Gaming Disorder Research Articles

Study of Gaming Disorder and Its Association with Depressive Disorder and Anxiety among Medical Students in India

Abstract Context: Internet gaming disorder (IGD) was included in the 5th edition of The Diagnostic and Statistical Manual of Mental Disorders (DSM-5). Addiction to Internet gaming is prevalent among Indian medical students. This study aims to measure the severity and pattern of gaming behavior along with the impact and association of IGD on different psychological conditions such as depression and anxiety. Methods: A cross-sectional study was conducted through an online survey among 845 medical students at a tertiary care teaching hospital in India. The Internet GD Scale-Short Form (IGDS9-SF) was used to assess the intensity of gaming disorders, while patient health questionnaire-9 (PHQ-9) and generalized anxiety disorder assessment (GAD-7) were used to assess the severity of depression and anxiety, respectively. Results: A total of 194 students were identified as current gamers, out of which 36 had gaming disorders based on DSM-5 diagnostic criteria for IGD from the current study sample. Multiple regression was calculated for the following age (B = 0.85, P = 0.002), weight (B = 0.07, P = 0.02), average time spent on gaming/day in hours (B = 1.01, P < 0.0001), PHQ-9 scores (B = 0.35, P ≤ 0.0001), GAD-7 scores (B = −0.24, P = 0.01) - Model R 2 = 0.35, F = 19.41, P < 0.0001. Conclusions: Potentially problematic gaming was found to be associated with psychological symptoms, negative affectivity, and a preference for solitude. There is a need for other studies that can help in creating awareness about the prevalence of gaming disorders in medical students.

Exploring the association between online gaming addiction and academic performance among the school-going adolescents in Bangladesh: A cross-sectional study.

The pervasive nature of online gaming, notably accentuated during the COVID-19 pandemic, has spurred concerns regarding gaming addiction among children. This study explores the intricate ramifications of online gaming addiction on the academic performance and social dynamics of children in Bangladesh. Our primary objective is to gauge the extent of online gaming addiction and unravel its profound effects on academic performance. Conducting a nationwide survey from January 1, 2023, to June 30, 2023, we analyzed 502 responses from participants aged 6-17 years. The survey encompassed sociodemographic details, gaming addiction assessment, and academic performance following a simple random sampling method. We analyzed participant demographics utilizing descriptive statistics, chi-square tests, and logistic regression. Key findings revealed a majority within the 13-17 age bracket (75.50%), predominantly male (58.57%), and enrolled in secondary education (83.27%). A robust inverse relationship showed that nonaddicted students towards online gaming had higher academic performance. Therefore, it is important to implement targeted strategies to address online gaming addiction among Bangladeshi children. Recommending early intervention, academic initiatives, and holistic therapy, we advocate for collaboration among educational institutions, mental health professionals, parents, and policymakers. All of these initiatives are essential to navigate the evolving challenges presented by gaming addiction. Furthermore, our call for ongoing research seeks to deepen our understanding of enduring consequences on academic and social dimensions, fostering a digitally supportive environment conducive to the holistic well-being of children.

Pattern and correlates of Internet gaming disorder among medical students – A cross-sectional study from a tertiary care health institute, Rajasthan

Pattern and correlates of Internet gaming disorder among medical students – A cross-sectional study from a tertiary care health institute, Rajasthan

Hubungan Kecanduan Game Online dengan Motivasi Belajar Siswa Kelas XI SMK Negeri 3 Mukomuko

This This research aims to determine the relationship between online game addiction and the learning motivation of class XI students at SMK Negeri 3 Mukomuko. The method used in this research is descriptive quantitative correlational. The population in this study was 127 people. The sampling technique used was stratified random sampling, resulting in a total sample of 96 people. Based on the instrument used in data collection in this research, it is a questionnaire prepared according to the Likert scale model. Data analysis was carried out using SPSS and Microsoft Excel. Based on the research results, the rcount value is 0.837 > rtable 0.198, it can be concluded that there is a significant connection between online game addiction and the learning motivation of class XI students at SMK Negeri 3 Mukomuko.

