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新兴证据表明 ADHD 症状与游戏障碍之间存在关联:系统评价和荟萃分析。

The emerging evidence on the association between symptoms of ADHD and gaming disorder: A systematic review and meta-analysis.

机构信息

Doctoral School of Psychology, ELTE Eötvös Loránd University, Budapest, Hungary; Institute of Psychology, ELTE Eötvös Loránd University, Budapest, Hungary.

Institute of Psychology, ELTE Eötvös Loránd University, Budapest, Hungary; Centre of Excellence in Responsible Gaming, University of Gibraltar, Gibraltar.

出版信息

Clin Psychol Rev. 2023 Dec;106:102343. doi: 10.1016/j.cpr.2023.102343. Epub 2023 Sep 28.


DOI:10.1016/j.cpr.2023.102343
PMID:37883910
Abstract

The co-existence of gaming disorder (GD) with other mental health problems has been widely reported. Despite the growing research interest in the comorbidity of GD with attention-deficit/hyperactivity disorder (ADHD), to date, no quantitative synthesis has been performed. The present study comprised a systematic literature search using Scopus, Science Direct, Web of Science, and PubMed databases. Three types of studies were included in the analyses: studies reporting (i) correlation coefficients between the symptoms of GD and ADHD, (ii) means, and standard deviations for comparison of GD severity between ADHD/non-ADHD individuals, and (iii) comparison of ADHD severity between GD/non-GD individuals. The results indicated a moderate relationship between GD and ADHD symptom severity when both subdomains of ADHD were combined (r = 0.296), and also when only inattention (r = 0.306) or hyperactivity (r = 0.266) symptoms were analyzed, which was also confirmed in a structural equation model meta-analysis. Studies showed a large average difference comparing the GD symptom severity of ADHD and non-ADHD individuals (g = 0.693), or ADHD symptom severity of GD and non-GD individuals (g = 0.854). In some cases, higher estimates of association were reported among studies that (i) had a higher proportion of males, (ii) assessed problematic internet use among predominantly videogame player samples rather than assessing only GD, and (iii) had been more recently published. The present review shows that this is an emerging field demonstrating significant results in cross-sectional correlational studies. However, future research should apply more rigorous methodologies to investigate the relationship further (e.g., longitudinal studies and studies using professional/clinical ratings and diagnosis). These results suggest that screening and treatment for ADHD among individuals with gaming disorder is necessary, and individuals with ADHD should be made aware of their higher susceptibility to gaming disorder.

摘要

游戏障碍(GD)与其他心理健康问题的共存已被广泛报道。尽管越来越多的研究关注 GD 与注意缺陷/多动障碍(ADHD)的共病,但迄今为止,尚未进行定量综合分析。本研究使用 Scopus、Science Direct、Web of Science 和 PubMed 数据库进行了系统文献检索。分析中纳入了三种类型的研究:报告(i)GD 症状与 ADHD 症状之间的相关系数的研究,(ii)比较 ADHD/非 ADHD 个体 GD 严重程度的均值和标准差的研究,以及(iii)比较 GD/非 GD 个体 ADHD 严重程度的研究。结果表明,当 ADHD 的两个亚域合并时,GD 和 ADHD 症状严重程度之间存在中度关系(r=0.296),当仅分析注意力不集中(r=0.306)或多动(r=0.266)症状时也是如此,这在结构方程模型元分析中也得到了证实。研究表明,比较 ADHD 和非 ADHD 个体的 GD 症状严重程度(g=0.693),或比较 GD 和非 GD 个体的 ADHD 症状严重程度(g=0.854),差异具有平均值较大。在某些情况下,报告的关联更高估计是在以下情况下:(i)男性比例较高,(ii)评估主要是视频游戏玩家样本中的问题性互联网使用,而不仅仅是评估 GD,以及(iii)最近发表的研究。本综述表明,这是一个新兴领域,在横断面相关性研究中显示出显著结果。然而,未来的研究应该应用更严格的方法来进一步研究这种关系(例如,纵向研究和使用专业/临床评分和诊断的研究)。这些结果表明,对患有游戏障碍的个体进行 ADHD 的筛查和治疗是必要的,并且应该让患有 ADHD 的个体意识到他们对游戏障碍的更高易感性。

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What's About Adolescent Online Gamers' Mental Health? Psychological and Cortisol-Stress-System Outcomes in Childhood and Adolescence: A Prospective Longitudinal Case-Control Study.

Health Sci Rep. 2025-8-20

[2]
The roles of binge gaming in social, academic and mental health outcomes and gender differences: A school-based survey in Hong Kong.

PLoS One. 2025-8-13

[3]
Problematic online gaming mediates the association between attention-deficit/hyperactivity and subsequent mental health issues in adolescents.

Commun Psychol. 2025-8-4

[4]
Psychopathology and Gaming Disorder in Adolescents.

JAMA Netw Open. 2025-7-1

[5]
Gaming disorder with attention-deficit/hyperactivity disorder and social anxiety disorder comorbidities: A cross-sectional analysis of differences.

Medicine (Baltimore). 2025-7-18

[6]
Sleep Quality as a Mediator of Internet Gaming Disorder and Executive Dysfunction in Adolescents: Cross-Sectional Questionnaire Study.

J Med Internet Res. 2025-7-9

[7]
Evolving diagnosis and comorbidities of gaming disorder: Insights from psychiatry departments in five Chinese hospitals from 2018 to 2023.

J Behav Addict. 2025-6-23

[8]
The rate of patients screened positive for gaming disorder/Internet gaming disorder among adolescents with mental health issues assessed by two screening tests: A nine-item screening test for GD (GAMES Test) and the Ten-Item Internet Gaming Disorder Test (IGDT-10).

PCN Rep. 2025-3-13

[9]
Gaming time and impulsivity as independent yet complementary predictors of gaming disorder risk.

Sci Rep. 2025-1-22

[10]
Young and adult patients with gaming disorder: Psychiatric co-morbidities and progression of problematic gaming.

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