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青少年精神科住院患者中对冲动控制障碍进行系统筛查的必要性。

Need for systematic screening for IGD in adolescent psychiatric inpatients.

机构信息

Service de psychiatrie adulte, hospices civils de Lyon, hôpital Pierre-Wertheimer, 59, boulevard Pinel, 69677 Bron cedex, France.

Service universitaire d'addictologie de Lyon (SUAL), CH de Le Vinatier, 95, boulevard Pinel, 69678 Bron cedex, France; INSERM, U1028, Lyon neuroscience research center, PSY-R2 team, 69000 Lyon, France.

出版信息

Encephale. 2020 Dec;46(6):420-426. doi: 10.1016/j.encep.2020.05.014. Epub 2020 Sep 11.

DOI:10.1016/j.encep.2020.05.014
PMID:32928526
Abstract

Psychiatric comorbidities are frequent in adolescents with internet gaming disorder (IGD). In contrast, the proportion of IGD among adolescents hospitalized for a psychiatric disorder has not been documented yet. In addition, parental ratings of IGD could be useful for diagnosis, but very few data exist on this issue. The objectives of this study were to: (1) assess the prevalence of IGD among adolescent psychiatric inpatients, using the Ten-Item Internet Gaming Disorder Test (IGDT-10), and (2) assess the parental version developed for this study (IGDT-10-P). A total of 102 patients, aged from 12 to 17 years old, were included from four psychiatric units of the French region Auvergne-Rhône-Alpes, during a 6-month inclusion period. Adolescents completed the IGDT-10 while one of their parents completed the IGDT-10-P. The inclusion rate among the eligible population was 57.95%. The prevalence of IGD in the sample, based on the IGDT-10 and IGDT-10-P, was 6.00% and 12.79%, respectively. Psychometric features of the IGDT-10-P indicated excellent internal consistency, a good model fit to the one factor model in confirmatory factor analysis, a strong correlation with gaming time, and a moderate correlation with the IGDT-10. Our results support the need for a systematic screening of IGD among adolescents hospitalized for a psychiatric disorder. Future studies should aim to confirm and explain the prevalence gap between self- and parent-reported criteria.

摘要

精神共病在患有网络成瘾障碍(IGD)的青少年中很常见。相比之下,在因精神疾病住院的青少年中,IGD 的比例尚未有记录。此外,父母对 IGD 的评估可能对诊断有用,但关于这个问题的数据非常少。本研究的目的是:(1)使用十项网络成瘾障碍测试(IGDT-10)评估青少年精神科住院患者中 IGD 的患病率,(2)评估为此研究开发的父母版(IGDT-10-P)。在 6 个月的纳入期间,从法国奥弗涅-罗讷-阿尔卑斯地区的四个精神科单位共纳入了 102 名年龄在 12 至 17 岁之间的患者。青少年在其中一位父母完成 IGDT-10-P 的同时完成了 IGDT-10。在符合条件的人群中,纳入率为 57.95%。根据 IGDT-10 和 IGDT-10-P,样本中 IGD 的患病率分别为 6.00%和 12.79%。IGDT-10-P 的心理计量学特征表明具有极好的内部一致性,验证性因素分析中的单因素模型拟合良好,与游戏时间相关性强,与 IGDT-10 中度相关。我们的结果支持在因精神疾病住院的青少年中系统筛查 IGD 的必要性。未来的研究应旨在确认和解释自我报告和父母报告标准之间的患病率差距。

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