Department of Child and Adolescent Psychiatry, University of Health Sciences Bakirkoy Mazhar Osman Mental Health Training and Research Hospital, Istanbul, Turkey.
Department of Child and Adolescent Psychiatry, University of Health Sciences Bakirkoy Mazhar Osman Mental Health Training and Research Hospital, Istanbul, Turkey.
Psychiatry Res. 2023 Jun;324:115187. doi: 10.1016/j.psychres.2023.115187. Epub 2023 Apr 1.
To develop and validate Kiddie Schedule for Affective Disorders and Schizophrenia, Present and Lifetime version (K-SADS-PL) for Internet Gaming Disorder (IGD) in adolescents.
Questions and threshold criteria of the K-SADS-IGD was generated based on the related section of K-SADS-PL. Then, the sample consist of IGD group and matched control group with no significant difference in psychiatric comorbidities from clinical settings were included to assess the psychometric properties of the K-SADS-IGD. Exploratory and Confirmatory Factor analysis were conducted to evaluate and compare DSM model of IGD and two different Models of IGD proposal in adolescents.
Exploratory Factor Analysis of K-SADS-IGD revealed a single factor explaining 61.469% of the total variance. Confirmatory Factor Analysis indicates that although the K-SADS-IGD model fit indices were also acceptable, Model 1, which excluded the 7th criterion of IGD criteria of DSM-5 showed better fit in adolescent population. The Likelihood Ratio Positive and the Likelihood Ratio Negative estimates for the diagnosis of K-SADS-IGD were 31.4 and 0.12, respectively, suggesting that K-SADS-IGD was beneficial for determining the presence and the absence of IGD in adolescents. Also, K-SADS-IGD could detect disordered gamers with significantly low functionality (even after controlling the impact of comorbidities) from non-disordered gamers.
K-SADS-IGD was found to be a reliable and valid instrument in adolescents. The model excluding 7th criteria of DSM-5 IGD was found to be more consistent than the current DSM-5 IGD model in the adolescent population. Therefore, the diagnostic criteria might be required to adjust according to the age group since the clinical symptomatology of IGD in adolescents may differ from that in adults. The K-SADS-IGD may meet the need for a certain and standardized tool to assess IGD in this population.
为青少年制定并验证儿童心境障碍和精神分裂症现患及终生版本 Kiddie 时间表（K-SADS-PL）用于网络成瘾障碍（IGD）。
根据 K-SADS-PL 的相关部分生成 K-SADS-IGD 的问题和阈值标准。然后，纳入来自临床环境的 IGD 组和匹配的无明显精神共病对照组的样本，以评估 K-SADS-IGD 的心理测量特性。进行探索性和验证性因素分析，以评估和比较青少年 IGD 的 DSM 模型和两种不同的 IGD 模型。
K-SADS-IGD 的探索性因素分析揭示了一个单一因素，解释了总方差的 61.469%。验证性因素分析表明，虽然 K-SADS-IGD 模型的拟合指数也可以接受，但排除 DSM-5 IGD 标准第 7 个标准的模型 1 在青少年人群中表现出更好的拟合度。K-SADS-IGD 的似然比阳性和似然比阴性估计值分别为 31.4 和 0.12，表明 K-SADS-IGD 有利于确定青少年 IGD 的存在和不存在。此外，K-SADS-IGD 可以从非障碍性游戏者中检测到功能明显低下的障碍性游戏者（即使在控制共病影响的情况下）。
K-SADS-IGD 在青少年中被发现是一种可靠和有效的工具。排除 DSM-5 IGD 的第 7 个标准的模型在青少年人群中比当前的 DSM-5 IGD 模型更一致。因此，由于青少年 IGD 的临床症状可能与成年人不同，因此可能需要根据年龄组调整诊断标准。K-SADS-IGD 可能满足在该人群中评估 IGD 的特定和标准化工具的需求。
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