共病精神症狀和網路遊戲障礙症緩解在大學生和非學生成人的關聯性

The Association between Comorbid Psychiatric Symptoms and Remission of Internet Gaming Disorder among College Students and Non-student Adults

目的：評估憂鬱、焦慮、敵意和網路遊戲障礙症緩解在學生和非學生族群之間的關聯性。方法：我們招募了85 位網路遊戲障礙症受試者和85 位已從網路遊戲障礙症緩解的受試者。所有參與受試者皆經過診斷性會談並完成憂鬱、焦慮、敵意的問卷調查。結果：網路遊戲障礙症緩解的受試者和網路遊戲障礙症的受試者相比，有顯著的較低的憂鬱 (p < 0.001)、焦慮 (p < 0.05)、敵意 (p < 0.001)。從邏輯迴歸分析顯示顯著的較低敵意是最有關連性的因子(p < 0.05)。在學生族群中，顯著的較低敵意 (p < 0.01) 和顯著的較低焦慮 (p < 0.05) 是和網路遊戲障礙症緩解有關連性的因子。在非學生族群中，顯著的較低憂鬱 (p < 0.01) 和 顯著的較低敵意 (p < 0.05) 是和網路遊戲障礙症緩解最有關連性的因子。結論：共病精神症狀在緩解的過程中是可以減弱的。進一步的研究來澄清共病精神症狀和網路遊戲障礙症緩解之間的關係是必要的。

Objectives: In this study, we intended to evaluate the associations between depression, anxiety, hostility, and remission of Internet gaming disorder. The association was also evaluated among student and non-student groups. Methods: We recruited 85 subjects with Internet gaming disorder, and 85 subjects in remission from Internet gaming disorder. All participants received a diagnostic interview based on the Internet gaming disorder in the Fifth Edition of the Diagnostic Manual for Mental Disorders, and completed copies of questionnaire for depression, anxiety, and hostility. Results: We found that subjects with Internet gaming disorder in remission had signifi cant lower depression (20.64 ± 10.04 vs. 15.04 ± 9.10, p < 0.001), anxiety (53.81 ± 10.89 vs. 49.72 ± 11.27, p < 0.05), and hostility (63.62 ± 13.24 vs. 55.00 ± 12.65, p < 0.001) than those with Internet gaming disorder. The logistic regression demonstrated that hostility (β = 1.07, 95% CI = 1.01 - 1.12, p < 0.05) was signifi cant more associated factor. Among student subjects, signifi cantly lower hostility (64.86 ± 13.04 vs. 56.00 ± 10.56, p < 0.01), and signifi cantly lower anxiety (55.68 ± 11.12 vs. 50.12 ± 11.06, p < 0.05), were found in those with Internet gaming disorder in remission. Among non-student subjects, signifi cantly lower depression (20.40 ± 10.15 vs. 13.16 ± 8.19, p < 0.01), and signifi cantly lower hostility (61.86 ± 13.51 vs. 54.07 ± 14.39, p < 0.05), were found in those with Internet gaming disorder in remission. Conclusion: The comorbid psychiatric symptoms could be lessened in those with Internet gaming disorder in remission. Further prospective study is necessary to clarify the causal relationship between comorbid psychiatric symptoms and Internet gaming disorder in remission.