Ka hoʻohana pūnaewele pūnaewele a me ka pilikia pūnaewele pūnaewele: kahi hōʻike o ka heluheluʻana i ke olakino ma waena o nā kauka kilokilo mai Australia a me New Zealand (2017)

Ua hanaʻia ka noiʻi pūnaewele me ka hoʻohanaʻana i ka Monkey Survey. ʻO nā poʻe psychiatrist i heluʻia me ka RANZCP (n= 5400) ua kūpono.

laʻana

Loaʻa i ka 289 mau pane (5.3% o nā mea koho). Hōʻikeʻia nāʻikepiliʻikepili i 1 Pūnaewele.

 

 

Ka Papahana 1. ʻO kaʻikepili a me nā hiʻohiʻona'ē aʻe o ka hoʻokolohua hana

 

 

 

Ka Papahana 1. ʻO kaʻikepili a me nā hiʻohiʻona'ē aʻe o ka hoʻokolohua hana

E nānā i ka hua nui

Ua lohe ka hapanui o nā psychiatrist (93.70%) i ka IGD / PIU. 2 Pūnaewele ʻike i nā manaʻo o nā kaulike o ka psychiatrist i ka IGD a me PIU.

 

Ka Papahana 2. Nā manaʻo a me nā loina o nā kauka e pili ana i ka Internet Gaming Disorder (IGD) a me ka pilikia o ka hoʻohana pūnaewele (PIU)

 

Ma hope o ka koho puka, ua hoʻomau ka 142 psychiatrist (58.2%) i ka nānā. Hoʻokomo iki nā keiki a me nā keiki hānai (9 / 142) i ke kiʻi ma mua aʻe o nā mea'ē aʻe (133 / 142; Fishers Exact test χ²= 31.4, df = 1, p<0.001). Kanawalukūmāhā (66.7%) i manaʻo ʻia ʻo IGD ka mea maʻamau i nā kāne. ʻO ka hapa nui (n= 74, 61.2%) manaʻoʻia nā pilikia me ka IGD e loaʻa i nā pilikia me ka pāʻaniʻana, a me ka pūnaewele pūnaewele (followed by social networking)n= 40, 33.1%). ʻO nā mea pale i ka nānāʻana i ka IGD i ka hana maʻamau,ʻo ka hemahema o ka manaʻoʻiʻo i ka manaʻo (n= 96, 71.6%), nele o ka manawa (n= 76, 55.6%), aiʻole ka hilinaʻiʻole i ka loiloi (n= 71; 52.6%). 3 Pūnaewele nā mea kiko'ī /ʻike me IGD.

 

Ka Papahana 3. Nā hana a ka poʻe Psychiatrists a me kaʻike me ka Internet Gaming Disorder (IGD)

 

Loaʻa i kahi moʻomeheu maʻamau no nā keiki a me nā poʻe'ōpiopio psychiatrist e like me kaʻaelike i ka IGD he pilikia ia o nā makahiki a pau (20 / 51 vs. 47 / 188 (χ²= 5.6, df = 2, p= 0.06)). Hoʻokomo paha nā keiki keiki hoʻonaʻauao i nā hana maʻamau no ka IGD (29 / 50 vs. 68 / 186) (χ²= 8.6, df = 2, p<0.02), a me nā pilikia pāpāho āpau i ka nānā ʻana i ka maʻi (45/50 vs. 110/186) (χ²= 16.7, df = 2, p<0.001). Eia nō naʻe, ʻaʻole paha he ʻae nā psychiatrist keiki e ʻae ʻo IGD kahi pilikia olakino noʻonoʻo (χ²= 4.2, df = 2, p= 0.12), he pilikia koʻikoʻi i nā makahiki a pau ma ka mua (χ²= .16, df = 2, p= 0.92) aʻoi aku ka maʻalahi o nā keiki a me nā'ōpio (χ²= .74, df = 2, p= 0.69). I kā lākou hana, hiki i nā keiki a me nā poʻe'ōpiopio ke nānā pololei i nā mea maʻamau no ka IGD (11 / 45 vs. 7 / 95; Nā Fishers Exact test χ²= 7.95, df = 1, p<0.01) a e ʻimi paha e pili ana i nā ʻōuli kikoʻī o ka hōʻā (16/45 vs. 9/95; Hōʻike ʻĀina ʻo Fishers χ²= 14.16, df = 1, p<0.001). Eia nō naʻe, ʻaʻole ʻokoʻa nā psychiatrist keiki a me nā mea ʻē aʻe i kā lākou kekele o ka hilinaʻi o ka hoʻokele ʻana iā PIU / IGD (33/42 vs. 77/88 manaʻo ʻaʻole lākou e hilinaʻi i ka mālama ʻana iā IGD; Hōʻoiaʻiʻo nā Fishers Exact χ²= 1.741, df = 1, p= 0.15)

Uaʻae ka hapanui o nā'anakamai (82.64%) i nā pāʻani'elepona no ka hoʻonaʻauaoʻana / kamaliʻi. ʻO ka hapanui ke koho i nā pāʻaniʻelua a lākou i manaʻo ai he mea maikaʻi,ʻoiaiʻo 40.98% i hōʻikeʻia i kekahi manawa ke hoʻoikaika nei lākou i nā keiki e pāʻani i nā pāʻani ma ka pūnaewele.

