Executive Function,Occupational Balance,and Quality of Life in Internet Gaming Disorder: A Cross-Sectional Study

Abstract

Internet gaming disorder (IGD) is an increasing public health concern, particularly among adolescents. This study aimed to investigate the associations between IGD, executive functions, occupational balance, and quality of life in adolescents. A cross-sectional study was conducted online with 62 adolescents aged from 12 to 18 years, including 31 diagnosed with IGD and 31 healthy controls. Measures included the Internet Gaming Disorder Test, Teenage Executive Functioning Inventory, Adolescent Occupational Balance Scale, and Pediatric Quality of Life Inventory. Adolescents with IGD had significantly lower executive functioning (p < .001), occupational balance (p = .00), and quality of life (p = .00) compared to controls. A moderate correlation was found between IGD severity and executive dysfunction (r = .457, p = .01). Findings suggest that IGD is associated with lower executive functions, occupational balance, and quality of life in adolescents, and that a moderate positive association was also found between executive functions and IGD.

Plain-Language Summary

Internet Gaming Disorder: Links Between Executive Function, Balance, and Quality of Life

Internet gaming disorder (IGD) is an increasing public health concern, particularly among adolescents. IGD may affect the development of executive functions, such as planning, reasoning, and task management, which are still maturing in this age group. It may also disrupt balanced participation in daily activities, including schoolwork, hobbies, and rest, thereby reducing overall quality of life. This study examined the associations between IGD, executive functions, occupational balance, and quality of life. A total of 62 adolescents aged from 12 to 18 years participated in the study, including 31 with IGD and 31 healthy adolescents. Participants completed online assessments measuring their gaming behavior, thinking skills, daily activity balance, and well-being. The results showed that adolescents with IGD had weaker executive functioning, poorer occupational balance, and lower quality of life compared to their healthy peers. In addition, more severe IGD symptoms were linked to greater executive function difficulties. These findings highlight links between excessive gaming and challenges in daily functioning, suggesting that IGD may be related to difficulties in managing responsibilities and maintaining well-being.