Comments: Ntau video gaming = ntau cov tsos mob ntawm ADHD
Ann Gen Psychiatry. 2006 Oct 24; 5: 16.
Tau qhov twg los
Department ntawm Internal tshuaj, Rhode Island tsev kho mob, Brown University, Providence, RI 02912, USA. [email tiv thaiv]
Abstract
KEV THOV:
Ntev li ntawm kev siv ntawm Internet tau txuam nrog kev paub tsis meej tsis haum (ADHD), tab sis kev sib raug zoo ntawm kev ua si hauv video thiab ADHD cov tsos mob rau cov hluas feem ntau tsis paub.
KEV HLOOV:
Ib daim ntawv ntsuam xyuas cov hluas thiab cov niam txiv (n = 72 cov hluas, 72 niam txiv) tau ua qhov kev soj ntsuam txhua hnub siv rau hauv Internet, TV, kev ua si yees duab, thiab Internet video games, thiab lawv cov koom nrog kev ua haujlwm thiab kev sib raug zoo. Cov tub ntxhais kawm yog cov tub ntxhais kawm theem siab hauv qib cuaj thiab qib kaum. Cov tub ntxhais kawm raug tswj hwm muab hloov kho Young's Internet yees Nplai (YIAS) thiab nug cov lus nug txog qoj ib ce, qib, ua haujlwm, thiab raug ntes hauv tsev kawm ntawv. Cov niam txiv tau raug hais kom ua kom tiav Cov Ntsiab Lus ntawm Niam Txiv Qhov Ntaus Nqi (CPRS) thiab teb cov lus nug ntsig txog kev mob / mob hlwb hauv lawv tus menyuam.
COV LUS QHIA:
Muaj kev sib raug zoo tseem ceeb thaum lub sijhawm siv sijhawm ua si ntau dua li ib teev nyob rau ib hnub thiab YIAS (p <0.001), qhov qhab nia nruab nrab ntawm cov qhab nia nruab nrab (p <lossis = 0.019), thiab "Inattention" thiab "ADHD" Cheebtsam ntawm CPRS (p <lossis = 0.001 thiab p <lossis = 0.020, txuas). Tsis muaj lub koom haum tseem ceeb nyob hauv nruab nrab ntawm lub cev qhov ntsuas (BMI), kev tawm dag zog, tus naj npawb ntawm kev raug ntes, lossis "Kev Tawm Tsam Tawm" thiab "Hyperactivity" cov ntsiab lus ntawm CPRS thiab kev siv yeeb yaj kiab.
XAUS:
Cov tub ntxhais hluas uas ua si ntau tshaj li ib teev ntawm console los yog Internet kev ua si hauv video tej zaum yuav muaj cov tsos mob ntawm ADHD ntau dua lossis ntau tshaj qhov lawv tsis ua. Vim tias qhov teeb meem tsis zoo no tej zaum yuav muaj nyob rau cov kev kawm zoo, qhov ntxiv ntawm cov sij hawm ntxiv siv yees duab ua si kuj yuav tso cov neeg no kom muaj teeb meem rau tsev kawm ntawv.
Tom qab
Kev taw qhia ntawm lub xov tooj nyob rau hauv lub xyoo pua puas xyoo ushered nyob rau hauv ib tug tshiab era ntawm kev sib txuas lus thiab kev sib raug zoo. Cov kev nce qib ntxiv hauv kev siv tshuab ua rau tsim lub xov tooj, xov tooj cua, thiab TV. Tsis ntev los no, Internet tau ua tus pinnacle ntawm kev sib tshuam hauv lub ntiaj teb niaj hnub no thiab pab kom muaj ntau hom kev sib txuas lus. Txhua tiam neeg tau txhawj xeeb txog qhov tsis zoo ntawm cov xov xwm ntawm kev sib raug zoo thiab kev sib raug zoo ntawm tus kheej. Hauv Internet cuam tshuam rau cov tub ntxhais hluas vim ntau lub hauv paus thiab tau los ua kev sib raug zoo rau ntau tus neeg siv xws li kev xa xov, e-mail, kev ua si, kev kawm, thiab suab paj nruag.
