Ntawm Gloria Arminio Berlinski, MS
Rov los saib dua los ntawm Nicole Foubister, MD, Tus Pab Kws Saib Xyuas Menyuam Yaus & Cov Hluas Txoj Kev Khomob thiab Lub Siab Mob, Lub Tsev Kawm Ntawv New York University of Tshuaj
Ceeb Toom
- Raws li cov kev tshawb fawb tshiab lossis tsis ntev los no-rau-luam tawm rau cov laus, ADHD cov tsos mob yuav txuam nrog cov npo thaum sij hawm raug, internet gaming teeb meem, thiab yees siv kev tshaj tawm.
- Cov neeg tshawb xyuas pom tau tias qhov kev tsim kho hauv qhov kev siv hauv kev kawm lawv tsis ua raws li qhov txiav txim siab ntawm kev coj thiab kev coj.
- Tiam sis lawv xav tias kev tshawb fawb txog kev cuam tshuam cov txheej txheem tsim los tiv thaiv txoj kev siv cuab yeej technology hauv cov neeg yoojyim.
Muaj kev sib raug zoo muaj nyob ntawm kev siv cov cuab yeej technology thiab lwm cov kev puas siab puas ntsws, thiab kev pov thawj pom tau hais tias cov kev tuaj yeem siab tsis zoo (ADHD) tshwm sim nrog cov yees duab yees ntau dua li thev naus laus zis hauv Internet.1 Cov kev tshawb fawb tshiab uas tau tshawb nrhiav tau tshawb nrhiav cov koom haum ADHD nrog lub sij hawm tso tawm, kev siv internet gaming, thiab yees siv kev tshaj tawm ntawm cov tub ntxhais kawm ntawv qib siab thiab cov laus.1-3
Cov tub ntxhais kawm ntawv qib siab yog txhua tus siv cov khoom siv hluav taws xob rau kev ua ub no thiab kev ua si ua si. Ib tug kws tshawb fawb ntawm University of Bordeaux nyob rau Fabkis, Ilaria Montagni PhD, yog thawj tus thawj coj ntawm 2016 tsab xov xwm uas tau piav txog qhov kev sib txuas ntawm qib high school cov sij hawm thiab nws tus kheej tau xav txog kev tsis txaus siab thiab kev txhawj xeeb hauv cov tub ntxhais kawm tiav. Raws li Dr. Montagni, cov tub ntxhais hluas no "siv sij hawm nruab nrab ntawm peb teev ib hnub rau tsawg kawg ib lub digital ntaus thiab lawv nquag raug 2 ntxaij, xws li laptops thiab smartphones, tib lub sij hawm."
Nyob rau hauv lawv txoj kev tshawb fawb, Dr. Montagni thiab cov kws tshawb fawb tau nug txog 4,800 Fabkis cov tub ntxhais kawm ntawv kawm txog lawv tus kheej siv lawv lub sijhawm siv cov smartphone thiab computer lossis cov ntsiav tshuaj rau kev ua haujlwm, kawm, tshawb nrhiav hauv Internet, sib txuas lus, ua si hauv kev ua si video lossis saib TV programs lossis ua yeeb yaj kiab. Ntiaj teb cov lus qhia txog kev sib tham thiab kev mob siab tshaj yav dhau los rau lub hli yog nug txog ntawm Adult ADHD Self-Report Scale (ASRS-Version 1.1).2
Multivariable tsa logistic regression kev tsom xam tsom pom tias nce lub sijhawm tshuaj ntsuam tau cuam tshuam nrog ntau dua ntawm cov teeb meem kev pom nws tus kheej thiab cov hyperactivity. Cov kws sau ntawv tau sau tseg tias qhov tsis sib thooj zoo li ua rau muaj zog rau cov xim tsis txaus siab piv rau hyperactivity domain.2 Qhov kev pheej hmoo ntawm tus kheej tshaj tawm ADHD cov yam ntxwv “tsis tu ncua ntau zuj zus nrog kev nce qib ntawm kev tshuaj ntsuam lub sijhawm tso tawm,” Dr. "Raws li peb txoj kev tshawb no yog ntu ntu, peb tsis tuaj yeem lees paub tias qhov tsis ua haujlwm / ua rau lub siab xav ua rau lub sijhawm siv sijhawm ntau dua, tab sis nws zoo li tsis tshua muaj," nws sau tseg.
