Subtyping treatment-seeking gaming disorder patients

Granero, Roser; Fernández‐Aranda, Fernando; Castro-Calvo, Jesús; Billieux, Joël; Valero-Solís, Susana; Mora-Maltas, Bernat; Rivas-Pérez, Sandra; Valenciano‐Mendoza, Eduardo; Pino-Gutiérrez, Amparo del; Gómez-Peña, Mònica; Moragas, Laura; Baenas, Isabel; Mena-Moreno, Teresa; Casalé-Salayet, Gemma; Codina, Ester; González-Bueso, Vega; Santamaría, Juan José Villalaín; Baño, Marta; Menchón, José M.; Jiménez‐Murcia, Susana

doi:10.1016/j.addbeh.2021.107086

Cited by 8 publications

(10 citation statements)

References 127 publications

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“…There is robust neuropsychological evidence derived from multiple studies that problematic gaming patterns are associated with inhibitory control impairment 197 , supporting the notion that loss of control over gaming is a key feature of gaming disorder. Finally, a number of studies conducted on treatment-seeking cases showed that gaming disorder is frequently associated with heightened impulsivity, affective instability, and dysfunctional personality traits as assessed using psychometric questionnaires 148,198,199 .…”

Section: Review Of the Evidencementioning

confidence: 99%

“…Studies that include the administration of diagnostic interview schedules to identify co-occurring conditions have reported that individuals diagnosed with gaming disorder experienced negative consequences in multiple life areas 199,[205][206][207][208][209][210] . Many adolescent gaming disorder patients reported problems including reversal of day-night sleep-wake patterns, skipping meals due to gaming, physical violence toward others and hitting or breaking things when asked to stop or reduce gaming, poor school grades or work performance, and absence from school or work 201 .…”

Section: Review Of the Evidencementioning

confidence: 99%

“…In the UK, the National Health Service (NHS)-funded specialist service for gaming disorder, positioned within the National Centre for Behavioural Addictions, received more than 50 patients between January and May in 2021 204 . Other studies have shown that individuals with gaming-related problems may also seek assistance from gambling treatment services 199 , units that specialize in the treatment of behavioural addictions 151,154 , broader treatment providers dealing with addictive disorders in general 204 , or non-specialized services 200 .…”

Section: Review Of the Evidencementioning

confidence: 99%

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Emerging experience with selected new categories in the ICD‐11: complex PTSD, prolonged grief disorder, gaming disorder, and compulsive sexual behaviour disorder

et al. 2022

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Among the important changes in the ICD-11 is the addition of 21 new mental disorders. New categories are typically proposed to: a) improve the usefulness of morbidity statistics; b) facilitate recognition of a clinically important but poorly classified mental disorder in order to provide appropriate management; and c) stimulate research into more effective treatments. Given the major implications for the field and for World Health Organization (WHO) member states, it is important to examine the impact of these new categories during the early phase of the ICD-11 implementation. This paper focuses on four disorders: complex post-traumatic stress disorder, prolonged grief disorder, gaming disorder, and compulsive sexual behaviour disorder. These categories were selected because they have been the focus of considerable activity and/or controversy and because their inclusion in the ICD-11 represents a different decision than was made for the DSM-5. The lead authors invited experts on each of these disorders to provide insight into why it was considered important to add it to the ICD-11, implications for care of not having that diagnostic category, important controversies about adding the disorder, and a review of the evidence generated and other developments related to the category since the WHO signaled its intention to include it in the ICD-11. Each of the four diagnostic categories appears to describe a population with clinically important and distinctive features that had previously gone unrecognized as well as specific treatment needs that would otherwise likely go unmet. The introduction of these categories in the ICD-11 has been followed by a substantial expansion of research in each area, which has generally supported their validity and utility, and by a significant increase in the availability of appropriate services.

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Section: Review Of the Evidencementioning

confidence: 99%

Section: Review Of the Evidencementioning

confidence: 99%

Section: Review Of the Evidencementioning

confidence: 99%

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Emerging experience with selected new categories in the ICD‐11: complex PTSD, prolonged grief disorder, gaming disorder, and compulsive sexual behaviour disorder

et al. 2022

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“…While IGD research has not yet established a consensus "gold standard" method of clinical diagnosis, gold standards in other psychiatric disorders near-universally involve clinicians' evaluations, sometimes in conjunction with (semi-)structured interviews and/or self-report measures (Aboraya et al, 2005). Given the recency of IGD's proposal, however, results of clinical assessment in line with the DSM-5 comprise a relatively small portion of the literature (although for counter-examples see e.g., Starcevic et al;Granero et al, 2021). Instead, both IGD and distress are often measured using self-report measures alone, and the measurement and modelling of these is subject to substantial analytical flexibility.…”

Section: Flexibility In the Assessment Of Igd And Distressmentioning

confidence: 99%

“Clinically significant distress” in internet gaming disorder: An individual participant meta-analysis

Ballou

Zendle

2022

Computers in Human Behavior

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Although the validity of internet gaming disorder (IGD) in the DSM-5 hinges on a relationship between 5 or more IGD symptoms and "clinically significant impairment and/or distress", to date most studies have focused on statistical significance. To address this, we conduct an individual participant meta-analysis comprised of primary data from 15 studies (n = 38,851). Study 1 finds that meeting the DSM-5's proposed 5/9 diagnostic threshold is associated with d = .65 greater distress across 21 well-being constructs, which exceeds a conservative anchor for clinical significance. However, we also find that classifying participants above and below the 5/9 threshold has little power to reject that threshold: a 2/9 cut-off predicts similarly large differences. Study 2 shows that dimensional (continuous) modelling of IGD scores offers a more severe test of the proposed threshold. Finally, study 3 reveals that three criteria-preoccupation, tolerance, and loss of control-are roughly half as predictive of distress as withdrawal and escapism, highlighting limitations also present in dimensional modelling and suggesting the need to modify or remove these. In sum, we do not find evidence for invalidating IGD as proposed, but do identify issues with threshold-based categorization, inadequate differentiation between statistical and clinical significance, and the inclusion of potentially flawed criteria. We argue that these are possible negative consequences of a premature switch to confirmatory research on IGD.

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“…IGD heterogeneity resonates with the view that there are multiple forms of IGD, but their neurobiological bases remain poorly understood. Recently, efforts to characterize IGD subgroups have included identifying clusters of personality features [6] or symptoms that tend to co‐occur [7]. These studies have defined two clusters: one cluster with less psychological symptomatology and dysfunctional personality profiles and one with more [7].…”

Section: Introductionmentioning

confidence: 99%

Subgroups of internet gaming disorder based on addiction‐related resting‐state functional connectivity

et al. 2022

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Subtyping treatment-seeking gaming disorder patients

Cited by 8 publications

References 127 publications

Emerging experience with selected new categories in the ICD‐11: complex PTSD, prolonged grief disorder, gaming disorder, and compulsive sexual behaviour disorder

Emerging experience with selected new categories in the ICD‐11: complex PTSD, prolonged grief disorder, gaming disorder, and compulsive sexual behaviour disorder

“Clinically significant distress” in internet gaming disorder: An individual participant meta-analysis

Subgroups of internet gaming disorder based on addiction‐related resting‐state functional connectivity

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