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23 - Gaming Disorder and Its Treatment

from Part IV - Prevention and Treatment

Published online by Cambridge University Press:  13 July 2020

Steve Sussman
Affiliation:
University of Southern California
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Summary

This chapter provides a brief overview of gaming disorder (GD) and its treatment. There are now over twenty different screens for assessing problematic gaming although relatively few have used nationally representative samples. The prevalence rates in these nationally representative studies have ranged from 1.2 percent to 8.5 percent depending upon country and screening instrument used. There have been a number of studies describing treatment of GD, although many of these tend not to distinguish between Internet Use Disorder and GD. In terms of treatment for GD, both psychological and pharmacological approaches have been adopted. More specifically, psychological treatment using a cognitive-behavioral framework (CBT) appears to be the most widely used. Furthermore, pharmacological treatment using opioid receptor antagonists, antidepressants, antipsychotics, opioid receptor antagonists, and psychostimulants has been reported in the literature. It is concluded that standardized and comprehensive methods of diagnosis are at present lacking, and that further research into GD is needed from clinical, epidemiological, cross-cultural, and neurobiological perspectives of GD.

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Publisher: Cambridge University Press
Print publication year: 2020

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References

Aarseth, E., Bean, A. M., Boonen, H., et al. (2017). Scholars' open debate paper on the World Health Organization ICD-11 Gaming Disorder proposal. Journal of Behavioral Addiction, 6(3), 267270.CrossRefGoogle ScholarPubMed
American Psychiatric Association [APA] (2013). Diagnostic and Statistical Manual of Mental Disorders - Text Revision (5th edition). Arlington, VA: American Psychiatric Publishing.Google Scholar
Beard, K. W. (2005). Internet Addiction: A review of current assessment techniques and potential assessment questions. CyberPsychology & Behavior, 8(1), 714.Google Scholar
Block, J. (2008). Issues for DSM-V: Internet addiction. American Journal of Psychiatry, 165(3), 306307.CrossRefGoogle ScholarPubMed
Choi, J. S., King, D. L. & Jung, Y. C. (2019). Editorial: Neurobiological perspectives in behavioral addiction. Frontiers in Psychiatry, 10(3). https://doi.org/10.3389/fpsyt.2019.00003Google Scholar
Christakis, D. (2010). Internet addiction: A 21st century epidemic? BMC Medicine, 8(1), 61.Google Scholar
Davis, R. A. (2001). A cognitive-behavioral model of pathological Internet use. Computers in Human Behavior, 17(2), 187195.Google Scholar
Du, Y. S., Jiang, W. Q. & Vance, A. (2010). Longer term effect of randomized, controlled group cognitive behavioural therapy for Internet addiction in adolescent students in Shanghai. Australian and New Zealand Journal of Psychiatry, 44(2), 129134.Google Scholar
Gentile, D. (2009). Pathological video-game use among youth ages 8–18: A national study. Psychological Science, 20(5), 594602.CrossRefGoogle Scholar
Graham, J. M. Jr. (2014). Narrative therapy for treating video game addiction. International Journal of Mental Health and Addiction, 12, 701707.Google Scholar
Griffiths, M.D. (1999). Internet addiction: Internet fuels other addictions. Student British Medical Journal, 7, 428429.Google Scholar
Griffiths, M. D. (2000). Internet addiction – Time to be taken seriously? Addiction Research, 8(5), 413418.Google Scholar
Griffiths, M. D. & Pontes, H. M. (2014). Internet Addiction Disorder and Internet Gaming Disorder are not the same. Journal of Addiction Research & Therapy, 5(4), e124.CrossRefGoogle Scholar
Griffiths, M. D. & Szabo, A. (2014). Is excessive online usage a function of medium or activity? An empirical pilot study. Journal of Behavioral Addictions, 3(1), 7477.Google Scholar
Griffiths, M. D., King, D. L. & Demetrovics, Z. (2014). DSM-5 Internet Gaming Disorder needs a unified approach to assessment. Neuropsychiatry, 4(1), 14.Google Scholar
Griffiths, M. D., Király, O., Pontes, H. M. & Demetrovics, Z. (2015). An overview of problematic gaming. In Aboujaoude, E. & Starcevic, V. (Eds.), Mental Health in the Digital Age: Grave Dangers, Great Promise. Oxford: Oxford University Press, pp. 2745.Google Scholar
