Video game addiction (VGA), also known as gaming disorder or internet gaming disorder, is generally defined as the problematic, compulsive use of video games that results in significant impairment to an individual's ability to function in various life domains over a prolonged period of time. This and associated concepts have been the subject of considerable research, debate, and discussion among experts in several disciplines and has generated controversy within the medical, scientific, and gaming communities. Such disorders can be diagnosed when an individual engages in gaming activities at the cost of fulfilling daily responsibilities or pursuing other interests without regard for the negative consequences. As defined by the ICD-11, the main criterion for this disorder is a lack of self control over gaming.
|Video game addiction|
|Other names||Gaming disorder, internet gaming disorder, problematic online gaming|
|Symptoms||Problem gambling, depression, social withdrawal, playing video games for extremely long periods of time|
|Complications||Mood disorders, depression, somatisation, sleep disturbances, obesity, anxiety disorders|
|Risk factors||Preexisting mental disorder (ADHD, OCD, compulsive behavior, conduct disorder, depression, behavioral inhibition), personality traits (neuroticism, impulsivity, aggressiveness)|
|Frequency||1–3% of those who play video games |
The World Health Organization included gaming disorder in the 11th revision of its International Classification of Diseases (ICD). The American Psychiatric Association (APA), while stating there is insufficient evidence for the inclusion of Internet gaming disorder in the Diagnostic and Statistical Manual of Mental Disorders in 2013, considered it worthy of further study.
Controversy around the diagnosis includes whether the disorder is a separate clinical entity or a manifestation of underlying psychiatric disorders. Research has approached the question from a variety of viewpoints, with no universally standardized or agreed definitions, leading to difficulties in developing evidence-based recommendations.
Definition and diagnosisEdit
In its report, the Council on Science and Public Health to the American Medical Association (AMA) used this two-hour-per-day limit to define "gaming overuse", citing the American Academy of Pediatrics guideline of no more than one to two hours per day of "screen time". However, the ESA document cited in the Council report does not contain the two-hour-per-day data.
American Psychiatric AssociationEdit
While the American Psychiatric Association (APA) does not recognise video game addiction as a disorder, in light of existing evidence, the organisation included video game addiction as a "condition requiring further study" in the DSM-5 as Internet gaming disorder. Video game addiction is a broader concept than internet gaming addiction, but most video game addiction is associated with internet gaming. APA suggests, like Khan, the effects (or symptoms) of video game addiction may be similar to those of other proposed psychological addictions. Video game addiction may be an impulse control disorder, similar to compulsive gambling The APA explains why Internet Gaming Disorder has been proposed as a disorder:
This decision was based upon the large number of studies of this condition and the severity of its consequences. ... Because of the distinguishing features and increased risks of clinically significant problems associated with gaming in particular, the Workgroup recommended the inclusion of only internet gaming disorder in Section 3 of the DSM-5.
Some players become more concerned with their interactions in the game than in their broader lives. Players may play many hours per day, neglect personal hygiene, gain or lose significant weight, disrupt sleep patterns resulting in sleep deprivation, play at work, avoid phone calls from friends, or lie about how much time they spend playing video games.
The APA has developed nine criteria for characterising the proposed Internet Gaming Disorder:
- Pre-occupation. Do you spend a lot of time thinking about games even when you are not playing, or planning when you can play next?
- Withdrawal. Do you feel restless, irritable, moody, angry, anxious or sad when attempting to cut down or stop gaming, or when you are unable to play?
- Tolerance. Do you feel the need to play for increasing amounts of time, play more exciting games, or use more powerful equipment to get the same amount of excitement you used to get?
- Reduce/stop. Do you feel that you should play less, but are unable to cut back on the amount of time you spend playing games?
- Give up other activities. Do you lose interest in or reduce participation in other recreational activities due to gaming?
- Continue despite problems. Do you continue to play games even though you are aware of negative consequences, such as not getting enough sleep, being late to school/work, spending too much money, having arguments with others, or neglecting important duties?
- Deceive/cover up. Do you lie to family, friends or others about how much you game, or try to keep your family or friends from knowing how much you game?
- Escape adverse moods. Do you game to escape from or forget about personal problems, or to relieve uncomfortable feelings such as guilt, anxiety, helplessness or depression?
- Risk/lose relationships/opportunities. Do you risk or lose significant relationships, or job, educational or career opportunities because of gaming?
One of the most commonly used instruments for the measurement of addiction, the PVP Questionnaire (Problem Video Game Playing Questionnaire, Tejeiro & Moran, 2002), was presented as a quantitative measure, not as a diagnostic tool. According to Griffiths, "all addictions (whether chemical or behavioral) are essentially about constant rewards and reinforcement". He proposes that addiction has six components: salience, mood modification, tolerance, withdrawal, conflict, and relapse. But the APA's nine criteria for diagnosing Internet Gaming Disorder were made by taking point of departure in eight different diagnostic/measuring tools proposed in other studies. Thus, the APA's criteria attempt to condense the scientific work on diagnosing Internet Gaming Disorder.
World Health OrganizationEdit
The World Health Organization (WHO) had proposed and later included "gaming disorder" in the 11th revision of the International Statistical Classification of Diseases and Related Health Problems (ICD-11), released in June 2018, which was approved by the World Health Assembly in May 2019. The use and enforcement of ICD-11 is expected to start on 1 January 2022.
The first psychometric test to assess IGD was the Internet Gaming Disorder Test (IGD-20). This test includes 20 questions designed to assess the extent of problems caused by disordered gaming and the degree of symptoms experienced by gamers. The test was first published in a journal article published in the PLoS ONE journal on 14 October 2014.
