Yung Kathryn, Eickhoff Erin, Davis Diane L, Klam Warren P, Doan Andrew P
Substance Abuse Recovery Program (SARP), Naval Medical Center San Diego, United States; Department of Psychiatry, Naval Medical Center San Diego, United States; Department of Mental Health, Naval Medical Center San Diego, United States.
Substance Abuse Recovery Program (SARP), Naval Medical Center San Diego, United States; Department of Mental Health, Naval Medical Center San Diego, United States.
Addict Behav. 2015 Feb;41:58-60. doi: 10.1016/j.addbeh.2014.09.024. Epub 2014 Sep 26.
Internet addiction disorder (IAD) is characterized by the problematic use of online video games, computer use, and mobile handheld devices. While not officially a clinical diagnosis according to the most recent version of the Diagnostic and Statistical Manual of Mental Disorders (DSM), individuals with IAD manifest severe emotional, social, and mental dysfunction in multiple areas of daily activities due to their problematic use of technology and the internet.
We report a 31year-old man who exhibited problematic use of Google Glass™. The patient has a history of a mood disorder most consistent with a substance induced hypomania overlaying a depressive disorder, anxiety disorder with characteristics of social phobia and obsessive compulsive disorder, and severe alcohol and tobacco use disorders.
During his residential treatment program at the Navy's Substance Abuse and Recovery Program (SARP) for alcohol use disorder, it was noted that the patient exhibited significant frustration and irritability related to not being able to use his Google Glass™. The patient exhibited a notable, nearly involuntary movement of the right hand up to his temple area and tapping it with his forefinger. He reported that if he had been prevented from wearing the device while at work, he would become extremely irritable and argumentative.
Over the course of his 35-day residential treatment, the patient noted a reduction in irritability, reduction in motor movements to his temple to turn on the device, and improvements in his short-term memory and clarity of thought processes. He continued to intermittently experience dreams as if looking through the device. To our knowledge, this is the first reported case of IAD involving problematic use of Google Glass™.
网络成瘾障碍(IAD)的特征是对在线视频游戏、电脑使用和移动手持设备的使用存在问题。虽然根据最新版《精神疾病诊断与统计手册》(DSM),它尚未被正式列为临床诊断,但患有IAD的个体由于对技术和互联网的使用问题,在日常活动的多个领域表现出严重的情绪、社交和心理功能障碍。
我们报告了一名31岁男性,他对谷歌眼镜™ 的使用存在问题。该患者有情绪障碍病史,最符合物质所致轻躁狂叠加抑郁症、具有社交恐惧症和强迫症特征的焦虑症,以及严重的酒精和烟草使用障碍。
在海军物质滥用与康复项目(SARP)针对酒精使用障碍的住院治疗项目中,注意到该患者因无法使用谷歌眼镜™ 而表现出明显的沮丧和易怒。患者右手明显地、几乎不由自主地举到太阳穴区域,并用食指轻敲。他报告说,如果在工作时被阻止佩戴该设备,他会变得极度易怒和好争论。
在为期35天的住院治疗过程中,患者注意到易怒情绪有所减轻,触摸太阳穴开启设备的动作减少,短期记忆和思维清晰度有所改善。他仍会间歇性地体验到仿佛透过该设备看东西的梦境。据我们所知,这是首例报告的涉及对谷歌眼镜™ 使用问题的网络成瘾障碍病例。