The emerging evidence on the association between symptoms of ADHD and gaming disorder: A systematic review and meta-analysis

IF 13.7 1区心理学 Q1 PSYCHOLOGY, CLINICAL

Clinical Psychology Review Pub Date : 2023-09-28 DOI:10.1016/j.cpr.2023.102343

Patrik Koncz , Zsolt Demetrovics , Zsofia K. Takacs , Mark D. Griffiths , Tamás Nagy , Orsolya Király

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Abstract

The co-existence of gaming disorder (GD) with other mental health problems has been widely reported. Despite the growing research interest in the comorbidity of GD with attention-deficit/hyperactivity disorder (ADHD), to date, no quantitative synthesis has been performed. The present study comprised a systematic literature search using Scopus, Science Direct, Web of Science, and PubMed databases. Three types of studies were included in the analyses: studies reporting (i) correlation coefficients between the symptoms of GD and ADHD, (ii) means, and standard deviations for comparison of GD severity between ADHD/non-ADHD individuals, and (iii) comparison of ADHD severity between GD/non-GD individuals. The results indicated a moderate relationship between GD and ADHD symptom severity when both subdomains of ADHD were combined (r = 0.296), and also when only inattention (r = 0.306) or hyperactivity (r = 0.266) symptoms were analyzed, which was also confirmed in a structural equation model meta-analysis. Studies showed a large average difference comparing the GD symptom severity of ADHD and non-ADHD individuals (g = 0.693), or ADHD symptom severity of GD and non-GD individuals (g = 0.854). In some cases, higher estimates of association were reported among studies that (i) had a higher proportion of males, (ii) assessed problematic internet use among predominantly videogame player samples rather than assessing only GD, and (iii) had been more recently published. The present review shows that this is an emerging field demonstrating significant results in cross-sectional correlational studies. However, future research should apply more rigorous methodologies to investigate the relationship further (e.g., longitudinal studies and studies using professional/clinical ratings and diagnosis). These results suggest that screening and treatment for ADHD among individuals with gaming disorder is necessary, and individuals with ADHD should be made aware of their higher susceptibility to gaming disorder.

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ADHD症状与游戏障碍之间关联的新证据:一项系统回顾和荟萃分析

游戏障碍(GD)与其他心理健康问题的共存已被广泛报道。尽管对GD与注意缺陷/多动障碍(ADHD)共病的研究兴趣日益浓厚，但迄今为止，尚未进行定量综合。本研究包括使用Scopus、Science Direct、Web of Science和PubMed数据库进行系统的文献检索。分析中包括三种类型的研究:报告(i) GD与ADHD症状之间的相关系数，(ii) ADHD/非ADHD个体之间GD严重程度比较的均值和标准差，以及(iii) GD/非GD个体之间ADHD严重程度比较的研究。结果表明，当ADHD的两个子域合并时(r = 0.296)，以及当仅分析注意力不集中(r = 0.306)或多动(r = 0.266)症状时，GD与ADHD症状严重程度之间存在中度关系，这也在结构方程模型元分析中得到证实。研究显示ADHD与非ADHD个体GD症状严重程度的平均差异较大(g = 0.693)， GD与非GD个体ADHD症状严重程度的平均差异较大(g = 0.854)。在某些情况下，在以下研究中报告了较高的关联估计:(i)男性比例较高，(ii)主要评估电子游戏玩家样本中有问题的互联网使用，而不仅仅评估GD，以及(iii)最近发表的研究。目前的回顾表明，这是一个新兴的领域，在横断面相关研究中显示出显著的结果。然而，未来的研究应该采用更严格的方法来进一步调查这种关系(例如，纵向研究和使用专业/临床评分和诊断的研究)。这些结果表明，对患有游戏障碍的个体进行ADHD筛查和治疗是必要的，患有ADHD的个体应该意识到他们对游戏障碍的易感性更高。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Clinical Psychology Review PSYCHOLOGY, CLINICAL-

CiteScore

23.10

自引率

1.60%

发文量

期刊介绍： Clinical Psychology Review serves as a platform for substantial reviews addressing pertinent topics in clinical psychology. Encompassing a spectrum of issues, from psychopathology to behavior therapy, cognition to cognitive therapies, behavioral medicine to community mental health, assessment, and child development, the journal seeks cutting-edge papers that significantly contribute to advancing the science and/or practice of clinical psychology. While maintaining a primary focus on topics directly related to clinical psychology, the journal occasionally features reviews on psychophysiology, learning therapy, experimental psychopathology, and social psychology, provided they demonstrate a clear connection to research or practice in clinical psychology. Integrative literature reviews and summaries of innovative ongoing clinical research programs find a place within its pages. However, reports on individual research studies and theoretical treatises or clinical guides lacking an empirical base are deemed inappropriate for publication.