Department of Health Psychology, University of Missouri, Columbia, Missouri 65211, USA.
Pediatrics. 2013 Aug;132(2):260-6. doi: 10.1542/peds.2012-3956. Epub 2013 Jul 29.
The study objectives were to examine video game use in boys with autism spectrum disorder (ASD) compared with those with ADHD or typical development (TD) and to examine how specific symptoms and game features relate to problematic video game use across groups.
Participants included parents of boys (aged 8-18) with ASD (n = 56), ADHD (n = 44), or TD (n = 41). Questionnaires assessed daily hours of video game use, in-room video game access, video game genres, problematic video game use, ASD symptoms, and ADHD symptoms.
Boys with ASD spent more time than did boys with TD playing video games (2.1 vs 1.2 h/d). Both the ASD and ADHD groups had greater in-room video game access and greater problematic video game use than the TD group. Multivariate models showed that inattentive symptoms predicted problematic game use for both the ASD and ADHD groups; and preferences for role-playing games predicted problematic game use in the ASD group only.
Boys with ASD spend much more time playing video games than do boys with TD, and boys with ASD and ADHD are at greater risk for problematic video game use than are boys with TD. Inattentive symptoms, in particular, were strongly associated with problematic video game use for both groups, and role-playing game preferences may be an additional risk factor for problematic video game use among children with ASD. These findings suggest a need for longitudinal research to better understand predictors and outcomes of video game use in children with ASD and ADHD.
本研究旨在考察自闭症谱系障碍（ASD）男孩与注意力缺陷多动障碍（ADHD）男孩或典型发育（TD）男孩相比，视频游戏使用情况，并探讨特定症状和游戏特征与各组之间的问题性视频游戏使用之间的关系。
参与者包括自闭症（n = 56）、注意力缺陷多动障碍（n = 44）或典型发育（n = 41）男孩的家长。问卷评估了视频游戏的每日使用时间、室内视频游戏访问情况、视频游戏类型、问题性视频游戏使用情况、自闭症症状和注意力缺陷多动障碍症状。
与 TD 男孩相比，ASD 男孩玩视频游戏的时间更多（2.1 小时/天对 1.2 小时/天）。ASD 和 ADHD 组的室内视频游戏访问和问题性视频游戏使用均多于 TD 组。多变量模型显示，注意力不集中症状预测 ASD 和 ADHD 组的问题性游戏使用；角色扮演游戏偏好仅预测 ASD 组的问题性游戏使用。
与 TD 男孩相比，ASD 男孩花更多的时间玩视频游戏，而 ASD 和 ADHD 男孩比 TD 男孩更容易出现问题性视频游戏使用。特别是注意力不集中症状与两组的问题性视频游戏使用密切相关，角色扮演游戏偏好可能是 ASD 儿童问题性视频游戏使用的另一个危险因素。这些发现表明需要进行纵向研究，以更好地了解 ASD 和 ADHD 儿童视频游戏使用的预测因素和结果。
