Abstract

BackgroundA need exists to increase our understanding of the association between maladaptive personality traits, psychopathological symptoms, game preference, and different types of video game use. In the present study, we used a person-centered approach to identify different subtypes of video game players and we explored how they differ in personality profiles, clinical symptoms, and video game usage.MethodsWe assessed problematic gaming via the nine-item Internet Gaming Disorder Scale and self-reported screen time playing video games in a sample of 366 adolescents and young adult gamers. Participants also completed measures on maladaptive personality domains (Personality Inventory for DSM-5 Brief Form), alexithymia (Toronto Alexithymia Scale—20 items), and psychopathological symptoms (DSM-5 Self-Rated Level 1 Cross-Cutting Symptom Measure) and reported which genre of video games they preferred.ResultsUsing a person-centered, cluster-analytic approach, we identified four clusters of video game players (Occasional, Passionate, Preoccupied, and Disordered) presenting peculiar combinations of problematic gaming scores and time spent online playing video games. Non-problematic gamers (Occasional and Passionate) represented the majority of the sample (62.3% of the participants). Highly involved gamers who exhibited excessive screen time playing video games (Disordered gamers) presented the highest level of maladaptive personality traits and psychopathological symptoms, and were characterized by the greatest use of Multiplayer Online Battle Arena (MOBA) games.ConclusionThese results have clinical implications on suggesting the importance to determining whether or not problematic gaming activities reflect a dysfunctional emotion-focused coping strategy to avoid inner unpleasant emotional or a more generally compromised emotional and social functioning.

Highlights

  • In the last two decades, an extensive amount of research has been carried out on Internet addiction disorder (IAD), a presumptive new clinical condition that has proved to be an umbrella term including different Internet-related psychopathologies (Schimmenti et al, 2014a,b; Musetti et al, 2016, 2017; Starcevic and Billieux, 2017)

  • We aimed to explore the relationships among maladaptive personality domains, alexithymia, psychopathological symptoms, game preference, and problematic gaming in adolescents and young adults

  • A pattern of significant and positive associations emerged among Internet gaming disorder (IGD)-9 scores, time spent online playing video games (r = 0.31, p < 0.001), maladaptive personality traits, and psychopathological symptoms

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Summary

Introduction

In the last two decades, an extensive amount of research has been carried out on Internet addiction disorder (IAD), a presumptive new clinical condition that has proved to be an umbrella term including different Internet-related psychopathologies (Schimmenti et al, 2014a,b; Musetti et al, 2016, 2017; Starcevic and Billieux, 2017). Among the latter, Internet gaming disorder (IGD) was included in Section 3 (“Emerging Measures and Models”) of the fifth edition of Diagnostic and Statistical Manual of Mental Disorders (American Psychiatric Association [APA], 2013), and more recently, WHO experts recommended including Gaming disorder (GD) in the ICD-11, in the section of disorders due to addictive behaviors (World Health Organization, 2018). We used a person-centered approach to identify different subtypes of video game players and we explored how they differ in personality profiles, clinical symptoms, and video game usage

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