行為抑制、愉悅追求、戰鬥反應及僵直反應與網際網路遊戲成癮緩解者之關聯性

Associations of Behavior Inhibition, Fun-seeking, Fighting, and Freezing Response in Patients with Internet Gaming Disorder and those in Remission

目標：評估原增強理論、修正後增強理論與網路遊戲障礙症的緩解之間的關聯性。方 法：我們招募了各 85 位網路遊戲障礙症病人和緩解者。受試者皆經過診斷性會談，並完成 行為抑制與激發量表、酬賞敏感理論量表。結果：整體而言，相較於網路遊戲障礙症病人， 緩解者具較低的行為抑制 （20.27 ± 2.87 vs. 21.27 ± 3.38, p < 0.05） 及愉悅追求 （11.34 ± 2.10 vs. 12.41 ± 2.48, p < 0.01）。同為學生族群，緩解者具較低的行為抑制性，若為非學生族群， 緩解者的愉悅追求明顯較低。利用修正後增強理論進行分析，網路遊戲障礙症的緩解者，其 戰鬥反應較低 （31.48 ± 4.20 vs. 33.56 ± 4.26, p < 0.01），針對學生族群分析，緩解者的戰鬥反 應與僵直反應明顯較低的。結論：較低的行為抑制、愉悅追求、戰鬥反應及僵直反應與網路 遊戲障礙症的緩解顯具關連性。若能進行介入治療，降低其焦慮、戰鬥反應，提升自我控制 力、區辨現實的能力，或能有助於疾患的緩解。

Objectives: In this study, we intended to evaluate the association between original and revised reinforcement theory and remission from Internet gaming disorder (IGD). Methods: We recruited 85 subjects with IGD, and 85 subjects in remission from IGD. All study participants received a diagnostic interview for IGD based on the DSM-5, and completed copies of questionnaire of the BIS/BAS scale and Jackson-5 scales to assess their reinforcement sensitivity. Results: Subjects remitted from IGD had signifi cant lower behavior inhibition (20.27 ± 2.87 vs. 21.27 ± 3.38, p < 0.05), and fun-seeking (11.34 ± 2.10 vs. 12.41 ± 2.48, p < 0.01). The difference in behavior inhibition was signifi cant only among student group (p < 0.01), and the difference in fun-seeking was signifi cant only among non-student group. Based on revised reinforcement sensitivity theory, subjects remitting from IGD had a signifi cantly lower score on fi ghting response (31.48 ± 4.20 vs. 33.56 ± 4.26, p < 0.01). Among students group, they had signifi cantly lower fi ghting (p < 0.01) and freezing response (p < 0.05). Conclusion: The lower behavior inhibition, fun-seeking, fi ghting, and freezing responses were associated with remitting from IGD. Intervention to relieve anxiety and fl ight response and to improve selfcontrol and practical resolution might benefi t patients remitting from IGD.