本研究旨在探討大型多人線上遊戲（MOBA, Multiplayer Online Battle Arena）遊戲參與與心理健康變項（手機遊戲成癮、情緒調節、睡眠品質及憂鬱症狀）之間的關係。本研究採用個案對照設計，針對466名台灣成年人進行立意取樣，並依參與MOBA遊戲的情況分為使用組（過去一年內經常參與）、曾經使用組（過去曾參與但超過一年未玩）及未曾使用組（完全未參與）。測量工具包括中文版「手機遊戲成癮量表」、「情緒調節量表」、「匹茲堡睡眠品質指數」及「流行病學研究中心憂鬱量表」。資料分析方法涵蓋描述性統計、單因子變異數分析（ANOVA）及Pearson相關分析。研究結果顯示，使用組的手機遊戲成癮程度顯著高於未曾使用組（p<.001），認知重新評估能力顯著低於曾經使用組（p=.023），但與表達壓抑無顯著關聯（p=.72）。MOBA遊戲參與與睡眠品質未見顯著差異（p=.31），但卡方分析指出，低睡眠品質者更可能有手機遊戲成癮情況（χ²=22.78，p<.001）。此外，MOBA遊戲參與與憂鬱情緒無顯著關聯（p=.40）。相關分析結果顯示，手機遊戲成癮與憂鬱（r=.32, p<.001）、睡眠品質（r=.31, p<.001）及表達壓抑（r=.14, p<.001）呈正相關，與組別呈負相關（r=-.25, p<.001）。
本研究發現不同MOBA遊戲參與模式對心理健康的多樣化影響，指出持續參與者可能面臨較高的手機遊戲成癮及睡眠品質下降風險。研究建議包括減少持續參與者的遊戲時間及安排合理的遊戲時段，並對未參與者進行教育性預防。未來可採用縱向設計及擴大研究族群範圍，以進一步探討遊戲行為與心理健康之間的因果關係，為心理治療提供實證基礎及介入策略。

This study aims to explore the relationship between participation in massively multiplayer online games (MOBA, Multiplayer Online Battle Arena) and mental health variables (mobile game addiction, emotion regulation, sleep quality and depression symptoms). This study adopted a case-control design and conducted a purposive sampling of 466 Taiwanese adults. According to their participation in MOBA games, they were divided into a user group (frequently participated in the past year) and an ex-user group (had participated in the past but had not played for more than a year). and never used the group (not participating at all). Measurement tools include the Chinese version of the "Mobile Game Addiction Scale", "Emotion Regulation Scale", "Pittsburgh Sleep Quality Index" and "Center for Epidemiological Studies Depression Scale". Data analysis methods include descriptive statistics, one-way analysis of variation (ANOVA) and Pearson correlation analysis. The research results show that the mobile game addiction level of the user group is significantly higher than that of the non-user group (p<.001), and the cognitive re-evaluation ability is significantly lower than that of the former user group (p=.023), but there is no significant correlation with expression of depression. (p=.72). There was no significant difference between MOBA game participation and sleep quality (p=.31), but chi-square analysis pointed out that people with low sleep quality were more likely to be addicted to mobile games (χ²=22.78, p<.001). In addition, there is no significant correlation between MOBA game participation and depression (p=.40). Correlation analysis results show that mobile game addiction is associated with depression (r=.32, p<.001), sleep quality (r=.31, p<.001) and expression suppression (r=.14, p<.001) There was a positive correlation and a negative correlation with group (r=-.25, p<.001).
This study found the diverse impacts of different MOBA game participation modes on mental health, pointing out that continued participants may face a higher risk of mobile game addiction and decreased sleep quality. Recommendations include reducing gaming time for persistent participants and scheduling appropriate gaming sessions, as well as providing educational prevention for non-participants. In the future, longitudinal design and expanded research group scope can be used to further explore the causal relationship between gaming behavior and mental health, so as to provide evidence base and intervention strategies for psychotherapy.

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