中华实用儿科临床杂志
中華實用兒科臨床雜誌
중화실용인과림상잡지
Journal of Applied Clinical Pediatrics
2014年
15期
1170-1173
,共4页
网络游戏依赖%心理干预%药物治疗%儿童
網絡遊戲依賴%心理榦預%藥物治療%兒童
망락유희의뢰%심리간예%약물치료%인동
Network game on%Psychological intervention%Drug treatment%Child
目的 探讨心理干预联合药物治疗对网络游戏依赖儿童的疗效.方法 选取2009年2月至2013年10月来新乡医学院第二附属医院门诊诊治的112例网络游戏依赖儿童,按入院时间顺序随机分为药物治疗组、心理干预组2个对照组与心理干预联合药物治疗试验组.对照组各38例,试验组36例.药物治疗组患儿口服盐酸氟西汀胶囊10 mg,1次/d;心理干预组患儿予一般连续8周的心理谈话,直至出院;试验组在药物治疗基础上,采用认知重建、想象辩论、自我暗示、自我提醒的认知疗法和行为契约、行为强化、行为消退、厌恶刺激、自我约束为主的行为疗法.分别于治疗前、治疗2周末、4周末和8周结束后,应用中文网络成瘾量表(CIAS)、应付方式问卷(CSQ)和症状自评量表(SCL-90)对患儿各因子得分进行评定.结果 治疗2周末及8周结束时,试验组CIAS评分明显低于药物治疗组和心理干预组,差异均有统计学意义(=2.49、2.03,P均＜0.05;t =2.72、2.72,P均＜0.01);试验组CSQ应付方式问卷中的幻想、自责和退避3因子在治疗2周末、8周末的评分试验组低于2个对照组,差异均有统计学意义(=3.99、3.78、2.15,P均＜0.05;t =2.64、4.20、3.72,P均＜0.01);试验组解决问题和求助因子高于2个对照组,差异均有统计学意义(=2.69、2.43;t=5.31、2.25,P均＜0.01);试验组合理化因子评分在不同阶段与2个对照组比较差异均无统计学意义(P均＞0.05).SCL-90总分在试验组和2个对照组之间的评分比较,差异均有统计学意义(t=5.05、4.31,P均＜0.01).2个对照组之间各因子比较差异均无统计学意义(P均＞0.05).结论 认知疗法、行为疗法为主的心理干预联合药物治疗对儿童网络游戏依赖的干预有较好疗效.
目的 探討心理榦預聯閤藥物治療對網絡遊戲依賴兒童的療效.方法 選取2009年2月至2013年10月來新鄉醫學院第二附屬醫院門診診治的112例網絡遊戲依賴兒童,按入院時間順序隨機分為藥物治療組、心理榦預組2箇對照組與心理榦預聯閤藥物治療試驗組.對照組各38例,試驗組36例.藥物治療組患兒口服鹽痠氟西汀膠囊10 mg,1次/d;心理榦預組患兒予一般連續8週的心理談話,直至齣院;試驗組在藥物治療基礎上,採用認知重建、想象辯論、自我暗示、自我提醒的認知療法和行為契約、行為彊化、行為消退、厭噁刺激、自我約束為主的行為療法.分彆于治療前、治療2週末、4週末和8週結束後,應用中文網絡成癮量錶(CIAS)、應付方式問捲(CSQ)和癥狀自評量錶(SCL-90)對患兒各因子得分進行評定.結果 治療2週末及8週結束時,試驗組CIAS評分明顯低于藥物治療組和心理榦預組,差異均有統計學意義(=2.49、2.03,P均＜0.05;t =2.72、2.72,P均＜0.01);試驗組CSQ應付方式問捲中的幻想、自責和退避3因子在治療2週末、8週末的評分試驗組低于2箇對照組,差異均有統計學意義(=3.99、3.78、2.15,P均＜0.05;t =2.64、4.20、3.72,P均＜0.01);試驗組解決問題和求助因子高于2箇對照組,差異均有統計學意義(=2.69、2.43;t=5.31、2.25,P均＜0.01);試驗組閤理化因子評分在不同階段與2箇對照組比較差異均無統計學意義(P均＞0.05).SCL-90總分在試驗組和2箇對照組之間的評分比較,差異均有統計學意義(t=5.05、4.31,P均＜0.01).2箇對照組之間各因子比較差異均無統計學意義(P均＞0.05).結論 認知療法、行為療法為主的心理榦預聯閤藥物治療對兒童網絡遊戲依賴的榦預有較好療效.