Griffiths, M. D., Van Rooij, A., Kardefelt-Winther, D., et al. (2016). Working towards an international consensus on criteria for assessing Internet gaming disorder: A critical commentary on Petry et al. (2014). Addiction, 111, 167175.Google Scholar
Han, D. H., Kim, S. M. & Renshaw, P. F. (2015). Functional brain changes in response to treatment of Internet Gaming Disorder. In Montag, C. & Reuter, M. (Eds.), Internet Addiction. Springer International Publishing, pp. 7791.Google Scholar
Jiménez-Murcia, S., Fernández-Aranda, F., Granero, R., et al. (2015). Nuevas tecnologías como estrategia terapéutica complementaria para el Transtorno de Juego [New technologies as a complimentary therapeutic strategy for the treatment of Internet Gaming Disorder]. Aloma: Revista de Psicologia, Ciències de l'Educació i de l'Esport, 33(2), 5966.CrossRefGoogle Scholar
King, D. L., Delfabbro, P. H. & Griffiths, M. D. (2012). Clinical interventions for technology-based problems: Excessive Internet and video game use. Journal of Cognitive Psychotherapy: An International Quarterly, 26(1), 4356.Google Scholar
King, D. L., Delfabbro, P. H., Griffiths, M. D. & Gradisar, M. (2011). Assessing clinical trials of Internet addiction treatment: A systematic review and CONSORT evaluation. Clinical Psychology Review, 31(7), 11101116.Google Scholar
King, D. L., Haagsma, M. C., Delfabbro, P. H., Gradisar, M. S. & Griffiths, M. D. (2013). Toward a consensus definition of pathological video-gaming: A systematic review of psychometric assessment tools. Clinical Psychology Review, 33(3), 331342.Google Scholar
Király, O., Griffiths, M. D. & Demetrovics, Z. (2015). Internet Gaming Disorder and the DSM-5: Conceptualization, debates, and controversies. Current Addiction Reports, 2(3), 254262.CrossRefGoogle Scholar
Király, O., Griffiths, M. D., Urbán, R., et al. (2014). Problematic internet use and problematic online gaming are not the same: Findings from a large nationally representative adolescent sample. Cyberpsychology, Behavior, and Social Networking, 17(12), 749754.Google Scholar
Király, O., Sleczka, P., Pontes, H. M., et al. (2017). Validation of the ten-item Internet Gaming Disorder Test (IGDT-10) and evaluation of the nine DSM-5 Internet Gaming Disorder criteria. Addictive Behaviors, 64, 253260.CrossRefGoogle ScholarPubMed
Ko, C. H., Yen, J. Y., Chen, S. H., et al. (2014). Evaluation of the diagnostic criteria of Internet Gaming Disorder in the DSM-5 among young adults in Taiwan. Journal of Psychiatric Research, 53(6), 103110.CrossRefGoogle ScholarPubMed
Koronczai, B., Urbán, R., Kökönyei, G., et al. (2011). Confirmation of the three-factor model of problematic internet use on off-line adolescent and adult samples. Cyberpsychology, Behavior, and Social Networking, 14(11), 657664.Google Scholar
Kuss, D. J. & Griffiths, M. D. (2015). Internet Addiction in Psychotherapy. London: Palgrave.Google Scholar
Kuss, D. J. & Lopez-Fernandez, O. (2016). Internet addiction and problematic Internet use: A systematic review of clinical research. World Journal of Psychiatry, 6(1), 143176.Google Scholar
Kuss, D. J. & Pontes, H. M. (2019). Internet Addiction. Advances in Psychotherapy – Evidence-Based Practice (Volume 47). Hogrefe.Google Scholar
Kuss, D. J., Griffiths, M. D., Karila, L. & Billieux, J. (2014). Internet addiction: A systematic review of epidemiological research for the last decade. Current Pharmaceutical Design, 20(25), 40264052.Google Scholar
Kuss, D. J., Pontes, H. M. & Griffiths, M. D. (2018). Neurobiological correlates in Internet Gaming Disorder: A systematic review. Frontiers in Psychiatry, 9, 166.Google Scholar
Kuss, D. J., Throuvala, M., Pontes, H. M., et al. (2019). Tackling digital and gaming addiction: A challenge for the 21st Century. Report submitted to the UK Parliament’s Select Committee on Digital, Culture, Media and Sport relating to Immersive and Addictive Technologies. Nottingham: Nottingham Trent University.Google Scholar
Laier, C., Wegmann, E. & Brand, M. (2018). Personality and cognition in gamers: Avoidance expectancies mediate the relationship between maladaptive personality traits and symptoms of Internet-Gaming Disorder. Frontiers in Psychiatry, 9, 304.Google Scholar
Lemmens, J. S., Valkenburg, P. M. & Gentile, D.A. (2015). The Internet Gaming Disorder Scale. Psychological Assessment, 27(2), 567582.Google Scholar
