Hygen Beate Wold, Skalická Věra, Stenseng Frode, Belsky Jay, Steinsbekk Silje, Wichstrøm Lars
Department of Psychology, Norwegian University of Science and Technology, Trondheim, Norway.
NTNU Social Research, Trondheim, Norway.
J Child Psychol Psychiatry. 2020 Aug;61(8):890-898. doi: 10.1111/jcpp.13289. Epub 2020 Jul 5.
Internet gaming disorder (IGD) is highlighted as a condition for further study in the Diagnostic and Statistical Manual of Mental Disorders Fifth Edition (DSM-5). Some studies indicate that IGD appears comorbid with other psychiatric disorders. We examine concurrent and prospective links between symptoms of IGD and symptoms of common psychiatric disorders in childhood and adolescence to determine whether observed comorbidity is a result of (a) reciprocal relations or (b) common underlying causes.
A community sample (n = 702) of Norwegian children completed the Internet Gaming Disorder Interview (IGDI) to assess DSM-5 defined IGD symptoms at ages 10, 12 and 14 years. The Child and Adolescent Psychiatric Assessment (CAPA) assessed symptoms of depression, anxiety, attention-deficit hyperactivity disorder (ADHD), oppositional defiant disorder (ODD) and conduct disorder (CD) at the same time points.
A Random Intercept Cross-lagged Panel Model (RI-CLPM), which captures pure within-person changes and adjusts for all unmeasured time-invariant factors (e.g., genetics, parent education) revealed no associations between IGD symptoms and psychopathology, except that increased IGD symptoms at ages 10 and 12 predicted decreased symptoms of anxiety two years later.
No support emerged for concurrent or prospective relations between IGD and psychiatric symptoms, except in one case: increased IGD symptoms forecasted reduction in anxiety symptoms. Observed co-occurrence between IGD symptoms and mental health problems can mainly be attributed to common underlying factors.
网络成瘾障碍（IGD）在《精神疾病诊断与统计手册》第五版（DSM - 5）中被列为需要进一步研究的病症。一些研究表明，IGD似乎与其他精神疾病共病。我们研究儿童和青少年时期IGD症状与常见精神疾病症状之间的并发关系和前瞻性联系，以确定所观察到的共病是（a）相互关系还是（b）共同潜在原因的结果。
一个由702名挪威儿童组成的社区样本完成了网络成瘾障碍访谈（IGDI），以评估10岁、12岁和14岁时DSM - 5定义的IGD症状。儿童和青少年精神病学评估（CAPA）在相同时间点评估抑郁、焦虑、注意力缺陷多动障碍（ADHD）、对立违抗障碍（ODD）和品行障碍（CD）的症状。
随机截距交叉滞后面板模型（RI - CLPM）捕捉了个体内部的纯粹变化，并对所有未测量的时间不变因素（如遗传学、父母教育程度）进行了调整，结果显示IGD症状与精神病理学之间没有关联，只有10岁和12岁时IGD症状增加预测两年后焦虑症状会减少。
除了一个案例外，没有证据支持IGD与精神症状之间存在并发或前瞻性关系：IGD症状增加预示焦虑症状会减少。观察到的IGD症状与心理健康问题的共现主要可归因于共同的潜在因素。