목적 탐토심리간예연합약물치료대망락유희의뢰인동적료효.방법 선취2009년2월지2013년10월래신향의학원제이부속의원문진진치적112례망락유희의뢰인동,안입원시간순서수궤분위약물치료조、심리간예조2개대조조여심리간예연합약물치료시험조.대조조각38례,시험조36례.약물치료조환인구복염산불서정효낭10 mg,1차/d;심리간예조환인여일반련속8주적심리담화,직지출원;시험조재약물치료기출상,채용인지중건、상상변론、자아암시、자아제성적인지요법화행위계약、행위강화、행위소퇴、염악자격、자아약속위주적행위요법.분별우치료전、치료2주말、4주말화8주결속후,응용중문망락성은량표(CIAS)、응부방식문권(CSQ)화증상자평량표(SCL-90)대환인각인자득분진행평정.결과 치료2주말급8주결속시,시험조CIAS평분명현저우약물치료조화심리간예조,차이균유통계학의의(=2.49、2.03,P균＜0.05;t =2.72、2.72,P균＜0.01);시험조CSQ응부방식문권중적환상、자책화퇴피3인자재치료2주말、8주말적평분시험조저우2개대조조,차이균유통계학의의(=3.99、3.78、2.15,P균＜0.05;t =2.64、4.20、3.72,P균＜0.01);시험조해결문제화구조인자고우2개대조조,차이균유통계학의의(=2.69、2.43;t=5.31、2.25,P균＜0.01);시험조합이화인자평분재불동계단여2개대조조비교차이균무통계학의의(P균＞0.05).SCL-90총분재시험조화2개대조조지간적평분비교,차이균유통계학의의(t=5.05、4.31,P균＜0.01).2개대조조지간각인자비교차이균무통계학의의(P균＞0.05).결론 인지요법、행위요법위주적심리간예연합약물치료대인동망락유희의뢰적간예유교호료효.
Objective To study the curative effect of psychological intervention combined with drug treatment of children addicted to the network game.Methods One hundred and twelve children addicted to the network game were selected,who were admitted to the outpatient department of the Second Affiliated Hospital of Xinxiang Medical University from Feb.2009 to Oct.2013 were selected,according to the admission time sequence,they were randomly divided into drug treatment group,psychological intervention group(as control group) and psychological intervention combined with drug therapy group(test group).Each of the control groups had 38 cases of patients,while treatment group had 36 cases.Drug treatment group was treated with oral Fluoxetine Hydrochloride Capsules 10 mg,1 time/d; the psychological intervention group was given the general psychological conversation,until discharged from the hospital; the test group adopted the cognitive restructuring,imagine the debate,self suggestion,remind yourself of cognitive therapy and behavior contract,behavior reinforcement,behavior extinction,aversive stimulus,self-regulation of behavior therapy combined with drug therapy.Respectively,before treatment,2 weeks,4 weeks and 8 weeks after the end of the treatment,Chinese Internet Addiction Scale,Coping Style Questionnaire (CSQ) and symptom checklist 90 (SCL-90) of each factor were evaluated.Results By the end of the 2 weeks and 8 weeks after the treatment,CIAS scores in the treatment group were significantly lower than that in drug therapy and psychological intervention group,the differences were statistically significant (t =2.49,2.03,all P ＜ 0.05 ; t =2.72,2.72,all P ＜ 0.01) ; scores of 3 factors of fantasy,self accusation and retreat in CSQ group in coping style questiennaire in the coping style questionnaire in the treatment group were lower than those in control groups,the differences were statistically significant (t =3.99,3.78,2.15,all P ＜ 0.05; t=2.64,4.20,3.72,all P ＜ 0.01); the problem solving,help seeking factor in the test group were higher than those in the control groups,the differences were statistically significant (t =2.69,2.43,5.31,2.25; all P ＜ 0.01) ; variation test combined physicochemical factors scores at different stages had on difference comparison of those in the 2 control groups (all P ＞ 0.05).Comparison of the SCL-90 score between the test group and the 2 control groups,the differences were statistically significant (t =5.05,4.31,all P ＜ 0.01).There was no significant difference of the scores between the 2 control groups (all P ＞ 0.05).Conclusions Psycholoical intervention therapy including cognitive therapy,behavior therapy combined with drug treatment have good effect on children's addiction to Web games.
