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Evidence Base

The co‐occurrence between symptoms of internet gaming disorder and psychiatric disorders in childhood and adolescence: prospective relations or common causes?

Keywords

Internet Gaming Disorder Norway Community sample Psychiatric symptoms

Publication details

Year: 2020
DOI: 10.1111/jcpp.13289
Issued: 2020
Language: English
Volume: 61
Issue: 8
Start Page: 890
End Page: 898
Editors:
Authors: Hygen B.; Skalická V.; Stenseng F.; Belsky J.; Steinsbekk S.; Wichstrøm L.
Type: Journal article
Journal: Journal of Child Psychology and Psychiatry
Publisher: Wiley
Topics: Internet usage, practices and engagement; Wellbeing; Risks and harms; Online safety and policy regulation
Sample: A community sample (n = 702) of Norwegian children completed the Internet Gaming Disorder Interview (IGDI) to assess DSM-5 defined IGD symptoms at ages 10, 12 and 14 years.
Implications For Parents About: Parental practices / parental mediation; Parenting guidance / support
Implications For Educators About: Professional development
Implications For Policy Makers About: Creating a safe environment for children online; High-quality content online for children and young people
Implications For Stakeholders About: Researchers; Industry; Healthcare

Abstract

Background: Internet gaming disorder (IGD) is highlighted as a condition for further study in the Diagnostic and Statistical Manual of Mental Disorders Fifth Edition (DSM-5). Some studies indicate that IGD appears comorbid with other psychiatric disorders. We examine concurrent and prospective links between symptoms of IGD and symptoms of common psychiatric disorders in childhood and adolescence to determine whether observed comorbidity is a result of (a) reciprocal relations or (b) common underlying causes. Methods: A community sample (n = 702) of Norwegian children completed the Internet Gaming Disorder Interview (IGDI) to assess DSM-5 defined IGD symptoms at ages 10, 12 and 14 years. The Child and Adolescent Psychiatric Assessment (CAPA) assessed symptoms of depression, anxiety, attention-deficit hyperactivity disorder (ADHD), oppositional defiant disorder (ODD) and conduct disorder (CD) at the same time points. Results: A Random Intercept Cross-lagged Panel Model (RI-CLPM), which captures pure within-person changes and adjusts for all unmeasured time-invariant factors (e.g., genetics, parent education) revealed no associations between IGD symptoms and psychopathology, except that increased IGD symptoms at ages 10 and 12 predicted decreased symptoms of anxiety two years later. Conclusions: No support emerged for concurrent or prospective relations between IGD and psychiatric symptoms, except in one case: increased IGD symptoms forecasted reduction in anxiety symptoms. Observed co-occurrence between IGD symptoms and mental health problems can mainly be attributed to common underlying factors. Keywords: Child development; adolescence; longitudinal studies.

Outcome

A Random Intercept Cross-lagged Panel Model (RI-CLPM), which captures pure within-person changes and adjusts for all unmeasured time-invariant factors (e.g., genetics, parent education) revealed no associations between IGD symptoms and psychopathology, except that increased IGD symptoms at ages 10 and 12 predicted decreased symptoms of anxiety two years later.
All results