Cognitive deficits in problematic internet use: meta-analysis of 40 studies

Ioannidis Konstantinos; Hook Roxanne; Goudriaan Anna E.; Vlies Simon; Fineberg Naomi A.; Grant Jon E.; Chamberlain Samuel R.

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Cognitive deficits in problematic internet use: meta-analysis of 40 studies

机译：有问题的互联网使用的认知缺陷：40项研究的Meta分析

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Background Excessive use of the internet is increasingly recognised as a global public health concern. Individual studies have reported cognitive impairment in problematic internet use (PIU), but have suffered from various methodological limitations. Confirmation of cognitive deficits in PIU would support the neurobiological plausibility of this disorder. Aims To conduct a rigorous meta-analysis of cognitive performance in PIU from case-control studies; and to assess the impact of study quality, the main type of online behaviour (for example gaming) and other parameters on the findings. Method A systematic literature review was conducted of peer-reviewed case-controlled studies comparing cognition in people with PIU (broadly defined) with that of healthy controls. Findings were extracted and subjected to a meta-analysis where at least four publications existed for a given cognitive domain of interest. Results The meta-analysis comprised 2922 participants across 40 studies. Compared with controls, PIU was associated with significant impairment in inhibitory control (Stroop task Hedge's g = 0.53 (s.e. = 0.19-0.87), stop-signal task g = 0.42 (s.e. = 0.17-0.66), go/no-go task g = 0.51 (s.e. = 0.26-0.75)), decision-making (g = 0.49 (s.e. = 0.28-0.70)) and working memory (g = 0.40 (s.e. = 0.20-0.82)). Whether or not gaming was the predominant type of online behaviour did not significantly moderate the observed cognitive effects; nor did age, gender, geographical area of reporting or the presence of comorbidities. Conclusions PIU is associated with decrements across a range of neuropsychological domains, irrespective of geographical location, supporting its cross-cultural and biological validity. These findings also suggest a common neurobiological vulnerability across PIU behaviours, including gaming, rather than a dissimilar neurocognitive profile for internet gaming disorder. Declaration of interest S.R.C. consults for Cambridge Cognition and Shire. K.I.'s research activities were supported by Health Education East of England Higher Training Special interest sessions. A.E.G.'s research has been funded by Innovational grant (VIDI-scheme) from ZonMW: (91713354). N.A.F. has received research support from Lundbeck, Glaxo-SmithKline, European College of Neuropsychopharmacology (ECNP), Servier, Cephalon, Astra Zeneca, Medical Research Council (UK), National Institute for Health Research, Wellcome Foundation, University of Hertfordshire, EU (FP7) and Shire. N.A.F. has received honoraria for lectures at scientific meetings from Abbott, Otsuka, Lundbeck, Servier, Astra Zeneca, Jazz pharmaceuticals, Bristol Myers Squibb, UK College of Mental Health Pharmacists and British Association for Psychopharmacology (BAP). N.A.F. has received financial support to attend scientific meetings from RANZCP, Shire, Janssen, Lundbeck, Servier, Novartis, Bristol Myers Squibb, Cephalon, International College of Obsessive-Compulsive Spectrum Disorders, International Society for Behavioral Addiction, CINP, IFMAD, ECNP, BAP, the World Health Organization and the Royal College of Psychiatrists. N.A.F. has received financial royalties for publications from Oxford University Press and payment for editorial duties from Taylor and Francis. J.E.G. reports grants from the National Center for Responsible Gaming, Forest Pharmaceuticals, Takeda, Brainsway, and Roche and others from Oxford Press, Norton, McGraw-Hill and American Psychiatric Publishing outside of the submitted work.

