Increasing important roles of child and adolescent psychiatrists in the treatment of gaming disorder: Current status in Japan.
Increasing important roles of child and adolescent psychiatrists in the treatment of gaming disorder: Current status in Japan.
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DOI：
10.3389/fpsyt.2022.995665
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发表时间：
2022
影响因子：
4.7
通讯作者：
Higuchi, Susumu
中科院分区：
文献类型：
--
作者：
Tateno, Masaru;Matsuzaki, Takanobu;Takano, Ayumi;Higuchi, Susumu
关键词：
数字游戏是日本儿童和青少年最常见的休闲活动，尤其是男性。多年来，玩网络游戏在学龄儿童中变得越来越普遍。因此，在日本，儿童过度玩网络游戏已成为一个重大的社会问题。先前的研究表明，过度的在线游戏可能会导致儿童和青少年的各种心理健康问题。在设有儿童和青少年精神病学服务的医疗机构，越来越多的儿童和青少年患有与过度游戏有关的各种问题。本研究的目的是调查目前在日本的临床环境中的游戏障碍（GD）的做法。本研究的研究对象为414名经日本儿童青少年精神病学学会（JSCAP）认证的儿童青少年精神科医生。研究问卷由JSCAP官方秘书处邮寄给所有受试者。研究对象被要求匿名回答问卷。该调查包含三种类型的回答：开放式回答;单项和多项选择回答;以及五点李克特量表上的回答。问卷包括14个关于GD的问题。共收到159条回复。儿童和青少年精神病学服务的访问，导致GD的后续诊断的最常见的原因是拒绝上学/旷课，其次是睡眠-清醒节律的破坏。目前儿童及青少年精神科服务中最常见的GD专科治疗是个别心理治疗。GD治疗中最常遇到的两个困难是实现康复的动力不足和除过度游戏本身之外的各种各样的综合问题。关于GD的三种最常见的精神病合并症，它们是自闭症谱系障碍（ASD）、注意缺陷多动障碍（ADHD）和抑郁症。我们的调查结果显示，虽然GD是一种行为成瘾，但许多患有GD的儿童和青少年首先访问儿童和青少年精神科诊所，而不是通常为成人患者设计和配备人员的成瘾专门诊所。因为它是众所周知的，GD是更普遍的年轻男性，包括初中和高中学生，GD已成为当今儿童和青少年精神病学最重要的临床问题之一。儿童和青少年精神科医生在GD治疗中的重要作用日益增加。
Digital gaming is the most common leisure activity among children and adolescents in Japan, especially in males. Playing online gaming has become more common among school-age children over the years. As a result, excessive online gaming in younger children has become a significant social problem in Japan. Previous studies have demonstrated that excessive online gaming could cause various mental health issues in children and adolescents. At medical institutions having child and adolescent psychiatry services, there is an increasing number of children and adolescents with various problems related to excessive gaming. The aim of this study was to investigate the current practice of gaming disorder (GD) in clinical settings in Japan. The subjects of this study were all of 414 child and adolescent psychiatrists certified by the Japanese Society for Child and Adolescent Psychiatry (JSCAP). The study questionnaire was mailed to all subjects from the official secretariat of JSCAP. Study subjects were requested to answer the questionnaire anonymously. The survey contained three types of responses: open responses; single and multiple-choice responses; and, responses on a five-point Likert scale. The questionnaire consisted of 14 questions regarding GD. We received 159 responses. The most common reason for a visit to child and adolescent psychiatry service which results in a subsequent diagnosis of GD was school refusal/absenteeism followed by disruption of sleep-awake rhythm. The most common specialized treatment for GD currently offered at child and adolescent psychiatry service is individual psychotherapy. The two most frequently experienced difficulties in the treatment of GD were low motivation to achieve recovery and a large variety of combined problems other than excessive gaming itself. With regard to the three most common psychiatric comorbidities of GD, they were autism spectrum disorder (ASD), attention deficit hyperactivity disorder (ADHD), and depression. The results of our survey revealed that although GD is a behavioral addiction, many children and adolescents with GD first visit child and adolescent psychiatry clinics rather than specialized clinics for addiction which are usually designed and staffed for adult patients. Because it is known that GD is more prevalent among young males, including junior high and high school students, GD has become one of the most important clinical issues in child and adolescent psychiatry today. The important roles of child and adolescent psychiatrists in the treatment of GD has been increasing.
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DOI：
10.3390/ijerph15040668
发表时间：
2018-04-03
影响因子：
--
作者：
González-Bueso V;Santamaría JJ;Fernández D;Merino L;Montero E;Ribas J
通讯作者：
Ribas J
影响因子：
3.1
作者：
Chen, Yi-Lung;Chen, Sue-Huei;Gau, Susan Shur-Fen
通讯作者：
Gau, Susan Shur-Fen
影响因子：
1.9
作者：
Bickham DS
通讯作者：
Bickham DS
影响因子：
7.6
作者：
Johnson, JG;Harris, ES;Williams, JBW
通讯作者：
Williams, JBW
影响因子：
6.6
作者：
Koo, Chulmo;Wati, Yulia;Oh, Hea Young
通讯作者：
Oh, Hea Young