Associations between attention deficit hyperactivity and internet gaming disorder symptoms: Is there consistency across types of symptoms, gender and countries? (2019)

Addict Behav Rep. 2019 Jan 2;9:100158. doi: 10.1016/j.abrep.2018.100158.

Stavropoulos V1, Adams BLM2, Beard CL3, Dumble E1, Trawley S1, Gomez R4, Pontes HM5.

Abstract

Background:

Videogame addiction has been suggested as a tentative disorder in 2013 by the American Psychiatric Association (APA) and was recently officially recognized as a mental health disorder by the World Health Organization (WHO). Although a few studies have identified attention deficit and hyperactivity disorder (ADHD) as a key risk factor for Internet Gaming Disorder (IGD), the interplay between ADHD and IGD symptoms with gender differences across cultures remains to be further examined.

Objective:

This study examined the moderating effects of gender in the association between ADHD and IGD across two nations.

Method:

A cross-sectional online survey was developed to recruit 164 Australian (Mage = 23.01, SD = 3.35, Minage = 18, Maxage = 31, Males n = 121, 73.80%) and 457 U.S.-North American (Mage = 25.25 years, SD = 2.76, Minage = 18 years, Maxage = 29 years, Males = 265, 57.98%) Massively Multiplayer Online (MMO) players aged between 18 and 29 years.

Results:

The hierarchical linear regression, moderation and moderated moderation analyses revealed that participants presenting greater inattention and hyperactivity symptoms exhibited higher levels of IGD-related behaviors in the two samples. Moreover, these associations differed across genders between the two countries. Specifically, more hyperactive-impulsive, as well as inattentive males in the USA presented higher levels of disordered gaming.

Conclusion:

The results highlight the need for more cross-cultural and symptom-focused research in the broader IGD field.

KEYWORDS: Attention deficit hyperactivity, gender, culture; Emergent adults; Internet gaming disorder; Massively multiplayer online games

PMID: 30671530

PMCID: PMC6327637

DOI: 10.1016/j.abrep.2018.100158

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