Adicción a los videojuegos, calidad de sueño y malestar psicológico en adolescentes y jóvenes adultos

The present research took levels of video game addiction and tested a model of structural structures to determine whether videogame addiction predicted sleep quality and psychological distress. A sample of 612 young male adults was constituted, with a mean age of 21 years (SD = 2.95) of residents of Greater Buenos Aires and 40% in the Federal Capital. They answered a demographic questionnaire, the GASA questionnaire, a sleep questionnaire and the DASS-21 that measures anxiety, depression, and stress. The results indicated high levels of video game addiction and that age introduced differences. The structural model presented a good fit and addiction predicted greater sleep difficulties and less psychological well-being. The discussion will review the implications of this research and provide suggestions for future research.

Online Gaming Addiction: Effects on Students Learning and Academic Achievement

Online Gaming Addiction: Effects on Students Learning and Academic Achievement

ASSOCIATION OF INTERNET GAMING ADDICTION WITH INDICATORS OF DEPRESSION ON THE HADS SCALE AMONG MEDICAL UNIVERSITY STUDENTS

In recent years advances in gaming technology and a significant increase in Internet connection speeds have made online games more attractive and accessible. According to the available literature, excessive involvement in this type of Internet content can lead to stress, depression, anxiety, personal problems and a significant risk of suicidal behavior. Numerous studies have reported high rates of depression among medical students worldwide, highlighting the need for a deeper understanding of the factors contributing to its formation. Purpose. To establish relationships between indicators of depression, determined by the HADS questionnaire, and Internet gaming addiction among students studying at a medical university. Materials and methods. The survey involved 244 boys and girls studying in the 3rd year of medical university. The presence of Internet gaming addiction, as well as the identification of depressive disorders with an assessment of the degree of their severity, was established using the Russian-language versions of the Game Addiction Scale for Adolescents (GASA) and The Hospital Anxiety and Depression Scale (HADS) questionnaires. Results. According to the data obtained, the presence of Internet gaming addiction was identified in 7,4% of the examined students. Among the surveyed male students, this type of Internet addictive behavior was more common (10,6%) compared to female students (6,2%). Indicators of depression of varying severity, determined by the HADS questionnaire, were identified in 16,0% of the examined students. Moreover, among female students the frequency of identified depression was higher (17,4%) compared to male students (12,1%). It was found that more than half of students with depressive disorders (55,6%) suffered from Internet gaming addiction. It was noted that the number of patients with depressive disorders in combination with this type of Internet addictive behavior was higher in comparison with persons without Internet gaming addiction, both among male students (57,1% vs 42,9%), and among girls (54,5% vs 45,5%), respectively. Conclusion. Relationships have been established between indicators of depression, determined by the HADS questionnaire, and Internet gaming addiction among students studying at a medical university.

The Relationship between video game addiction and bladder/bowel dysfunction in children

Video games have a strong influence on children and adolescents. Video game addiction has negative effects on children's health. To determine the relationship between video game addiction and bladder/bowel dysfunction in children. Three hundred sixty-three children and their mothers who met the inclusion criteria constituted the sample of this correlational study. The data were collected using a descriptive information form, the Video Game Addiction Scale for Children, and the Childhood Bladder and Bowel Dysfunction Questionnaire. We found that 72.5% of the children were nine years old and 27.5% were ten years old; 50.4% were males and 49.6% were female. While 4.7% of the children who participated in the study were underweight, 19.6% were overweight, and 17.9% were obese. The mean Video Game Addiction Scale for Children score was 50.77 ± 16.17, whereas the mean Childhood Bladder and Bowel Dysfunction Questionnaire score was 29.98 ± 8.90. The ratio of children with a mean Video Game Addiction Scale for Children scores equal to or greater than 90 was 0.8% (n = 3). We found that 3.6% (n = 13) of the children had urinary/fecal incontinence while playing video games. There was a weak positive relationship between the dimensions of the Video Game Addiction Scale for Children scores, the Childhood Bladder and Bowel Dysfunction Questionnaire scores, and children's bladder and bowel function (r = 0.220; p ˂ 0.05). There is a correlation between children's video game addiction level and their bladder and bowel dysfunction grade. Higher video game addiction levels correspond to higher bladder and bowel dysfunction.

Gaming Disorders: Navigating the Fine Line between Entertainment and Addiction-Gaming History, Health Risks, Social Consequences, and Pathways to Prevention.

