• 文章类型: Journal Article
    我们的目的是分析吸毒成瘾个体的犯罪行为与冲动性之间的关联,并调查冲动性是否介导了吸毒严重程度与法律问题之间的关系。
    这项横断面研究包括773名被诊断患有成瘾的男性(295名酒精使用者和478名可卡因/多物质使用者),同时接受成瘾治疗。BIS-11和ASI-6用于评估冲动,犯罪行为,和药物使用。
    在酒精使用者中,犯罪行为的患病率为41.7%(n=123),在裂纹/多物质使用者中,犯罪行为的患病率为64.9%(n=310)。在有犯罪史的个体中观察到较早使用不同物质和较高的冲动得分。调解分析表明,冲动是物质使用和犯罪行为之间的中介因素,提高法律问题的严重性。
    我们的研究结果可以帮助决定量身定制的治疗策略,不仅关注物质的使用,而且在预防社会问题上,犯罪,和冲动。
    UNASSIGNED: Our aim was to analyze the association between criminal behavior and impulsivity in individuals with drug addiction and investigate whether impulsiveness mediates the relationship between drug use severity and legal problems.
    UNASSIGNED: This cross-sectional study included 773 men diagnosed with addiction (295 alcohol users and 478 users of crack/polysubstance) while undergoing addiction treatment. The BIS-11 and ASI-6 were applied to assess impulsivity, criminal behavior, and drug use.
    UNASSIGNED: The prevalence of criminal behavior was 41.7% (n = 123) in alcohol users and 64.9% (n = 310) in users of crack/polysubstance. Earlier use of different substances and higher impulsivity scores were observed in individuals with criminal history. Mediation analyses revealed that impulsiveness acts as a mediator factor between substance use and criminal behavior, enhancing the severity of legal problems.
    UNASSIGNED: Our findings can help in deciding on tailored treatment strategies, focusing not only on substance use, but also on the prevention of social problems, criminality, and impulsivity.
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  • 文章类型: Journal Article
    背景:网络成瘾和网络成瘾是学生中普遍存在的破坏性行为。这项研究的目的是评估phubbing之间的关系,智能手机成瘾和牙科本科生的一些相关心理影响。
    方法:在印度五所不同牙科学院的本科生中进行了一项基于多中心的横断面预验证问卷的研究。问卷包括张量表,Barratt冲动量表(BIS),基于智能手机应用的成瘾量表(SABAS)和罗森博格自尊量表(RSES)。使用IBMSPSS21版分析数据,然后进行t检验,方差分析(ANOVA),和斯皮尔曼的相互关系,以发现研究对象之间不同心理变量之间的关联。
    结果:总样本为1226人,平均年龄为22.35岁。SABAS显示较高的平均值±标准偏差(SD)评分(3.17±0.93)。张量表与SABAS(0.658)呈正相关,结果具有高度统计学意义(P=0.01)。
    结论:本研究发现,在牙科学生中,误吸和智能手机成瘾的患病率更高。我们的结果表明,冲动会导致网络成瘾,因此,在交流过程中寻找慰藉以逃避焦虑和困扰的一种方式。
    BACKGROUND: Internet Addiction and phubbing are prevalent disruptive behaviours among students. The aim of this study was to assess the relationship between phubbing, smartphone addiction and some of the related psychological effects among dental undergraduates.
    METHODS: A multi-centric cross-sectional pre-validated questionnaire-based study was conducted among undergraduate students of five different dental colleges across India. The questionnaire included the Phubbing Scale, Barratt Impulsiveness Scale (BIS), Smartphone Application-based Addiction Scale (SABAS), and Rosenberg Self-Esteem Scale (RSES). The data were analysed with IBM SPSS version 21, followed by a t-test, analysis of variance (ANOVA), and Spearmen\'s co-relation to find the association between different psychological variables among study subjects.
    RESULTS: The total sample comprise of 1226 with mean age of 22.35. The SABAS showed a higher mean ± standard deviation (SD) score (3.17 ± 0.93). The Phubbing Scale showed a positive correlation with the SABAS (0.658), the results were found to be highly statistically significant (P = 0.01).