Raws li cov kauj ruam tom ntej hauv kev tshawb fawb, Dr. Montagni hais tias "kom nkag siab tias kev siv sij hawm yuav siv sij hawm zoo los cuam tshuam qhov teeb meem thiab kev txhawb siab rau cov tub ntxhais kawm." Qhov no tseem ceeb heev uas yog xav paub ntxiv txog ADHD yav dhau los ntawm cov tub ntxhais kawm qib siab, nws thiab cov kws tshawb fawb tau taw qhia hauv lawv tsab ntawv ceeb toom.2 Dr. Montagni thiab cov npoj yaig kuj hu xov tooj mus rau qhov xav tau kev pabcuam thiab cov txheej txheem los txhawb txoj kev noj qab haus huv ntawm digital technology ntawm cov menyuam kawm ntawv hauv university.
Ib tsab xov xwm ntawm cov xovxwm Yen thiab cov neeg tshawb nrhiav tau tshawb txog cov kev tshawb nrhiav ntawm ADHD, Internet gaming disorder (IGD), thiab lawv cov tsos mob ntawm kev tsis pom thiab kev ua siab phem.3 Tom qab ua tiav kev nrhiav neeg ua hauj lwm, cov tub ntxhais kawm hauv cov tsev kawm ntawv hauv cov tsev kawm ntawv hauv Taiwan tau tshawb xyuas cov lus sib tham nrog ib tug kws kho mob raws li DSM-5 IGD cov qauv thiab DSM-IV-TR ADHD cov kev cai, thiab ua tiav cov Dickman Cov Kev Tiv Thaiv Kev Tsis Taus thiab Buss-Durkee Cov Lus Cog Lus. Cov neeg kawm ntawv muaj cov 87 cov tib neeg nrog IGD thiab 87 tswj tsis muaj keeb kwm ntawm IGD, uas raug sib luag rau tub los ntxhais, kawm ntawv, thiab hnub nyoog.3
Adult ADHD tau raug txheeb xyuas nyob rau hauv 34 (39%) IGD-cov neeg tuaj kuaj tus neeg plaub leeg (5%) cov neeg hauv pawg tswj hwm.3 ADHD tau pom tias muaj kev sib txuas nrog IGD, thiab cov tsos mob ntawm kev tsis tuaj yeem thiab kev ua siab zoo tau raug pom zoo los kho lub koom haum no. Yen thiab khub sau ntawv sau tseg tias vim cov laus nrog ADHD siv tau gaming rau kev nkag siab ntawm kev ua tiav thiab kev lom zem rau kev khiav dim ntawm lawv txoj kev nyuaj siab nyuaj siab, lawv yuav muaj feem ntau raug rau IGD. Txuas ntxiv, lawv taw qhia tias "cov laus hluas nrog ADHD thiab IGD tau siab dua IGD ntau dua li cov uas tsuas yog IGD ua, qhia tias comorbid IGD thiab ADHD ntawm cov tub ntxhais hluas ua rau muaj kev vwm vwm."
Lwm qhov kev tshawb nrhiav hauv kev tshawb nrhiav, Schou Andreassen thiab cov npoj ua haujlwm, tshawb xyuas seb cov tsos mob ntawm kev puas siab puas ntsws, xws li ADHD, cuam tshuam txog kev siv hom tshiab hauv online technologies, xws li video games thiab social media. Cov sau phau ntawv qhia tau tias lawv qhov kev tshawb nrhiav yog thawj zaug los ntsuas qhov kev sib raug zoo ntawm hom kev sib tham hauv online sib tham thiab ADHD.