The number of people immersed in excessive gaming has increased in this age of rapid digitalization. The World Health Organization and American Psychiatric Association Organization recognize a gaming disorder as a condition that results in significant problems in daily life as a result of excessive gaming. Both organizations emphasize the similarities to behavioral addictions such as gambling. We examined the appropriate usage of video games from the perspectives of health and management in this study. For the general population, video games provide positive impacts such as stress alleviation and memory improvement. Game playing leads to a loss of time and money for the individual. It also has a negative impact on the individual's family and social life, evolving into a social problem. Gaming addiction is often accompanied by psychological disorders and other addictions, and long-term medical treatment, including approaches to the individual's psychological background and cognitive-behavioral therapy, is necessary. Therefore, the prevention of gaming disorder is essential. From a societal standpoint, action is required in three contexts: the government, game developers, and within the household as a whole. Simultaneously, the public needs to understand the positive potential of gaming, such as e-sports.

Internet Gaming Disorder and Sleep Quality among Jordanian University Students: A Cross-sectional Study

Background Internet gaming disorder is defined as “Persistent and recurrent use of the internet to engage in games, often with other players, leading to clinically significant impairment or distress.” It is a new evolving disorder that affects many life aspects; therefore, it needs further investigation among different population groups. IGD was introduced for the first time in 2013 in the fifth edition of the Diagnostic and Statistical Manual of Mental Disorders, and it suggested carrying out further research among different populations. In 2018, Gaming Disorder (GD) has officially become a type of addiction as the World Health Organization released the 11th revision of the International Classification of Diseases (ICD-11) Aims The objective of this study is to investigate the prevalence of internet gaming disorder (IGD) and its association with sleep quality and academic performance among Jordanian university students aged 18-26. Our literature review revealed a lack of research on this topic concerning this specific population and culture. Therefore, our study aims to contribute to the existing literature and to provide insights that can inform prevention, assessment, and treatment strategies for those affected. Methods A cross-sectional study design was used by employing convenience and snowball sampling; a total of 2473 participants completed an electronic self-administered questionnaire that included the Internet Gaming Disorder Scale-SF (IGDS9-SF) and Pittsburgh Sleep Quality Index (PSQI). Of these, 432 were excluded based on our criteria. Our inclusion criteria required participants to be Jordanian university students between the ages of 18 and 26, enrolled as undergraduates at Jordanian universities, and free of neurological or psychiatric conditions. Results The prevalence of IGD in this study was 15.2% and was more prevalent among males compared to females (p= <0.001). Poor sleep quality was reported by 64.6% of the study population and was more frequently observed in females. Age and academic achievements (GPA) were not associated with having IGD. When binary logistic regression was used, IGD (OR=1.882) positively predicted poor sleep quality. Conclusion Internet gaming disorder is common among Jordanian university students and is associated with poor sleep quality, and our findings have significant implications for policymakers, educators, and healthcare providers in raising awareness about the IGD and its impact on sleep quality.

Biomarkers of Internet Gaming Disorder-A Narrative Review.

Since game mechanics and their visual aspects have become more and more addictive, there is concern about the growing prevalence of Internet gaming disorder (IGD). In the current narrative review, we searched PubMed and Google Scholar databases for the keywords "igd biomarker gaming" and terms related to biomarker modalities. The biomarkers we found are grouped into several categories based on a measurement method and are discussed in the light of theoretical addiction models (tripartite neurocognitive model, I-PACE). Both theories point to gaming-related problems with salience and inhibition. The first dysfunction makes an individual more susceptible to game stimuli (raised reward seeking), and the second negatively impacts resistance to these stimuli (decreased cognitive control). The IGD patients' hypersensitivity to reward manifests mostly in ventral striatum (VS) measurements. However, there is also empirical support for a ventral-to-dorsal striatal shift and transition from goal-directed to habitual behaviors. The deficits in executive control are demonstrated in parameters related to the prefrontal cortex (PFC), especially the dorsolateral prefrontal cortex (DLPFC). In general, the connection of PFC with reward under cortex nuclei seems to be dysregulated. Other biomarkers include reduced P3 amplitudes, high-frequency heart rate variability (HRV), and the number of eye blinks and saccadic eye movements during the non-resting state. A few studies propose a diagnostic (multimodal) model of IGD. The current review also comments on inconsistencies in findings in the nucleus accumbens (NAcc), anterior cingulate cortex (ACC), and precuneus and makes suggestions for future IGD studies.

