医疗实践的一项创新:

中国网民对于网瘾作为一种新的精神性疾病的看法的调查

蒋俏蕾 香港中文大学


【摘要】本文提出将网瘾定义为一种新的精神性疾病可以被视为一项医疗实践的创新,并分析中国大陆网民对于这一问题的看法。作为一项初探性研究,本文试以“创新扩散”理论为研究框架,通过滚雪球抽样,以网络问卷的形式进行调查,共收到518份问卷,有效问卷497份被用来进行分析。根据已出台的《网络成瘾临床诊断标准》,应答者中有12.3% 被归为所谓的上网成瘾者,87.7%为非成瘾者。在这两组网民群体中,没有发现显著的人口统计学变量方面的差别,但二者在互联网连通性变量中表现出明显的分别。通过呈现网民对于将网瘾定义为精神性疾病这一事件的关注和了解,接受态度,改变互联网使用的意愿的比例,本文发现这一创新扩散仍处于早期阶段。关于传播途径的使用,研究发现互联网已成为网民的重要信源,不论是相对于一般的信息获取,还是就网瘾被定义为精神性疾病这一具体事件而言。本文综合考虑了传播途径的使用,互联网的连通性,灵活/刻板性格,网瘾区分诊断,对于网瘾被定义为精神性疾病的关注与了解,对精神性疾病的包容度,脸面顾虑等变量,分析它们与对于将网瘾纳入精神病诊断范畴这一话题的态度、接受程度和相关行为之间的关系。

【Abstract】 This study raised the question of defining Internet addiction disorder (IAD) to be a new mental disease as an innovation in clinic practice and examined the perception among the Internet users in Mainland China. The analysis adhered to the perspective of diffusion of innovations as theoretical framework. Data were collected by online survey using snowball sampling. 518 respondents were recruited and 497 were used in analyses. Among them, 12.3% were classified as so-called Internet “addicts” according to the released diagnostic criteria, and 87.7% were “non-addicts”. No significant demographic differences were found between these two groups of Internet users, but the two were different in Internet connectedness items. By depicting the rate of awareness-knowledge of IAD as a new mental disease, accepting attitude toward this issue and willingness to change Internet usage accordingly, the study found it was still in the early stage of this diffusion process. As for communication channel usage, Internet was found to be crucial source both for information-seeking in general and for knowing IAD as a new mental disease in particular. This study also explored the predictive power of communication channel usage, Internet connectedness, flexible/rigid identification, IAD diagnosis, awareness-knowledge, stigma tolerance, face-loss in the decision-making of the diffusion process.

【Keywords】 China, Diffusion of innovations, Face-loss, Internet addiction disorder, Internet connectedness, Flexible/Rigid identification, Stigma tolerance.