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使用自我报告的《精神疾病诊断与统计手册》第五版标准的成年网络游戏障碍患者的特征与精神症状

Characteristics and Psychiatric Symptoms of Internet Gaming Disorder among Adults Using Self-Reported DSM-5 Criteria.

作者信息

Kim Na Ri, Hwang Samuel Suk-Hyun, Choi Jung-Seok, Kim Dai-Jin, Demetrovics Zsolt, Király Orsolya, Nagygyörgy Katalin, Griffiths Mark D, Hyun So Yeon, Youn Hyun Chul, Choi Sam-Wook

机构信息

Laboratory of Addiction Policy, Seoul St. Mary's Hospital, The Catholic University of Korea, Seoul, Republic of Korea.

Department of Psychology, Chonnam National University, Gwangju, Republic of Korea.

出版信息

Psychiatry Investig. 2016 Jan;13(1):58-66. doi: 10.4306/pi.2016.13.1.58. Epub 2015 Oct 27.

Abstract

OBJECTIVE

The Section III of the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5) proposed nine diagnostic criteria and five cut-point criteria for Internet Gaming Disorder (IGD). We aimed to examine the efficacy of such criteria.

METHODS

Adults (n=3041, men: 1824, women: 1217) who engaged in internet gaming within last 6 months completed a self-report online survey using the suggested wordings of the criteria in DSM-5. Major characteristics, gaming behavior, and psychiatric symptoms of IGD were analyzed using ANOVA, chi-square, and correlation analyses.

RESULTS

The sociodemographic variables were not statistically significant between the healthy controls and the risk group. Among the participants, 419 (13.8%) were identified and labeled as the IGD risk group. The IGD risk group scored significantly higher on all motivation subscales (p<0.001). The IGD risk group showed significantly higher scores than healthy controls in all nine psychiatric symptom dimensions, i.e., somatization, obsession-compulsion, interpersonal sensitivity, depression, anxiety, hostility, phobic anxiety, paranoid ideation, and psychoticism (p<0.001).

CONCLUSION

The IGD risk group showed differential psychopathological manifestations according to DSM-5 IGD diagnostic criteria. Further studies are needed to evaluate the reliability and validity of the specific criteria, especially for developing screening instruments.

摘要

目的

《精神疾病诊断与统计手册》第五版(DSM - 5)第三部分提出了网络成瘾障碍(IGD)的九条诊断标准和五条切点标准。我们旨在检验这些标准的有效性。

方法

在过去6个月内参与网络游戏的成年人(n = 3041,男性:1824人,女性:1217人)使用DSM - 5中标准的建议措辞完成了一项在线自我报告调查。使用方差分析、卡方分析和相关性分析对IGD的主要特征、游戏行为和精神症状进行了分析。

结果

健康对照组和风险组之间的社会人口统计学变量无统计学显著差异。在参与者中,419人(13.8%)被识别并标记为IGD风险组。IGD风险组在所有动机子量表上的得分显著更高(p < 0.001)。IGD风险组在所有九个精神症状维度,即躯体化、强迫观念 - 强迫行为、人际敏感性、抑郁、焦虑、敌对、恐惧焦虑、偏执观念和精神病性上的得分均显著高于健康对照组(p < 0.001)。

结论

根据DSM - 5的IGD诊断标准,IGD风险组表现出不同的精神病理表现。需要进一步研究来评估这些特定标准的可靠性和有效性,特别是用于开发筛查工具。

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