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[玩电脑游戏:青少年中依赖和滥用的临床特征]

[Computer game playing: clinical characteristics of dependence and abuse among adolescents].

作者信息

Batthyány Dominik, Müller Kai W, Benker Frank, Wölfling Klaus

机构信息

Sigmund Freud Privatuniversität Wien, Osterreich.

出版信息

Wien Klin Wochenschr. 2009;121(15-16):502-9. doi: 10.1007/s00508-009-1198-3.

Abstract

OBJECTIVE AND METHODS

The aim of the study was to investigate the prevalence of excessive computer game playing behaviour among adolescents with psychopathological tendencies that resemble the classic symptoms of addiction. To address this question, criteria for excessive computer game playing behaviour were developed on the basis of diagnostic criteria for substance-related disorders according to ICD-10.

RESULTS

Excessive computer playing corresponding to addictive behaviour were found in 12.3% of the adolescents (n = 1068; 9.6% showed abusive and 2.7% dependent behaviour). Adolescents with excessive computer and video game playing behaviour also show substantial correlations with other psychosocial and psychopathological abnormalities, such as alterations in the intensity of social conflict, concentration deficits, maladaptive coping behaviour, stress and psychosomatic challenge, and school phobia.

CONCLUSIONS

The study provides the first empirical data about excessive computer game playing among adolescents in Austria. It shows that pathological computer game playing can be well described by criteria developed in accordance to substance dependence, and that abusive or dependent computer game playing shows specific connections with psycho-social, psychopathological and motivational factors. Overall, the results demonstrate a clear need for deeper research on this subject and the need for a design of prevention measures.

摘要

目的与方法

本研究旨在调查有类似成瘾经典症状的心理病理倾向的青少年中过度玩电脑游戏行为的患病率。为解决这个问题,根据国际疾病分类第10版(ICD - 10)中物质相关障碍的诊断标准制定了过度玩电脑游戏行为的标准。

结果

在12.3%的青少年中发现了与成瘾行为相对应的过度玩电脑现象(n = 1068;9.6%表现出滥用行为,2.7%表现出依赖行为)。有过度玩电脑和电子游戏行为的青少年还与其他心理社会和心理病理异常存在显著相关性,如社会冲突强度改变、注意力缺陷、适应不良的应对行为、压力和身心挑战以及学校恐惧症。

结论

该研究提供了奥地利青少年中过度玩电脑游戏的首批实证数据。研究表明,依据物质依赖制定的标准能够很好地描述病理性玩电脑游戏行为,且滥用或依赖玩电脑游戏行为与心理社会、心理病理及动机因素存在特定联系。总体而言,研究结果表明迫切需要对该主题进行更深入研究,并设计预防措施。

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