运动处方干预青少年网络成瘾效果的Meta分析
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摘要
目的:系统评价体育运动处方对青少年网络成瘾的干预效果。方法:计算机检索Pubmed、Cochrane Library、Web of Science、PsycINFO、CNKI、WANFANGdata、CQVIP数据库中,有关运动处方干预青少年网络成瘾的随机、半随机以及自我对照试验(RCT、qRCT、SCS),检索时段均为建库至2017年12月31日,同时追索纳入文献的参考文献。由2名研究者独立筛选文献、提取资料和评价纳入研究的偏倚风险后,采用Stata 12.0软件进行统计分析。结果:共纳入13项研究,720个样本,以随机、半随机以及自我对照实验研究下的网络成瘾水平分别作为主、次要结局指标进行评价。Meta分析结果显示:运动处方干预后,随机、半随机以及自我对照实验下的青少年综合网络成瘾水平均获得了显著降低[SMD=-1.54,95%CI(-1.77,-1.31)]、[ES=-10.71,95%CI(-12.63,-8.79)]。结论:现有研究表明,体育运动处方对青少年网络成瘾的干预效果显著。但受纳入研究设计、数量和质量的限制,运动处方对青少年网络成瘾的干预效果仍需开展更多大样本、多中心、规范、科学的高质量研究予以进一步验证。
Purpose:To give a systematic assessment for exercise prescription interferes with the effect of adolescent Internet addiction disorder.Methods:To conduct computer-based retrieval of RCT、QRCT 、SCS concerning exercise prescription interferes with the effect of adolescent Internet addiction disorder.In Pubmed、Cochrane Library、Web of Science、PsycINFO、CNKI、WANFANGdata、CQVIP database from built up to Dec.31,2017 and search for the references at the same time.After quality assessment and extraction of eligible studies by the 2 researchers independently,Meta analysis with the use of Stata 12.0 is conducted.Results:13 studies,720 samples discussed in this paper followed by the Internet addiction level of RCT、qRCT and SCS was evaluated as primary and secondary outcome indicators.Meta analysis results show that:after exercise prescription intervention,the level of comprehensive Internet addiction in adolescents with RCT、qRCT and SCS was significantly reduced[SMD=-1.54,95%CI(-1.77,-1.31)]、[ES=-10.71,95%CI(-12.63,-8.79)].Conclusions:Existing researches indicate that exercise prescription interferes with the effect of adolescent Internet addiction disorder can bring about significant effects.However,due to the limitations of the included studies,more high-quality researches are required.
Purpose:To give a systematic assessment for exercise prescription interferes with the effect of adolescent Internet addiction disorder.Methods:To conduct computer-based retrieval of RCT、QRCT 、SCS concerning exercise prescription interferes with the effect of adolescent Internet addiction disorder.In Pubmed、Cochrane Library、Web of Science、PsycINFO、CNKI、WANFANGdata、CQVIP database from built up to Dec.31,2017 and search for the references at the same time.After quality assessment and extraction of eligible studies by the 2 researchers independently,Meta analysis with the use of Stata 12.0 is conducted.Results:13 studies,720 samples discussed in this paper followed by the Internet addiction level of RCT、qRCT and SCS was evaluated as primary and secondary outcome indicators.Meta analysis results show that:after exercise prescription intervention,the level of comprehensive Internet addiction in adolescents with RCT、qRCT and SCS was significantly reduced[SMD=-1.54,95%CI(-1.77,-1.31)]、[ES=-10.71,95%CI(-12.63,-8.79)].Conclusions:Existing researches indicate that exercise prescription interferes with the effect of adolescent Internet addiction disorder can bring about significant effects.However,due to the limitations of the included studies,more high-quality researches are required.
引文
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[17]张兰君.团体心理治疗和体育运动处方对大学生网络成瘾的干预[J].心理科学,2009(03):738-741.
