The effect of family therapy on the changes in the severity of on-line game play and brain activity in adolescents with on-line game addiction.
The effect of family therapy on the changes in the severity of on-line game play and brain activity in adolescents with on-line game addiction.
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DOI：
10.1016/j.pscychresns.2012.02.011
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发表时间：
2012-05-31
影响因子：
11.3
通讯作者：
Renshaw PF
中科院分区：
文献类型：
--
作者：
Han DH;Kim SM;Lee YS;Renshaw PF
我们评估了对于来自功能失调家庭、符合网络游戏成瘾标准的青少年来说，为期三周的简短家庭治疗干预是否会改变大脑对情感和游戏线索的激活模式。招募了 15 名有网络游戏成瘾的青少年和 15 名没有网络游戏问题且家庭结构完整的青少年。在 3 周的时间里，家庭被要求完成每周 4 天、每天 1 小时以上的家庭作业，重点是增强家庭凝聚力。在治疗前，通过功能磁共振成像（fMRI）测量，与健康对照受试者相比，患有网络游戏成瘾的青少年在尾状核、颞中回和枕叶内对描绘父母情感的图像的反应活动减少，而在网络游戏的反应场景中，中额叶和顶下叶的活动增加。治疗三周后，感知到的家庭凝聚力的改善与尾状核响应感情刺激的活动增加有关，并且与在线游戏时间的变化呈负相关。有证据表明，大脑激活会因在线游戏提示和描绘父母之爱的图像而发生变化，目前的研究结果表明，家庭凝聚力可能是治疗有问题的在线游戏的一个重要因素。
We evaluated whether a brief 3-week family therapy intervention would change patterns of brain activation in response to affection and gaming cues in adolescents from dysfunctional families who met criteria for on-line game addiction. Fifteen adolescents with on-line game addiction and fifteen adolescents without problematic on-line game play and an intact family structure were recruited. Over 3 weeks, families were asked to carry out homework assignments focused on increasing family cohesion for more than 1 hour/day and 4 days/week. Before therapy, adolescents with on-line game addiction demonstrated decreased activity as measured by functional magnetic resonance imaging (fMRI) within the caudate, middle temporal gyrus, and occipital lobe in response to images depicting parental affection and increased activity of the middle frontal and inferior parietal in response scenes from on-line games, relative to healthy comparison subjects. Improvement in perceived family cohesion following 3 weeks of treatment was associated with an increase in the activity of the caudate nucleus in response to affection stimuli and was inversely correlated with changes in on-line game playing time. With evidence of brain activation changes in response to on-line game playing cues and images depicting parental love, the present findings suggest that family cohesion may be an important factor in the treatment of problematic on-line game playing.