科技的發展改變人們觀看電視的方式，而出現了新的現象「追劇(Binge-Watching)」。本研究目的為了解台灣成年人追劇行為表現，並探討其與憂鬱感、社交互動焦慮與孤寂感的相關性。本研究為橫斷性研究，於2018年10月進行線上問卷調查，共1488名台灣成年人完成問卷填答。研究結果如下：
一、 研究對象中有72.9%的人認為自己有追劇習慣，女性比例顯著高於男性。
二、 受試者平均每天追劇時間為平日2.5小時，假日3.6小時；平均每週追劇3.6天。
三、 追劇成癮傾向量表平均得分為15.29分(範圍：6~30分)，有33.7%的受試者為追劇成癮高風險族群(追劇成癮量表得分≧18分)。
四、 追劇時間、追劇頻率、追劇數量與追劇成癮風險呈正相關。
五、 由多元迴歸分析發現，自覺身體健康狀況較差、自覺心理健康狀況較差者與追劇成癮傾向得分較高者其憂鬱感、社交互動焦慮、孤寂感的得分愈高。

Background: The development of technology changes the ways people watch TV. The study aimed to describe the binge-watching patterns and investigate the associations between binge-watching behavior and depression, social interaction anxiety, and loneliness among adults in Taiwan.
Methods: A cross-sectional online survey was conducted in October 2018, and 1488 participants were recruited. Data were collected using a self-administrated questionnaire composed by four valid and reliable scales: (1) the Center for Epidemiologic Studied Depression Scale, CES-D (range 0~60); (2) Social Interaction Anxiety Scale-Chinese Version, SIAS-C (range 0~80); (3) the UCLA Loneliness Scale-Version 3 (range 20~80); (4) the Problematic Series Watching Scales, PSWS (range 6~30), which is based on the Griffiths’ six-component addiction model including salience, mood modification, tolerance, withdrawal symptoms, conflict, and relapse. The participants with PSWS score≧18 were defined as the high-risk group of problematic binge-watching. Information on TV-watching habits was also assessed.
Results: Among 1488 surveyed adults, 72.9% self-reported binge-watching and 82.8% of those binge-watchers were female. On average, binge-watchers spent 2.2 (SD=1.5) hours per day on weekdays, 3.6 (SD=2.5) hours per day on weekend, and 3.9 (SD=2.0) days per day in a week on watching series. The average score of PSWS was 15.29 (SD=4.86), and 33.7% of the participants were the high-risk group of problematic binge-watching. Time on binge-watching, frequency of binge-watching and series of binge-watching were positively related to binge-watching addiction. The average score of CES-D was 14.9 (SD=8.3), SIAS-C was 34.1 (SD=14.6) and Loneliness Scale was 39.3 (SD=8.3). Results of multiple regression showed that self-reported low physical and mental health, and the higher level of problematic binge-watching were significant predictors of the risk of increased depression, social interaction anxiety and loneliness (p<0.001 for each model).
Conclusion: Binge-watching might be associated with increased risks of depression, social anxiety, and loneliness in adults in Taiwan. We suggest that future studies should continue to explore the patterns of binge-watching behaviors and assess the potential impact on health.

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