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Abstract

The American Psychiatric Association (APA) has called for further research on Internet Gaming Disorder (IGD) by placing it in Section III of the Diagnostic and Statistical Manual (DSM-5). Research on prevalence, risk factors, and development of criteria for a diagnosis of IGD is mixed in the literature. This study sought to contribute to these topics by examining a diverse sample of Internet gamers (N = 1,881) from around the world. Results showed a prevalence rate of 4.2%, with varying prevalence rates based on demographic characteristics. Significant risk factors for IGD included gender and hours spent gaming. Finally, frequency counts of IGD criteria showed significant differences between participants meeting IGD criteria and those not meeting criteria, as well as significant differences by gender and age. Low frequency counts and significant differences based on demographics point to criteria that may be less appropriate for a diagnosis, as well as considerations for diagnosing diverse populations. Limitations and future research are discussed.

Keywords

DSM-5 internet gaming disorder diagnostic criteria

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References

Allison

S. E.

von Wahlde

Shockley

Gabbard

G. O.

(2006). The development of the self in the era of the internet and role-playing fantasy games. The American Journal of Psychiatry, 163(3), 381–385.

American Psychiatric Association. (2013a). Diagnostic and statistical manual of mental disorders (5th ed.).

American Psychiatric Association. (2013b). Section III. file:///Users/Kristy/Downloads/APA_DSM-5-Section-III.pdf

Carlisle, K. L., Carlisle, R. M., Polychronopoulos, G., Goodman-Scott, E., & Kirk-Jenkins, A. (2016). Exploring Internet addiction as a process addiction. Journal of Mental Health Counseling, 38(2), 170–182.

Carlisle, K. L., Neukrug, E., Pribesh, S., & Krahwinkel, J. (2019). Personality, motivation, and Internet gaming disorder: Conceptualizing the gamer. Journal of Addictions and Offender Counseling, 40(2), 107–122. https://doi.org/10.0000/j.0000-0000.2013.00000.x

Batthyány

Müller

K. W.

Benker

Wölfling

(2009). Computer game playing: Clinical characteristics of dependence and abuse among adolescents. The Central European Journal of Medicine, 121, 502–509.

Billieux

Flayelle

Rumpf

H. J.

Stein

D. J.

(2019). High involvement versus pathological involvement in video games: A crucial distinction for ensuring the validity and utility of gaming disorder. Current Addiction Reports, 6(3), 323–330. https://doi.org/10.1007/s40429-019-00259-x

Billieux

Thorens

Khazaal

Zullino

Achab

Van der Linden

(2015). Problematic involvement in online games: A cluster analytic approach. Computers in Human Behavior, 43, 242–250. https://doi.org/10.1016/j.chb.2014.10.005

Caplan

S. E.

Williams

Yee

(2009). Problematic internet use and psychosocial well-being among MMO players. Computers in Human Behavior, 25(6), 1312–1319.

10.

Cole

S. S.

Hooley

J. M.

(2013). Clinical and personality correlates of MMO gaming: Anxiety and absorption in problematic internet use. Social Science Computer Review, 31(4), 424–436. https://doi.org/10.1177/0894439312475280

11.

Demetrovics

Griffiths

M. D.

(2012). Behavioral addictions: Past, present and future. Journal of Behavioral Addictions, 1(1), 1–2.

12.

Dowling

N. A.

(2014). Issues raised by the DSM-5 internet gaming disorder classification and proposed diagnostic criteria. Addiction, 109, 1407–1413.

13.

Dowling

N. A.

Brown

(2010). Commonalities in the psychological factors associated with problem gambling and internet dependence. CyberPsychology, Behavior & Social Networking, 13, 437–441.

14.

Entertainment Software Association. (2014). Essential facts about the computer and video game industry. http://www.theesa.com/facts/pdfs/esa_ef_2014.pdf

15.

Faust

Meyer

Griffiths

M. D.

(2013). Competitive and professional gaming: Discussion potential benefits of scientific study. International Journal of Cyber Behavior, Psychology and Learning, 3(1), 67–76. https://doi.org/10.4018/ijcbpl.2013010106

16.

Flisher

(2010). Getting plugged in: An overview of internet addiction. Journal of Pediatrics & Child Health, 46(10), 557–559. https://doi.org/10.1111/j.1440-1754.2010.01879.x

17.

Frangos

C. C.

Frangos

C. C.

Kiohos

A. P.

(2010). Internet addiction among Greek university students: Demographic associations with the phenomenon, using the Greek version of Young’s internet addiction test. International Journal of Economic Sciences and Applied Research, 3(1), 49–74.

18.

Fuster

Oberst

Griffiths

Carbonell

Chamarro

Talarn

(2012). Psychological motivation in online role-playing games: A study of Spanish World of Warcraft players. Anales de Psicologia, 28(1), 274–280.

19.

Graham

L. T.

Gosling

S. D.

(2013). Personality profiles associated with different motivations for playing World of Warcraft. Cyberpsychology, Behavior and Social Networking, 16(3), 189–193. https://doi.org/10.1089/cyber.2012.0090

20.

