Internet Gaming Disorder in Clinical Practice
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Questions and Answers

Internet Gaming Disorder (IGD) is unanimously recognized as an addiction across all demographics.

False (B)

The prevalence of IGD is decreasing due to better technological advances and screening tools.

False (B)

Male children and adolescents in East Asian countries have a higher risk of developing IGD compared to other regions.

True (A)

Attention-deficit hyperactivity disorder (ADHD) is not associated with Internet Gaming Disorder.

<p>False (B)</p> Signup and view all the answers

Gaming often allows players to experience alternate realities and social interactions.

<p>True (A)</p> Signup and view all the answers

Clinicians are not concerned about gamers being unable to control their gaming behavior.

<p>False (B)</p> Signup and view all the answers

Lydia Bennett-Li is studying at the University of Sussex in the field of psychology.

<p>False (B)</p> Signup and view all the answers

Richard Velleman is associated with an organization focused on addictions research in India.

<p>True (A)</p> Signup and view all the answers

Conceptualising internet gaming disorder (IGD) as an addiction is universally accepted among scholars.

<p>False (B)</p> Signup and view all the answers

The cut-off for problematic gaming is argued to be 4 hours per day or 30 hours per week.

<p>True (A)</p> Signup and view all the answers

Engaging in thoughts of gaming at a dangerous level excludes one from being classified as a gaming addict.

<p>False (B)</p> Signup and view all the answers

Ongoing debates suggest that IGD may serve as a coping mechanism for negative emotions.

<p>True (A)</p> Signup and view all the answers

The DSM-5 includes a diagnosis for internet gaming disorder based on the duration of gameplay alone.

<p>False (B)</p> Signup and view all the answers

There is clarity surrounding the conceptualisation of gaming behaviors and their impacts.

<p>False (B)</p> Signup and view all the answers

Arguments exist that IGD could be a diversion from reality.

<p>True (A)</p> Signup and view all the answers

To be diagnosed with IGD, one must have a compulsive need to play games for over 20 hours a week.

<p>False (B)</p> Signup and view all the answers

The DSM-5 categorizes internet gaming disorder as a fully recognized mental health condition.

<p>False (B)</p> Signup and view all the answers

Meeting four of the nine diagnostic criteria is sufficient for a diagnosis of internet gaming disorder according to DSM-5.

<p>False (B)</p> Signup and view all the answers

Internet gaming disorder can lead to a range of negative emotional consequences, including mood changes.

<p>True (A)</p> Signup and view all the answers

Caffeine overconsumption is one of the symptoms identified as associated with internet gaming disorder.

<p>True (A)</p> Signup and view all the answers

The DSM-5 differentiates between addiction disorders and mere coping mechanisms, strictly labeling gaming as an addiction.

<p>False (B)</p> Signup and view all the answers

There is an increased risk of suicide associated with internet gaming disorder according to research.

<p>True (A)</p> Signup and view all the answers

Loss of control over gaming behavior and withdrawal symptoms when gameplay is stopped are key criteria for diagnosing internet gaming disorder.

<p>True (A)</p> Signup and view all the answers

Internet gaming disorder has been conclusively proven to impact interpersonal relationships positively.

<p>False (B)</p> Signup and view all the answers

Raul's grades began to improve after he started spending more time playing video games.

<p>False (B)</p> Signup and view all the answers

Raul's parents sought help for him due to concerns about his isolation and aggressive behavior.

<p>True (A)</p> Signup and view all the answers

Cognitive-behavioral therapy was prescribed to Raul for 12 weeks to address his gaming habits.

<p>True (A)</p> Signup and view all the answers

Raul was socially active and engaged in extracurricular activities while spending time gaming.

<p>False (B)</p> Signup and view all the answers

Raul was able to maintain friendships while playing video games excessively.

<p>False (B)</p> Signup and view all the answers

Raul's parents encouraged him to game more to reduce his anxiety about school.

<p>False (B)</p> Signup and view all the answers

Raul often played video games during the day before returning to school.

<p>False (B)</p> Signup and view all the answers

Raul's gameplay was motivated by a desire to escape from school pressure.

<p>True (A)</p> Signup and view all the answers

ICD-11 categorizes problematic gaming behavior as either 'gaming disorder' or 'hazardous gaming behaviour'.

