Gemma Mestre-Bach, Ursula Paiva, Leyre San Martín Iniguez, Marta Beranuy, María Martín-Vivar, Nuria Mallorquí-Bagué, Enrique Normand, María Contreras Chicote, Marc N Potenza, Gonzalo Arrondo
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引用次数: 0
摘要
孤独可能会导致个人花更多的时间在互联网上,增加经历网络使用障碍的可能性。同样,有网络使用障碍的人可能会感到孤独。在本系统综述和荟萃分析中,我们在PROSPERO (CRD42023390483)中预先注册,量化了网络使用障碍症状(如网络游戏障碍和在线赌博障碍)与孤独感之间的关联。我们搜索了PubMed, Web of Science和一个机构数据库聚合器,以比较有和没有网络使用障碍症状的个体群体的孤独感程度。孤独感的均值和标准差,或者比值比,通过随机效应模型转化为科恩d,用于统计池化。在筛选了2369份报告后,我们从23项研究中提取了数据。这些研究的总人数为36484人。参与者年龄在13到30岁之间(中位数为20岁)。有和没有网络使用障碍症状者之间的综合差异产生了标准化效应(Cohen’s d) 0.53 (95% CI 0.35-0.7)。虽然异质性很高,但没有迹象表明存在出版或小样本偏倚。在限制特定类型的网络使用障碍症状时,发现了类似的效应大小。此外,元回归没有显示年龄、性别或样本量的影响。有网络使用障碍症状的个体在ucla -孤独感量表上的平均得分为49.35分(43.84-54.85),而无网络使用障碍症状的个体平均得分为43.78分(37.47-50.08)(标准化平均差:5.18,95% CI = 2.05-8.34)。有网络使用障碍症状的人更容易感到孤独。这种影响似乎不大。
The association between internet-use-disorder symptoms and loneliness: a systematic review and meta-analysis with a categorical approach.
Loneliness may lead individuals to spend more time on the internet and increase the likelihood of experiencing internet-use disorders. Similarly, individuals with internet-use disorders may feel lonelier. In the present systematic review and meta-analysis, pre-registered in PROSPERO (CRD42023390483), we quantified associations between internet-use-disorder symptoms (e.g. internet gaming disorder and online gambling disorder) and loneliness. We searched PubMed, Web of Science, and an institutional database aggregator for references that compared degrees of loneliness in groups of individuals with and without symptoms of internet-use disorder. Means and standard deviations of loneliness, or alternatively, odds ratios, were transformed into Cohen's d for statistical pooling through a random-effects model. After screening 2,369 reports, we extracted data from 23 studies. The total number of individuals across the studies was 36,484. Participants were between 13 and 30 years of age (median 20). The pooled difference between those with and without internet-use-disorder symptoms yielded a standardized effect (Cohen's d) of 0.53 (95% CI 0.35-0.7). While heterogeneity was high, there was no indication of publication or small sample biases. Similar effect sizes were found when limiting to specific types of internet-use disorder symptoms. Moreover, meta-regressions did not show an effect of age, sex, or sample size. Individuals with symptoms of internet-use disorders scored 49.35 (43.84-54.85) points on the UCLA-Loneliness scale on average, compared to 43.78 (37.47-50.08) in individuals without symptoms of internet-use disorders (Standardized Mean Difference: 5.18, 95% CI = 2.05-8.34). Individuals with internet-use-disorder symptoms experience greater loneliness. The effect appears moderately sized.
期刊介绍:
Now in its fifth decade of publication, Psychological Medicine is a leading international journal in the fields of psychiatry, related aspects of psychology and basic sciences. From 2014, there are 16 issues a year, each featuring original articles reporting key research being undertaken worldwide, together with shorter editorials by distinguished scholars and an important book review section. The journal''s success is clearly demonstrated by a consistently high impact factor.