Psychosis Unmasked by Gaming

Angane, Amey Y; Keshari, Prerna; Mane, Amit S; Nayak, Ameeya Kumar

doi:10.4103/aip.aip_84_20

Cited by 6 publications

(9 citation statements)

References 10 publications

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“…However, our findings showed that the association between symptoms of hikikomori and total distress due to PLEs did not vary according to PIU, after controlling for the effects of individual vulnerability factors, distress due to PLEs was primarily associated with the psychoticism trait domain of personality and symptoms of anxiety. Despite this, it is possible that the complex association between hikikomori, PIU, and psychotic symptoms became evident during young adulthood and adulthood, in accordance to the reports of clinical cases [ 61 , 62 , 63 , 64 , 65 , 66 , 67 , 68 , 69 ] and previous studies [ 52 , 56 ]. Thus, longitudinal studies with representative samples of different population are needed.…”

Section: Discussionsupporting

confidence: 87%

“…Another important aspect of this study was our test of the hypothesis that PIU may represent a risk factor that moderates the relationship between symptoms of social withdrawal and distress due to PLEs. Several reports [ 61 , 62 , 63 , 64 , 65 , 66 , 67 , 68 , 69 ] of clinical cases seem to support the explanation in which severe social withdrawal and PIU mutually reinforce each other over time, with a progressive abandonment of social and school or work activities until symptoms of psychosis emerge. However, our findings showed that the association between symptoms of hikikomori and total distress due to PLEs did not vary according to PIU, after controlling for the effects of individual vulnerability factors, distress due to PLEs was primarily associated with the psychoticism trait domain of personality and symptoms of anxiety.…”

Section: Discussionmentioning

confidence: 99%

“…At the same time, empirical studies have shown significant associations between PIU and PLEs in samples of young people [ 55 , 56 , 57 , 58 , 59 ], and the possible intersection between the diagnoses of hikikomori, PIU, and PLEs has recently been discussed [ 60 ]. Importantly, reports of clinical cases [ 61 , 62 , 63 , 64 , 65 , 66 , 67 , 68 , 69 ] have suggested that the excessive use of new technologies and PIU, when associated with social withdrawal, may constitute an important risk factor that is able to unmask psychotic vulnerability or foster the emergence of psychotic symptoms. The social deafferentation hypothesis of psychosis posits social isolation as a stressor which may trigger the development of psychotic experiences among individuals with pre-existing vulnerabilities [ 70 ].…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Psychometric Properties of the Italian Version of the 25-Item Hikikomori Questionnaire for Adolescents

Amendola

Presaghi

Teo

et al. 2022

IJERPH

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Hikikomori is a form of social withdrawal that is commonly described as having an onset during adolescence, a life stage when other psychiatric problems can also emerge. This study aimed to adapt the 25-item Hikikomori Questionnaire (HQ-25) for the Italian adolescent population, examining its psychometric properties; associations between hikikomori and psychoticism, depression, anxiety, problematic internet use (PIU), psychotic-like experiences (PLEs), to confirm convergent validity of the HQ-25; and the interaction effect between symptoms of hikikomori and PIU in predicting PLEs. Two-hundred and twenty-one adolescents participated in the study. Measures included the HQ-25, the Psychoticism subscale of the Personality Inventory for the Diagnostic and Statistical Manual of Mental Disorders, the Depression and Anxiety subscales of the Brief Symptom Inventory, the Internet Disorder Scale, and the Brief Prodromal Questionnaire. Data showed a satisfactory fit for a three-factor model for the HQ-25 that is consistent with the original study on the HQ-25. Three factors (socialization, isolation, and emotional support) were associated with psychopathology measures. Six participants reported lifetime history of hikikomori. Symptoms of hikikomori and PIU did not interact in predicting PLEs. This is the first study to validate the HQ-25 in a population of adolescents. Findings provide initial evidence of the adequate psychometric properties of the Italian version of the HQ-25 for adolescents.

