發(fā)布時間：2018-04-18 09:18

  本文選題：網(wǎng)絡(luò)游戲成癮 + 游戲類型　； 參考：《安徽醫(yī)科大學(xué)》2014年碩士論文

【摘要】：隨著信息技術(shù)的發(fā)展，許多國家出現(xiàn)了網(wǎng)絡(luò)游戲成癮（Internet GamingAddiction，IGA）問題并呈日趨嚴重之勢，IGA已成為嚴重危害青少年身心健康的首要問題。我國是IGA問題的重災(zāi)區(qū)，也是IGA研究領(lǐng)域的先行者，更是《網(wǎng)絡(luò)成癮臨床診斷標(biāo)準》被美國《精神疾病診斷與統(tǒng)計手冊（第五版）》（DSM-5）采用的國家。在“網(wǎng)絡(luò)游戲障礙”(同網(wǎng)絡(luò)游戲成癮)一詞第一次出現(xiàn)在DSM-5中之前，學(xué)術(shù)界對IGA的研究已不乏眾數(shù)，但到目前為止國內(nèi)外對IGA類型的研究尚不充分，也不清楚成癮的行為和結(jié)果是否與游戲類型的改變有關(guān)。為此，本研究依托北京軍區(qū)總醫(yī)院青少年心理成長基地IGA患者樣本量大的優(yōu)勢，對上述問題進行回答。 目的：探索住院網(wǎng)絡(luò)游戲成癮者（Internet Gaming Addicts，IGAs）的人格特質(zhì)、精神癥狀與游戲類型的關(guān)系，回答DSM-5關(guān)于IGA是否需要分類、成癮的行為和結(jié)果是否與游戲類型的改變有關(guān)的疑問，從而對IGA的臨床分類與診斷提供指導(dǎo)，，為臨床工作者的針對性治療提供幫助。 方法：采用回顧性病歷研究的方法，以北京軍區(qū)總醫(yī)院青少年心理成長基地住院IGAs的病歷為研究對象。將研究分為IGAs人格特質(zhì)與游戲類型的關(guān)系、IGAs精神癥狀與游戲類型的關(guān)系兩個平行部分進行分析。 結(jié)果： （1）住院IGAs以男性、小于18歲、初高中受教育程度為主。 （2）在游戲類型的人數(shù)分布上，角色扮演、西方魔幻、非回合制類的IGAs人數(shù)較多。 （3）在人格特質(zhì)方面，角色扮演、射擊、動作、即時戰(zhàn)略和多人聯(lián)機在線競技這五組IGAs在恃強性（p0.05）、興奮性（p0.01）、獨立性（p0.05）、內(nèi)外向型（p0.01）和心理健康因素（p0.05）方面差異顯著。 （4）在精神癥狀方面，根據(jù)游戲內(nèi)容和游戲畫面類型分類，不同游戲類型成癮者在SCL-90癥狀總分、陽性項目數(shù)、陽性均分、10個因子上，都沒有顯著的組間差異。事后多重比較及單樣本T檢驗結(jié)果表明，住院IGAs的精神癥狀雖在個別因子上存在兩兩組間差異，但在這些因子上，低分組均高于全國常模的相應(yīng)值，且有5/7的低分組顯著高于全國常模的相應(yīng)值。 （5）根據(jù)對戰(zhàn)形式分類發(fā)現(xiàn)：除偏執(zhí)因子外，回合制游戲成癮組和非回合制游戲成癮組在SCL-90癥狀總分、陽性項目數(shù)、陽性均分，及其他9個因子上均無顯著差異，且這兩組的偏執(zhí)因子得分都顯著高于全國常模。 結(jié)論： （1）男性、小于18歲、初高中受教育程度是IGA的危險因素。 （2）角色扮演、西方魔幻、非回合制類的IGAs人數(shù)較多。 （3）不同網(wǎng)絡(luò)游戲類型的住院IGAs之間存在著顯著的人格差異。 （4）不同游戲類型的住院IGAs，其精神癥狀基本沒有差異。 （5）IGA可能并不存在子類。
[Abstract]:With the development of information technology, the problem of Internet GamingAddictionIGA (Internet GamingAddictionIGA) has appeared in many countries. IGA has become the most important problem that harms the physical and mental health of teenagers.Our country is the disaster area of IGA problem, is also the forerunner in the field of IGA research. It is also the country that the Clinical Diagnostic Standard of Internet Addiction is adopted by the American Manual of diagnosis and Statistics of Mental illness (Fifth Edition) > DSM-5).Before the term "online game disorder" appeared in DSM-5 for the first time, the research on IGA in academic circles was not lack of positive numbers, but the study of IGA type at home and abroad has not been sufficient up to now.It is also unclear whether addictive behavior and outcomes are related to changes in game types.Therefore, based on the advantage of large sample size of IGA patients in Beijing military region General Hospital, the above questions were answered.Objective: to explore the relationship between personality traits, mental symptoms and game types of inpatients with internet game addiction, and to answer DSM-5 's questions about whether IGA needs to be classified, whether the behavior and outcome of addiction is related to the change of game type.Therefore, it provides guidance for clinical classification and diagnosis of IGA, and provides help for the targeted treatment of clinical workers.Methods: retrospective medical records were used to study the IGAs records in the mental growth base of teenagers in Beijing military region General Hospital.The study was divided into two parallel parts: the relationship between IGAs personality trait and game type.Results:IGAs in hospital was male, less than 18 years old, and primary and high school education level was the main.2) in the number distribution of game type, the number of IGAs in role-playing, western magic and non-turn is more.(3) there were significant differences in personality traits, role-playing, shooting, action, instant strategy and multiplayer online competition among the five groups of IGAs in terms of strong, excitatory, independent, introverted, introverted, and mental health factors (p0.05).(4) in terms of mental symptoms, there was no significant difference in the total score of SCL-90 symptoms, the number of positive items, the average score of positive items, and the 10 factors among different game type addicts according to the game content and game picture type.The results of multiple comparison and single sample T test showed that although there were differences between two groups in individual factors, the lower groups were higher than the corresponding values of the national norm in these factors.And 5 / 7 of the low group is significantly higher than the corresponding value of the national norm.(5) there was no significant difference in the total score of SCL-90 symptoms, the number of positive items, the average positive score, and the other nine factors except the paranoid factor between the game addiction group and the non-round game addict group.The score of paranoid factor in both groups was significantly higher than that of the national norm.Conclusion:Male, under 18 years old, middle and high school education level is the risk factor of IGA.2) role-playing, Western magic, non-round type of IGAs is a large number.There were significant personality differences among IGAs patients with different online game types.(4) there was no significant difference in psychiatric symptoms among different game types.IGA may not exist subclass.
【學(xué)位授予單位】：安徽醫(yī)科大學(xué)
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2014
【分類號】：B848

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