机译：背景，互联网过度使用越来越被认为是全球公共卫生问题。个别研究报告了有问题的互联网使用（PIU）的认知障碍，但遭受了各种方法局限性。确认PIU中的认知缺陷将支持这种疾病的神经生物学合理性。旨在从病例对照研究中对PIU进行严格的认知性能进行严格的荟萃分析;并评估研究质量的影响，主要类型的在线行为（例如游戏）和其他参数在调查结果上。方法进行系统文献综述对同行评审病例对照研究进行了比较与健康对照的患者（广泛定义）的人口认知。提取发现并进行了荟萃分析，其中至少有四个出版物的感兴趣的认知领域存在。结果META分析组成40项研究中的2922名参与者。与对照组相比，PIU与抑制控制中的显着损害相关联（STRoop任务对齐G = 0.53（SE = 0.19-0.87），停止信号任务G = 0.42（SE = 0.17-0.66），GO / NO-GO Task G = 0.51（SE = 0.26-0.75）），决策（G = 0.49（SE = 0.28-0.70））和工作存储器（G = 0.40（SE = 0.20-0.82））。无论是游戏是否是主要类型的在线行为都没有显着缓和观察到的认知效果;也不是年龄，性别，地理区域的报告或分配性的存在。结论PIU与一系列神经心理学域的递减有关，无论地理位置，支持其跨文化和生物有效性。这些发现还提出了跨PIU行为的常见神经生物学脆弱性，包括游戏，而不是用于互联网游戏障碍的不同神经认知曲线。利息宣言S.R.C.咨询剑桥认知和夏尔。 K.I.英格兰东部的健康教育高等培训特别兴趣会议支持的研究活动。 A.E.G.的研究由Zonmw的创新授予（Vidi-Scheme）提供资金：（91713354）。 n.a.f.已收到来自Lundbeck，Glaxo-Smithkline，欧洲神经咽部学院（ECNP），服务器，Cephalon，Astra Zeneca，医学研究委员会（英国），欧盟大学Wellcome Foundation，Wellcome Foundation研究所（FP7）和夏尔。 n.a.f.从雅培，大冢，伦贝克，服务器，阿斯特拉Zeneca，Jazz Pharmaceuticals，Bristol Myers Squibb，英国心理健康药剂师和英国精神职业学院（BAP协会）的科学会议上获得了寄诉人。 n.a.f.已收到财务支持，参加Ranzcp，Shire，Janssen，Lundbeck，Servier，Novartis，Bristol Myers Squibb，Cephalon，International Coldumentive Spectrum疾病，Cinp，IFMAD，ECNP，ECNP，BAP，BAP，世界卫生组织和皇家精神科医生。 n.a.f.已收到来自牛津大学出版物的金融特许权使用费，从泰勒和弗朗西斯获得北京的教育税。 J.E.G.报告来自国家负责任游戏，森林制药，武田，布鲁斯道和罗氏和牛津新闻，诺顿，麦格劳 - 山和美国精神病出版的罗氏和其他人在提交的工作之外的赠款。

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来源
《The British journal of psychiatry :》 |2019年第5期|共8页
作者
Ioannidis Konstantinos; Hook Roxanne; Goudriaan Anna E.; Vlies Simon; Fineberg Naomi A.; Grant Jon E.; Chamberlain Samuel R.;
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作者单位

Cambridge &

Peterborough NHS Fdn Trust Cambridge England;

Univ Cambridge Dept Psychiat Cambridge England;

Univ Amsterdam Dept Psychiat Acad Med Ctr Addict Amsterdam Netherlands;

Cambridge &

Peterborough NHS Fdn Trust Cambridge England;

Univ Hertfordshire Hertfordshire Partnership Univ NHS Fdn Trust Hatfield Herts England;

Univ Chicago Pritzker Sch Med Dept Psychiat Chicago IL 60637 USA;

Univ Cambridge Dept Psychiat Cambridge England;

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原文格式 PDF
正文语种 eng
中图分类精神病学;
关键词
Behavioral addiction; internet addiction; internet gaming disorder; problematic internet use; meta-analysis;

机译：行为成瘾;互联网成瘾;互联网游戏障碍;有问题的互联网使用;Meta分析;

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1. Cognitive deficits in problematic internet use: meta-analysis of 40 studies [J] . Ioannidis Konstantinos, Hook Roxanne, Goudriaan Anna E., The British journal of psychiatry : . 2019,第5期

机译：有问题的互联网使用的认知缺陷：40项研究的Meta分析
2. Problematic Internet use and problematic alcohol use from the cognitive-behavioral model: A longitudinal study among adolescents [J] . Gamez-Guadix Manuel, Calvete Esther, Orue Izaskun, Addictive behaviors . 2015,第Null期

机译：认知行为模型中有问题的互联网使用和酗酒的问题：青少年的纵向研究
3. Defining social reciprocity deficits in internet addiction: evaluation of problematic internet user (PIU) adolescents in an University Outpatient Clinic [J] . Arman A. Rodopman, Ulgen V., Ayaz A., European child & adolescent psychiatry . 2015,第Suppla1期

