Internet Gaming Behavior Research Articles

HUBUNGAN PARENTAL-PEER ATTACHMENT DENGAN SELF-ESTEEM PADA PEMAIN INTERNET GAMING

There are many internet-based activities, one of which is internet gaming, which, at a certain level of frequency, can lead individuals to internet addiction. This research, conducted with meticulous attention to detail, aims to determine the relationship between parental-peer attachment and self-esteem as two factors that are closely related to internet addiction behavior. The study was meticulously conducted on 38 young adult male and female internet gaming players using the Inventory of Parent and Peer Attachment-Revised (IPPA-R) and the Self-Esteem Scale (SES). Data were rigorously analyzed using one-tailed Spearman statistical analysis. The results show a positive relationship between Parental-Peer Attachment and Self-Esteem in internet gaming players. The alienation dimension in Mother, Father, and Peer Attachment has the most significant relationship. Self-competence and Self-liking dimensions have a negative relationship, so that these two dimensions will decrease or increase if one dimension experiences a decrease or increase. Further studies on the other psychological factors that underly internet gaming behavior potentially support the prevention of addiction.

The Prevalence of Internet Gaming Disorder and its Associated Factors Among College Students in Saurashtra Region, Gujarat, India.

Internet gaming has become popular in the last few decades; however, very few studies have been conducted on internet gaming in India. This study aimed to investigate internet gaming disorder (IGD), its prevalence, gaming behavior, and effects as well as multiple factors associated with its emergence among college students. This cross-sectional study involved a group of 150 college students. Data were collected using a semi-structured questionnaire containing the Internet Gaming Disorder Scale-Short Form (IGDS9-SF). Statistical analysis was done using Jamovi software. A total of 150 college student gamers were involved with a mean age of 18.69±0.10 years. The mean IGD score was 18.74 with a standard deviation of 0.53, while the median score was 18. The prevalence of IGD was 5.3% among the participants. The IGD prevalence was higher in male students and those whose mothers had a high school diploma or higher. Gamers who spent more than2 hours a day on games had significantly higher IGD scores (P<0.05). A significant association was also found between tingling/numbness in the hand while playing and physical pain with IGD (P<0.05). Spending more time playing online games was significantly associated with a higher risk of IGD. One negative consequence of IGD is the development of physical health issues. It is important to raise awareness about the physical health consequences of excessive gaming among students, parents, institutions, and concerned authorities.

Positive and Avoidance Outcome Expectancies as Mediators of the Relationship between Social Influence and Problematic Internet Gaming Behavior: Preliminary Findings

Positive and Avoidance Outcome Expectancies as Mediators of the Relationship between Social Influence and Problematic Internet Gaming Behavior: Preliminary Findings

Whether and How Parental and Friends’ Internet Gaming Behaviors May Affect Adolescent Internet Gaming Disorder Symptoms: the Cognitive and Behavioral Mechanisms

Whether and How Parental and Friends’ Internet Gaming Behaviors May Affect Adolescent Internet Gaming Disorder Symptoms: the Cognitive and Behavioral Mechanisms

Harsh Fathering Longitudinally Predicts Adolescents’ Internet Gaming Addiction via Unfulfilled Psychological Need

Using a three-wave longitudinal design with 1-year intervals, the present study examined whether adolescents suffering from harsh fathering were more likely to develop Internet gaming addiction because of their unfulfilled psychological needs. A sample of 907 adolescent students from two junior high schools participated (aged from 12 to 16 years, M = 13.14 years, SD = 0.87). Cross-lagged mediational analyses indicated that harsh fathering negatively predicted adolescents’ psychological need satisfaction, which further negatively predicted their Internet gaming addiction. Moreover, the predictive relations from harsh fathering to adolescents’ Internet gaming addiction via their psychological need satisfaction were only existent for male but not female adolescents. However, Internet gaming addiction could not longitudinally predict adolescents’ psychological need fulfillment. These findings add to current insights on the bi-directional relations among harsh parent, adolescents’ psychological need and their Internet gaming behaviors.

