Kowalik Bartosz, Delfabbro Paul H, King Daniel L
School of Psychology, The University of Adelaide, Australia.
College of Education, Psychology & Social Work, Flinders University, Australia.
Addict Behav Rep. 2023 Apr 3;17:100489. doi: 10.1016/j.abrep.2023.100489. eCollection 2023 Jun.
The concept of impaired control is central to addictive disorders, including gaming disorder in the DSM-5 and ICD-11. Impaired control refers to the recurrent inability to resist impulses to engage in certain activities or behaviours and the failure to limit or stop this engagement. Although numerous screening tools for gaming disorder symptoms have been developed, these instruments have limited capacity for measuring the nature and extent of impaired control. To address this limitation, the present study reports on the creation of the Impaired Control Over Gaming Scale (ICOGS), an 8-item screening tool to assess gaming-related impaired control.
A total of 513 gamers, including 125 gamers (24.3%) who met the DSM-5 criteria for gaming disorder, were recruited from an online crowd-sourcing platform.
The ICOGS demonstrated promising psychometric properties. Exploratory and confirmatory factor analysis using two samples provided robust support for a 2-factor model and high internal consistency of the scale. ICOGS scores were significantly and positively associated with gaming disorder symptoms, gaming-related harms, gaming frequency, psychological distress, and neuroticism. Using receiver operating characteristic analysis, the ICOGS differentiated between non-problem gamers and those who met the criteria for GD.
Overall, the ICOGS appears to be a valid and reliable scale for use in studies of problem gaming, and may be useful for assessing outcomes of GD interventions that employ self-regulation and stopping techniques to reduce or eliminate problem gaming behavior.
失控概念是成瘾性障碍的核心，包括《精神疾病诊断与统计手册》第5版（DSM - 5）和《国际疾病分类》第11版（ICD - 11）中的游戏障碍。失控是指反复无法抗拒参与某些活动或行为的冲动，以及未能限制或停止这种参与。尽管已经开发了许多用于筛查游戏障碍症状的工具，但这些工具在测量失控的性质和程度方面能力有限。为解决这一局限性，本研究报告了游戏失控量表（ICOGS）的编制，这是一种用于评估与游戏相关的失控情况的8项筛查工具。
从一个在线众包平台招募了总共513名游戏玩家，其中包括125名（24.3%）符合DSM - 5游戏障碍标准的玩家。
ICOGS显示出良好的心理测量特性。使用两个样本进行的探索性和验证性因素分析为二因素模型和量表的高内部一致性提供了有力支持。ICOGS得分与游戏障碍症状、与游戏相关的危害、游戏频率、心理困扰和神经质显著正相关。通过接受者操作特征分析，ICOGS能够区分非问题游戏玩家和符合游戏障碍标准的玩家。
总体而言，ICOGS似乎是一种用于问题游戏研究的有效且可靠的量表，可能有助于评估采用自我调节和停止技术来减少或消除问题游戏行为的游戏障碍干预措施的效果。
