{"title":"理解游戏障碍与抑郁症的共现:叙述性文献综述","authors":"An-Pyng Sun , Stephanie Diez","doi":"10.1016/j.jadr.2025.100961","DOIUrl":null,"url":null,"abstract":"<div><div>Because gaming disorder (GD) often co-occurs with depression, understanding how both disorders work together enables clinicians to better treat individuals with GD<strong>–</strong>depression comorbidity. The extant literature on GD<strong>–</strong>depression comorbidity is unsystematic and contradictory, with some studies suggesting depression predicts GD but not vice versa, some claiming GD predicts depression but not vice versa, and some proposing a bidirectional relationship between the two. The goal of this narrative review is to explore and organize these findings to establish a holistic and coherent conceptual framework that explains how GD co-occurs with depression.</div><div>The PubMed, PsycINFO, and Web of Sciences databases were searched for relevant peer-reviewed journal articles published 2013–2025, using the search terms <em>(gaming disorder OR gaming addiction) AND (depression OR depressive symptoms)</em>. Results included 127 empirical studies that meet the inclusion criteria and are relevant to building a coherent map to explain the GD<strong>–</strong>depression relationship. The resulting framework combines their findings to map paths and mechanisms, as well as salient contextual factors, explaining how GD and depression may be connected. Specifically, the self-medication perspective indicates that psychiatric disorders, adverse life experiences, and other factors may predict GD via the mediation of depression. By comparison, the negative consequences perspective suggests that GD may lead to negative consequences (e.g., withdrawal, unhealthy lifestyles, and compromised self-esteem), which subsequently foster depression. Together, these two paths form a chronic vicious cycle.</div></div>","PeriodicalId":52768,"journal":{"name":"Journal of Affective Disorders Reports","volume":"21 ","pages":"Article 100961"},"PeriodicalIF":0.0000,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Understanding the gaming disorder–depression co-occurrence: A narrative literature review\",\"authors\":\"An-Pyng Sun , Stephanie Diez\",\"doi\":\"10.1016/j.jadr.2025.100961\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><div>Because gaming disorder (GD) often co-occurs with depression, understanding how both disorders work together enables clinicians to better treat individuals with GD<strong>–</strong>depression comorbidity. The extant literature on GD<strong>–</strong>depression comorbidity is unsystematic and contradictory, with some studies suggesting depression predicts GD but not vice versa, some claiming GD predicts depression but not vice versa, and some proposing a bidirectional relationship between the two. The goal of this narrative review is to explore and organize these findings to establish a holistic and coherent conceptual framework that explains how GD co-occurs with depression.</div><div>The PubMed, PsycINFO, and Web of Sciences databases were searched for relevant peer-reviewed journal articles published 2013–2025, using the search terms <em>(gaming disorder OR gaming addiction) AND (depression OR depressive symptoms)</em>. Results included 127 empirical studies that meet the inclusion criteria and are relevant to building a coherent map to explain the GD<strong>–</strong>depression relationship. The resulting framework combines their findings to map paths and mechanisms, as well as salient contextual factors, explaining how GD and depression may be connected. Specifically, the self-medication perspective indicates that psychiatric disorders, adverse life experiences, and other factors may predict GD via the mediation of depression. By comparison, the negative consequences perspective suggests that GD may lead to negative consequences (e.g., withdrawal, unhealthy lifestyles, and compromised self-esteem), which subsequently foster depression. Together, these two paths form a chronic vicious cycle.</div></div>\",\"PeriodicalId\":52768,\"journal\":{\"name\":\"Journal of Affective Disorders Reports\",\"volume\":\"21 \",\"pages\":\"Article 100961\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2025-07-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Journal of Affective Disorders Reports\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S2666915325000915\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q3\",\"JCRName\":\"Psychology\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Affective Disorders Reports","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S2666915325000915","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"Psychology","Score":null,"Total":0}
引用次数: 0
摘要
因为游戏障碍(GD)经常与抑郁症同时发生,了解这两种疾病是如何共同作用的,可以使临床医生更好地治疗患有游戏障碍和抑郁症共病的个体。现有的关于抑郁与抑郁共病的文献缺乏系统性和矛盾性,一些研究认为抑郁可以预测抑郁,而GD不能预测抑郁,一些研究认为GD可以预测抑郁,而GD不能预测抑郁,还有一些研究认为两者之间存在双向关系。这篇叙述性综述的目的是探索和组织这些发现,以建立一个整体和连贯的概念框架,解释焦虑如何与抑郁症共同发生。使用搜索词(游戏障碍或游戏成瘾)和(抑郁或抑郁症状),在PubMed、PsycINFO和Web of Sciences数据库中检索了2013-2025年发表的相关同行评议期刊文章。结果包括127个符合纳入标准的实证研究,这些研究与构建一个连贯的地图来解释gd -抑郁关系有关。最终的框架结合了他们的发现,绘制出路径和机制,以及显著的背景因素,解释了GD和抑郁症是如何联系在一起的。具体而言,自我药物治疗的观点表明,精神障碍、不良生活经历和其他因素可能通过抑郁的中介来预测GD。相比之下,消极后果观点认为,焦虑可能导致消极后果(例如,退缩、不健康的生活方式和自尊受损),这些后果随后会助长抑郁。这两条路一起形成了一个长期的恶性循环。
Understanding the gaming disorder–depression co-occurrence: A narrative literature review
Because gaming disorder (GD) often co-occurs with depression, understanding how both disorders work together enables clinicians to better treat individuals with GD–depression comorbidity. The extant literature on GD–depression comorbidity is unsystematic and contradictory, with some studies suggesting depression predicts GD but not vice versa, some claiming GD predicts depression but not vice versa, and some proposing a bidirectional relationship between the two. The goal of this narrative review is to explore and organize these findings to establish a holistic and coherent conceptual framework that explains how GD co-occurs with depression.
The PubMed, PsycINFO, and Web of Sciences databases were searched for relevant peer-reviewed journal articles published 2013–2025, using the search terms (gaming disorder OR gaming addiction) AND (depression OR depressive symptoms). Results included 127 empirical studies that meet the inclusion criteria and are relevant to building a coherent map to explain the GD–depression relationship. The resulting framework combines their findings to map paths and mechanisms, as well as salient contextual factors, explaining how GD and depression may be connected. Specifically, the self-medication perspective indicates that psychiatric disorders, adverse life experiences, and other factors may predict GD via the mediation of depression. By comparison, the negative consequences perspective suggests that GD may lead to negative consequences (e.g., withdrawal, unhealthy lifestyles, and compromised self-esteem), which subsequently foster depression. Together, these two paths form a chronic vicious cycle.