Department of Psychiatry, Faculty of Medicine, College of Medicine, Kaohsiung Medical University, Kaohsiung City 807, Taiwan.
Department of Psychiatry, Kaohsiung Municipal Ta-Tung Hospital, Kaohsiung Medical University, Kaohsiung City 801, Taiwan.
Int J Environ Res Public Health. 2017 Dec 25;15(1):30. doi: 10.3390/ijerph15010030.
People diagnosed with Internet gaming disorder (IGD) have been frequently reported to experience depression, anxiety, and hostility. Emotional regulation contributes to these mood symptoms. This study evaluated emotional regulation in subjects with IGD and examined relationships between emotional regulation, depression, anxiety, and hostility in young adults with IGD. 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 IGD criteria of the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition, and they completed a questionnaire on emotional regulation, depression, anxiety, and hostility. We found that subjects with IGD were less likely to practice cognitive reappraisal and were more likely to suppress their emotions. Linear regression revealed the higher cognitive reappraisal and lower expressive suppression associated with depression, anxiety, and hostility among subjects with IGD. The emotional regulation strategies that characterize those with IGD could be contributing factors to the depression and hostility tendencies of these people. When treating patients with IGD, in addition to providing appropriate interventions to relieve depression and hostility, practitioners should effectively assess emotional regulation strategies and provide emotional regulation therapy to prevent a vicious cycle of negative emotions.
被诊断患有网络游戏障碍（IGD）的人经常被报道会出现抑郁、焦虑和敌意。情绪调节有助于缓解这些情绪症状。本研究评估了 IGD 患者的情绪调节能力，并探讨了情绪调节、抑郁、焦虑和敌意之间的关系，研究对象为患有 IGD 的年轻成年人。我们招募了 87 名患有 IGD 的人和 87 名没有 IGD 病史的对照组。所有参与者都接受了基于精神障碍诊断与统计手册第五版（DSM-5）IGD 标准的诊断访谈，他们还完成了一份关于情绪调节、抑郁、焦虑和敌意的问卷。结果发现，患有 IGD 的患者更倾向于压抑情绪，较少采用认知重评策略。线性回归显示，在患有 IGD 的患者中，较高的认知重评和较低的表达抑制与抑郁、焦虑和敌意相关。IGD 患者的情绪调节策略可能是导致这些人抑郁和敌意倾向的因素之一。在治疗患有 IGD 的患者时，除了提供适当的干预措施来缓解抑郁和敌意外，临床医生还应有效评估情绪调节策略，并提供情绪调节治疗，以防止负面情绪的恶性循环。
