Associação entre transtornos por jogos eletrônicos e impulsividade
uma revisão sistemática
Palavras-chave:
Comportamento impulsivo, Transtorno de adição à internet, Revisão sistemática, Jogos de vídeoResumo
Objetivo
A impulsividade tem estado fortemente ligada a vários tipos de dependência, incluindo as dependências comportamentais. Esta revisão sistemática visou investigar possíveis relações entre a impulsividade e o transtorno por jogos eletrônicos.
Método
Um total de 1.710 estudos empíricos, sem restrições de data ou linguagem, foram recuperados das bases de dados Biblioteca Virtual em Saúde, Cumulative Index to Nursing and Allied Health Literature, PubMed, PsycNET, Scopus, e Web of Science. No total, 16 estudos preencheram os critérios de inclusão e foram incluídos para extração, análise quantitativa, e síntese integrativa.
Resultados
Observou-se uma associação positiva entre o transtorno por jogos eletrônicos e as medidas de impulsividade e de comportamento de impulsividade autorrelatadas. O transtorno por jogos eletrônicos foi associado à presença de tendências de alto risco, alta sensibilidade às recompensas, controle inibitório reduzido, e baixo autocontrole entre os jogadores.
Conclusão
A presente revisão fornece apoio preliminar para uma associação robusta entre a impulsividade e o transtorno por jogos eletrônicos. Contudo, dada a heterogeneidade metodológica nos instrumentos de avaliação e procedimentos estatísticos, esta associação deve ser interpretada com cautela.
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Referências
American Psychiatric Association. (2013). DSM-5: Diagnostic and Statistical Manual of Mental Disorders.
Andrade, A. L. M., Enumo, S. R. F., Passos, M. A. Z., Vellozo, E. P., Schoen, T. H., Kulik, M. A., Niskier, S. R., & Vitalle, M. S. de S. (2021). Problematic Internet Use, Emotional Problems and Quality of Life Among Adolescents. Psico-USF, 26(1), 41-51. http://dx.doi.org/10.1590/1413-82712021260104
Andrade, A. L. M., Kim, D. J., Caricati, V. V., Martins, G. D. G., Kirihara, I. K., Barbugli, B. C., Enumo, S. R. F., et al. (2020). Validity and reliability of the Brazilian version of the Smartphone Addiction Scale-Short Version for university students and adult population. Estudos de Psicologia (Campinas), 37, e190117.
http://dx.doi.org/10.1590/1982-0275202037e190117
Andrade, A. L. M., Kim, D. J., Scatena, A., Enes, C. C., Enumo, S. R. F., & De Micheli, D. (2021). Validity and Reliability of the Brazilian Version of the Smartphone Addiction Scale-Long Version (SAS-LV). Trends in Psychology, 29(2), 302-319. https://doi.org/10.1007/s43076-020-00046-y
Bavelier, D., Green, C. S., Han, D. H., Renshaw, P. F., Merzenich, M. M., & Gentile, D. A. (2011). Brains on video games. Nature Reviews Neuroscience, 12(12), 763-768. https://doi.org/10.1038/nrn3135
Bedendo, A., Andrade, A. L. M., & Noto, A. R. (2018). Internet-based alcohol interventions for college students: systematic review. Revista Panamericana de Salud Pública, 42, e54. http://dx.doi.org/10.26633/RPSP.2018.54
Berey, B. L., Leeman, R. F., Chavarria, J., & King, A. C. (2019). Relationships between generalized impulsivity and subjective stimulant and sedative responses following alcohol administration. Psychology of Addictive Behaviors, 33(7), 616-625. https://doi.org/10.1037/adb0000512
Blevins, D., Wang, X. Q., Sharma, S., & Ait-Daoud, N. (2019). Impulsiveness as a predictor of topiramate response for cocaine use disorder. The American Journal on Addictions, 28(2), 71-76. https://doi.org/10.1111/ajad.12858
Breda, V. C. T., Picon, F. A., Moreira, L. M., & Spritzer, D. T. (2014). Dependência de jogos eletrônicos em crianças e adolescentes. Revista Brasileira de Psicoterapia, 16(1), 53-67.
