Applying ICD-11 criteria of Gaming Disorder to identify problematic video streaming in adolescents: Conceptualization of a new clinical phenomenon

Abstract

Background and aims Internet video streaming (VS) has become a popular leisure activity among the majority of adolescents, especially under the COVID-19 pandemic. Research on binge watching patterns in adults suggests an addictive potential of VS. To date, no unified conceptualization on problematic VS and no standardized assessment tools for adolescents exist even though they might be especially vulnerable. Methods STREDIS-A is based on the ICD-11 criteria of gaming disorder. It was validated in a representative sample of 959 dyads of 10- to 17-year old adolescents with frequent VS and a respective parent using standardized questionnaires on Internet addiction, depressive and anxiety symptoms, insomnia, loneliness, and academic performance in an online survey. Item structure was investigated by factorial analyses. Cutoffs were estimated and latent profile analysis was performed. Results The two-factorial structure of STREDIS-A describes cognitive-behavioral symptoms and negative consequences of VS. Internal consistency and criterion validity were good to excellent. It could excellently discriminate between affected and non-affected adolescents. Discussion and conclusions The present study makes a significant contribution to the conceptualization of a new phenomenon. It provides the very first tool to assess streaming disorder in adolescents for clinical and research settings. Clinical validation is highly warranted.

An app-based training for adolescents with problematic digital-media use and their parents (Res@t digital): protocol for a cluster-randomized clinical trial

“…The whole test battery is based on the ICD-11 criteria of GD and has been adapted for SMUD and VSD accordingly. It has been validated in large nationally representative adolescent–parent samples and showed profound psychometrical properties with good to excellent internal consistency, criterion validity, and discriminatory power ( 12 , 15 , 40 , 55 , 65 , 66 ). Accordance between self-rating and parental rating was moderate.…”

“…However, the series resembles only a small subentity of VS services. A representative study on German adolescents estimated the prevalence of pathologic VS at 4.7% in frequent (at least weekly) VS users ( 15 ).…”

Assessment of Hazardous Gaming in children and its dissimilarities and overlaps with Internet Gaming Disorder

“…Together with gambling disorder, Gaming Disorder is considered a behavioral addiction by the ICD-11 ( 2 ). Other proposed (online) behavioral addictions include social-network-use disorder, pornography-use disorder, buying-shopping disorder ( 3 ), and streaming disorder ( 4 , 5 ). The sum of these disorders is often referred to as Internet Addiction.…”

Adolescent-Acquired Flatfeet: The Tip of the Iceberg

“…Children spend countless hours on their tablets, computers, PlayStation®, Xbox, and many other digital entertaining devices. Some get addicted to using these devices [1,2]. This became worse during the COVID-19 pandemic and subsequent lockdowns [3].…”