Psychosocial Risk Factors Uas Muaj Kev Tiv Thaiv hauv Internet hauv Kauslim Teb (2014)

Kev Kuaj Mob Hlwb. Oct 2014; 11 (4): 380 – 386.

Luam tawm hauv internet Oct Oct. 20, 2014. doi: 10.4306 / pi.2014.11.4.380

PMCID: PMC4225201

Ju Young Lee, Kyoung Min Shin, Tshav Neeg Mi-, Thiab Yun Yang

Sau cov ntaub ntawv ► Tshooj sau ntawv ► Cov Ntawv Qhia Txog Cov Ntawv Tso Cai thiab Ntawv Tso Cai

Abstract

Hom phiaj

Lub hom phiaj ntawm txoj kev tshawb no yog los tshuaj xyuas qhov kev tiv thaiv ntawm kev siv Internet hauv cov tub ntxhais kawm ntawv theem nrab thiab txhawm rau txheeb cov kev puas hlwb thiab kev nyuab siab.

txoj kev

Txoj kev tshawb fawb no yog ib feem ntawm kev tshawb fawb txog kev mob hlwb rau cov menyuam muaj hlwb tsis txaus nyob rau hauv Osan, lub nroog ntawm Kauslim Teb. Peb tau siv IAS rau kev quav yeeb quav tshuaj hauv internet, K-YSR rau cov ncauj lus 'lub siab ntsws thiab kev coj cwj pwm thiab K-CDI rau cov kev mob tshwm sim. Peb tau siv cov ntaub ntawv ntawm n = 1217 ua tiav rooj plaub. Peb tso rau qhov hloov pauv tsis xwm yeem, uas yog kev sib daj sib deev, hnub nyoog, kev haus luam yeeb thiab dej cawv, qhov xwm txheej ntawm nyiaj txiag, hnub nyoog ntawm kev siv internet thawj zaug, K-YSR thiab K-CDI cov qhab nia.

tau

Lub ntsiab lus ntawm cov neeg siv yees (2.38%), tshaj cov neeg siv (36.89%) thiab cov neeg siv Internet (60.72%). Cov teeb meem tseem ceeb, kev sib deev, teeb meem tsis sib haum, K-CDI cov qhab nia, cov teeb meem xav, hnub nyoog thiab kev coj cwj pwm yog cov uas muaj yees hauv kev siv internet. Hnub nyoog ntawm kev siv Internet tsis zoo los ntawm kev tiv thaiv hauv Internet.

xaus

Qhov tshwm sim no tau qhia zoo ib yam li lwm cov kev tshawb fawb txog kev nyob nrog hauv zej zog, kev xav hauv siab lossis tus cwj pwm cuam tshuam nrog kev quav yeeb quav tshuaj hauv internet. Feem ntau, cov kev kawm muaj yees ntau hauv internet ntxiv muaj teeb meem kev xav ntau dua lossis coj tus cwj pwm tsis zoo. Nws txhais tau hais tias lawv twb ntsib ntau yam nyuaj thaum peb pom tias kev tiv thaiv kev tiv thaiv internet ntawm cov hluas. Yog li ntawd nws yog qhov yuav tsum tau soj ntsuam seb cov kev kawm puas muaj kev ntxhov siab lossis kev coj tus cwj pwm thiab cuam tshuam los tiv thaiv kev quav yeeb quav tshuaj hauv internet.

keywords: Kev tiv thaiv Is Taws Nem, Cov Hluas, K-YSR, K-CDI, Hnub Nyoog ntawm kev siv internet thawj zaug

