Digital addiction (DA) has been identified as an emerging public health problem worldwide. However, the extent and direction of the association between DA and interpersonal relationships (IRs) are unknown. Does DA have adverse effects on IRs, and how credible is the evidence for this association in published analyses of real-world data? Using the PRISMA method, we conducted a meta-analysis to quantitatively synthesize the results of the relevant studies and obtain reliable effect size estimates and performed an analysis of moderating factors. A systematic literature search identified 98 studies involving 134,593 participants and 99 effect sizes. A significant negative association was observed between DA and IRs. Importantly, our meta-analysis revealed that the DA subtype has no significant moderating effect on IRs, suggesting that combining numerous categories of DA rather than focusing on specific forms of DA may be appropriate for understanding the relationship between DA and IRs. Relative to the IR subtype, the association between DA and offline relationships is significant and negative, whereas the association between DA and online relationships is significant and positive. The strength of the relationship is also influenced by the participants' sex ratio, educational level, and measurement tools. These results may help resolve the disagreement over the magnitude and direction of the association between DA and IRs and have potential implications for the treatment of DA.

中文翻译：

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数字成瘾与人际关系之间的关联：系统评价和荟萃分析


数字成瘾（DA）已被确定为全球新兴的公共卫生问题。然而，DA 与人际关系 (IR) 之间关联的程度和方向尚不清楚。 DA 是否会对 IR 产生不利影响？在已发表的真实世界数据分析中，这种关联的证据有多可信？我们利用PRISMA方法进行荟萃分析，定量综合相关研究的结果，获得可靠的效应大小估计，并对调节因素进行分析。系统的文献检索确定了 98 项研究，涉及 134,593 名参与者和 99 个效应量。 DA 和 IR 之间观察到显着的负相关。重要的是，我们的荟萃分析表明，DA 亚型对 IR 没有显着的调节作用，这表明结合多种 DA 类别而不是关注 DA 的特定形式可能适合理解 DA 和 IR 之间的关系。相对于 IR 亚型，DA 与线下关系之间的关联显着且呈负相关，而 DA 与线上关系之间的关联则显着且正相关。关系的强度还受到参与者的性别比例、教育水平和测量工具的影响。这些结果可能有助于解决 DA 和 IR 之间关联的程度和方向的分歧，并对 DA 的治疗具有潜在影响。