Liu, Q-X., Fang, X-Y., Yan, N., et al. (2015). Multi-family group therapy for adolescent Internet addiction: Exploring the underlying mechanisms. Addictive Behaviors, 42, 18.Google Scholar
Meng, Y., Deng, W., Wang, H., Guo, W. & Li, T. (2014). The prefrontal dysfunction in individuals with Internet Gaming Disorder: A meta-analysis of functional magnetic resonance imaging studies. Addiction Biology, 20(4), 799808.Google Scholar
Montag, C., Bey, K., Sha, P., et al. (2014). Is it meaningful to distinguish between generalized and specific internet addiction? Evidence from a cross-cultural study from Germany, Sweden, Taiwan and China. Asia-Pacific Psychiatry, 7(1), 2026.CrossRefGoogle ScholarPubMed
Müller, K. W., Janikian, M., Dreier, M., et al. (2015). Regular gaming behavior and internet gaming disorder in European adolescents: Results from a cross-national representative survey of prevalence, predictors, and psychopathological correlates. European Child and Adolescent Psychiatry, 24(5), 565574.Google Scholar
Myrseth, H. & Notelaers, G. (2018). A latent class approach for classifying the problem and disordered gamers in a group of adolescence. Frontiers in Psychology, 9(2273). doi: 10.3389/fpsyg.2018.02273Google Scholar
Pallesen, S., Lorvik, I. M., Bu, E. H. & Molde, H. (2015). An exploratory study investigating the effects of a treatment manual for video game addiction. Psychological Reports, 117(2), 490495.Google Scholar
Petry, N. M. & O’Brien, C. P. (2013). Internet gaming disorder and the DSM-5. Addiction, 108(7), 11861187.CrossRefGoogle ScholarPubMed
Petry, N. M., Rehbein, F., Gentile, D. A., et al. (2014). An international consensus for assessing internet gaming disorder using the new DSM‐5 approach. Addiction, 109(9), 13991406.Google Scholar
Pies, R. (2009). Should DSM-V Designate “Internet Addiction” a Mental Disorder? Psychiatry (Edgmont), 6(2), 3137.Google Scholar
Poddar, S., Sayeed, N. & Mitra, S. (2015). Internet Gaming Disorder: Application of motivational enhancement therapy principles in treatment. Indian Journal of Psychiatry, 57(1), 100101.Google Scholar
Pontes, H. M. & Griffiths, M. D. (2015a). New concepts, old known issues: The DSM-5 and Internet Gaming Disorder and its assessment. In Bishop, J. (Ed.), Psychological and Social Implications Surrounding Internet and Gaming Addiction. Hershey, PA: Information Science Reference, pp. 1630.Google Scholar
Pontes, H. & Griffiths, M.D. (2015b). Measuring DSM-5 Internet Gaming Disorder: Development and validation of a short psychometric scale. Computers in Human Behavior, 45, 137143.CrossRefGoogle Scholar
Pontes, H. M. & Griffiths, M. D. (2015c). Internet Gaming Disorder and its associated cognitions and cognitive-related impairments: A systematic review using PRISMA guidelines. Revista Argentina de Ciencias del Comportamiento, 7(3), 102118.Google Scholar
Pontes, H. M. & Patrão, I. M. (2014). Estudo exploratório sobre as motivações percebidas no uso excessivo da Internet em adolescentes e jovens adultos [An exploratory study on the perceived motivations underpinning excessive Internet use among adolescents and young adults]. Psychology, Community & Health, 3(2), 90102.Google Scholar
Pontes, H. M., Kuss, D. J. & Griffiths, M. D. (2015). Clinical psychology of Internet addiction: A review of its conceptualization, prevalence, neuronal processes, and implications for treatment. Neuroscience and Neuroeconomics, 4, 1123.Google Scholar
Pontes, H. M., Kuss, D. J. & Griffiths, M. D. (2017). Psychometric assessment of Internet Gaming Disorder in neuroimaging studies: A systematic review. In Montag, C. & Reuter, M. (Eds.), Internet Addiction: Neuroscientific Approaches and Therapeutical Implications Including Smartphone Addiction. Cham: Springer International Publishing, pp. 181208.Google Scholar
Pontes, H. M., Macur, M. & Griffiths, M. D. (2016). Internet Gaming Disorder among Slovenian primary schoolchildren: Findings from a nationally representative sample of adolescents. Journal of Behavioral Addictions, 5, 304310.CrossRefGoogle ScholarPubMed
Pontes, H. M., Szabo, A. & Griffiths, M. D. (2015). The impact of Internet-based specific activities on the perceptions of Internet addiction, quality of life, and excessive usage: A cross-sectional study. Addictive Behaviors Reports, 1, 1925.Google Scholar
Przepiórka, A. M., Blachnio, A., Miziak, B. & Czuczwar, S. J. (2014). Clinical approaches to treatment of Internet addiction. Pharmacological Reports, 66(2), 187191.Google Scholar