TAW qHIA

Sab Qab Teb Kauslim muaj ib qho kev ua haujlwm IT-txheej txheem tshaj plaws hauv lub ntiaj teb, nrog is taws nem nrawm dua thiab txhua qhov kev nkag tebchaws hauv Is Taws Nem yooj yim. Yog li ntawd, kev yoog cov kev siv internet hauv lawv lub neej tau dhau los ua qhov xwm txheej ib txwm muaj. Ib qho kev tshawb fawb txog kev siv internet tau tshaj tawm tias 99.9% ntawm cov tub ntxhais hluas.¹ Kev quav yeeb quav tshuaj hauv Is Taws Nem tau raug lees paub tias yog cov teeb meem thoob ntiaj teb. Kev tshawb fawb nyob hauv lwm lub teb chaws kuj tau ua tiav. Feem ntau ntawm cov neeg quav yeeb quav tshuaj nyob hauv teb chaws Asmeskas yog 9.8-15.2% ntawm cov neeg hauv lawv cov hluas thiab hnub nyoog 20 xyoo.² Hauv tebchaws tim Nkij teb chaws, tus lej ntawm tus lej ntawm qhov muaj teeb meem siv internet (PIU) yog 19.4% thiab PIU tus nqi yog 1.5%. Hauv qhov kev kawm no, PIU muaj peev xwm txhais tau tias yog kev siv internet uas ua tiav qee yam, tab sis tsis yog tas nrho, ntawm cov lus thov txheej txheem ntawm PIU. Lawv siv Young Internet Kev Ntsuas Kev Kuaj rau ntawm pab pawg siv internet yam ntxwv. PIU txhais tau hais tias ib tus neeg tsis muaj peev xwm tswj hwm ib qho kev siv internet, yog li tau cim kev ntxhov siab thiab / lossis kev ua haujlwm tsis taus. Hauv Taiwan, tus qauv hais txog kev quav cawv internet ntxiv yog 15.3% ntawm cov tub ntxhais kawm hauv tsev kawm.³ Ib qho kev tshawb nrhiav tau qhia txog qhov kev tshwm sim ntawm kev quav yeeb quav tshuaj hauv Internet ntawm cov tub ntxhais hluas Kauslim tuaj yeem nyob nruab nrab ntawm 2.6 thiab 14.9%.¹^,⁴^,⁵ Ntau yam xws li qhov chaw nyob, tshuaj ntsuam cov cuab yeej thiab lub hnub nyoog hom phiaj yuav ua rau muaj qhov sib txawv ntawm qhov tshwm sim hauv cov kev tshawb fawb no.

Kev quav yeeb quav tshuaj hauv Is Taws Nem (IAD) yog txhais tau tias ib tus neeg tsis muaj peev xwm tswj hwm nws siv Is Taws Nem, uas tuaj yeem ua rau lub cev, lub hlwb, kev txom nyem.⁶ Hauv 1998, Goldberg tau qhia tias IAD yog qhov kev puas siab puas ntsws raws li kev twv txiaj pathological raws li tau piav qhia hauv Kev Ntsuas Xyuas thiab Kev Tshuaj Ntsuam Xyuas Kev Puas Hlwb (DSM-IV). Nrog rau kev twv txiaj txog kev twv txiaj, IAD qhia cov yam ntxwv zoo ib yam li cov neeg quav yeeb tshuaj xws li kev hloov siab, kev hloov kho lub siab, siab ntev, cov tsos mob thim rov qab, kev tsis sib haum xeeb thiab rov tshwm sim.⁶ Kev txhawj xeeb uas yuav tsum tau muaj kev ntsuam xyuas thiab kev kho mob rau kev quav yeeb quav tshuaj hauv Internet tau loj zuj zus nyob rau ob peb xyoos dhau los. Tab sis nws tau sib cav txog seb nws yuav tsum tau ntxiv qhov tsis meej nyob rau hauv Diagnostic thiab Statistical Manual ntawm Kev Puas Siab Puas Ntsws, Thib Tsib (DSM-5). Nws tsis paub meej meej tias kev quav yeeb quav tshuaj hauv internet tau tshwm sim los ntawm kev tsis sib haum xeeb, los yog lub chaw muaj kab mob paub cai tiag tiag. Raws li xyoo 2013, 'Kev siv internet kev ua si tsis txaus siab' tau koom ua ke rau hauv DSM-V Tshooj 3, ib qeb ntawm cov kev tsis txaus siab xav tau kev tshawb fawb ntxiv.⁷

Kev quav yeeb quav tshuaj hauv Is Taws Nem tau pom tias muaj kev cuam tshuam nrog kev nyuaj siab, mloog tsis txaus hyperactivity tsis meej (ADHD) thiab impulse tswj kev cuam tshuam.⁸^,⁹^,¹⁰^,¹¹ Ntawm 1618 cov tub ntxhais kawm hnub nyoog 13 txog 18 xyoo, 6.4% yog nyob rau qib nrab mus rau qhov muaj feem ntawm kev siv internet pathological. Cov neeg uas siv pathological tau 2.5 lub sijhawm ntau dua los ua rau muaj kev nyuaj siab ntawm 9 lub hlis rov qab ua piv nrog cov pawg tswj hwm. Qhov tshwm sim no qhia tau tias cov hluas uas nyuam qhuav pib tsis muaj teeb meem txog kev mob hlwb tab sis siv pathologically hauv internet yog qhov pheej hmoo ntawm kev tsim kev nyuaj siab.¹¹ Ntawm qhov tod tes, kev nyuaj siab yog ib qho ntawm cov dhau los ua ntej mob hlwb txog kev quav yeeb quav tshuaj hauv Internet raws li qhia los ntawm Young.⁶

