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青少年和父母对网络游戏障碍的评定一致性及其与心理社会方面的关系。

Accordance of Adolescent and Parental Ratings of Internet Gaming Disorder and Their Associations with Psychosocial Aspects.

机构信息

1 Department Psychology, Faculty of Life Sciences, MSH Medical School Hamburg, Hamburg, Germany.

2 Department of Education, Chair for Pedagogy with a Focus on Media Education, Friedrich-Alexander-University Erlangen-Nuremberg, Nuremberg, Germany.

出版信息

Cyberpsychol Behav Soc Netw. 2019 Apr;22(4):264-270. doi: 10.1089/cyber.2018.0456. Epub 2019 Feb 25.

DOI:10.1089/cyber.2018.0456
PMID:30801222
Abstract

In 2013, Internet gaming disorder (IGD) was incorporated in the DSM-5. In 2018, the World Health Organization (WHO) confirmed the inclusion of the new diagnosis "Gaming disorder" in the ICD-11. Both IGD and Gaming disorder refer to a problematic use of video games. Yet, IGD has thus far only been assessed by self-ratings, while external ratings have not been available. We adapted a frequently used screening tool for IGD (Internet Gaming Disorder Scale, IGDS) to a parental rating (Parental version of the Internet Gaming Disorder Scale, PIGDS) and evaluated its psychometric properties. Data were collected in 1,970 face-to-face interviews (with 985 parents and 985 related adolescents) using a standardized questionnaire measuring adolescent IGD by self- and parental ratings and frequency of gaming, psychopathological burden, hyperactivity/inattention, family functioning, and school performance. Furthermore, we determined the accordance of adolescent and parental ratings for IGD. We conducted a confirmatory factor analysis, correlation analyses, and have determined reliability and concordance. We observed a one-dimensional factor structure of the PIGDS and its internal consistency was 0.86. We found very first indications of criterion validity for the PIGDS. The correlation between IGDS and PIGDS was 0.78 and we observed kappa coefficients between both ratings of 0.62 and 0.61 (based on the most suitable cutoff points for the PIGDS). Both adolescent and parental ratings of IGD were consistently associated with higher psychopathological burden, stronger hyperactivity/inattention, poorer family functioning, and poorer school performance. According to the results, a parental assessment of IGD in adolescence seems to be a promising new approach and it opens a new perspective in the exploration of IGD.

摘要

2013 年,互联网游戏障碍(IGD)被纳入 DSM-5。2018 年,世界卫生组织(WHO)确认将新诊断“游戏障碍”纳入 ICD-11。IGD 和游戏障碍都指的是对视频游戏的问题性使用。然而,到目前为止,IGD 仅通过自我评估进行评估,而外部评估不可用。我们改编了常用于评估 IGD 的一种筛查工具(互联网游戏障碍量表,IGDS),使之适用于父母评估(互联网游戏障碍量表父母版,PIGDS),并评估其心理测量学特性。使用标准化问卷,通过自我和父母评估以及游戏频率、心理病理学负担、多动/注意力不集中、家庭功能和学业成绩,对 1970 次面对面访谈(涉及 985 名父母和 985 名相关青少年)中的数据进行了收集。此外,我们确定了青少年和父母对 IGD 的评估一致性。我们进行了验证性因素分析、相关分析,并确定了可靠性和一致性。我们观察到 PIGDS 的一维因子结构,其内部一致性为 0.86。我们发现了 PIGDS 的初步标准有效性的迹象。IGDS 和 PIGDS 之间的相关性为 0.78,我们观察到这两种评分之间的kappa 系数为 0.62 和 0.61(基于 PIGDS 的最适合切点)。青少年和父母对 IGD 的评分都与更高的心理病理学负担、更强的多动/注意力不集中、较差的家庭功能和较差的学业成绩一致。根据这些结果,对青少年的 IGD 进行父母评估似乎是一种很有前途的新方法,为探索 IGD 开辟了新的视角。

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