淡江大學機構典藏:Item 987654321/122770
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    Please use this identifier to cite or link to this item: https://tkuir.lib.tku.edu.tw/dspace/handle/987654321/122770


    Title: Structural Equation Modeling (SEM): Gaming Disorder Leading Untreated Attention Deficit Hyperactivity Disorder to Disruptive Mood Dysregulation
    Authors: Ruu-Fen Tzang, Chuan-Hsin Chang, Yue-Cune Chang
    Keywords: ADHD;IGD;DMDD;mediator;SEM
    Date: 2022-05-29
    Issue Date: 2022-06-11 12:10:18 (UTC+8)
    Abstract: (1) Background: Internet gaming disorder (IGD) in youths likely leads to disruptive mood
    dysregulation, especially among those with attention-deficit/hyperactivity disorder (ADHD).
    Whether IGD mediates the pathways leading ADHD to disruptive emotional dysfunction remains
    unclear. This study aims to elucidate the direct or indirect influence of IGD on ADHD; (2) Method:
    The Swanson, Nolan, and Pelham Version IV questionnaire was used to evaluate symptoms of
    ADHD and oppositional defiant disorder, and the Chen gaming disorder scale was used to measure
    IGD. A psychiatrist diagnosed ADHD, IGD, and disruptive mood dysregulation disorder (DMDD)-
    like symptoms. Structural equation modeling was applied to evaluate the role of IGD in mediating
    ADHD progression to disruptive mood dysregulation; (3) Results: Among a total of 102 ADHD
    youths, 53 (52%) of them with IGD were significantly more likely to have poor interpersonal relationships
    (p < 0.01) and DMDD-like symptoms (p < 0.01) than ADHD youths without IGD. IGD
    played a mediating role in increasing the risk of disruptive mood dysregulation in ADHD youths;
    (4) Conclusions: The findings suggest that IGD mediates ADHD’s progression to disruptive mood
    dysregulation. Intensive biopsychosocial interventions are warranted for ADHD youths with IGD.
    More children and adolescents became mood-dysregulated after excessive gaming during the
    COVID-19 pandemic; this study’s results suggest that child mental health experts develop earlier
    detection and prevention strategies for children and adolescents hidden behind internet addiction.
    Relation: International Journal of Environmental Research and Public Health 19(11), 6648
    DOI: 10.3390/ijerph19116648
    Appears in Collections:[Graduate Institute & Department of Mathematics] Journal Article

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