The Internet Gaming Disorder Scale–Short-Form (IGDS9-SF) is a short psychometric test to assess video game addiction according to the American Psychiatric Association framework for IGD. Recent review studies suggest that the IGDS9-SF presents with robust empirical and clinical evidence and is an effective tool to assess IGD. Moreover, the scale was adapted in several languages as Spanish, Chinese, Czech, German, and so many more.
On 3 June 2019, a screening tool for Gaming Disorder, specifically as defined by the World Health Organization, called the "Gaming Disorder Test" was published in a journal article.
The Internet can foster various addictions including addiction to gameplaying.
Younger people and men are more likely to experience a gaming disorder than older people and women respectively. Research shows that the average age of a gamer is 30 years old, and 32% of players are under 18.Adolescents are at a higher risk of sustaining video game disorder over time than adults. An international meta-analysis over 34 jurisdictions quantified the effect size of gender as small, with most effect in Asia, lesser in Europe and Africa, and null in North America, and further finding that economic factors, internet availability, social norms and addiction-related health factors mediate the effect of gender, with nations with a greater GDP per capita having less differences in video game addiction between genders.
Comorbid psychiatric disorders act as both risk factors and consequences. Indeed, there is a strong association between video game addiction and anxiety, depression, ADHD, social phobia, and poor psycho-social support. ADHD and its symptoms, such as impulsivity and conduct problems, also increase risks of developing video game disorder. Although internet gaming disorder has a strong relationship with obsessive-compulsive disorder, it is not specific and internet gaming disorder is both phenomenologically and neurobiologically distinct, which indicates that internet gaming disorder is more characterized by impulsivity than compulsivity. Familial factors appear to play an important role, although not well understood.
Some personality traits, such as high neuroticism, high impulsivity, and high aggressiveness are consistently significant predictors of internet gaming disorder, and combination of personality traits seem to play a pivotal role in the acquisition, maintenance and development of the disorder.
Video game structureEdit
Some theories focus on the presumed built-in reward systems of video games, such as compulsion loops, to explain their potentially addictive nature. The anticipation of such rewards can create a neurological reaction that releases dopamine the body, so that once the reward is obtained, the person will remember it as a pleasurable feeling. This has been found to be similar to the neurological reaction of other behavioral addictions such as substance abuse and gambling disorder, although not to the same magnitude and with some differences.
Mark Griffiths has proposed another reason online video games are potentially addictive is because they "can be played all day every day." The fact there is no end to the game can feel rewarding for some, and hence players are further engaged in the game.
Addiction circuits in the brainEdit
Long-term internet video/mobile game playing affects brain regions responsible for reward, impulse control and sensory-motor coordination. Structural analyses shown modifications in the volume of the ventral striatum, possibly as result of changes in rewards, and video game addicts had faulty inhibitory control and reward mechanisms. Video game playing is associated with dopamine release similar in magnitude to that of drug abuse and gambling, and the presentation of gaming pictures activates brain regions similarly to drug pictures for drug addicts. Treatment studies which used fMRI to monitor the brain connectivity changes found a decrease in the activity of the regions associated with cravings. Although there are evidences that video game addiction may be supported by similar neural mechanisms underlying drug abuse, as video game and internet addictions reduce the sensitivity of the dopaminergic reward system, it is still premature to conclude that this addiction is equivalent to substance addictions, as the research is in its early stages. There is evidence of a dual processing model of digital technology addictions characterized by an imbalance between the reactive and the reflective reward systems. Other studies shown increased difficulties in decision making in specific contexts, such as risky situations but not in ambiguous situations, and an increased preference for short-term rewards. Although the number of neuroimaging studies on internet gaming disorder is rising, there are several methodological shortcomings, particularly in the inconsistency of psychometric assessments. Furthermore, the conclusions on reduced inhibition should be moderated, as only one study included a functional control, which then showed no difference in inhibition.
A meta-analytic review of the research concluded the evidence suggests video game addiction arises out of other mental health problems, rather than causing them. Thus it is unclear whether video game addiction should be considered a unique diagnosis.
As concern over video game addiction grows, the use of psychopharmacology, psychotherapy, twelve-step programs, and use of continuing developing treatment enhancements have been proposed to treat this disorder. Empirical studies indeed indicate that internet gaming disorder is associated with detrimental health-related outcomes. However, the clinical trials of potential treatments remain of low quality, except for cognitive-behavioral therapies, which shows efficacy to reduce gaming disorder and depressive symptoms but not total time spent. Although there is a scientific consensus that cognitive-behavioral therapy is preferable to pharmacological treatment, it remains difficult to make definitive statements about its benefits and efficiency due to methodological inconsistencies and lack of follow-up. Since efficacious treatments have not been well established, prevention of video gaming disorder is crucial. Some evidence suggest that up to 50% of people affected by the internet gaming disorder may recover naturally.
Some countries, such as South Korea, China, the Netherlands, Canada, and the United States, have responded to the perceived threat of video game addiction by opening treatment centres.
China was the first country to treat "internet addiction" clinically in 2008. The Chinese government operates several clinics to treat those who overuse online games, chatting and web surfing. Treatment for the patients, most of whom have been forced to attend by parents or government officials, includes various forms of pain including shock therapy. In August 2009, Deng Sanshan was reportedly beaten to death in a correctional facility for video game and Web addiction. Most of the addiction "boot camps" in China are actually extralegal militaristically managed centers, but have remained popular despite growing controversy over their practices.
In 2019, China set up a curfew, banning minors from playing between certain hours. In 2021, China government published a new policy to force corporations to only serves underage teenagers on Friday, Saturday, and Sunday between 8 pm to 9 pm.
