Department of Rehabilitation Sciences, The Hong Kong Polytechnic University, Hong Kong, China.
Center for Health Behaviours Research, JC School of Public Health and Primary Care, Faculty of Medicine, The Chinese University of Hong Kong, Hong Kong, China.
PLoS One. 2024 Jul 11;19(7):e0304715. doi: 10.1371/journal.pone.0304715. eCollection 2024.
To investigate the comorbidity of adolescent depression and Internet gaming disorder (IGD) and their shared and unique cognitive-behavioral factors (i.e., self-esteem, dysfunctional attitudes, hopelessness, and coping), a large-scale school-based survey was conducted among 3147 Chinese secondary school students in Hong Kong. Probable depression and IGD were screened using the Centre for Epidemiological Studies-Depression Scale and DSM-5 IGD checklist, respectively. Multinomial logistic regression was performed to identify the associations between different condition statuses and cognitive-behavioral factors. Four groups were identified, including comorbidity group (having probable depression and IGD), IGD group (having probable IGD alone), depression group (probable depression alone), and healthy group (neither condition). Comorbidity group showed the worst cognitive-behavioral statuses, followed by depression group and then IGD group. Compared with healthy group, those with lower self-esteem and higher hopelessness and dysfunctional attitudes were more likely to be classified into depression group and comorbidity group, while maladaptive coping was positively associated with all three disorder groups. The results suggest that depression and IGD may share common cognitive-behavioral mechanisms (e.g., maladaptive coping) but also own their uniqueness regarding specific factors (e.g., hopelessness and self-esteem). A transdiagnostic intervention approach targeting the common factors may effectively address the comorbidity.
为了探究青少年抑郁和网络游戏障碍（IGD）的共病情况，以及它们共同和独特的认知-行为因素（即自尊、功能失调的态度、绝望和应对方式），对香港 3147 名中学生进行了一项大规模的基于学校的调查。使用流行病学研究中心抑郁量表和 DSM-5 IGD 检查表分别对可能的抑郁和 IGD 进行筛选。采用多项逻辑回归分析来确定不同状况与认知-行为因素之间的关联。确定了四个组，包括共病组（既有可能的抑郁又有 IGD）、IGD 组（仅有可能的 IGD）、抑郁组（仅有可能的抑郁）和健康组（两种情况都没有）。共病组表现出最差的认知-行为状态，其次是抑郁组，然后是 IGD 组。与健康组相比，那些自尊较低、绝望和功能失调态度较高的人更有可能被归入抑郁组和共病组，而适应不良的应对方式与所有三个障碍组都呈正相关。研究结果表明，抑郁和 IGD 可能具有共同的认知-行为机制（例如，适应不良的应对方式），但在特定因素方面也具有独特性（例如，绝望和自尊）。针对共同因素的跨诊断干预方法可能会有效地解决共病问题。
