Association between Internet Gaming Disorder or Pathological Video-Game Use and Comorbid Psychopathology: A Comprehensive Review
Open accessAbstract
The addictive use of video games is recognized as a problem with clinical relevance and is included in international diagnostic manuals and classifications of diseases. The association between “Internet addiction” and mental health has been well documented across a range of investigations. However, a major drawback of these studies is that no controls have been placed on the type of Internet use investigated. The aim of this study is to review systematically the current literature in order to explore the association between Internet Gaming Disorder (IGD) and psychopathology. An electronic literature search was conducted using PubMed, PsychINFO, ScienceDirect, Web of Science and Google Scholar (r.n. CRD42018082398). The effect sizes for the observed correlations were identified or computed. Twenty-four articles met the eligibility criteria. The studies included comprised 21 cross-sectional and three prospective designs. Most of the research was conducted in Europe. The significant correlations reported comprised: 92% between IGD and anxiety, 89% with depression, 85% with symptoms of attention deficit hyperactivity disorder (ADHD), and 75% with social phobia/anxiety and obsessive-compulsive symptoms. Most of the studies reported higher rates of IGD in males. The lack of longitudinal studies and the contradictory results obtained prevent detection of the directionality of the associations and, furthermore, show the complex relationship between both phenomena.
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Studies that include the administration of diagnostic interview schedules to identify co-occurring conditions have reported that individuals diagnosed with gaming disorder experienced negative consequences in multiple life areas.
“Studies that include the administration of diagnostic interview schedules to identify co-occurring conditions have reported that individuals diagnosed with gaming disorder experienced negative consequences in multiple life areas 199,205-210 .”
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 [206]
The Introduction (page unavailable) describes gaming disorder as involving negative consequences and impairment in personal, family, social, educational or occupational functioning. But Results §3.4 describes questionnaires used to assess co-occurring conditions, while the Discussion recommends adding clinical interviews in future research. The copy therefore does not establish the claimed finding specifically from studies administering diagnostic interview schedules. (LLM, conf=0.84)
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- Authors
- González-Bueso, V., Santamaría, J., Fernández, D., Merino, L., Montero, E., & Ribas, J.
- Affiliations
- Generalitat de Catalunya (ES)
- Victoria University of Wellington (NZ)
- Corresponding author
- Santamaría, Juan
- Venue
- International Journal of Environmental Research and Public Health
- Publisher
- MDPI AG
- Published
- 2018-04-03
- Volume
- 15
- Issue
- 4
- Pages
- 668
- ISSN
- 1660-4601 (ISSN-L)
- PMC
- PMC5923710
- OpenAlex
- W2796076872
- Cited by
- 487
- References
- 91
- Citations by year
- 2026: 51 · 2025: 61 · 2024: 63 · 2023: 68 · 2022: 70 · 2021: 70 · 2020: 56 · 2019: 41 · 2018: 6
- FWCI
- 15.49
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- International Journal of Environmental Research and Public Health (publishedVersion, cc-by)
- Europe PMC (PubMed Central) (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion)
- UPCommons institutional repository (Universitat Politècnica de Catalunya) (submittedVersion, cc-by)
- Funders
- Marsden grant (E2987-3648)
- AIS (Atención e Investigación en Socioaddiciones)
- 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, internet addiction, comorbid psychopathology, anxiety, depression, attention deficit hyperactivity disorder, social anxiety disorder, obsessive-compulsive symptoms, sex differences
- MeSH terms
- Anxiety, Attention Deficit Disorder with Hyperactivity, Cross-Sectional Studies, Depression, Europe, Humans, Disruptive, Impulse Control, and Conduct Disorders, Mental Health, Prospective Studies, Comorbidity, Behavior, Addictive, Video Games, Internet
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