Internet thiab lwm hom xov xwm raug tshaj qhia tias muaj teeb meem kev noj qab haus huv thiab kev puas hlwb rau cov hluas. Lub koom haum ntawm kev saib TV thiab kev rog, kev puas siab ntsws, kev ua haujlwm hauv tsev kawm ntawv, thiab kev ua phem raug qhia [1-6]. Zoo li no, cov kev tshawb fawb tsis ntev los no txog kev siv Is Taws Nem hu ua "Kev Siv Is Taws Nem" yog kev cuam tshuam tsis zoo rau kev noj qab haus huv [7,8]. Ib qho kev sib raug zoo ntawm kev siv Internet thiab kev paub tsis meej tsis haum (ADHD) kuj tau pom nyob hauv cov menyuam kawm ntawv theem qis [9]. Lwm cov kev tshawb fawb tau qhia qhov zoo sib xws ntawm kev siv computer yees duab yees thiab kev quav twv txiaj los yog tshuaj yeeb tshuaj [10-12].
Cov nyhuv ntawm cov yeeb yaj kiab hauv kev ua si rau cov tub ntxhais hluas tsis zoo li qub txawm tias lub cev loj ntawm cov pov thawj pom lawv cov xwm yeem thiab cov neeg muaj txiaj ntsig [13-15]. Xwb, kev ua si hauv kev siv video yuav tshaj qhov kev siv TV hauv cov menyuam yaus [16]. Hauv cov hluas ua ntej cov hluas, kev rog tau txuas nrog ntau zuj zus ntxiv hauv cov kev ua si hauv video, tab sis lwm cov kev tshawb fawb tau tawm tsam qhov kev pom ntawm ntau tus neeg [17-19]. Cov kev tshawb fawb feem ntau ntawm kev puas siab puas ntsws thiab kev siv xov xwm tsis yog tshawb xyuas cov yeeb yaj kiab ua si, tab sis lawv suav tias yog lawv siv lub xov tooj cua lossis siv Internet. Ib qhov chaw kawm ntau yog cov ntsiab lus ntawm kev ua si yees duab thiab lawv cov kev sib raug zoo rau kev coj cwj pwm tom ntej hauv cov me nyuam [14,20-22]. Lwm cov ntaub ntawv qhia tau sau tseg cov koom haum ua yeeb yaj kiab thiab lwm yam kev mob xws li mob qog nqaij hlav, mob qog nqaij hlav, thiab qhov ncauj tob hauv thrombosis, tab sis lub zog ntawm cov koom haum no tseem tsis tau tsim muaj [23-27].
Txawm tias tsis ntev los no, tej cov kev tshawb fawb pom tau muaj txiaj ntsig zoo ntawm kev ua si hauv kev ua si. Ib txoj kev tshawb los ntawm Li li al pom muaj kev sib raug zoo ntawm kev tsav tsheb thiab kev coj cwj pwm hauv cov me nyuam yaus hnub nyoog kawm ntawv [28]. Lwm cov kev tshawb fawb tau qhia tias yav dhau los ntawm kev siv computer kev ua rau kev ua tau zoo hauv laparoscopic simulator hauv cov kws kho mob [29]. Ntxiv rau, kev ua yeeb yaj kiab yees duab feem ntau yog siv los txhawb kev kawm thiab kev cob qhia nyob rau hauv ntau qhov chaw, nrog rau kev kawm kho mob [30,31].
Lo lus “vis dis aus video” tsis yog ib txwm sib txawv ntawm console thiab Internet / computer game games tab sis hloov, qhia tias muaj pawg sib dhos. Console video games suav nrog Nintendo, Sony Playstation, Microsoft Xbox, thiab lwm yam. Internet games games yog hais txog computer games ua si online nyob rau community community nrog lwm tus neeg ua si. Txawm hais tias zoo sib xws hauv cov xwm, ob peb qhov tseem ceeb sib txawv. Cov kev ua si hauv Console tuaj yeem ua si nrog lwm tus neeg, tab sis kev ua si feem ntau yog "ib leeg ua si" thiab yog txhais rau yuav ua si ib leeg. Internet games tab sis, yog tsim los rau “tus neeg siv ntau yam” thiab siv ua si nrog lwm tus online, feem ntau nyob rau ntawm cov chaw deb. Cov kab lus ua si tsis tshua kim dua Internet kev ua si, thiab tsis tas yuav muaj lub khoos phis tawm. Cov yeeb yaj kiab ntawm cov vis dis aus ua si hauv Is Taws Nem piv rau console ua si kuj txawv ntawm cov ntsiab lus. Cov ntsiab lus kev ua si ntawm cov khoom siv ua si suav nrog kev ua kis las, kev nqis tes ua, lub tswv yim, tsev neeg, duab dhos ua si, kev ua si ua si, thiab kev sim siab, thaum cov vis dis aus tau tsim los rau kev siv Is Taws Nem muaj qhov tshwj xeeb dua thiab feem ntau yog kev ua thiab cov tswv yim. Txoj kev ua lag luam yeeb yaj kiab, tsis hais txog hom twg, yog qhov kev lag luam ntau ntau lab daus las uas feem ntau cuam tshuam cov menyuam yaus thiab cov hluas.
