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Cognitive Behavioral Therapy vs Media Literacy for Prevention of Gaming Disorder and Unspecified Internet Use Disorder: A Randomized Clinical Trial.
JAMA network open · Cognitive Behavioral Therapy vs Media Literacy for Prevention of Gaming Disorder and Unspecified Internet Use Disorder: A Randomized Clinical Trial.
此大規模隨機對照試驗證實CBT預防介入在降低青少年遊戲障礙症狀方面優於媒體素養教育，具高臨床應用價值。
Associations in Both Directions Between Internet Gaming Disorder and Suicidal Ideation and Attempts Among Chinese Adolescent Gamers: Two-Wave Prospective Cohort Study.
Journal of medical Internet research · Associations in Both Directions Between Internet Gaming Disorder and Suicidal Ideation and Attempts Among Chinese Adolescent Gamers: Two-Wave Prospective Cohort Study.
大型前瞻隊列研究首次證實遊戲障礙與自殺念嘗試具有顯著雙向關係，提醒臨床需同時評估兩種風險。
Gaming Motives and Impulsivity in Gaming Disorder: Additive or Interactive Effects?
Addictive behaviors · Gaming Motives and Impulsivity in Gaming Disorder: Additive or Interactive Effects?
研究發現非計畫性衝動、逃避動機及行為自動化具有獨立且加總效應於遊戲障礙嚴重度，未見顯著交互作用。
Impaired learning from food rewards and game punishments in internet gaming disorder: Behavioral and ERP evidence from a probabilistic reward task.
International journal of psychophysiology : official journal of the International Organization of Psychophysiology · Impaired learning from food rewards and game punishments in internet gaming disorder: Behavioral and ERP evidence from a probabilistic reward task.
遊戲障礙個體對自然獎賞（食物）的強化學習受損，同時對遊戲懲罰的滅絕學習亦受影響，顯示獎賞處理的特異性功能障礙。
Longitudinal associations between parental rejection, school engagement and gaming disorder symptoms among Chinese adolescents: Disentangling between- and within-person effects.
Addictive behaviors · Longitudinal associations between parental rejection, school engagement and gaming disorder symptoms among Chinese adolescents: Disentangling between- and within-person effects.
三波縱向研究發現父母拒絕在個人層面直接預測遊戲障礙症狀，而遊戲障礙則透過降低學校參與度間接增加父母拒絕，揭示惡性循環機制。
📚其他值得關注的文獻
Associations Between Video Gaming Behaviors and Cortical Morphology in Adolescents.
NeuroImage
較高總遊戲時間與皮質表面積及厚度減少相關，單人遊戲與語言社會認知區域結構變化有關，提示不同遊戲類型對大腦發育的差異影響。
Prevalence of internet gaming disorder and its association with Chronotype among Chinese children and adolescents: A network analysis.
Acta psychologica
傍晚型人格與較高遊戲障礙檢出率顯著相關，耐受性、興趣喪失及控制喪失為連結兩者的關鍵橋樑症狀。
Comorbidity in Internet Gaming Disorder: An Embedding-Based Topic Modeling Analysis.
European addiction research
納入精神疾病併症的研究主題較少但具有較高臨床解讀準確度，顯示未來研究需系統整合併症分析。
Punishment sensitivity and altered brain network centrality in cross-platform problematic online behaviors.
Behavioural brain research
懲罰敏感度隨問題行為嚴重度遞增，並與左側額前回及 precuneus 的網絡中心性降低相關，提示其可能為神經標誌。
Feasibility and effects of a multicomponent program incorporating esports on physical and cognitive function among older adults: A non-randomised pilot trial.
PloS one
結合電競的多元介入在老年人中可行且受歡迎，初步顯示對步態與平衡有正向影響，但需更大樣本驗證效果。
Gambling and Gaming Disorders, Problematic Pornography Use, and Other Addictive Behaviors (Use of Social Media and Artificial Intelligence Chatbots) in Youth.
Child and adolescent psychiatric clinics of North America
青少年行為成癮呈現共病模式，建議採用連續體模式與彈性治療模式，並強化新興行為（如AI聊天機器人）的研究與臨床關注。
Inattention and hyperfocus mediate the association between prefrontal cortical thickness and problematic usage of the internet, with frequent gaming-related problems, independent of a formal ADHD diagnosis.
Journal of psychiatric research
前額葉皮質厚度與網路問題使用之關聯經由注意力不足與過度專注中介，此機制不管有無正式ADHD診斷皆存在，支持神經生物學亞型的個別化治療。
Sex-specific temporal symptom networks in gaming disorder - depression comorbidity: longitudinal validation of the I-PACE model.
