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 812, Taiwan.
Int J Environ Res Public Health. 2019 Aug 31;16(17):3181. doi: 10.3390/ijerph16173181.
: Using gaming to escape emotional difficulty has been suggested to be a candidate mechanism contributing to Internet gaming disorder (IGD). This study evaluated the associations among resilience, perceived stress, depression, and IGD. : A total of 87 participants in an IGD group and 87 participants in a control group were recruited into this study. IGD was diagnosed using the Diagnostic and Statistical Manual of Mental Disorders. Stress levels, resilience, and depression were measured by a self-reported questionnaire. : The IGD group had a lower resilience, higher perceived stress, and depression than the control group. Hierarchical regression analysis demonstrated that resilience was associated with IGD when perceived stress was controlled. After depression was controlled, resilience and perceived stress were not associated with IGD. Among the IGD group, those with low resilience had higher depression. Furthermore, discipline was the resilience characteristic associated with IGD. : Low resilience was associated with a higher risk of IGD. IGD individuals with low resilience had higher depression. Depression was more associated with IGD than resilience. Depression assessments and stress coping interventions should be provided for individuals with IGD who exhibit low resilience or high stress.
使用游戏逃避情绪困扰被认为是导致网络游戏障碍（IGD）的一个候选机制。本研究评估了韧性、感知压力、抑郁与 IGD 之间的关系。
共有 87 名 IGD 组参与者和 87 名对照组参与者被纳入本研究。IGD 使用精神障碍诊断和统计手册进行诊断。压力水平、韧性和抑郁通过自我报告问卷进行测量。
IGD 组的韧性低于对照组，感知压力和抑郁高于对照组。层次回归分析表明，当控制感知压力时，韧性与 IGD 相关。控制抑郁后，韧性和感知压力与 IGD 无关。在 IGD 组中，韧性低的人抑郁程度更高。此外，纪律是与 IGD 相关的韧性特征。
韧性低与 IGD 的风险增加相关。IGD 中韧性低的人抑郁程度更高。与 IGD 相比，抑郁与 IGD 的相关性更高。应向表现出低韧性或高压力的 IGD 个体提供抑郁评估和压力应对干预。
