高职学生述情障碍与手机依赖的关联研究

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摘要目的在描述高职学生手机依赖行为流行特征的基础之上，分析述情障碍与手机依赖行为的关联强度，为干预高职学生手机依赖行为提供循证依据。方法通过整群抽样选取安徽省三所高职学校学生作为研究对象，采用青少年手机使用依赖自评问卷（SQAPMPU）、多伦多述情障碍量表（TAS-20）评价高职学生的手机依赖和述情障碍。结果高职学生中度、高度手机依赖行为检出率为49.3%、26.4%，其中女生高度手机依赖行为检出率26.9%高于男生25.1%（P<0.001）;高职学生高程度组手机依赖的述情障碍TAS总分和因子分均高于手机依赖低度/中度组（P<0.001）;不同程度手机依赖总得分、分维度得分与述情障碍TAS分和因子得分均呈正相关;控制性别、年龄等变量后，与有述情障碍的学生相比，无述情障碍组发生中度、高度手机依赖行为的风险更低（OR=0.49， CI=0.35~0.70;OR=0.18， CI=0.13~0.25)。结论高职学生中手机依赖行为比较普遍，有述情障碍的高职学生可作为手机依赖干预的重点人群，应给予高度重视和关注。

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关键词 ：高职学生, 手机依赖, 述情障碍, TAS-20

Abstract：*Department of Maternal, Child and Adolescent Health, School of Public Health, Anhui Medical University, Hefei, Anhui 230032, China.AbstractObjective Based on the description of epidemic characteristics of problematic mobile phone usage （PMPU） among high vocational college students, we analyzed the relationship between PMPU and alexithymia in order to provide evidence for the intervention of PMPU. Methods Students from three high vocational colleges in Anhui Province were recruited by cluster sampling and their PMPU and alexithymia were respectively evaluated by the Self-rating Questionnaire for Adolescent Problematic Mobile Phone Use (SQAPMPU) and Toronto Alexithymia Scale (TAS-20）. Results The prevalence of moderate and high dependence of PMPU was 49.3% and 26.4%, respectively. The prevalence of moderate and high dependence of PMPU was higher among girls (26.9%) than boys (25.1%, P<0.001). The TAS scores and factor scores of alexithymia in the high dependence group of PMPU were higher than those in the low and moderate dependence group (P < 0.001). A positive correlation existed between the PMPU and alexithymia with respect to both their total scores and factor scores. When the gender, age and other variables were controlled, the group without alexithymia had lower risk for moderate and high PMPU than that with alexithymia（OR=0.49, CI=0.35~0.70; OR=0.18, CI=0.13~0.25). Conclusions The PMPU is common among high vocational college students. The students with alexithymia are the key population for the intervention of PMPU and should be paid more concern.

Key words： High vocational college students Problematic mobile phone use (PMPU) Alexithymia SQAPMPU TAS-20

基金资助:国家自然科学基金（81202224）; 安徽省学术和技术带头人及后备人选科研资助项目（2012-5）; 安徽省省级大学生创新训练计划项目（AH201310366066）

通讯作者: 郝加虎（1972-）,男,安徽潜山县人,教授,博士,主要研究方向儿童青少年发育与行为医学和环境优生学,E-mail：jia7128@126.com。

作者简介: 张静（1975-），女，安徽六安市人，MPH硕士研究生在读。研究方向：青少年发育与行为医学；E-mail：823916628@qq.com。

引用本文:

张静, 陶磊, 荣峰, 朱琳, 张蕾蕾, 陶舒曼, 张曼, 苏普玉, 张志华, 郝加虎. 高职学生述情障碍与手机依赖的关联研究[J]. 实用预防医学, 2015, 22(1): 5-8. , TAO Lei, RONG, Feng, ZHU Lin, ZHANG Lei-lei, TAO Shu-man, ZHANG Man, SU Pu-yu, ZHANG Zhi-hua, HAO Jia-hu. Study on the relationship between problematic mobile phone usage and alexithymia among high vocational college students. , 2015, 22(1): 5-8.

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