Jeong Hyunsuk, Yim Hyeon Woo, Jo Sun-Jin, Lee Seung-Yup, Kim Eunjin, Son Hye Jung, Han Hyun-Ho, Lee Hae Kook, Kweon Yong-Sil, Bhang Soo-Young, Choi Jung-Seok, Kim Bung-Nyun, Gentile Douglas A, Potenza Marc N
Department of Preventive Medicine, College of Medicine, The Catholic University of Korea, Seoul, Korea.
Department of Psychiatry, College of Medicine, The Catholic University of Korea, Seoul, Korea.
BMJ Open. 2017 Oct 5;7(10):e018350. doi: 10.1136/bmjopen-2017-018350.
In 2013, the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5) proposed nine internet gaming disorder (IGD) diagnostic criteria as a condition warranting further empirical and clinical research. The aim of this study is to clarify the natural and clinical courses of IGD proposed DSM-5 in adolescents and to evaluate its risk and protective factors.
The Internet user Cohort for Unbiased Recognition of gaming disorder in Early Adolescence (iCURE) study is an ongoing multidisciplinary, prospective, longitudinal cohort study conducted in 21 schools in Korea. Participant recruitment commenced in March 2015 with the goal of registering 3000 adolescents. The baseline assessment included surveys on emotional, social and environmental characteristics. A parent or guardian completed questionnaires and a structured psychiatric comorbidity diagnostic interview regarding their children. Adolescents with the Internet Game Use-Elicited Symptom Screen total scores of 6 or higher were asked to participate in the clinical diagnostic interview. Two subcohorts of adolescents were constructed: a representative subcohort and a clinical evaluation subcohort. The representative subcohort comprises a randomly selected 10% of the iCURE to investigate the clinical course of IGD based on clinical diagnosis and to estimate the false negative rate. The clinical evaluation subcohort comprised participants meeting three or more of the nine IGD criteria, determined by clinical diagnostic interview, to show the clinical course of IGD. Follow-up data will be collected annually for the 3 years following the baseline assessments. The primary endpoint is 2-year incidence, remission and recurrence rates of IGD. Cross-sectional and longitudinal associations between exposures and outcomes as well as mediation factors will be evaluated.
This study is approved by the Institutional Review Board of the Catholic University of Korea. Results will be published in peer-reviewed journals.
ClinicalTrials.gov (identifier: NCT02415322).
2013年，《精神疾病诊断与统计手册》第五版（DSM - 5）提出了九条网络游戏障碍（IGD）诊断标准，作为一种需要进一步进行实证和临床研究的病症。本研究的目的是阐明DSM - 5提出的青少年IGD的自然病程和临床病程，并评估其风险和保护因素。
青少年早期网络游戏障碍无偏识别互联网用户队列（iCURE）研究是一项正在韩国21所学校进行的多学科、前瞻性、纵向队列研究。参与者招募于2015年3月开始，目标是登记3000名青少年。基线评估包括对情绪、社会和环境特征的调查。家长或监护人完成关于其子女的问卷和结构化的精神共病诊断访谈。网络游戏使用引发症状筛查总分达到6分或更高的青少年被要求参加临床诊断访谈。构建了两个青少年亚组：一个代表性亚组和一个临床评估亚组。代表性亚组由随机抽取的iCURE的10%组成，用于基于临床诊断调查IGD的临床病程并估计假阴性率。临床评估亚组由通过临床诊断访谈确定符合九条IGD标准中的三条或更多条的参与者组成，以展示IGD的临床病程。在基线评估后的3年中，每年收集随访数据。主要终点是IGD的2年发病率、缓解率和复发率。将评估暴露因素与结局以及中介因素之间的横断面和纵向关联。
本研究经韩国天主教大学机构审查委员会批准。研究结果将发表在同行评审期刊上。
ClinicalTrials.gov（标识符：NCT02415322）