Uaʻike ka hapanui o nā mea pane 289 i ka manaʻo a me ka nui o IGD / PIU. Ma kahi o ka hapalima o nā kauka kilokilo ma kēia noiʻana ua manaʻoʻiaʻo ia mau pilikia me ka pāʻaniʻole e hoʻohālikelike i kahi maʻi. Hiki i nā keiki ke hakakā me ko lākou mau mākua ma ka pāʻani pila, ma keʻano he hoʻoponopono makua. E pili kēia mau mea me nā mea kuʻiʻole ma ka noiʻo Thorens et al.⁶

Pili pū nā PIU a me ka IGD i nā palena nui i kā lākou wehewehe a manaʻo. PIU e ho'ākāka nei i nā pilikia e pili ana i ka pūnaewele me ka nānāʻole i kaʻike. Ke hele nei kēia i ka manaʻo o ka MHM i kēia manawa no ka IGD, kahi i manaʻoʻia ai ka maʻi e pili ana i ka helu (pāʻani) a me nā hōʻailona o ka hoʻohana kūpono. ʻO ka hua'ōlelo IGD e komo pūnaewele (pāʻani) akāʻaʻole nā ​​mea'ē aʻe e hiki ke pilikia, e like me kaʻoihana pūnaewele nui. Eia hou, he mea hilahila i ka hikiʻana ke hoʻokomo i nā pāʻanikala'eleponaʻole. ʻO ia paha ke kumu o ka hoʻoholoʻana o nā kānaka kilokilo i loko o kēia haʻawina e like me ka IGD kahi kūpono o ka diagnosticsʻoi aku.

Uaʻae ka hapalua o nā mākia psychiatrist me ka'ōlelo 'ʻo ka manaʻo maʻalahi, he mea kūpono loa ka hōʻailona waiwai a piliʻole i kaʻike pono IGD'. Eia naʻe,ʻo nā pilikia me keʻano hōʻailona hana ka hoʻohanaʻana i nā pae hoʻohālikelike i ka IGD,⁹ IGD ma keʻano he papa hana kope,¹⁰ ke kūpono o ka manaʻo o ka holo, kaʻoluʻolu a me ka hōʻeha e like me ke kākoʻo i ka hoʻolimalima i ka pāʻani¹⁰ a me kaʻike nui o ka manaʻo o ka pūnaewele kaiaulu.¹¹ ʻOiaiʻo ka lōʻihi o kaʻoihana pūnaewele e pili ana i nā hopena no ka ola kino,⁴ ua hoʻohewaʻia kona hoʻohanaʻana i mea hoʻohālike no ka IGD.⁹ Ua hoʻohanaʻia nā hāmeʻa ma ka mālamaʻana i nā pilikia o ke kino a me ka uluʻana o ka hopena maikaʻi.¹² Malia paha e wehewehe nei i ka mea iʻaeʻole ai ka hapalima o nā mea pane ma kēia mahele a me ka manaʻo o keʻano hōʻailona waiwai.

E like me nā mea'ē aʻe,^6,7,9 uaʻikeʻia ka hapanui o nā mākaʻi kilokilo ma kēia hoʻolālā he hiki ke hoʻoweliweliʻia i nā mea pāʻaniʻole. Hōʻaia kēia i nā manaʻo e hoʻololiʻia ka '' kuhi pūnaewele 'i nā hua'ōlelo e pili ana i nā kūlana maʻamau a me ka nānāʻole paha o kēia mau polokalamu ma waho pūnaewele. ʻAʻoleʻo PIU a IGD e hopu i nā pāʻanikalaʻeleʻele e piliʻole i ka pūnaewele. ʻO kahi maʻamau ka heleʻana o kahi pale. No laila, ke manaʻo nei mākou e hoʻokumuʻia kekahiʻenehana nui e kapaʻiaʻo 'Screen Use Disorder' i nā papahana o ka hoʻohuiʻana. Eʻikeʻia kēia hua'ōlelo e pili ana i ka 'Substance Use Disorder'ʻoiai he manawa lōʻihi e pili ana i nā hana kūpono no ka mea inā e hanaʻia nei ma ka pūnaewele a iʻole ka pūnaewele paha. Ke hāpai nei mākou e hoʻonui i ka hoʻohālikelikeʻana i kahi kūlana kūpono, e like me ka hoʻohanaʻana i ka weheweheʻana o ka wehewehe: Nānāʻana, a iʻole ka hoʻohanaʻana i ka hoʻohanaʻana i kaʻike. Social networkworking, etc.^7,9 Hoʻomaopopo mākouʻaʻole e kūpono kēia i kekahi o nā hemahema o ka manaʻo o keʻano hōʻailona e like me ia i luna.

