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网络成瘾障碍在大学生中不能预测情绪、焦虑或物质使用障碍:一项为期一年的随访研究。

Internet Gaming Disorder Does Not Predict Mood, Anxiety or Substance Use Disorders in University Students: A One-Year Follow-Up Study.

机构信息

Center for Global Mental Health, National Institute of Psychiatry Ramón de la Fuente Muñiz, Mexico City 14370, Mexico.

Facultad de Ciencias Administrativas y Sociales, Universidad Autónoma de Baja California, Ensenada 22860, Mexico.

出版信息

Int J Environ Res Public Health. 2023 Jan 23;20(3):2063. doi: 10.3390/ijerph20032063.

Abstract

We seek to evaluate whether Internet Gaming Disorder (IGD) among university students in Mexico during their first year at university predicts a long list of mental disorders a year later, controlling for baseline mental health disorders as well as demographics. This is a prospective cohort study with a one-year follow-up period conducted during the 2018-2019 academic year and followed up during the 2019-2020 academic year at six Mexican universities. Participants were first-year university students (n = 1741) who reported symptoms compatible with an IGD diagnosis at entry (baseline). Outcomes are seven mental disorders (mania, hypomania, and major depressive episodes; generalized anxiety disorder and panic disorder; alcohol use disorder and drug use disorder), and three groups of mental disorders (mood, anxiety, and substance use disorders) at the end of the one-year follow-up. Fully adjusted models, that included baseline controls for groups of mental disorders, rendered all associations null. The association between baseline IGD and all disorders and groups of disorders at follow-up was close to one, suggesting a lack of longitudinal impact of IGD on mental disorders. Conflicting results from available longitudinal studies on the role of IGD in the development of mental disorders warrant further research.

摘要

我们试图评估墨西哥大学生在大学一年级时的网络游戏障碍 (IGD) 是否会在一年后预测出一系列精神障碍,同时控制基线心理健康障碍和人口统计学因素。这是一项前瞻性队列研究,在 2018-2019 学年进行了为期一年的随访,并在 2019-2020 学年在六所墨西哥大学进行了随访。参与者是大一新生(n = 1741),他们在进入(基线)时报告了与 IGD 诊断相符的症状。结果是七种精神障碍(躁狂、轻躁狂和重度抑郁发作;广泛性焦虑障碍和惊恐障碍;酒精使用障碍和药物使用障碍)以及一年随访结束时的三组精神障碍(情绪、焦虑和物质使用障碍)。完全调整后的模型包括基线时对精神障碍组的控制,使所有关联均为零。IGD 与随访时所有障碍和障碍组之间的关联接近 1,表明 IGD 对精神障碍的纵向影响不足。关于 IGD 在精神障碍发展中的作用的现有纵向研究结果相互矛盾,需要进一步研究。

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