Cerniglia, L., Griffiths, M. D., Cimino, S., De Palo, V., Monacis, L., Sinatra, M., & Tambelli, R. (2019). A latent profile approach for the study of internet gaming disorder, social media addiction, and psychopathology in a normative sample of adolescents. Psychology Research and Behavior Management, 12, e651. https://doi.org/10.2147/PRBM.S211873
Cerniglia, L., Guicciardi, M., Sinatra, M., Monacis, L., Simonelli, A., & Cimino, S. (2019). The use of digital technologies, impulsivity and psychopathological symptoms in adolescence. Behavioral Sciences, 9(8), 82. https://doi.org/10.3390/bs9080082
Cheng, Y. S., Ko, H. C., Sun, C. K., & Yeh, P. Y. (2021). The relationship between delay discounting and Internet addiction: A systematic review and meta-analysis. Addictive behaviors, 114, 106751. https://doi.org/10.1016/j.addbeh.2020.106751
Cruz, F. A. D., Scatena, A., Andrade, A. L. M., & De Micheli, D. (2018). Evaluation of Internet addiction and the quality of life of Brazilian adolescents from public and private schools. Estudos de Psicologia (Campinas), 35(2), 193-204. https://doi.org/10.1590/1982-02752018000200008
Cummings, S., Browner, W., & Hulley, S. (1988). Conceiving the research question. In S. Hulley, S. Cummings (Eds.), Designing clinical research: An epidemiological approach. Williams & Wilkins.
D’Éça Júnior, A. E., Rodrigues, L. S., Filho, E. P. M., Costa, L. L. N., Rêgo, A. S., Costa, L. C., & Batista, R. F. L. (2019). Mortalidade por suicídio na população brasileira, 1996-2015: qual é a tendência predominante? Cadernos de Saúde Coletiva, 27(1), 20-24. https://doi.org/10.1590/1414-462X201900010211
Enticott, P. G., Ogloff, J. R., & Bradshaw, J. L. (2006). Associations between laboratory measures of executive inhibitory control and self-reported impulsivity. Personality and Individual Differences, 41(2), 285-294. https://doi.org/10.1016/j.paid.2006.01.011
Ferreira, M. B. D., & Sartes, L. M. A. (2018). Uma abordagem cognitivo-comportamental do uso prejudicial de jogos eletrônicos. Gerais: Revista Interinstitucional de Psicologia, 11(2), 306-326. http://dx.doi.org/10.36298/gerais2019110209
Foltin, R. W., Luba, R. R., Chen, Y., Wang, Y., & Evans, S. M. (2021). Impulsivity in cocaine users compared to matched controls: Effects of sex and preferred route of cocaine use. Drug and Alcohol Dependence, 226, e108840. https://doi.org/10.1016/j.drugalcdep.2021.108840
Gentile, D. A., Choo, H., Liau, A., Sim, T., Li, D., Fung, D., & Khoo, A. (2011). Pathological video game use among youths: a two-year longitudinal study. Pediatrics, 127(2), e319-e329. https://doi.org/10.1542/peds.2010-1353
Gentile, D. A., Swing, E. L., Lim, C. G., & Khoo, A. (2012). Video game playing, attention problems, and impulsiveness: Evidence of bidirectional causality. Psychology of Popular Media Culture, 1(1), 62. https://doi.org/10.1037/a0026969
Hisam, A., Mashhadi, S. F., Faheem, M., Sohail, M., Ikhlaq, B., & Iqbal, I. (2018). Does playing video games effect cognitive abilities in Pakistani children? Pakistan Journal of Medical Sciences, 34(6), 1507. https://doi.org/10.12669/pjms.346.15532
Irvine, M. A., Worbe, Y., Bolton, S., Harrison, N. A., Bullmore, E. T., & Voon, V. (2013). Impaired decisional impulsivity in pathological videogamers. Plos One, 8(10), e75914. https://doi.org/10.1371/journal.pone.0075914
Johnson, S. L., Tharp, J. A., Peckham, A. D., Carver, C. S., & Haase, C. M. (2017). A path model of different forms of impulsivity with externalizing and internalizing psychopathology: Towards greater specificity. British Journal of Clinical Psychology, 56(3), 235-252. https://doi.org/10.1111/bjc.12135
