Evaluation of the diagnostic criteria of Internet gaming disorder in the DSM-5 among young adults in Taiwan
Abstract
The DSM-5 proposed the diagnostic criteria of Internet gaming disorder (IGD) and suggested that more evidence is necessary before it is included as a standard disorder in the DSM system. The aims of this study were to: 1) evaluate the diagnostic validity of individual criteria of IGD in the DSM-5 and the criteria of craving and irritability; 2) determine the optimal cut-off point for the IGD criteria in the DSM-5. We recruited 75 subjects with IGD, 75 without IGD, and 75 in remission from IGD based on the Diagnostic Criteria of Internet Addiction for College Students (DC-IA-C). All participants underwent a diagnostic interview based on the diagnostic criteria of IGD in the DSM-5 and completed the CIAS and QGU-B. Except for the "deceiving" and "escape" criteria, all criteria of IGD had diagnostic accuracy ranging from 77.3% to 94.7% to differentiate university students with IGD from remitted students. The criterion of craving had diagnostic accuracy of 88% and the criteria of irritability had an accuracy of 68.7%. Fulfilling 5 or more criteria of IGD in the DSM-5 was the best cut-off point to differentiate young adults with IGD from healthy or remitted users.
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Clinical studies describing treatment-seeking cases, including studies of large samples of patients (N>200), have highlighted increasing referrals and associated service demands related to problem gaming.
“Clinical studies describing treatment-seeking cases 148-152 , including studies of large samples of patients (N>200) 148,150 , have highlighted increasing referrals and associated service demands related to problem gaming.”
In East Asian countries, there have been long-standing coordinated governmental efforts to support research and public health initiatives for gaming disorder.
“In East Asian countries, there have been long-standing coordinated governmental efforts to support research and public health initiatives 149,157 .”
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- Authors
- Ko, C.-H., Yen, J.-Y., Chen, S.-H., Wang, P.-W., Chen, C.-S., & Yen, C.-F.
- Affiliations
- Kaohsiung Medical University (TW)
- National Taiwan University (TW)
- Corresponding author
- Yen, Cheng-Fang
- Venue
- Journal of Psychiatric Research
- Publisher
- Elsevier BV
- Published
- 2014-06
- Volume
- 53
- Pages
- 103-110
- ISSN
- 0022-3956 (ISSN-L)
- OpenAlex
- W2147164166
- Cited by
- 326
- References
- 50
- Citations by year
- 2026: 12 · 2025: 13 · 2024: 20 · 2023: 20 · 2022: 22 · 2021: 32 · 2020: 67 · 2019: 21 · 2018: 29 · 2017: 36 · 2016: 16 · 2015: 26 · 2014: 12
- FWCI
- 97.42
- Type
- journal article
- Language
- en
- Update notices
- erratum (2014-10-01)
- Open access
- closed
- Locations
- Journal of Psychiatric Research (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Science Council in Taiwan (102-2314-B-037-005)
- Kaohsiung Municipal Hsiao-Kang Hospital (KMHK-101-009)
- Kaohsiung Medical University Hospital (KMUH-99-9R50)
- Topics
- Social Sciences › Sociology and Political Science › Impact of Technology on Adolescents
- Social Sciences › Psychology › Clinical Psychology › Gambling Behavior and Treatments
- Social Sciences › Psychology › Clinical Psychology › Sexuality, Behavior, and Technology
- Keywords
- internet gaming disorder, DSM-5 diagnostic criteria, diagnostic validity, craving, irritability, cut-off values, young adults, university students, remission, internet addiction
- MeSH terms
- Adult, Female, Humans, Male, Psychiatric Status Rating Scales, Surveys and Questionnaires, ROC Curve, Taiwan, Case-Control Studies, Behavior, Addictive, Internet, Diagnostic and Statistical Manual of Mental Disorders, Young Adult
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