ʻO ka hapanui o nā nīnau kilokilo e nīnau e pili ana i ka lōʻihi o ka manawa makaleka a me ka heleʻana o kahi pale ma loko o ka lumi moe; akā naʻe, ka nui o nā maka psychristrists no ka IGD. Hōʻike kēia i ka hoʻolālā i kaʻoihana, kahi eʻike aku ai ka poʻe psychiatrist i ka EST ma kahi o ka IGD. E like me nā mea i huli muaʻia,⁶ uaʻike nā mākikokala ma kēia hoʻolālā i ka manaʻo,ʻaʻole lākou he hōʻailona no ka maʻi a he nui ko lākou hilinaʻi i ka mālamaʻana. Ma kēiaʻikeʻana ua hoʻomaopopoʻiaʻo PIU he pilikia nui loa i nā kāne. He kiʻi hou¹³ hōʻike i ka wā iʻoi aʻe ka nui o nā pāʻani pāʻani ma nā kāne, uaʻoi aku ka laulā o nā'enepela pūnaewele i nā wāhine. Hoʻohui kēia i ka hōʻoia i ka manaʻo no nā kaikamāhineʻaʻole e pāʻani i ka pāʻani akā e pili pū kekahi i nā pilikia pili. Hiki paha i nā kaikamāhine ke hoʻolimalima i ka manawa ma kahi pūnaewele a iʻole ma kekahi mau hana papahana. ʻAʻole hiki ke hopuʻia kēia heluna e ka manaʻo o IGD.

ʻO ko mākouʻike, eia ka hōʻike mua o nā manaʻo a me nā manaʻo o nā mākikokala i ka hoʻohana ponoʻana i nā manaʻo o IGD / PIU. ʻO ka pane nui o ka 5.3% o nā mea i kohoʻia. ʻO ka palena nui o ka loiloi,ʻaʻole ia e hiki ke hoʻohālikelikeʻia e like me keʻano he luna no nā Australasian psychiatrists ākea. Eia naʻe,ʻo ka pane kiʻekiʻe o nā haumāna a me nā kumu'ōpio (29.4%) e hōʻike ana paha paha he mea hōʻailona paha ia no kēia mau psyipital.

He pili kēia mahele no ka manaʻo o IGD / PIU a me nā hana a nā poʻe kilokilo e pili ana i kēia mau pilikia. ʻOiai he mea nui ka pilikia o PIU / IGD i ke kaiāulu,ʻaʻole i maopopo i ko lākou wahi i nā papahana papahana. Ke hāpai mākou i ka hoʻokomoʻia o nā hua'ōlelo'ē aʻe iʻoi aku me keʻano o nā mea āpau me ka nānāʻole i keʻano o ka loaʻa. Hoʻonuiʻia kaʻike o nā poʻe hoʻomanā'ōlelo i ka nui o ka manawa manawa e hoʻopauʻia e pili ana i ka pāʻani maʻamau a me nā mea maʻamau. ʻO ka hilinaʻi i waena o nā kauka kilokilo ma ka mālamaʻana i ka IGD he haʻahaʻa. He mea nui kēia. Me ka nui o ka pilikia, he nui nā hopena no ka hāʻawiʻana i ka lawelawe. Paipai mākou e hana i nā mea kani / hana kuʻikuʻu e kōkua i ka hoʻomakaʻana i ka hōʻailona a me nā lawelawe hoʻolālā. ʻO nā'āina e like me Singapore a me South Korea he mau lawelawe nui i hoʻonohonoho ponoʻia no nā poʻe maʻi me IGD. E hoʻopili houʻia kēia mau mea maʻApelila. ʻO nā mea hōʻeuʻeu i ka nānāʻana i ka IGD e pono e kūkākūkāʻia ma nāʻimi noiʻi a me nā hoʻonohonoho lawelawe.

Ka weheweheʻAʻole hōʻikeʻia e nā mea kākau i nā mea pili'ē. ʻO ka mea kākau wale nō ke kuleana no kaʻike a me ka kākauʻana o ka pepa.

Ka loaʻaʻana o ke kālāʻO ka mea kākau (s) i loaʻaʻole ke kālā kālā no ka noiʻi, ka mea kākau, a me ka hoʻolahaʻana paha o kēiaʻatikala.

E hoʻomaopopo '