Chidule cha zolemba zaposachedwa zakusokoneza bongo pakanema. Ndapanga mndandanda wachidule wa "Maphunziro a Addiction Internet“. Monga momwe zimakhalira pakudya ndi kutchova juga, maphunziro aubongo amawululira zosintha zazikuluzikulu monga zimawonedwa ndi mankhwala osokoneza bongo (kunyada, kukhumudwitsa, kulimbikitsa).
Kusintha kagawidwe kake ka m'magazi m'maseŵera a intaneti: 18F-fluorodeoxyglucose positron yopuma tomography yophunzira.
CNS Wopenya. 2010 Mar; 15 (3): 159-66. (South Korea)
Kugwiritsa ntchito masewera osokoneza bongo pa intaneti ndi vuto lomwe likubwera ndipo zimawonetsa kuchepa kwa kuwongolera komanso kusachita bwino mphotho. Omwe akutenga nawo gawo makumi awiri (9 ogwiritsa ntchito wamba: 24.7 +/- 2.4 azaka zakubadwa, oyang'anira 11: 23.5 +/- azaka za 2.9) adatenga nawo gawo. Khalidwe lokakamizidwa lidamalizidwanso pambuyo poyang'ana.
Zotsatira: Oyambitsa masewera pa intaneti adawonetsa chidwi chachikulu kuposa owerenga wamba ndipo panali kulumikizana kwabwino pakati pamasewera olimbitsa thupi pa intaneti ndi kukakamiza.
Kutsiliza: Kugwiritsa ntchito masewera a intaneti kungagwirizane ndi njira zosavomerezeka za sayansi m'thupi la orbitofrontal cortex, striatum, ndi zigawo zovuta kumva, zomwe zimakhudzidwa ndi kuchitapo kanthu, kupindula mphoto, ndi kufotokozera mwachidwi zomwe zachitika kale. Zotsatira zathu zimagwirizanitsa lingaliro lakuti kusewera kwa masewera a pa intaneti kumagawana njira zamaganizo ndi zodzikongoletsera ndi mitundu ina ya zovuta zoletsa kugwiritsira ntchito ndi mankhwala / mankhwala osokoneza bongo.
MAFUNSO: Kafukufuku wamaubongo paosewerera makanema. Monga m'maphunziro ena onse zidawonetsa kusiyana pakati pa gulu lolamulira ndi omwe "amagwiritsa" masewera amakanema. Mitundu yama metabolism yamaubongo imatsanzira omwe ali ndi vuto losokoneza bongo.
Bupropion inathandiza chithandizo chomasulidwa kumachepetsa chilakolako cha masewera a kanema ndi zochitika zochititsa chidwi za ubongo kwa odwala omwe ali ndi vuto losewera masewera a pa intaneti.
Bupropion wagwiritsidwa ntchito pochiza odwala omwe amadalira mankhwala chifukwa cha kufooka kwake kwa dopamine ndi norepinephrine reuptake.
Tidawerengera kuti ma 6 masabata a bupropion okhazikika amasulidwe (SR) amachepetsa kulakalaka kusewera pa intaneti komanso kanema wa masewera olimbitsa thupi omwe adalimbikitsa bongo omwe ali ndi vuto la masewera a pa intaneti (IAG).
Ndemanga: Zizindikiro ndi mawonekedwe a chizolowezi cha masewera a vidoe adachepetsedwa ndi mankhwala omwe amagwiritsidwa ntchito chimodzimodzi kwa omwe ali osokoneza bongo.
Kugwirizana kwa ubongo wolakalaka masewera a pa Intaneti pansi pa chidziwitso mu nkhani zomwe zimakhala ndi zovuta zogwiritsa ntchito pa Intaneti ndi zosiyidwa. (2011)
Wosuta Biol. 2011 Oct 26. doi: 10.1111 / j.1369-1600.2011.00405.x.
Chidwi chawo chachigawochi chinaphatikizidwanso bwino ndi zokonda zamasewera pazowonetsedwa. Magawo a ubongo opangidwa ndi awa amayimira gawo laubongo lolingana ndi makina a vuto la kugwiritsa ntchito mankhwala. Chifukwa chake, zikutanthauza kuti makina a IGA amafanana ndi vuto la kugwiritsa ntchito mankhwala osokoneza bongo.
