Esteve Arturo, Jovani Antonio, Benito Ana, Baquero Abel, Haro Gonzalo, Rodríguez-Ruiz Francesc
TXP Research Group, Universidad Cardenal Herrera-CEU, CEU Universities, 12006 Castelló, Spain.
Mental Health Department, Consorcio Hospitalario Provincial of Castelló, 12002 Castelló, Spain.
Brain Sci. 2022 Aug 21;12(8):1110. doi: 10.3390/brainsci12081110.
The technological revolution has led to the birth of new diagnoses, such as gaming disorder. When any addiction, including this one, is associated with other mental disorders, it is considered a dual diagnosis. The objectives of this current work were to estimate the prevalence of dual diagnoses in the adolescent general population while also considering the problematic use of video games and substance addiction and assessing its psychosocial risk factors. Thus, we carried out a cross-sectional study with a sample of 397 adolescents; 16.4% presented problematic videogame use and 3% presented a dual diagnosis. Male gender increased the probability of both a dual diagnosis (OR [95% CI] = 7.119 [1.132, 44.785]; p = 0.036) and problematic video game use (OR [95% CI] = 9.85 [4.08, 23.77]; p < 0.001). Regarding personality, low conscientiousness, openness, and agreeableness scores were predictors of a dual diagnosis and problematic videogame use, while emotional stability predicted a dual diagnosis (OR [95% CI] = 1.116 [1.030, 1.209]; p = 0.008). Regarding family dynamics, low affection and communication increased both the probability of a dual diagnosis (OR [95% CI] = 0.927 [0.891, 0.965]; p < 0.001) and problematic video game use (OR [95% CI] = 0.968 [0.945, 0.992]; p = 0.009). Regarding academic performance, bad school grades increased the probability of a dual diagnosis. In summary, male gender, certain personality traits, poor communication, and poor affective family dynamics should be interpreted as red flags that indicate an increased risk of a dual diagnosis in adolescents, which could require early intervention through specific detection programs.
技术革命催生了诸如游戏障碍等新的诊断类别。当任何成瘾行为（包括这种行为）与其他精神障碍相关联时，就被视为双重诊断。本研究的目的是估计青少年普通人群中双重诊断的患病率，同时考虑电子游戏的问题性使用和物质成瘾情况，并评估其心理社会风险因素。因此，我们对397名青少年进行了一项横断面研究；16.4%的青少年存在问题性电子游戏使用情况，3%的青少年存在双重诊断。男性性别增加了双重诊断（比值比[95%置信区间]=7.119[1.132,44.785]；p=0.036）和问题性电子游戏使用的可能性（比值比[95%置信区间]=9.85[4.08,23.77]；p<0.001）。在人格方面，低尽责性、开放性和宜人性得分是双重诊断和问题性电子游戏使用的预测因素，而情绪稳定性预测双重诊断（比值比[95%置信区间]=1.116[1.030,1.209]；p=0.008）。在家庭动态方面，低情感表达和沟通增加了双重诊断（比值比[95%置信区间]=0.927[0.891,0.965]；p<0.001）和问题性电子游戏使用的可能性（比值比[95%置信区间]=0.968[0.945,0.992]；p=0.009）。在学业成绩方面，差的学校成绩增加了双重诊断的可能性。总之，男性性别、某些人格特质、不良沟通和不良家庭情感动态应被视为警示信号，表明青少年双重诊断风险增加，这可能需要通过特定的检测项目进行早期干预。