Griffiths

M. D.

(2016). Playing the field: Another look at internet gaming disorder. http://www.gamasutra.com/blogs/MarkGriffiths/20160211/265709/Playing_the_field_Another_look_at_Internet_Gaming_Disorder.php

21.

Grüsser

S. M.

Thalemann

Griffiths

M. D.

(2007). Excessive computer game playing: Evidence for addiction and aggression? Cyberpsychology & Behavior, 10(2), 290–292.

22.

Jeng

S. P.

Teng

C. I.

(2008). Personality and motivations for playing online games. Social Behavior and Personality, 36(8), 1053–1060.

23.

Jeong

E. J.

Kim

D. W.

(2010). Social activities, self-efficacy, game attitudes, and game addiction. Cyberpsychology, Behavior & Social Networking, 14(4), 213–221.

24.

Jones

Hertlein

(2012). Four key dimensions for distinguishing internet infidelity from internet and sex addiction: Concepts and clinical application. American Journal of Family Therapy, 40, 115–125. https://doi.org/10.1080/01926187.2011.600677

25.

Kardefelt-Winther

(2014). Problematizing excessive online gaming and its psychological predictors. Computers in Human Behavior, 31, 118–122. https://doi.org/10.1016/j.chb.2013.10.017

26.

Kardefelt-Winther

(2015). A critical account of DSM-5 criteria for internet gaming disorder. Addiction Research & Theory, 23(2), 93–98. https://doi.org/10.3109/16066359.2014.935350

27.

King

D. L.

Delfabbro

P. H.

(2015). On finding the C in CBT: The challenges of applying gambling-related cognitive approaches to video-gaming. Journal of Gambling Studies, 31, 315–329. https://doi.org/10.1007/s10899-013-9416-3

28.

King

D. L.

Haagsma

M. C.

Delfabbro

P. H.

Gradisar

Griffiths

M. D.

(2013). Toward a consensus definition of pathological video-gaming: A systematic review of psychometric assessment tools. Clinical Psychology Review, 33, 331–342.

29.

Kiraly

Griffiths

M. D.

Demetrovics

(2015). Internet gaming disorder and the DSM-5: Conceptualization, debates, and controversies. Current Addictions Report, 2(3), 254–262.

30.

C. H.

(2014). Internet gaming disorder. Current Addiction Reports, 1, 177–185.

31.

C. H.

Yen

J. Y.

Chen

S. H.

Wang

P. W.

Chen

C. C.

Yen

C. F.

(2014). Evaluation of the diagnostic criteria of internet gaming disorder in the DSM-5 among young adults in Taiwan. Journal of Psychiatric Research, 53, 103–110.

32.

C. H.

Yen

J. Y.

Yen

C. F.

Chen

C. S.

Chen

C. C.

(2012). The association between internet addiction and psychiatric disorder: A review of the literature. European Psychiatry, 27, 1–8.

33.

Kuss

Griffiths

M. D.

(2012a). Internet gaming addiction: A systematic review of empirical research. International Journal of Mental Health & Addiction, 10(2), 278–296. https://doi.org/10.1007/s11469-011-9318-5

34.

Kuss

Griffiths

M. D.

(2012b). Online gaming addiction in children and adolescents: A review of empirical research. Journal of Behavior & Addiction, 1, 3–22.

35.

Kuss

D. J.

Griffiths

M. D.

Karila

Billieux

(2014). Internet addiction: A systematic review of epidemiological research for the last decade. Current Pharmaceutical Design, 20, 4026–4052. https://doi.org/10.2174/13816128113199990617

36.

Kuss

Griffiths

M. D.

Pontes

H. M.

(2017). Chaos and confusion in DSM-5 diagnosis of internet gaming disorder: Issues, concerns, and recommendations for clarity in the field. Journal of Behavioral Addictions, 6(2), 103–109. https://doi.org/10.1556/2006.5.2016.062

37.

Lee

H. W.

Choi

J. S.

Shin

Y. C.

Lee

J. Y.

Jung

H. Y

Kwon

J. S.

(2012). Impulsivity in internet addiction: A comparison with pathological gambling. Cyberpsychology, Behavior, and Social Networking, 15(7), 373–377. https://doi.org/10.1089/cyber.2012.0063

38.

Lemmens

Valkenburg

Gentile

Reynolds, Cecil

(2015). The internet gaming disorder scale. Psychological Assessment, 27(2), 567–582.

39.

Lin

(2011). Prevalence and psychosocial risk factors associated with internet addiction in a nationally representative sample of college students in Taiwan. Cyberpsychology, Behavior & Social Networking, 14(12), 741–746. https://doi.org/10.1089/cyber.2010.0574

40.

Luo

S. X.

Brennan

T. K.

Wittenauer

(2015). Internet addiction: The case of Henry, the “reluctant hermit”. In Ascher

M. S.

Levounis

(Eds.), The behavioral addictions (pp. 81–99). American Psychiatric Publishing.