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Section: Discussionsupporting

confidence: 87%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Psychometric Properties of the Italian Version of the 25-Item Hikikomori Questionnaire for Adolescents

Amendola

Presaghi

Teo

et al. 2022

IJERPH

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“…A better understanding of the gamer’s motivations of patients who use video games as a coping strategy could lead to targeted interventions to promote positive outcomes [46, 47]. In other cases, presented by Angane et al [48], patients turned to gaming for reality substitution because of the distressing symptoms that they experienced, and progressively increased their gaming time, leading to a GD. These observations also suggest that gaming could be beneficial for patients facing psychological distress.…”

Section: Discussionmentioning

confidence: 99%

Gaming Disorder and Psychotic Disorders: A Scoping Review

Huot-Lavoie¹,

Gabriel-Courval²,

Béchard³

et al. 2022

Psychopathology

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Background: There is a growing interest in understanding the impact of video games in the clinical field, given that their excessive use could be associated with health issues. Particularly, gaming disorder (GD) is considered as an addictive behavioral disorder. Clinicians widely recognize the comorbidity of gaming and psychotic disorders (PDs). Furthermore, association between addictive (i.e., substance use disorders) and PDs are well recognized by clinicians. It seems of high interest to explore GD among people with PDs. To this day, little is known about the consequences of GD in vulnerable populations. Objectives: The aim of this scoping review was to summarize the available research on the comorbidity between GD and PD and to identify the knowledge gaps in this field. Methods: We used Levac’s six-stage methodology for scoping review. Two-hundred and forty-two articles from seven databases were identified. Eight articles respected our inclusion and exclusion criteria. Results: No available study has assessed the prevalence or incidence of GD among patients with PDs. The cases reported highlight the possibility that excessive video gameplay or abrupt gaming disruption could trigger psychosis in some patients. Conclusion: The results highlight a significant lack of knowledge concerning PDs associated with GD as only a few reported cases and one empirical study exposed the potential association between those conditions.

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“…Only a few clinical cases involving video game playing and psychotic symptoms have been previously reported in literature. In some cases, the psychosis breakdowns have occurred due to excessive playing, while in others, it has been considered to be a result of withdrawal symptoms of gaming disorder [10][11][12][13][14][15][16][17][18].…”

Section: Introductionmentioning

confidence: 99%

Game Transfer Phenomena in a Clinical Case with Psychosis and Gaming Disorder

Le,

Ortiz de Gortari,

Callan

et al. 2023

Psychiatry International

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Little is known about the interplay of Gaming Disorder (GD) with psychotic processes in schizophrenia. Only a few clinical cases involving video game playing and psychotic symptoms have been previously reported in literature. This case report describes a 24-year-old male diagnosed with paranoid schizophrenia and GD. Our case, Patient G, had premorbid excessive video game playing and Game Transfer Phenomena (GTP) prior to the onset of his schizophrenia illness. GTP are common among gamers and are characterised by abnormal perceptions, intrusive thoughts, and temporal change on behaviours related to the content of video games. However, GTP are not necessarily of delusional intensity for meeting the threshold of psychosis. The relapse in Patient G’s paranoid schizophrenia was associated with recent cannabis use, social withdrawal, and excessive video game playing. Patient G’s psychotic symptoms were influenced by video game themes and the movie “Matrix”, including the delusion that he was in a video game and that people around him were “non-playable characters”. Awareness of GTP can help clinicians to demarcate GTP from psychotic features and identify their interactions, given the ensuing treatment implications. Our case report highlights the importance of GTP, which in some cases may be an early sign of developing mental illness and could have implications for early intervention and prevention of illness onset and complications.

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Psychosis Unmasked by Gaming

Cited by 6 publications

References 10 publications

Psychometric Properties of the Italian Version of the 25-Item Hikikomori Questionnaire for Adolescents

Psychometric Properties of the Italian Version of the 25-Item Hikikomori Questionnaire for Adolescents

Gaming Disorder and Psychotic Disorders: A Scoping Review

Game Transfer Phenomena in a Clinical Case with Psychosis and Gaming Disorder

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