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KMID : 0368820130520020084
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Journal of the Korean Neuropsychiatr Association
2013 Volume.52 No. 2 p.84 ~ p.90
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The Factors for the Aggression in Patients with On-Line Game Addiction : Behavioral Inhibition/Activation System and Comorbid Disease
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Park Jeong-Ha
Lee Young-Sik
Kim Bung-Nyun
Cheong Jae-Hoon
Han Doug-Hyun
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Abstract
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Objectives: Based on the debate between on-line game addiction and aggressive behaviors view, the aim of this study was to investigate the factors for aggression in patients with on-line game addiction.
Methods: A total of 107 adolescent patients with on-line game addiction were enrolled in an online game clinic and research center, OO hospital. In order to rule out psychiatric Axis I comorbidity, all participants were interviewed by a psychiatrist. In addition, their symptoms were assessed using the Young Internet Assessment Scale-Korean (YIAS-K), Korean Attention-Deficit Hyperactivity Disorder (ADHD) Rating Scale, Child depression index, Aggression scale extracted from Korean child behavior checklist, and Behavioral inhibition system (BIS)/Behavioral activation system (BAS). The participants were classified according to three groups; pure on-line game addiction group (pure-Game), on-line game addiction with attention-deficit hyperactivity syndrome (ADHD-Game) group, and on-line game addiction with depression group (Dep-Game).
Results:Thirty seven subjects in the pure-Game group, 53 subjects in the ADHD-Game group, and 39 subjects in the Dep-Game group showed significant differences in severity of on-line game addiction and aggression. Both the ADHD-Game and Dep-Game groups showed higher YIAS-K and aggression scale scores, compared to the pure on-line game addiction group. Aggression scale showed positive correlation with BAS-drive in the ADHD-Game group. Aggression also showed positive correlation with BIS in the Dep-Game group.
Conclusion: The current results suggested that the comorbidity of online game addiction would be a critical factor in aggression and impulsivity in patients with on-line game addiction.
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KEYWORD
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On-line game addiction, Aggression, ADHD, Depression, BIS/BAS
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