Kev txhim kho ntawm kev quav yeeb quav tshuaj hauv internet tau pom tias muaj ntau dua nyob hauv cov neeg nrog ADHD. Hauv tsab ntawv ceeb toom los ntawm Yoo et al.,¹² nws tau hais tias cov tub ntxhais kawm theem pib nrog kev quav yeeb quav tshuaj hauv internet tau muaj tus lej siab ntawm ADHD cov tsos mob. Cov tub ntxhais hluas cov hluas kuj tseem pom tias muaj kev sib txuas ntawm ADHD thiab kev quav yeeb quav tshuaj hauv internet.¹³ Nws tau hais tias yuav los siav qhov lawv xav tau kev txaus siab tam sim ntawd, menyuam yaus thiab cov hluas nrog ADHD nrhiav kev nplij siab nyob rau hauv internet tej zaum ua rau kev quav yeeb tshuaj hauv internet. Vim tias lawv muaj sijhawm nyuaj los khaws lawv cov kev txaus siab thiab muaj qhov tsis paub txog cov khoom plig qeeb, qhov no feem ntau ua rau cov kev kawm tsis zoo thiab kev cov nyom ntawm cov phooj ywg zoo. Qhov no tej zaum yog ib lub hauv paus tseem ceeb ntawm lawv txoj kev quav yeeb tshuaj hauv internet vim tias kev ua si hauv internet feem ntau muab kev txhawb siab multimodal, teb tam sim thiab nqi zog.

Ib qho ntxiv, kev siv internet nyob rau thaum hnub nyoog yau thiab tsev neeg kev sib raug zoo, kev yoog raws thiab kev sib txuas lus yog tej yam ntawm kev quav yeeb quav tshuaj hauv internet.¹³ Ni li al.¹⁴ tau hais tias lub hnub nyoog ntawm kev siv internet thawj zaug raug cuam tshuam nrog kev quav yeeb quav tshuaj nyob hauv internet. Cov lus tshawb fawb txog lwm yam kev quav yeeb quav tshuaj xws li kev twv txiaj haus cawv thiab haus cawv tau qhia tias cov neeg hluas lub hnub nyoog ze ze rau nws qhov kev txhaum loj lossis kev ua phem rau.¹⁵^,¹⁶^,¹⁷ Yog tias peb coj mus rau hauv tus account lub txiaj ntsig ntawm cov kev tshawb fawb no, kev cuam tshuam rau is taws nem thaum me nyuam yaus yuav yog qhov cuam tshuam rau kev quav yeeb quav tshuaj hauv Is Taws Nem.

Hauv qhov kev kawm no, peb lub hom phiaj yog los soj ntsuam 1) qhov xwm txheej ntawm kev siv internet muaj teeb meem thiab kev siv internet sib ntxiv, 2) cuam tshuam nrog kev tiv thaiv kev tiv thaiv hauv Internet.

METHODS

kawm

Txoj kev tshawb fawb no yog ib feem ntawm kev tshawb fawb txog kev mob hlwb rau cov menyuam yaus ntawm txoj kev puas siab puas ntsws hauv tebchaws Osan, lub nroog sab qab teb ntawm nroog Seoul, Tebchaws Kauslim Teb. Lub Chaw Saib Xyuas Menyuam Kev Noj Qab Haus Huv Tshawb Nrhiav Kev soj ntsuam thaum lub sijhawm kev saib xyuas kev noj qab haus huv ntawm cov menyuam yaus hauv zos, sau cov ntaub ntawv hauv 2006. Cov neeg tshawb nrhiav tau piav qhia rau cov tub ntxhais kawm, thiab lawv niam lawv txiv txog cov khoom siv ntawm qhov kev kawm no thiab cov txiaj ntsig los ntawm cov ntawv sau thiab lawv tau kos npe tso cai kev pom zoo, thiab muab kev lees paub txog kev tsis pub lwm tus paub. Cov tub ntxhais kawm raug thov kom ua tiav cov lus nug hauv chav kawm uas muaj kev saib xyuas los ntawm tus pab kev tshawb fawb. Tag nrho 1857 cov tub ntxhais kawm tau koom nrog qhov kev tshawb fawb no thiab cov tub ntxhais kawm 640 raug cais tawm vim tias cov lus nug tsis tiav, ua rau 1217 cov tub ntxhais kawm.

