Department of Psychiatry, Faculty of Medicine, Selçuk University, Konya, Turkey.
Department of Psychiatry, Biga State Hospital, Çanakkale, Turkey.
J Trauma Dissociation. 2022 Jan-Feb;23(1):68-78. doi: 10.1080/15299732.2021.1984366. Epub 2021 Sep 27.
The aim of this study was to investigate the relationships among childhood trauma, dissociative experiences, and internet gaming disorder (IGD) in young adults diagnosed with attention deficit hyperactivity disorder (ADHD) and age- and gender-matched controls. Forty participants diagnosed with ADHD at a university hospital psychiatric outpatient clinic and 40 healthy controls completed a test battery that included a sociodemographic form as well as the Adult ADHD Severity Rating Scale (ASRS), Childhood Trauma Questionnaire (CTQ), Dissociative Experiences Scale (DES), Somatoform Dissociation Questionnaire (SDQ), and Internet Gaming Disorder Scale - Short Form (IGDS9-SF). The CTQ (t = -4.61, < .01), DES (t = -4.71, < .01), SDQ (t = -2.40, < .01), and IGDS9-SF (t = -4.89, < .01) scores were significantly higher in the ADHD group than in the control group. A hierarchical regression analysis that explained 50% of unique variance in internet gaming disorder (IGD) indicated that being male (β = 0.41, t = 4.61, < .001) and having an ADHD diagnosis (β = 0.48, t = 5.49, < .001) are robust predictors. Additionally, the DES score, which indicates the severity of psychoform dissociation (β = 0.34, t = 2.43, = .017), was found to be significantly associated with IGD after controlling for ADHD diagnosis and childhood trauma. While excessive gaming may increase dissociative symptoms, the mental state of dissociative experiences may be a predisposing factor for IGD; however, further studies are needed to investigate these claims.
本研究旨在探讨童年创伤、分离体验与被诊断为注意缺陷多动障碍(ADHD)的年轻成年人中互联网游戏障碍(IGD)之间的关系,并与年龄和性别匹配的对照组进行比较。在大学医院精神科门诊,共 40 名被诊断为 ADHD 的患者和 40 名健康对照组完成了一系列测试,包括社会人口学表格、成人 ADHD 严重程度评定量表(ASRS)、童年创伤问卷(CTQ)、分离体验量表(DES)、躯体化分离问卷(SDQ)和互联网游戏障碍量表-短表(IGDS9-SF)。ADHD 组的 CTQ(t=-4.61, <.01)、DES(t=-4.71, <.01)、SDQ(t=-2.40, <.01)和 IGDS9-SF(t=-4.89, <.01)评分显著高于对照组。一个可以解释互联网游戏障碍(IGD)50%独特方差的分层回归分析表明,男性(β=0.41,t=4.61, <.001)和 ADHD 诊断(β=0.48,t=5.49, <.001)是强有力的预测因素。此外,DES 评分(表明心理形式分离的严重程度)(β=0.34,t=2.43, =.017)在控制 ADHD 诊断和童年创伤后,与 IGD 显著相关。虽然过度游戏可能会增加分离症状,但分离体验的心理状态可能是 IGD 的一个易感因素;然而,还需要进一步的研究来验证这些说法。