In June 2006, the Smith and Jones clinic in Amsterdam—which has now gone bankrupt—became the first treatment facility in Europe to offer a residential treatment program for compulsive gamers. Keith Bakker, founder and former head of the clinic, has stated that 90% of the young people who seek treatment for compulsive computer gaming are not addicted.
In 2018, the National Health Service announced its plans to open a treatment center, run by the Central and North West London NHS foundation trust, that will initially focus on gaming disorder, but is planned to expand to cover other internet-based addictions. The specialist treatment center opened in 2019 for treating adolescents and young people aged 13–25 who are addicted to video games.
The most frequent physical health-related outcome are alterations in physical functioning such as somatisation and sleep disturbances. Preliminary evidence suggest that internet gaming disorder and the induced sedentarity may contribute to a lack of physical exercise, even though the relationship is not causal.
The prevalence of internet gaming disorder range from 0.7% to 25.5% worldwide, or 1.0% to 26.8% worldwide, and 3.5% to 17% in China, and is higher among males than females and among younger than older people, with geographical region being an insignificant contributor. The prevalence was found to be 5.06% among a high-school student population from Sri Lanka, suggesting an increasing trend in low- and middle-income countries as well. A longer time spent on video games predicts a tendency towards pathological gaming in the future. The studies, however, used various methodologies and definitions, which renders consensus difficult to achieve and may explain the wide range of prevalence.
Debates on the classificationEdit
A meta-analytic review of pathological gaming studies concluded that about 3% of gamers may experience some symptoms of pathological gaming. The report noted problems in the field with defining and measuring pathological gaming and concluded that pathological gaming behaviors were more likely the product of underlying mental health problems rather than the inverse.
Barnett and Coulson expressed concern that much of the debate on the issue of addiction may be a knee jerk response stimulated by poor understanding of games and game players. Such issues may lead both society and scholars to exaggerate the prevalence and nature of problematic gaming, and over-focus on games specifically, while ignoring underlying mental health issues. However, Problem gamblers have a higher chance for getting mental illness as well.
Other scholars have cautioned that comparing the symptoms of problematic gaming with problematic gambling is flawed, and that such comparisons may introduce research artifacts and artificially inflate prevalence estimates. For instance, Richard Wood has observed that behaviors which are problematic in regards to gambling may not be as problematic when put into the context of other behaviors that are rewarding such as gaming. Similarly, Barnett and Coulson have cautioned that discussions of problematic gaming have moved forward prematurely without proper understanding of the symptoms, proper assessment and consequences.
Rather than video gaming disorder being a subtype of gambling disorder, a majority of researchers support the idea of video game addiction being a part of a more comprehensive framework of impulse control disorders with "pathological technology use" with similar characteristics, including the pathological use of video games, internet, computers and other interactive medias. Although internet and video game addictions are generally considered different from gambling disorder and substance abuse, there is a growing body of evidence indicating they share common features, including behavioral and neural features. Indeed, it is suggested that while behavioral addiction may differ with drug addictions in magnitude, they share several characteristics, with Hellman et al. proposing that the concept of addiction should be de-medicalized.
On the contrary, a literature review found that as the video game addiction develops, online gaming addicts spend increasing amounts of time not only playing but also preparing for and organizing their playing sessions, suggesting this addiction may be behavioral rather than a disorder of impulse control. There is recent evidence suggesting that internet gaming disorder can cause two distinct types of dysfunctions: cognitive and metacognitive.
Griffiths has suggested that psycho-social dependence may revolve around the intermittent reinforcements in the game and the need to belong. Hagedorn & Young have suggested that social dependence may arise due to video games occurring online where players interact with others and the relationships "often become more important for gamers than real-life relationships".
Controversy and alternative viewpointsEdit
Common challenges involve the reliability of the methodology and validity of the results in some studies. Many rely on self-surveys from university students and also lack time frames making it difficult to study the impact, if any, of addiction on a long term scale. Other concerns also address the definition of addiction and how to measure it, questioning whether or not time is a proper unit to determine how addicted someone is to gaming. Daria Joanna Kuss and Mark D. Griffiths have argued the current scientific knowledge on internet gaming addiction is copious in scope and complexity. They state that instead, a simple framework should be provided to allow all current and future studies to be categorised, as internet gaming addiction lies on a continuum beginning with etiology and risk factors all the way through the development of "full-blown" addiction and ending with ramifications and potential treatment. In addition, they caution the deployment of the label "addiction" since it heavily denotes the use of substances or engagement in certain behaviors. Finally, the researcher promotes other researchers to assess the validity and reliability of existing measures instead of developing additional measurement instruments.
Other challenges include the lack of context of the participant's life and the negative portrayal of gaming addicts. Some state that gamers sometimes use video games to either escape from an uncomfortable environment or alleviate their already existing mental issues—both possibly important aspects in determining the psychological impact of gaming. Negative portrayal also deals with the lack of consistency in measuring addictive gaming. This leads to discussions that sometimes exaggerate the issue and create a misconception in some that they, themselves, may be addicted when they are not.
The evidence of video game addiction to create withdrawal symptoms is very limited and thus debated, due to different definitions and low quality trials.
The concept of video game disorder is itself being debated, with the overlap of its symptoms with other mental disorders, the unclear consensus on a definition and thresholds, and the lack of evidence raising doubts on whether or not this qualifies as a mental disorder of its own. Despite the lack of a unified definition, there is an emerging consensus among studies that Internet gaming disorder is mainly defined by three features: 1) withdrawal, 2) loss of control, and 3) conflict. Although the DSM-5 definition of video game disorder has a good fit to current methodological definitions used in trials and studies, there are still debates on the clinical pertinence.
