Fernandes André, Biokino Renan M, Miguel Andrew C C, Machado Viviane, Koga Gabriela, Fonseca Laís, Pan Pedro M, Roza Thiago Henrique, Salum Giovanni, Passos Ives Cavalcante, Rohde Luis Augusto, Miguel Euripedes Constantino, Ziebold Carolina, Gadelha Ary
Department of Psychiatry, Federal University of São Paulo (Unifesp), São Paulo, Brazil.
Department of Psychiatry, Interdisciplinary Laboratory in Clinical Neuroscience (LiNC), Federal University of São Paulo (Unifesp), São Paulo, Brazil.
Schizophr Bull Open. 2024 Sep 2;5(1):sgae021. doi: 10.1093/schizbullopen/sgae021. eCollection 2024 Jan.
Problematic gaming (PG) is an emerging mental health condition associated with significant adverse outcomes. Even though PG has been linked to other psychiatric disorders, its association with psychotic experiences (PEs) remains poorly explored to date. The aim of our study was to examine the association between both conditions in a large Brazilian community sample. We hypothesized that adolescents with PG were more likely to report PE compared with those without the disorder.
Our investigation was based on a cross-sectional subsample of a large Brazilian cohort ( = 1616; 13- to 21-year age range). Using the 7-item version of the Game Addiction Scale, participants were classified according to their gaming status: no PG, PG, or gaming addiction (GA). The association between PG, GA, and PE was assessed through linear regression analyses, which were adjusted for the presence of significant covariates, including other psychiatric conditions.
9.5% ( = 154) presented PG and 2.7% ( = 43) had GA. 28.0% received any , Fourth Edition (DSM-IV) diagnosis and the mean PE score was 9.39 ( = 4.35). Participants presenting PG had greater levels of PE, compared with participants with no PG, even controlled by sociodemographic variables and the presence of any DSM-IV diagnosis ( = 0.96, 95% CI = 0.17-1.75, = .017).
According to our results, PG was significantly associated with PE, even in the presence of other covariates. Although preliminary, these results suggest that PG and PE may have shared neurobiological and/or behavioral pathways.
问题性游戏行为（PG）是一种新出现的心理健康状况，与严重不良后果相关。尽管PG已与其他精神障碍相关联，但其与精神病性体验（PEs）之间的关联迄今仍探索不足。我们研究的目的是在一个大型巴西社区样本中检验这两种情况之间的关联。我们假设，与没有该障碍的青少年相比，患有PG的青少年更有可能报告有PEs。
我们的调查基于一个大型巴西队列（n = 1616；年龄范围为13至21岁）的横断面子样本。使用游戏成瘾量表的7项版本，根据参与者的游戏状态进行分类：无PG、PG或游戏成瘾（GA）。通过线性回归分析评估PG、GA和PE之间的关联，并针对包括其他精神状况在内的显著协变量进行调整。
9.5%（n = 154）表现为PG，2.7%（n = 43）患有GA。28.0%接受了任何《精神疾病诊断与统计手册》第四版（DSM-IV）诊断，PE的平均得分为9.39（标准差 = 4.35）。与无PG的参与者相比，表现为PG的参与者PE水平更高，即使在控制了社会人口统计学变量和任何DSM-IV诊断的存在之后（β = 0.96，95%置信区间 = 0.17 - 1.75，p = 0.017）。
根据我们的结果，即使存在其他协变量，PG也与PE显著相关。尽管这些结果是初步的，但它们表明PG和PE可能有共同的神经生物学和/或行为途径。