机译：定义网络成瘾中的社交互惠不足：在大学门诊中对有问题的互联网用户（PIU）青少年的评估
4. Is Problematic Internet use a risk factor for bipolar disorder—Evidence from Meta-Analysis [C] . Xinyi Pan, Ruochen Wang International Conference on Big Data and Informatization Education . 2021

机译：是有问题的互联网使用荟萃分析的双极性障碍的危险因素 - 证据
5. A cross-cultural comparison study of Problematic Internet Use [D] . To, Hong 2017

机译：有问题的互联网使用的跨文化比较研究
6. Problematic Internet Use as a Predictor of Eating Disorders in Students: A Systematic Review and Meta-Analysis Study [O] . Francisco-Javier Hinojo-Lucena, Inmaculada Aznar-Díaz, María-Pilar Cáceres-Reche, 2019

机译：有问题的互联网使用作为学生饮食失调的预测因素：系统评价和荟萃分析研究
7. Decision-making is the process of analyzing information about a problem situation and comparing it to a specific conclusion in order to solve a specific problematic (Yıkılmaz, 2001; Miller and Byrnes, 2001). Decision-making styles are a mechanism that is influenced by the internal and external conditions that determine the direction of the decisions of the individual, the content of the decision-making process, and the outcome of the decision-making process (Payne, Bettman and Johson, 1993; Bavol’ár and Orosová, 2015). ACT is a contemporary member of the Cognitive Behavioral Therapy family. ACT (Acceptance and commitment therapy) has both similar and different directions with Behavioral Therapies and Cognitive Therapies (Herbet and Forman, 2011; Hayes, 2004). KKT responds to classical behavioral treatments using both existential and cognitive approaches in the analysis of behavior. KKT is a science wing that tries to solve human problems with a wider perspective aimed at solving problematic human behaviors (Plumb, Stewart, Dahl and Lundgren, 2009). It is seen that there is very little research about the new approach of ACT approach when the aiming country of our country is screened and it is thought that our country will contribute to the field of psychological counseling with the work done. In the scope of the research, experimental and control groups and preliminary test, post-test and follow-up measurements of 2x3 experimental design were used. The study's study group consists of a total of 24 (12 experimental and 12 control groups) university students studying in different departments and levels, continuing their education in the academic year of 2015-2016 in Ağrı province and İbrahim Chechen University in 2015-2016 academic year. The average age of participants in the experiment and control group is 20. There were 12 participants in the experimental group, 7 female and 5 male, and 12 participants, 7 female and 5 male in the control group. Personal Information Form and Decision Making Style Scale prepared by the researcher were used in the research. In order to decide on the tests to be used in the course of analyzing the data, the scores of the participant's Decision Styles Scale pre-test, which are placed primarily in the experimental and control groups, it was analyzed whether the basic expectations of parametric tests were answered. As a result of the analysis made, the scores, skewness and kurtosis coefficients obtained from the Decision Making Styles Scale were given to the experimental and control groups. It was determined that the distribution was normal in the result of Shapiro-Wilk test, in which the skewness and kurtosis coefficients of each sub-scale were ranked between -1 and +1. Participants in the experimental and control groups; homogeneity test results for decision-style pre-test measurements indicate that the data are homogeneous. According to the results of the Mauchly Globalness Test, it has been determined that working supports the hypothesis. It was determined that there was no significant difference between the pre-test scores obtained from dependent decision-making style of experiment and control groups, but the test group showed lower mean scores at the significant level within the scores of post-test and follow-up tests. Therefore, it can be said that the ACT-oriented psychoeducation program applied to the experimental group reduces the dependent decision-making style scores from the decision style sub-dimensions and the psychoeducation program has a lasting effect. It was determined that there was no significant difference between pre-test, post-test and follow-up scores obtained from the Spontaneous-Instant Decision Style of experiment and control groups. Thus, it can be said that this situation does not cause a significant difference in the Spontaneous-Decision-Making Style scores from the decision style sub-dimensions of the ACT-oriented psychoeducation program applied to the experimental group. The ACT -oriented psychoeducation program had a decline in the intuitive decision-making styles of the individuals, but this decrease did not create significant differences. Thus, it can be said that this situation does not make a meaningful difference in the intuitive decision style scores from the decision style sub-dimensions of the KKT oriented psychoeducation program applied to the experimental group. The pre-test scores obtained from the rational decision-making style of the experimental and control groups showed that there was a difference between the post-test and the follow-up scores, but this difference was not significant. As a result of the analysis, it was determined that the test group had higher levels of rational decision style than the pre - test scores in the post test and follow - up scores, whereas the post test and follow - up test scores in the control group rational decision style showed a decrease compared to the pre - test scores. the pre - test scores. Decision-making Styles Scale Avoidant Decision Making As a result of the analysis of the mean scores of the subscale scores of pre-test, post-test and follow-up measures, the group effect was found to be insignificant. It was determined that the experimental and control groups differed significantly from the pre-test scores obtained from the avoidant decision-making style but did not show any significant change within the scores of the post-test and follow-up tests. [O] . mustafa ercengiz, ali haydar şar 2018

