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儿童和青少年行为成瘾——大流行敲响警钟。

Bihavioral Addictions in Childhood and Adolescence - Pandemic Knocking Door.

机构信息

Department of Psychiatry, University Clinical Center Tuzla, Ul. Rate Dugonjića bb, 75000 Tuzla, Bosnia and Herzegovina,

出版信息

Psychiatr Danub. 2020 Oct;32(Suppl 3):382-385.

Abstract

INTRODUCTION

Addiction is not solely "substance dependence". Diminished control is a core defining concept of psychoactive substance addiction. Several behaviors, besides psychoactive substance ingestion, produce short-term reward that may engender diminished control over the behavior. Growing evidence suggests that behavioral addictions resemble substance addictions in many domains, including phenomenology, tolerance, comorbidity, overlapping genetic contribution, neurobiological mechanisms, and response to treatment. This similarity has given rise to the concept of non-substance or behavioral addictions, i.e., syndromes analogous to substance addiction, but with a behavioral focus. The type of excessive behaviors identified as being addictive include gambling, use of computers, playing video games, use of the internet, exercise, and shopping. Behavioral addictions have been proposed as a new class in DSM-5, but the only category included is gambling disorder. Internet gaming disorder is included in the appendix as a condition for further study. The ICD-11 included also the definition of a new disorder, gaming disorder. To present actual knowledge about behavioral addictions in childhood and adolescence.

METHODS

Analysis of data in available literature in data basis and textbooks.

RESULTS

Some behavioral addictions are becoming more common in children and adolescents. Dominant are gaming and gambling addiction that are also best researched.

CONCLUSIONS

Behavioral addiction becomes an epidemic in children and adolescents.

摘要

简介

成瘾不仅仅是“物质依赖”。控制力下降是精神活性物质成瘾的核心定义概念。除了精神活性物质摄入外,还有几种行为会产生短期奖励,可能导致对行为的控制力下降。越来越多的证据表明,行为成瘾在许多领域与物质成瘾相似,包括现象学、耐受性、共病、重叠的遗传贡献、神经生物学机制和治疗反应。这种相似性催生了非物质或行为成瘾的概念,即类似于物质成瘾的综合征,但以行为为重点。被确定为成瘾的过度行为类型包括赌博、使用计算机、玩视频游戏、使用互联网、锻炼和购物。行为成瘾已被提议作为 DSM-5 中的一个新类别,但唯一包括的类别是赌博障碍。网络游戏障碍被列入附录,作为进一步研究的条件。ICD-11 还包括了一种新的障碍——游戏障碍的定义。本文旨在介绍儿童和青少年行为成瘾的现有知识。

方法

在数据库和教科书中分析现有文献中的数据。

结果

一些行为成瘾在儿童和青少年中变得越来越常见。其中占主导地位的是游戏成瘾和赌博成瘾,这也是研究最多的。

结论

行为成瘾在儿童和青少年中成为一种流行。

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