The effect of methylphenidate on Internet video game play in children with attention-deficit/hyperactivity disorder
The effect of methylphenidate on Internet video game play in children with attention-deficit/hyperactivity disorder
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DOI：
10.1016/j.comppsych.2008.08.011
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发表时间：
2009-05-01
影响因子：
7.3
通讯作者：
Renshaw, Perry F.
中科院分区：
文献类型：
--
作者：
Han, Doug Hyun;Lee, Young Sik;Renshaw, Perry F.
目的：大量关于注意缺陷/多动障碍（ADHD）和网络视频游戏的研究检查了前额叶皮层和多巴胺能系统。研究发现，用于治疗多动症的哌醋甲酯（MPH）等兴奋剂和玩电子游戏会增加突触多巴胺。我们假设MPH治疗可以减少同时出现ADHD和网络视频游戏成瘾的受试者的网络使用。方法：62名儿童（男52名，女10名），未经药物治疗，诊断为ADHD，并参与网络视频游戏。在研究开始时和8周后使用Concerta （OROS methylphenidate HCl, Seoul, Korea）治疗。使用Young网络成瘾量表、韩国版（YIAS-K）、韩国DuPaul ADHD评定量表和视觉连续表现测试对参与者进行评估。他们的互联网使用时间也被记录下来。结果：治疗8周后，yas - k评分和上网次数均显著降低。在基线和8周评估之间，yas - k分数的变化与韩国DUPaul's ADHD评定量表的总分数和注意力不集中分数的变化以及视觉连续表现测试的遗漏错误呈正相关。非网络成瘾者、轻度网络成瘾者和重度网络成瘾者的遗漏错误数量也存在显著差异。讨论：我们建议玩电子游戏可能是ADHD儿童自我治疗的一种方式。此外，我们谨慎地建议MPH可能被评估为网络成瘾的潜在治疗方法。英国皇家版权(c) 2009年Elsevier Inc.出版版权所有。
Objective: A number of studies about attention-deficit/hyperactivity disorder (ADHD) and Internet video game play have examined the prefrontal cortex and dopaminergic system. Stimulants such as methylphenidate (MPH), given to treat ADHD, and video game play have been found to increase synaptic dopamine. We hypothesized that MPH treatment would reduce internet use in subjects with co-occurring ADHD and Internet video game addictions.Methods: Sixty-two children (52 males and 10 females), drug-naive, diagnosed with ADHD, and Internet video game players, participated ill this study. At the beginning of the study and after 8 weeks of treatment with Concerta (OROS methylphenidate HCl, Seoul, Korea). participants were assessed with Young's Internet Addiction scale, Korean version (YIAS-K), Korean DuPaul's ADHD Rating Scale, and the Visual Continuous Performance Test. Their Internet usuage time was also recorded.Results: After 8 weeks of treatment, the YIAS-K scores and Internet Usage times were significantly reduced. The changes ill the YIAS-K scores between the baseline and 8-week assessments were positively Correlated with the Changes ill total and inattention scores from the Korean DUPaul's ADHD Rating Scale, as well as omission errors from the Visual Continuous Performance Test. There was also a significant difference ill the number of omission errors among non-Internet-addicted, mildly Internet addicted, and severely Internet addicted participants.Discussion: We suggest that video game playing might be a means of self-medication for children with ADHD. In addition, we cautiously suggest that MPH Might be evaluated as a potential treatment of Internet addiction. Crown Copyright (c) 2009 Published by Elsevier Inc. All rights reserved.