[18]李立,陈玉娟,张岩,等.健身运动处方对大学生网瘾干预效果的影响[J].体育学刊,2009(08):55-58.
[19]李立,陈玉娟,李敏,等.篮球运动处方对网络成瘾中学生干预效果评价[J].中国学校卫生,2011(05):551-552.
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[22]李立,陈玉娟,胡艳华,等.网络成瘾肥胖大学生健身运动处方干预效果分析[J].中国学校卫生,2014(06):894-896.
[23]李敏,李立,陈玉娟,等.中学生网络成瘾现状与运动处方干预效果评价[J].中国学校卫生,2014(12):1847-1848.
[24]李立,陈玉娟,胡艳华,等.高强度间歇运动与饮食干预对网络成瘾肥胖女大学生干预效果评价[J].中国学校卫生,2015(10):1466-1468.
[25]Li M,Lu L.Intervention Study on The Psychological Health of Chinese Rural Left-Behind Middle School Students with Internet Addiction Disorder by Sunshine Sports[J].Revista Argentina De Clinica Psicologica,2016,25(2):167-176.
[26]付允生,刘洋.朝鲜族大学生网络成瘾状况及足球训练干预效果分析[J].中国学校卫生,2016(12):1890-1892.
[27]杨翠英,曾国凡.太极拳锻炼对大学生网络成瘾的影响[J].中国学校卫生,2017(02):292-294.
[28]刘珺.运动处方及心理辅导对大学生网络成瘾的干预研究[J].广州体育学院学报,2017(03):73-75.
[29]宋珺,杨凤池.网络成瘾研究进展(综述)[J].中国心理卫生杂志,2006,20(11):758-760.
[30]贺金波,郭永玉,向远明.青少年网络游戏成瘾的发生机制[J].中国临床心理学杂志,2008,16(1):46-48.
[31]Khan M A,Shabbir F,Rajput T A.Effect of Gender and Physical Activity on Internet Addiction in Medical Students[J].Pakistan Journal of Medical Sciences,2017,33(1):191-194.
[32]Vigna-Taglianti F,Brambilla R,Priotto B,et al.Problematic Internet use among high school students:Prevalence,associated factors and gender differences[J].Psychiatry Research,2017,257:163-171.
[2]Cao H,Sun Y,Wan Y,et al.Problematic Internet use in Chinese adolescents and its relation to psychosomatic symptoms and life satisfaction[J].BMC Public Health,2011,11:802.
[3]Tsitsika A K,Andrie E K,Psaltopoulou T,et al.Association between problematic Internet use,socio-demographic variables and obesity among European adolescents[J].Eur J Public Health,2016,26(4):617-622.
[4]刘映海,丹豫晋.锻炼心理学视角下网络成瘾心理归因及干预研究[J].北京体育大学学报,2009,32(8):57-61.
[5]Stockdale L,Coyne S M.Video game addiction in emerging adulthood:Cross-sectional evidence of pathology in video game addicts as compared to matched healthy controls[J].Journal of Affective Disorders,2018,225:265-272.
[6]Przybylski A K,Weinstein N,Murayama K.Internet Gaming Disorder:Investigating the Clinical Relevance of a New Phenomenon[J].American Journal of Psychiatry,2017,174(3):230-236.
[7]中国青少年网络协会.中国网络青少年网瘾调查数据报告(2009)[EB/OL].http://edu.qq.com/edunew/diaocha/2009wybg.htm,2010-02-01.
[8]中国青少年网络协会.中国网络青少年网瘾调查数据报告(2011)[EB/OL].http://d.youth.cn/shrgch/201208/t20120807_2337374.htm,2012-08-07.
[9]中国互联网络信息中心.中国青少年上网行为研究报告(2015)[EB/OL].http://www.cnnic.net.cn/hlwfzyj/hlwxzbg/qsnbg/201608/P020160812393489128332.pdf,2016-08-12.
[10]刘映海,石岩.网络成瘾青少年体育干预个案研究[J].体育与科学,2014(03):68-73.
