1
|
Zhao M, Hao W. Challenges of gaming disorder: suggestions from a public health perspective. Gen Psychiatr 2019; 32:e100086. [PMID: 31360912 PMCID: PMC6629377 DOI: 10.1136/gpsych-2019-100086] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/08/2019] [Accepted: 05/16/2019] [Indexed: 11/04/2022] Open
Affiliation(s)
- Min Zhao
- Shanghai Mental Health Center, Shanghai Jiao Tong University School of Medicine, Shanghai, China
| | - Wei Hao
- Mental Health Institute, Second Xiangya Hospital, Central South University, Changsha, China
| |
Collapse
|
2
|
Li L, Xu DD, Chai JX, Wang D, Li L, Zhang L, Lu L, Ng CH, Ungvari GS, Mei SL, Xiang YT. Prevalence of Internet addiction disorder in Chinese university students: A comprehensive meta-analysis of observational studies. J Behav Addict 2018; 7:610-623. [PMID: 30010411 PMCID: PMC6426360 DOI: 10.1556/2006.7.2018.53] [Citation(s) in RCA: 78] [Impact Index Per Article: 13.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/24/2022] Open
Abstract
BACKGROUND AND AIMS Internet addiction disorder (IAD) is common in university students. A number of studies have examined the prevalence of IAD in Chinese university students, but the results have been inconsistent. This is a meta-analysis of the prevalence of IAD and its associated factors in Chinese university students. METHODS Both English (PubMed, PsycINFO, and Embase) and Chinese (Wan Fang Database and Chinese National Knowledge Infrastructure) databases were systematically and independently searched from their inception until January 16, 2017. RESULTS Altogether 70 studies covering 122,454 university students were included in the meta-analysis. Using the random-effects model, the pooled overall prevalence of IAD was 11.3% (95% CI: 10.1%-12.5%). When using the 8-item Young Diagnostic Questionnaire, the 10-item modified Young Diagnostic Questionnaire, the 20-item Internet Addiction Test, and the 26-item Chen Internet Addiction Scale, the pooled prevalence of IAD was 8.4% (95% CI: 6.7%-10.4%), 9.3% (95% CI: 7.6%-11.4%), 11.2% (95% CI: 8.8%-14.3%), and 14.0% (95% CI: 10.6%-18.4%), respectively. Subgroup analyses revealed that the pooled prevalence of IAD was significantly associated with the measurement instrument (Q = 9.41, p = .024). Male gender, higher grade, and urban abode were also significantly associated with IAD. The prevalence of IAD was also higher in eastern and central of China than in its northern and western regions (10.7% vs. 8.1%, Q = 4.90, p = .027). CONCLUSIONS IAD is common among Chinese university students. Appropriate strategies for the prevention and treatment of IAD in this population need greater attention.
Collapse
Affiliation(s)
- Lu Li
- Department of Pharmacy, The Affiliated Brain Hospital of Guangzhou Medical University (Guangzhou Huiai Hospital), Guangzhou, China
| | - Dan-Dan Xu
- Unit of Psychiatry, Faculty of Health Sciences, University of Macau, Macao SAR, China,Faculty of Sciences, Harbin University, Harbin, China
| | - Jing-Xin Chai
- Department of Health Education, Beijing Centers for Disease Prevention and Control, Beijing, China,Beijing Centers for Disease Prevention Medical Research, Beijing, China
| | - Di Wang
- The National Clinical Research Center for Mental Disorders and Beijing Key Laboratory of Mental Disorders, Beijing Anding Hospital, Capital Medical University, Beijing, China
| | - Lin Li
- Department of Pharmacy, The First Affiliated Hospital of Zhejiang University, Hangzhou, China
| | - Ling Zhang
- The National Clinical Research Center for Mental Disorders and Beijing Key Laboratory of Mental Disorders, Beijing Anding Hospital, Capital Medical University, Beijing, China
| | - Li Lu
- Unit of Psychiatry, Faculty of Health Sciences, University of Macau, Macao SAR, China
| | - Chee H. Ng
- Department of Psychiatry, University of Melbourne, Melbourne, VIC, Australia
| | - Gabor S. Ungvari
- Department of Psychiatry, University of Notre Dame Australia/Graylands Hospital, Perth, WA, Australia
| | - Song-Li Mei
- Shool of Public Health, Jilin University, Changchun, China
| | - Yu-Tao Xiang
- Unit of Psychiatry, Faculty of Health Sciences, University of Macau, Macao SAR, China,Corresponding author: Dr. Yu-Tao Xiang, MD, PhD; Unit of Psychiatry, Faculty of Health Sciences, University of Macau, 3/F, Building E12, Avenida da Universidade, Taipa, Macau SAR, China; Phone: +853 8822 4223; Fax: +853 2288 2314; E-mail:
| |
Collapse
|
3
|