Ndemanga: Mosiyana ndi maphunziro ambiri awa adaphatikiza zowongolera komanso zomwe zidaletsa kugwiritsa ntchito intaneti. Kafukufukuyu adapeza kuti omwe ali ndi vuto la intaneti ali ndi njira zingapo zoyendetsera kuchokera kuzowongolera komanso kuchokera kwa omwe anali zidakwa za pa intaneti. Maganizo aukadaulo amasiyana, ndipo kuchira kumayambitsa kukula.
Zochita za ubongo zogwirizana ndi masewera olimbitsa machitidwe ozunguza masewera a pa Intaneti. (2009)
J Psychiatr Res. 2009 Apr; 43 (7): 739-47. Taiwan.
Cholinga cha phunziroli chinali kuzindikiritsa magawo a neural omwe ali ndi chizolowezi cha masewera a pa intaneti powunikira momwe ubongo umagwirizanirana ndi chilimbikitso chomwe chimayambitsa masewera.
Kukhazikitsa kwa dera-la-chidwi (ROI) kufotokozedwa ndi malo omwe ali pamwambapa kunaphatikizidwa mokwanira ndi malingaliro omwe adanenedwa okonda masewera komanso kukumbukira zokumana nazo zamasewera zomwe zidatsitsidwa ndi zithunzi za WOW. Zotsatirazi zikuwonetsa kuti gawo lokhala ndi chidwi chofuna kusewera / kulakalaka kuchita zosewerera pa intaneti ndizofanana ndi zomwe zimayambitsa chidwi cha kudalira kwa zinthu. Madera a ubongo omwe atchulidwa pamwambapa akuti amathandizira kulakalaka kudalira kwa zinthu, ndipo apa tikuwonetsa kuti madera omwewo adachitapo kanthu pazokonda / kulakalaka masewera a pa intaneti. Chifukwa chake, zotsatira zake zikuwonetsa kuti kukopa / kukopeka pamasewera a pa intaneti ndikulakalaka kudalira zinthu zitha kugawana makina amomwewo.
Ndemanga: Palibe kafukufuku wambiri paubongo wa omwe amasewera makanema. Kafukufukuyu anapeza kuti osewera a WOW anali ndi ziwalo zomwezo zamaubongo zomwe zimayambitsidwa ndi zomwe amachita ngati osokoneza bongo. Osewerawo adawonetsedwa zithunzi za WOW, ndipo ubongo wawo udawunikiranso mofananamo ndi momwe munthu woledzera angawonere chitoliro chake.
Kusintha kwa Cue Induced Prefrontal Cortex Ntchito ndi Masewero a Masewero a Video. (2010)
Cyberpsychol Behav Soc Netw. 2010 Dec; 13 (6): 655-61. Epub 2010 Meyi 11. South Korea
Mayankho aubongo, makamaka mkati mwa orbitof mbeleal ndi cingates cortices, ku masewera ochezera a pa intaneti pa ophunzira aku koleji ndi ofanana ndi omwe amawona odwala omwe amadalira zinthu potsatira zomwe zimakhudzana ndi zinthu. Munthawi yamasewera a vidiyo ya 6-sabata yoyeserera, zochitika zamaubongo mu anterior cingate and orbitofrontal cortex yamagulu ochita masewera ochezera pa intaneti (EIGP) adaonjezeka poyankha makanema ochezera pa intaneti. Mosiyana ndi izi, zomwe zikuwonetsedwa pagulu lalikulu la osewera (GP) sizinasinthidwe kapena kuchepetsedwa. Kusintha kumeneku kwa masewera olimbitsa thupi ndi masewera owonjezera kanema kungafanane ndi zomwe zimawonedwa poyambira kusuta.
MAFUNSO: Phunziro ili ophunzira aku koleji adasewera masewera a pa intaneti kwa milungu 6 yolunjika. Zisanachitike komanso zitachitika. Omwe ali ndi zikhumbo zazikulu kwambiri adasinthanso kwambiri muubongo wawo zomwe zimawonetsa zizolowezi zoyambirira. Gulu lolamulira, lomwe limasewera masewera osalimbikitsa, silinasinthe ubongo wotere.
Zomwe zinapangitsa kuti athandize achinyamata omwe ali ndi vuto la kusewera pa intaneti (2011)
Psychiatry Res. 2011 Aug 3. Taiwan.
Zikuwonetsa kuti gulu la IGA linali ndi mayankho abwino osintha pazithunzi zamasewera apa intaneti. Kuzindikira koyenera ndi njira yofunika kwambiri yogwiritsira ntchito mankhwala osokoneza bongo, monga kudalira mowa. Zotsatira zake zikuwonetsa kuti kuzindikira kwathunthu kumatha kugwirizananso ndi masewera ogwiritsira ntchito intaneti.