The role of attentional control in moderating attentional bias towards game-related stimuli in individuals with a high tendency for internet gaming addiction.

The aim of this study was to elucidate individual difference factors that modulate the attentional processing of game stimuli to explain the heterogeneity of extant findings. The current study examined whether individual differences in components of attentional control (AC-shifting and AC-focusing) moderated the link between internet gaming addiction symptom and attentional engagement to and disengagement biases from game-relevant cues. A total of 75 male undergraduate students who have played League of Legend (LOL) for more than 2 years completed well-established self-report questionnaires of internet gaming disorder symptoms and attentional control. The attentional bias toward game stimuli was measured for attentional engagement and disengagement using the attentional response to the distal vs. proximal emotional information (ARDPEI) task. The results revealed that attentional control was a significant moderator of the relationship between internet game addiction symptoms and attentional disengagement bias. Further analyses revealed a positive relationship between internet game addiction symptoms and attentional disengagement bias only among those with low levels of AC-shifting ability. Contrary to our expectations, AC-shifting also moderated the relationship between internet gaming disorder and attentional engagement bias. The positive relationship between internet game addiction symptoms and attentional engagement bias only appeared among those with low levels of AC-shifting ability. Individual differences in AC-focusing did not moderate the relationship between internet gaming disorder and any attentional bias. This study confirmed that the greater the symptoms of game addiction, the stronger the attentional bias, especially in individuals with low AC-shifting ability. Therefore, it is necessary to examine sub-factors of AC in understanding the nature of attentional bias mechanisms in the development of internet game addiction and consider it as a psychological intervention to improve attentional bias.

Internet Gaming Disorder and Aggression: A Cross-Sectional Study

Internet Gaming Disorder and Aggression: A Cross-Sectional Study

Mobile game addiction and its association with musculoskeletal pain among students: A cross-sectional study.

The purpose of this study was to ascertain whether there is a difference in musculoskeletal pain between those who are addicted to mobile games and those who are not, to ascertain the association between mobile game addiction and socio-demographic variables, and to ascertain the pain predictor for mobile game addiction on different musculoskeletal regions. There were 840 students in all, both males and females, in this cross-sectional survey from three distinct Bangladeshi institutions. The Nordic Musculoskeletal Discomfort Questionnaire, the Gaming Addiction Scale, and the demographic data form were distributed to the participants. The data were analyzed using the Chi-square test and descriptive statistics. Binary logistic regression was used to find the predicted risk factor for mobile gaming addiction. Musculoskeletal pain affects 52.1% of participants in some part of the body. Males have a 2.01-fold higher likelihood of developing gaming addiction compared to females. Those who are addicted to mobile games experience a higher occurrence of pain in the neck, upper back, elbows, and wrist and hands with a odds ratio of (OR 2.84, 95% CI: 1.49-5.36; p = 0.016), (OR 3.75, 95% CI 1.97-7.12; p = <0.001), (OR 3.38, 95% CI 1.34-8.50; p = 0.010), and (OR 2.14, 95% CI 1.00-4.57; p = 0.049) respectively. These results demonstrate that mobile gaming addiction raises students' risk of musculoskeletal discomfort. Two-three times higher risk of developing pain in the neck, upper back, elbows, and wrist and hands among mobile game addicts.

When Healthy Habits Turn Harmful: A Medical Perspective on Exercise Addiction

Behavioural addictions, also known as non-substance-related addictions, encompass a range of compulsive behaviours that closely mirror substance use disorders in their effects on the brain's reward system and the individual's daily life. These addictions include, but are not limited to, gambling disorder, internet gaming disorder, compulsive shopping, and the focus of this review - exercise addiction. Exercise addiction is characterized by an intense, uncontrollable urge to engage in physical activity, despite potential negative consequences. Unlike substance use disorders, exercise addiction often remains underrecognized, overshadowed by the widespread promotion of regular physical activity as a healthy lifestyle choice. This review aims to offer a comprehensive overview of exercise addiction, covering its psychological origin and characteristics, diagnostic criteria, co-occurrence with other psychiatric disorders, epidemiology among athletes and management strategies.