Michael Brody, M.D., head of the TV and Media Committee of the American Academy of Child and Adolescent Psychiatry, stated in a 2007 press release that "... there is not enough research on whether or not video games are addictive." However, Brody also cautioned that for some children and adolescents, "... it displaces physical activity and time spent on studies, with friends, and even with family."
A major issue concerns the lack of consistent measures and definitions and of acquisition of follow-up data. Furthermore, the study design quality has not greatly improved between the 2000s and 2017. For instance, most studies measured internet gaming behaviors in terms of frequency of use (total time spent), without considering the type of game (e.g., MMORPG), the social context (e.g., physically or virtually with friends), nor the motivations (e.g., competitive, achievement-oriented "grinding"). Although the amount of time spent was postulated by Johanssonn and Götestam in 2004 to lead to pathological behaviors, it is unclear whether the time spent is a cause or a consequence of pathological use. These criticisms, however, mostly pertain to Western research since there is more data of higher quality available in Asian regions, where the Internet gaming disorder is more prevalent.
A survey conducted in 2019 of 214 scholars shown that 60.8% agreed that pathological video game use could be a mental health problems, whereas 30.4% were skeptical. However, only 49.7% agreed with the DSM-5 definition of Internet gaming disorder, and 56.5% to the definition of the World Health Organization. Most scholars were worried that WHO's and DSM-5's inclusion of Internet gaming disorder was "overpathologizing normal youth" and "precipitated moral panic over video games". This indicates a lack of consensus on the issue as of 2019[update].
Video game addiction has been studied since the 1980s, and has seen a significant increase in the number of empirical studies since then.
Press reports have noted that some Finnish Defence Forces' conscripts were not mature enough to meet the demands of military life and were required to interrupt or postpone military service for a year. One reported source of the lack of needed social skills is overuse of computer games or the internet. Forbes termed this overuse "Web fixations" and stated they were responsible for 13 such interruptions or deferrals over the five years from 2000 to 2005.
In an April 2008 article, The Daily Telegraph reported that surveys of 391 players of Asheron's Call showed that three percent of respondents experienced agitation when they were unable to play, or missed sleep or meals to play. The article reports that University of Bolton lead researcher John Charlton said, "Our research supports the idea that people who are heavily involved in game playing may be nearer to autistic spectrum disorders than people who have no interest in gaming."
On 6 March 2009, the Canadian Broadcasting Corporation's (CBC) national news magazine program the fifth estate aired an hour-long report on video game addiction and the Brandon Crisp story, titled "Top Gun", subtitled "When a video gaming obsession turns to addiction and tragedy."
In August 2010, Wired reported that a man in Hawaii, Craig Smallwood, sued the gaming company NCSoft for negligence and for not specifying that their game, Lineage II, was so addictive. He alleged he would not have begun playing if he was aware he would become addicted. Smallwood says he has played Lineage for 20,000 hours between 2004 and 2009.
In 2013, a man from China observed his son's addiction to video games, and decided to take action. He hired online assassins to kill his son's virtual avatar every time he logged in. He hoped that being relentlessly killed would help his son lose interest in this destructive habit.
Inclusion in the ICD-11Edit
In the draft versions leading to the final ICD-11 document, gaming disorder was included alongside gambling disorder under "Disorders Due to Addictive Behaviors". The addition defines as "a pattern of persistent or recurrent gaming behaviour ('digital gaming' or 'video-gaming')", defined by three criteria: the lack of control over playing video games, priority given to video games over other interests, and the inability to stop playing video games even after being affected by negative consequences. For gaming disorder to be diagnosed, the behavior pattern must be of sufficient severity to result in significant impairment in personal, family, social, educational, occupational or other important areas of functioning and would normally have been evident for at least 12 months. Research shows gaming disorders can be associated with anxiety, depression, loneliness, obesity, sleeping disorders, attention problems, and stress.
Vladimir Poznyak, the coordinator for the WHO Department of Mental Health and Substance Abuse, defended the addition of gaming disorder, believing the backlash against the addition to be a moral panic as they chose a very narrow definition that encompasses only the most extreme cases of gaming disorder. He said evaluating a disorder for inclusion is nominally done without any external feedback "to avoid interference from commercial and other entities which may have vested interest in the outcome of the process". Dr. Poznyak asserted that several medical professionals consulting on the ICD-11 did believe gaming disorder to be real, and by including it in the ICD-11, there can now be earnest efforts to define its causes and symptoms betters and methods to deal with it, and now include the video game industry within the conversation to help reduce the effects of video games on public health.
The addition of "gaming disorder" to the ICD-11 was criticized by gamers and the video game industry, while some researchers remained skeptical. Some of these researchers said the evidence remains weak and "there is a genuine risk of abuse of diagnoses." A group of 26 scholars wrote an open letter to the WHO, suggesting that the proposed diagnostic categories lacked scientific merit and were likely to do more harm than good. In counter-argument, a group of fifty academic researchers in behavioral science agreed that the evidence to support gaming disorder was weak, but it would be best that WHO identify gaming disorder in ICD-11 so that it could be considered a clinical and public health need.
A report, prepared by mental health experts at Oxford University, Johns Hopkins University, Stockholm University and the University of Sydney, sponsored by The Association for UK Interactive Entertainment argues that while there may be potential addiction associated with video gaming, it is premature to consider it a disorder without further study, given the stigmatisation that surrounds video, and ask the WHO to use caution when finalising the ICD draft. This report was promoted by 22 video game industry trade organizations including the Entertainment Software Association of the United States and Interactive Software Federation of Europe
As the final approval of the ICD-11 neared, several video game trade associations issued a statement requesting WHO to reconsider the addition of "gaming disorder", stating that, "The evidence for its inclusion remains highly contested and inconclusive". The Entertainment Software Association had meetings with the WHO during December 2018 to try to convince them to hold off including gaming disorder within ICD-11, with more planned meetings to follow.