Kev ntsuas

Cov ntaub ntawv hauv zej zos

Cov neeg koom tau ua tiav cov lus nug dav dav uas hais txog tsev neeg cov qauv, niam txiv kev kawm thiab xwm txheej kev khwv nyiaj txiag, kev haus luam yeeb, kev haus dej haus cawv thiab hnub nyoog ntawm kev siv Is Taws Nem ib yam li hnub nyoog thiab kev sib deev. Cov xwm txheej hauv kev khwv tau faib ua peb pawg raws li tsev neeg cov nyiaj khwv tau los.

Is Taws Nem Kev Quav Khoom Nplai

Kev txiav txim siab txog qhov kev kawm uas txuam nrog kev siv Is Taws Nem kev txiav txim siab tau siv hom lus Kauslim ntawm Is Taws Nem Kev Tiv Thaiv Txheeb Xyuas (IAS).⁶^,¹² IAS muaj 20 cov lus nug txog kev nug. Txhua qhov khoom ntsuas rau ntawm 5-point nplai; ib tug qhab nia siab dua qhia tau tias kev quav tawm Internet ntau dua. Raws li Young, tus qhab nia ntawm 70 lossis siab dua hauv IAS qhia tias pom qhov muaj kev cuam tshuam hauv Internet, thiab tus qhab nia 40 qhia txog kev siv Internet ntau dhau, uas yuav ua rau qee qhov teeb meem hauv lub neej txhua hnub. Lub IAS tau teeb tsa qhov ua pov thawj zoo thiab siv tau zoo.¹⁸ Cronbach's alpha tau 0.91 hauv txoj kev tshawb fawb tam sim no, qhia tias lub sijhawm zoo li qub.

Kauslim-Cov Hluas Cov Hluas Daim Ntawv Qhia

Achenabch¹⁹ tsim cov peev txheej qhia txog tus kheej no (YSR) uas cov hluas siv rau tus kheej qhia lawv tus kheej kev hloov kho thiab cov teeb meem kev xav thiab tus cwj pwm rau 6 lub hlis dhau los. Nws tau tsim tawm rau cov neeg hluas thaum muaj hnub nyoog 11 thiab 18 xyoo. YSR yields muaj hnub nyoog thiab poj niam txiv neej T-cov qhab nia rau 13 qhov tseem ceeb ua rau subscales, xws li ntxhov siab / ntxhov siab, teeb meem saib xyuas, kev coj tus cwj pwm, teeb meem sab nraud thiab sab hauv, thiab lwm yam YSR tau tshaj tawm tias muaj cov khoom puas siab ntsws txaus. Peb siv Kauslim hom YSR uas tau tsim los ntawm Oh et al.²⁰ Qhov ntawd yog suav hais tias muaj cov khoom zoo sib xws hauv cov tub ntxhais hluas hauv cov tub ntxhais hluas Kauslim. K-YSR kuj tseem tau muaj kev cai rau poj niam txiv neej - thiab pawg hnub nyoog thiab tau siv dav siv hauv chaw kho mob thiab tshawb fawb hauv Kauslim Teb.

Kaus Lim Kauslim Cov Menyuam Yaus Kev Nyuaj Siab

Peb tau siv CDI los ntsuas cov tsos mob tsis txaus siab. CDI suav nrog 27 tus kheej cov lus nug ntsuas tau qhab-nees ntawm 3-point Likert nplai los ntawm 0 (tsis yog) rau 2 (tam sim no thiab cim); tag nrho qhov qhab nia yog los ntawm 0 txog 54.²¹^,²² Cov khoom lag luam suav nrog kev xav tsis zoo, kev cuam tshuam ntawm tus kheej, kev pom tus kheej tsis zoo, kev ua tsis tau zoo thiab kev tsis haum.²¹^,²² Cov ntawv Kauslim hauv tebchaws CDI tau tsim qauv hauv 1990, thiab nws qhov tseeb thiab kev ntseeg tau hauv Korean cov qauv tau tsim tau zoo thiab tshaj tawm lwm qhov. Tag nrho cov qhab nia ntawm 29 yog suav tias yog qhov txiav tawm rau cov tsos mob txaus ntshai heev hauv K-CDI.²³