MAFUNSO Kafukufuku wina woyeza momwe anthu omwe ali ndi vuto logwiritsa ntchito intaneti komanso kugwiritsa ntchito mankhwala osokoneza bongo amagawana nawo. Kafukufuku aliyense yemwe amafufuza mawonekedwe amapeza kuti kuzolowera intaneti kumafanana ndi zosokoneza bongo.
Kuchita masewera olimbitsa thupi pa intaneti ndi kupanga ziganizo: Kodi osewera kwambiri a World of Warcraft osewera ali ndi mavuto pakupanga zisankho pansi pa zoopsa? (2011)
Psychiatry Res. 2011 Jun 16. University of Duisburg-Essen, Germany.
Zotsatira zikuwonetsa kuti kufupikira kwa kusankha kwa EIG kumafanana ndi odwala omwe ali ndi mitundu ina ya zizolowezi (mwachitsanzo, njuga ya pathological), zovuta zowongolera kapena osokoneza bongo. Chifukwa chake, zotsatirazi zikuwonetsa kuti masewera amasewera pa intaneti atha kukhala okhudzana ndi myopia mtsogolo, kutanthauza kuti EIG imakonda kusewera World of Warcraft ngakhale zitakhala ndi zotsatirapo zoyipa zazitali pamagulu a anthu kapena pantchito.
Ndemanga: Gwiritsani ntchito ngakhale muli ndi zotsatirapo zoipa.
Kusewera masewera a pakompyuta akusewera umboni wolowerera mowa mwauchidakwa? (2007)
Cyberpsychol Behav. 2007 Apr; 10 (2): 290-2. Berlin, Germany
Zitsanzo zopanga opanga masewera a 7069 adayankha mafunso awiri pa intaneti. Zambiri Zawululidwa kuti 11.9% ya onse omwe akuchita nawo masewera (osewera a 840) adakwaniritsa njira zodziwonera zokhudzana ndi masewera awo.
Ndemanga: 12% ya osewera makanema amatha kutchulidwa kuti ndi osokoneza
Kujambula kogwiritsira ntchito maginito ka ubongo wa ophunzira ku koleji ndi chizoloŵezi cha intaneti (2011)
Zhong Nan Da Xue Xue Bao Yi Xue Ban. 2011 Aug; 36 (8): 744-9. [Nkhani m'Chitchaina]
Mapeto: Ntchito yovuta yaubongo komanso kutsegula kolondola kwa ubongo komwe kumakhalapo kungakhalepo pazowonjezera pa intaneti.
Maziko a neural a masewera a kanema (2011).
Translational Psychiatry (2011) 1, e53; doi: 10.1038 / tp.2011.53. Germany.
Kupeza kofunikira kwa voliyumu yayikulu kumanzere kwakumbuyo kwakumaso komwe kumalumikizidwa ndi kusewera makanema pafupipafupi ndizogwirizana ndi zomwe zatulutsidwa pakumasulidwa kwa dopamine pamasewera akusewera komanso kutchova juga kwambiri mwa odwala a Parkinson chifukwa cha mankhwala a dopaminergic.
Ndemanga: Kuchulukitsa kuchuluka mu striatum (mphoto gawo) kumalumikizidwa ndi kuzolowera.
Zotsatira za chithandizo cha banja pamasinthidwe a kusewera kwa masewera a masewera a pa intaneti ndi ntchito ya ubongo kwa achinyamata omwe ali ndi chizolowezi chosewera masewera.
Tidawunika ngati kufupikitsidwa kwakanthawi kothandizidwa ndi banja la 3-sabata kungasinthe momwe magwiridwe antchito aubongo amayendera okonda ndi masewera pa achinyamata pa mabanja osagwira ntchito omwe akwaniritsa zomwe angathe kuchita pakompyuta.
Kupitilira masabata a 3, mabanja adapemphedwa kuti agwire ntchito zapanyumba zomwe zimangoyang'ana mgwirizano wowonjezera wabanja kwa maola opitilira 1 / tsiku ndi masiku a 4. Asanalandire chithandizo, achinyamata omwe ali ndi vuto la masewera a pa intaneti adawonetsa kuchepetsedwa ngati kuyerekezedwa ndi magwiridwe antchito a maginito (fMRI) mkati mwa caudate, gyrus wapakati, ndi occipital lobe poyang'ana zithunzi zomwe zikuwonetsa chikondi cha makolo komanso kuchuluka kwa zochitika zapakati komanso zotsika kwambiri. parietal pamavuto oyankha kuchokera pamasewera a pa intaneti, okhudzana ndi maphunziro ofananirako.