Society and cultureEdit
According to ABC News, parents have many concerns about their children playing video games, including concerns about age appropriateness, the amount of time spent playing games, physical health, and aggressive behaviour.
The first video game to attract political controversy was the 1978 arcade game Space Invaders. In 1981, a political bill called the Control of Space Invaders (and other Electronic Games) Bill was drafted by British Labour Party MP George Foulkes in an attempt to ban the game for its "addictive properties" and for causing "deviancy". The bill was debated and only narrowly defeated in parliament by 114 votes to 94 votes.
In August 2005, the government of the People's Republic of China, where more than 20 million people play online games, introduced an online gaming restriction limiting playing time to three hours, after which the player would be expelled from whichever game they were playing. In 2006, it relaxed the rule so only citizens under the age of 18 would face the limitation. Reports indicate underage gamers found ways to circumvent the measure. In July 2007, the rule was relaxed yet again. Internet games operating in China must require users identify themselves by resident identity numbers. After three hours, players under 18 are prompted to stop and "do suitable physical exercise". If they continue, their in-game points are "slashed in half". After five hours, all their points are automatically erased.
In 2008 in the United States (US), one of the five Federal Communications Commission (FCC) Commissioners, Deborah Taylor Tate, stated that online gaming addiction was "one of the top reasons for college drop-outs". However, she did not mention a source for the statement nor identify its position in relation to other top reasons.
In 2011, the South Korean government implemented a law, known as the Shutdown law or the Cinderella Law, which prohibits children under the age of 16 from playing online video games between the hours of 12:00 a.m. to 6:00 a.m. Later on, the law was amended and now children under the age of 16 can play after midnight if they have permission from their parents. In 2021, the South Korean government moved to abolish this law.
A systematic review identified in 2017 three types of currently attempted governmental policies: 1) limiting the availability of video games (shutdown, fatigue system, parental controls), 2) reduce the risks and harm (warning messages), 3) provide addiction help services to gamers. Most of these policies were either not as efficient as intended or not yet evaluated for efficiency, which lead some researchers to prompt for a global public health approach to prevent the onset and progression of this disorder. Some researchers suggest that the video game industry should itself place preventive measures against video game addiction.
In 2005, thirteen-year-old Zhang Xiaoyi committed suicide by jumping from the top of a 24-story tower block in his home province Tianjin. After previously having spent two straight days playing online role-playing games in an Internet cafe, Zhang had told his parents that he had "been poisoned by games and could no longer control himself". His parents sued Aomeisoft, the China-region publisher of the game World of Warcraft. The head of a software association said to gaming website Play.tm that same year: "In the hypothetical world created by such games, [players] become confident and gain satisfaction, which they cannot get in the real world."
In 2007, a 26-year-old man identified only as "Zhang" died of a heart attack due to lack of physical activity following a seven-day gaming binge, while a 30-year-old man died in a Guangzhou Internet cafe after playing online games for three straight days.
In 2005, 28-year old industrial repairman Seungseob Lee (Hangul: 이승섭) visited an Internet cafe in the city of Daegu and played StarCraft almost continuously for fifty hours. He went into cardiac arrest and died at a local hospital. A friend reported: "... he was a game addict. We all knew about it. He couldn't stop himself." About six weeks before his death, his girlfriend, also an avid gamer, broke up with him. In addition, he was fired from his job.
In 2009, Kim Sa-rang, a 3-month-old Korean girl, starved to death after both her parents spent hours each day in an Internet cafe, rearing a virtual child in an online game, Prius Online. The death is covered in the 2014 documentary Love Child.
In November 2001, Shawn Woolley committed suicide; it has been inferred that his death was related to the popular computer game EverQuest. Shawn's mother said the suicide was due to a rejection or betrayal in the game from a character Shawn called "iluvyou".
Ohio teenager Daniel Petric shot his parents, killing his mother, after they took away his copy of Halo 3 in October 2007. In a sentencing hearing after the teen was found guilty of aggravated murder, the judge said, "I firmly believe that Daniel Petric had no idea at the time he hatched this plot that if he killed his parents they would be dead forever", in reference to his disconnection from reality caused by playing violent video games. On 16 June 2009, Petric was sentenced to 23 years to life in prison.
- David Zendle; Rachel Meyer; Harriet Over (June 2019). "Adolescents and loot boxes: links with problem gambling and motivations for purchase". Royal Society Open Science. 6 (6): 190049. Bibcode:2019RSOS....690049Z. doi:10.1098/rsos.190049. PMC 6599795. PMID 31312481.
- WHO Study
- Krishna S (27 December 2017). "The WHO may add video games to its list of recognized addictions". Engadget. Archived from the original on 28 December 2017. Retrieved 27 December 2017.
- Pontes HM, Schivinski B, Sindermann C, Li M, Becker B, Zhou M, Montag C (June 2019). "Measurement and Conceptualization of Gaming Disorder According to the World Health Organization Framework: the Development of the Gaming Disorder Test". International Journal of Mental Health and Addiction. 19 (2): 508–528. doi:10.1007/s11469-019-00088-z. Material was copied from this source, which is available under a Creative Commons Attribution 4.0 International License.
- "'Gaming Disorder' Is Now an Official Medical Condition, According to the WHO". Time. Archived from the original on 5 June 2019. Retrieved 6 June 2019.
