Relationship of internet gaming disorder severity with symptoms of anxiety, depression, alexithymia, and aggression among university students

Evren, Cüneyt; Evren, Bilge; Dalbudak, Ercan; Topcu, Merve; Kutlu, Nilay

doi:10.14744/dajpns.2019.00032

Cited by 12 publications

(11 citation statements)

References 68 publications

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“…In line with previous studies, the current findings support an association between non-suicidal self-harm ideation and behavior, and suicidal ideation among engaged and problem gamers among those being 18 years and older [ 17 , 19 , 20 ]. Our findings differ from Junus et al [ 18 ] who found no relationship between self-harm and suicidal behaviors and IGD among participants being 18 years or older.…”

Section: Discussionsupporting

confidence: 92%

“…Few studies have investigated the relationship between IGD and non-suicidal self-harm. Evren et al [ 20 ] found a positive association between IGD and non-suicidal self-harm among university students, even after controlling for depression, anxiety, and neuroticism. Still, their results also suggest that the relationship between IGD and non-suicidal self-harm may be confounded by psychological impairment.…”

Section: Introductionmentioning

confidence: 99%

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Examining the relationship between non-suicidal self-harm and suicidality within the past 12-months and gaming problems in Norwegian full-time students

Leino,

Finserås,

Skogen

et al. 2024

BMC Psychiatry

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Background Although gaming problems are associated with poor mental health, few population-based studies have examined its association with self-harm and suicidality. This study investigates the association between gaming problems, non-suicidal self-harm and suicidality within the past year, stratified by sex among Norwegian full-time students. Methods Data derived from the Norwegian Students’ Health and Wellbeing Study 2022 (N = 59,544). The respondents were categorized into non-gamers, recreational gamers, engaged gamers, problematic gamers, and addicted gamers based on the Game Addiction Scale for Adolescents. Log-link binomial regression models, stratified by sex, adjusted for age, were used to estimate the risk ratio of non-suicidal self-harm (ideation and behavior) and suicidal behaviors (ideation and attempt) across different levels of gaming problems. Results Among females, the risk of non-suicidal self-harm and suicidal ideation increased from non-gamer to problem gamer, with no differences between problem and addicted gamers. Among males, the risk of non-suicidal self-harm increased from non-gamers to engaged gamers, but no differences were observed between engaged, problematic, and addicted gamers. No sex × gaming category interaction was observed for suicide attempts. Engaged and addicted gamers had higher risks of suicide attempt than non-gamers and recreational gamers. Conclusions Gaming problems are associated with increased risk of non-suicidal self-harm and suicidal ideation among females. Among males, no differences were observed between engaged, problem and addicted gamers. The results highlight sex when studying health related outcomes and their association to level of gaming problems. Longitudinal studies are warranted to uncover the temporal mechanisms between IGD, non-suicidal self-harm and suicidality.

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Section: Discussionsupporting

confidence: 92%

Section: Introductionmentioning

confidence: 99%

Examining the relationship between non-suicidal self-harm and suicidality within the past 12-months and gaming problems in Norwegian full-time students

Leino,

Finserås,

Skogen

et al. 2024

BMC Psychiatry

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“…The dual competition model indicates that emotional stimuli with higher threat levels will reduce behavior performance, and behavior performance impairment is more frequently observed in individuals with high anxiety levels [ 38 ]. Previous research has demonstrated that individuals with GD have more negative emotions, such as depression and anxiety [ 23 , 24 , 25 , 26 ]. In this study, the self-reported depression and anxiety levels were also significantly higher in the GD group than in the control group.…”

Section: Discussionmentioning

confidence: 99%

“…We speculated that psychological factors such as emotional state may play an important role in this mechanism. It is well-known that individuals with GD have more negative emotions such as depression and anxiety [ 24 , 25 , 26 , 27 ] and weaker emotional regulation abilities [ 28 , 29 ]. Through a visual search task, researchers found that individuals with Internet addiction disorder have negative attentional bias, characterized by rapid orientation towards and difficulty in releasing attention from negative emotional stimuli [ 30 ].…”

Section: Introductionmentioning

confidence: 99%

Influences of Emotional Information on Response Inhibition in Gaming Disorder: Behavioral and ERP Evidence from Go/Nogo Task