<p>True (A)</p> Signup and view all the answers

The categorization of gaming behavior changes to 'hazardous gaming behaviour' when it inflicts actual harm.

<p>False (B)</p> Signup and view all the answers

No diagnostic tools currently exist for classifying gaming behavior according to ICD-11.

<p>True (A)</p> Signup and view all the answers

Jemima's gaming behavior improved her confidence and social interactions following her breakup.

<p>False (B)</p> Signup and view all the answers

Jemima was previously employed full time as a legal secretary before she started gaming more frequently.

<p>True (A)</p> Signup and view all the answers

Gaming disorder is recognized as a diagnosis distinct from hazardous gaming behavior.

<p>True (A)</p> Signup and view all the answers

Jemima's roommate became concerned for her well-being because she was excelling in her career and rarely leaving the flat.

<p>False (B)</p> Signup and view all the answers

The classification of risky gaming behavior is based on the presence of any gaming activity.

<p>False (B)</p> Signup and view all the answers

Anxiety disorders and depression are associated with Internet Gaming Disorder (IGD) symptoms.

<p>True (A)</p> Signup and view all the answers

The ICD-11 defines 'hazardous gaming' as gaming that poses no risk to mental health.

<p>False (B)</p> Signup and view all the answers

Only online gaming is considered in the classification of hazardous gaming.

<p>False (B)</p> Signup and view all the answers

The systematic review evaluated screening tools based on studies conducted exclusively in North America.

<p>False (B)</p> Signup and view all the answers

Screening tools for Internet Gaming Disorder have become more uniform since the inclusion of IGD in DSM-5.

<p>False (B)</p> Signup and view all the answers

Frequency and duration of gaming are factors that can contribute to hazardous gaming.

<p>True (A)</p> Signup and view all the answers

Individuals aged 9 to 18 are not included in the studies relevant to Internet Gaming Disorder.

<p>False (B)</p> Signup and view all the answers

Risky behaviors associated with gaming do not affect the classification of Internet Gaming Disorder.

<p>False (B)</p> Signup and view all the answers

Flashcards

IGD

Internet Gaming Disorder, a condition of increasing prevalence, potentially linked to addiction or coping mechanisms.

MMORPG

Massively Multiplayer Online Role-Playing Game, a type of video game that integrates social interaction and role-playing..

Psychological effect of video games

Video games can affect players' mood, emotions, social interactions, and more.

Increased risk of IGD

Male children and adolescents in East Asian countries show higher risk for IGD.

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Associated disorders

Attention-deficit hyperactivity disorder, depression, and anxiety are commonly linked to IGD.

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Diagnosis ambiguity

The diagnosis and screening tools for IGD are still not fully established.

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Gaming behaviour control

Inability to control gaming behaviour is a growing concern for researchers and clinicians.

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Coping mechanism or addiction

IGD is debated as whether it's a coping mechanism or an addiction.

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Internet Gaming Disorder (IGD)

Persistent and recurrent use of the internet for gaming, often with other players, leading to clinically significant impairment or distress.

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DSM-5 Criteria for IGD

Meeting five or more of nine criteria over a 12-month period, including preoccupation with gaming, difficulty regulating gaming behavior, and withdrawal symptoms when gaming is stopped.

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DSM-5 Internet Gaming Disorder Status

A 'condition for further study' in DSM-5, meaning it's not completely accepted as a clinical disorder by all experts.

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Consequences of IGD

Include mood changes (e.g., anger, boredom), depression, anxiety, suicide risk, physical health problems, relationship conflicts, and financial insecurity.

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Preoccupation with Gaming

Excessive focus or thinking about gaming behavior, often to the exclusion of other important activities.

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Inability to Regulate Gaming

Difficulty controlling how much time one spends playing games.

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Withdrawal Symptoms

Experiencing negative effects when gaming is stopped, such as irritability or difficulty focusing.

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Over-Pathologizing

Classifying a recreational activity as an addiction-like disorder to an excessive degree.

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Addiction

A condition involving compulsive engagement in a behavior, despite negative consequences.

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Diagnostic criteria for IGD

Guidelines used to identify Internet Gaming Disorder, often focusing on severity and duration.