- "Conditions for Further Study". Diagnostic and Statistical Manual of Mental Disorders (5th ed.). American Psychiatric Association. Archived from the original on 3 September 2014. Retrieved 31 August 2014.
- "Emotional and Behavioral Effects, Including Addictive Potential, of Video Games" (PDF). Archived (PDF) from the original on 15 April 2010. Retrieved 31 January 2009.
- "2005 Sales, Demographics, and Usage Data" (PDF). Archived from the original (PDF) on 25 March 2008. Retrieved 31 January 2009.
- Petry NM, Rehbein F, Gentile DA, Lemmens JS, Rumpf HJ, Mößle T, et al. (September 2014). et. al. "An international consensus for assessing internet gaming disorder using the new DSM-5 approach". Addiction. 109 (9): 1399–406. doi:10.1111/add.12457. PMID 24456155.
- Khan MK (2006). "Report of the council on science and public health". Archived from the original on 2 March 2008. Retrieved 25 June 2007.
- Brown GL (15 March 2004). "Impulse control disorders: a clinical and psychobiological perspective" (PDF). Archived (PDF) from the original on 17 September 2006. Retrieved 25 June 2007.
- "Study finds computer addiction is linked to impulse control disorder". The Australian News. 24 October 2006. Retrieved 25 June 2007.
- Petry, Nancy M.; O'Brien, Charles P. (2013). "Internet gaming disorder and the DSM-5". Addiction. 108 (7): 1186–1187. doi:10.1111/add.12162. PMID 23668389.
- Tanner L (22 June 2007). "Is video-game addiction a mental disorder?". Associated Press. Retrieved 9 May 2009.
- Grüsser SM, Thalemann R, Griffiths MD (April 2007). "Excessive computer game playing: evidence for addiction and aggression?" (PDF). Cyberpsychology & Behavior. 10 (2): 290–2. doi:10.1089/cpb.2006.9956. PMID 17474848. Archived (PDF) from the original on 20 September 2018. Retrieved 17 November 2018.
- Salguero T, Moran B (2002). "Measuring problem video game playing in adolescents" (PDF). Archived (PDF) from the original on 1 March 2013. Retrieved 31 May 2012.
- Griffiths M (2010). "Online video gaming: what should educational psychologists know?". Educational Psychology in Practice. 26 (1): 35–40. doi:10.1080/02667360903522769. S2CID 144184336.
- "Gaming Disorder, Proposed Category for the ICD". World Health Organization. 2 January 2017. Archived from the original on 3 January 2017.
- Scutti S (18 June 2018). "WHO classifies 'gaming disorder' as mental health condition". CNN. Archived from the original on 18 June 2018. Retrieved 18 June 2018.
- Meyers M. "World Health Organization deems 'gaming disorder' an official illness". CNET. Archived from the original on 27 May 2019. Retrieved 27 May 2019.
- "ICD-11 – Mortality and Morbidity Statistics". icd.who.int. Archived from the original on 31 January 2018. Retrieved 27 May 2019.
- Yin-Poole W (1 June 2019). "Academics create the first psychological test for gaming disorder". Eurogamer. Archived from the original on 1 June 2019. Retrieved 1 June 2019.
- Pontes HM, Király O, Demetrovics Z, Griffiths MD (14 October 2014). "The conceptualisation and measurement of DSM-5 Internet Gaming Disorder: the development of the IGD-20 Test". PLOS ONE. 9 (10): e110137. Bibcode:2014PLoSO...9k0137P. doi:10.1371/journal.pone.0110137. PMC 4196957. PMID 25313515.
- Pontes HM, Griffiths MD (1 April 2015). "Measuring DSM-5 internet gaming disorder: Development and validation of a short psychometric scale" (PDF). Computers in Human Behavior. 45: 137–143. doi:10.1016/j.chb.2014.12.006. ISSN 0747-5632.
- Pontes HM (2018). "Making the Case for Video Game Addiction: Does It Exist or Not?". In Ferguson CJ (ed.). Video Game Influences on Aggression, Cognition, and Attention. Springer International Publishing. pp. 41–57. doi:10.1007/978-3-319-95495-0_4. ISBN 978-3-319-95495-0.
- Pontes HM, Griffiths MD (August 2019). "A new era for gaming disorder research: Time to shift from consensus to consistency" (PDF). Addictive Behaviors. 103: 106059. doi:10.1016/j.addbeh.2019.106059. PMID 31473045. S2CID 201388836.
- Maldonado-Murciano, Laura; M. Pontes, Halley; Griffiths, Mark D.; Barrios, Maite; Gómez-Benito, Juana; Guilera, Georgina (January 2020). "The Spanish Version of the Internet Gaming Disorder Scale-Short Form (IGDS9-SF): Further Examination Using Item Response Theory". International Journal of Environmental Research and Public Health. 17 (19): 7111. doi:10.3390/ijerph17197111. PMC 7578943. PMID 32998358.
- Sánchez-Iglesias, Iván; Bernaldo-de-Quirós, Mónica; Labrador, Francisco J.; Puig, Francisco J. Estupiñá; Labrador, Marta; Fernández-Arias, Ignacio (19 June 2020). "Spanish Validation and Scoring of the Internet Gaming Disorder Scale – Short-Form (IGDS9-SF)". Spanish Journal of Psychology. 23: e22. doi:10.1017/SJP.2020.26. ISSN 1138-7416. PMID 32618539. S2CID 220327993.
