Department of Psychiatry, Kaohsiung Municipal Ta-Tung Hospital, Kaohsiung Medical University, Kaohsiung 801, Taiwan.
Department of Psychiatry, Faculty of Medicine, College of Medicine, Kaohsiung Medical University, Kaohsiung City 807, Taiwan.
Int J Environ Res Public Health. 2021 Feb 11;18(4):1771. doi: 10.3390/ijerph18041771.
Gaming escapism is an essential factor for developing internet gaming disorder (IGD). We evaluated coping strategies, resilience, stress, and depression in individuals with IGD.
We included 69 participants with IGD and 138 controls (69 regular gamers and other non-gamers) in Taiwan. The self-reported coping strategies, coping stress with gaming, resilience, perceived stress, and depression were assessed.
Participants with IGD had higher dysfunctional coping, coping stress by gaming, perceived stress, and depression, as well as lower problem-focused coping and resilience. Regression analysis revealed that coping by gaming was associated with dysfunctional coping mechanisms, particularly venting and self-distraction. Compared with participants with adequate resilience, those with lower resilience had higher perceived stress, depression, and coping by gaming, and lower problem-focused and emotion-focused coping. Dysfunctional coping and coping by gaming were associated with perceived stress and depression in both IGD and control groups. Problem-focused coping was negatively associated with perceived stress and depression in controls.
Individuals with IGD had higher perceived stress and depression, as they were more likely to cope with stress by dysfunctional coping and gaming and less likely to try problem-focused coping, particularly those with lower resilience. Interventions for IGD should promote problem-focused coping, such as active coping and planning strategies, particularly among those with lower resilience.
游戏逃避是形成网络赌博障碍(IGD)的一个重要因素。我们评估了具有 IGD 的个体的应对策略、适应力、压力和抑郁情况。
我们在台湾地区纳入了 69 名患有 IGD 和 138 名对照者(69 名普通游戏者和其他非游戏者)。评估了自我报告的应对策略、与游戏相关的应对压力、适应力、压力知觉和抑郁情况。
患有 IGD 的参与者表现出更多的功能失调应对方式、更多的因游戏而产生的应对压力、更低的问题聚焦应对方式和适应力,同时具有更高的压力知觉和抑郁水平,以及更少的情绪聚焦应对方式。回归分析显示,因游戏而产生的应对方式与功能失调的应对机制有关,特别是宣泄和自我分心。与具有足够适应力的参与者相比,适应力较低的参与者具有更高的压力知觉、抑郁水平、因游戏而产生的应对压力以及更低的问题聚焦应对方式和情绪聚焦应对方式。功能失调的应对方式和因游戏而产生的应对压力与 IGD 组和对照组的压力知觉和抑郁均相关。问题聚焦应对方式与对照组的压力知觉和抑郁呈负相关。
患有 IGD 的个体具有更高的压力知觉和抑郁水平,因为他们更倾向于通过功能失调的应对方式和游戏来应对压力,而较少尝试问题聚焦应对方式,尤其是那些适应力较低的个体。针对 IGD 的干预措施应促进问题聚焦应对方式,例如积极应对和计划策略,特别是针对那些适应力较低的个体。