中国青少年抑郁症状与网络游戏障碍纵向关联的性别差异：总体和症状水平的解释分析

IF 3.6 2区医学 Q1 PSYCHOLOGY, CLINICAL

Addictive behaviors Pub Date : 2025-09-17 DOI:10.1016/j.addbeh.2025.108499

Pu Peng , Zhangming Chen , Silan Ren , Ying He , Jinguang Li , Aijun Liao , Linlin Zhao , Xu Shao , Shanshan Chen , Ruini He , Yudiao Liang , Youguo Tan , Jinsong Tang , Xiaogang Chen , Yanhui Liao

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引用次数: 0

摘要

虽然抑郁症状和网络游戏障碍（IGD）的性别差异已被充分记录，但性别差异在其相互关系中的存在尚不清楚。方法对57,985名中国游戏玩家（平均年龄：14.12±1.45岁，女孩：45.4%）进行纵向研究，评估IGD与抑郁症状相关性的性别差异。我们在两个层面上分析了这种关系：(1)总体层面，通过交叉滞后面板模型（CLPM）使用网络游戏障碍量表-简表（IGDS9-SF）和9项患者健康问卷（PHQ-9）的总分；(2)症状层面，在交叉滞后面板网络分析（CLPN）中将个体症状作为节点进行检查。我们比较了交叉滞后效应的强度，并在男孩和女孩的IGD-抑郁症网络中确定了关键的中心症状（高度影响的个体症状）和桥梁症状（将IGD和抑郁症联系起来的症状）。结果女生抑郁症的患病率、发病率和持续性较高；男孩患IGD的几率更高。在两性中，IGD和抑郁症之间存在双向关联。然而，这些相互预测（IGD↔抑郁）的强度在男孩中明显更大。此外，桥梁症状因性别而异：在男孩中，桥梁症状包括无价值、精神运动问题、自杀念头和逃避主义。在女孩中，桥梁症状是自杀念头、逃避、注意力集中困难和快感缺乏。在总体和症状水平上，在流行病学和IGD与抑郁症状之间的关联方面观察到显著的性别差异。这些发现强调了针对性别的干预措施的必要性，以有效地解决青少年IGD和抑郁症相互交织的本质。

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Sex difference in the longitudinal association between depressive symptoms and internet gaming disorder among Chinese adolescents: An explanatory analysis at the aggregate and symptom level

Background

While sex differences in depressive symptoms and Internet Gaming Disorder (IGD) are well-documented, the existence of sex differences in their interrelations remains unclear.

Methods

This longitudinal study of 57,985 Chinese gamers (mean age: 14.12 ± 1.45 years, girls: 45.4 %) assessed sex differences in the association between IGD and depressive symptoms. We analyzed this relationship at two levels: (1) an aggregate level, using total scores from the Internet Gaming Disorder Scale-Short Form (IGDS9-SF) and the 9-item Patient Health Questionnaire (PHQ-9) via cross-lagged panel models (CLPM), and (2) a symptom level, examining individual symptoms as nodes in cross-lagged panel network analyses (CLPN). We compared cross-lagged effect strengths and identified key central symptoms (highly influential individual symptoms) and bridge symptoms (symptoms linking IGD and depression) within the IGD-depression network for boys and girls.

Results

Girls showed higher prevalence, incidence, and persistence of depression; boys had higher rates for IGD. A bidirectional association emerged between IGD and depression for both sexes. However, the strength of these reciprocal predictions (IGD ↔ depression) was significantly greater in boys. Additionally, bridge symptoms differed by sex: in boys, the bridge symptoms included Worthlessness, Psychomotor Problems, Suicidal Thoughts, and Escapism. In girls, the bridge symptoms were Suicidal Thoughts, Escapism, Concentration Difficulties, and Anhedonia.

Discussion

Significant sex differences were observed in both the epidemiology and the associations between IGD and depressive symptoms at aggregate and symptom levels. These findings underscore the necessity for sex-specific interventions to effectively address the intertwined nature of IGD and depression among adolescents.

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来源期刊

Addictive behaviors 医学-药物滥用

CiteScore

8.40

自引率

4.50%

发文量

283

审稿时长

46 days

期刊介绍： Addictive Behaviors is an international peer-reviewed journal publishing high quality human research on addictive behaviors and disorders since 1975. The journal accepts submissions of full-length papers and short communications on substance-related addictions such as the abuse of alcohol, drugs and nicotine, and behavioral addictions involving gambling and technology. We primarily publish behavioral and psychosocial research but our articles span the fields of psychology, sociology, psychiatry, epidemiology, social policy, medicine, pharmacology and neuroscience. While theoretical orientations are diverse, the emphasis of the journal is primarily empirical. That is, sound experimental design combined with valid, reliable assessment and evaluation procedures are a requisite for acceptance. However, innovative and empirically oriented case studies that might encourage new lines of inquiry are accepted as well. Studies that clearly contribute to current knowledge of etiology, prevention, social policy or treatment are given priority. Scholarly commentaries on topical issues, systematic reviews, and mini reviews are encouraged. We especially welcome multimedia papers that incorporate video or audio components to better display methodology or findings. Studies can also be submitted to Addictive Behaviors? companion title, the open access journal Addictive Behaviors Reports, which has a particular interest in ''non-traditional'', innovative and empirically-oriented research such as negative/null data papers, replication studies, case reports on novel treatments, and cross-cultural research.