Tateno Masaru, Tateno Yukie, Shirasaka Tomohiro, Nanba Kotaro, Shiraishi Eri, Shimomura Ryotaro, Kato Takahiro A
Tokiwa Child Development Center, Tokiwa Hospital, Tokiwa 3-1-6-1, Minami-ku, Sapporo 0050853, Japan.
Child Mental Health Clinic, Department of Neuropsychiatry, Sapporo Medical University Hospital, S-1 W-16, Chuo-ku, Sapporo 0608543, Japan.
Behav Sci (Basel). 2025 Mar 26;15(4):423. doi: 10.3390/bs15040423.
Adolescents with autism spectrum disorder (ASD) often have various psychiatric comorbidities, particularly depression. In recent years, gaming disorder (GD) and Internet addiction (IA) have been identified as common comorbidities of ASD. We administered three self-administered screening instruments to adolescents with ASD to assess the severity of depression, GD, and IA. The participants were 10-18-year-olds with ASD. They were asked to complete three questionnaires to assess depressive symptoms, GD, and IA: the Patient Health Questionnaire for Adolescents (PHQ-A), Ten-Item Internet Gaming Disorder Test (IGDT-10), and Internet Addiction Test (IAT). The total IGDT-10 score was calculated in two different ways: the original scoring version (IGDT-10-OV) and the modified version (IGDT-10-MV). Of the 74 respondents, 24.3% had moderate or severe depressive symptoms, 8.1% were identified as having possible GD according to the IGDT-10-OV, 39.2% were identified as having possible GD according to the IGDT-10-MV, and 27.0% were positive for IA according to the IAT. Two-group comparisons revealed that depressive symptoms were more strongly associated with IA than with GD. IA was associated with more depressive symptoms than GD. Since adolescents with ASD have difficulties with social communication, they are prone to isolation and feelings of loneliness. Longer screen times due to social isolation may be a risk factor for the development of GD/IA. Adolescents with ASD often exhibit a preference for visual processing but may struggle with verbal communication. Thus, they may find online spaces more comfortable for them to alleviate their feelings of loneliness.
患有自闭症谱系障碍（ASD）的青少年往往有各种精神共病，尤其是抑郁症。近年来，游戏障碍（GD）和网络成瘾（IA）已被确定为ASD的常见共病。我们对患有ASD的青少年使用了三种自我管理的筛查工具，以评估抑郁症、GD和IA的严重程度。参与者为10至18岁的ASD患者。他们被要求完成三份问卷，以评估抑郁症状、GD和IA：青少年患者健康问卷（PHQ-A）、十项网络游戏障碍测试（IGDT-10）和网络成瘾测试（IAT）。IGDT-10的总分通过两种不同方式计算：原始评分版本（IGDT-10-OV）和修改版本（IGDT-10-MV）。在74名受访者中，24.3%有中度或重度抑郁症状，根据IGDT-10-OV，8.1%被确定可能患有GD，根据IGDT-10-MV，39.2%被确定可能患有GD，根据IAT，27.0%的IA呈阳性。两组比较显示，抑郁症状与IA的关联比与GD的关联更强。与GD相比，IA与更多的抑郁症状相关。由于患有ASD的青少年在社交沟通方面存在困难，他们容易出现孤立和孤独感。由于社交孤立导致的更长屏幕使用时间可能是GD/IA发展的一个风险因素。患有ASD的青少年通常表现出对视觉处理的偏好，但可能在言语交流方面存在困难。因此，他们可能会觉得网络空间让他们更舒适，以缓解孤独感。
