Cov teeb meem rau DSM-V: Kev Txij Nkawm Hauv Internet (2008)

Cov lus hais: Sau nyob rau xyoo 2008, ua ntej ntau txoj kev tshawb fawb paub tseeb hais tias muaj lub hlwb hloov hauv Is Taws Nem / cov neeg quav yeeb tshuaj uas hais tias hloov pauv tau pom nyob rau hauv lub hlwb ntawm cov neeg quav yeeb tshuaj.


Editorial | Peb Hlis 01, 2008

Cov teeb meem rau DSM-V: Siv Internet

Jerald J. Block

Kuv J Psychiatry 2008; 165: 306-307. doi: 10.1176 / appi.ajp.2007.07101556

Kev tiv thaiv hauv Internet zoo nkaus li yog ib qho kev nyuab siab uas cuam tshuam nrog DSM-V. Conceptually, qhov kev kuaj mob yog ib qho kev ua tsis raws cai ntawm tus kheej thiab cov kev siv computer (1, 2) thiab muaj tsawg kawg yog peb lub subtypes: ntau tshaj qhov kev sib tw, kev sib deev, thiab kev xa ntawv / text messaging (3). Tag nrho cov kev sib txawv qhia txog plaub yam hauv qab no: 1) kev siv ntau heev, feem ntau yog txuam nrog kev poob siab ntawm lub sij hawm los yog tsis nco qab txog kev tsav tsheb, 2) tawm, nrog rau kev npau taws, kev nyuab, thiab kev nyuaj siab thaum lub computer (3), ua tsis tau zoo, tsis muaj peev xwm ua tau zoo, raug cais, thiab qaug zog (4, 3).

Qee cov kev tshawb fawb tshaj plaws hauv Internet tiv thaiv tau luam tawm nyob rau hauv Kaus lim qab teb. Tom qab 10 cardiopulmonary-tuag hauv Internet cafés (5) thiab tua neeg tua neeg (6), South Kauslim pom tias kev tiv thaiv hauv Internet yog ib qho teeb meem loj txog kev noj qab haus huv (7). Siv cov ntaub ntawv los ntawm 2006, South Kauslim tsoom fwv kwv yees tias kwv yees li 210,000 South Kauslim cov me nyuam (2.1%; noob 6-19) raug mob thiab yuav tsum tau kho (5). Txog 80% ntawm cov neeg uas xav tau kev kho mob yuav tsum tau noj tshuaj psychotropic, thiab tej zaum 20% rau 24% yuav tsum tau pw hauv tsev kho mob (7).

Txij li thaum nruab nrab South South high school cov tub ntxhais kawm siv txog 23 teev txhua lub limtiam gaming (8), lwm 1.2 lab raug ntseeg tias yuav muaj kev pheej hmoo rau kev quav tshuaj thiab xav tau kev pab tswv yim. Tshwj xeeb, cov kws kho mob txhawj xeeb txog cov neeg coob tawm hauv tsev kawm ntawv los yog kev ua haujlwm kom siv sijhawm rau cov computers (5). Txij thaum Lub Xya hli ntuj 2007, Kaus Lim qab teb tau kawm 1,043 cov neeg pab tswv yim hauv kev kho mob hauv Internet thiab tau sau npe ntau tshaj 190 cov tsev kho mob thiab chaw kho mob (7). Cov kev tiv thaiv kev tiv thaiv tam sim no yog muab nkag rau hauv cov tsev kawm ntawv (9).

Tuam Tshoj kuj tseem txhawj txog cov teeb meem no. Lub rooj sib tham tsis ntev los no, Tao Ran, Ph.D., Tus Thawj Coj Tshuaj Tiv Thaiv Kab Mob hauv Central Military Central Tsev Kho Mob, qhia txog 13.7% ntawm Suav cov neeg siv cov neeg siv Internet raws li kev tiv thaiv hauv Internet txog kev 10 lab cov hluas. Vim li ntawd, hauv 2007 Suav tau pib txwv kev siv computer kev siv; tam sim no cov cai tam sim no thuam ntau dua 3 teev ntawm kev ua si txhua hnub (10).

Hauv Tebchaws Meskas, kev kwv yees qhov tseeb ntawm cov kab mob tsis zoo (11, 12). Tsis zoo li hauv Asia, qhov chaw siv Internet cafés feem ntau siv, hauv Tebchaws Asmesliskas cov kev ua si thiab kev sib daj sib deev muaj nyob hauv tsev. Kev sim los ntsuas qhov tshwm sim yog huab los ntawm kev txaj muag, tsis kam lees, thiab txo qis (3). Qhov teeb meem yog qhov nyuaj ntxiv los ntawm kev tuaj yeem ua haujlwm. Hais txog 86% kev tiv thaiv hauv Internet muaj qee tus DSM-IV kuaj tam sim no. Hauv ib txoj kev tshawb nrhiav, tus neeg mob nruab nrab tau 1.5 lwm yam mob (7). Nyob rau hauv Tebchaws Asmeskas, cov neeg mob feem ntau muaj rau cov mob leeg (comorbid condition (s) xwb. Yog li, tshwj tsis yog tus kws kho mob yeej nrhiav kev tiv thaiv hauv Internet, nws tsis pom zoo (3). Hauv Asia, txawm li cas los xij, cov kws kho mob tau qhia kom ntsuam xyuas nws.

