Rehabilitation. Department of Linyi Mental Health Center, Linyi 276005, Chin)
出处
《中华行为医学与脑科学杂志》
CAS
CSCD
北大核心
2018年第3期216-221,共6页
Chinese Journal of Behavioral Medicine and Brain Science
基金
临沂市科技发展计划项目（201616061）
关键词
网络成瘾
自杀意念
安全感
自我接纳
自我概念
抑郁
焦虑
易感因素
路径分析
Internet addiction
Suicidal ideation
Sense of security
Self-acceptance
Self-concept
Depression
Anxiety
Susceptibility factors
Path analysis