Kev Tshawb Fawb Tsom

Ua ntej, peb cais cov kev kawm ua peb pawg-Cov neeg quav yeeb quav tshuaj hauv Internet, cov neeg siv ntau dua thiab cov neeg siv Is Taws Nem ib txwm-raws li tag nrho cov qhab nia ntawm IAS thiab muab piv rau cov neeg hauv zej zog thiab cov qhab nia K-YSR ntawm peb pab pawg nrog chi-square test thiab Kruskal -Wallis kev ntsuam xyuas. Peb siv txoj kev tsis yog siv los ntsuas kev kawm vim hais tias txoj kev kawm no tsis qhia tau kev faib tawm zoo li qub.

Thib ob, lub hom phiaj tseem ceeb ntawm txoj kev tshawb fawb tam sim no yog txhawm rau soj ntsuam qhov tshwm sim ntawm txoj kev xav thiab kev coj cwj pwm thiab lwm yam tsev neeg lossis kev noj qab haus huv ntawm kev quav yeeb quav tshuaj rau peb-hnub nyoog ntawm Is Taws Nem siv cov kauj ruam ntau cov kev tswj hwm. Peb lub ntsiab lus ywj pheej tseem ceeb yog kev sib deev, hnub nyoog, kev haus luam yeeb thiab kev paub txog cawv, kev khwv noj khwv haus, hnub nyoog ntawm kev siv internet thawj zaug, cov raug ntawm K-YSR thiab K-CDI cov qhab nia. Qhov hloov pauv tsis suav nrog IAS tus qhab nia-Internet siv cov neeg siv, tshaj kev siv, thiab cov siv Is Taws Nem. Peb tau siv SPSS ver. 17.0 rau qhov tshuaj ntsuam pom.

KEV SIV

Ntawm 1217 nruab nrab cov tub ntxhais kawm cuv npe hauv qhov kev tshawb fawb no, nws tau ua pov thawj tias 29 cov ntsiab lus (2.38%) yog cov neeg siv internet quav, 449 cov ntsiab lus (36.89%) yog cov siv ntau dua thiab 739 (60.72%) yog cov neeg siv internet tsis zoo (rooj 1)). Kev sib deev, hnub nyoog, kev haus luam yeeb kev paub thiab lub hnub nyoog ntawm kev pib siv internet sib txawv ntawm pawg neeg tsawg tab sis haus dej cawv thiab muaj xwm txheej tsis tuaj yeem sib txawv me me (rooj 1).

Kev sib piv ntawm lub neej ntawm cov xeeb ceem ntawm kev quav, tus neeg siv thiab cov pab pawg ib txwm siv

Cov qhab nia nruab nrab yog 77.41 ± 7.80 ntawm cov neeg siv internet quav, 49.42 ± 7.65 ntawm cov neeg siv ntau dhau thiab 30.20 ± 5.13 ntawm cov neeg siv internet li qub (rooj 2)). Hauv pab pawg siab dua nyob rau hauv internet, cov qhab nia ntawm K-YSR tau txais txiaj ntsig yog qhov ntau thiab qhov sib txawv yog cov ntawv sau tseem ceeb (p <0.01) tshwj tsis yog rho khoom. Tsis muaj qhov sib txawv ntawm tus neeg siv ntau tshaj thiab internet ntxiv rau tus neeg siv tab sis tus neeg siv internet ib txwm pom qhov sib txawv ntawm lwm qhov ob hauv cov khoom rho tawm. Nyob rau hauv K-CDI, cov pab pawg muaj internet ntau dua qhia pom qhov sib txheeb nrog cov qhab nia K-CDI siab dua thiab qhov sib txawv ntawm peb pawg yog qhov tseem ceeb (p <0.01) (rooj 2).