Kapitány-Fövény, M., Urbán, R., Varga, G., Potenza, M. N., Griffiths, M. D., Szekely, A., Paksi, B., Kun, B., Farkas, J., Kökönyei, G., & Demetrovics, Z. (2020). The 21-item Barratt Impulsiveness Scale Revised (BIS-R-21): An alternative three-factor model. Journal of Behavioral Addictions, 9(2), 225-246. https://doi.org/10.1556/2006.2020.00030
Lalot, F., Zerhouni, O., & Pinelli, M. (2017). “I wanna be the very best!” Agreeableness and perseverance predict sustained playing to Pokemon Go: A longitudinal study. Games for Health Journal, 6(5), 271-278. https://doi.org/10.1089/g4h.2017.0051
Lee, D., Park, J., Namkoong, K., Kim, I. Y., & Jung, Y. C. (2018). Gray matter differences in the anterior cingulate and orbitofrontal cortex of young adults with Internet gaming disorder: Surface-based morphometry. Journal of Behavioral Addictions, 7(1), 21-30. https://doi.org/10.1556/2006.7.2018.20
Lemos, I. L., Diniz, P. R. B., Peres, J. F. P., & Sougey, E. B. (2014). Neuroimagem na dependência de jogos eletrônicos: uma revisão sistemática. Jornal Brasileiro de Psiquiatria, 63(1), 57-71. https://doi.org/10.1590/0047-2085000000008
Liau, A. K., Neo, E. C., Gentile, D. A., Choo, H., Sim, T., Li, D., & Khoo, A. (2015). Impulsivity, self-regulation, and pathological video gaming among youth: testing a mediation model. Asia-Pacific Journal of Public Health, 27(2), NP2188-NP2196. https://doi.org/10.1177/1010539511429369
Lopes, F. M., Lessa, R. T., Carvalho, R. A., Reichert, R. A., Andrade, A. L. M., & Micheli, D. D. (2022). Common mental disorders in university students: A systematic literature review. Psicologia em Pesquisa, 16(1), 1-23. http://dx.doi.org/10.34019/1982-1247.2022.v16.31105
Lopes, F. M., Viacava, K. R., & Bizarro, L. (2015). Attentional bias modification based on visual probe task: Methodological issues, results and clinical relevance. Trends in Psychiatry and Psychotherapy, 37(4), 183-193. https://doi.org/10.1590/2237-6089-2015-0011
McCloskey, M. S., New, A. S., Siever, L. J., Goodman, M., Koenigsberg, H. W., Flory, J. D., & Coccaro, E. F. (2009). Evaluation of behavioral impulsivity and aggression tasks as endophenotypes for borderline personality disorder. Journal of Psychiatric Research, 43(12), 1036-1048. https://doi.org/10.1016/j. jpsychires.2009.01.002
Mestre-Bach, G., Steward, T., Granero, R., Fernández-Aranda, F., Telón-Navarro, M. T., Cuquerella, A., Baño, M., Moragas, L., del Pino-Gutiérrez, A., Aymamí, N., Gómez-Peña, M., Mallorquí-Bagué, N., VintróAlcaraz, C., Magaña, P., Menchón, J. M., & Jiménez-Murcia, S. (2018). Gambling and Impulsivity Traits: A Recipe for Criminal Behavior? Frontiers in Psychiatry, 29(9). https://doi.org/10.3389/fpsyt.2018.00006
Miguel, F. K., Francisco Carvalho, L., & Dionísio, T. E. S. (2017). Psychological assessment of videogame, board and live players: Personality, reasoning, and emotional perception. Psicologia: Teoria e Prática, 19(3), 209-225. http://dx.doi.org/10.5935/19806906
Morgan, R. L., Whaley, P., Thayer, K. A., & Schünemann, H. J. (2018). Identifying the PECO: A framework for formulating good questions to explore the association of environmental and other exposures with health outcomes. Environment International, 121(1), 1027-1031. https://doi.org/10.1016/j.envint.2018.07.015
Mylona, I., Deres, E. S., Dere, G. S., Tsinopoulos, I., & Glynatsis, M. (2020). The Impact of Internet and Videogaming Addiction on Adolescent Vision: A Review of the Literature. Frontiers in Public Health, 8, 63. https://doi.org/10.3389/fpubh.2020.00063
