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患有网络游戏障碍的个体具有与甲基苯丙胺依赖患者相似的神经认知损伤和社会认知功能障碍。

Individuals with internet gaming disorder have similar neurocognitive impairments and social cognitive dysfunctions as methamphetamine-dependent patients.

作者信息

Jiang Chenguang, Li Cui, Zhou Hongliang, Zhou Zhenhe

机构信息

Universidad de Medicina de Nanjing.

出版信息

Adicciones. 2020 Feb 6;0(0):1342. doi: 10.20882/adicciones.1342.

Abstract

Cognitive dysfunction may be a critical aspect of addictive disorders. This study aimed to examine whether individuals with Internet gaming disorder (IGD) have similar neurocognitive dysfunctions and social cognitive impairments as methamphetamine dependence (MD) patients. The participants included 30 individuals with IGD, 30 MD patients and 30 normal controls (NCs). All participants completed the digit span task, Iowa gambling task (IGT), WCST and the Interpersonal Perception Task-15 (IPT-15). The results showed that the IGD and MD groups had lower forwards and backwards scores, choices of advantageous minus disadvantageous decks, mean amount of money earned, number of categories completed, percentage of conceptual level responses, and IPT-15 total and factor scores compared with the NC group. Forwards and backwards scores, number of categories completed, percentage of conceptual level responses, choices from advantageous minus disadvantageous decks and mean amount of money earned were lower in the IGD group than in the MD group. The number of cards chosen from decks A, B, C, and D, total response errors, perseverative errors and failure to maintain set were higher in the IGD and MD groups than in NCs. Total response errors, perseverative errors and failure to maintain set were higher in the IGD than the MD group. The results revealed that neurocognitive deficits and social cognitive dysfunction in IGD are similar to those in MD. From a cognitive perspective, these results supported IGD as an addictive spectrum disorder and might lead to a better assessment of therapeutic efficacy.

摘要

认知功能障碍可能是成瘾性疾病的一个关键方面。本研究旨在探讨患有网络游戏障碍(IGD)的个体是否具有与甲基苯丙胺依赖(MD)患者相似的神经认知功能障碍和社会认知损害。参与者包括30名患有IGD的个体、30名MD患者和30名正常对照(NCs)。所有参与者均完成了数字广度任务、爱荷华赌博任务(IGT)、威斯康星卡片分类测验(WCST)和人际知觉任务-15(IPT-15)。结果显示,与NC组相比,IGD组和MD组在顺背和倒背分数、有利减去不利纸牌组的选择、平均盈利金额、完成的类别数、概念水平反应的百分比以及IPT-15总分和因子分数方面较低。IGD组在顺背和倒背分数、完成的类别数、概念水平反应的百分比、有利减去不利纸牌组的选择以及平均盈利金额方面低于MD组。IGD组和MD组从A、B、C和D纸牌组中选择的纸牌数量、总反应错误、持续性错误和无法保持定势的情况高于NCs。IGD组的总反应错误、持续性错误和无法保持定势的情况高于MD组。结果表明,IGD中的神经认知缺陷和社会认知功能障碍与MD中的相似。从认知角度来看,这些结果支持将IGD视为一种成瘾谱系障碍,并可能导致对治疗效果进行更好的评估。

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