Gentile Douglas A, Bailey Kira, Bavelier Daphne, Brockmyer Jeanne Funk, Cash Hilarie, Coyne Sarah M, Doan Andrew, Grant Donald S, Green C Shawn, Griffiths Mark, Markle Tracy, Petry Nancy M, Prot Sara, Rae Cosette D, Rehbein Florian, Rich Michael, Sullivan Dave, Woolley Elizabeth, Young Kimberly
Department of Psychology, Iowa State University, Ames, Iowa;
Department of Psychology, Ohio Wesleyan University, Delaware, Ohio.
Pediatrics. 2017 Nov;140(Suppl 2):S81-S85. doi: 10.1542/peds.2016-1758H.
The American Psychiatric Association recently included Internet gaming disorder (IGD) as a potential diagnosis, recommending that further study be conducted to help illuminate it more clearly. This paper is a summary of the review undertaken by the IGD Working Group as part of the 2015 National Academy of Sciences Sackler Colloquium on Digital Media and Developing Minds. By using measures based on or similar to the IGD definition, we found that prevalence rates range between ∼1% and 9%, depending on age, country, and other sample characteristics. The etiology of IGD is not well-understood at this time, although it appears that impulsiveness and high amounts of time gaming may be risk factors. Estimates for the length of time the disorder can last vary widely, but it is unclear why. Although the authors of several studies have demonstrated that IGD can be treated, no randomized controlled trials have yet been published, making any definitive statements about treatment impossible. IGD does, therefore, appear to be an area in which additional research is clearly needed. We discuss several of the critical questions that future research should address and provide recommendations for clinicians, policy makers, and educators on the basis of what we know at this time.
美国精神病学协会最近将网络游戏障碍(IGD)列为一种潜在的诊断病症,并建议开展进一步研究以更清晰地阐明这一病症。本文是IGD工作组作为2015年美国国家科学院萨克勒数字媒体与发育中的大脑学术讨论会的一部分所进行综述的总结。通过使用基于IGD定义或与之类似的测量方法,我们发现患病率在1%至9%之间,具体取决于年龄、国家和其他样本特征。目前对IGD的病因了解尚不充分,不过冲动性和大量游戏时间似乎可能是风险因素。关于该病症可能持续的时间估计差异很大,但原因不明。尽管多项研究的作者已证明IGD可以治疗,但尚未发表任何随机对照试验,因此无法对治疗作出任何明确的表述。所以,IGD显然是一个需要更多研究的领域。我们讨论了未来研究应解决的几个关键问题,并根据我们目前所掌握的情况为临床医生、政策制定者和教育工作者提供了建议。