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问题性游戏行为、精神共病与青少年:文献系统综述

Problematic gaming, psychiatric comorbidities, and adolescence: A systematic review of the literature.

机构信息

INSERM 1329, Team Psychiatry, Psychiatric Clinic, University Hospitals of Strasbourg, Federation of Medicine of Strasbourg, 67000 Strasbourg, France; Hôpital du Hasenrain, GHRMSA, 87 Avenue d'Altkirch, 68051 Mulhouse, France.

University Hospitals of Strasbourg, Department of Psychiatry, Child and Adolescent Psychiatry Service, Centre of Excellence STRAS&ND, 67000 Strasbourg, France.

出版信息

Addict Behav. 2024 Oct;157:108091. doi: 10.1016/j.addbeh.2024.108091. Epub 2024 Jun 18.

Abstract

Problematic gaming is particularly prevalent in adolescent and young adult populations. While numerous studies have investigated the psychiatric comorbidities of Internet Gaming Disorder in young adults, few have focused specifically on adolescents who might be especially at risk because developmental particularities related to this developmental period. Here, we conducted a review of the literature, in line with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines, in order to highlight the types of psychiatric comorbidities found in adolescents with problematic gaming.. We selected and analyzed 30 cross-sectional and longitudinal studies which correspond to 3683 adolescents (63,27% of boys) worldwide with problematic gaming. Our results highlight the high prevalence of Attention Deficit Hyperactivity Disorder (ADHD) in adolescents with problematic gaming and the links between this addiction and inattention, anxiety, depression, behavioural and emotional problems. These psychiatric comorbidities interact with problematic gaming and predict it throughout the adolescent's development. Moreover, this interaction involves personality profile and environment, including parental education. The complexity of this interaction argues in favor of the multi-level assessment that we are promoting.

摘要

问题性游戏在青少年和年轻成年人中尤为普遍。虽然有许多研究调查了年轻人中互联网游戏障碍的精神共病,但很少有专门针对青少年的研究,因为与这个发展阶段相关的发展特殊性,青少年可能面临特别的风险。在这里,我们根据系统评价和荟萃分析的首选报告项目(PRISMA)指南进行了文献回顾,以强调在有问题的游戏的青少年中发现的精神共病的类型。我们选择并分析了 30 项横断面和纵向研究,这些研究涉及全球范围内 3683 名有问题游戏的青少年(63.27%为男孩)。我们的研究结果强调了注意缺陷多动障碍(ADHD)在有问题游戏的青少年中的高患病率,以及这种成瘾与注意力不集中、焦虑、抑郁、行为和情绪问题之间的联系。这些精神共病与问题性游戏相互作用,并在青少年的整个发展过程中预测它。此外,这种相互作用涉及个性特征和环境,包括父母的教育。这种相互作用的复杂性支持了我们正在提倡的多层次评估。

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