Kev sib raug zoo ntawm kev ua si hauv video thiab ADHD yog tsis paub. Qhov teeb meem ntawm ADHD tseem nce siab thiab yog ib qho teeb meem tseem ceeb ntawm kev kho mob, nyiaj txiag, thiab kev kawm [32,33]. ADHD yog ib txoj kev tsis zoo uas feem ntau xav tau kev pab los ntawm tus menyuam lossis tus hluas, cov xib fwb, cov niam txiv, thiab cov kws kho mob kom paub tseeb thiab kho zoo [34]. Cov Qauv Txheej Txheem Kev Ntsuam Xyuas Ntawm Niam Txiv (CPRS) [35] yog qhov khoom siv dav tshaj plaws los pab rau kev kuaj mob ntawm cov menyuam uas muaj ADHD. CRS muaj ob leeg niam txiv thiab tus kws qhia ntawv cov lus nug, thiab muaj ntau yam xws li tus cwj pwm tsis txaus siab, kev txhawb zog siab, kev tsis txaus siab, thiab ADHD.
Qhov kev tshawb xyuas no tshuaj xyuas qhov kev sib raug zoo ntawm kev siv video kev siv thiab cov tsos mob ntawm ADHD. Lwm cov kev kawm tsis suav nrog lub cev qhov Performance index Performance Index (BMI), tsev kawm ntawv qib kawm, haujlwm, raug kaw, thiab tsev neeg qhov teeb meem.
txoj kev
Tus qauv tsim thiab cov txheej txheem
Tom qab txais IRB kev pom zoo, cov kev kawm tau raug xaiv los ntawm ib lub tsev kawm ntawv theem siab hauv Vermont. Kev tso cai los ntawm tsev kawm ntawv cov neeg ua haujlwm tau txais thiab hu tau nrog lub hoob kaas thiab cov xibfwb qhia ntawv. Kev tshawb fawb tau faib tawm rau tag nrho 9th thiab 10th cov menyuam kawm ntawv hauv tsev kawm ntawv (n = 221). Daim ntawv tshawb fawb tau muab cov lus nug rau cov menyuam kawm ntawv (tsib nplooj) thiab niam txiv (ob nplooj ntawv) los ua tiav ntawm nws tus kheej, nrog rau daim ntawv tso cai uas yuav tsum tau kos npe los ntawm tus menyuam thiab niamtxiv kev koomtes rau kev kawm. Tag nrho cov ntawv tshawb fawb tau muab tsis qhia npe. Kev ntsuam xyuas tau khaws tseg (n = 162) los ntawm lub Chaw Khiav Haujlwm. Kaum yim tshawb tau raug tshem tawm vim cov lus teb tsis tiav. Lub ntsiab lus kawg yog ua 144; 72 txhua tus niam txiv thiab cov tub ntxhais kawm. Cov kev sib tw fais fab thawj tau raws li tau qhia txog 10% feem pua ntawm cov kev puas siab puas ntsws hauv cov neeg hluas thiab hu rau tag nrho 200 cov tub ntxhais kawm rau lub hwj chim ntawm 0.80. Txawm li cas los xij, cov ntsiab lus tseem ceeb tau tshwm sim tom qab kev soj ntsuam 144 cov lus nug tiav thiab coj peb los xaus tias txoj kev tshawb no yuav raug txiav tawm ntawm qhov chaw ntawd.
