Kapetanovic Sabina, Nielsen Maiken Due, André Frida, Gurdal Sevtap, Claesdotter-Knutsson Emma
Department of Behavioural Studies, University West, Trollhättan, SW-416 86, Sweden.
Department of Psychology, Stockholm University, Stockholm, Sweden.
BMC Psychol. 2025 Jan 8;13(1):18. doi: 10.1186/s40359-024-02306-3.
While recent studies suggest a high prevalence of Internet gaming disorder (IGD) in child and adolescent psychiatry (CAP) clinics, little is known about the factors contributing to problematic gaming among these patients. Given the well-established role of parenting and parent-child relationships in the development of problem behaviors, this study aimed to explore parent-child relationships within a Swedish cohort of CAP patients with IGD.
A total of 72 adolescents from CAP clinics in Skane, Sweden, diagnosed with IGD based on DSM-V criteria (73% boys), aged 13 to 18 years were included in the study. The adolescents completed the Game Addiction Scale for Adolescents (GASA) and reported on aspects of parent-child communication, such as parental control and adolescent disclosure and secrecy, and family climate. Adolescents were categorized as engaged, problem or addicted gamers based on core approach. Independent sample t-tests, Pearsons's correlations, and multivariate regression analyses were used to address the study goals.
Independent sample t-tests revealed that girls showed lower levels of parental knowledge than boys. Bivariate correlation analyses showed that IGD-symptoms were related to lower levels of child disclosure, while multivariate regression analyses revealed that higher IGD-symptoms were predicted by high levels of child secrecy and low child disclosure.
Parent-child relationships, in particular adolescent information management to parents, plays an important role for the level of IGD-symptoms in a clinical sample of adolescents. We suggest that therapeutic interventions for IGD should integrate family-focused strategies, such as parent training programs fostering open communication between parents and their children.
尽管近期研究表明儿童和青少年精神病学（CAP）诊所中网络成瘾障碍（IGD）的患病率很高，但对于导致这些患者游戏成瘾问题的因素却知之甚少。鉴于养育方式和亲子关系在问题行为发展中已确立的作用，本研究旨在探讨瑞典一组患有IGD的CAP患者中的亲子关系。
本研究纳入了瑞典斯科讷地区CAP诊所的72名青少年，他们根据《精神疾病诊断与统计手册》第五版（DSM-V）标准被诊断为IGD（73%为男孩），年龄在13至18岁之间。这些青少年完成了青少年游戏成瘾量表（GASA），并报告了亲子沟通的各个方面，如父母控制、青少年的披露与保密情况以及家庭氛围。根据核心方法，青少年被分为参与型、问题型或成瘾型游戏玩家。采用独立样本t检验、皮尔逊相关性分析和多元回归分析来实现研究目标。
独立样本t检验显示，女孩的父母知晓程度低于男孩。双变量相关性分析表明，IGD症状与较低的儿童披露水平相关，而多元回归分析显示，较高的IGD症状是由高水平的儿童保密和低水平的儿童披露所预测的。
亲子关系，特别是青少年对父母的信息管理，对青少年临床样本中IGD症状的水平起着重要作用。我们建议，针对IGD的治疗干预应整合以家庭为重点的策略，如开展促进父母与子女之间开放沟通的家长培训项目。