Nuyens, F., Deleuze, J., Maurage, P., Griffiths, M. D., Kuss, D. J., & Billieux, J. (2016). Impulsivity in multiplayer online battle arena gamers: Preliminary results on experimental and self-report measures. Journal of Behavioral Addictions, 5(2), 351-356. https://doi.org/10.1556/2006.5.2016.028
Ouzzani, M., Hammady, H., Fedorowicz, Z., & Elmagarmid, A. (2016). Rayyan: A web and mobile app for systematic reviews. Systematic Reviews, 5(210). https://doi.org/10.1186/s13643-016-0384-4
Page, M. J., Moher, D., Bossuyt, P. M., Boutron, I., Hoffmann, T. C., Mulrow, C. D., Shamseer, L., Tetzlaff, J. M., Akl, E. A., Brennan, S. E., Chou, R., Glanville, J., Grimshaw, J. M., Hróbjartsson, A., Lalu, M. M., Li, T., Loder, E. W., Mayo-Wilson, E., McDonald, S., … McKenzie, J. E. (2021). PRISMA 2020 explanation and elaboration: updated guidance and exemplars for reporting systematic reviews. BMJ, 372(160), 1-36.
https://doi.org/10.1136/bmj.n160
Peeters, M., Koning, I., Lemmens, J., & Eijnden, R. V. D. (2019). Normative, passionate, or problematic? Identification of adolescent gamer subtypes over time. Journal of Behavioral Addictions, 8(3), 574-585. https://doi.org/10.1556/2006.8.2019.55
Qi, X., Du, X., Yang, Y., Du, G., Gao, P., Zhang, Y., Qin, W., Li, X., & Zhang, Q. (2015). Decreased modulation by the risk level on the brain activation during decision making in adolescents with internet gaming disorder. Frontiers in Behavioral Neuroscience, 9, 296. https://doi.org/10.3389/fnbeh.2015.00296
Qi, X., Yang, Y., Dai, S., Gao, P., Du, X., Zhang, Y., Du, G., Li, X., & Zhang, Q. (2016). Effects of outcome on the covariance between risk level and brain activity in adolescents with internet gaming disorder. NeuroImage: Clinical, 12, 845-851. https://doi.org/10.1016/j.nicl.2016.10.024
Rho, M. J., Lee, H., Lee, T. H., Cho, H., Jung, D. J., Kim, D. J., & Choi, I. Y. (2018). Risk factors for internet gaming disorder: Psychological factors and internet gaming characteristics. International journal of Environmental Research and Public Health, 15(1), 40. https://doi.org/10.3390/ijerph15010040
Romer, D. (2010). Adolescent risk taking, impulsivity, and brain development: Implications for prevention. Developmental Psychobiology: The Journal of the International Society for Developmental Psychobiology, 52(3), 263-276. https://doi.org/10.1002/dev.20442
Ryu, H., Lee, J. Y., Choi, A., Park, S., Kim, D. J., & Choi, J. S. (2018). The relationship between impulsivity and internet gaming disorder in young adults: Mediating effects of interpersonal relationships and depression. International Journal of Environmental Research and Public Health, 15(3), 458. https://doi.org/10.3390/ijerph15030458
Şalvarlı, Ş. İ., & Griffiths, M. D. (2022). The Association Between Internet Gaming Disorder and Impulsivity: A Systematic Review of Literature. International Journal of Mental Health and Addiction, 20(1), 92-118. https://doi.org/10.1007/s11469-019-00126-w
Sariyska, R., Lachmann, B., Markett, S., Reuter, M., & Montag, C. (2017). Individual differences in implicit learning abilities and impulsive behavior in the context of Internet addiction and Internet Gaming Disorder under the consideration of gender. Addictive Behaviors Reports, 5, 19-28. https://doi.org/10.1016/j.abrep.2017.02.002
Sarmet, M. M., & Pilati, R. (2016). Efeito dos jogos digitais no comportamento: análise do General LearningModel. Temas em Psicologia, 24(1), 17-31. http://dx.doi.org/10.9788/TP2016.1-02
Scheffer, M., & Almeida, R. M. M. (2010). Consumo de álcool e diferenças entre homens e mulheres: comportamento impulsivo, aspectos cognitivos e neuroquímicos. Revista Neuropsicologia Latinoamericana, 2(3), 1-11.