Lee SY, Lee HK, Bang SY, Jeong H, Yim HW, Kweon YS. Aggression and Harm-Avoidant Trait Impede Recovery From Internet Gaming Disorder. Front Psychiatry 2018; 9:263. [PMID: 29997529 PMCID: PMC6028732 DOI: 10.3389/fpsyt.2018.00263] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/30/2018] [Accepted: 05/28/2018] [Indexed: 12/26/2022] Open
Abstract
Background: Relatively little is known about which neuropsychological factors promote recovery from Internet gaming disorder (IGD). Methods: With informed consents, a cohort study was conducted in Seoul metropolitan area, South Korea, to investigate the course of IGD in youths. At baseline, we assessed psychosocial measures and gaming related measures such as Young's Internet Addiction Test (IAT) and the Aggression Questionnaire. The Balloon Analog Risk Task was also performed to study risk-taking behavior. A total of 60 subjects demonstrating three or greater criteria in the diagnostic interviews on IGD and the IAT score of 50 or above were included. After brief parental coaching at baseline, the participants were followed up at 3 and 6 months (n = 31). The baseline characteristics were compared between the non-improved group (<10% improvement in IAT score) and the improved group (≥30% improvement in IAT score) using Mann-Whitney U-test or chi-squared tests with a two-tailed statistical significance of 0.05. Results: The non-improved group and the improved group did not demonstrate significant differences regarding demographics or the IAT scores at baseline. However, the IAT scores were significantly higher in the non-improved group at both 3 and 6 months. The non-improved group was also more likely to display higher aggression and harm avoidance than the improved group at baseline. Discussion: Youths with excessive gaming problems should be evaluated for aggression and harm avoidance since they contributed to a worse prognosis. For those with high aggression or harm avoidance, more active therapeutic interventions should be considered.
Collapse
Affiliation(s)
- Seung-Yup Lee
- Department of Psychiatry, Uijeongbu St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, South Korea
| | - Hae Kook Lee
- Department of Psychiatry, Uijeongbu St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, South Korea
| | - Soo-Young Bang
- Department of Psychiatry, Eulji University Eulji Hospital, College of Medicine, Eulji University, Seoul, South Korea
| | - Hyunsuk Jeong
- Department of Preventive Medicine, College of Medicine, The Catholic University of Korea, Seoul, South Korea
| | - Hyeon Woo Yim
- Department of Preventive Medicine, College of Medicine, The Catholic University of Korea, Seoul, South Korea
| | - Yong-Sil Kweon
- Department of Psychiatry, Uijeongbu St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, South Korea
| |
Collapse
|
4
|
Guillot CR, Bello MS, Tsai JY, Huh J, Leventhal AM, Sussman S. Longitudinal Associations between Anhedonia and Internet-Related Addictive Behaviors in Emerging Adults. COMPUTERS IN HUMAN BEHAVIOR 2016; 62:475-479. [PMID: 27182108 DOI: 10.1016/j.chb.2016.04.019] [Citation(s) in RCA: 38] [Impact Index Per Article: 4.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/07/2023]
Abstract
Internet addiction (including online gaming) has been associated with depression. However, most prior research relating internet addiction symptomatology to depressive symptoms has been cross-sectional, conducted with children and adolescents, and only examined depressive symptoms as a broad construct. The purpose of the current study was to examine potential longitudinal associations between anhedonia (i.e., difficulty experiencing pleasure, a key facet of depression) and internet-related addictive behaviors in 503 at-risk emerging adults (former attendees of alternative high schools). Participants completed surveys at baseline and approximately one year later (9-18 months later). Results indicated that trait anhedonia prospectively predicted greater levels of compulsive internet use and addiction to online activities as well as a greater likelihood of addiction to online/offline video games. These findings suggest that anhedonia may contribute to the development of internet-related addictive behaviors in the emerging adult population. Thus, interventions that target anhedonia in emerging adulthood (e.g., bupropion treatment or behavioral activation therapy) may help prevent or treat internet addiction.