Kev ntsuas
Cov sijhawm siv sijhawm tso video games, saib TV, lossis siv Is Taws Nem tau raug ntsuas siv lub sijhawm ntsuas tsawg dua li ib teev, ib mus rau ob teev, peb mus rau plaub teev, lossis ntau dua plaub teev. Cov ntaub ntawv ntsuam xyuas tub ntxhais kawm suav nrog Young Cov Qauv Siv Is Taws Nem hauv Internet, hloov kho rau kev siv yees duab (YIAS-VG; kev sib txawv sab hauv, alpha = 0.82) [36]. Qhov ntsuas no tau muab tso rau hauv cov kev tshawb fawb dhau los rau kev siv Internet hauv cov cuab yeej zoo [13,36]. Cov lus nug cuam tshuam txog qhov tsis zoo ntawm kev ua yeeb yaj kiab hauv kev ua haujlwm thiab kev sib raug zoo nrog rau kev siv yeeb yaj kiab ntau dhau, kev tsis saib xyuas kev ua haujlwm thiab lub neej kev ua neej, kev cia siab, tsis muaj kev tswj hwm, thiab kev muaj tseeb. Cov niam txiv tau raug tshawb fawb los ntawm kev siv Cov Ntsiab Lus ntawm Niam Txiv Kev Ntaus Nqi (CPRS; kev sib txawv sab hauv, r = 0.57) [35]. CPRS faib cov cwj pwm coj los ua plaub yam: tawm tsam, ua siab ntev, tsis xav ua, thiab ADHD. Lwm yam khoom muaj xws li poj niam txiv neej, tsev neeg teeb meem, ua haujlwm ib lim tiam, raug kaw hauv lub hli dhau los, ua haujlwm, thiab kawm ua haujlwm. Tsev neeg qhov teeb meem txhais tau tias yog nyob nrog niam txiv sib yuav los yog nyob nrog ib tus niam txiv uas sib nrauj los yog sib cais. Cov qhab-nees kev kawm tau raug soj ntsuam los ntawm txhua tus qhab-nia nruab nrab ntawm cov qhab-nees thiab cov qhab-nees xeem dhau los ntawm kev ua lej thiab cov hoob kawm Askiv uas tau muab coj los ua cov haujlwm tseem ceeb hauv cov kev kawm hauv high school.
Cov ntaub ntawv ntsuam xyuas
Cov pauv hloov pauv raws li cov lej tau sau ua lej (BMI, qib, YIAS-VG, CPRS) raug soj ntsuam siv cov tub ntxhais kawm ntsuas t-xeem thiab Mann-Whitney test. Txoj kev tom kawg yog los ntawm cov txiaj ntsig nruab nrab thiab yog qhov kev xaiv zoo dua thaum ntsuas cov qauv me. Cov ntaub ntawv tau tshaj tawm tias "yog / tsis yog" (pw ua ke, ua haujlwm, kuaj ib ce, tawm dag zog, thiab tsev neeg qhov xwm txheej) tau tshawb xyuas siv ntsuas chi-square. Cov txiaj ntsig tau pom tias tseem ceeb yog p ≤ 0.05. Lub sijhawm siv sijhawm ua si video games, saib TV, thiab siv is taws nem kuj ywj siab. Lub sij hawm sib piv piv rau cov tub ntxhais kawm uas siv tsawg dua ib teev lossis ntau dua ib teev rau ib qho kev ua. Qhov kev txiav tawm ib teev raug siv vim tias nws tau muab ntau qhov kev faib tawm ntawm cov pawg neeg tsawg dua ob pawg txawm hais tias muaj lwm lub sijhawm sib piv.
tau
Txoj kev tshawb no muaj cov tub ntxhais kawm ntawv 72; 31 Cov Txiv Neej thiab 41 pojniam nyob qib 9 thiab qib kaum. Nruab hnub nyoog yog 15.3 ± 0.7 xyoo. Cov xwm txheej hauv kev kawm muaj nyob rau hauv Table Table1.1. Yuav luag 32% ntawm cov tub ntxhais kawm tau ua haujlwm thiab 89% muaj cov niam txiv uas tau sib yuav lawm. Kaum cov tub ntxhais kawm tau muaj tsawg kawg yog ib lub txim nyob rau lub hlis tas los thiab ob tug tub ntxhais kawm tau koom nrog kev sib ntaus sib tua hauv lub xyoo dhau los. Plaub cov tub ntxhais kawm tau haus cawv thiab ib tug tub kawm ntawv tau qhia txhua hnub haus luam yeeb. Ob tug menyuam kawm ntawv tau qhia txog kev kuaj mob ntawm ADHD thiab plaub qhia tias muaj kev nyuaj siab thiab / lossis ntxhov siab.
