A cognitive-behavioral model of Internet gaming disorder: Theoretical underpinnings and clinical implications

被引:374
作者
Dong, Guangheng [1 ]
Potenza, Marc N. [2 ,3 ]
机构
[1] Zhejiang Normal Univ, Dept Psychol, Jinhua 321004, Zhejiang, Peoples R China
[2] Yale Univ, Sch Med, Dept Psychiat, New Haven, CT USA
[3] Yale Univ, Sch Med, Neurobiol & Child Study Ctr, New Haven, CT USA
基金
中国国家自然科学基金; 美国国家卫生研究院;
关键词
Internet gaming disorder; Cognitive model; Reward sensation; Executive control; Decision making; PREFRONTAL CORTEX; DECISION-MAKING; DRUG-ADDICTION; ADOLESCENTS; REWARD; MOTIVATION; THERAPY; FUTURE; TRIAL; FMRI;
D O I
10.1016/j.jpsychires.2014.07.005
中图分类号
R749 [精神病学];
学科分类号
100205 ;
摘要
Cognitive contributions to the behaviors observed in substance and non-substance addictions have been investigated and characterized. Based on models of drug addictions and the extant literature on Internet gaming disorder (IGD), we propose a cognitive-behavioral model for conceptualizing IGD. The model focuses on three domains and their roles in addictive behaviors. The three domains include motivational drives related to reward-seeking and stress-reduction, behavioral control relating to executive inhibition, and decision-making that involves weighing the pros and cons of engaging in motivated behaviors. Based on this model, we propose how behavioral therapies might target these domains in the treatment of IGD. (C) 2014 Elsevier Ltd. All rights reserved.
引用
收藏
页码:7 / 11
页数:5
相关论文
共 61 条
[1]   Massively multiplayer online role-playing games: comparing characteristics of addict vs non-addict online recruited gamers in a French adult population [J].
Achab, Sophia ;
Nicolier, Magali ;
Mauny, Frederic ;
Monnin, Julie ;
Trojak, Benoit ;
Vandel, Pierre ;
Sechter, Daniel ;
Gorwood, Philip ;
Haffen, Emmanuel .
BMC PSYCHIATRY, 2011, 11
[2]  
[Anonymous], Diagnostic and statistical manual of mental disorders, DOI [DOI 10.1176/APPI.BOOKS.9780890425596.744053, 10.1176/appi.books.9780890425596, DOI 10.1176/APPI.BOOKS.9780890425596]
[3]   Decision-making and addiction (part II): myopia for the future or hypersensitivity to reward? [J].
Bechara, A ;
Dolan, S ;
Hindes, A .
NEUROPSYCHOLOGIA, 2002, 40 (10) :1690-1705
[4]   The debate over dopamine's role in reward: the case for incentive salience [J].
Berridge, Kent C. .
PSYCHOPHARMACOLOGY, 2007, 191 (03) :391-431
[5]   Remember the Future: Working Memory Training Decreases Delay Discounting Among Stimulant Addicts [J].
Bickel, Warren K. ;
Yi, Richard ;
Landes, Reid D. ;
Hill, Paul F. ;
Baxter, Carole .
BIOLOGICAL PSYCHIATRY, 2011, 69 (03) :260-265
[6]   Issues for DSM-V: Internet addiction [J].
Block, Jerald J. .
AMERICAN JOURNAL OF PSYCHIATRY, 2008, 165 (03) :306-307
[7]   Reward deficiency syndrome in obesity: A preliminary cross-sectional trial with a genotrim variant [J].
Blum, Kenneth ;
Chen, Thomas J. H. ;
Meshkin, Brian ;
Downs, B. William ;
Gordon, Cory A. ;
Blum, Seth ;
Mengucci, Julie F. ;
Braverman, Eric R. ;
Arcuri, Vanessa ;
Varshavskiy, Michael ;
Deutsch, Roger ;
Martinez-Pons, Manuel .
ADVANCES IN THERAPY, 2006, 23 (06) :1040-1051
[8]   Craving to Quit: Psychological Models and Neurobiological Mechanisms of Mindfulness Training as Treatment for Addictions [J].
Brewer, Judson A. ;
Elwafi, Hani M. ;
Davis, Jake H. .
PSYCHOLOGY OF ADDICTIVE BEHAVIORS, 2013, 27 (02) :366-379
[9]   Mindfulness-based treatments for co-occurring depression and substance use disorders: what can we learn from the brain? [J].
Brewer, Judson A. ;
Bowen, Sarah ;
Smith, Joseph T. ;
Marlatt, G. Alan ;
Potenza, Marc N. .
ADDICTION, 2010, 105 (10) :1698-1706
[10]   Mindfulness Training and Stress Reactivity in Substance Abuse: Results from a Randomized, Controlled Stage I Pilot Study [J].
Brewer, Judson A. ;
Sinha, Rajita ;
Chen, Justin A. ;
Michalsen, Ravenna N. ;
Babuscio, Theresa A. ;
Nich, Charla ;
Grier, Aleesha ;
Bergquist, Keri L. ;
Reis, Deidre L. ;
Potenza, Marc N. ;
Carroll, Kathleen M. ;
Rounsaville, Bruce J. .
SUBSTANCE ABUSE, 2009, 30 (04) :306-317