Chung Sung Ah, Bae Sujin, Kim Hee Jin, Lee Jea Woog, Hwang Hyunchan, Han Doug Hyun
Department of Psychiatry, Chung-Ang University Hospital, Seoul, Republic of Korea.
Department of Information and Technology in Sport, College of Sports Science, Chung-Ang University, Anseong-si, Republic of Korea.
Front Psychiatry. 2023 Jul 27;14:1211889. doi: 10.3389/fpsyt.2023.1211889. eCollection 2023.
Positive and negative parenting styles as well as psychiatric comorbidities including attention deficit hyperactivity disorder (ADHD) have been associated with internet gaming disorder (IGD) in children and adolescents. We hypothesized that ADHD and parenting style would be associated with IGD in adolescents. In addition, psychological status could mediate the link between parenting style and the severity of IGD.
A total of 256 adolescents with IGD and 211 healthy internet game players and their mothers participated in the current study. Demographic data, gaming patterns, and psychological status including ADHD were recorded for all adolescents. The parenting style of each adolescent's mother was assessed using the Maternal Behavior Research Instrument (Korean version).
There were significant differences in the internet game play patterns, psychological status, and parenting styles between the IGD group and healthy internet game players. In the hierarchical logistic regression analysis, higher ADHD scores, less affective parenting styles, and less autonomous parenting styles, were significant predictors of IGD. In the mediation test, the ADHD score was found to mediate the association between affective and autonomous parenting styles and the severity of IGD.
Attention problems could directly and indirectly mediate the relationship between positive parenting styles and the severity of IGD. Our findings have the potential to aid in the development of treatment plans for IGD and ADHD as well as to contribute to the development of educational resources regarding parenting styles.
积极和消极的养育方式以及包括注意力缺陷多动障碍（ADHD）在内的精神共病已被证实与儿童和青少年的网络游戏障碍（IGD）有关。我们推测ADHD和养育方式与青少年的IGD有关。此外，心理状态可能在养育方式与IGD严重程度之间的联系中起中介作用。
共有256名患有IGD的青少年、211名健康的网络游戏玩家及其母亲参与了本研究。记录了所有青少年的人口统计学数据、游戏模式以及包括ADHD在内的心理状态。使用母亲行为研究工具（韩文版）评估了每位青少年母亲的养育方式。
IGD组与健康网络游戏玩家在网络游戏模式、心理状态和养育方式上存在显著差异。在分层逻辑回归分析中，较高的ADHD得分、较少的情感养育方式和较少的自主养育方式是IGD的显著预测因素。在中介检验中，发现ADHD得分在情感和自主养育方式与IGD严重程度之间的关联中起中介作用。
注意力问题可能直接和间接地介导积极养育方式与IGD严重程度之间的关系。我们的研究结果有可能有助于制定IGD和ADHD的治疗计划，并有助于开发有关养育方式的教育资源。
