Kusokonezeka kwa Masewera pa intaneti (IGD): Nkhani Yokhudza Zodandaula Za Anthu (2019)

Tsegulani Pofikira ku Malawi J Med Sci. 2019 Aug 30; 7 (16): 2664-2666.

Idasindikizidwa pa intaneti 2019 Aug 27. do: 10.3889 / oamjms.2019.398

PMCID: PMC6876823

PMID: 31777629

Fachrul A. Nasution,* Elmeida Effendyndipo Mustafa M. Amin

Kudalirika

MALANGIZO:

Matenda amtundu wa intaneti (IGD) aphatikizidwa ndi mtundu wa 5 wa The Diagnostic and Statistical Manual of Mental Disorder (DSM-5). Pakadali pano, milandu yambiri imakumana chifukwa chosokoneza masewerawa apaintaneti, kuphatikiza m'mibadwo yosiyanasiyana. Kuledzera kwamasewera pa intaneti ndi vuto wamba ndipo nthawi zambiri limatsagana ndi kukhumudwa, kudana komanso kuda nkhawa ndi anthu ena.

REPORT:

Tidapeza vuto la nkhawa pakati pa anthu omwe amasewera masewera pa intaneti ndikudandaula kuti sangathe kugona. Mwamuna wazaka 28, fuko la Javanese lomwe limagwira ntchito ngati omanga lomwe adabwera ndi mkazi wake ku chipatala cha matenda amisala (Universitas Sumatera Utara) USU. Anakumana ndi wodwalayo pafupifupi chaka chimodzi.

POMALIZA:

Kuchokera pamilandu yomwe ili pamwambapa, timanena kuti vuto la masewera a intaneti limapezeka m'mazaka onse komanso ziwerengero zamagulu.

Keywords: Lipoti Lanu, Kusokonezeka kwa Masewera pa intaneti, Kusiyidwa, Kugonjera Kwapaintaneti, Kudandaula Zaagulu

Introduction

Vuto la masewera a pa intaneti lazindikiridwa ndi American Psychiatric Association (APA) ngati vuto losakhalitsa pakukonzanso kwachisanu kwaposachedwa kwa Diagnostic and Statistical Manual of Mental Disorder (DSM-5). Kupititsa patsogolo zofufuza pa Kusokonezeka kwa Masewera pa intaneti, APA yalimbikitsa kuti kufufuzidwa kwina kuchokera pazosankha zingapo za kafukufuku pa njira zisanu ndi zinayi za Masewera a pa intaneti kuti afufuze kuthekera kwa chipatala ndi mphamvu zomwe zikufunika. Masewera a pa intaneti tsopano akuwonedwa kuti ndi zinthu zomwe zitha kuphatikizidwa ndi chizolowezi, kotero kuwunika kwa Matenda a Masewera pa intaneti tsopano akuphatikizidwa mu DSM-5 ndi ICD 11; koma amakhalabe kutsutsana pazinthu zina zazomwe zimayambitsa vutoli, gawo limodzi lomwe limatsutsidwa ndi nthawi yomwe amasewera masewera. Zovuta zamasewera pa intaneti zimafotokozedwa ndikuchita mosalekeza komanso mobwerezabwereza ndi masewera a makanema, nthawi zambiri zimayambitsa kusokonezeka kwakukulu tsiku ndi tsiku, ntchito ndi / kapena maphunziro ndipo akuti America Psychiatric Association (APA) ngati matenda amisala yama tententi omwe amafunikira kuphunzira kwambiri (Diagnostic and Statistical Manual of Mental Disrupt (DSM-5) [1], [2], [3], [4], [5].