Qhov kev ntsuas BMI rau cov tub ntxhais hluas uas tau saib tsawg tshaj li ib teev ntawm TV tauj ib hnub yog 20.28 ± 2.33 thiab 22.11 ± 4.01 rau cov neeg uas tau saib ntau tshaj ib teev hauv TV (p = 0.017, Table Table2).2). Muaj kev sib txig ntawm cov BMI yooj yim dua rau cov tub ntxhais hluas siv ntau tshaj ib teev ua si video games, tab sis cov ntsiab lus no tsis tseem ceeb. Tsis muaj kev koom tes nyob nruab nrab ntawm BMI thiab lub sijhawm siv Internet.
Cov tub ntxhais kawm uas ua yeeb yaj kiab video ntev dua ib teev muaj qhov nce zoo ntawm YIAS-VG (p <0.001 rau console thiab Internet video games, Rooj Table3).3). Lwm cov dej num tau txuam nrog ib tug qauv mus rau nce lub YAS-VG, tab sis tsis tseem ceeb.
(P ≤ 0.001 rau hauv Internet thiab console video games) thiab ADHD (p = 0.018 thiab 0.020 rau kev nplua thiab kev ua si hauv Internet, tus cwj pwm) nyob hauv cov neeg ua si video games rau ntau tshaj ib teev (Table3).3). Tsis muaj kev koom tes tseem ceeb ntawm cov kev ua haujlwm lossis kev tivthaiv yam tsis txaus siab ntawm CPRS thiab kev siv video. Tsis muaj kev sib raug zoo hauv ib qho ntawm plaub yam thiab siv Internet los yog siv TV.
Muaj kev sib txig mus rau qib qis rau cov menyuam kawm ntawv uas caij dej hauv Internet thiab ua si hauv kev ua si rau ntau tshaj ib teev, tab sis cov ntsiab lus no tsis tseem ceeb (Rooj Lus (Table4).4). Txawm li cas los xij, cov menyuam kawm ntawv uas ua si video games rau ntau tshaj ib teev thiab tag nrho grade point average (GPA, p = 0.019 thiab 0.009 rau console thiab Internet games).
Cov txiv neej tau nce ntau dua li poj niam siv sijhawm ntau dua li ib teev ib hnub ua si console lossis internet video games (p <0.001 thiab p = 0.003, feem). Nees txivneej qhia txog ua si video games rau ntau dua li ib teev hauv ib hnub nrog rau tsuas yog ib tus poj niam hluas qhia txog ua si internet video ua si ntau dua li ib teev. Tsis muaj kev sib raug zoo tseem ceeb ntawm poj niam txiv neej thiab sijhawm siv sijhawm saib TV lossis nyob hauv Is Taws Nem. Peb tseem pom tias tsis muaj kev sib koom ua ke tseem ceeb nyob rau sijhawm siv rau hauv xov xwm thiab cov tub ntxhais kawm uas ua haujlwm, muaj niam thiab txiv sib yuav, tau raug ntes ntau dua nyob rau ib hlis, lossis siv ntau dhau.
kev sib tham
ADHD cov menyuam yaus thiab cov tub ntxhais hluas tau raug ntaus nqi rau ob qho tib neeg caj ces thiab ib puag ncig [37]. Ntawm cov ntawv tshaj tawm, tsuas siv cov kev siv ntau hauv Internet tau tshaj tawm ua ke nrog ADHD. Tus kab mob ADHD tau tso siab rau cov tswv yim los ntawm cov xib fwb, cov niam txiv, thiab cov kws kho mob. Qhov kev tshawb nrhiav no tau pom tias muaj cov tshuaj ADHD thiab cov kabmob ua tsis zoo rau cov tub ntxhais hluas uas ua si video games rau ntau tshaj ib teev ib hnub.
