인터넷 게임 장애의 치료적 접근

• 영문명: Therapeutic Approaches to Internet Gaming Disorder
• 발행기관: 한국중독정신의학회
• 저자명: 백수현(Soo-Hyun Paik) 조현(Hyun Cho) 최정석(Jung-Seok Choi) 최삼욱(Sam-Wook Choi) 김대진(Dai-Jin Kim)
• 간행물 정보: 『중독정신의학』Vol.21, No.1, 10~16쪽, 전체 7쪽
• 주제분류: 의약학 > 정신과학
• 파일형태: PDF
• 발행일자: 2017.04.30

국문 초록

Objectives ： The goal of this paper is to review current neurobi-ological findings from the literature that can be used as evidence for the treatment of Internet gaming disorder (IGD) and to suggest individualized treatment options for specific neurocognitive profiles. Methods ： Articles about the neurocognitive aspects and treatment modalities for IGD have been reviewed from the PubMed and Google Scholar database at October 2016. Results：Individuals with IGD were prone to acting impulsively and making risky decisions, especially when given a game-related cue. Task-related functional neuroimaging studies demonstrated that IGD was associated with impaired response inhibition, cognitive inflexibility, and enhanced sensitivity to rewards. Reward system deficiency and functional connectivity disruption were also evident. Cognitive behavioral approaches of IGD focused on modifying dysfunctional beliefs about Internet gaming and strength-ening neurocognitive functions, whereas pharmacological approaches helped to modulate deficient reward systems and comorbidities. Conclusion : Treatment of IGD needs to focus both on enhancing cognitive function and on compensating reward system deficiency. To maximize the treatment efficacy of IGD, assessing neurocognitive features and psychiatric comorbidities thoroughly and establishing an individualized target for intervention would be essential for the effective treatment of IGD.

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키워드

Internet gaming disorder Neurocognitive function Comorbidity Cognitive behavioral therapy Pharmacotherapy 인터넷 게임 장애 신경인지기능 공존질환 인지 행동치료 약물치료.