College-Level Egyptian Students’ Social Relations and Psychological Well-Being as Predictors of Internet Gaming Disorder: Across Gender Comparison

The primary objective of the present study was to investigate the effects of quality-of-life domains on internet gaming behavior, while also exploring the moderating role of gender in these effects. As part of a broader project, we conducted an analysis involving a sample of 56 college students who reported engaging in internet gaming. Our analysis focused on the disparities between male and female video game players in terms of their playing habits, motivations, satisfaction levels, and perceived impacts on their social and personal lives. Our study aimed to examine the differences in internet gaming disorder between groups using the IGD test. We also assessed the quality of life in four domains - physical, psychological, social relations, and environmental - using the WHOQoL-BREF scale. We expected that the quality-of-life domains, moderated by gender, would be significant predictors of internet gaming disorder. The results revealed that female players are slightly but significantly older than male players. Mor male players reported positive impacts on their personal and social lives compared to females. Also, male participants reported more positive impacts on their lives compared to the reported negative impacts. Male participants showed increased internet gaming disorder scores compared to female participants. They were more prone to develop at-risk and disordered internet gaming behavior. Both male and female participants had similar scores in quality-of-life domains. On the other hand, decreased social relation scores were associated with increased IGD across all participants. However, the association was found to be more significant within female group.In conclusion, Egyptian male students exhibit a higher occurrence of problematic internet gaming behavior compared to female students. Egyptian female players are more prone to developing problematic gaming behavior when their social relations are not satisfactory.

Psychometric properties of three online-related addictive behavior instruments among Bangladeshi school-going adolescents.

Due to the ease of access to the internet in modern society users have become more prone to experiencing addictive behaviors online. The present study aimed to develop and investigate the psychometric properties of the Bangla Internet Gaming Disorder Scale-Short-Form (IGDS9-SF), Gaming Disorder Test (GDT), and Bergen Social Media Addiction Scale (BSMAS) due to a lack of existing sound psychometric tools in Bangladesh. A cross-sectional paper-and-pencil survey was carried out among 428 school-aged adolescents who were active gamers (90.89% males; Meanage: 16.13±1.85 years; age range: 10-19 years). Participants were recruited using convenience sampling across four selected schools in Dhaka City, Bangladesh. Data collected included sociodemographic information, frequency of internet use and gaming behaviors, psychological states (i.e., Patient Health Questionnaire [PHQ-9], Generalized Anxiety Disorder [GAD-7]), disordered gaming and social media use (i.e., IGDS9-SF, GDT, and BSMAS). Psychometric testing was conducted to examine the validity and reliability levels of the Bangla IGDS9-SF, GDT, and BSMAS. The newly adapted Bangla IGDS9-SF, GDT, and BSMAS exhibited adequate levels of internal consistency. All total scores were significantly correlated with depression, anxiety, frequencies of internet use/online activities and gaming, supporting criterion and convergent validity. CFA indicated excellent construct validity as all instruments had a good fit to the data. The findings suggest that the Bangla IGDS9-SF, GDT, and BSMAS are sound psychometric instruments due to their satisfactory psychometric properties including internal consistency, criterion validity, convergent validity, and construct validity.

Does global positioning system-based navigation dependency make your sense of direction poor? A psychological assessment and eye-tracking study.

BackgroundGlobal positioning system (GPS)-based navigation apps are very useful in our lives. However, whether and how the usage of these apps affects spatial cognition and the sense of direction is still unclear.MethodsA total of 108 individuals were recruited and completed the GPS dependence, internet gaming behavior, and impulsivity test using scales. The eye-tracking-based general mental rotation (MR) task and target finding (TF; require individuals to find a target specified in a 3D street map in a rotated version of top 2D view map) task were used to assess their spatial cognition and the sense of direction. The correlation was used to relate GPS navigation usage, spatial cognition ability, and impulsivity. Subgroup analyses stratifying by gaming hours of individuals (< 2 h or ≥ 2 h) or maps (countryside or city) in TF task were performed. The moderating and mediating effect analyses were conducted to verify these relationships.ResultsThe GPS dependency score was nominal positively correlated with fixations in the TF task in the entire cohort (r = 0.202, unadjusted p = 0.036); it was significant in city (r = 0.254, p = 0.008) and gaming time of < 2 h (r = 0.459, p = 0.001) subgroups. The high-score (upper 30%) group of GPS dependency had more fixations on the original target building in the training area and indicative building in the test area than the low-score (lower 30%) group. GPS dependency was not associated with the correct rate and reaction time in the TF task or any of the indicators in the MR task (p > 0.05). The GPS dependency mediated the indirect effect of impulsivity on the fixations on TF. The internet gaming time moderated the association between GPS dependency and fixations on TF.ConclusionThe dependency on GPS-based navigation apps was associated with impaired spatial cognition but may not significantly affect the sense of direction.

