一例精神病和游戏障碍患者的游戏转移现象

IF 1.2 Q4 PSYCHIATRY
Huu Kim Le, A. B. Ortiz de Gortari, Annabel Callan, Daragh Poynton, Daniela Vecchio, Wai Chen
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引用次数: 1

摘要

关于游戏障碍(GD)与精神分裂症的精神过程之间的相互作用,我们知之甚少。只有少数涉及电子游戏和精神病症状的临床病例以前在文献中报道过。本病例报告描述了一名24岁男性,被诊断为偏执性精神分裂症和GD。我们的病例G,在其精神分裂症发作之前,有过度玩电子游戏和游戏转移现象(GTP)的先兆。GTP在游戏玩家中很常见,其特征是与视频游戏内容相关的异常感知、侵入性思维和行为的时间变化。然而,GTP不一定具有达到精神病阈值的妄想强度。患者G的偏执性精神分裂症复发与最近使用大麻、社交戒断和过度玩电子游戏有关。患者G的精神病症状受到电子游戏主题和电影《黑客帝国》的影响,包括他在电子游戏中的错觉,以及他周围的人是“不可玩的角色”。考虑到随后的治疗影响,GTP的意识可以帮助临床医生将GTP与精神病特征区分开来,并识别它们的相互作用。我们的病例报告强调了GTP的重要性,在某些情况下,GTP可能是发展为精神疾病的早期迹象,并可能对早期干预和预防疾病发作和并发症产生影响。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Game Transfer Phenomena in a Clinical Case with Psychosis and Gaming Disorder
Little is known about the interplay of Gaming Disorder (GD) with psychotic processes in schizophrenia. Only a few clinical cases involving video game playing and psychotic symptoms have been previously reported in literature. This case report describes a 24-year-old male diagnosed with paranoid schizophrenia and GD. Our case, Patient G, had premorbid excessive video game playing and Game Transfer Phenomena (GTP) prior to the onset of his schizophrenia illness. GTP are common among gamers and are characterised by abnormal perceptions, intrusive thoughts, and temporal change on behaviours related to the content of video games. However, GTP are not necessarily of delusional intensity for meeting the threshold of psychosis. The relapse in Patient G’s paranoid schizophrenia was associated with recent cannabis use, social withdrawal, and excessive video game playing. Patient G’s psychotic symptoms were influenced by video game themes and the movie “Matrix”, including the delusion that he was in a video game and that people around him were “non-playable characters”. Awareness of GTP can help clinicians to demarcate GTP from psychotic features and identify their interactions, given the ensuing treatment implications. Our case report highlights the importance of GTP, which in some cases may be an early sign of developing mental illness and could have implications for early intervention and prevention of illness onset and complications.
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来源期刊
CiteScore
1.90
自引率
0.00%
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