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发育医学电子杂志  2023, Vol. 11 Issue (6): 401-410    DOI: 10.3969/j.issn.2095-5340.2023.06.001
  论著 |
视频游戏应用于儿童注意缺陷多动障碍评估与治疗的系统性综述
罗杰 何凡 郑毅
首都医科大学附属北京安定医院 国家精神疾病医学中心 国家精神心理疾病临床医学中心 精神疾病诊断与治疗北京市重点实验室,北京 100088
Video games for the assessment and treatment of attention deficit hyperactivity disorder in children: a systematic review
Luo Jie, He Fan, Zheng Yi
Beijing Key Laboratory of Diagnosis and Treatment of Mental Disorders,National Clinical Research Center for Mental Disorders & National Center for Mental Disorders, BeijingAnding Hospital, Capital Medical University, Beijing 100088, China
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摘要 【摘要】 目的  探讨视频游戏应用于儿童注意缺陷多动障碍(attention deficit hyperactivity disorder,ADHD)评估与治疗的有效性。  用系统性综述的方法,在PubMed、Web of Science、Embase、中国知网、万方数据库中,通过主题词检索的方式,检索与ADHD 儿童相关的视频游戏诊断或干预的原创研究。检索时间为1990 年1 月至2022 年12 月。提取文献的作者、国家、游戏名称、使用平台、特点、研究设计、研究人群、年龄、男性比、金标准、训练过程及主要发现等文章特征。 结果 经过初步筛选、全文修订和研究选择,最终纳入30 篇文献。电脑是早期研究电子游戏最常见的使用平台,但随着硬件技术的发展,游戏的使用平台也更为多元化。在诊断相关的研究中,大部分游戏的设计原理都是基于持续操作试验或类似GO/No-GO 任务来测试受试者的执行功能。在评价游戏诊断的有效性上,有些研究以临床诊断作为金标准,而有些则以相关量表为金标准。基于视频游戏的评估工具在区分ADHD 病例和对照组以及区分ADHD 亚型方面有一定效果。在干预相关的研究中,游戏治疗最常见的干预类型是认知训练,旨在提高执行功能的一个或多个方面,如注意力、工作记忆、反应时间、认知灵活性和运动能力。基于视频游戏的治疗干预被广泛接受,在改善认知领域和减少ADHD 症状方面普遍有效。  视频游戏在儿童ADHD 的评估和治疗中具有实用性和有效性,其主要机制可能为游戏化和认知训练。
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关键词:  注意缺陷多动障碍  儿童  视频游戏  评估工具  干预方法   认知训练  系统性综述    
Abstract: 【Abstract】 Objective To explore the effectiveness of video games applied to the assessment and
treatment of attention deficit hyperactivity disorder (ADHD) in children. Method A systematic review
approach was used to search for original researches on video game diagnosis or interventions related to
children with ADHD by means of a subject search in PubMed, Web of Science, Embase, China Knowledge
Network, and Wanfang Databases. The search period was from January 1990 to December 2022. Article
characteristics such as author, country, game name, platform used, characteristics, study design, study
population, age, male ratio, golden standard, training process, and main findings were extracted from the
literature. Result After initial screening, full-text revision, and study selection, 30 articles were included.Computers were the most common platform used in early studies of video games, but as hardware technology。has evolved, the platforms used for games have become more diverse. In diagnostic-related studies, thedesign principle of most games was based on a sustained-operation trial or a similar GO /No-GO Task to testsubjects' executive functions. In evaluating the validity of game-based diagnostics, some studies used clinicaldiagnosis as the golden standard, while others used relevant scales. Video game-based assessment tools wereeffective in distinguishing ADHD cases from controls and in differentiating ADHD subtypes. In interventionrelatedstudies, the most common type of intervention for game therapy was cognitive training, which aimedto improve one or more aspects of executive functioning, such as attention, working memory, reaction time,cognitive flexibility, and motor skills. Video game-based therapeutic interventions were widely accepted asgenerally effective in improving cognitive domains and reducing ADHD symptoms. Conclusion  Video games have utility and effectiveness in the assessment and treatment of ADHD in children, and their mainmechanisms may be gamification and cognitive training.
Key words:  Attention deficit hyperactivity disorder    Children    Video game    Assessment tool    Intervention method\Cognitive training    Systematic review
收稿日期:  2023-04-18                出版日期:  2023-11-30      发布日期:  2023-11-28      期的出版日期:  2023-11-30
基金资助: 北京市医院管理中心临床医学发展专项经费资助项目(ZYLX202128)
通讯作者:  郑毅    E-mail:  yizheng@ccmu.edu.cn
引用本文:    
罗杰 何凡 郑毅. 视频游戏应用于儿童注意缺陷多动障碍评估与治疗的系统性综述[J]. 发育医学电子杂志, 2023, 11(6): 401-410.
Luo Jie, He Fan, Zheng Yi. Video games for the assessment and treatment of attention deficit hyperactivity disorder in children: a systematic review. Journal of Developmental Medicine(Electronic Version), 2023, 11(6): 401-410.
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