Prevalence of Internet Gaming Disorder among Engineering Students Aged 18–25 Years

Introduction: The number of mobile game users has increased globally over the last few years. Gaming has been reported as a new way of satisfying basic human needs within the constraints of the current modern society. This research aimed to determine the prevalence of Internet gaming disorder (IGD) among engineering students aged 18–25 years in the Ernakulam district of Kerala and the associated risk factors. Materials and Methods: This was an online-based cross-sectional study among engineering colleges in Ernakulam district of Kerala selected by simple random sampling. Students with psychiatric ailments were excluded from the study. On the basis of the prevalence of IGD, reported by Mihara and Higuchi in 2017, the minimum calculated sample size for this study using the formula, n = (4*pq)/d2 was 291. The study tool was a semi-structured questionnaire with three segments: socio-demographic profile, IGD, and Internet gaming behavior pattern. As data were collected using Google Forms, data were downloaded from Google Sheet and exported to and analyzed using SPSS software program, version 20.0. Results: The study had 271 participants and most of them were males. The mean age group of the study population was 22.77 years. The prevalence of IGD was found to be 2.2%. In the associated risk factors, people living alone were found to have a significant association with IGD. Conclusion: Although the prevalence observed in our research is low, more attention needs to be given to keeping the prevalence low, as the number of gamers in India has been constantly increasing.

Escapism-Based Motivation Affected the Psychological Performances of High-Risk Internet Gaming Disorder Individuals.

BackgroundEscapism-based motivation (EBM) is considered as one of the diagnostic criteria for internet gaming disorder (IGD). However, how EBM affects the high risk of IGD (HIGD) population remains unclear.MethodsAn initial number of 789 college students participated in the general, internet gaming behavior, and motivation surveys. After multiple evaluations, 57 individuals were identified as HIGD (25 with EBM, H-EBM; 32 with non-EBM, H-nEBM). In addition, 51 no-gaming individuals were included as the control group (CONTR). The cohorts completed the psychological assessments and eye-tracking tests, and analyses of group differences, correlations, and influencing factors of the indicators were performed.ResultsThe Barratt impulsiveness score of H-nEBM and H-EBM was significantly higher than that of CONTR (MD = 3.605, P = 0.017; MD = 3.744, P = 0.022). In addition, emotional intelligence self-emotion management ability was significantly lower in the H-EBM than in CONTR (MD = –2.038, P = 0.004). Correct rates and reaction times in the anti-saccade task differed significantly between the three groups (F = 3.525, P = 0.033; F = 4.459, P = 0.014). However, no differences were found in the comparison of the digital span test (DST), trail making test (TMT), animal verbal fluency test, Stroop test, and mental rotation test results. The anti-saccade test indicators were positively correlated with the DST results but negatively correlated with the Stroop test results (P < 0.05). Correct rates in the mental rotation test were negatively correlated with the TMT results but positively correlated with the DST results (P < 0.05). The participants with high Stroop test scores and no lover experience and who were raised by their grandparents were likely to develop EBM to engage in high risk of internet gaming disorder (P < 0.05).ConclusionEBM has a significantly negative effect on impulsivity, self-emotion management ability, and response inhibition in the HIGD participants.

Changes of internet behavior of adolescents across the period of COVID-19 pandemic in China

ABSTRACT During the COVID-19 pandemic, internet use and gaming of adolescents had been elevated. On the one hand, internet use and gaming in the period was a good approach to killing quarantined time. However, the increased use of the internet and game of adolescents may also increase the risk of internet addiction. This study aimed to describe the internet behavior changes of adolescents and to understand the impact of clinical features on internet addiction after the adolescents back to school in COVID-19 period. We conducted a cross-sectional cohort study using data collected through online investigation in China. Six hundred and twenty-five adolescents completed the online survey. Results indicated that internet addiction, having gaming use behaviors, Strengths and Difficulties Questionnaire (SDQ) Conduct subscale scores and the SDQ Prosocial subscale scores before the COVID-19 outbreak were significant in predicting the internet addiction after the adolescents back to school. The proportion of internet addiction and gaming behaviors among adolescents in China was changed across the COVID-19 pandemic. Clinical features before the COVID-19 pandemic could predict Internet addiction risk after the adolescents back to school.