Qhov feem ntau ntawm ADHD rau cov tub ntxhais hluas raug tshaj tawm tias yog 4-7% [37,38]. Txoj kev tshawb no pom tias muaj ntau tshaj 8.3% raws li ib qho kev kuaj mob los ntawm niam txiv. Nws tsis tuaj yeem los txiav txim qhov tseeb ntawm ADHD raws li cov qhab-nees ntawm CRPS. Cov kev mob tshwm sim ntau dua lossis ntau dua ntawm kev coj tus cwj pwm tsis zoo thiab cov ADHD tau pom nyob hauv cov menyuam kawm ntawv uas ua si video games rau ntau tshaj ib teev, tiam sis yuav tsum kawm ntxiv kom nkag siab ntxiv rau kev sib koom tes ntawm kev ua si hauv video thiab ADHD. Nws tseem tsis paub meej tias puas tau ua si video games rau ntau tshaj ib teev ua rau cov tsos mob ntawm ADHD nce, lossis cov tub ntxhais hluas nrog ADHD cov tsos mob siv sij hawm ntau hauv kev ua si hauv video.
Txoj kev tshawb nrhiav no tsis muaj kev sib koom ua ke ntawm kev ua si hauv kev siv yees duab thiab kev sib tawm tsam lossis kev sib cav sib ceg. Cov kev tshawb fawb yav dhau los tau pom tias muaj kev sib haum xeeb ntawm kev ua phem hauv kev ua si yees duab thiab kev coj cwj pwm [4,14,20,21]. Nws yog qhov ua tau rau cov yees duab ua tsuas yog ua rau hom kev coj cwj pwm hauv cov pab pawg ua rau tus cwj pwm phem los sis nrog lwm hom kev ua phem hauv xov xwm. Lub hwj chim ntawm txoj kev tshawb no tsis yog tsim los txheeb xyuas qhov sib txawv li no, yog li tsis muaj qhov kev txiav txim siab.
Cov nyhuv ntawm TV saib ntawm BMI tau raug tshaj tawm nyob rau hauv ntau cov kev tshawb fawb [1,2,5,6]. Peb pom ib qho tseem ceeb ntawm kev sib koom tes ntawm BMI thiab saib TV rau ntau tshaj ib teev. Ua si video games rau ntau tshaj li ib teev tsis muaj kev cuam tshuam nrog kev nce hauv BMI. Cov kev tshawb fawb yav dhau los pom muaj kev sib raug zoo ntawm BMI thiab video ua si hauv cov hluas yau [18,19]. Peb cov kev tshawb pom qhia qhov koom haum no yuav ua siab ntev rau cov tub ntxhais hluas thaum ntxov.
Lub sij hawm nyob rau hauv Internet tsis muaj kev cuam tshuam nrog ntau dua BMI; tus qauv ntawm kev txo BMI tau pom muaj nyob rau hauv cov hluas uas siv Internet rau ntau tshaj ib teev. Peb cov kev tshawb pom tau hais tias cov lus qhia tam sim no los txwv cov sij hawm hauv TV thiab yees duab rau cov me nyuam ua raws [6].
Ob qho tib si console thiab Internet yees duab ua si tau cuam tshuam nrog kev nce ntxiv ntawm cov qhab nia kev ntsuas raws li ntsuas los ntawm YIAS-VG. YIAS-VG ntsuas qhov ntsuas seb cov yeeb yaj kiab video puas cuam tshuam rau kev sib raug zoo sib txawv nrog rau kev ua txhua hnub, kev sib raug zoo, pw tsaug zog, thiab kev xav txhua hnub. Qhov nce ntawm YIAS-VG cov qhab nia txhais tau tias kev ua si video games rau ntau dua ib teev hauv ib hnub ua rau muaj kev cuam tshuam tsis zoo rau kev sib raug zoo thiab kev ua si txhua hnub. Peb tsis tau txhais qhov txiav tawm ntawm YIAS-VG los txheeb xyuas qhov kev siv yeeb yaj kiab "ntau dhau" siv tabsis cov qhab nia ntawm peb pawg neeg ua haujlwm tsis siab txaus yuav raug suav hais tias yog pov thawj ntawm "Kev Siv Internet" [13,36].
GPA qis dua ntawm cov neeg uas ua yeeb yaj kiab video ntev dua ib teev. Txawm hais tias qhov kev kawm sib txuam no muaj qhov GPA txhua qhov sib txawv, qhov sib txawv ntawm qhov "A" (tsawg dua ib teev ntawm cov yeeb yaj kiab video) piv rau "B" (ntau dua ib teev ntawm cov vis dis aus) yog qhov hloov pauv ntawm qeb kawm. Rau cov tub ntxhais kawm uas tsis tshua muaj kev txawj ntse, qhov no yuav yog qhov tseem ceeb tshaj. Kuj tseem muaj qhov hloov rau GPA qis dua hauv cov tub ntxhais kawm uas saib TV ntev dua ib teev. TV ntau dhau tau tshaj tawm tias yog cuam tshuam nrog kev kawm tsis tau zoo [6].
