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患有注意力缺陷多动障碍(ADHD)的青少年与患有ADHD和互联网游戏障碍(IGD)共病的青少年在冲动性方面的差异。

Differences in impulsivity between adolescents with ADHD and those with comorbidity of ADHD and IGD.

作者信息

Zhuang Wenhao, Liu Xiaoli, Wang Yanxue, Wu Yiling, Wei Jia, Wang Beini, Zhang Wenwu, Zhou Dongsheng

机构信息

Department of Psychiatry, Affiliated Kangning Hospital of Ningbo University, Ningbo Key Laboratory for Physical Diagnosis and Treatment of Mental and Psychological Disorders, Ningbo, Zhejiang 315201, China; Department of Psychiatry, Ningbo Kangning Hospital, Ningbo, Zhejiang 315201, China.

School of Psychology, South China Normal University, Guangzhou, China.

出版信息

Res Dev Disabil. 2025 Jan;156:104883. doi: 10.1016/j.ridd.2024.104883. Epub 2024 Dec 3.

Abstract

BACKGROUND

Numerous studies have demonstrated that patients with attention deficit hyperactivity disorder (ADHD) have high impulsivity. However, few studies have been published on the differences in impulsivity between patients presenting with comorbidity of ADHD and Internet gaming disorder (IGD) and ADHD alone.

AIM

The present study designed an experiment to address this significant question, to explore the differences in impulsivity between individuals with ADHD and those with comorbid ADHD and IGD, specifically focusing on various dimensions of impulsivity.

METHODS

A total of 81 adolescents with ADHD alone and 59 patients with comorbidity of ADHD and IGD were included in this study, and all of them were assessed using the Stop-signal Task (SST), Delay Discount Task (DDT), and Balloon Analogue Risk Task (BART).

RESULTS

Patients with comorbid ADHD and IGD had higher impulsivity than those with only ADHD, and it was expressed in different dimensions. Additionally, response inhibition, delayed discount rate, risky decision-making behavior, inattention, and hyperactivity were identified as risk factors for comorbid ADHD and IGD.

CONCLUSION

These findings can help distinguish whether ADHD is comorbid with IGD in clinical settings. They will also be helpful in the implementation of more precise treatments.

摘要

背景

大量研究表明,注意力缺陷多动障碍(ADHD)患者具有高度冲动性。然而,关于ADHD合并互联网游戏障碍(IGD)患者与单纯ADHD患者之间冲动性差异的研究却鲜有发表。

目的

本研究设计了一项实验来解决这一重要问题,以探讨ADHD患者与ADHD合并IGD患者之间冲动性的差异,特别关注冲动性的各个维度。

方法

本研究共纳入81名单纯ADHD青少年和59名ADHD合并IGD患者,所有患者均使用停止信号任务(SST)、延迟折扣任务(DDT)和气球模拟风险任务(BART)进行评估。

结果

ADHD合并IGD患者比单纯ADHD患者具有更高的冲动性,且在不同维度上均有体现。此外,反应抑制、延迟折扣率、风险决策行为、注意力不集中和多动被确定为ADHD合并IGD的危险因素。

结论

这些发现有助于在临床环境中区分ADHD是否合并IGD。它们也将有助于实施更精确的治疗。

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