Regulasi Diri terhadap Gangguan Perilaku Internet Gaming

This study aims to determine the effect of self-regulation on internet gaming behavior. The method used is a systematic review of seven databases (Scopus, Sage, ScienceDirect, CINAHL, ProQuest, Cambridge, Pubmed) published from 2017 to 2020. The results show that there is a significant relationship between self-regulation and internet gaming behavior disorders. Low regulation was associated with more excellent reports of impaired internet gaming behavior, self-regulation directly impacting internet gaming behavior, or mediator between determinants and internet gaming behavior. Self-development strategies, self-monitoring interventions and self-instruction strategies are the dominant types of self-regulation techniques for some studies. In conclusion, the intervention of increasing self-regulation can prevent internet gaming behavior disorder.&#x0D; Keywords: Online Game, Internet Gaming Disorder, Internet Gaming Behavior, Self Regulation

Addictive Internet Gaming Usage among Korean Adolescents before and after the Outbreak of the COVID-19 Pandemic: A Comparison of the Latent Profiles in 2018 and 2020.

Since the outbreak of the COVID-19 pandemic, the heightened risk of school closures and mental disorders has made adolescents particularly vulnerable to developing internet gaming disorder (IGD). There have been reports of increased time spent playing games on the internet among adolescents during the pandemic, and the risk of developing IGD may be higher for adolescents in South Korea as the majority of them play games on the internet. However, to the best of our knowledge, no studies have examined the impact of the pandemic on adolescents’ internet gaming behavior in South Korea. This study aimed to explore the different profiles of addictive internet gaming behavior among adolescents before and after the outbreak of the COVID-19 pandemic and examine how the pandemic influenced addictive internet gaming usage and time spent playing games on the internet. Nationally representative survey data from the Ministry of Gender Equality and Family with 3040 and 2906 responses from 2018 and 2020, respectively, were analyzed. Using seven factors of a maladaptive gaming usage scale (tolerance, withdrawal, excessive usage, control impairment, compulsive usage, neglecting daily activity, and gaming despite negative consequence), a four-profile model was selected in both 2018 and 2020 for latent profile analysis: ‘casual’ gamer, ‘moderate’ gamer, ‘potential-risk’ gamer and ‘addictive’ gamer. The results from the two-way ANCOVA showed significant interaction between the cohorts (2018 cohort vs. 2020 cohort) and the four profiles on addictive internet gaming usage (F = 119.747, p < 0.001, η2 = 0.05), including time spent playing internet games on a PC (F = 22.893, p < 0.001, η2 = 0.013), and time spent playing games on a mobile phone (F = 3.245, p < 0.05, η2 = 0.02). The results indicated that the increase of addictive internet gaming usage and gameplay time differed by profile. The results imply that the increase in gameplay time was higher for profiles with higher scores in addictive internet gaming usage for internet games played on a PC while the relationship was not obvious for games played on a mobile phone. Despite the statistical significance, there was only 1.2% to 4.9% of mean difference in addictive internet gaming usage between the 2018 and 2020 cohorts, which implies little clinical significance. While adolescents of the four profiles showed no significant signs of increased addictive internet gaming usage, the addictive gamer profile demonstrated a significant increase in game time after COVID-19.

The link between problematic internet use, problematic gaming, and psychological distress: does sleep quality matter?

IntroductionThis study aimed to examine the mediating role of sleep quality in the association of problematic internet use (PIU) and problematic gaming with psychological distress among college students in China.MethodsData of 1040 full-time students from multiple colleges in China were examined. Respondents were asked about their internet use and gaming behaviors, sleep quality, psychological distress, and sociodemographic characteristics. The mediating role of sleep quality in the PIU- and problematic gaming-psychological distress link was examined respectively.ResultsPIU was associated with decreased sleep quality (r = .32, p < .001) and increased psychological distress (r = .46, p < .001). Problematic gaming was also associated with decreased sleep quality (r = .22, p < .001) and increased psychological distress (r = .46, p < .001). Sleep quality accounted for 23.5% of the indirect effect of PIU on psychological distress, and 17.9% of the indirect effect of problematic gaming on psychological distress.ConclusionsSleep quality had a meaningful mediating effect on the PIU-psychological distress link, but only exerted a small mediating effect on the problematic gaming-psychological distress link. In addition to promoting healthy internet usage, strategies aimed at mitigating the negative effect of excessive internet use on psychological health might benefit from those aimed at improving sleep quality.

Choice of Leisure Activities by Adolescents and Adults With Internet Gaming Disorder: Development and Feasibility Study of a Virtual Reality Program.

