TY -的AU - Yu, Yanqiu AU - Mo,凤凰Kit-Han盟——张李建欣AU - Li Jibin盟——刘,约瑟夫Tak-Fai PY - 2021 DA - 2021/10/27 TI -冲动,自控能力,人际关系的影响,和适应不良的认知因素在中国青少年网络游戏的障碍:横断面研究中介乔- J地中海互联网Res SP - e26810六世- 23 - 10 KW -认知KW -青少年健康KW -健康危险行为KW -互联网KW -自控KW -中国AB -背景:游戏障碍，包括网络游戏障碍(IGD)，最近被世界卫生组织在第11版国际疾病分类(ICD-11)中定义为一种精神疾病。因此，减少IGD是有必要的。与网络游戏相关的适应不良认知(MCIG)与IGD有关，而冲动、自我控制、父母影响和同伴影响是IGD的主要危险因素。既往文献提示MCIG与上述4种危险因素及IGD相关，可能在上述危险因素与IGD之间起中介作用。这些潜在的中介，如果显著，意味着修改MCIG可能减轻这些危险因素对增加IGD的有害影响。本研究首次验证了这些中介假说。目的:研究MCIG在中国青少年内在因素(冲动和自我控制)与IGD、人际因素(父母影响和同伴影响)与IGD之间的中介作用。方法:在中国广州和成都的教室里对中学生进行了一项匿名、横断面和自我管理的调查。7所中学7至9年级(7至9年正式教育)的所有学生都被邀请参加这项研究，3087名学生完成了调查。 The Diagnostic and Statistical Manual of Mental Disorders (DSM-5) checklist was used to assess IGD. MCIG was assessed by using the Chinese version of the Revised Internet Gaming Cognition Scale. Impulsivity, self-control, and parental or peer influences were measured by using the motor subscale of the Barratt Impulsiveness Scale, the Brief Self-Control Scale, and the modified interpersonal influence scale, respectively. Structural equation modeling was conducted to examine the mediation effects of MCIG between these risk factors and IGD. Results: The prevalence of IGD was 13.57% (418/3081) and 17.67% (366/2071) among all participants and adolescent internet gamers, respectively. The 3 types of MCIG (perceived rewards of internet gaming, perceived urges for playing internet games, and perceived unwillingness to stop playing without completion of gaming tasks) were positively associated with IGD. Impulsivity, self-control, parental influences, and peer influences were all significantly associated with the 3 types of MCIG and IGD. The 3 types of MCIG partially mediated the associations between the studied factors and IGD (effect size of 30.0% to 37.8%). Conclusions: Impulsivity, self-control, and interpersonal influences had both direct and indirect effects via MCIG on IGD. Modifications of the 3 types of MCIG can potentially reduce the harmful impacts of impulsivity and interpersonal influences on IGD and enhance the protective effect of self-control against IGD. Future longitudinal studies are warranted. SN - 1438-8871 UR - //www.mybigtv.com/2021/10/e26810 UR - https://doi.org/10.2196/26810 UR - http://www.ncbi.nlm.nih.gov/pubmed/34704960 DO - 10.2196/26810 ID - info:doi/10.2196/26810 ER -