- Beranuy, Marta; Machimbarrena, Juan M.; Vega-Osés, M. Asunción; Carbonell, Xavier; Griffiths, Mark D.; Pontes, Halley M.; González-Cabrera, Joaquín (January 2020). "Spanish Validation of the Internet Gaming Disorder Scale–Short Form (IGDS9-SF): Prevalence and Relationship with Online Gambling and Quality of Life". International Journal of Environmental Research and Public Health. 17 (5): 1562. doi:10.3390/ijerph17051562. PMC 7084394. PMID 32121280.
- Yam, Chun-Wai; Pakpour, Amir H.; Griffiths, Mark D.; Yau, Wai-Yan; Lo, Cheuk-Long Matthew; Ng, Jennifer M. T.; Lin, Chung-Ying; Leung, Hildie (1 March 2019). "Psychometric Testing of Three Chinese Online-Related Addictive Behavior Instruments among Hong Kong University Students" (PDF). Psychiatric Quarterly. 90 (1): 117–128. doi:10.1007/s11126-018-9610-7. ISSN 1573-6709. PMID 30328020. S2CID 53528212.
- "IGDS9-SF_CZ.pdf". Google Docs. Retrieved 29 September 2020.
- Montag, Christian; Schivinski, Bruno; Sariyska, Rayna; Kannen, Christopher; Demetrovics, Zsolt; Pontes, Halley M. (October 2019). "Psychopathological Symptoms and Gaming Motives in Disordered Gaming—A Psychometric Comparison between the WHO and APA Diagnostic Frameworks". Journal of Clinical Medicine. 8 (10): 1691. doi:10.3390/jcm8101691. PMC 6832511. PMID 31618950.
- Venkatesh, Viswanath; Sykes, Tracy Ann; Chan, Frank K. Y.; Thong, James Y. L.; Hu, Paul Jen-Hwa (1 January 2019). "Children's Internet Addiction, Family-to-Work Conflict, and Job Outcomes: A Study of Parent–Child Dyads". MIS Quarterly. 43 (3): 903–927. doi:10.25300/misq/2019/12338. ISSN 0276-7783. S2CID 201672455.
- Sublette VA, Mullan B (17 November 2010). "Consequences of Play: A Systematic Review of the Effects of Online Gaming". International Journal of Mental Health and Addiction (Systematic review). 10 (1): 3–23. doi:10.1007/s11469-010-9304-3. hdl:2123/8564. S2CID 612283.
- Mihara S, Higuchi S (July 2017). "Cross-sectional and longitudinal epidemiological studies of Internet gaming disorder: A systematic review of the literature". Psychiatry and Clinical Neurosciences (Systematic review). 71 (7): 425–444. doi:10.1111/pcn.12532. PMID 28436212.
- Vollmer, Christian; Randler, Christoph; Horzum, Mehmet; Ayas, Tuncay (2014). "Computer Game Addiction in Adolescents and Its Relationship to Chronotype and Personality". SAGE Open. 4 (1): 215824401351805. doi:10.1177/2158244013518054. ISSN 2158-2440.
- Su W, Han X, Jin C, Yan Y, Potenza MN (October 2019). "Are males more likely to be addicted to the internet than females? A meta-analysis involving 34 global jurisdictions". Computers in Human Behavior (Meta-analysis). 99: 86–100. doi:10.1016/j.chb.2019.04.021.
- González-Bueso V, Santamaría JJ, Fernández D, Merino L, Montero E, Ribas J (April 2018). "Association between Internet Gaming Disorder or Pathological Video-Game Use and Comorbid Psychopathology: A Comprehensive Review". International Journal of Environmental Research and Public Health (Systematic review). 15 (4): 668. doi:10.3390/ijerph15040668. PMC 5923710. PMID 29614059.
- Sussman CJ, Harper JM, Stahl JL, Weigle P (April 2018). "Internet and Video Game Addictions: Diagnosis, Epidemiology, and Neurobiology". Child and Adolescent Psychiatric Clinics of North America (Review). 27 (2): 307–326. doi:10.1016/j.chc.2017.11.015. PMID 29502753.
- Cheng K (2012). "Video game addiction". Neuropsychiatrie de l'Enfance et de l'Adolescence. 60 (5): 118.
- Long J, Liu T, Liu Y, Hao W, Maurage P, Billieux J (8 August 2018). "Prevalence and Correlates of Problematic Online Gaming: a Systematic Review of the Evidence Published in Chinese". Current Addiction Reports (Systematic review). 5 (3): 359–371. doi:10.1007/s40429-018-0219-6. S2CID 53600729.
- Starcevic V, Aboujaoude E (15 June 2017). "Internet Gaming Disorder, Obsessive-Compulsive Disorder, and Addiction". Current Addiction Reports (Review). 4 (3): 317–322. doi:10.1007/s40429-017-0158-7. S2CID 148786288.
- Schneider LA, King DL, Delfabbro PH (September 2017). "Family factors in adolescent problematic Internet gaming: A systematic review". Journal of Behavioral Addictions (Systematic review). 6 (3): 321–333. doi:10.1556/2006.6.2017.035. PMC 5700711. PMID 28762279.
- Männikkö N, Ruotsalainen H, Miettunen J, Pontes HM, Kääriäinen M (November 2017). "Problematic gaming behaviour and health-related outcomes: A systematic review and meta-analysis" (PDF). Journal of Health Psychology (Systematic review). 25 (1): 67–81. doi:10.1177/1359105317740414. PMID 29192524. S2CID 4196998.
- Gervasi AM, La Marca L, Costanzo A, Pace U, Guglielmucci F, Schimmenti A (22 June 2017). "Personality and Internet Gaming Disorder: a Systematic Review of Recent Literature". Current Addiction Reports (Systematic review). 4 (3): 293–307. doi:10.1007/s40429-017-0159-6. S2CID 148734632.
