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[在一家电脑游戏成瘾门诊寻求治疗的人群中电脑游戏和网络成瘾的临床特征]

[Clinical characteristics of computer game and internet addiction in persons seeking treatment in an outpatient clinic for computer game addiction].

作者信息

Beutel Manfred E, Hoch Christina, Wölfling Klaus, Müller Kai W

机构信息

Klinik und Poliklinik für Psychosomatische Medizin und Psychotherapie, Universitätsmedizin Mainz, Untere Zahlbacherstr. 8, 55131 Mainz.

出版信息

Z Psychosom Med Psychother. 2011;57(1):77-90. doi: 10.13109/zptm.2011.57.1.77.

Abstract

OBJECTIVES

Since March 2008 we have offered outpatient treatment for computer game and internet addiction. This article presents the assessment and clinical characterization of the first cohort of one year.

METHODS

The reasons for seeking help (phone consultations, N=346) as well as sociodemographic and psychometric characteristics (N=131) (assessment of computer game addiction; SCL-90R) are presented.

RESULTS

Consultation was initiated mainly by relatives--mostly the mothers (86%); 48% report achievement failure and social isolation, lack of control (38%) and conflicts within the family (33%). Two-thirds of the mainly male (96%) patients (N=131) with an average age of 22 (range 13-47) years met the criteria for pathological computer gaming, characterized by an excessive number of hours and preoccupation with gaming, high distress, and unemployment.

DISCUSSION

Symptoms resemble those of other addiction disorders. The consequences for disorder-specific treatment concepts and research are discussed.

摘要

目的

自2008年3月起,我们开始提供针对电脑游戏和网络成瘾的门诊治疗。本文介绍了首批为期一年的病例的评估情况和临床特征。

方法

列出了寻求帮助的原因(电话咨询,N = 346)以及社会人口统计学和心理测量学特征(N = 131)(电脑游戏成瘾评估;症状自评量表90修订版)。

结果

咨询主要由亲属发起——大多是母亲(86%);48%的人报告有学业失败和社会隔离、缺乏自控力(38%)以及家庭内部冲突(33%)的情况。三分之二主要为男性(96%)的患者(N = 131),平均年龄22岁(范围13 - 47岁),符合病理性电脑游戏的标准,其特征为游戏时间过长、沉迷游戏、高度痛苦和无业。

讨论

症状与其他成瘾性疾病相似。讨论了对特定疾病治疗概念和研究的影响。

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