Addictive behaviors
遊戲障礙與憂鬱症的共病網路在男女間顯著不同，男性以 psychomotor agitation 與 time concealment 為橋樑症狀，女性則以社會退縮為主，支持性別特定的介入策略。
Physical and verbal abuse, psychosocial difficulties, and social media and gaming addiction among school-aged children and adolescents: A large-scale study.
Child abuse & neglect
情緒症狀在虐待與社交媒體成癮間具有中介作用，而注意力不足則是連接虐待與遊戲成癮的關鍵路徑，揭示不同虐待類型導向不同數位上癮的機制。
Seeking pleasure or seeking compensation: a dual-pathway model of problematic social networks use.
Addictive behaviors reports
問題社交網路使用由快樂追尋駕駛使用時長，由痛苦補償驅動症狀嚴重度，支持雙重強化模型在行為成癮中的應用。
Effects of Children's Video Gaming Experience on Chinese Orthographic Processing and Its Neural Mechanisms.
Developmental science
動作類遊戲經驗與中文正字處理能力提升相關，並強化視覺-工作記憶網絡互動，顯示特定遊戲類型對認知功能可能具正向影響。
Altered effective connectivity in internet gaming disorder and its predictive value for clinical severity: A spectral DCM study.
Brain research bulletin
遊戲障礙個體在前額葉區域顯示抑制性有效連線減弱，且左眶迴內抑制連線強度與症狀嚴重度相關，支持前額葉調節功能失衡假說。
Neural correlates of appetitive learning and extinction in individuals with risky gaming use and gaming disorder.
Behavioural brain research
問題遊戲使用者對非成癮相關獎賞（色情、金錢）的強化學習神經反應減弱，而在滅絕過程中顯示前帶狀皮質及杏仁核異常激活，提示獎賞處理與衝動控制失調。
Intrinsic reward sensitivity drives internet gaming disorder through striatal-thalamic hyper-synchronization.
Journal of psychiatric research
遊戲障礙個體在處理內在獎賞時表現出 striato-thalamic 功能連線過度同步，且對獎賞評估異常，支持內在獎賞劫持假設。
Machine learning model based on spontaneous brain activity and functional connectivity for identifying patients with internet gaming disorder.
Journal of psychiatric research
結合多種靜息態fMRI特徵與機器學習可高精準辨識遊戲障礙患者（AUC > 0.98），並建議結合臨床量表（如IAT）提升實用性。
Network intervention analysis of a school-based gaming disorder prevention program in Hong Kong primary school students.
Journal of psychiatric research
透過網路介入分析發現預防計畫主要降低「遊戲驅動肯定依賴」、「渴求」及「危害關係」三個核心症狀，提供症狀層級的介入機制見解。
Perceived physical literacy, self-reported physical activity, and sports video gaming among university students: a cross-sectional study.
Journal of exercise science and fitness
運動類影片遊戲與較高感覺身體素養、自主動機及中等至劇強度體育活動正相關，提示其可能作為促進身體活動的正向數位介入。
Neural symphony of flow experience: Evidence for high-dimensional metastable dynamics.
NeuroImage
流動體驗中神經活動展現較高全域功能連線、超穩定性及動態連線維度，支持流動為高維度神經動態過程的假設。
An investigation into factors associated with adolescent internet gaming disorder: utilizing machine learning and path analysis model.
Journal of affective disorders
機器學習識別渴求、角色認同、角色依附及自我同一為青少年遊戲障礙的頂尖風險因子，路徑分析進一步驗證角色認同與依附為關鍵中介途徑。
Emotion regulation profiles moderate links between perceived interparental conflict, peer bullying victimization, and adolescent internet gaming disorder.
Addictive behaviors
高度認知重評與低抑制的情緒調節模式與較低遊戲障礙風險相關，而其他情緒調節模式則顯示親友衝突與遊戲障礙的正向關聯，強調個體差異在風險傳遞中的調節角色。
Effects of social rewards on risky decision-making among individuals with internet gaming disorder.
Journal of behavior therapy and experimental psychiatry
遊戲障礙個體在遊戲相關及真實生活社會獎賞情境下均表現出更高風險偏好，且其在遊戲相關社會獎賞下的風險偏好與症狀嚴重度正相關。
Meaning and Purpose of Digital and Adaptive Gaming: A Scoping Review.
OTJR : occupation, participation and health
數位遊戲對身心障礙者具有治療意義，但目前研究仍缺乏以「意義與目的」為主要結果之深入探討，未來研究可補足此空白以提升職能治療介入品質。