游戏障碍的异质性:开发个性化干预的临床类型学。

IF 6.6 1区 医学 Q1 PSYCHIATRY
Journal of Behavioral Addictions Pub Date : 2023-11-07 Print Date: 2023-12-22 DOI:10.1556/2006.2023.00059
Chih-Hung Ko, Orsolya Király, Zsolt Demetrovics, Mark D Griffiths, Takahiro A Kato, Masaru Tateno, Ju-Yu Yen
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引用次数: 0

摘要

背景:国际疾病分类(ICD-11)第十一次修订版定义了游戏障碍(GD)的三个关键诊断标准。这些是对游戏失去控制,游戏优先于日常活动,以及游戏导致的功能受损。虽然这一定义对GD的预防和治疗有意义,但GD的症状和病因在个体之间存在显著的异质性,这导致了不同的治疗需求。认知控制、情绪调节和奖励敏感性是GD病因模型中的三个关键维度。性别、共病、游戏动机、GD的阶段或严重程度以及风险因素等因素都导致了GD患者病因的异质性。方法:根据近400例游戏障碍患者的临床症状及共病特点,本文根据作者治疗GD的临床经验,提出了GD患者的临床分型。结果:研究结果表明,GD患者有三种常见类型:(i)患有注意力缺陷多动障碍(ADHD)的冲动型男性患者,以及(iii)具有社交焦虑的孤立患者。本文还讨论了这些患者的表现和治疗优先级。结论:GD患者应制定个性化治疗方案,以满足其个人需求。未来的研究应该检查GD的异质性,确认这些类型,并获得有助于开发个性化治疗的循证信息。应开发治疗资源,并培训专业人员提供综合个性化治疗。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Heterogeneity of gaming disorder: A clinically-based typology for developing personalized interventions.

Background: The eleventh revision of the International Classification of Diseases (ICD-11) defines the three key diagnostic criteria for gaming disorder (GD). These are loss of control over gaming, gaming as a priority over daily activities, and impaired functioning due to gaming. While this definition has implications for the prevention and treatment of GD, there is significant heterogeneity in the symptoms and etiology of GD among individuals, which results in different treatment needs. Cognitive control, emotional regulation, and reward sensitivity are three critical dimensions in the etiology model for GD. Aspects such as gender, comorbidity, motivation for gaming, stage or severity of GD, and risk factors all contribute to the heterogeneity of etiology among individuals with the disorder.

Method: On the basis of clinical symptoms and comorbidity characteristics among approximately 400 patients with gaming disorder, the present paper proposes a clinical typology of patients with GD based on the authors' clinical experience in treating individuals with GD.

Results: The findings indicated three common types of patients with GD: (i) impulsive male patients with attention deficit hyperactivity disorder (ADHD), (ii) dysphoria patients with dysfunctional coping skills, and (iii) isolated patients with social anxiety. The paper also discusses the presentation and treatment priority for these patients.

Conclusion: Personalized treatments for patients with GD should be developed to fit their individual needs. Future studies should examine the heterogeneity of GD and confirm these types, as well as obtain evidence-based information that can help in the development of personalized treatment. Treatment resources should be developed, and professionals should be trained to provide integrated individualized treatment.

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来源期刊
CiteScore
12.30
自引率
7.70%
发文量
91
审稿时长
20 weeks
期刊介绍: The aim of Journal of Behavioral Addictions is to create a forum for the scientific information exchange with regard to behavioral addictions. The journal is a broad focused interdisciplinary one that publishes manuscripts on different approaches of non-substance addictions, research reports focusing on the addictive patterns of various behaviors, especially disorders of the impulsive-compulsive spectrum, and also publishes reviews in these topics. Coverage ranges from genetic and neurobiological research through psychological and clinical psychiatric approaches to epidemiological, sociological and anthropological aspects.
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