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[行为(非化学性)成瘾与2019冠状病毒病]

[Behavioral (non-chemical) addictions and COVID-19].

作者信息

Egorov A Y

机构信息

Sechenov Institute of Evolutionary Physiology and Biochemistry of the Russian Academy of Sciences, St. Petersburg, Russia.

Mechnikov North-West State Medical University, St. Petersburg, Russia.

出版信息

Zh Nevrol Psikhiatr Im S S Korsakova. 2023;123(1):41-46. doi: 10.17116/jnevro202312301141.

DOI:10.17116/jnevro202312301141
PMID:36719118
Abstract

The review examines the impact of the COVID-19 pandemic on the prevalence, manifestation, as well as the possibility of preventing and treating behavioral (non-chemical) addictions. Particular attention is paid to various manifestations of Internet addiction (IA): gaming, gambling, cybersexual and food addiction (FA). During the pandemic, Internet use increased significantly, leading to an increase in IA, mainly due to gaming, which correlated with the level of psychosocial problems. The increase in gambling occurred mainly in individuals with addiction or risk groups, while in the population the frequency of gambling decreased or did not change. Immediately after the start of the COVID-19 pandemic, the number of requests to porn sites increased dramatically, suggesting an increase in cybersex addiction. However, longitudinal studies in adolescents show a slight decrease in the interest in pornography in boys, and an increase from an initially low level in girls. The proportion of eating disorders and FA significantly increased. An increase in FA was associated with depression, anxiety, and also in obese individuals. In the era of COVID-19 prevention practices and general remedial activity should take into account the needs of the general population, emphasizing the importance of self-regulating and balanced lifestyles with moderate and sensible Internet use during the pandemic.

摘要

本综述探讨了新冠疫情对行为(非化学性)成瘾的患病率、表现形式以及预防和治疗可能性的影响。特别关注网络成瘾(IA)的各种表现形式:游戏成瘾、赌博成瘾、网络性成瘾和食物成瘾(FA)。在疫情期间,互联网使用显著增加,导致IA增多,主要原因是游戏成瘾,这与心理社会问题的程度相关。赌博成瘾的增加主要发生在成瘾个体或风险群体中,而在普通人群中,赌博频率下降或未变。新冠疫情刚开始后,对色情网站的访问请求数量急剧增加,表明网络性成瘾增多。然而,对青少年的纵向研究显示,男孩对色情内容的兴趣略有下降,而女孩的兴趣从最初的低水平有所上升。饮食失调和FA的比例显著增加。FA的增加与抑郁、焦虑有关,在肥胖个体中也是如此。在新冠疫情时代,预防措施和一般补救活动应考虑普通人群的需求,强调在疫情期间自我调节和平衡生活方式以及适度合理使用互联网的重要性。

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