BackgroundExcessive internet game use frequently leads to various physical, psychological, and social problems, and internet gaming disorder (IGD) has become a serious public health issue worldwide. Recently, virtual reality (VR) therapy has emerged as a promising method to increase psychological treatment motivation and accessibility. However, few studies have examined the potential of VR technology for the management of IGD, and VR content tailored to IGD characteristics remains scarce.ObjectiveThis preliminary study aimed to examine the potential of a VR-based program that was designed to help users identify their leisure time use patterns, especially those related to gaming, and to modify their gaming overuse by alternative activities provided in the VR content. Moreover, to investigate whether users’ VR activities reflect various clinical variables of IGD in youth, we examined the relationships among the leisure time activity selection pattern, built-in response, and speech data obtained from the VR program, as well as symptom severity of internet gaming, psychiatric comorbidities, and motivation of participants reported through relevant questionnaire data.MethodsThree types of VR content (understanding my daily activities at home, finding an alternative activity to internet gaming at home, expressing contradictory opinions toward a friend’s gaming beliefs) were developed by simulating the daily situations in which patients with IGD can select alternative free-time leisure activities. We examined internet addiction, mental health problems, and motivation for 23 IGD and 29 control participants. Behavioral and self-rated responses from VR, such as alternative activity selection data and speech patterns (speech time, speech satisfaction, and speech accordance), and results from various questionnaires were compared between groups. The correlations between IGD behaviors in VR and real-life behaviors assessed by questionnaire measures were analyzed.ResultsSignificant correlations were found between internet gaming behavior and user activity data, such as speech and activity selection pattern, in our VR program. Our results showed that the IGD group had fewer leisure activities and preferred game or digital activities to other types of activities compared to controls, even in VR. There was a positive relationship between the viability of alternative leisure activities the participants selected in VR and the amount of perceived satisfaction from that activity (r=.748, P<.001). Speech accordance in the IGD group was lower than in the control group and was correlated negatively with Internet Addiction Test and Internet Addiction Test–gaming scores (r=.300, P=.03) but positively with users’ motivation (r=.312, P=.02).ConclusionsThe results from our VR program can provide information about daily activity patterns of youths with IGD and the relationship between user VR activities and IGD symptoms, which can be useful in applying VR technology to IGD management.

Reduced loss aversion and inhibitory control in adolescents with internet gaming disorder.

As adolescents are in a crucial developmental period, they are more susceptible than adults to Internet gaming disorder (IGD). The dual-system model proposed by Casey, Jones, and Hare (2008) emphasized the equal importance of reward-seeking and cognitive control systems in accounting for adolescents' risky behaviors. Considering that no study has simultaneously examined reward seeking (loss aversion, i.e., loss sensitivity relative to gain sensitivity) and cognitive control (inhibitory control) in IGD, this study aimed to investigate loss aversion and inhibitory control in the same IGD adolescent population. Forty five adolescent patients with IGD and 43 matched healthy control participants completed a mixed gambles task and a stop-signal task to measure loss aversion and inhibitory control, respectively. Two main findings were identified in this study. First, the IGD participants showed concurrent reduced loss aversion and inhibitory control, suggesting that differences in both systems serve as behavioral markers of IGD in adolescents. Second, the IGD participants were categorized into 2 distinct subtypes based on differences in loss aversion and inhibitory control, which implies specific therapies for specific subtypes of IGD adolescents. Therefore, this study extends the application of the dual-system model to explain adolescents' excessive Internet gaming behavior. (PsycInfo Database Record (c) 2020 APA, all rights reserved).

Effects of Increasing the Negativity of Implicit Outcome Expectancies on Internet Gaming Impulsivity.

Outcome expectancies have been found to play important roles in addictive behaviors. Research has shown that implicit outcome expectancies (OE) were significantly correlated with Internet gaming behaviors among players with Internet gaming disorder (IGD). However, few empirical studies have further examined the relationship between implicit OE and players with IGD. This study first strengthened the implicit association between Internet games and negative outcomes using an evaluative conditioning paradigm (EC) and then examined the effects of increasing the negativity of implicit OE on Internet gaming impulsivity. Thirty-nine college students who were diagnosed as players with IGD participated in the study. Manipulation checks showed that after the EC was introduced, participants associated Internet gaming stimuli more closely with negative outcomes than with positive outcomes. After the implicit OE were effectively altered to be negative, players with IGD performed better in the delay discounting paradigm, showing a lower impulsivity with respect to Internet gaming.