Kev sib piv ntawm K-YSR / K-CDI cov qhab nia ntawm kev quav, kev siv tshuaj, thiab cov neeg siv ib txwm

Kev tiv thaiv Is Taws Nem muaj feem cuam tshuam nrog K-YSR tag nrho thiab cov khoom me thiab nws tseem muaj rau K-CDI (rooj 3, p <0.01). Cov ntsiab lus uas tuaj yeem piav qhia qhov hnyav ntawm kev quav yeeb quav tshuaj hauv internet yog cov teeb meem mloog (β = 0.578, t = 3.36), cov teeb meem txhaum cai (β = 0.900, t = 4.02), teeb meem kev xav (β = 0.727, t = 3.80) thiab kev coj tus cwj pwm phem = 0.264, t = 3.25) hauv K-YSR thiab kev sib deev (β = 5.498, t = 8.65), hnub nyoog (β = 1.591, t = 4.29), qhab-nees K-CDI (β = 0.382, t = 6.50) (rooj 4)). Lub hnub nyoog ntawm kev siv internet thawj zaug tau qhia txog kev sib raug zoo nrog kev quav yeeb tshuaj (β = -0.090, t = -3.71). Nws txhais tau tias thaum peb pib siv internet yau hnub nyoog, peb tau yooj yim quav hauv internet (rooj 4)). Tshaj ntawm yim yam khoom muaj 31.5% ntawm yam tseem ceeb uas piav qhia txog kev quav yeeb quav tshuaj [R2 = 0.315, F (8) = 68.41, p <0.01] (rooj 4).

Kev sib txheeb ntawm K-YSR, K-CDI thiab IAS tus qhab nia

Stepwise ntau regression tsom hauv kev siv yees

SIB THAM

Txoj kev kawm no yog hais txog kev quav yeeb quav tshuaj nyob hauv internet rau cov tub ntxhais kawm theem nrab thiab kev coj noj coj ua, kev xav thiab tus cwj pwm.

Caug tau txheeb ze ntau txog kev quav yeeb quav tshuaj nyob hauv internet dua cov poj niam uas muaj txiaj ntsig zoo nrog lwm cov kev tshawb fawb.¹^,³^,⁸^,⁹^,²⁴ Thaum ua ntau cov kev tswj hwm tau ua tiav, tus txiv neej poj niam txiv neej yog tus muaj zog ntawm kev twv txiaj hauv internet (rooj 4).

Txoj kev tshawb no tau pom tias muaj kev sib txuas ntawm kev quav yeeb tshuaj hauv internet thiab cov laus dua qhov kev kawm noCov. Cov kev tshawb fawb hauv lwm lub teb chaws kuj tau xaus lus tias kev quav yeeb quav tshuaj hauv internet yog muaj ntau hauv cov neeg hluas.²⁵^,²⁶^,²⁷ Tab sis tsis muaj ib qho kev tshawb nrhiav qhov tseem ceeb rau qhov laj thawj yog vim li cas kev tiv thaiv kev tiv thaiv hauv internet cuam tshuam rau cov hluas nyob nruab nrab ntawm kaum peb thiab kaum tsib. Feem ntau, cov tub ntxhais kawm nyob hauv tsev kawm theem siab feem ntau yuav yog cov siv internet ntau dua cov tub ntxhais kawm theem nrab thiab theem qis. Vim li no peb xav tias thaum cov tub ntxhais kawm theem nrab ze rau cov hnub nyoog kawm ntawv qib siab, lawv kev tiv thaiv kev tiv thaiv hauv internet yuav muaj npe nrov npe.⁵^,²⁸

Cov hluas lub hnub nyoog thawj zaug ntawm kev siv internet tau qhia ntau dua ntawm kev siv internet sib dua. Ib qho kev tshawb fawb nyob hauv Suav teb thaum pib hnub nyoog ntawm kev siv internet (hnub nyoog 8-12) hauv tsev kawm qib siab xyoo tshiab tau lees paub tias muaj kev tiv thaiv hauv internet.¹⁴ Tsis muaj lub laj thawj txaus tab sis qhov txiaj ntsig no yuav txhais tau tias kev nthuav tawm cov menyuam yaus hauv internet tom qab hnub nyoog loj tuaj yeem yog qhov kev tiv thaiv ntawm kev quav yeeb quav tshuaj hauv internet. Txhawm rau tiv thaiv cov menyuam dhau los ntawm kev siv Internet ntau dhau, tsev neeg ib puag ncig yog qhov tseem ceeb. Cov niam txiv yuav tsum tswj hwm kev ntsuas hauv kev siv internet ntawm lawv cov menyuam. Cov menyuam yaus me tau txais kev cuam tshuam yooj yim los ntawm lawv niam thiab txiv siv internet.