    CONCLUSIONS: The present study found a higher prevalence of phubbing and smartphone addiction among dental students. Our results showed that impulsiveness leads to internet addiction and thus phubbing is becoming a way to find solace during communication to escape anxiety and distress.
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  • 文章类型: Journal Article
    背景:有效的酒精和其他药物(AOD)治疗已被证明可以提高生产率并降低社区成本。远程医疗先前已被证明在正确的环境中有效地提供AOD治疗。然而,澳大利亚目前的医疗保险资金限制了电话咨询。
    目的:我们假设治疗方式影响出勤率。具体来说,电话咨询可以消除获得治疗的障碍,因此,可以增加出勤率。
    方法:我们从2022年7月1日至2023年6月30日对我们的成瘾医学专科门诊进行了回顾性审核。使用混合效应逻辑回归模型分析与出勤率相关的因素。
    结果:该研究共有576名参与者,在12个月的研究期间,预订了3354次预约。其中,2695人面对面,541是电话,118是视频。电话组未调整的原始出勤率最高(87.24%),其次是面对面(73.02%)和视频(44.92%)。在调整协变量后,与面对面治疗相比,电话咨询与就诊几率显著增加相关(比值比(OR)=2.60,95%置信区间(CI)=1.90~3.54,P<0.001).与面对面治疗相比,视频咨询与参加的几率降低了69%(OR=0.31,95%CI=0.019-0.49,P<0.001)。
    结论:虽然特定的临床护理可能需要体检,电话咨询与出勤率增加有关,并且可以成为提供成瘾治疗的重要辅助手段。考虑到物质使用障碍的巨大成本,这可以为政府政策和资金优先事项提供信息,以进一步改善获得和治疗结果。
    BACKGROUND: Effective alcohol and other drugs (AODs) treatment has been proven to increase productivity and reduce costs to the community. Telehealth has previously been proven effective at delivering AOD treatment in the right settings. Yet, Australia\'s current Medicare funding restricts telephone consultations.
    OBJECTIVE: We hypothesise that treatment modality influences attendance rates. Specifically, telephone consultations can remove barriers to accessing treatment and, therefore, can increase attendance.
    METHODS: We conducted a retrospective audit on our addiction medicine specialist outpatient service from 1 July 2022 to 30 June 2023. A mixed-effects logistic regression model was used to analyse factors associated with attendance rates.
    RESULTS: There were 576 participants in the study, and 3354 appointments were booked over the 12-month study period. Of these, 2695 were face-to-face, 541 were telephone and 118 were video. The unadjusted raw attendance rate was highest in the telephone group (87.24%), followed by face-to-face (73.02%) and video (44.92%). After adjusting for covariates, telephone consultation was associated with significantly increased odds of attending compared to face-to-face (odds ratio (OR) = 2.60, 95% confidence interval (CI) = 1.90-3.54, P < 0.001). Video consultation was associated with a 69% reduction in the odds of attending compared to face-to-face (OR = 0.31, 95% CI = 0.019-0.49, P < 0.001).
    CONCLUSIONS: While physical attendance may be required for specific clinical care, telephone consultations are associated with increased attendance and can form an important adjunct to delivering addiction treatment. Given the substantial costs of substance use disorders, this could inform government policies and funding priorities to further improve access and treatment outcomes.
