Bussone Silvia, Trentini Cristina, Tambelli Renata, Carola Valeria
Department of Dynamic and Clinical Psychology, Sapienza University of Rome, Rome, Italy.
Department of Experimental Neuroscience, Santa Lucia Foundation (IRCCS), Rome, Italy.
Front Psychiatry. 2020 May 15;11:423. doi: 10.3389/fpsyt.2020.00423. eCollection 2020.
Internet gaming is among the most popular entertainment options, worldwide; however, a considerable proportion of gamers show symptoms of pathological gaming. (IGD) has been proposed to describe a behavioral addiction, which shares many similarities, both physical and psychological, with substance use disorder. Environmental factors, such as interpersonal and relationship dynamics during childhood and adolescence, have been suggested to modulate the onset and trajectories of IGD. However, studies exploring the contributions of dysfunctional family environments to the development of IGD remain limited. This minireview aims to offer an overview of the current knowledge regarding the impacts of early-life interpersonal and relationship dynamics on the development of IGD and to provide a snapshot of the current state of the literature in this field. Specifically, it underlines the modulatory role of early-life relational factors such as a) family function, b) parent-child relationships, c) childhood maltreatment, and d) bullying and cyberbullying on the development of IGD. Consistent with this evidence, therapeutic interventions that aim to "restructure" the emotional ties and familiar dynamics that are known to be associated with dysfunctional behaviors and feelings, and likely promote pathological gaming, are recognized as the most successful clinical therapeutic approaches for IGD.
网络游戏是全球最受欢迎的娱乐方式之一;然而,相当一部分玩家表现出病态游戏的症状。“互联网游戏障碍”(IGD)被提出用于描述一种行为成瘾,它在生理和心理方面与物质使用障碍有许多相似之处。环境因素,如童年和青少年时期的人际关系及互动动态,被认为会调节IGD的发病和发展轨迹。然而,探索功能失调的家庭环境对IGD发展影响的研究仍然有限。本综述旨在概述当前关于早期人际和关系动态对IGD发展影响的知识,并提供该领域文献现状的简要介绍。具体而言,它强调了早期关系因素的调节作用,如a)家庭功能、b)亲子关系、c)童年期虐待以及d)欺凌和网络欺凌对IGD发展的影响。基于这一证据,旨在“重构”已知与功能失调行为和情感相关且可能促进病态游戏的情感纽带和家庭动态的治疗干预措施,被认为是治疗IGD最成功的临床治疗方法。