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

인터넷게임중독 청소년과 비중독 청소년의 스트레스 수준과 HPA axis 활성도 비교

  • Kim, Eun Hwa (Department of Nursing, Graduate School, Keimyung University) ;
  • Kim, Na Hyun (College of Nursing and Research Institute for Nursing Science, Keimyung University)
  • 김은화 (계명대학교 대학원 간호학과) ;
  • 김나현 (계명대학교 간호대학.간호과학연구소)
  • Received : 2013.07.31
  • Accepted : 2013.11.11
  • Published : 2013.11.30


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.


Supported by : 한국연구재단


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