Patologinio interneto naudojimo ir komorbidinės psichopatologijos sąsaja: sisteminė peržiūra (2013)

Psichopatologija. 2013; 46 (1): 1-13. doi: 10.1159 / 000337971. Epub 2012 Jul 31.

Carli V, Durkee T, Wasserman D, Hadlaczky G, Despalins R, Kramarz E, Wasserman C, Sarchiapone M, Hoven CW, Brunner R, Kaess M.

Abstraktus

FAKTAI:

Pathological Internet use (PIU) has been conceptualized as an impulse-control disorder that shares characteristics with behavioral addiction. Research has indicated a potential link between PIU and psychopathology; however, the significance of the correlation remains ambiguous. The primary objective of this systematic review was to identify and evaluate studies performed on the correlation between PIU and comorbid psychopathology; the secondary aims were to map the geographical distribution of studies, present a current synthesis of the evidence, and assess the quality of available research.

MĖGINIŲ ĖMIMAS IR METODAI:

An electronic literature search was conducted using the following databases: MEDLINE, PsycARTICLES, PsychINFO, Global Health, and Web of Science. PIU and known synonyms were included in the search. Data were extracted based on PIU and psychopathology, including depression, anxiety, symptoms of attention deficit and hyperactivity disorder (ADHD), obsessive-compulsive symptoms, social phobia and hostility/aggression. Effect sizes for the correlations observed were identified from either the respective publication or calculated using Cohen’s d or R(2). The potential effect of publication bias was assessed using a funnel plot model and evaluated by Egger’s test based on a linear regression.

Rezultatai:

The majority of research was conducted in Asia and comprised cross-sectional designs. Only one prospective study was identified. TWenty straipsniai atitiko nustatytus įtraukimo ir pašalinimo kriterijus; 75% pranešė apie reikšmingą PIU ir depresijos koreliaciją, 57% su nerimu, 100% su ADHD simptomais, 60% su obsesiniais-kompulsiniais simptomais ir 66% su priešiškumu / agresija. Nė vienas tyrimas nepateikė ryšių tarp PIU ir socialinės fobijos.

Daugumoje tyrimų nustatyta, kad vyresnio amžiaus vyrų, kaip moterų, populiarumas yra didesnis. The relative risks ranged from an OR of 1.02 to an OR of 11.66. The strongest correlations were observed between PIU and depression; the weakest was hostility/aggression.

Išvados:

Panašu, kad ADHD depresija ir simptomai turėjo reikšmingiausią ir nuoseklų ryšį su PIU. Buvo pranešta, kad visų amžiaus grupių vyrai yra didesni. Limitations included heterogeneity in the definition and diagnosis of PIU. More studies with prospective designs in Western countries are critically needed.

Copyright © 2012 S. Karger AG, Bazelis.