Kupititsa patsogolo mgwirizano wapabanja potsatira ma 3 masabata omwe amathandizidwa kunalumikizidwa ndi kuwonjezereka kwa zochitika za caudate poyankha kukondera ndipo adagwirizananso mosiyanasiyana ndi kusintha pamasewera pa intaneti. Ndi umboni wa kusintha kwa ubongo kuchitapo kanthu poyesa kusewera pa intaneti ndi zithunzi zomwe zikuwonetsa chikondi cha makolo, zomwe zapezekazi zikusonyeza kuti mgwirizano wapabanja ukhoza kukhala chinthu chofunikira kwambiri pakuwathandiza kusewera pamasewera ovuta.
Ndemanga: Kulumikizana ndi okondedwa kunasinthitsa ubongo, ndikuchepetsa zochitika zowonjezera.
Kugwiritsa ntchito kanema wachisawawa pakati pa achinyamata pazaka ziwiri kuphunzira. Mapiritsi. 2011
Feb; 127 (2): e319-29. Epub 2011 Jan 17.
Phunziro la 2-chaka, kotenga nthawi yayitali, kuphunzira kwapanthawi kochitidwa ndi ana asukulu zoyambira kusekondale ku Singapore, kuphatikiza ana a 3034 m'makalasi 3, 4, 7, ndi 8. Kutchuka kwa masewera a pathological kunali kofanana ndi komwe kumaiko ena (∼9%).
Kafukufukuyu akuwonjezera zofunikira pakukambirana zakuti "masewera osokoneza bongo" ndi ofanana ndi zizolowezi zina, kuwonetsa kuti zitha kukhala zaka zambiri sizizindikiro zokhazokha za comorbid.
Ndemanga: Kafukufuku anali pafupifupi theka la 3rd ndi ma 4th graders, ndi theka lachikazi, komabe 9% adawerengedwa kuti adawagwiritsa ntchito masewera a kanema. Kodi peresenti ingakhale yotani ngati zitsanzozo zinali zachimuna chonse cha 7th ndi 8th grade? Apezanso kuti ana atha kukhala ndi chizolowezi ichi osakhazikika pamakhalidwe.
Mapulogalamu a masewera a pakompyuta pakati pa achinyamata a zaka za 8 ku 18: maphunziro a dziko (2009)
Psychol Sci. 2009 Meyi; 20 (5): 594-602. US
Pogwiritsa ntchito mtundu wapadziko lonse, kafukufukuyu anasonkhanitsa zambiri zokhudzana ndi machitidwe azosewerera makanema komanso kutengapo gawo kwa makolo pamasewera, kudziwa kuchuluka kwa achinyamata omwe amakumana ndi njira zamankhwala zosewerera zamatsenga. Kafukufuku wa Harris adayang'ana mwachisawawa zitsanzo za achinyamata a 1,178 aku America zaka 8 kupita ku 18. Pafupifupi 8% ya osewera amakanema pamasewerawa akuwonetsedwa pamaseweredwe azotsatira.
Ndemanga: Kafukufuku waku US akupeza 8% ya achinyamata aku America a 8 mpaka 18 amakwaniritsa njira zamankhwala zamasewera a pathological.
Kukwiya kwachiwawa pakati pa achinyamata aku Singapore.
Ann Acad Med Singapore. 2010 Nov;39(11):822-9.
Kuchuluka kwa ogwiritsa ntchito intaneti komanso kusewera makanema kumapangitsa chidwi cha anthu pagulu la masewera kapena makanema oonera pakati pa ana ndi achinyamata padziko lonse lapansi. Komabe, zochepa ndizodziwika pofalikira kwa zizindikiro zamatenda azosewerera makanema pakati pa achinyamata aku Singapore ndi kuchuluka kwa zida zamagetsi zomwe zimayeza zidziwitso zamagetsi pamasewera a kanema.
ZOKHUDZA: Mwa onse omwe adachita nawo kafukufukuyu, 8.7% adayesedwa ngati osewera am'mimba omwe ali ndi anyamata ochulukirapo omwe amalengeza zambiri zodwala kuposa atsikana.
POMALIZA: Kukula kwa masewera olimbitsa thupi a kanema pakati pa achichepere aku Singapore ndikofanana ndi kochokera kumayiko ena omwe aphunziridwa mpaka pano, kusiyana pakati pa amuna ndi akazi ndikogwirizana ndi zomwe apeza kafukufuku wakale.