Qhov kev tshawb nrhiav no pom tias kev ua si console thiab Internet video games ntau dua li ib teev hauv ib hnub muaj qhov tsis zoo rau kev sib raug zoo thiab kev kawm ntawm cov hluas. Lub koom haum no tsis cia siab rau kev ua "quav" yeeb yaj kiab games lossis ua si rau sijhawm ib ntus dhau sijhawm. Tsis tas li ntawd, tsis muaj qhov sib txawv ntawm kev ua si video games hauv Is Taws Nem lossis ntawm lub kaw lus. Qhov xwm yeem ntawm cov yeeb yaj kiab twv yuav raug ua rau lub sijhawm no nyob ntawm kev sib raug zoo ntawm kev ua yeeb yaj kiab thiab kev coj tus cwj pwm, tsis hais nws yuav nyob hauv Is Taws Nem lossis ntawm cov tshuab console.
Muaj qee cov kev txwv ntawm txoj kev tshawb no. Qhov kev sib piv ntawm kev sib tw hauv video thiab ADHD no tsis pub kom muaj kev sib raug zoo nrog rau qhov kev sib raug zoo. Yog li, nws tsis tuaj yeem hais seb puas ua si hauv kev ua si video ua rau cov tsos mob ntawm ADHD nce, los yog cov tub ntxhais hluas uas muaj ntau dua ADHD cov tsos mob yuav siv sijhawm ntev dua ua si hauv kev ua si. Pom zoo txog kev txheeb xyuas qhov kev sib raug zoo no zoo dua yog qhov ncaj ncees. Lub ntsiab lus tseem ceeb tsis yog sawv cev ntawm txhua pawg. Feem coob ntawm cov menyuam kawm ntawv uas teb rau daim ntawv tshawb fawb yog Caucasian, tsis koom nrog tshuaj yeeb los yog dej cawv, tau niam txiv sib yuav, thiab ua haujlwm hauv tsev kawm ntawv. Yog li, lub koom haum ntawm kev ua si hauv video thiab ADHD rau lwm cov kev sib txuas lus tsis tuaj yeem ua kev tshwm sim. Txoj kev tshawb no tau tsim los txheeb xyuas cov tub ntxhais hluas uas siv ntau tshaj li ib teev ntawm kev ua si hauv kev ua si yees duab. Nws yuav nthuav mus ntsuam xyuas tom kawg hauv kev sib txuas lus los mus txiav txim siab seb puas muaj kev sib raug zoo ntawm lub sij hawm siv kev ua si yees duab thiab ADHD cov tsos mob lossis kev kawm ntawv, lossis yog muaj lwm txoj kev sib raug zoo ntawm cov neeg uas siv sijhawm ntau ntawm cov dej num no.
xaus
Rau peb txoj kev paub, qhov no yog thawj txoj kev tshawb nrhiav nrhiav kev koom tes ntawm kev ua si hauv kev siv video thiab ADHD cov tsos mob rau cov hluas. Kev ntsuam xyuas ntawm tus kabmob ADHD feem ntau yuav muaj kev txheeb xyuas hauv tsev thiab kev kawm ntawm ib puag ncig. Niam txiv kev sib raug zoo, kev loj hlob thaum yau (xws li kev yug ntxov), thiab kev siv ntau hauv Internet muaj feem xyuam nrog ADHD tom qab lub neej. Kev paub txog cov no thiab lwm yam kev muaj feem cuam tshuam rau ADHD yuav ua rau kev tiv thaiv thiab kho cov tswv yim ua ntej.
Daim Ntawv Ntxiv A
Lus Qhia Ntxiv B
Ntawv cim ntau lawm
Tsab ntawv no tau muab kho dua tom qab ntawv. Cov lus nug txog Beck Depression tau sau tseg hauv Appendix A (Table (Table5),5), tab sis tau raug muab tshem tawm rau kev cai vim li cas.
Acknowledgements
Peb ua tsaug rau Diantha Howard rau kev pabcuam thiab Juliette Chan rau nws txoj haujlwm. Peb zoo siab rau Linda Barnes thiab Sarah Smith Conroy rau lawv txoj kev pab.
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