Blasco-Fontecilla Hilario, Menéndez-García Ángela, Sanchez-Sanchez Fernando, Bella-Fernández Marcos
Faculty of Medicine, Autonomous University of Madrid, Madrid, Spain.
Department of Psychiatry, IDIPHISA-Puerta de Hierro University Hospital, Majadahonda, Spain.
Front Psychiatry. 2023 Apr 20;14:1136671. doi: 10.3389/fpsyt.2023.1136671. eCollection 2023.
The use of video games has become widespread worldwide. Excessive use of video games is increasingly becoming a matter of concern, particularly in patients diagnosed with Attention Deficit Hyperactivity Disorder (ADHD). Currently, internet gaming disorder (IGD) is not included within the DSM-5-chapter .
This is a descriptive naturalistic study comparing children and adolescents diagnosed with ADHD with and without IGD. We used the 85% cut-off point of the test ADITEC-V for video game addiction to split our sample of ADHD patients into those with IGD (>=85%) and those without IGD (<85%).
13 (25%) out of the 51 children and adolescents with ADHD included in our study had an IGD. Patients with IGD had a first contact with internet, smartphones, and videogames at a very early age (5.67 ± 3.31, 6.33 ± 4.60, and 7.50 ± 2.61, respectively). However, only age at first contact with the internet was statistically significantly different when comparing ADHD patients with and without IGD (8.68 ± 2.71 vs. 5.67 ± 3.31, = 3.166, df = 47, = 0.01). Different neurodevelopmental, clinical, and neuropsychological measures converging in impulsivity is a risk factor for IGD. Unexpectedly, we found no association between IGD and poor academic achievement.
Future studies may include randomized controlled trials for treating IGD, the study of social adjustment as a protective factor against developing an IGD, and the role of serious and non-serious video games in the development of an IGD, among others. Additional research is clearly needed on IGD.
电子游戏的使用在全球范围内已变得十分普遍。电子游戏的过度使用日益成为一个令人担忧的问题,尤其是在被诊断患有注意力缺陷多动障碍(ADHD)的患者中。目前,网络成瘾障碍(IGD)未被纳入《精神疾病诊断与统计手册》第5版。
这是一项描述性自然主义研究,比较了被诊断患有ADHD且伴有或不伴有IGD的儿童和青少年。我们使用ADITEC-V测试中85%的临界值来划分ADHD患者样本,将其分为患有IGD(≥85%)和未患有IGD(<85%)的两组。
在我们研究纳入的51名患有ADHD的儿童和青少年中,有13名(25%)患有IGD。患有IGD的患者首次接触互联网、智能手机和电子游戏的年龄非常小(分别为5.67±3.31岁、6.33±4.60岁和7.50±2.61岁)。然而,在比较患有和未患有IGD的ADHD患者时,只有首次接触互联网的年龄在统计学上有显著差异(8.68±2.71岁 vs. 5.67±3.31岁,t = 3.166,df = 47,p = 0.01)。不同的神经发育、临床和神经心理学指标均显示冲动性是IGD的一个风险因素。出乎意料的是,我们发现IGD与学业成绩不佳之间没有关联。
未来的研究可能包括治疗IGD的随机对照试验、将社会适应作为预防IGD发展的保护因素的研究,以及严肃和非严肃电子游戏在IGD发展中的作用等。显然,关于IGD还需要更多的研究。