Evaluation of four Internet addiction scales in college students

Abstract

Objective To compare the reliability of Internet Addiction Impairment Index (IAII), Revised Chen Internet Addiction Scale (CIAS-R)-Taiwan Revision, CIAS-R-Mainland Revision, Young Diagnostic Questionnaire (YDQ) and the consistency of Internet addiction using the four scales in college students. Methods A total of 1 004 undergraduates from 3 universities in Hefei were selected to measure the tendency of internet addiction simultaneously using the four scales, and 122 students were retested two weeks after the initial assessment. Correlation coefficient, coincidence rate and Kappa value were used to analyze the consistency of the four scales. Analysis of variance, t test and Logistic regression were used to determine the consistency of the factors related to internet addiction scale. Results The reliability of the four Internet addiction scales were greater than 0.7 ( P<0.01). The correlation coefficient among all scales was greater than 0.5 ( P<0.01). The agreement between YDQ and CIAS-R-Mainland Revision was 0.87. The Kappa value of YDQ and CIAS-R-Taiwan Revision in the consistency analysis was 0.51 ( P<0.01), the Kappa value between the other scales was less than 0.5. Results showed that the four scales were consistent in Internet addiction prevalence by gender, grade and major, while CIAS-R-Taiwan Revision and YDQ were not consistent with the other two scales in sleep disorder. Conclusion The four Internet addiction scales all have good reliability, while low agreement in Internet addiction assessment, suggesting further improvement and revision in Internet addiction scales. 【摘要】 目的 比较网络成瘾损害量表(IAII)、中文网络成瘾量表(CIAS-R)-中国台湾修订版、CIAS-R-中国大陆修订版、自评 Young 网络成瘾诊断问卷(YDQ)的信度及在大学生网络成瘾测量中的一致性, 为今后网络成瘾调查量表的选择和修订提供参考依据。 方法 分层整群选取合肥市 3 所高校的 1 004 名本科生, 采用 4 个量表同时进行网络成瘾倾向的测量, 对 122 名大学生在首次测评 2 周后进行重测。采用相关系数、符合率、即 Kappa 值分析 4 个量表的一致性, 采用 t 检验、方差分析和 Logistic 回归进行网络成瘾量表相关因素分析的一致性判断。 结果 4个网络成瘾量表的信度均>0.7( P<0.01)。各量表间的相关系数均大于 0.5( P<0.01)。YDQ 与 CIAS-R-中国大陆修订版符合率为 0.87,一致性分析结果中 YDQ与 CIAS-R-中国台湾修订版的 Kappa 值为 0.51( P<0.01), 其他量表两两之间的 Kappa值均< 0.5。网络成瘾的相关因素分析显示, 4种量表在性别、年级、专业性质因素上的差异具有一致性, CIAS-R-中国台湾修订版与 YDQ 在睡眠障碍因素上的统计学差异与其他量表不一致。 结论 4 种网络成瘾量表均具有较好的信度, 但是各量表在网络成瘾判定上的一致性相对较低。建议对网络成瘾量表做进一步的完善和修订。