The Association between Excessive Internet Gaming Behavior and Immersive Tendency, Mediated by Attention Deficit/Hyperactivity Disorder Symptoms, in Korean Male University Students.

Objective Problematic online gaming (POG) and problematic Internet use (PIU) have become a serious public mental health problem, with Internet gaming disorder (IGD) included in “Conditions for further study” section of DSM-5. Although higher immersive tendency is observed in people affected by POG, little is known about the simultaneous effect of immersive tendency and its highly comorbid mental disorder, attention deficit/hyperactivity disorder (ADHD). This study aimed to assess the relationship between immersive tendency, ADHD, and IGD. Methods Cross-sectional interview study was conducted in Seoul, Korea with 51 male undergraduate students; 23 active gamers and 28 controls. Results Current ADHD symptoms showed partial mediation effect on the path of immersive tendency on POG and PIU. The mediation model with inattention explained variance in both POG and PIU better than other current ADHD symptom models (R2=69.2 in POG; 69.3 in PIU). Childhood ADHD symptoms models demonstrated mediation effect on both POG and PIU which explained less variance than current ADHD symptom models (R2=53.7 in POG; 52.1 in PIU). Current ADHD symptoms, especially inattention, appear to mediate the effect of immersive tendency on POG/PIU. Conclusion Immersive tendencies may entail greater susceptibility to IGD, and comorbidity with ADHD may mediate the effect of immersive tendency on IGD.

Alterations in functional networks during cue-reactivity in Internet gaming disorder.

BackgroundCue-induced brain reactivity has been suggested to be a fundamental and important mechanism explaining the development, maintenance, and relapse of addiction, including Internet gaming disorder (IGD). Altered activity in addiction-related brain regions has been found during cue-reactivity in IGD using functional magnetic resonance imaging (fMRI), but less is known regarding the alterations of coordinated whole brain activity patterns in IGD.MethodsTo investigate the activity of temporally coherent, large-scale functional brain networks (FNs) during cue-reactivity in IGD, independent component analysis was applied to fMRI data from 29 male subjects with IGD and 23 matched healthy controls (HC) performing a cue-reactivity task involving Internet gaming stimuli (i.e., game cues) and general Internet surfing-related stimuli (i.e., control cues).ResultsFour FNs were identified that were related to the response to game cues relative to control cues and that showed altered engagement/disengagement in IGD compared with HC. These FNs included temporo-occipital and temporo-insula networks associated with sensory processing, a frontoparietal network involved in memory and executive functioning, and a dorsal-limbic network implicated in reward and motivation processing. Within IGD, game versus control engagement of the temporo-occipital and frontoparietal networks were positively correlated with IGD severity. Similarly, disengagement of temporo-insula network was negatively correlated with higher game-craving.DiscussionThese findings are consistent with altered cue-reactivity brain regions reported in substance-related addictions, providing evidence that IGD may represent a type of addiction. The identification of the networks might shed light on the mechanisms of the cue-induced craving and addictive Internet gaming behaviors.

Stress System Response and Decision Making in Heavy Episodic Users of Alcohol and Online Video Games

Objective: Few empirical studies have addressed stress system response and subsequent decision making in problematic online video game players who also consume alcohol. Method: Participants were randomly assigned to either receive a psychosocial stressor, including evaluated public speaking and mental arithmetic, or control condition. Salivary cortisol, cardiovascular and subjective responses were collected. Following, decision making was assessed using the Iowa Gambling Task. Results: In this sample of moderate internet gamers (N = 71; 45 male, 16.9% meeting suggested DSM-5 criteria for internet gaming disorder), 53.52% met gender-specific cut-points for heavy episodic drinking. Overall, participants in the TSST condition demonstrated elevated systolic and diastolic blood pressure, self-reported anxiety, and negative affect (ps < .05). However, response to the TSST was varied, particularly in individuals reporting binge internet gaming (6 h or more consecutive use in the last 30 d) who did not display the expected decline in positive affect in response to the TSST (p = .02). Differences in greater advantageous decision making between heavy episodic internet gaming participants in the stress condition, versus those reading a travel magazine, were also noted. These differences were not significant in participants reporting an absence of heavy episodic gaming behavior. Conclusions: These findings support the continued study of individuals who engage in problematic internet gaming behavior, particularly those who engage in heavy episodic use of alcohol.