Snodgrass, J. G., Dengah, H. J. F., Polzer, E., & Else, R. (2019). Intensive online videogame involvement: A new global idiom of wellness and distress. Transcultural Psychiatry, 56(4), 748-774. https://doi.org/10.1177/-1363461519844356
Staude-Müller, F. (2011). Violent video games and aggression: Long-term impact and selection effects. Praxis der Kinderpsychologie und Kinderpsychiatrie, 60(9), 745-761. https://doi.org/10.13109/prkk.2011.60.9.745
Steenbergen, L., Sellaro, R., Stock, A. K., Beste, C., & Colzato, L. S. (2015). Action video gaming and cognitive control: Playing first person shooter games is associated with improved action cascading but not inhibition. Plos One, 10(12), e0144364. https://doi.org/10.1007/s00426-012-0415-2
Su, W., Király, O., Demetrovics, Z., & Potenza, M. N. (2019). Gender moderates the partial mediation of impulsivity in the relationship between psychiatric distress and problematic online gaming: online survey. JMIR Mental Health, 6(3), e10784. https://doi.org/10.2196/10784
Vasconcelos, A. G., Malloy-Diniz, L., & Correa, H. (2012). Systematic review of psychometric properties of Barratt Impulsiviness Scale Version 11 (BIS-11). Clinical Neuropsychiatry, 9(2), 61-74. https://doi.org/10.1590/1678-7153.201528111
Von Der Heiden, J. M., Braun, B., Müller, K. W., & Egloff, B. (2019). The association between video gaming and psychological functioning. Frontiers in Psychology, 10, 1731. https://doi.org/10.3389/fpsyg.2019.01731
Wei, H. T., Chen, M. H., Huang, P. C., & Bai, Y. M. (2012). The association between online gaming, social phobia, and depression: An internet survey. BMC Psychiatry, 12(1), 92. https://doi.org/10.1186/1471-244X-12-92
Whiting, P., Savović, J., Higgins, J. P., Caldwell, D. M., Reeves, B. C., Shea, B., Davies, P., Kleijnen, J., Churchill, R., & ROBIS group (2016). ROBIS: A new tool to assess risk of bias in systematic reviews was developed. Journal of Clinical Epidemiology, 69, 225-234. https://doi.org/10.1016/j.jclinepi.2015.06.005
World Health Organization. (2018). ICD-11 for mortality and morbidity statistics.Yuan, J., Liu, W., Liang, Q., Cao, X., Lucas, M. V., & Yuan, T. F. (2020). Effect of low-frequency repetitive transcranial magnetic stimulation on impulse inhibition in abstinent patients with methamphetamine addiction: A randomized clinical trial. JAMA Network Open, 3(3), e200910. https://doi.org/10.1001/jamanetworkopen.2020.0910
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