Collapse
Affiliation(s)
- Casey R Guillot
- University of Southern California, Department of Preventive Medicine, Los Angeles, CA, USA
| | - Mariel S Bello
- University of Southern California, Department of Preventive Medicine, Los Angeles, CA, USA
| | - Jennifer Y Tsai
- University of Southern California, Department of Preventive Medicine, Los Angeles, CA, USA
| | - Jimi Huh
- University of Southern California, Department of Preventive Medicine, Los Angeles, CA, USA
| | - Adam M Leventhal
- University of Southern California, Department of Preventive Medicine, Los Angeles, CA, USA; University of Southern California, Department of Psychology, Los Angeles, CA, USA
| | - Steve Sussman
- University of Southern California, Department of Preventive Medicine, Los Angeles, CA, USA; University of Southern California, Department of Psychology, Los Angeles, CA, USA; University of Southern California, School of Social Work, Los Angeles, CA, USA
| |
Collapse
|
5
|
Chen Y, Kang Y, Gong W, He L, Jin Y, Zhu X, Yao Y. Investigation on Internet addiction disorder in adolescents in Anhui, People's Republic of China. Neuropsychiatr Dis Treat 2016; 12:2233-6. [PMID: 27621633 PMCID: PMC5010169 DOI: 10.2147/ndt.s110156] [Citation(s) in RCA: 16] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/23/2022] Open
Abstract
BACKGROUND AND AIM The purpose of this study was to describe the characteristics and prevalence of Internet addiction (IA) in adolescents so as to provide a scientific basis for the communities, schools, and families. METHODS We conducted a survey by randomized cluster sampling on 5,249 students, grades ranging from 7 to 12, in Anhui province, People's Republic of China. The questionnaire consisted of general information and IA test. Chi-square test was used to compare the status of IA disorder (IAD). RESULTS In our results, the overall detection rate of IAD and non-IAD in students was 8.7% (459/5,249) and 76.2% (4,000/5,249), respectively. The detection rate of IAD in males (12.3%) was higher than females (4.9%). The detection rate of IAD was statistically different between students from rural (8.2%) and urban (9.3%) areas, among students from different grades, between students from only-child families (9.5%) and non-only-child families (8.1%), and among students from different family types. CONCLUSION Prevalence of IA is high among Chinese adolescents. IAD has more effect on male students, single-child families, single-parent families, and higher grade students. We should take more care of male students, only-child students, and students living with their fathers, and related education should be strengthen for susceptible subjects of IDA.
Collapse
Affiliation(s)
- Yan Chen
- School of Public Health, Wannan Medical College, Wuhu, Anhui, People's Republic of China
| | - Yaowen Kang
- Fushun Administrative College, Fushun, Liaoning, People's Republic of China
| | - Weizhi Gong
- Guangdong Polytechnic of Industry and Commerce, Guangzhou, People's Republic of China
| | - Lianping He
- School of Public Health, Wannan Medical College, Wuhu, Anhui, People's Republic of China
| | - Yuelong Jin
- School of Public Health, Wannan Medical College, Wuhu, Anhui, People's Republic of China
| | - Xiaoyue Zhu
- School of Public Health, Wannan Medical College, Wuhu, Anhui, People's Republic of China
| | - Yingshui Yao
- School of Public Health, Wannan Medical College, Wuhu, Anhui, People's Republic of China
| |
Collapse
|