인터넷게임중독 청소년과 비중독 청소년의 스트레스 수준과 HPA axis 활성도 비교

• Published in: Journal of Korean biological nursing science Vol. 15; no. 4; pp. 173 - 183
• Main Author: 김은화, 김나현
• Format: Journal Article
• Language: Korean
• Published: 한국기초간호학회 30.11.2013
• Subjects: 간호학; 스트레스; 인터넷; 게임중독; HPA axis; Internet; Game addiction; Stress
• ISSN: 2383-6415; 2383-6423
• DOI: 10.7586/jkbns.2013.15.4.173

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.