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Yıl:2020; Cilt: 27; Sayı: 2>> Özet
TAM METİN
Çocuk ve Gençlik Ruh Sağlığı Dergisi; 2020;27(2):64-74
İnternet Oyun Oynama Bozukluğu Olan Ergenlerde Nörogörüntüleme: Sistematik Bir Gözden Geçirme
MK Gül, E Demirci, S Özmen
Erzincan Binali Yıldırım Üniversitesi, Erzincan
nternetle erken yaşta karşılaşma, interneti artan sürelerde kullanma, ebeveynlerin yeterli bilgiye sahip olmaması ve etkisiz kontrol mekanizmaları, doğru kullanıldığı zaman oldukça faydalı olan, günlük hayatı kolaylaştıran bu teknolojinin kullanımında problemler yaratmaktadır. Bu sayede davranışsal bağımlılıklardan olan internet bağımlılığı diğer bağımlılıklarda olduğu gibi önemli bir halk sağlığı problemi olarak karşımıza çıkmaktadır. İnternet oyun oynama bozukluğunun (İOOB), Ruhsal Bozuklukların Tanısal ve İstatistiksel El Kitabı ayrı bir bozukluk olarak yer almasıyla, özellikle ergenler ve genç erişkinlerde yapılan çalışmaların sayısının arttığı, epidemiyoloji, etiyoloji ve tedavi konusunda henüz net bir görüş birliği sağlanamasa da önemli ipuçları elde edildiği görülmektedir. Bu bağlamda diğer psikiyatrik bozukluklarda olduğu gibi, nörogörüntüleme çalışmaları ulaştıkları sonuçlarla etiyolojiyi aydınlatma konusunda büyük önem taşımaktadır. Her ne kadar İOOB ile ilgili görüntüleme araştırmaları ile ödül, aşerme, karar verme, dürtüsellik, dikkat gibi prefrontal korteks ve subkortikal yapılarla ilişkili sonuçlar bulunmuş olsa da, beynin farklı bölgelerindeki değişik mekanizmaların İOOB gelişimine nasıl katkıda bulunduğu ve tedavi yöntemlerinin etkinliğinin aydınlatılmasının, yeni tedavi seçenekleri geliştirilmesinde önemli olduğu düşünülmektedir. Bu bozuklukla ilgili tedavi öncesi ve sonrasını kapsayan, daha fazla örneklem grubu ile mevcut ve yeni nörogörüntüleme teknikleri kullanılarak yapılacak çalışmalara ihtiyaç olduğu görülmektedir.
Neuroimaging In Adolescents with Internet Gaming Disorder: A Systematic Review
Facing with internet at an early age, using the internet in increasing time, parents with insufficient knowledge and ineffective control mechanisms result in problematic use of this technology, which is quite useful and facilitates daily life when used correctly. In this way, internet addiction, which is one of the behavioral addictions, emerges as an important public health problem like other addictions. With the fact that internet gaming disorder (IGD) is a separate disorder in Diagnostic and Statistical Handbook of Mental Disorders it is observed that the number of studies especially in adolescents and young adults has increased and although there is no clear consensus, important clues have been obtained on epidemiology, etiology and treatment. In this context, as in other psychiatric disorders, neuroimaging studies are of great importance in revealing the etiology with their results. Although imaging studies with IGD have found results related to prefrontal cortex and subcortical structures such as reward, craving, decision making, impulsivity, attention, the invention of how the different mechanisms in different parts of the brain contribute to the development of IGD and the effectiveness of treatment methods, development of new treatment options are thought to be important. It is seen that further studies involving before and after treatment periods with larger sample groups and using available and new neuroimaging techniques are needed in this subject.

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