问题性智能手机使用与中学生抑郁症中普遍焦虑症状之间的双向关系中自我控制的作用:从纵向调节网络分析的洞察力
Xiaoxu Lu1, Liang Zhang2, Yanqiang Tao3
1Collaborative Innovation Center of Assessment for Basic Education Quality, Beijing Normal University, Beijing 100875, China.
Journal of affective disorders
|July 29, 2025
概括
自制影响了问题性智能手机使用与抑郁学生焦虑之间的联系. 更高的自我控制加强了这种双向关系,建议针对主要抑郁症 (MDD) 进行有针对性的干预.
科学领域:
- 精神病学和行为科学
- 临床心理学 临床心理学
- 青少年心理健康 青少年心理健康
背景情况:
- 问题性智能手机使用 (PSU) 和泛性焦虑症状在严重抑郁症 (MDD) 中很普遍.
- 在MDD的症状水平上,一般化焦虑症状和PSU之间的相互作用尚未得到充分理解.
- 自我控制在泛性焦虑和PSU之间的关系中所起的温和作用需要进一步研究,特别是随着时间的推移在症状层面上.
研究的目的:
- 研究问题性智能手机使用 (PSU) 与患有严重抑郁症 (MDD) 的青少年普遍焦虑症状之间的双向关系.
- 检查自我控制对PSU和一般性焦虑之间的症状级相互作用的缓解效应.
- 探索这种关系随着时间的推移而发生的动态变化.
主要方法:
- 一项纵向研究涉及2469名中学生,其中169人根据截止分数进行MDD查.
- 通过评估手机成,抑郁症 (患者健康问卷),通用焦虑症 (GAD-7) 和自我控制的问卷收集的数据.
- 使用多变量网络模型分析PSU和焦虑症状之间的双向关联,将自我控制视为调节者.
主要成果:
- 在这两波研究中,无法控制渴望表现为一个稳定的中心症状.
- 与PSU相关的焦虑症状从内化 (例如,恐惧,紧张) 过渡到外化 (例如,不安).
- 在最初的波中,自我控制调节了PSU (感到焦虑/失去) 和普遍焦虑 (不安) 之间的双向联系;更高的自我控制加剧了这种联系.
结论:
- 自制在问题性智能手机使用与抑郁青少年焦虑之间的症状水平关联中发挥着重要作用.
- 研究结果表明,针对自我控制的干预措施可能有利于管理PSU和MDD学生的焦虑.
- 接受和承诺疗法 (ACT) 是一个潜在的干预策略.
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