Red Box, Green Box: Psychometric evaluation of a self-report behavioral frequency measurement approach for behavioral addictions research.

IF 5.3 1区 医学 Q1 PSYCHIATRY
Addiction Pub Date : 2025-09-26 DOI:10.1111/add.70192
Matthew W R Stevens, Marcela Radünz, Christina Galanis, Blake Quinney, Ian Zajac, Joël Billieux, Paul H Delfabbro, Daniel L King
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引用次数: 0

Abstract

Aims: The behavioral addictions field lacks clinically useful behavior frequency measures. This study evaluated the psychometric performance of the new 'Red Box, Green Box' method for measuring gaming behavior with a focus on its utility for gaming disorder (GD) screening.

Design, setting and participants: A prospective, cross-sectional survey study was conducted using an online crowdsourcing platform. Participants were 1149 male gamers aged 18-35 years from Australia, Canada, United States, United Kingdom and Asia, reporting ≥12 hours of weekly gaming.

Measurements: Gaming time was measured using a conventional weekly hours item, Red Box hours (gaming instead of fulfilling responsibilities) and Green Box hours (gaming during free or leisure time). GD was assessed by the Internet Gaming Disorder Test (IGDT-10), with International Classification of Diseases, 11th Revision (ICD-11) and Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition, Text Revision (DSM-5-TR) scoring approaches. Psychological distress [Depression, Anxiety and Stress Scale - 21 Items (DASS-21)] and impulsivity [Barratt Impulsiveness Scale-short form (BIS-15)] were measured.

Findings: Gamers with GD reported higher Red Box hours [mean (M) = 21.1, standard deviation (SD) = 11.3] than those without (M = 8.7, SD = 8.4; P < 0.001), and greater Red Box proportion (41.9% vs. 26.8%; P < 0.001). Red Box hours demonstrated superior diagnostic accuracy for GD [area under the curve (AUC) = 0.86, sensitivity = 0.94, specificity = 0.63] and Internet gaming disorder (IGD) (AUC = 0.76, sensitivity = 0.88, specificity = 0.56), outperforming comparative measures. A Red Box response of ≥ 9.5 hours had a 94% likelihood of indicating ICD-11 GD.

Conclusions: The 'Red Box, Green Box' method appears to effectively identify International Classification of Diseases, 11th Revision, gaming disorder risk among males. Red Box hours demonstrated greater classification validity than the conventional weekly hours approach. This method provides a simple tool for epidemiological research, routine screening (e.g. outpatient consultation) and clinical assessment and treatment planning. Further validation in clinical populations and longitudinal studies is needed.

红框,绿框:行为成瘾研究中自我报告行为频率测量方法的心理测量评估。
目的:行为成瘾领域缺乏临床有用的行为频率测量。本研究评估了测量游戏行为的新“红盒绿盒”方法的心理测量性能,重点关注其在游戏障碍(GD)筛查中的效用。设计、设置和参与者:使用在线众包平台进行前瞻性、横断面调查研究。参与者为1149名年龄在18-35岁的男性玩家,来自澳大利亚、加拿大、美国、英国和亚洲,每周游戏时间≥12小时。测量方法:游戏时间是使用传统的每周小时数,红盒时间(游戏时间而不是履行职责)和绿盒时间(在空闲或休闲时间玩游戏)来衡量的。通过网络游戏障碍测试(IGDT-10)评估GD,采用国际疾病分类第11版(ICD-11)和精神障碍诊断与统计手册第5版文本修订(DSM-5-TR)评分方法。测量心理困扰[抑郁、焦虑和压力量表-21项(DASS-21)]和冲动性[Barratt冲动性量表-短表(BIS-15)]。结论:“红盒绿盒”方法可以有效识别《国际疾病分类》第11次修订中男性游戏障碍风险。研究发现:患有GD的玩家比没有GD的玩家报告了更多的红盒时间[mean (M) = 21.1, standard deviation (SD) = 11.3]。红框工时比传统的每周工时方法显示出更大的分类有效性。该方法为流行病学研究、常规筛查(如门诊会诊)、临床评估和治疗规划提供了简单的工具。需要在临床人群和纵向研究中进一步验证。
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来源期刊
Addiction
Addiction 医学-精神病学
CiteScore
10.80
自引率
6.70%
发文量
319
审稿时长
3 months
期刊介绍: Addiction publishes peer-reviewed research reports on pharmacological and behavioural addictions, bringing together research conducted within many different disciplines. Its goal is to serve international and interdisciplinary scientific and clinical communication, to strengthen links between science and policy, and to stimulate and enhance the quality of debate. We seek submissions that are not only technically competent but are also original and contain information or ideas of fresh interest to our international readership. We seek to serve low- and middle-income (LAMI) countries as well as more economically developed countries. Addiction’s scope spans human experimental, epidemiological, social science, historical, clinical and policy research relating to addiction, primarily but not exclusively in the areas of psychoactive substance use and/or gambling. In addition to original research, the journal features editorials, commentaries, reviews, letters, and book reviews.
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