Attention deficit hyperactivity disorder and gaming disorder: Frequency and associated factors in a clinical sample of patients with Gaming Disorder
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Background and aims: Since June 2018, gaming disorder (GD) has been recognized as a disease. It is frequently associated with attention deficit hyperactivity disorder (ADHD), as there are common vulnerability factors and bidirectional interactions between the two disorders. This study aims to evaluate the presence of ADHD symptoms and predictive factors of ADHD among patients with GD. Methods: Ninety-seven patients ≥16 years old referred to the University Hospital of Nantes between 2012 and 2020 for GD were included. The diagnosis of GD was given a posteriori in accordance with the new ICD-11 GD definition. ADHD was screened using the Adult-ADHD Self-Report Scale and the Wender-Utah Rating Scale. A multivariate logistic regression model was used to identify explanatory factors for ADHD-GD comorbidity. Results: The rate of GD patients who screened positive for ADHD was 39%. Predictive factors of ADHD-GD comorbidity were impulsivity (higher score on the negative urgency dimension) and low self-esteem. Discussion: The rate of ADHD found among patients with GD is consistent with that from the literature on internet GD but higher than that found for other behavioural addictions. The identification of a higher negative urgency score and low self-esteem as predictive factors of AHDH-GD comorbidity indicates that gaming could be considered a dysfunctional way to cope with emotional dysregulation in ADHD or to virtually escape. Conclusions: Comorbid ADHD must be taken into consideration to minimize its functional impact on GD patients and gaming-related damage. In contrast, the evaluation of gaming habits in patients with ADHD could be useful for both prevention and care.
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Studies conducted on treatment-seeking cases showed that gaming disorder is frequently associated with heightened impulsivity, affective instability, and dysfunctional personality traits as assessed using psychometric questionnaires.
“Finally, a number of studies conducted on treatment-seeking cases showed that gaming disorder is frequently associated with heightened impulsivity, affective instability, and dysfunctional personality traits as assessed using psychometric questionnaires 148,198,199 .”
From Emerging experience with selected new categories in the <scp>ICD</scp>‐11: complex <scp>PTSD</scp>, prolonged grief disorder, gaming disorder, and compulsive sexual behaviour disorder (2022) · cites this paper as [198]
The Methods (Measures; page unavailable) describe psychometric questionnaires assessing impulsivity and temperament. The Results (Factors associated with ADHD-GD comorbidity; page unavailable) find higher negative urgency and lower self-esteem among gaming-disorder patients with comorbid ADHD. The Discussion (Main results; page unavailable) links negative urgency to responses to negative emotions, but the paper does not establish affective instability or dysfunctional personality traits as general associations of gaming disorder; its principal comparison is within patients with gaming disorder, by ADHD status. (LLM, conf=0.85)
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- Authors
- Cabelguen, C., Rocher, B., Leboucher, J., Schreck, B., Challet‐Bouju, G., Hardouin, J.-B., & Grall‐Bronnec, M.
- Affiliations
- Centre Hospitalier Universitaire de Nantes (FR)
- Inserm (FR)
- Corresponding author
- Clémence Cabelguen
- ORCID
- Venue
- Journal of Behavioral Addictions
- Publisher
- Akademiai Kiado Zrt.
- Published
- 2021-12-31
- Volume
- 10
- Issue
- 4
- Pages
- 1061-1067
- ISSN
- 2062-5871 (ISSN-L)
- 2063-5303
- PMC
- PMC8987425
- OpenAlex
- W3209255497
- Cited by
- 38
- References
- 37
- Citations by year
- 2026: 6 · 2025: 8 · 2024: 8 · 2023: 7 · 2022: 9
- FWCI
- 8.32
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- Journal of Behavioral Addictions (publishedVersion, cc-by-nc)
- PubMed Central (publishedVersion, cc-by-nc)
- PubMed (publishedVersion)
- Repository of the Academy's Library (Library of the Hungarian Academy of Sciences) (acceptedVersion)
- HAL (submittedVersion, other-oa)
- Topics
- Social Sciences › Sociology and Political Science › Impact of Technology on Adolescents
- Health Sciences › Medicine › Psychiatry and Mental health › Attention Deficit Hyperactivity Disorder
- Social Sciences › Psychology › Clinical Psychology › Gambling Behavior and Treatments
- Keywords
- gaming disorder, attention deficit hyperactivity disorder, comorbidities, impulsivity, negative urgency, self-esteem, emotional dysregulation, behavioral addiction, ICD-11, risk factors
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