Autism Spectrum Disorder and Video Games: Restricted Interests or Addiction?
Autism Spectrum Disorder and Video Games: Restricted Interests or Addiction?
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DOI：
10.1007/s11469-021-00511-4
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发表时间：
2021-03-08
影响因子：
8
通讯作者：
Lalanne, Laurence
中科院分区：
文献类型：
--
作者：
Coutelle, Romain;Weiner, Luisa;Lalanne, Laurence
经常有报道称，自闭症谱系障碍（ASD）患者使用电子游戏的比例很高。这可能表明这一人群中更普遍的电子游戏成瘾，但电子游戏使用的增加也可以解释为对电子游戏的兴趣限制。因此，我们回顾了关于ASD中电子游戏使用的文献，以检查电子游戏成瘾的脆弱性和对电子游戏的限制兴趣的作用。我们按照PRISMA的指导方针进行了搜索。从511篇论文中，纳入15篇。这篇综述表明，在没有智力障碍的自闭症男孩和年轻男性中，视频游戏的高使用率主要可以用游戏成瘾来解释。然而，不能排除对电子游戏兴趣受限的影响。此外，成瘾性过程和限制性兴趣可能相互作用。这一结果提出了几个关于区分电子游戏成瘾和限制兴趣的问题，包括评估、重叠特征和干预。基于这些结果，我们为护理人员和临床医生提出了管理ASD中有问题的电子游戏使用的建议。
High rates of video game use in Autism Spectrum Disorder (ASD) have often been reported. This might suggest more prevalent video gaming addiction in this population, but elevated video game use could also be explained by restricted interest in video games. We thus reviewed the literature on video game use in ASD to examine the role of vulnerability for video game addiction and the role of restricted interest in video gaming. We conducted a search following PRISMA guidelines. From 511 papers, 15 were included. This review demonstrates that the high rates of video game use in boys and young males with ASD without intellectual disabilities can be predominantly explained by gaming addiction. However, an effect of restricted interest in video games cannot be excluded. Moreover, addictive process and restricted interest may interact. This result raises several issues for differentiating between video game addiction and restricted interest in regard to assessment, overlapping characteristics and interventions. Based on the results, we make recommendations for caregivers and clinicians on the management of problematic video game use in ASD.