Lwm tsev neeg ib puag ncig ib puag ncig tseem ua rau kev quav yeeb quav tshuaj hauv internet. Kim li al.²⁹ tau tshaj tawm tias cov teeb meem kev sib txuas lus hauv tsev neeg thiab kev sib raug zoo ntawm tsev neeg tsis muaj zog yog cuam tshuam nrog kev siv internet sib ntxiv. Ib daim ntawv ntsuam xyuas qhia tau hais tias qhov chaw ib puag ncig hauv tsev neeg yuav yog ib qho tseem ceeb ua kom txo qis kev siv internet.³⁰

Kev quav yeeb quav tshuaj hauv Is Taws Nem tau sib txheeb nrog qhov qhab nia K-CDI siab thiab kev nyuaj siab / ntxhov siab thiab kev sib raug zoo: cov khoom siv me me ntawm K-YSR uas tau xwm yeem nrog cov txiaj ntsig ntawm lwm qhov kev tshawb fawb.²⁶^,²⁷^,³¹^,³²^,³³^,³⁴ Raws li Khantzian kev xav, peb xav kom cyber-lub ntiaj teb ua tus txheej txheem ntawm kev siv tshuaj kho tau yooj yim tswj kev nyiam, kev nyiam tus kheej, kev sib raug zoo lossis kev saib xyuas tus kheej ntawm tus neeg siv txawm tias lawv tau txais kev nyuaj siab los ntawm kev nyuaj siab hauv lub ntiaj teb tiag.³⁶ Lee li al.³⁴ tau hais tias cov neeg uas muaj kev quav yeeb quav tshuaj nyob hauv is taws nem hnyav muaj teeb meem los ntawm kev hloov mus rau lub tsev kawm ntawv lub neej thiab kev ua tau zoo ntawm tus kheej. Yog li no, cov hluas nrog kev nyuaj siab los yog teeb meem kev sib raug zoo yuav yog siv internet ntau dua ua txoj hauv kev hla cov teeb meem hauv lub ntiaj teb tiag.

Cov khoom uas cuam tshuam nrog teeb meem kev sib raug zoo ntawm K-YSR suav nrog tsis sib raug zoo, raug thuam thiab tsis nyiam, nyiam tsim txom, thiab yog lub hom phiaj ntawm kev sib ntaus thiab kev tawm tsam.

Qhov tshwm sim hais tias qhov teeb meem mloog yog qhov kwv yees tseem ceeb nrog kev quav yeeb quav tshuaj hauv internet yog qhov kev rov ua dua ntawm cov txiaj ntsig ntawm lwm tus stu-dies.²⁶^,³⁷^,³⁸ Ko li al.³² kuj tseem tau tshaj tawm tias ADHD yog tus muaj zog tshaj plaws ntawm kev quav yeeb quav tshuaj hauv internet nyob rau hauv kev kawm yav tom ntej ob xyoos. ADHD cov neeg mob tsis tuaj yeem ua siab ntev ib yam rau ncua sijhawm thiab lawv muaj teeb meem tos kom ncua khoom plig thiab tsuas teb cov khoom plig tam sim. Yog li lawv dhau los ua cov yooj yim quav rau cov kev ua si uas tau txais txiaj ntsig tam sim.³⁹ Muaj peev xwm ua tau ntau yam thaum nyob hauv internet yog lwm qhov kev ntxim nyiam rau ADHD cov neeg mob.

Hauv qhov kev tshawb fawb no, teeb meem teeb meem, teeb meem sab nraud thiab tus cwj pwm phem cuam tshuam nrog kev quav yeeb quav tshuaj hauv internet (rooj 2) Ntxiv rau qhov teeb meem tsis zoo thiab tus cwj pwm quab yuam lawv tus kheej tau twv txiaj hauv internet (rooj 4). TNtawm no yog ob peb qhov kev tshawb fawb uas tau tshaj tawm tias kev ua tsis tau xiam thiab kev coj tsis zoo cuam tshuam nrog kev quav yeeb tshuaj hauv internet tsis hais txog qhov teeb meem xim.⁹^,²⁴^,⁴⁰^,⁴¹ Cov hluas uas muaj kev ua phem los yog coj tus cwj pwm tsis zoo muaj teeb meem ua rau kev sib raug zoo hauv lub ntiaj teb tiag tab sis pom tias nws yooj yim dua los ua thiab tawg hauv kev sib tham hauv cyber-world. Tab sis nws tsis paub meej meej tias kev tawm tsam lossis ua tus coj tsis ncaj yog qhov ua rau muaj kev cuam tshuam ncaj qha rau hauv internet, xav paub ntau ntxiv txog cov ncauj lus no.

