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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 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.”
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“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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Metadata
- 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
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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