Malinga ndi DSM-5, Kusokoneza Masewera pa intaneti kumawonetsedwa ndi kuthandizidwa ndi zizindikiro zosachepera zisanu (kuchokera zisanu ndi zinayi) pakadutsa mwezi umodzi wambiri. Mwatsatanetsatane, njira zodziwitsa anthu omwe ali ndi vuto la masewera a pa intaneti, kuphatikizapo zizindikiro zisanu ndi zinayi zotsatirazi: (12) kutanganidwa kwambiri ndi videogames (mwachitsanzo, "chidwi"); (1) akukumana ndi zizindikiro zosasangalatsa mukamasewera videogames (mwachitsanzo "kuchoka"); (2) kufunika kokhala ndi nthawi yochulukirapo yochita nawo masewera apakanema (mwachitsanzo "kulolerana"); (3) zalephera kuyesa kuwongolera kutenga nawo mbali mu videogames (mwachitsanzo "kutaya mphamvu"); (4) kusiya chidwi ndi zosangalatsa zomwe zidachitika m'mbuyomu komanso zosangalatsa, pokhapokha, videogames (mwachitsanzo, "kudzipereka ku zochitika zina"); (5) pitilizani kugwiritsa ntchito ma videogames ngakhale mumadziwa zovuta zama psychosocial (mwachitsanzo, "kupitiliza"); (6) kunyenga achibale, othandizira kapena ena ponena za kuchuluka kwa videogames (mwachitsanzo "chinyengo") (7) kugwiritsa ntchito ma videogames kuthawa kapena kuthetsa malingaliro osalimbikitsa (mwachitsanzo, "kuthawa") ndi (8) kuvulaza kapena kutaya ubale, ntchito, kapena maphunziro kapena mwayi wambiri pantchito chifukwa chotenga nawo mbali pa videogames (mwachitsanzo "zotsatira zoyipa") [2]. Anthu omwe ali ndi vutoli amaika pangozi maphunziro awo kapena ntchito chifukwa cha kuchuluka kwa nthawi yomwe amakhala [3]. Amakhala ndi chimodzi mwazizindikiro zomwe zimachitika nthawi zambiri ndikuchotsa nkhawa, nkhawa, komanso nkhawa zomwe sizingatheke ndipo zimayenderana ndi zomwe zimachitika mwadzidzidzi, monga kupsinjika kwa minofu, kukwiya, kugona movutikira, komanso kuda nkhawa. Zimakhala pafupifupi miyezi isanu ndi umodzi. Chithunzi chofunikira cha matendawa ndi kukhalapo kwa nkhawa komanso kulimbikira, koma osangolekeredwa kapena otchuka m'chilengedwe chilichonse. (nkhawa zoyenda pansi). Kafukufuku akuwonetsa kuti anthu akatenga gawo pa intaneti, njira zina mu ubongo wawo zimayambira molunjika komanso mwachangu monga ubongo wa mankhwala osokoneza bongo omwe amakhudzidwa ndi zinthu zina. Masewerawa amalimbikitsa mayankho amitsempha omwe amakhudza chisangalalo komanso ovuta kwambiri akuwonetsa kuti ndi machitidwe osokoneza bongo [3], [4], [5], [6], [7], [8], [9], [10].

Nkhani Yojambula

Mwamuna, A, zaka 28, fuko la Javanese adakwatirana ndipo ali ndi ana awiri, mwana wamkazi wazaka zisanu komanso mwana wamwamuna wazaka chimodzi. A A ali ndi mavuto m'moyo wake watsiku ndi tsiku mogwirizana. Alloanamnese yemwe amachokera kwa mkazi wa Mr A, a A omwe nthawi zambiri amasewera masewera a intaneti, amawononga nthawi yake akungosewera masewera a intaneti. Zimasokonezeranso zochitika za tsiku ndi tsiku monga kudya, kusamba komanso kupezera banja chakudya; nthawi zambiri amangoganiza za momwe angapezere masewera a intaneti. A A amavutika kugona usiku ndipo samatha kugona masabata angapo apitawa. A A amadziona kuti ndi osafunika komanso ali ndi malingaliro olakwika m'banjamo, amavutika kuganizira kwambiri komanso kusankha zomwe zimachitika tsiku lililonse. A A adati pafupifupi tsiku lililonse amasewera masewera a pa intaneti, oposa maola 10 pa tsiku, pachaka chimodzi. Ponena za masewera omwe adasewera monga DOTA-2, GTA-San Andreas, etc. A A ayesa kuyimitsa zochitika zomwe adachita koma alephera. Mpaka kumapeto, mkazi wa Mr A adayesetsa kubweretsa Mr A kuti akalandire chithandizo. Mbiri yakumwa mowa kapena zowonjezera zimatsutsidwa. A A nawonso sanadwalitsidwe mutu. Mr A sanaganizirepo zodzipha.