Chen

Yu²,

Gao

2022

IJERPH

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Background: Gaming disorder (GD) may impair executive functions such as response inhibition. According to the tripartite neurocognitive model, the interoceptive system generates a state of craving that exacerbates the dysfunction of GD. We speculate that emotional information may play an important role in the mechanism, which leads to impaired response inhibition in people with GD. Methods: A three-factor mixed experimental design was adopted in this go/nogo task. The between-subject factor was group (GD or control group), and the within-subject factors were two types of emotional information, task relevance (related or unrelated) and emotional valence (negative or positive). Results: The GD group had lower nogo accuracies than the control group in the task-unrelated condition and also in the negative condition. Parallelly, the GD group showed faster reactions and lower accuracy in the go trials than the control group under task-unrelated negative conditions. At the neural level, the GD group had smaller amplitudes of nogo-N2 and larger amplitudes of nogo-P3 than the control group in the task-unrelated condition. Conclusions: The findings prove the hypothesis of this study that emotional information could be a factor leading to impaired response inhibition in GD individuals. The response inhibition abilities of GD are weakened when processing task-unrelated or negative information, which may be caused by failure of behavioral inhibition and weakened conflict control, resulting in more cognitive resources to complete response suppression under specific conditions. This study provides evidence for weaker response inhibition in GD individuals from the perspective of cognitive–emotional interaction and provides more detailed information for interventions for GD.

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“…The concept that people with alexithymia attempt to manage their emotions through compulsive [ 28 ] or impulsive [ 29 ] actions has been associated to addictive illnesses. A previous study found that regular gamers exhibited higher levels of alexithymia than irregular gamers [ 30 ]. Gaetan et al proposed that, because alexithymia typically displays with a flat emotional profile and the virtual environment facilitates emotion regulation, online gaming may serve as an attempt to control these characteristics in adolescents with alexithymia [ 31 ].In addition, previous research found that adolescents with IGA exhibited more comorbid psychiatric disorders and difficulties expressing emotions, indicating the adoption of avoidance strategies [ 10 ].…”

Section: Introductionmentioning

confidence: 99%

Relationship between time spent playing internet gaming apps and behavioral problems, sleep problems, alexithymia, and emotion dysregulations in children: a multicentre study

Ahmed

Abdalla

Mohamed

et al. 2022

Child Adolesc Psychiatry Ment Health

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Background Internet gaming addiction (IGA) is a serious condition that can significantly impact personal and social functioning. Many studies of IGA have been conducted in adolescents and young adults, but there are limited data available in children. We investigated the time spent using internet gaming apps in children and its association with behavioral problems, sleep problems, alexithymia, and emotional regulation. Methods The research populations (N = 564) were categorized based on the number of hours spent using online gaming applications. The Strengths and Difficulties Questionnaire, the Children's Sleep Habits Questionnaire Abbreviated, the Children's Alexithymia Measure (CAM), and the Clinical Evaluation of Emotional Regulation–9 were used to assess all participants. Results Compared to other groups, children who used internet gaming applications for more than 6 h had a higher proportion of abnormal responses on the emotional symptoms and hyperactivity scales. Children who used internet gaming applications for more than 6 h had the poorest sleep quality (75%), while children who used internet gaming applications for 1–2 h had the best (36.7%). Participants who used internet gaming apps for 1–2 h had significantly lower mean total scores on the emotional regulation scale and total CAM, whereas those using internet gaming apps for more than 6 h had the highest mean scores in the CAM. Conclusions Excessive use of internet gaming apps during childhood may be associated with hyperactivity, peer problems, high socioeconomic level, alexithymia concerns, shorter daytime sleep duration, and a delayed morning wake-up.

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Relationship of internet gaming disorder severity with symptoms of anxiety, depression, alexithymia, and aggression among university students

Cited by 12 publications

References 68 publications

Examining the relationship between non-suicidal self-harm and suicidality within the past 12-months and gaming problems in Norwegian full-time students

Examining the relationship between non-suicidal self-harm and suicidality within the past 12-months and gaming problems in Norwegian full-time students

Influences of Emotional Information on Response Inhibition in Gaming Disorder: Behavioral and ERP Evidence from Go/Nogo Task

Relationship between time spent playing internet gaming apps and behavioral problems, sleep problems, alexithymia, and emotion dysregulations in children: a multicentre study

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