Reed, G. M., First, M. B., Kogan, C. S., et al. (2019). Innovations and changes in the ICD‐11 classification of mental, behavioural and neurodevelopmental disorders. World Psychiatry, 18(1), 319.Google Scholar
Rehbein, F. & Mößle, T. (2013). Video game and internet addiction: Is there a need for differentiation? SUCHT-Zeitschrift für Wissenschaft und Praxis/Journal of Addiction Research and Practice, 59(3), 129142.Google Scholar
Rehbein, F., Kliem, S., Baier, D., Mößle, T. & Petry, N. M. (2015). Prevalence of Internet Gaming Disorder in German adolescents: Diagnostic contribution of the nine DSM-5 criteria in a state-wide representative sample. Addiction, 110(5), 842851.Google Scholar
Sachdeva, A. & Verma, R. (2015). Internet gaming addiction: A technological hazard. International Journal of High Risk Behaviors and Addiction, 4(4), e26359.Google Scholar
Saunders, J. B., Hao, W., Long, J., et al. (2017). Gaming disorder: Its delineation as an important condition for diagnosis, management and prevention. Journal of Behavioral Addictions, 6, 271279.CrossRefGoogle ScholarPubMed
Shaffer, H. J., LaPlante, D. A., LaBrie, R. A., et al. (2004). Toward a syndrome model of addiction: Multiple expressions, common etiology. Harvard Review of Psychiatry, 12(6), 367374.Google Scholar
Spechler, P. A., Chaarani, B., Hudson, K. E., et al. (2016). Response inhibition and addiction medicine: From use to abstinence. Progress in Brain Research, 223, 143164.Google Scholar
Torres-Rodríguez, A. & Carbonell, X. (2015). Adicción a los videjuegos en línea: tratamiento mediante el programa PIPATIC [Online Gaming Addiction: The PIPATIC treatement program]. Aloma: Revista de Psicologia, Ciències de l'Educació i de l'Esport, 33(2), 6775.Google Scholar
Torres-Rodriguez, A., Griffiths, M. D. & Carbonell, X. (2018a). The treatment of Internet Gaming Disorder: A brief overview of the PIPATIC program. International Journal of Mental Health and Addiction, 16, 10001015.CrossRefGoogle ScholarPubMed
Torres-Rodriguez, A., Griffiths, M. D., Carbonell, X. Farriols-Hernando, N. & Torres-Jimenez, E. (2017). Internet gaming disorder treatment: A case study evaluation of four adolescent problematic gamers. International Journal of Mental Health and Addiction. Epub ahead of print. https://doi.org/10.1007/s11469-017-9845-9Google Scholar
Torres-Rodriguez, A., Griffiths, M. D., Carbonell, X. & Oberst, U. (2018b). Psychological characteristics of an adolescent clinical sample with Internet Gaming Disorder. Journal of Behavioral Addictions, 7, 707718.Google Scholar
Torres-Rodriguez, A., Griffiths, M. D., Carbonell, X. & Oberst, U. (2018c). Treatment effectiveness of a specialized psychotherapy program for Internet Gaming Disorder. Journal of Behavioral Addictions, 7, 939952.Google Scholar
van Rooij, A. J., Schoenmakers, T. M. & van de Mheen, D. (2017). Clinical validation of the C-VAT 2.0 assessment tool for gaming disorder: A sensitivity analysis of the proposed DSM-5 criteria and the clinical characteristics of young patients with ‘video game addiction’. Addictive Behaviors, 64, 269274.Google Scholar
Winkler, A., Dörsing, B., Rief, W., Shen, Y. & Glombiewski, J. A. (2013). Treatment of Internet addiction: A meta-analysis. Clinical Psychology Review, 33(2), 317329.Google Scholar
Wittek, C. T., Finserås, T. R., Pallesen, S., et al. (2016). Prevalence and predictors of video game addiction: A study based on a national representative sample of gamers. International Journal of Mental Health and Addiction, 14, 672686.CrossRefGoogle ScholarPubMed
World Health Organization (2018). Gaming disorder. Retrieved from http://id.who.int/icd/entity/1448597234. Accessed by February 15, 2019. (Archived by WebCite at www.webcitation.org/6m0iJOU1Q)Google Scholar
Wu, A. M. S., Chen, J. H., Tong, K. K., Yu, S. & Lau, J. T. F. (2018). Prevalence and associated factors of Internet gaming disorder among community dwelling adults in Macao, China. Journal of Behavioral Addictions, 7(1), 6269.Google Scholar
Young, K.S. (1999). Internet Addiction: Symptoms, Evaluation and Treatment. Innovations in Clinical Practice: A Source Book (Volume 17). Sarasota, FL: Professional Resource Press, pp. 1931.Google Scholar
Zhu, T.-M., Jin, R.-J., Zhong, X.-M., Chen, J. & Li, H. (2008). Paper in Chinese [Effects of electroacupuncture combined with psychologic interference on anxiety state and serum NE content in the patient of internet addiction disorder]. Zhongguo Zhen Jiu, 28(8), 561564.Google Scholar

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