机译：决策是分析有关问题情况的信息并将其与特定结论进行比较的过程，以解决特定的问题（Yıkılmaz，2001; Miller和Byrnes，2001）。决策风格是一种机制，受到内部和外部条件的影响，确定个人决定的方向，决策过程的内容以及决策过程的结果（PAYNE，BETTMAN和BEDNE） Johson，1993;Bavol'ár和奥萨洛瓦，2015）。法案是认知行为治疗家庭的当代成员。行为（验收和承诺治疗）具有与行为疗法和认知疗法的类似和不同方向（Herbet和Forman，2011; Hayes，2004）。 KKT在分析行为中使用存在性和认知方法来响应古典行为治疗方法。 KKT是一个科学翼，试图解决人类问题，旨在解决有问题的人类行为（铅垂，斯图尔特，Dahl和Lundgren，2009）。有人认为，当我们国家的瞄准国家进行筛选时，有关行动方法的新方法几乎没有研究，并且认为我们的国家将为完成工作做出贡献的心理咨询领域。在研究的范围内，使用实验和对照组和初步测试，使用后测试和后续测量的2x3实验设计。该研究的研究小组包括共24名（12个实验和12个对照组）大学学生在不同的部门和水平上学习，在2015-2016学术上继续进行2015-2016的学术年度2015-2016学年年。实验和对照组参与者的平均年龄是20.实验组中有12名参与者，7名女性和5名男性，12名参与者，7名女性和5名男性。研究人员准备的个人信息表格和决策制定风格规模在研究中使用。为了决定在分析数据的过程中使用的测试，参与者的决策风格刻度预测的分数主要在实验和对照组中进行，分析了参数的基本期望吗？测试得到了回答。由于对实验和对照组给出了从决策曲调标度获得的分数，偏移和峰度分子系数。确定该分布是正常的在成熟的-WILK试验结果中，其中每亚级的偏差和刚度系数在-1到+1之间排名。实验和对照组的参与者;决策式预测测量的同质性测试结果表明数据是均匀的。根据毛毛环保试验的结果，已确定工作支持假设。据确定，从依赖决策风格的实验和对照组获得的预测分数之间没有显着差异，但测试组在测试后的分数内显示出较低的平均分数和后续的分数 - 测试。因此，可以说，应用于实验组的面向活动的心理教育程序减少了决策风格子维度的依赖决策风格分数，并且心理教育程序具有持久的效果。据确定，从实验和对照组自发决策风格获得的预测试，测试后和后续评分之间没有显着差异。因此，可以说这种情况不会导致从应用于实验组的活动导向的心理教育程序的决策风格分数的自发决策风格分数显着差异。行为的心理教育计划在个人直观的决策风格下降，但这种减少并没有产生显着的差异。因此，可以说，这种情况不会在从应用于实验组的KKT导向的心理教育程序的决策风格分数中产生有意义的决策风格分数。从实验和对照组的理性决策风格获得的预测分数显示后检验后和随访评分之间存在差异，但这种差异并不重要。由于分析，确定测试组的理性决策风格较高，而不是后测试和后续分数的预测分数，而对照组合理决策风格的后测试和后续测试分数显示出与预测试分数相比的减少。预测分数。决策款式扩展避免决策由于分析了预测试，测试后和后续措施的班次评分的平均分数，发现群体效应是微不足道的。确定实验和对照组从避免决策风格获得的预测评分中显着不同，但在测试后和后续测试的分数内没有显示出任何重大变化。

Cognitive deficits in problematic internet use: meta-analysis of 40 studies

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