Huot-Lavoie Maxime, Béchard Laurent, Corbeil Olivier, Roy Olivier, L'Heureux Sophie, Salvini Ingrid, Lehoux Catherine, Essiambre Anne-Marie, Thériault Chantale, Brodeur Sébastien, Demers Marie-France, Khazaal Yasser, Roy Marc-André
Faculty of Medicine.
CERVO Brain Research Centre, Université Laval.
Curr Opin Psychiatry. 2025 Jul 1;38(4):295-301. doi: 10.1097/YCO.0000000000001013. Epub 2025 May 23.
Despite growing recognition of the impact of Gaming Disorder in individuals with psychotic disorders, little is known about the clinical and personal implications of this dual diagnosis. Preliminary data suggest that Gaming Disorder may be associated with increased psychotic symptoms and reduced occupational and social functioning. However, insight from lived experience remain largely absent, despite their importance.
This review synthesizes recent literature on the comorbidity between Gaming Disorder and psychotic disorders, highlighting the scarcity of research in this emerging field. It also presents preliminary findings from an ongoing qualitative study focussing on the lived experiences of individuals receiving early psychosis intervention. These data focus on participants' motivations for gaming and their perceptions of both positive and negative effects gaming has on their life.
This review underscores the significant lack of data on the dual diagnosis of Gaming Disorder and psychosis. Early qualitative insights reveal diverse gaming motivations, including symptom regulation, anxiety management, cognitive stimulation, and social connection. These first-person accounts emphasize the functional role of gaming and the need for recovery-oriented care. Integrating lived experience into research and clinical practice can improve relevance, support nuanced interventions, and advance our understanding of behavioral addictions in early psychosis.
尽管人们越来越认识到游戏障碍对患有精神障碍的个体的影响，但对于这种双重诊断的临床和个人影响却知之甚少。初步数据表明，游戏障碍可能与精神症状增加以及职业和社会功能下降有关。然而，尽管亲身经历的见解很重要，但在很大程度上仍然缺乏。
本综述综合了关于游戏障碍与精神障碍共病的最新文献，突出了这一新兴领域研究的稀缺性。它还展示了一项正在进行的定性研究的初步结果，该研究聚焦于接受早期精神病干预的个体的亲身经历。这些数据关注参与者玩游戏的动机以及他们对游戏对其生活产生的积极和消极影响的看法。
本综述强调了关于游戏障碍和精神病双重诊断的数据严重不足。早期的定性见解揭示了多样化的游戏动机，包括症状调节、焦虑管理、认知刺激和社交联系。这些第一人称叙述强调了游戏的功能作用以及以康复为导向的护理的必要性。将亲身经历纳入研究和临床实践可以提高相关性，支持细致入微的干预措施，并增进我们对早期精神病中行为成瘾的理解。