Cov tub ntxhais hluas siv internet tsis tuaj yeem pom tias yog ib qho kev ua ub ua no tsis muaj tseeb tab sis qhia txog qhov nyuaj ntawm kev cuam tshuam nrog kev hloov kho tsev kawm ntawv thiab kev phooj ywg. Kev quav yeeb quav tshuaj hauv Internet tuaj yeem yog qhov qhia tau tias muaj kev ntxhov siab, ntxhov siab lossis ADHD yog li kev ntsuas qhov ntsuas ntawm kev ua kom xav tau. Peb kuj yuav tsum tau ntsuas qhov ua txhaum loj heev ntawm kev quav yeeb quav tshuaj hauv internet thiab nws cuam tshuam thiab muab kev pab cuam kho mob rau hauv is taws nem.

Qhov kev tshawb nrhiav no muaj qee qhov kev txwv thiab thawj qhov kev txwv yog qhov txwv hauv cheeb tsam vim tias cov ncauj lus tau nyob hauv ib lub nroog hauv Kaus Lim Tebchaws, ua rau nws nyuaj rau kev ntsuas qhov tshwm sim. Qhov kev txwv thib ob yog tias peb tsis tuaj yeem tshawb nrhiav ntau ntxiv txog kev txheeb ze ntawm kev nyuaj siab, K-YSR cov khoom siv me me lossis cov ntaub ntawv kev lag luam nrog cov ntsiab lus ntawm kev siv internet vim tsis muaj cov ntaub ntawv hais txog cov ntsiab lus. Nws yog qhov ua tau tias kev sib txheeb ntawm lawv yog txuam nrog hauv internet cov ntsiab lus. Qhov kev txwv thib peb yog hais txog kev xav teeb meem ntawm YSR. Kuj tsis muaj lus piav qhia meej txog txoj kev sib raug zoo ntawm cov teeb meem kev xav thiab kev quav yeeb quav tshuaj hauv internet tsis tau. Txoj kev tshawb fawb no tsis tuaj yeem piav qhia txog lub koomhaum ua ke. Nws tuaj yeem yog txoj hauv kev zoo li tshawb txog cov ntsiab lus ntawm cov siv internet los piav qhia nws. Qhov thib peb txwv yog tias kev coj ua teeb meem tsis yog kev puas siab ntsws. Yog li peb tsis tuaj yeem xav tias tus neeg uas tau qhab nia siab hauv cov teeb meem saib xyuas yog ADHD tus neeg mob lossis tus neeg muaj teeb meem loj yog tus neeg mob nrog tus cwj pwm tsis zoo. Qhov ntawd yog tias qhov kev tshawb fawb no yog kev tshawb fawb hla ntu kom peb tsis tuaj yeem piav qhia qhov tseeb kev sib raug zoo.

Qhov tshwm sim no tau qhia zoo ib yam li lwm cov kev tshawb fawb txog kev nyob nrog hauv zej zog, kev xav hauv siab lossis tus cwj pwm cuam tshuam nrog kev quav yeeb quav tshuaj hauv internet. Tus txiv neej, hnub nyoog laus dua, teeb meem mloog, teeb meem txhaum cai, tus cwj pwm tsis txaus ntseeg, cov qhab nia K-CDI thiab hnub nyoog ntawm kev siv internet thawj zaug ntsig txog kev quav yeeb quav tshuaj hauv internet. Feem ntau, cov kev kawm muaj teeb meem kev xav ntau lossis coj tus cwj pwm phem qhia tau pom kev siv internet hnyav ntxiv. Nws txhais tau hais tias lawv twb ntsib ntau yam nyuaj thaum peb pom tias kev tiv thaiv kev tiv thaiv internet ntawm cov hluas. Yog li ntawd nws yog qhov yuav tsum tau soj ntsuam seb cov kev kawm puas muaj kev ntxhov siab lossis kev coj tus cwj pwm thiab cuam tshuam los tiv thaiv kev quav yeeb quav tshuaj hauv internet.

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