[11]咎玉林.青少年网络成瘾研究综述[J].中国青年研究,2005,7:68-71.
[12]Moher D,Liberati A,Tetzlaff J,et al.Preferred reporting items for systematic reviews and meta-analyses:the PRISMA statement[J].BMJ,2009,339:b2535.
[13]张天嵩,董圣杰,周支瑞.高级Meta分析方法——基于Stata实现[M].上海:复旦大学出版社,2015:6-16.
[14]Higgins J P T,Green S(editors).Cochrane Handbook for Systematic Reviews of Interventions Version 5.1.0[updated March 2011].The Cochrane Collaboration,2011:16.1.3.Available from:www.cochranehandbook.org.
[15]张天嵩,董圣杰,周支瑞.高级Meta分析方法——基于Stata实现[M].上海:复旦大学出版社,2015:306-311.
[16]Son C,.The Effects of the Group Cognitive Behavioral Therapy on Game Addiction Level,Depression and SelfControl of the High School Students with Internet Game Addiction[J].The Korean Journal of Stress Research,2008,16(4):409-417.
[17]张兰君.团体心理治疗和体育运动处方对大学生网络成瘾的干预[J].心理科学,2009(03):738-741.
[18]李立,陈玉娟,张岩,等.健身运动处方对大学生网瘾干预效果的影响[J].体育学刊,2009(08):55-58.
[19]李立,陈玉娟,李敏,等.篮球运动处方对网络成瘾中学生干预效果评价[J].中国学校卫生,2011(05):551-552.
[20]娄彦涛.体育运动处方对青少年网瘾干预的实证研究:体育运动处方对青少年网瘾干预的实证研究[A]//Mark Zhou.2011Second International Conference on Education and Sports Education[C].广州:Engineering Technology Press,2011:473-476.
[21]高军,孙建华,肖坤鹏.体育运动干预对大学生网络成瘾影响的实证研究[J].沈阳体育学院学报,2012(04):55-59.
[22]李立,陈玉娟,胡艳华,等.网络成瘾肥胖大学生健身运动处方干预效果分析[J].中国学校卫生,2014(06):894-896.
[23]李敏,李立,陈玉娟,等.中学生网络成瘾现状与运动处方干预效果评价[J].中国学校卫生,2014(12):1847-1848.
[24]李立,陈玉娟,胡艳华,等.高强度间歇运动与饮食干预对网络成瘾肥胖女大学生干预效果评价[J].中国学校卫生,2015(10):1466-1468.
[25]Li M,Lu L.Intervention Study on The Psychological Health of Chinese Rural Left-Behind Middle School Students with Internet Addiction Disorder by Sunshine Sports[J].Revista Argentina De Clinica Psicologica,2016,25(2):167-176.
[26]付允生,刘洋.朝鲜族大学生网络成瘾状况及足球训练干预效果分析[J].中国学校卫生,2016(12):1890-1892.
[27]杨翠英,曾国凡.太极拳锻炼对大学生网络成瘾的影响[J].中国学校卫生,2017(02):292-294.
[28]刘珺.运动处方及心理辅导对大学生网络成瘾的干预研究[J].广州体育学院学报,2017(03):73-75.
[29]宋珺,杨凤池.网络成瘾研究进展(综述)[J].中国心理卫生杂志,2006,20(11):758-760.
[30]贺金波,郭永玉,向远明.青少年网络游戏成瘾的发生机制[J].中国临床心理学杂志,2008,16(1):46-48.
[31]Khan M A,Shabbir F,Rajput T A.Effect of Gender and Physical Activity on Internet Addiction in Medical Students[J].Pakistan Journal of Medical Sciences,2017,33(1):191-194.
[32]Vigna-Taglianti F,Brambilla R,Priotto B,et al.Problematic Internet use among high school students:Prevalence,associated factors and gender differences[J].Psychiatry Research,2017,257:163-171.