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  • 文章类型: Journal Article
    超加工食品(UPFs),如糕点,包装零食,快餐,加糖饮料在现代食品供应中占主导地位,并与许多公共卫生问题密切相关。虽然UPF摄入量对身体健康的影响已得到充分证明(例如,心脏代谢疾病的风险增加),较少的实证讨论强调了长期UPF消费的心理健康后果。值得注意的是,UPFs的独特特征(例如,人工高水平的增强成分)影响生物过程(例如,多巴胺信号)的方式可能会导致某些个体的心理功能较差。重要的是,黄金标准的行为生活方式干预和专门针对饮食失调的治疗方法不承认UPFs可能在敏感奖励相关的神经功能中发挥的直接作用,扰乱代谢反应,并激发随后的UPF渴望和摄入。缺乏对UPFs对心理健康的影响的考虑尤其成问题,因为对这些食物的成瘾性的科学支持越来越多,并且超加工食物成瘾(UPFA)作为一种新的临床表型得到了14-20%的认可。本综述的总体目标是总结UPFs如何影响心理健康的科学,强调贡献的生物学机制。具体来说,作者将(1)描述公司赞助的研究和财务议程如何促进关于UPFs在健康中的作用的争论和辩论;(2)定义UPFs及其营养特征;(3)审查观察到的UPF摄入量与心理健康状况之间的关联,尤其是抑郁症患者;(4)概述UPFA的证据;(5)描述UPFA和饮食失调合并症的细微差别治疗注意事项。
    Ultra-processed foods (UPFs) like pastries, packaged snacks, fast foods, and sweetened beverages have become dominant in the modern food supply and are strongly associated with numerous public health concerns. While the physical health consequences of UPF intake have been well documented (e.g., increased risks of cardiometabolic conditions), less empirical discussion has emphasized the mental health consequences of chronic UPF consumption. Notably, the unique characteristics of UPFs (e.g., artificially high levels of reinforcing ingredients) influence biological processes (e.g., dopamine signaling) in a manner that may contribute to poorer psychological functioning for some individuals. Importantly, gold-standard behavioral lifestyle interventions and treatments specifically for disordered eating do not acknowledge the direct role that UPFs may play in sensitizing reward-related neural functioning, disrupting metabolic responses, and motivating subsequent UPF cravings and intake. The lack of consideration for the influences of UPFs on mental health is particularly problematic given the growing scientific support for the addictive properties of these foods and the utility of ultra-processed food addiction (UPFA) as a novel clinical phenotype endorsed by 14-20% of individuals across international samples. The overarching aim of the present review is to summarize the science of how UPFs may affect mental health, emphasizing contributing biological mechanisms. Specifically, the authors will (1) describe how corporate-sponsored research and financial agendas have contributed to contention and debate about the role of UPFs in health; (2) define UPFs and their nutritional characteristics; (3) review observed associations between UPF intake and mental health conditions, especially with depression; (4) outline the evidence for UPFA; and (5) describe nuanced treatment considerations for comorbid UPFA and eating disorders.
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  • 文章类型: Journal Article
    背景:一些研究集中在互联网问题使用(PUI)的患病率及其对全球心理健康的相应影响上。本研究调查了意大利不同文化背景下PUI与相关心理变量之间的关系,西班牙,厄瓜多尔,秘鲁。方法:共675名参与者,18至54岁(M=22.73;SD=4.05),已完成评估网络成瘾的措施,社交媒体成瘾,害怕错过,网络游戏障碍,还有张量.结果:发现了明显的文化差异,与其他国家相比,意大利参与者表现出更高的网络成瘾水平,但社交媒体成瘾水平较低。在意大利,对失踪的恐惧更高,与秘鲁相比,意大利样本显示出更低的互联网游戏障碍水平。关于张量引起的通信干扰,意大利样本的得分明显高于秘鲁样本.线性回归分析揭示了每个国家有问题的互联网使用的不同预测因素,强调在理解这一现象时考虑文化背景的重要性。结论:这些发现为文化因素的相互作用提供了有价值的见解,心理变量,和有问题的互联网使用,指导未来的研究和干预。
    Background: Several studies focused on the escalating prevalence of Problematic Use of Internet (PUI) and its consequential impact on mental health globally. This study investigates the relationship between PUI and associated psychological variables across different cultural contexts in Italy, Spain, Ecuador, and Peru. Method: A total of 675 participants, aged 18 to 54 (M = 22.73; SD = 4.05), completed measures assessing Internet addiction, social media addiction, Fear of Missing Out, Internet Gaming Disorder, and Phubbing. Results: Significant cultural variations were found, with Italian participants showing higher levels of Internet addiction but lower levels of social media addiction compared to other countries. Fear of Missing Out was higher in Italy, while the Italian sample exhibited lower Internet Gaming Disorder levels compared to Peru. As regards the communication disturbance caused by Phubbing, the Italian sample demonstrated significantly higher scores than the Peruvian sample. Linear regression analyses revealed distinct predictors for problematic Internet use in each country, emphasizing the importance of considering the cultural context in understanding this phenomenon. Conclusions: These findings contribute valuable insights into the interplay of cultural factors, psychological variables, and problematic Internet use, guiding future research and interventions.
