Die effek van metielfenidaat op internet-videospeletjies speel by kinders met aandag-tekort / hiperaktiwiteitsversteuring (2009)

KOMMENTAAR: Metielfenidaat is Ritalin. Wat behandel hulle - verslawing of ADHD? Verslawing behels lae dopamien, en ritaline verhoog dopamien.

Compr Psigiatrie. 2009 May-Jun;50(3):251-6. doi: 10.1016/j.comppsych.2008.08.011.
 

Bron

Department of Psychiatry, Chung Ang University Medical School, Seoul 140-757, South Korea.

Abstract

DOEL:

'n Aantal studies oor aandagafleibaarheid/hiperaktiwiteitsversteuring (ADHD) en internetvideospeletjies het die prefrontale korteks en dopaminergiese stelsel ondersoek. Stimulante soos metielfenidaat (MPH), wat gegee word om ADHD te behandel, en videospeletjies is gevind om sinaptiese dopamien te verhoog. Ons het veronderstel dat MPH-behandeling internetgebruik in vakke met gelyktydige ADHD en internetvideospeletjieverslawing sal verminder.

METODES:

Sixty-two children (52 males and 10 females), drug-naive, diagnosed with ADHD, and Internet video game players, participated in this study. At the beginning of the study and after 8 weeks of treatment with Concerta (OROS methylphenidate HCl, Seoul, Korea), participants were assessed with Young’s Internet Addiction Scale, Korean version (YIAS-K), Korean DuPaul’s ADHD Rating Scale, and the Visual Continuous Performance Test. Their Internet usage time was also recorded.

RESULTATE:

After 8 weeks of treatment, the YIAS-K scores and Internet usage times were significantly reduced. The changes in the YIAS-K scores between the baseline and 8-week assessments were positively correlated with the changes in total and inattention scores from the Korean DuPaul’s ADHD Rating Scale, as well as omission errors from the Visual Continuous Performance Test. There was also a significant difference in the number of omission errors among non-Internet-addicted, mildly Internet addicted, and severely Internet addicted participants.

BESPREKING:

Ons stel voor dat internetvideospeletjies 'n manier kan wees om selfmedikasie vir kinders met ADHD te wees. Daarbenewens stel ons versigtig voor dat MPH geëvalueer kan word as 'n potensiële behandeling van internetverslawing.