COMMENT: Kafukufuku adapeza kuti achinyamata a 8.7% amatha kufotokozedwa ngati omwe amakonda kwambiri masewera a kanema.
Kuwonetseratu kwapadera pamasewera a pakompyuta omwe amatsutsana ndi osewera kwambiri (2007)
Neurosci. 2007 Jun; 121 (3): 614-8. Berlin Institute for Medical Psychology.
Anawonetsa kuti machitidwe akusewera pamasewera apakompyuta, omwe amadziwika kuti amakonda kugwiritsa ntchito makompyuta, amakwaniritsa njira zomwe zakhazikitsidwa padziko lonse lapansi pofotokozera zakumwa zamankhwala osokoneza bongo
Kusiyana kwakukulu pakati pamagulu pazokhudzana ndi zochitika zomwe zachitika chifukwa chogwirizana ndi masewerawa apakompyuta kunapezeka m'malo a parietali ndipo zikuwonetsa kukhudzika kwamalingaliro awa kwa ochita masewera olimbitsa thupi poyerekeza ndi osewera wamba. Zotsatira izi zikugwirizana ndi lingaliro loti kuledzera kumadziwika komanso kusungidwa kudzera mu chidwi cha mesolimbic dopaminergic dongosolo komanso kulimbikitsidwa kwa njira zina zokhudzana ndi zosokoneza bongo.
Ndemanga: Kafukufuku amayerekezera ochita masewera apakompyuta ndi osasewera. Ofufuzawo adapeza kuti ochita masewerawa anali ndi machitidwe pazithunzi (zomwe) zimatsanzira mayankho a omwe amagwiritsa ntchito mankhwala osokoneza bongo pazomwe amagwiritsa ntchito.
Zotsatira za methylphenidate pa sewero la masewera a pa sewero la intaneti kwa ana omwe ali ndi vuto lachinsinsi / matenda okhudzidwa (2009)
Kafukufuku wambiri wokhudzana ndi chidwi-deficit / hyperactivity disorder (ADHD) ndi sewero lamasewera pa intaneti adayesa preartal cortex ndi dopaminergic system. Ma stimulants monga methylphenidate (MPH), opatsidwa kuchiza ADHD, ndipo kusewera masewera kanema apezeka kuti akuwonjezera synaptic dopamine. Tidawerengera kuti chithandizo cha MPH chitha kuchepetsa kugwiritsa ntchito intaneti m'mitu yomwe ikupezeka ndi ADHD ndi makanema apa intaneti.
Pambuyo pa chithandizo cha masabata a 8, kuchuluka kwa YIAS-K ndi nthawi yogwiritsira ntchito intaneti zidachepetsedwa kwambiri.
Tikuwonetsa kuti kusewera makanema pa intaneti ikhoza kukhala njira yodziperekera nokha kwa ana omwe ali ndi ADHD. Kuphatikiza apo, tikuwonetsa mosamala kuti MPH ikhoza kuwunikidwa ngati chithandizo chogwiritsa ntchito intaneti.
MAFUNSO: Methylphenidate ndi Ritalin. Kodi akuchiza chiyani - kusuta kapena ADHD? Kuledzera kumaphatikizapo kutsika kwa dopamine, ndipo ritalin imakweza dopamine.
Kuyerekeza kovuta kwamakhumi kuwulula thalamus ndi ma posterior cingrate cortex abnormalities in Intaneti okonda masewera.
Kugonjetsa maseŵera a pa intaneti (IGA) akudziwika kuti ndi matenda ofala omwe ali ndi zotsatira zoopsa za maganizo ndi zaumoyo. Kufooka kwa nkhani yoyera kumatsimikiziridwa muzovuta zina zambiri zomwe zimayambitsa matenda omwe amagwira nawo ntchito zachipatala ndi IGA. Nkhani yodetsedwa yoyera kukhulupirika kwa anthu osokoneza bongo yakhala ikugwirizanitsa ndi chizoloŵezi choledzera, chithandizo cha mankhwala ndi kufooka kwa chidziwitso. FA yapamwamba mu thalamus inagwirizanitsidwa ndi kuopsa kwa intaneti. Kuwonjezeka kwa FA m'deralo mwa anthu omwe ali ndi vuto la kusewera pa intaneti kungakhale chinthu choyambitsa chiopsezo cha IGA, kapena angayambe chachiwiri ku IGA, mwinamwake monga zotsatira zowonongeka pa masewera a intaneti.
;