M'mbiri yam'maganizo yamavuto omwe anafunsidwa, zidapezeka kuti Mr A satha kugona pafupifupi chaka chimodzi, ndipo adalemedwa m'miyezi isanu ndi umodzi yapitayo. Izi zidayamba ndi Mr A kwa pafupifupi zaka ziwiri akusewera masewera a intaneti. Nthawi yonse yomwe Mr A ali pa intaneti, Mr A amamva mantha, nkhawa, nkhawa, chisokonezo, nkhawa, nkhawa, mantha komanso chisoni. Panali distractibility, dysphoric modness, kukhudza koyenera, ndipo kutengeka kwina ndiko kuda nkhawa. Kutuluka kwa mawu ndi kupsinjika kwa kalankhulidwe ndizabwinobwino; palibe umphawi wa malankhulidwe kapena khwangwala. Momwemonso, palibe kuthawa kwa malingaliro, tangentiality, zochitika, komanso kutaya mayanjano. Malingaliro ndi kuyembekezera sanapezeke. Zokhumudwitsa sizingatsimikizidwe, koma pali malingaliro otsogola komanso oganiza mopitilira muyeso opitilira masewerawa pa intaneti. Kulephera kofatsa kumakumana. Kukumbukira kwakanthawi kochepa kumasokonezedwa, koma kukumbukira kwakanthaŵi, kwapakatikati ndi kutalika kumakhala kwabwino. Kutha kuwerenga, kulemba ndi kuona. Amatha kuganiza mofatsa komanso mosasamala. Palibe retro kapena anterograde amnesia kapena paramecia. Malotowo si apadera; Malingaliro kuchokera kwa odwala amafuna kukhala otchuka ndi odziwika ndi anthu ambiri. V mawonekedwe owonera ndi kuwunika kwa Judgment.

Wodwalayo adadziwitsidwa pa Masewera a pa intaneti ndi mnzake wapamtima kusekondale mpaka pamapeto pake, adayamba kumwa ndikulephera kuthawa. Pakufufuza kwaponseponse, mkhalidwe wamba umapezeka pamlingo woyenera. Zizindikiro zomveka komanso zofunikira mu mawonekedwe a kuthamanga kwa magazi, zimachitika, kutentha, ndi kupuma kwapakati zili mkati moyenera. Palibe kukulitsa kwa chithokomiro. Vesicular kupuma kumveka, palibe mawu owonjezera. Mitima yokhazikika yamtima wa 90 x / I, palibe kung'ung'udza, ndulu ndi mawu ena owonjezera. Panali peristaltic wabwinobwino; organomegaly sanapezeke. Maso otupa, koma palibe chizindikiro cha kuchepa kwa magazi kapena jaundice. Kukula kumagwira ntchito bwino, palibe paresis kapena ziwalo: khungu loyera, turgor, ndi khungu labwino. Palibenso kuwunika kwina komwe kumachitika kwa wodwala, kokha Magazi a Magazi a Magazi 126 mg / dl. Timazindikira Kusokonezeka kwa Masewera pa intaneti, GAF Scale 50-41.

