Department of Psychiatry, Mackay Memorial Hospital, Taipei 10449, Taiwan.
Department of Childhood Care and Education, Mackay Junior College of Medicine, Nursing and Management, Taipei 11260, Taiwan.
Int J Environ Res Public Health. 2022 May 29;19(11):6648. doi: 10.3390/ijerph19116648.
(1) Background: Internet gaming disorder (IGD) in youths likely leads to disruptive mood dysregulation, especially among those with attention-deficit/hyperactivity disorder (ADHD). Whether IGD mediates the pathways leading ADHD to disruptive emotional dysfunction remains unclear. This study aims to elucidate the direct or indirect influence of IGD on ADHD; (2) Method: The Swanson, Nolan, and Pelham Version IV questionnaire was used to evaluate symptoms of ADHD and oppositional defiant disorder, and the Chen gaming disorder scale was used to measure IGD. A psychiatrist diagnosed ADHD, IGD, and disruptive mood dysregulation disorder (DMDD)-like symptoms. Structural equation modeling was applied to evaluate the role of IGD in mediating ADHD progression to disruptive mood dysregulation; (3) Results: Among a total of 102 ADHD youths, 53 (52%) of them with IGD were significantly more likely to have poor interpersonal relationships (p < 0.01) and DMDD-like symptoms (p < 0.01) than ADHD youths without IGD. IGD played a mediating role in increasing the risk of disruptive mood dysregulation in ADHD youths; (4) Conclusions: The findings suggest that IGD mediates ADHD’s progression to disruptive mood dysregulation. Intensive biopsychosocial interventions are warranted for ADHD youths with IGD. More children and adolescents became mood-dysregulated after excessive gaming during the COVID-19 pandemic; this study’s results suggest that child mental health experts develop earlier detection and prevention strategies for children and adolescents hidden behind internet addiction.
（1）背景：青少年网络游戏障碍（IGD）可能导致情绪失调，尤其是在注意力缺陷/多动障碍（ADHD）患者中。IGD 是否介导 ADHD 导致情绪障碍的途径尚不清楚。本研究旨在阐明 IGD 对 ADHD 的直接或间接影响；
（2）方法：采用 Swanson、Nolan 和 Pelham 第四版问卷评估 ADHD 和对立违抗性障碍症状，采用陈氏游戏障碍量表评估 IGD。精神科医生诊断 ADHD、IGD 和情绪障碍样症状。采用结构方程模型评估 IGD 在介导 ADHD 向情绪障碍发展中的作用；
（3）结果：在总共 102 名 ADHD 青少年中，53 名（52%）患有 IGD 的 ADHD 青少年更有可能人际关系较差（p<0.01）和情绪障碍样症状（p<0.01）。IGD 在增加 ADHD 青少年情绪障碍风险方面发挥了中介作用；
（4）结论：研究结果表明，IGD 介导了 ADHD 向情绪障碍的发展。对于患有 IGD 的 ADHD 青少年，需要进行强化的生物心理社会干预。在 COVID-19 大流行期间，更多的儿童和青少年在过度游戏后出现情绪失调；本研究结果表明，儿童心理健康专家应为隐藏在网瘾背后的儿童和青少年制定早期检测和预防策略。
