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问题游戏的性质和特征,重点关注ICD-11诊断
John B Saunders1, Gary Chan, Janni Leung
1National Centre for Youth Substance Use Research, The University of Queensland, Brisbane, Queensland, Australia.
Current opinion in psychiatry
|May 10, 2024
概括
国际疾病分类-11 (ICD-11) 包括游戏障碍,全球影响3-6%. 提出了一个新的诊断,有害游戏,以覆盖与游戏相关的伤害,不符合完整的障碍标准.
科学领域:
- 精神病学是一个精神病学.
- 公共卫生 公共卫生
- 数字健康数字健康
背景情况:
- 问题博是一个日益关注的问题,具有重大公共卫生影响.
- 世界卫生组织 (WHO) 在2022年发布了"国际疾病分类 (ICD-11) "第11次修订版,其中包括游戏障碍的标准.
研究的目的:
- 在ICD-11中审查与问题游戏相关的诊断.
- 总结有关游戏障碍的流行,结构,先例和并发症的当前文献.
- 评估现有的诊断是否充分解决了问题游戏体验的范围.
主要方法:
- 对游戏障碍患病率和特征研究的系统文献综述.
- 对游戏障碍的ICD-11诊断标准的分析.
- 探索"有害游戏"概念作为一个独特的诊断实体.
主要成果:
- 游戏障碍的全球患病率在3%至6%之间,尽管许多研究存在方法上的限制.
- 在ICD-11中,游戏障碍被认为是心理测量学上正确的诊断.
- 当前的诊断框架没有捕捉到从游戏中遭受伤害的个体,而没有满足游戏障碍的全部标准.
结论:
- 提出的"有害游戏"的诊断得到证据的支持,并将包括游戏造成的精神和身体伤害,其中不符合全部障碍标准.
- "有害游戏"的诊断将完成不健康游戏的诊断谱,类似于物质使用障碍.
- 实施这种诊断可以促进公共卫生方法,以减轻不健康游戏的整体危害.
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