| 覃滟云,董江会,伍丽嫦,漆姗姗,陈敏敏,周燕玲.短视频沉迷与青少年抑郁症患者学习倦怠的关系：冲动性和应对倾向的作用路径[J].四川精神卫生杂志,2026,(2):126-132.Qin Yanyun,Dong Jianghui,Wu Lichang,Qi Shanshan,Chen Minmin,Zhou Yanling,Relationship between short video addiction and learning burnout in adolescent patients with depression： the pathways of impulsivity and coping disposition[J].SICHUAN MENTAL HEALTH,2026,(2):126-132 |
| 短视频沉迷与青少年抑郁症患者学习倦怠的关系：冲动性和应对倾向的作用路径 |
| Relationship between short video addiction and learning burnout in adolescent patients with depression： the pathways of impulsivity and coping disposition |
| 投稿时间：2025-11-11 |
| DOI：10.11886/scjsws20251111001 |
| 中文关键词: 青少年 抑郁症 短视频沉迷 冲动性 应对倾向 学习倦怠 中介作用 |
| 英文关键词:Adolescents Depression Short video addiction Impulsivity Coping disposition Learning burnout Mediating effect |
| 基金项目:广州市临床重点专科（临床医学研究所） |
| 作者 | 单位 | 邮编 | | 覃滟云 | 广州医科大学附属脑科医院,广东省精神疾病转化医学工程技术研究中心,广东 广州 510370 | 510370 | | 董江会 | 广州医科大学附属脑科医院,广东省精神疾病转化医学工程技术研究中心,广东 广州 510370 | 510370 | | 伍丽嫦 | 广州医科大学附属脑科医院,广东省精神疾病转化医学工程技术研究中心,广东 广州 510370 | 510370 | | 漆姗姗 | 广州医科大学附属脑科医院,广东省精神疾病转化医学工程技术研究中心,广东 广州 510370 | 510370 | | 陈敏敏 | 广州医科大学附属脑科医院,广东省精神疾病转化医学工程技术研究中心,广东 广州 510370 | 510370 | | 周燕玲* | 广州医科大学附属脑科医院,广东省精神疾病转化医学工程技术研究中心,广东 广州 510370 | 510370 |
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| 中文摘要: |
| 背景 当前，青少年抑郁症高发及其相关学业问题日益严峻。短视频沉迷对青少年的情绪问题及学业成就均存在负面影响，然而，鲜有研究探讨其与青少年抑郁症患者学习倦怠之间的关系，更极少关注冲动性和应对倾向在其中的作用路径。目的 探讨短视频沉迷与青少年抑郁症患者学习倦怠的关系，并分析冲动性和应对倾向在其中的作用路径，为青少年抑郁症患者学习倦怠的干预提供参考。方法 连续选取2024年12月—2025年4月在广州医科大学附属脑科医院住院治疗、符合《国际疾病分类（第10版）》（ICD-10）抑郁症诊断标准的青少年患者191例。采用短视频沉迷现象量表（SVAMS）、简易应对方式问卷（SCSQ）、简式Barratt冲动量表（BBIS）以及青少年学习倦怠量表（ASBI）进行评定。采用Pearson相关分析考查各量表评分的相关性。采用SPSS宏程序Process 4.2中的模型6分析冲动性和应对倾向在短视频沉迷与青少年抑郁症患者学习倦怠之间的链式作用路径。结果 共173例（90.58%）青少年抑郁症患者完成有效问卷调查。相关分析结果显示，青少年抑郁症患者SCSQ应对倾向评分与SVAMS评分、BBIS评分、ASBI评分均呈负相关（r=-0.282、-0.341、-0.431，P均<0.01），SVAMS评分与BBIS评分和ASBI评分均呈正相关（r=0.339、0.262，P均<0.01），BBIS评分与ASBI评分呈正相关（r=0.486，P<0.01）。作用路径分析结果显示，短视频沉迷对学习倦怠的直接效应无统计学意义，但总效应和间接效应均有统计学意义，效应值分别为0.275（95% CI：0.207~0.343）和0.193（95% CI：0.143~0.246），间接效应量为70.18%；冲动性和应对倾向在短视频沉迷与学习倦怠之间均发挥独立的中介效应，效应值分别为0.122（95% CI：0.090~0.156）、0.054（95% CI：0.032~0.079），效应量分别为44.36%、19.64%；冲动性和应对倾向在短视频沉迷与学习倦怠之间发挥链式中介作用，效应值为0.017（95% CI：0.011~0.026），效应量为6.18%。结论 短视频沉迷虽不会直接影响青少年抑郁症患者的学习倦怠，但可能通过冲动性和应对倾向的独立作用路径和链式作用路径间接影响学习倦怠。 |
| 英文摘要: |
| Background Currently， the incidence of depression among teenagers is on the rise， and the related academic problems are becoming increasingly serious. Short video addiction has a negative impact on teenagers' emotional issues and academic achievements. However， few studies have explored the relationship between this addiction and the learning burnout of teenagers with depression， and even fewer have focused on the role paths of impulsivity and coping disposition in this process.Objective To explore the relationship between short video addiction and learning burnout in adolescent patients with depression， as well as the pathway of impulsivity and coping disposition， so as to provide references for the intervention of learning burnout in adolescent patients with depression.Methods A total of 191 adolescent patients who were hospitalized at The Affiliated Brain Hospital of Guangzhou Medical University from December 2024 to April 2025 and met the diagnostic criteria for depression according to the International Classification of Diseases， tenth edition （ICD-10） were selected consecutively. The Short Video Addiction Measurement Scale （SVAMS）， the Brief Barratt Impulsiveness Scale （BBIS）， the Simplified Coping Style Questionnaire （SCSQ）， and the Adolescent Student Burnout Inventory （ASBI） were used for assessment. Pearson correlation analysis was employed to examine the correlations of the scores of each scale. Model 6 of the SPSS macro Process 4.2 was employed to analyze the chained mediation pathway of impulsivity and coping disposition between short video addiction and learning burnout.Results A total of 173 cases （90.58%） of adolescent patients with depression completed the valid questionnaire survey. Correlation analysis showed that SCSQ coping disposition score was negatively correlated with the SVAMS score， the BBIS score， and the ASBI score （r=-0.282， -0.341， -0.431， P<0.01）， the SVAMS score was positively correlated with the BBIS score and the ASBI score （r=0.339， 0.262， P<0.01）， and the BBIS score was positively correlated with the ASBI score （r=0.486， P<0.01）. The pathway analysis showed that the direct effect of short video addiction on learning burnout was not statistically significant， but the total effect and the indirect effect were statistically significant. The effect values were 0.275 （95% CI： 0.207–0.343） and 0.193 （95% CI： 0.143–0.246）， respectively， with the indirect effect accounting for 70.18%. Impulsivity and coping disposition both played independent mediating roles between short video addiction and learning burnout， with effect values of 0.122 （95% CI： 0.090–0.156） and 0.054 （95% CI： 0.032–0.079）， accounting for 44.36% and 19.64% of the total effect， respectively. The chained mediation effect of impulsivity and coping disposition was significant， with an effect value of 0.017 （95% CI： 0.011–0.026）， accounting for 6.18% of the total effect.Conclusion Although short video addiction does not directly affect learning burnout in adolescent patients with depression， it may indirectly influence learning burnout through independent and chain paths of impulsivity and coping disposition. ［Funded by Guangzhou Key Clinical Specialty （Clinical Medical Research Institute）］ |
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