The Mediating Effects of Affect on Associations between Impulsivity or Resilience and Internet Gaming Disorder

Abstract

Internet gaming disorder (IGD) is a new disease proposed by the Diagnostic and Statistical Manual of Mental Disorders-Fifth Edition (DSM-5), and has been studied extensively in relation to depression and impulsivity. The relationship between resilience and disease has been found in a variety of addictive disorders, but studies on IGD are lacking. In this study, 71 IGD patients and 78 healthy controls (HCs) were recruited. Impulsivity, resilience, affects, and the degree of internet game addiction were measured using formal tools. The measured values were analyzed by mediation analysis to evaluate the mediating role of affects on resilience and impulsivity related to IGD symptoms. The IGD group showed higher impulsivity, lower resilience, lower positive affect, and higher negative affect than the HC group. The mediation analysis showed that a positive affect was a mediator between impulsivity and the severity of addiction in both groups. Negative affect mediated impulsivity/resilience and the severity of addiction only in the IGD group. Although the results of this study are based on a narrow category of subjects, who are young male adults around 25 years of age, the results suggest that positive affect can be strengthened to prevent the IGD illness, and that illness symptoms may be alleviated by reducing negative affect.

Coping, Resilience, and Perceived Stress in Individuals with Internet Gaming Disorder in Taiwan

“…Low resilience is associated with IGD [ 7 , 14 , 22 , 36 ]. Yen et al [ 7 ] demonstrated that individuals with IGD and low resilience had more severe depression.…”

“…Our data support the association between low resilience and IGD. Two studies have established that mood status and depression mediate the association between IGD and resilience [ 7 , 36 ]. A questionnaire study indicated that perceived stress correlated with gaming hours only among those with low resilience [ 14 ], and an interview study did not find the buffer effect of resilience on the association between stress and IGD [ 22 ].…”

Fear of Missing Out and Smartphone Addiction Mediates the Relationship Between Positive and Negative Affect and Sleep Quality Among Chinese University Students

“…Riordan et al reported that negative affect has been associated with FoMO when using Facebook ( 62 ). Shin et al also reported the mediating effects of affect on the associations between personality factors and internet gaming disorder ( 63 ). In addition, envy as a specific negative affect has been shown to impact on problematic smartphone use and SNS addiction via FoMO ( 64 , 65 ).…”

Influencia del género en los factores de trastornos del juego

“…El IGD está incluido en el Manual de Diagnóstico y Estadístico de los Trastornos Mentales, Quinta Edición (DSM-5) (American Psychiatric Association, 2018), que integra los criterios de su diagnóstico (Cai et al, 2016;Fuster et al, 2016;Jo et al, 2019;Shin et al, 2019;Zajac, Ginley y Chang, 2019), en los que hay nueve criterios de básicos (Müller et al, 2019) y cinco criterios de corte (Kim et al, 2016;Sprong et al, 2019). Además, está incluido en la undécima revisión final de la Clasificación Internacional de Enfermedades (CIE-11), entendiéndose como un código de diagnóstico (Jo et al, 2019;Wartberg, Kriston & Thomasius, 2020), siendo reconocido por primera vez en mayo de 2013 (Ji, Hsieh & Hsiao, 2016).…”

“…Cada uno de ellos puede evidenciar funciones diagnósticas únicas en el desarrollo de los juegos adictivos (Pontes et al, 2019), más concretamente, aquellos que son de estrategias en tiempo real, juegos de rol y de fantasía (Eichenbaum et al, 2015). Algunos de los síntomas pueden ser la tolerancia, el ansia, modificación del estado de ánimo, la prominencia, la soledad, impulsividad (Chen et al, 2016;Du et al, 2016;Dang et al, 2019;Müller et al, 2019;Shin et al, 2019;Yen et al, 2019), alteraciones de las funciones cognitivas y sociales (Park et al, 2016), desapego (Laier, Wegmann & Brand, 2018), problemas en la regulación de emociones (Kang et al, 2018) y la falta de atención (Du et al, 2016), siendo este último un factor muy influyente en el IGD . Además, se le asocian otros síntomas como la depresión (Jeong et al, 2019, el número de horas de juego y a la negación, siendo estos dos últimos los predictores más fuerte de los síntomas (Schneider et al, 2017).…”