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  • 文章类型: Journal Article
    吸毒成瘾是全球范围内日益关注的问题,已引起医疗保健部门的广泛关注。美国也不例外,那里的吸毒危机更加严重,10%的成年人面临物质使用障碍,而据报道,该数字中约有75%未接受任何治疗。令人惊讶的是,据报道,每年有超过70,000人死于药物过量。研究人员不断寻找解决方案,因为目前的策略无效。健康信息学平台,如电子健康记录,远程医疗,临床决策支持系统在个体基础上跟踪患者的医疗保健数据并在私人空间中提供精确的医疗支持方面具有巨大的潜力。已发现此类技术可用于识别人群中药物成瘾的风险因素并减轻它们。此外,这些平台可用于检查阿片类药物等成瘾药物的处方和谨慎的医疗保健提供者。处方药监测计划(PDMP)和药物和酒精服务信息系统(DASIS)等计划已经在美国实施,但是这种情况需要更深入的研究,以减轻物质使用障碍。人工智能(AI)当与健康信息学结合时,可以帮助分析大量患者数据,并帮助对成瘾的性质进行分类,以帮助提供个性化护理。
    Drug addiction is a rising concern globally that has deeply attracted the attention of the healthcare sector. The United States is not an exception, and the drug addiction crisis there is even more serious, with 10% of adults having faced substance use disorder, while around 75% of this number has been reported as not having received any treatment. Surprisingly, there are annually over 70,000 deaths reported as being due to drug overdose. Researchers are continually searching for solutions, as the current strategies have been ineffective. Health informatics platforms like electronic health records, telemedicine, and the clinical decision support system have great potential in tracking the healthcare data of patients on an individual basis and provide precise medical support in a private space. Such technologies have been found to be useful in identifying the risk factors of drug addiction among people and mitigating them. Moreover, the platforms can be used to check prescriptions of addictive drugs such as opioids and caution healthcare providers. Programs such as the Prescription Drug Monitoring Program (PDMP) and the Drug and Alcohol Services Information Systems (DASIS) are already in action in the US, but the situation demands more in-depth studies in order to mitigate substance use disorders. Artificial intelligence (AI), when combined with health informatics, can aid in the analysis of large amounts of patient data and aid in classifying nature of addiction to assist in the provision of personalized care.
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  • 文章类型: Journal Article
    背景:近年来的研究表明,有问题的互联网使用显着增加。长时间的互联网使用对青少年生活方式的各个方面产生负面影响。
    方法:调查在立陶宛的三个城市-维尔纽斯进行,克莱佩达,和莫莱泰-在2023年10月至12月之间。调查涉及12至16岁的学生。参与者完成了一份问卷,其中包括关于健康和幸福的问题,网络成瘾测试(IAT)和优势和困难问卷(SDQ)。我们的研究旨在调查立陶宛青少年的互联网使用问题及其与健康的关系,幸福,和心理健康。
    结果:这项研究包括1412名青少年,平均年龄为14.41±1.20,样本由52.3%的男孩组成。男孩表示,他们比女孩更健康,更快乐(69.4%vs.47.4%;51.4%与29.6%),p<0.001。总共有20.8%的学生的IAT分数反映了正常的互联网使用水平。对于IAT,女生平均得分明显高于男生(41.87±12.24vs.39.96±12.37),p<0.001。在感到不那么快乐和健康的学生组中,IAT得分较高,更频繁的头痛或腹痛,有睡眠问题,p<0.001。具有统计学意义的,学生的IAT分数与SDQ内化和SDQ外化分数之间存在正相关(r=0.366;r=0.385,p<0.001)。
    结论:长期使用互联网是青少年中的一个严重问题。消极的感觉,不快乐,不良的情绪调节与网络成瘾有关。此外,女性可能与可能的网络成瘾有关。这项研究的结果可以作为制定预防性干预措施的初步步骤。
    BACKGROUND: Studies in recent years have shown a significant increase in problematic internet use. Prolonged internet usage negatively impacts various aspects of adolescents\' lifestyles.
    METHODS: The survey was conducted in three Lithuanian cities-Vilnius, Klaipėda, and Molėtai-between October and December of 2023. The survey involved students between the ages of 12 and 16. The participants completed a questionnaire that included questions about wellness and happiness, the Internet Addiction Test (IAT), and the Strengths and Difficulties Questionnaire (SDQ). Our study aimed to investigate problematic internet use among Lithuanian adolescents and its relationships with wellness, happiness, and mental health.