Hubungan Adiksi Game Online dengan Prokrastinasi Akademik

This study is motivated by the growing problem among students today, namely academic procrastination and one of the factors that influence academic procrastination is the behavior of addiction or online game addiction. This study aims to describe online game addiction and student academic procrastination, and to determine the relationship between online game addiction and student academic procrastination. The research method used in this study is quantitative with a descriptive correlational approach. The sample of this study was 121 students selected using purposive sampling technique. The instruments used in this study are online game addiction instruments and academic procrastination instruments. The data were processed with statistical techniques to determine the percentage value processed in the Microsoft excel program, to find the relationship between the two variables used the Pearson product moment technique. The results of this study show: 1) Online Game Addiction in MTsN 3 Padang students is generally in the moderate category with an average achievement score of 121.41 (55.37%), 2) Academic Procrastination in MTsN 3 Padang students in general is in the moderate category with an average score of 82.05 (76.86%), 3) There is a significant positive relationship between Online Game Addiction and Academic Procrastination of MTsN 3 Padang students with a correlation coefficient of 0.587 and a significance level of 0.000. This means that the higher the student's Online Game Addiction, the higher the Academic Procrastination in students, and vice versa, the lower the student's Online Game Addiction, the lower the Academic Procrastination in students.

Prevalence of video gaming disorder in Saudi Arabia: a school-based national study

BackgroundVideo gaming is a popular leisure activity among adolescents. Those who play excessively are in danger of educational and social drawbacks and may become addicted to video gaming. Several published studies determined the prevalence of GD among children in specific Saudi regions. However, the current study assessed the national prevalence of video gaming disorder (GD) and its risk factors among school students in Saudi Arabia.MethodsA school-based survey was conducted among adolescents in all regions of Saudi Arabia during the academic year 2021–2022. A multistage stratified cluster sampling technique was used to select the school students. An Arabic-validated version of the 9-item dichotomous (yes/no) GD Scale based on the DSM-5 criteria was used to determine GD prevalence among the students. The score ranged from zero to nine (0–9). Participants who scored five or more were deemed as having GD. Students who scored less than five were classified as normal gamers (score 0–1) or risky gamers (score 2–4).Results We recruited 5332 school students. Their mean age was 15.5 ± 1.7 years, and almost half of them were males (50.7%). According to the GD score, the prevalence of normal gamers was 39.08% (N = 1714), risky gamers 40.47% (N = 1775), and those with GD was, 20.45% (N = 897). Logistic regression was performed to determine the association between video gaming disorder and all the gathered variables, which include age, educational grade, sex, types of video gaming, and categories of video games played. The results showed that nationality, age, educational grade, sex, using only mobile devices to play, and playing puzzle and sports games were not associated with video gaming disorder. On the other hand, it was revealed that using tablets, game consoles, PCs; having multiple devices; and playing online, fighting, car racing, war, and adventure games were significantly linked to GD.ConclusionThe prevalence of GD was 20.45% among Saudi school students who play video games. Utilizing more than one type of gaming device and playing games in the fighting, war, and multiplayer categories via an online connection were significantly linked to having GD. To limit video gaming addiction, we encourage screening, diagnosing, and treating disordered video gamers early. In addition, governmental authorities and video game companies should discuss and revise numerous policy measures to minimize the accessibility of video games, limit the harms and risks related to them, and assist video gamers in becoming effective members of society.

Altered local intrinsic neural activity and molecular architecture in internet use disorders

