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现有治疗儿童和青少年游戏障碍的疗效:系统评价。

Effectiveness of Available Treatments for Gaming Disorders in Children and Adolescents: A Systematic Review.

机构信息

University of Thessaly Medical School, Larissa, Greece.

2nd Department of Psychiatry, Aristotle University Medical School, Thessaloniki, Greece.

出版信息

Cyberpsychol Behav Soc Netw. 2022 Jan;25(1):5-13. doi: 10.1089/cyber.2021.0067. Epub 2021 Oct 18.

DOI:10.1089/cyber.2021.0067
PMID:34665018
Abstract

In 2020, the prevalence of gaming disorder (GD) was comparable with the prevalence of obsessive-compulsive disorder, thus demonstrating the necessity of addressing Internet gaming disorder (IGD) and GD in general. GD has been introduced as a psychiatric disorder by International Classification of Diseases and paving the way for treatment and prevention interventions. In this review, we researched available treatment interventions in children and adolescents. Τhe initial search resulted in 972 studies and we ended up with 16 by excluding inappropriate studies according to six inclusion criteria. The studies confirmed that cognitive-behavioral therapy (CBT) or CBT-based interventions are the most used, and in cases of comorbidity, such as depression or attention-deficit/hyperactivity disorder, the appropriate pharmaceutical intervention also was an effective option. Other interventions combined CBT with family therapy or CBT-based therapies that took place in specialized camps. Family as a supportive expedient or even treatment expedient seemed to play a major role. It is remarkable that only little knowledge exists regarding treatment interventions for children aged 8-12 years old. Therefore, more studies need to be carried out for this age range especially, with comparable efficacy to this of other interventions.

摘要

2020 年,游戏障碍(GD)的患病率与强迫症的患病率相当,因此有必要解决网络游戏障碍(IGD)和一般的 GD。国际疾病分类已经将 GD 列为一种精神障碍,为治疗和预防干预措施铺平了道路。在这篇综述中,我们研究了儿童和青少年中可用的治疗干预措施。最初的搜索结果有 972 项研究,根据六个纳入标准排除了不适当的研究后,最终只剩下 16 项。这些研究证实,认知行为疗法(CBT)或基于 CBT 的干预措施是最常用的,在合并症的情况下,如抑郁症或注意力缺陷/多动障碍,适当的药物干预也是一种有效的选择。其他干预措施将 CBT 与家庭疗法或在专门营地进行的基于 CBT 的疗法相结合。家庭作为一种支持手段,甚至是治疗手段,似乎发挥了重要作用。值得注意的是,只有很少的知识涉及到 8-12 岁儿童的治疗干预措施。因此,特别是对于这个年龄段,需要开展更多的研究,使其具有与其他干预措施相当的疗效。

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