41.

Müller

K. W.

Beutel

M. E.

Egloff

Wölfling

(2014). Investigating risk factors for internet gaming disorder: A comparison of patients with addictive gaming, pathological gamblers and healthy controls regarding the Big Five Personality Traits. European Addiction Research, 20(3), 129–136. https://doi.org/10.1159/000355832

42.

Murali

Onuba

(2009). Management of internet addiction. General Practice Update, 2, 32–35.

43.

Musetti

Mancini

Corsana

Santoro

Cavallini

M. C.

Schimmenti

(2019). Maladaptic personality functioning and psychopathological symptoms in problematic video game players: A person-centered approach. Frontiers in Psychology, 10, 1–14. https://doi.org/10.3389/fpsyg.2019.02559

44.

Park

Song

Teng

(2011). Exploring the links between personality traits and motivations to play online games. Cyberpsychology, Behavior & Social Networking, 14(12), 747–751.

45.

Petry

N. M.

Rehbein

Gentile

D. A.

Lemmens

J. S.

Rumpf

Mößle

, . . . O’Brien

C. P.

(2014). An international consensus for assessing internet gaming disorder using the new DSM-5 approach. Addiction, 109(9), 1399–1406. https://doi.org\10.1111/add.12457

46.

Porter

Starcevic

Berle

Fenech

(2010). Recognizing problem video game use. Australian & New Zealand Journal of Psychiatry, 44(2), 120–128.

47.

Rehbein, F., Psych, G., Kleimann, M., Mediasci, G., & Mossle, T. (2010). Prevalence and risk factors of video game dependency in adolescence: Results of a German nationwide survey. CyberPsychology, Behavior & Social Networking, 13(3), 269–277.

48.

Rehbein

Kliem

Baier

Mößle

Petry

(2015). Prevalence of internet gaming disorder in German adolescents: Diagnostic contribution of the nine DSM‐5 criteria in a state‐wide representative sample. Addiction, 110(5), 842–851.

49.

Shapira

N. A.

Goldsmith

T. D.

Keck

P. E.

Jr. Khosla

U. M.

McElroy

S. L.

(2000). Psychiatric features of individuals with problematic internet use. Journal of Affective Disorders, 57(1–3), 267–272. https://doi.org/10.1016/S0165-0327(99)00107-X

50.

Sussman

Lisha

Griffiths

(2011). Prevalence of the addictions: A problem of the majority or the minority. Evaluations and the Health Professions, 34(1), 3–56. https://doi.org/10.1177/0163278710380124

51.

Tao

Huang

Wang

Zhang

(2012). Proposed diagnostic criteria for internet addiction. Addiction, 105, 556–564.

52.

Thomas

N. J.

Martin

F. H.

(2010). Video-arcade game, computer game and internet activities of Australian students: Participation habits and prevalence of addiction. Australian Journal of Psychology, 62(2), 59–66.

53.

Tonioni

D'Alessandris

Lai

Martinelli

Corvino

Vasale

, . . . Bria

(2012). Internet addiction: Hours spent online, behaviors and psychological symptoms. General Hospital Psychiatry, 34, 80–87. https://doi.org/10.1016/j.genhosppsych.2011.09.013

54.

van Rooij, A. J., Ferguson, C. J., Carras, M. C., Kardefelt-Winther, D., Shi, J., Aarseth, E., Bean, A., Bergmark, K. H., Brus, A., Coulson, M., Deleuze, J., Dullur, P., Dunkels, E., Etchells, P., Fiskaali, A., Granic, I., Jansz, J., Karlsen, F., Kaye, L.,…& Przbylski, A. K. (2018). A weak scientific basis for gaming disorder: Let us err on the side of caution. Journal of Behavioral Addictions, 7(1), 1–9. https://doi.org/10.1556/2006.7.2018.19

55.

van Rooij

A. J.

Prause

(2014). A critical review of internet addiction criteria with suggestions for the future. Journal of Behavior & Addiction, 3, 203–213.

56.

van Rooij

A. J.

Schoenmakers

T. M.

Vermulst

A. A.

van den Eijnden

R. M.

Van De Mheen

(2011). Online video game addiction: identification of addicted adolescent gamers. Addiction, 106(1), 205–212. https://doi.org/10.1111/j.1360-0443.2010.03104.x

57.

Yee

(2006a). Motivations for play in online games. Journal of CyberPsychology and Behavior, 9, 772–775.

58.

Yee

(2006b). The demographics, motivations and derived experiences of users of massively-multiuser online graphical environments. Teleoperators and Virtual Environments, 15, 309–329.

59.

Yee

Ducheneaut

Nelson

(2012). Online gaming motivations scale: development and validation. In Proceedings of the SIGCHI Conference on Human Factors in Computing Systems (CHI '12). Association for Computing Machinery, New York, NY, USA, 2803–2806. DOI:https://doi.org/10.1145/2207676.2208681

Utility of DSM-5 Criteria for Internet Gaming Disorder

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