    RESULTS: This study included 1412 adolescents, with a mean age of 14.41 ± 1.20, with the sample composed of 52.3% boys. Boys indicated that they felt healthier and happier than girls (69.4% vs. 47.4%; 51.4% vs. 29.6%), p < 0.001. A total of 20.8% of students had IAT scores that reflect a normal level of internet usage. For IAT, the average score of girls was statistically significantly higher than that of boys (41.87 ± 12.24 vs. 39.96 ± 12.37), p < 0.001. The IAT score was higher in the group of students who felt less happy and healthy, had more frequent headaches or abdominal pain, and had problems with sleep, p < 0.001. A statistically significant, positive weak correlation was found between students\' IAT scores and SDQ internalizing and SDQ externalizing scores (r = 0.366; r = 0.385, p < 0.001).
    CONCLUSIONS: Prolonged internet use is arising as a serious problem among adolescents. Negative feelings, unhappiness, and poor emotion regulation have an association with internet addiction. Also, the female gender may be more associated with possible internet addiction. The results of this study can serve as initial steps toward developing preventive interventions.
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  • 文章类型: Journal Article
    这项关于儿童贫困及其伴随风险行为的实证研究是在Baktalórántháza微观区域进行的,在匈牙利最不利的微观地区之一。这项研究,于2023年完成,采用三种方法进行,家庭调查问卷,采访,以及与在定居点工作的社会专业人员进行焦点小组访谈。该地区是该国贫困率最高的十个微观地区之一。大多数人口只有基础教育,毕业生比例远低于全国平均水平。有三个或三个以上子女的家庭比例高于全国平均水平,有子女家庭中失业人员的比例是全国平均水平的两倍。根据在该地区工作的社会工作者的经验,除了吸烟和饮酒,青少年和年轻人对精神活性物质和精神药物的消费有所增加。根据各种指标,儿童经常服用非法药物。这些药物的来源和组成通常是未知的。根据吸毒者的报告,日常生活更容易,在药物的影响下,他们可以逃避问题。根据专家的观察,各种精神活性物质的消费对行为有有害影响,健康,学习,和家庭生活。学校表现和思考和学习能力下降。吸毒者对他们的生活不满意,社会关系有问题,参与伴侣暴力,并可能在生活中发展出反社会行为。
    This empirical research on children\'s poverty and the accompanying risk behavior was conducted in the Baktalórántháza micro-region, in one of the most disadvantaged micro-regions of Hungary. The study, completed in 2023, was conducted utilizing three methods, a questionnaire for families, interviews, and focus group interviews with social professionals working in the settlements. The region is one of the ten micro-regions with the highest poverty rate in the country. The majority of the population only has an elementary education, and the proportion of graduates is much lower than the national average. The proportion of households with three or more children is higher than the national average and the proportion of unemployed people in households with children is twice as high as the national average. Based on the experience of social workers working in the area, in addition to smoking and drinking alcohol, the consumption of psychoactive and psychotropic substances has increased among adolescents and young adults. Based on various indicators, children regularly consume illegal drugs. The origin and composition of these drugs are typically unknown. According to the reports by drug users, everyday life is easier, and they can escape from problems when under the influence of drugs. Based on the observations of experts, the consumption of various psychoactive substances has harmful effects on behavior, health, learning, and family life. School performance and the ability to think and learn decrease. Drug users are dissatisfied with their lives, have problems with social relationships, engage in partner violence, and may develop antisocial behavior in their lives.
