Jung Dooyoung, Shim Eun-Jung, Park Hyeonggyu, Lee Kwanglo, Lee Sangil, Kim Eun-Young, Chang Jae Seung, Jeong Seong-Hoon, Kim Yeni, Ahn Yong Min, Hahm Bong-Jin
Department of Human Factors Engineering, Ulsan National Institute of Science and Technology, Ulsan, Republic of Korea.
Department of Psychology, Pusan National University, Busan, Republic of Korea.
Psychiatry Investig. 2020 May;17(5):403-411. doi: 10.30773/pi.2019.0173. Epub 2020 Apr 17.
Problematic online gaming (POG) and problematic Internet use (PIU) have become a serious public mental health problem, with Internet gaming disorder (IGD) included in "Conditions for further study" section of DSM-5. Although higher immersive tendency is observed in people affected by POG, little is known about the simultaneous effect of immersive tendency and its highly comorbid mental disorder, attention deficit/hyperactivity disorder (ADHD). This study aimed to assess the relationship between immersive tendency, ADHD, and IGD.
Cross-sectional interview study was conducted in Seoul, Korea with 51 male undergraduate students; 23 active gamers and 28 controls.
Current ADHD symptoms showed partial mediation effect on the path of immersive tendency on POG and PIU. The mediation model with inattention explained variance in both POG and PIU better than other current ADHD symptom models (R2=69.2 in POG; 69.3 in PIU). Childhood ADHD symptoms models demonstrated mediation effect on both POG and PIU which explained less variance than current ADHD symptom models (R2=53.7 in POG; 52.1 in PIU). Current ADHD symptoms, especially inattention, appear to mediate the effect of immersive tendency on POG/PIU.
Immersive tendencies may entail greater susceptibility to IGD, and comorbidity with ADHD may mediate the effect of immersive tendency on IGD.
问题性网络游戏（POG）和问题性互联网使用（PIU）已成为严重的公共心理健康问题，互联网游戏障碍（IGD）被列入《精神疾病诊断与统计手册》第5版“有待进一步研究的病症”部分。尽管在受POG影响的人群中观察到较高的沉浸倾向，但对于沉浸倾向及其高度共病的精神障碍——注意力缺陷多动障碍（ADHD）的同时作用知之甚少。本研究旨在评估沉浸倾向、ADHD和IGD之间的关系。
在韩国首尔对51名男性本科生进行了横断面访谈研究；23名活跃游戏玩家和28名对照者。
当前ADHD症状在沉浸倾向对POG和PIU的影响路径上显示出部分中介效应。注意力不集中的中介模型比其他当前ADHD症状模型能更好地解释POG和PIU的方差（POG中R2 = 69.2；PIU中R2 = 69.3）。儿童期ADHD症状模型在POG和PIU上均显示出中介效应，但其解释的方差比当前ADHD症状模型少（POG中R2 = 53.7；PIU中R2 = 52.1）。当前ADHD症状，尤其是注意力不集中，似乎介导了沉浸倾向对POG/PIU的影响。
沉浸倾向可能使人更容易患IGD，与ADHD共病可能介导沉浸倾向对IGD的影响。
