Clinic of Child and Adolescent Psychiatry, University of Health Sciences, Bakırköy Prof. Dr Mazhar Osman Mental and Neurological Diseases Training and Research Hospital, İstanbul, Turkey.
Adolescent Division, Department of Pediatrics, Istanbul University-Cerrahpasa, Istanbul, Turkey.
Pediatr Int. 2020 Jul;62(7):848-856. doi: 10.1111/ped.14238. Epub 2020 Jul 9.
The determination of the protective and risk factors associated with Internet gaming disorder (IGD) is among the most important pathways to the development of prevention strategies for IGD. Previous research has shown that familial factors are associated with IGD. In our study, we aimed to assess the parental attitude of adolescents with IGD and investigate psychiatric comorbidity.
We assessed family structure, family relationship, parental attitude (in a bi-directional assessment), and psychiatric comorbidity in 50 adolescents aged 12-18 years who meet DSM-5 criteria for IGD in comparison with the control group. Parental attitudes were assessed with the Parental Attitude Research Instrument (filled by the mother) and the Parenting Style Inventory (filled by adolescents).
Our findings suggest that according to mothers' opinions there were no significant differences in the subscale scores between the IGD group and the control group. On the other hand, acceptance-involvement and psychological autonomy subscale scores of the PSI filled by adolescents were found to be significantly lower in the IGD group. Limit setting in areas other than the Internet was significantly lower in the IGD group. High rates of psychiatric comorbidity were also found in adolescents with IGD.
Our study identified that adolescents with IGD perceived their parents "cared less about them" and "minded less on their autonomy" compared with the control group. Our survey demonstrated that parental attitudes may be among the risk factors for IGD and the presence of psychiatric comorbidity may affect the management of IGD.
确定与网络成瘾障碍(IGD)相关的保护因素和风险因素是制定 IGD 预防策略的最重要途径之一。先前的研究表明,家庭因素与 IGD 有关。在我们的研究中,我们旨在评估患有 IGD 的青少年的父母态度,并调查精神共病。
我们评估了 50 名 12-18 岁青少年的家庭结构、家庭关系、父母态度(双向评估)和精神共病,这些青少年符合 DSM-5 中 IGD 的标准,并与对照组进行了比较。父母态度使用父母态度研究工具(由母亲填写)和父母教养方式量表(由青少年填写)进行评估。
我们的研究结果表明,根据母亲的意见,IGD 组和对照组在子量表得分方面没有显著差异。另一方面,青少年填写的 PSI 的接受-参与和心理自主子量表得分在 IGD 组中明显较低。除互联网之外的其他领域的限制设定在 IGD 组中明显较低。患有 IGD 的青少年也存在较高的精神共病率。
我们的研究发现,与对照组相比,患有 IGD 的青少年认为他们的父母“对他们关心较少”和“对他们的自主权关注较少”。我们的调查表明,父母态度可能是 IGD 的风险因素之一,而精神共病的存在可能会影响 IGD 的管理。