Agricultural Biotechnology Research Center, Academia Sinica, Taipei, Taiwan.
Department of Mathematics, Tamkang University, Taipei, Taiwan.
Int J Neuropsychopharmacol. 2020 Jun 24;23(6):349-355. doi: 10.1093/ijnp/pyaa010.
Recent youth with Attention Deficit Hyperactivity Disorder (ADHD) noticed emotional dysregulation if they had Internet Gaming Disorder (IGD). This study aims to understand the treatment efficacy of IGD with ADHD and emotional dysregulaton.
A total of 101 ADHD youths were recruited. We used the Chen Internet Addiction Scale and IGD criteria of the diagnotsic statistical manual (DSM)-5 to confirm IGD. The Swanson, Nolan, and Pelham questionnaire Version IV was used for symptoms of ADHD and oppositional defiant disorder. Disruptive mood dysregulation disorder was assessed by psychiatrist.
There is a new phenomenon that emotional dysregulation has been frequently noticed in severely gaming-addicted ADHD youth. Treatment efficacy of IGD is good when the underlying symptom of ADHD is controlled. Symptom scores of disruptive mood dysregulation (DMDD) were significantly reduced by 71.9%, 74.8%, and 84.4% at week 2, 3, and 4, respectively (P ≤ .001) after adjusting baseline symptom severity.
IGD may strongly arouse emotional dysregulation. Future DSM criteria could consider these gaming-addicted youth as a specific subclass of ADHD.
最近患有注意缺陷多动障碍 (ADHD) 的年轻人如果患有网络成瘾障碍 (IGD)，则会注意到情绪失调。本研究旨在了解 ADHD 和情绪失调伴有 IGD 的治疗效果。
共招募了 101 名 ADHD 青少年。我们使用陈网络成瘾量表和 DSM-5 的 IGD 标准来确认 IGD。采用斯旺森、诺兰和佩勒姆问卷第四版来评估 ADHD 和对立违抗性障碍的症状。由精神科医生评估破坏情绪调节障碍。
在严重游戏成瘾的 ADHD 青少年中，经常注意到情绪失调这一全新现象。当 ADHD 的潜在症状得到控制时，IGD 的治疗效果良好。调整基线症状严重程度后，第 2、3 和 4 周时，破坏情绪调节障碍 (DMDD) 的症状评分分别显著降低了 71.9%、74.8%和 84.4%（P ≤.001）。
IGD 可能会强烈引发情绪失调。未来的 DSM 标准可以将这些游戏成瘾的年轻人视为 ADHD 的一个特定亚类。
