首页|ACT联合rTMS对青少年游戏障碍患者网瘾程度及内隐认知偏倚的影响

ACT联合rTMS对青少年游戏障碍患者网瘾程度及内隐认知偏倚的影响

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目的 探讨接受与现实疗法(ACT)联合重复经颅磁刺激(rTMS)在青少年游戏障碍(GD)患者中的应用效果。方法 选取2021年1月至2022年1月该院收治的100例青少年GD患者,按随机数字表法分为观察组和对照组,各50例。对照组采取认知行为疗法,观察组采取ACT联合rTMS,比较2组中文网络成瘾量表修订版(CIAS-R)评分、内隐认知偏倚情况和学习倦怠评分。结果 2组治疗前CIAS-R各维度评分比较,差异无统计学意义(P>0。05)。观察组治疗后CIAS-R各维度评分低于对照组,差异有统计学意义(P<0。05)。2组治疗前内隐认知偏倚情况比较,差异无统计学意义(P>0。05)。2组治疗后内隐认知偏倚情况比较,差异有统计学意义(P<0。05)。2组治疗前学习倦怠各维度评分比较,差异无统计学意义(P>0。05)。观察组治疗后学习倦怠各维度评分低于对照组,差异有统计学意义(P<0。05)。结论 ACT联合rTMS治疗青少年GD患者的效果显著,能降低网瘾程度,改善内隐认知偏倚和学习倦怠情况,有利于其健康成长。
Effect of ACT combined with rTMS on the degree of internet addiction and implicit cognitive bias in adolescent patients with gaming disorder
Objective To explore the application effect of acceptance and commitment therapy(ACT)combined with repetitive transcranial magnetic stimulation(rTMS)in adolescent patients with gaming disor-der(GD).Methods A total of 100 adolescent GD patients admitted to the hospital from January 2021 to Janu-ary 2022 were selected and divided into observation group and control group according to the random number table method,with 50 cases in each group.The control group was treated with cognitive behavioral therapy,while the observation group was treated with ACT combined with rTMS.The scores of Chinese Internet Ad-diction Scale-Revised(CIAS-R),implicit cognitive bias and learning burnout were compared between the two groups.Results There was no significant difference in the scores of CIAS-R dimensions between the two groups before treatment(P>0.05).After treatment,the scores of each dimension of CIAS-R in the observa-tion group were lower than those in the control group,and the differences were statistically significant(P<0.05).There was no significant difference being found in the comparison of implicit cognitive bias between the two groups before treatment(P>0.05).There was a statistically significant post-treatment difference in im-plicit cognitive bias between the two groups(P<0.05).There was no significant difference being found in the comparison of the scores of each dimension of learning burnout between the two groups before treatment(P>0.05).After treatment,the scores of each dimension of learning burnout in the observation group were lower than those in the control group,and the differences were statistically significant(P<0.05).Conclusion ACT combined with rTMS is effective in the treatment of adolescent GD patients,which can reduce the degree of in-ternet addiction,improve the implicit cognitive bias and learning burnout of patients,and is conducive to the healthy growth of patients.

Adolescent gaming disordersRepetitive transcranial magnetic stimulationInternet addictionImplicit cognitive bias

周振华、彭艳娜

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洛阳市第五人民医院精神科,河南 洛阳 471000

青少年游戏障碍 重复经颅磁刺激 网瘾 内隐认知偏倚

2024

现代医药卫生
重庆市卫生信息中心

现代医药卫生

影响因子:0.758
ISSN:1009-5519
年,卷(期):2024.40(2)
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