BackgroundInternet gaming disorder (IGD) is mainly characterized by its core dysfunction in higher-order brain cortices involved in inhibitory control, whose neurobiological basis remains unclear. Then, we will investigate local intrinsic neural activity (INA) alterations in IGD, ascertain whether these potential alterations are related to clinical characteristics, and further explore the underlying molecular architecture. MethodIn this study, we performed the fractional amplitude of low-frequency fluctuation (fALFF) and regional homogeneity (ReHo) derived from resting-state functional magnetic resonance imaging (rs-fMRI) to explore the impact of IGD on local INA. Correlation analysis revealed the relationship between ReHo and fALFF in terms of group differences and clinical characteristics. Moreover, correlations between fALFF, ReHo, and PET- and SPECT-driven maps were investigated to elucidate the specific molecular architecture alternations in IGD. Finally, receiver operating characteristic curve (ROC) analysis was used to show the potential abilities of fALFF and ReHo in distinguishing individuals with IGD (IGDs) from healthy controls (HCs). ResultCompared with HCs, IGDs revealed increased ReHo and fALFF in the prefrontal cortex. Significantly decreased ReHo was observed in the temporal lobe, occipital lobe, and cerebellum. In addition, the ReHo values in the cerebellum_7b_R were positively correlated with internet addiction severity. ROC curve analysis showed that ReHo and fALFF-altered brain regions could effectively distinguish IGDs from HCs. More importantly, cross-modal correlations revealed local INA changes in brain regions associated with the monoamine neurotransmitter system and the less studied cholinergic/GABAergic system. ConclusionThese results suggest that local functional impairments are shown in the audiovisual and inhibitory control circuits in IGDs. This may be associated with underlying neurotransmitter system alterations. Therefore, this study provides the possibility of GABAergic receptor agonists and cholinergic receptor inhibitors for the treatment of IGD.

PUBG Game Addiction, Social Connectedness and Aggression in Young Adults

In today’s technological era, millions of young adults worldwide engage in violent video s. This study explored how addiction to PUBG game affects aggression, with social connectedness serving as a mediator. Involving 293 PUBG game players (158 men and 135 women) between age of 18 to 25 years (M = 22.21, SD = 1.89), the research used the Gaming Addiction Scale, a revised Social Connectedness Scale, the Buss and Perry Aggression Questionnaire, and a demographic questionnaire. Finding depicts that PUBG game addiction significantly and positively correlates with aggression. However, while the relationship between PUBG game addiction and social connectedness was positive, it was not significant. Social connectedness, on the other hand, was significantly positively related to aggression. Mediation analysis revealed a partial mediation effect of social connectedness on the link between PUBG game addiction and aggression; the indirect path through social connectedness was not significant, though both direct and total effects of addiction on aggression were significant. Independent samples t-tests found significant gender differences in PUBG game addiction, with men scoring higher than women, but no significant differences in social connectedness or aggression. Employment status showed significant differences, with unemployed participants scoring higher in both PUBG game addiction and social connectedness compared to employed participants. However, no significant differences were found in aggression based on employment status, despite unemployed individuals having higher average aggression scores. The findings were compared with existing literature, and recommendations for future research were made, highlighting important implications for young adults’ welfare.

Similarities and differences in dynamic properties of brain networks between internet gaming disorder and tobacco use disorder

BackgroundInternet gaming disorder (IGD) and tobacco use disorder (TUD) are two major addiction disorders that result in substantial financial loss. Identifying the similarities and differences between these two disorders is important to understand substance addiction and behavioral addiction. The current study was designed to compare these two disorders utilizing dynamic analysis. MethodResting-state data were collected from 35 individuals with IGD, 35 individuals with TUD and 35 healthy controls (HCs). Dynamic coactivation pattern analysis was employed to decipher their dynamic patterns. ResultsIGD participants showed decreased coactivation patterns within the default mode network (DMN) and between the DMN and the salience network (SN). The SN showed reduced coactivation patterns with the executive control network (ECN) and DMN, and the ECN showed decreased coactivation patterns with the DMN. In the TUD group, the DMN exhibited decreased coactivation patterns with the SN, the SN exhibited reduced coactivation patterns with the DMN and ECN, and the ECN showed decreased coactivation patterns with the DMN and within the ECN. Furthermore, the triple network model was fitted to the dynamic properties of the two addiction disorders. Decoding analysis results indicated that addiction-related memory and memory retrieval displayed similar dysfunctions in both addictions. ConclusionThe dynamic characteristics of IGD and TUD suggest that there are similarities in the dynamic features between the SN and DMN and differences in the dynamic features between the DMN and ECN. Our results revealed that the two addiction disorders have dissociable brain mechanisms, indicating that future studies should consider these two addiction disorders as having two separate mechanisms to achieve precise treatment for their individualized targets.