Txawm tias qhov txawv txav los, peb cov lus piav qhia zoo ib yam zoo li peb cov neeg Esxias cov neeg ua haujlwm (8, 13-15), thiab peb tuaj yeem ua qhov teeb meem qub. Hmoov tsis, Kev tiv thaiv hauv Internet tsis ua haujlwm rau kev kho mob, ua rau muaj teebmeem loj txaus (16), thiab muaj cov kev mob siab. Tshaj li, nws tseem ua rau cov mob comorbid tsawg dua rau kev kho (3).

References

1.

Dell'Osso B, Altamura AC, Allen A, Marazziti D, Hollander E: Epidemiologic thiab clinical tshiab ntawm impulse tswj ntshawv siab: ib qho tseem ceeb xyuas. Eur Arch hlwb hlwb Clin Neurosci 2006; 256: 464-475

2.

Hollander E, Stein DJ (eds): Soj ntsuam phau ntawv ntawm Impulse-Control ntshawv siab. Arlington, Va, American Psychiatric Publishing, 2006

3.

Block JJ: Kev siv lub computer siv nyob rau hauv teb chaws USA, hauv 2007 International Symposium txog Kev Qhia thiab Kev Kho ntawm Cov Hluas Hauv Internet. Seoul, Kauslim Teb, Koom Haum Ntxhais Hluas, 2007, p 433

4.

Beard KW, Hma EM: Hloov kho hauv cov lus tshawb nrhiav txog kev siv Internet. Cyberpsychol Behav 2001; 4: 377-383

5.

Choi YH: Txhim kho ntawm IT thiab kev loj hlob ntawm cov tub ntxhais hluas siv Internet, hauv 2007 International Symposium txog Kev Qhia thiab Kev Kho ntawm Cov Hluas Hauv Internet. Seoul, Kauslim Teb, Koom Haum Ntxhais Hluas, 2007, p 20

6.

Koh YS: Kev txhim kho thiab kev siv ntawm K-Nplai raws li kev ntsuas ntsuas rau Kauslim Teb Internet, hauv 2007 International Symposium ntawm Kev Qhia thiab Kev Kho Cov Tub Ntxhais Hluas Hauv Internet. Seoul, Kauslim Teb, Koom Haum Ntxhais Hluas, 2007, p 294

7.

Ahn DH: Kauslim txoj cai rau kev kho thiab kev kho kom haum rau cov tub hluas ntxhais hluas hauv Internet, nyob rau hauv 2007 International Symposium ntawm Kev Qhia thiab Kev Kho ntawm Cov Hluas Hauv Internet. Seoul, Kauslim Teb, Koom Haum Ntxhais Hluas, 2007, p 49

8.

Kim BN: Los ntawm Is Taws Nem mus rau “tsev neeg sib koom tes”: Tus muaj yees siv Internet thiab tus thawj coj digital, nyob rau xyoo 2007 International Symposium txog kev tawm tswv yim thiab kho cov hluas kev siv Internet. Seoul, Kaus Lim Kauslim, Kev Tshawb Fawb Cov Hluas Hauv Tebchaws, 2007, p 196

9.

KOJ YA: Cov txheej txheem nyob hauv tsev kawm ntawv tiv thaiv kev tiv thaiv hauv Internet thiab kev cuam tshuam, nyob rau hauv 2007 International Symposium txog Kev Pab Tswv Yim thiab Kev Kho Mob Cov Hluas Hauv Internet. Seoul, Kauslim Teb, Koom Haum Ntxhais Hluas, 2007, p 243

10.

Qhov ntau lawv ua si, qhov ntau lawv poob. Tib neeg txhua hnub hauv online, Lub Plaub Hlis 10, 2007

11.

Aboujaoude E, Kaulees LM, Gamel N, Loj MD, Serpe RT: Muaj peev xwm ua tau rau siv Internet siv teeb meem: kev tshawb fawb xov tooj ntawm 2,513 cov laus. CNS Spectr 2006; 11: 750-755

12.

Block JJ: Tiv thaiv kom tsis txhob muaj teeb meem siv Internet (kawm ntawv). CNS Spectr 2007; 12: 14

13.

Lee HC: Kev siv tshuaj tiv thaiv hauv Internet: kev paub thiab kev coj cwj pwm, hauv 2007 International Symposium txog Kev Qhia thiab Kev Kho Cov Tub Ntxhais Hluas Hauv Internet. Seoul, Kauslim Teb, Koom Haum Ntxhais Hluas, 2007, p 138

14.

Block JJ: Kev siv lub computer qus siv. Lub Hlis 1, 2007, 49, p XNUMX

15.

Ko CH: Cov ntaub ntawv ntawm kev ua si hauv online gaming tsis muaj lwm yam teeb meem ntawm kev puas siab puas ntsws, 2007 International Symposium ntawm kev sib tham thiab kev saib xyuas ntawm Cov Hluas Hauv Internet, Seoul, Kauslim Teb, Cov Hluas Kev Ua Haujlwm Hluav Taws Xob, 2007, p 401

16.

Block JJ: Tshooj ntawm Columbine: virtual thiab tiag npau taws heev. Kuv J Forensic Psychiatry 2007; 28: 5-33

Chaw nyob thiab sau ntawv tuaj rau Dr. Block, 1314 Northwest Irving St., Suite 508, Portland, lossis 97209; [email tiv thaiv] (e-xa ntawv). Editorial txais los luam tawm lub Kaum Ib Hlis 2007 (ua: 10.1176 / appi.ajp.2007.07101556).

Dr. Block tau patent rau technology uas siv los txwv kev siv computer. Dr. Freedman tau nyeem tsab ntawv kho dua tshiab no thiab pom tias tsis muaj pov thawj ntawm qhov kev sib raug zoo no.