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  • 文章类型: Systematic Review
    全球范围内,大约有13亿香烟消费者,表明它是早期死亡和发病的第二高危险因素。同时,心理治疗提供基于其不同模式和技术的工具,这有助于戒烟。在这种情况下,这项研究收集了科学证据,以确定可用于减少香烟消费的心理治疗方法。对对照临床研究进行了系统评价,实施PRISMA方法。使用从MESH(医学主题词)和DECS(健康科学中的描述符)提取的术语进行搜索查询。随后,搜索在Medline/PubMed的科学数据库中进行了查询,科克伦,Scopus,科学直接,ProQuest,和PsycNet,随后使用乔安娜·布里格斯研究所的检查表验证方法学质量。选定的文件显示,认知行为疗法因其在七份出版物中的使用和有效性而盛行(25%)。正念疗法的认知方法见于4份出版物(14%),动机疗法的跨理论模型发表在4篇出版物中(14%),简短的心理治疗在3出版物(10%),其余10份文件(37%)与其他文件对应。干预研究认为认知行为疗法是减少香烟消费最常用的方法;在禁欲持续时间方面,科学证据显示短期减少的有益效果。
    Globally, there are around 1.3 billion cigarette consumers, indicating it to be the second highest risk factor for early death and morbidity. Meanwhile, psychological therapy offers tools based on its different models and techniques, which can contribute to smoking cessation. In this context, this study gathers scientific evidence to identify psychological therapies that can be used to reduce cigarette consumption. A systematic review of controlled clinical studies was conducted, implementing the PRISMA methodology. Search queries were performed with terms extracted from MESH (Medical Subject Headings) and DECS (Descriptors in Health Sciences). Subsequently, the search was queried in the scientific databases of Medline/PubMed, Cochrane, Scopus, Science Direct, ProQuest, and PsycNet, with subsequent verification of methodological quality using the Joanna Briggs Institute checklists. The selected documents revealed that cognitive behavioral therapy prevails due to its use and effectiveness in seven publications (25%). The cognitive approach with mindfulness therapy is found in 4 publications (14%), the transtheoretical model with motivational therapy in 4 publications (14%), brief psychological therapy in 3 publications (10%), and the remaining 10 documents (37%) correspond with others. Intervention studies refer to cognitive behavioral therapy as the most used in reducing cigarette consumption; in terms of the duration of abstinence, scientific evidence shows beneficial effects with short-term reduction.
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  • 文章类型: Journal Article
    随着DSM-5和ICD-11中都包含互联网游戏障碍(IGD),了解患病率和诊断差异对于制定适当的干预措施至关重要。这项研究基于两个诊断标准对IGD的患病率进行了荟萃分析。我们系统地搜索了PubMed和WebofScience数据库。共有22项研究纳入最终分析。该分析纳入了采用DSM-5和ICD-11标准的研究,并侧重于各种因素的影响,包括学习地点,样本特征,样本量,和质量得分,使用随机效应模型报告的患病率。IGD的合并患病率为6.7%(95%CI:5.7-7.7%)。亚组分析表明IGD(DSM-5标准)和GD(ICD-11标准)的患病率存在显着差异(Qb=38.46,p<0.01)。不同量表之间的IGD患病率也存在显着差异(Qb=54.23,p<0.001)。我们的发现表明,不同的诊断标准和不同的评估量表对IGD的患病率有重大影响。这强调了采用标准化方法指导公共卫生干预的重要性。然而,鉴于基于ICD-11诊断标准的研究有限,需要进一步调查以确定不同诊断标准下IGD患病率的差异.
    With the inclusion of Internet gaming disorder (IGD) in both the DSM-5 and ICD-11, understanding the prevalence and diagnostic discrepancies is crucial for developing appropriate interventions. This study presents a meta-analysis of the prevalence of IGD based on two diagnostic criteria. We systematically searched the PubMed and Web of Science databases. A total of 22 studies were included in the final analysis. The analysis incorporated studies employing the DSM-5 and ICD-11 criteria and focused on the impact of various factors, including study location, sample characteristics, sample size, and quality score, on the reported prevalence rates using a random-effects model. The pooled prevalence of IGD is 6.7% (95% CI: 5.7-7.7%). The subgroup analysis indicated significant differences in the prevalence rates of IGD (DSM-5 criteria) and GD (ICD-11 criteria) (Q b = 38.46, p < 0.01). There were also significant differences in IGD prevalence rates between different scales (Q b = 54.23, p < 0.001). Our findings indicate that different diagnostic criteria and different assessment scales have a significant impact on the prevalence of IGD. This underscores the importance of adopting standardized methodologies to guide public health interventions. However, given the limited research based on ICD-11 diagnostic criteria, further investigation is necessary to determine the variations in prevalence rates of IGD under different diagnostic standards.
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