Shin Daun, Choi A Ruem, Lee Jiyoon, Chung Sun Ju, Kim Bomi, Park Minkyung, Jung Myung Hun, Kim Dai Jin, Choi Jung-Seok
Department of Neuropsychiatry, Seoul National University Hospital, Seoul 03080, Korea.
Department of Psychiatry, SMG-SNU Boramae Medical Center, Seoul 07061, Korea.
J Clin Med. 2019 Jul 25;8(8):1102. doi: 10.3390/jcm8081102.
Internet gaming disorder (IGD) is a new disease proposed by the Diagnostic and Statistical Manual of Mental Disorders-Fifth Edition (DSM-5), and has been studied extensively in relation to depression and impulsivity. The relationship between resilience and disease has been found in a variety of addictive disorders, but studies on IGD are lacking. In this study, 71 IGD patients and 78 healthy controls (HCs) were recruited. Impulsivity, resilience, affects, and the degree of internet game addiction were measured using formal tools. The measured values were analyzed by mediation analysis to evaluate the mediating role of affects on resilience and impulsivity related to IGD symptoms. The IGD group showed higher impulsivity, lower resilience, lower positive affect, and higher negative affect than the HC group. The mediation analysis showed that a positive affect was a mediator between impulsivity and the severity of addiction in both groups. Negative affect mediated impulsivity/resilience and the severity of addiction only in the IGD group. Although the results of this study are based on a narrow category of subjects, who are young male adults around 25 years of age, the results suggest that positive affect can be strengthened to prevent the IGD illness, and that illness symptoms may be alleviated by reducing negative affect.
网络成瘾障碍（IGD）是《精神疾病诊断与统计手册（第五版）》（DSM - 5）提出的一种新疾病，并且已经针对其与抑郁和冲动性的关系进行了广泛研究。在多种成瘾性障碍中都发现了心理弹性与疾病之间的关系，但针对网络成瘾障碍的研究尚缺。在本研究中，招募了71名网络成瘾障碍患者和78名健康对照者（HCs）。使用正规工具测量冲动性、心理弹性、情感以及网络游戏成瘾程度。通过中介分析对测量值进行分析，以评估情感在与网络成瘾障碍症状相关的心理弹性和冲动性方面的中介作用。与健康对照组相比，网络成瘾障碍组表现出更高的冲动性、更低的心理弹性、更低的积极情感以及更高的消极情感。中介分析表明，积极情感在两组中均为冲动性与成瘾严重程度之间的中介因素。消极情感仅在网络成瘾障碍组中介导冲动性/心理弹性与成瘾严重程度。尽管本研究结果基于一个狭窄的受试者类别，即25岁左右的年轻男性成年人，但结果表明，可以通过增强积极情感来预防网络成瘾障碍疾病，并且通过减少消极情感可能会缓解疾病症状。
