Which is more stable and specific: DSM-5 internet gaming disorder or ICD-11 gaming disorder? A longitudinal study
- Authors
- Hong, Yu Na; Hwang, Hyunchan; Starcevic, Vladan; Choi, Tae Young; Kim, Tae Ho; Han, Doug Han
- Issue Date
- Apr-2023
- Publisher
- John Wiley and Sons Inc
- Keywords
- comorbid disorders; diagnostic instability; gaming disorder; internet gaming disorder; problematic gaming
- Citation
- Psychiatry and Clinical Neurosciences, v.77, no.4, pp 213 - 222
- Pages
- 10
- Journal Title
- Psychiatry and Clinical Neurosciences
- Volume
- 77
- Number
- 4
- Start Page
- 213
- End Page
- 222
- URI
- https://scholarworks.bwise.kr/cau/handle/2019.sw.cau/70905
- DOI
- 10.1111/pcn.13522
- ISSN
- 1323-1316
1440-1819
- Abstract
- Aim: The high comorbidity rates of internet gaming disorder (IGD) and gaming disorder (GD) with other psychiatric disorders are concerning. A follow-up study of gamers from clinical and nonclinical samples with and without diagnoses of IGD or GD was conducted to investigate the changes in diagnoses over a 1-year period, compare their diagnostic stability, and examine the patterns of co-occurrence between IGD and GD with other psychiatric disorders over the same period. Methods: Baseline and 1-year follow-up data of 279 participants, including 120 problematic gaming patients and 159 gamers from the general population, were analyzed. Information on demographics, gaming habits, and self-reported psychological status was collected. Additionally, a structured interview was conducted using the Gaming Diagnostic Interview and the Mini-International Neuropsychiatric Interview. Results: Although there was no significant difference between the changes in IGD/GD diagnosis during the 1-year period, 34.7% of the participants had a change in IGD diagnosis, while the number of GD cases increased to 60.4%. When evaluating the fixed effects of comorbidity on IGD and GD, attention-deficit/hyperactivity disorder had the highest odds ratio for both IGD (75.23; 95% confidence interval [CI], 10.67–530.61) and GD (117.02 × 106; 95% CI, 2.23 × 106–6132.64 × 106). Conclusion: These results reveal that a GD diagnosis might be more prone to change than an IGD diagnosis. GD was also found to be more affected by comorbid psychiatric disorders. © 2022 The Authors. Psychiatry and Clinical Neurosciences © 2022 Japanese Society of Psychiatry and Neurology.
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