Kukambirana

Pokhazikitsa njira yodziwitsira matenda pamwambapa, muyezo ndi muyeso wa Fomu Yakusintha Kwamagetsi pa intaneti 9 (IGDS9-SF) kutengera DSM-5. Komwe kugwiritsa ntchito masewera a intaneti mosalekeza komanso mobwerezabwereza kuchita masewera, nthawi zambiri ndi osewera ena, kumapangitsa kuchepa kwakukulu kapena kukakamizidwa monga momwe zasonyezedwera ndi 6 mwa njira zisanu ndi zinayi pansipa kwa miyezi yoposa 12 [1].

Potere, pambuyo poti mbiri yakale yamatenda amisala yachitika, kuyesedwa kwa malingaliro ndi mawonekedwe a malingaliro ndikuyang'ana njira yodziwitsa, zimadziwika kuti wodwalayo pamwambapa akwaniritsa njira zodziwonera ngati machitidwe owonjezera.

Ngati imalembedwanso potengera DSM-5 ndi ICD-11, odwala omwe ali pamwambawa atha kupezeka kuti ali ndi vuto la nkhawa chifukwa cha zovuta zamasewera pa intaneti. Ngati imalembedwanso potengera DSM-5 ndi ICD-11, odwala omwe ali pamwambawa atha kupezeka kuti ali ndi vuto la nkhawa chifukwa cha zovuta zamasewera pa intaneti. Pakadali pano, malipoti a milandu adangoona zisonkhezero za kusokonezeka kwamasewera pa intaneti ndi mayanjano amunthu ndi moyo wamunthu. Mu lipoti lapamwamba, pambuyo pa mbiri yonse, kuyankhulana kwamankhwala, kufufuza kwa malingaliro, komanso kugwiritsa ntchito intaneti ya 9-Short Fomu Disorder Scale 9 adapeza zosokoneza mwa anthu omwe amasewera pamasewera ochezera akudandaula kuti sangathe kugona. Pomwe m'mbuyomu kafukufuku amangofotokoza za ubale ndi moyo wamakhalidwe. Kusokonezeka kwamasewera pa intaneti ndikudziwitsa kwatsopano komwe kumafunikira maphunziro ndi milandu yomwe ingapangitse chisokonezo cha masewera a intaneti kukhala chisokonezo chachipatala [1], [4].

Pafupifupi, pankhaniyi, Intaneti Masewera Osakanikirana ophatikizidwa mu DSM-5 yomwe idalipo kale nthawi ina kale. Ndi wamwamuna wamphamvu kwambiri. Zisonyezo zisanu ndi zinayi zomwe zafunsidwa zili ndi zifukwa ziwiri zoyambira, kutenga nawo mbali pazosewerera masewera omwe amatsimikizira kuti ndiwofala kwambiri ndipo zotsatira zoyipa zamasewera ndizosowa. Zizindikiro ziwiri zomwe zimadziwika kwambiri za kutenga nawo mbali kwambiri, kulekerera ndi kuyesayesa komwe kumalephera kuwongolera masewerawa, sizolunjika kwambiri pa Kusokonezeka kwa Masewera pa intaneti. Zizindikiro zakuchoka zimalumikizidwa pofooka ndi Kusokoneza Masewera pa intaneti, monga kuzindikira komanso ngati zomangamanga mosalekeza. Ndikofunikira kufufuza zidziwitso zowonjezereka za Kusokoneza Masewera pa intaneti komwe kumakhala ndi kupendekeka kosavuta ndi zizindikiro zina zamavuto amisala. Ngakhale kuthekera kosiyanasiyana kwa ana am'banja komanso kuganizira kuchuluka kwa chiwerengero cha anthu, luso lochepa chabe komanso magwiritsidwe ntchito amisala omwe ali ndi malingaliro olakwika amomwe angawonetsere zambiri za Kusokonezeka kwa Masewera pa intaneti

Mawu a M'munsi

Ngongole: Kafukufukuyu sanalandire thandizo lililonse la ndalama

Zosangalatsa Zochititsa chidwi: Olembawo alengeza kuti palibe zopikisana zomwe zilipo

Pitani ku:

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