School of Psychology, The University of Adelaide, Australia.
Clin Psychol Rev. 2013 Apr;33(3):331-42. doi: 10.1016/j.cpr.2013.01.002. Epub 2013 Jan 12.
Pathological video-gaming, or its proposed DSM-V classification of "Internet Use Disorder", is of increasing interest to scholars and practitioners in allied health disciplines. This systematic review was designed to evaluate the standards in pathological video-gaming instrumentation, according to Cicchetti (1994) and Groth-Marnat's (2009) criteria and guidelines for sound psychometric assessment. A total of 63 quantitative studies, including eighteen instruments and representing 58,415 participants, were evaluated. Results indicated that reviewed instrumentation may be broadly characterized as inconsistent. Strengths of available measures include: (i) short length and ease of scoring, (ii) excellent internal consistency and convergent validity, and (iii) potentially adequate data for development of standardized norms for adolescent populations. However, key limitations included: (a) inconsistent coverage of core addiction indicators, (b) varying cut-off scores to indicate clinical status, (c) a lack of a temporal dimension, (d) untested or inconsistent dimensionality, and (e) inadequate data on predictive validity and inter-rater reliability. An emerging consensus suggests that pathological video-gaming is commonly defined by (1) withdrawal, (2) loss of control, and (3) conflict. It is concluded that a unified approach to assessment of pathological video-gaming is needed. A synthesis of extant research efforts by meta-analysis may be difficult in the context of several divergent approaches to assessment.
病理性电子游戏，或其在 DSM-V 中的分类“互联网使用障碍”，越来越引起相关健康学科的学者和从业者的关注。本系统综述旨在根据 Cicchetti（1994 年）和 Groth-Marnat（2009 年）的标准和准则，评估病理性电子游戏仪器的标准，以进行良好的心理计量评估。共评估了 63 项定量研究，包括 18 种仪器，代表 58415 名参与者。结果表明，所审查的仪器可能具有不一致的特点。现有测量方法的优点包括：（i）简短易评分，（ii）优秀的内部一致性和收敛效度，以及（iii）可能为青少年人群制定标准化规范提供足够的数据。然而，关键的局限性包括：（a）核心成瘾指标的覆盖不一致，（b）不同的临界值来表示临床状态，（c）缺乏时间维度，（d）维度未经过测试或不一致，以及（e）预测有效性和评分者间可靠性的数据不足。一个新兴的共识表明，病理性电子游戏通常由（1）退出，（2）失去控制，和（3）冲突来定义。结论是需要对病理性电子游戏进行统一的评估。在几种不同的评估方法的背景下，对现有研究成果进行荟萃分析的综合可能是困难的。
