青少年抑郁障碍患者手机社交媒体依赖现状及与抑郁程度的关系OA
Current statu of mobile social media dependence in adolescents with depression and its relationship with depression degree
目的 青少年抑郁障碍患者手机社交媒体依赖现状及与抑郁程度的相关性.方法 选取2024年1月至2025年4月于六盘水市第三人民医院就诊及住院的450例抑郁障碍青少年作为研究对象,使用一般资料调查表、手机社交媒体依赖量表及儿童抑郁量表(CDI)进行调查.结果 回收有效问卷432份,432例患者手机社交媒体依赖得分为(82.65±18.17)分,其中存在手机社交媒体依赖者246例,依赖发生率为56.94％(246/432).CDI得分为(28.63±9.45)分,其中轻度抑郁135例(31.25％),中重度抑郁297例(68.75％).单因素分析结果显示,年龄、抑郁病程、家庭类型、社交媒体使用目的、手机社交媒体依赖状态及社交媒体日均使用时长与抑郁症状严重程度比较,差异有统计学意义(P＜0.05).性别、是否独生子女、文化程度比较,差异无统计学意义(P＞0.05).多因素分析显示,手机社交媒体依赖(β=0.032,OR=1.033,95％CI:1.023～1.043)、社交媒体娱乐为主的使用目的(β=1.056,OR=2.875,95％CI:1.752～4.718)、抑郁病程＞1年(β=1.185,OR=3.271,95％CI:1.928～5.547)、非核心家庭类型(β=0.462,OR=1.588,95％CI:1.012～2.493)及社交媒体日均使用时长＞4 h(β=1.385,OR=3.989,95％CI:2.301～7.002)是中重度抑郁发生的独立危险因素(P＜0.05).结论 青少年抑郁障碍患者手机社交媒体依赖发生率较高,且手机社交媒体依赖程度的影响最为显著,临床可通过引导患者改善情绪调节方式、参与线下活动、建立健康使用规范等方式进行干预,以减轻患者抑郁症状及手机社交媒体依赖程度.
Objective Current statu of mobile social media dependence in adolescents with depression and its relationship with depression degree.Methods A total of 450 adolescent patients with depression disorder who were treated and hospitalized at The Third People's Hospital of Liupanshui from January 2024 to April 2025 were selected as the research subjects.The general information questionnaire,the social media dependence on mobile phone scale,and the children's depression inventory(CDI)were used for the investigation.Results A total of 432 valid questionnaires were retrieved.The score of mobile social media dependence for 432 patients was(82.65±18.17)points.Among them,246 patients had mobile social media dependence,with an incidence rate of 56.94％(246/432).The score of CDI was(28.63±9.45)points.Among them,135 cases had mild depression(31.25％)and 297 cases had moderate to severe depression(68.75％).The results of univariate analysis showed that age,duration of depression,family type,purpose of social media use,mobile social media dependence status,and average daily usage time of social media were significantly differences from the severity of depressive symptoms(P＜0.05).Gender,whether being an only child,and educational level showed no statistically significant differences(P＞0.05).Multivariate analysis revealed that mobile social media dependence(β=0.032,OR=1.033,95％CI:1.023-1.043),social media use purpose mainly for entertainment(β=1.056,OR=2.875,95％CI:1.752-4.718),duration of depression＞1 year(β=1.185,OR=3.271,95％CI:1.928-5.547),non-core family type(β=0.462,OR=1.588,95％CI:1.012-2.493),and average daily usage time of social media＞4 h(β=1.385,OR=3.989,95％CI:2.301-7.002)were independent risk factors for moderate to severe depression(P＜0.05).Conclusion The incidence of mobile social media dependence among adolescents with depression disorder is relatively high,and the degree of mobile social media dependence has the most significant impact.Clinically,intervention can be carried out by guiding patients to improve their emotional regulation methods,participating in offline activities,and establishing healthy usage norms,in order to alleviate the depression symptoms and the degree of mobile social media dependence of the patients.
陈明章;刘柱琴
贵州省六盘水市第三人民医院精神科三病区,贵州六盘水 553000贵州省六盘水市第三人民医院护理部,贵州六盘水 553000
医药卫生
青少年抑郁障碍手机社交媒体依赖
AdolescentDepressive disorderMobile social mediaDependence
《中国当代医药》 2026 (6)
52-56,5
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