Cov neeg laus 23,500 cov neeg laus tuaj ntawm cov pej xeem Norwegian uas tau ua tiav daim ntawv tshawb fawb hauv online uas tau teeb tsa ob peb txoj kev coj tus cwj pwm tom qab tau teb cov lus nug ntawm Bergen Social Media Scale thiab Kev Ua Qus Kev Ua Phev rau kev ntsuam xyuas cov tsos mob ntawm kev siv digital technology. Cov ASRS-Version 1.1 tau siv los txheeb xyuas cov tsos mob ntawm ADHD. Cov neeg koom tes muaj hnub nyoog hauv 16 rau 88 xyoo, nrog rau feem ntau ntawm cov hnub nyoog ntawm 16 thiab 30 (41%) thiab 31 thiab 45 xyoo (35%).1
Tag nrho, kev tshawb pom pom tias cov tsos mob ntawm cov kev puas siab puas ntsws hauv cov laus tau nrog cov tib neeg tus kheej kev sib tham thiab kev ua si video, tom qab tswj kev hnoob nyoog, kev sib deev, thiab kev kawm thiab kev sib yuav.1 Cov qhabnias rau ADHD, hauv particular, pom tias qhov teeb meem no tau piav ntau dua ntawm qhov txawv txav hauv kev siv yees duab ntau dua hauv kev ua si hauv kev ua si. Cov sau phau ntawv xav tias cov nta (xws li kev sib tw, cov xov xwm tshiab) ntawm cov xov tooj ntawm tes, uas feem ntau yog siv rau kev sib koom tes, ua rau cov tib neeg yoojyim cuam tshuam lossis xav tsis zoo rau kev siv ntau tshaj tawm lossis kev siv kev sib txoos.1
Cov kws tshawb fawb los ntawm tag nrho peb cov kev tshawb fawb tau piav qhia txog qhov kev txwv ntawm qhov kev tshawb fawb ntawm cross-sectional, uas ua rau cov lus txhais ntawm qhov kev coj tsis ncaj thiab kev coj ua ntawm cov kev sib raug zoo sib txawv.1-2 Schou Andreassen thiab cov npoj yaig ua tus taw tes tias "txoj kev sib raug zoo ntawm kev txheeb xyuas tau zoo yog txoj hau kev los sis mus rau ob qho kev qhia. Qhov no yuav tsum tau tshawb xyuas ntxiv uas siv cov qauv kawm ntev. "Cov neeg tshawb xyuas kev ntseeg hais tias yuav tsum muaj kev cuam tshuam cov teeb meem los daws qhov kev siv technology hauv cov laus.1-3
Luam tawm: 09 / 12 / 2016
References:
- Schou Andreassen C, Griffiths MD, Kuss DJ, li al. Cov kev sib raug zoo ntawm kev siv kev tshaj tawm hauv xov xwm thiab kev ua si yees duab thiab cov tsos mob ntawm kev puas siab puas ntsws: Kev loj ntawm qhov kev tshawb fawb loj. Psychol Addict Behav. 2016; 30: 252-262.
- Montagni I, Guichard E, Kurth T. Koom nrog cov sij hawm ua ke nrog cov teeb meem ntawm tus kheej tau pom thiab cov theem siab ntawm cov tub ntxhais kawm Fabkis: txoj kev tshawb fawb khaub lig. BMJ Qhib. 2016; 6: e009089.
- Yen JY, Liu TL, Wang PW, li al. Association ntawm Internet gaming teeb meem thiab cov neeg laus xim liab thiab hyperactivity tsis meej thiab lawv sib raug zoo: Impulsivity thiab kev ua siab phem. Addict Behav. Hauv xovxwm.
- Nugant K, W. W. Kev ceeb toom tsis meej / tsis haum siab rau cov tub ntxhais kawm qib siab. Neuropsychiatr Dis Treat. 2014: 10: 1781-1791.
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