Wang Chao-Yang, Wu Yu-Chen, Su Chen-Hsiang, Lin Pai-Cheng, Ko Chih-Hung, Yen Ju-Yu
1 Department of Psychiatry, Taoyuan Armed Forced General Hospital , Taoyuan, Taiwan.
2 Department of Nursing, Kaohsiung Municipal Ta-Tung Hospital, Kaohsiung Medical University , Kaohsiung City, Taiwan.
J Behav Addict. 2017 Dec 1;6(4):564-571. doi: 10.1556/2006.6.2017.088.
Introduction This study evaluates the association between generalized anxiety disorder (GAD) and Internet gaming disorder (IGD) and the role of behavior inhibition in young adults. Methods We recruited 87 people with IGD and a control group of 87 people without a history of IGD. All participants underwent a diagnostic interview based on the fifth edition of Diagnostic and Statistical Manual of Mental Disorders, IGD and GAD criteria, and completed a questionnaire on behavior inhibition, depression, and anxiety. Results Logistic regression revealed that adults with GAD were more likely (odds ratio = 8.11, 95% CI = 1.78-37.09) to have IGD than those without it. The OR decreased when controlling for behavior inhibition. IGD subjects with GAD had higher depressive and anxiety score than those without GAD. Conclusions GAD was associated with IGD. Comorbid GAD can contribute to higher emotional difficulty. GAD should be well-assessed and interventions planned when treating young adults with IGD. Behavioral inhibition confounds the association between GAD and IGD. Further study is necessary to evaluate how to intervene in behavioral inhibitions to attenuate the risk of GAD and IGD comorbidity.
引言 本研究评估广泛性焦虑障碍（GAD）与网络游戏障碍（IGD）之间的关联以及行为抑制在年轻人中的作用。方法 我们招募了87名患有IGD的人和一个由87名无IGD病史的人组成的对照组。所有参与者均接受了基于《精神障碍诊断与统计手册》第五版、IGD和GAD标准的诊断访谈，并完成了一份关于行为抑制、抑郁和焦虑的问卷。结果 逻辑回归显示，患有GAD的成年人比未患GAD的成年人更有可能（优势比=8.11，95%置信区间=1.78-37.09）患有IGD。在控制行为抑制后，优势比降低。患有GAD的IGD受试者的抑郁和焦虑得分高于未患GAD的受试者。结论 GAD与IGD相关。GAD共病会导致更高的情绪困扰。在治疗患有IGD的年轻人时，应充分评估GAD并制定干预计划。行为抑制混淆了GAD与IGD之间的关联。有必要进一步研究如何干预行为抑制以降低GAD和IGD共病的风险。
