Internet Gaming Disorder Treatment: A Review of Definitions of Diagnosis and Treatment Outcome
Internet Gaming Disorder Treatment: A Review of Definitions of Diagnosis and Treatment Outcome
复制标题
DOI：
10.1002/jclp.22097
复制
发表时间：
2014-10-01
影响因子：
3
通讯作者：
Delfabbro, Paul H.
中科院分区：
文献类型：
--
作者：
King, Daniel L.;Delfabbro, Paul H.
目的：网络游戏障碍（IGD）是目前定位于《精神障碍诊断与统计手册》第五版附录中的一种新障碍。很少有临床研究报道心理和药物干预可以显著降低IGD症状的严重程度。本综述的目的是评估目前对IGD干预措施的短期和长期益处的认识。本综述对IGD治疗研究中使用的诊断和治疗结果的定义进行了系统的评估，包括与DSM-5分类的拟合优度评估。方法：对Academic search Premier、PubMed、PsychINFO、ScienceDirect、Web of Science和b谷歌Scholar等数据库进行计算机检索，确定所有可获得的有关网络游戏障碍治疗的研究证据（N= 8）。系统评估诊断和治疗结果参数。结果：发现了IGD治疗文献的几个不足之处。只有两项治疗研究采用了IGD的等效诊断方法。研究尚未评估治疗后或随访中诊断状态的形成性变化。随访时间不足以评估复发和缓解。治疗后的评估主要局限于IGD的症状、合并症和游戏行为的频率。结论：目前，没有足够的证据证明实验性IGD干预具有长期的治疗效益。提出了研究设计和报告的若干改进，以指导未来的IGD研究。(C) 2014 Wiley期刊公司
Objective: Internet gaming disorder (IGD) is a new disorder currently positioned in the appendix of the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition. Few clinical studies report that psychological and pharmacological interventions can significantly reduce the severity of IGD symptomatology. The aim of this review was to assess current knowledge of the short-and long-term benefits of IGD interventions. This review presents a systematic evaluation of definitions of diagnosis and treatment outcomes employed in IGD treatment studies, including an assessment of goodness of fit with the DSM-5 classification. Method: A computer database search of Academic Search Premier, PubMed, PsychINFO, ScienceDirect, Web of Science, and Google Scholar was conducted to identify all available research evidence on Internet gaming disorder treatment (N= 8 studies). Diagnostic and treatment outcome parameters were systematically evaluated. Results: Several weaknesses of IGD treatment literature were identified. Only 2 treatment studies have employed an equivalent method of diagnosis for IGD. Studies have not assessed formative change in diagnostic status at posttreatment or follow-up. Duration of follow-up has been inadequate to assess relapse and remission. Posttreatment assessment has been predominantly limited to IGD symptomatology, comorbidity, and frequency of gaming behavior. Conclusion: Currently, there is insufficient evidence to warrant suggestion that trialled IGD interventions confer a long-term therapeutic benefit. Several improvements to study design and reporting are proposed to guide future studies of IGD. (C) 2014 Wiley Periodicals, Inc.