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Severity of Gameplay

The intensity of preoccupation with gaming, including time spent on gameplay and associated thoughts.

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Time spent on Gaming

A significant factor considered when diagnosing IGD; often 4 hours a day/ 30 hours a week.

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Alternative explanations for IGD

Some dispute calling IGD an addiction as it might be a coping mechanism for negative emotions, stress, or a diversion from reality.

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Criticism of IGD definition

The concept of IGD has been criticized for relying too heavily on addictive behaviours/existing models of addiction.

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DSM-5 diagnosis of IGD

Diagnostic and Statistical Manual of Mental Disorders, 5th Edition; it requires a specific set of criteria.

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What is IGD?

Internet Gaming Disorder, a condition where excessive gaming impacts various aspects of life, like work, relationships, and physical health.

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Why do people play video games?

Players are motivated by rewards and to gain back what they've lost

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How can games affect self-esteem?

Video games can impact players' self-esteem, self-efficacy, and confidence, especially for those who have low levels of these.

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What is 'real-life' game branding?

Game branding extends beyond the game itself, influencing the player's real-world perceptions and choices.

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Raul's situation

Raul, a 14-year-old, experienced declining grades and social isolation due to excessive video game playing.

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Raul's treatment

Raul received 12 weeks of cognitive-behavioral therapy to help him manage his gaming habits.

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How can parents help?

Parents can reduce gaming time by taking away gaming devices at night.

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Why was Raul's case important?

Raul's story highlights the potential negative impact of video game addiction on academic performance and social life.

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ICD-11 and IGD

The International Classification of Diseases, 11th Revision (ICD-11), classifies Internet Gaming Disorder (IGD) on a spectrum similar to alcohol-use disorders, using two categories: 'gaming disorder' and 'hazardous gaming behaviour.'

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Hazardous Gaming Behaviour

In ICD-11, 'hazardous gaming behaviour' describes risky gaming activities that haven't yet progressed to a disorder. It signifies a stage before harmful consequences appear.

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Gaming Disorder

According to ICD-11, 'gaming disorder' is diagnosed when risky gaming leads to significant harm, impacting personal, family, social, educational, or occupational areas.

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Jemima's Case

Jemima, a 28-year-old woman, experienced a significant decline in her work and personal life due to excessive gaming after a break-up. Her significant gaming behaviour impacted her roommate's concern, highlighting the potential for IGD to disrupt lives.

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IGD as a Coping Mechanism?

Some experts suggest that IGD might be a coping mechanism for dealing with emotional distress, such as depression or anxiety, rather than a true addiction.

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Diagnosis Tools for IGD

Currently, there are no officially recognized diagnostic tools specifically designed for IGD categorization in ICD-11.

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IGD and Substance Addiction

The ICD-11 framework attempts to conceptualize IGD on a spectrum similar to substance addictions (like alcohol or drugs) and non-substance addictions (like gambling).

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Why Study IGD?

Understanding IGD's impact and categorizing it within a spectrum of addictions is crucial for clinical practice to better identify, diagnose, and treat individuals struggling with these behaviors.

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Hazardous Gaming

A pattern of gaming (online or offline) that significantly increases the risk of physical or mental health problems for the individual or those around them.

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ICD-11 Definition

The International Classification of Diseases (ICD-11) defines 'hazardous gaming' as a pattern of gaming that puts a person at a high risk of experiencing negative consequences.

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Increased Risk Factors

Hazardous gaming is characterized by the frequency of gaming, time spent on it, neglect of other activities, risky behaviours associated with gaming, the adverse consequences of gaming, or a combination of these factors.

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IGD Screening Tools

Many screening tools for IGD have been developed based on the DSM-5 and ICD-11 criteria, helping to identify potential cases.

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IGD Research Focus

Recent research on IGD screening tools primarily involves studies conducted with 9 to 18 year olds, particularly in Europe and East Asia.

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Common IGD Criteria

The criteria most commonly used in IGD screening tools include aspects related to obsession, withdrawal, tolerance, loss of control, and negative life consequences.

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Varying Definitions

Prior to DSM-5 and ICD-11, different screening tools used various conceptualizations of IGD, meaning defining IGD varied widely.

