Chen Kevin H, Oliffe John L, Kelly Mary T
School of Nursing, University of British Columbia, Vancouver, BC, Canada.
Am J Mens Health. 2018 Jul;12(4):1151-1159. doi: 10.1177/1557988318766950. Epub 2018 Apr 1.
Internet gaming is a legitimate leisure activity worldwide; however, there are emerging concerns that vast numbers of gamers are becoming addicted. In 2013, the American Psychiatric Association (APA) classified Internet Gaming Disorder (IGD) as a condition warranting more clinical research ahead of formalizing it as a mental disorder. Proposed as a behavioral addiction, IGD shares many similarities in both physical and psychosocial manifestations with substance use disorder, including cerebral changes on functional magnetic resonance imaging (fMRI). Among the gaming population, compared to females, adolescent and adult males demonstrate far more addictive internet gaming use in terms of screen hours, craving, and negative impacts on health, which have, in isolated incidents, also caused death. The current article draws findings from a scoping review of literature related to IGD as a means to raising awareness about an emergent men's health issue. Included are three themes: (a) unveiling the nature, impacts and symptoms of IGD; (b) conceptualizing IGD through neuroscience; and (c) treatment approaches to IGD. Afforded by these themes is an overview and synthesis of the existing literature regarding IGD as a means of providing direction for much needed research on gaming addiction and orientating primary care providers (PCPs) to the specificities of IGD in men's health. The findings are applied to a discussion of the connections between IGD and masculinity and the importance of recognizing how behaviors such as social isolation and game immersion can be maladaptive coping strategies for males.
网络游戏在全球范围内都是一项合法的休闲活动;然而,越来越多的人担心大量玩家正在上瘾。2013年,美国精神病学协会(APA)将网络游戏障碍(IGD)列为一种需要更多临床研究的病症,然后才能将其正式确定为一种精神障碍。IGD被提议作为一种行为成瘾,在生理和心理社会表现方面与物质使用障碍有许多相似之处,包括功能磁共振成像(fMRI)显示的大脑变化。在游戏人群中,与女性相比,青少年和成年男性在屏幕使用时间、渴望程度以及对健康的负面影响方面表现出更多的成瘾性网络游戏行为,在个别情况下,这些影响甚至导致了死亡。本文通过对与IGD相关的文献进行范围综述得出研究结果,以此提高人们对一个新出现的男性健康问题的认识。其中包括三个主题:(a)揭示IGD的本质、影响和症状;(b)通过神经科学对IGD进行概念化;(c)IGD的治疗方法。通过这些主题,可以对关于IGD的现有文献进行概述和综合,为急需的游戏成瘾研究提供方向,并让初级保健提供者(PCP)了解IGD在男性健康方面的特殊性。研究结果被应用于讨论IGD与男性气质之间的联系,以及认识到社交隔离和游戏沉浸等行为如何可能成为男性适应不良的应对策略的重要性。