In addition, most online gamers are not exposed to addiction, suggesting the presence of factors mitigating against IGA. It has been reported that online games bring happiness to players, reduce anxiety, depression ( 12) and improve cognitive function ( 13). However, some researchers have suggested that IGA should not be classified as a mental disease ( 11). Related research has indicated that IGA may decrease sleep quality and has a strong correlation with different degrees of anxiety, depression and other psychological distress ( 9, 10). Clinical studies have found that IGA has the characteristic similar to those of behavioral addiction, such as excessive attention-seeking, compulsive, lack of control and impulsive behavior ( 8). The introduction of two new standards has guided the primary direction for research in this field ( 7), but has also generated significant controversy. In 2019, the World Health Organization (WHO) regarded gaming disorder as a mental disease and classified it in the category of the disorders caused by addictive behaviors ( 6). IGA has been considered as a clinical phenomenon that requires further study, per the Diagnostic and Statistical Manual of Mental Disorders, 5th Edition, 2013 (DSM-5) ( 5). The individual susceptibility constituted by genetic, physio genesis and personality characteristics may predispose young people to addictive tendencies and indicates that IGA disorder of young people is a real problem that needs attention. In addition, the above studies have found that young people are the high incidence population of IGA. investigated more than 3,000 subjects and found that the prevalence of IGA was 0.3–4.9% ( 4). ( 3) analyzed 36 representative investigations and found that the prevalence of problematic IGA was 3.5–17%. Previous research reported that the prevalence of IGA has been estimated to be 0.5–6% ( 1, 2). Problems related to IGA have become increasingly concerning. With the rapid growth of the online game market, many young men indulge in online games, which has resulted in lots of negative social effects. As a cognitive control process, executive function may play a key role in regulating IGA and emotional state. In particular, the emotional state and executive function of students with excessive online game behaviors should be monitored and intervened in advance to avoid game behaviors turning into indulgent behaviors or addiction. Online game activities should not be entirely denied, but mental disorders caused by excessive gaming activities deserve attention. A dual role of online games was identified moderate online game activities can improve the emotional state and executive function of college students, while excessive online game behaviors that may not reach the degree of addiction can also harm emotional state and executive function.Ĭonclusions: This study suggests that although IGA has been regarded as a mental disease, online game behavior should be treated differently. This study did not identify any students who met the criteria for IGA, and 3% met the criteria for indulgent behavior. The study found that the online behavior of 17.76% of college students was online game behavior. The primary age group was 18–27 years (91.53%), and the educational background was a bachelor's degree (94.7%). Results: A total of 850 participants completed the survey, including 353 males (41.53%) and 497 females (58.47%). The questionnaires included the Internet Game Addiction (IGA) Scale, Behavior Rating Inventory of Executive Function (Adult Version, BRIEF-A), Generalized Anxiety Disorder Scale (GAD-7) and Patient Health Questionnaire Scale (PHQ-9). Methods: Based on the whole class random sampling method, a questionnaire survey was conducted among college students in Northern Anhui, China from March 7 to March 27, 2020. This study aims to clarify the correlation between the online game behaviors of college students and anxiety, depression, and executive function of college students in China, from a questionnaire-based investigation. School of Mental Health, Bengbu Medical College, Bengbu, Chinaīackground and Objective: Since the classification of gaming disorder (GD) by the World Health Organization (WHO) as “mental disorder caused by addictive behaviors,” there has been controversy regarding whether online game behaviors can lead to mental disorder.Wei Zhao † Tao Wei † Ruidong Zhou † Yujing Wang Yan Wang Zixuan Ren Wenyi Shao Hanrun Luo Yiding Zhou Nuo Chen Qiao Lu Xun Song Ziyao Zhang Yinnuo Fang Xinyi Zhang Dongliang Jiao *
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