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http://dx.doi.org/10.7586/jkbns.2013.15.4.173

Comparison of Stress Level and HPA axis Activity of Internet Game Addiction vs. Non-addiction in Adolescents  

Kim, Eun Hwa (Department of Nursing, Graduate School, Keimyung University)
Kim, Na Hyun (College of Nursing and Research Institute for Nursing Science, Keimyung University)
Publication Information
Journal of Korean Biological Nursing Science / v.15, no.4, 2013 , pp. 173-183 More about this Journal
Abstract
Purpose: The purpose of this study was to compare the stress level and HPA axis activity of an internet game addiction group and non-addiction group in adolescents. Methods: A cross-sectional comparative study was performed with 140 male high school students from 9 vocational high schools at W city. Data were collected from July to September, 2012, using a questionnaire for measuring internet game addiction and stress level, blood samples for serum ACTH, and cortisol level for HPA axis activity. Data were analyzed using descriptive analysis, $X^2$-test, t-test, ANOVA, and Pearson correlation coefficient with SPSS/WIN 15.0. Results: The stress level of the internet game addicted group was significantly higher than that of the non-addicted group (p<.001). The serum cortisol level was also significantly higher in the internet game addicted group than in the non-addicted group (p<.026). The serum ACTH level was higher in the internet game addicted group more than in the non-addicted group (p<.072). Conclusion: These results showed that internet game addiction could increase stress level and HPA axis activity in high school adolescents. Thus, a nursing approach to prevent and relieve internet game addiction should be initiated to stabilize the HPA axis of internet game addicted adolescents.
Keywords
Internet; Game addiction; Stress; HPA axis;
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