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IGD and Mental Health

Anxiety disorders, depression, suicidal ideation, ADHD, social phobia, autism spectrum disorder, and personality disorders are often linked to IGD symptoms

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Study Notes

Internet Gaming Disorder (IGD) in Clinical Practice

  • IGD is a condition characterized by preoccupation with online gaming, inability to regulate gaming behavior, and resulting negative physical and psychological effects.
  • Though debated as an addiction or coping mechanism, prevalence is increasing due to technology's wider availability.
  • Increased risk for male children and adolescents in East Asian countries.
  • Commonly associated with ADHD, depression, and anxiety.

Learning Objectives for IGD

  • Understanding varying definitions and conceptualizations of IGD
  • Identifying risk factors, clinical features, and evidence-based treatments for IGD
  • Recognizing ongoing challenges in diagnosing and treating IGD

Terminology

  • Internet addiction: Umbrella term for excessive online engagement, encompassing chatting and gaming. Lacking specificity due to focusing on the internet itself rather than specific behaviors.
  • Gaming disorder: As defined in ICD-11, covers online and offline gaming addiction.
  • Internet gaming disorder (IGD): Described in DSM-5, focusing on online gaming addiction.

Conceptualisations of IGD

  • ICD-11 defines gaming disorder as a pattern of gaming characterized by impaired control, prioritizing gaming over other activities, and continuing despite negative consequences—present for at least 12 months, significantly affecting daily life.
  • The DSM-5 definition of Internet Gaming Disorder involves persistent and recurrent online gaming leading to clinically significant impairment or distress. This approach has received criticism for potential over-pathologising of recreational activity, including potentially misclassifying coping mechanisms as addictions.

Origins and Evolution of IGD

  • Video game "addiction" concerns emerged in the 1980s.
  • Early research relied on case studies and focused on one type of gaming.
  • Over time, research broadened to include computers, consoles, and evolving online gaming platforms.
  • The DSM-5's recognition of IGD in 2013 prompted further investigation.

Global Prevalence of IGD

  • Precise global prevalence estimates are difficult due to varying research methodologies and theoretical frameworks.
  • Prevalence is often higher in males and adolescents than other groups, and especially prevalent in East Asian countries.
  • Current estimates suggest a prevalence of roughly 1%.

Risk Factors for IGD

  • Individual Risk Factors: Male gender, low confidence, adolescence, ADHD, aggression, impulsivity, introversion, depression, risk-taking behaviors, substance abuse, low self-esteem, low self-efficacy.
  • External Risk Factors: Single-parent families, strained family relationships, low socioeconomic status, increased accessibility to devices.
  • Game-Specific Risk Factors: Social aspects of games, narrative, identity, reward/punishment structures, manipulation/control elements, game presentation, factors that increase engagement.

Neurobiological Basis of IGD

  • Studies using fMRI, rsfMRI, VBM, PET, and EEG show differences in brain activity between healthy gamers and those with IGD.
  • IGD is associated with: lower activity in bilateral middle and inferior temporal gyri, impaired emotion regulation, reduced cognitive control, and impaired response inhibition and decision-making ability.
  • IGD may involve deficient reward systems, similar to substance addictions.

Clinical Characteristics of IGD

  • Lack of consensus on assessment, diagnosis, and treatment methods.
  • Various clinical characteristics and symptoms exist, often comorbid with other conditions (depression, anxiety, ADHD, etc.).
  • Clinical guidelines are currently under development (ICD-11).

Evidence-Based Treatments for IGD

  • Cognitive Behavioral Therapy (CBT) is a common approach.
  • Treatment programs may address comorbid conditions and implement strategies for coping mechanisms and impulse control.
  • The scientific evidence base for treatment is still limited but expanding, with variability in approaches, diagnoses, and methodology across studies.

Future Directions for IGD Research

  • Continued development of validated diagnostic tools and reliable measurement instruments is important.
  • The creation of more rigorous and consistent research is needed.
  • Improving the quality of treatment studies and their design is required.
  • Understanding the long-term effects of treatment is crucial.

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Description

Explore the complexities of Internet Gaming Disorder (IGD), including its definitions, risk factors, and clinical features. This quiz will enhance your understanding of the challenges in diagnosing and treating IGD, particularly in vulnerable demographics like children and adolescents. Gain insights into evidence-based treatments and the relationship between IGD and mental health disorders.

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