- Griffiths M, Kuss D, King D (1 October 2012). "Video Game Addiction: Past, Present and Future" (PDF). Current Psychiatry Reviews (Review). 8 (4): 308–318. doi:10.2174/157340012803520414.
- King DL, Haagsma MC, Delfabbro PH, Gradisar M, Griffiths MD (April 2013). "Toward a consensus definition of pathological video-gaming: a systematic review of psychometric assessment tools". Clinical Psychology Review (Systematic review). 33 (3): 331–42. doi:10.1016/j.cpr.2013.01.002. hdl:2440/78779. PMID 23396015.
Results indicated that reviewed instrumentation may be broadly characterized as inconsistent.
- King D, Delfabbro P, Griffiths M (1 June 2010). "The Role of Structural Characteristics in Problem Video Game Playing: A Review". Cyberpsychology: Journal of Psychosocial Research on Cyberspace (Review). 4 (1). ISSN 1802-7962.
- Weinstein A, Lejoyeux M (March 2015). "New developments on the neurobiological and pharmaco-genetic mechanisms underlying internet and videogame addiction". The American Journal on Addictions (Review). 24 (2): 117–25. doi:10.1111/ajad.12110. PMID 25864599.
- Nuyens F, Kuss DJ, Lopez-Fernandez O, Griffiths MD (September 2017). "The experimental analysis of problematic video gaming and cognitive skills: A systematic review" (PDF). Journal de Thérapie Comportementale et Cognitive (Systematic review) (in French). 27 (3): 110–117. doi:10.1016/j.jtcc.2017.05.001.
- Pontes HM, Kuss DJ, Griffiths MD (2017). "Psychometric Assessment of Internet Gaming Disorder in Neuroimaging Studies: A Systematic Review". Internet Addiction: Neuroscientific Approaches and Therapeutical Implications Including Smartphone Addiction (Systematic review). Studies in Neuroscience, Psychology and Behavioral Economics. Springer International Publishing: 181–208. doi:10.1007/978-3-319-46276-9_11. ISBN 978-3-319-46275-2.
- Ferguson CJ, Coulson M, Barnett J (December 2011). "A meta-analysis of pathological gaming prevalence and comorbidity with mental health, academic and social problems". Journal of Psychiatric Research. 45 (12): 1573–8. doi:10.1016/j.jpsychires.2011.09.005. PMID 21925683.
- Freeman CB (January 2008). "Internet Gaming Addiction Treatments". The Journal for Nurse Practitioners. pp. 42–47. Archived from the original on 22 December 2008. Retrieved 7 May 2008.
- King DL, Delfabbro PH, Wu AM, Doh YY, Kuss DJ, Pallesen S, et al. (June 2017). "Treatment of Internet gaming disorder: An international systematic review and CONSORT evaluation" (PDF). Clinical Psychology Review (Systematic review). 54: 123–133. doi:10.1016/j.cpr.2017.04.002. PMID 28458097.
there appears to be a stronger consensus on the benefits of CBT as compared to other approaches, and particularly in contrast to pharmacological treatment.
- Stevens MW, King DL, Dorstyn D, Delfabbro PH (March 2019). "Cognitive-behavioral therapy for Internet gaming disorder: A systematic review and meta-analysis". Clinical Psychology & Psychotherapy (Systematic review). 26 (2): 191–203. doi:10.1002/cpp.2341. PMID 30341981. S2CID 53043473.
- Zajac K, Ginley MK, Chang R (September 2019). "Treatments of internet gaming disorder: a systematic review of the evidence". Expert Review of Neurotherapeutics (Systematic review). 20 (1): 85–93. doi:10.1080/14737175.2020.1671824. PMC 6930980. PMID 31544539.
- Faiola A (27 May 2006). "When Escape Seems Just a Mouse-Click Away -Stress-Driven Addiction to Online Games Spikes in S. Korea". Washington Post Foreign Service. Archived from the original on 4 September 2017. Retrieved 25 June 2007.
- Kramer K (27 October 2018). "Chinese Psychiatrist Yang Yongxin accused of using shock treatment on "patients" with "internet addiction"". Archived from the original on 6 June 2019. Retrieved 6 June 2019.
- Cheung, Humphrey (23 February 2007). "China electrocutes the WoW out of Internet addicts". TGDaily. Archived from the original on 24 January 2010. Retrieved 25 June 2007.
- Sebag-Montefiore P (20 November 2005). "China's young escape into the web". Observer Guardian. Archived from the original on 1 December 2016. Retrieved 25 June 2007.
- Stewart CS (13 January 2010). "Obsessed with the Internet: A Tale from China". Wired. Archived from the original on 9 September 2013. Retrieved 12 March 2017.
- "WHO includes gaming disorder as a new mental health condition". WebMD China. 19 June 2018. Archived from the original on 31 August 2018. Retrieved 30 August 2018.
- "Screams heard at hospital notorious for electroshocking teen net 'addicts'". South China Morning Post. 25 October 2018. Archived from the original on 6 June 2019. Retrieved 6 June 2019.
- "China imposes video game curfew for minors". 6 November 2019. Retrieved 7 November 2019.
- "国家新闻出版署-要闻信息-国家新闻出版署下发 《关于进一步严格管理 切实防止未成年人沉迷网络游戏的通知》". www.nppa.gov.cn. Retrieved 2 April 2022.
- Kuo LC (1 June 2006). "Europe Opens Its First Game Addiction Clinic". GameSpy. Archived from the original on 11 July 2011. Retrieved 25 June 2007.
- Maguire P (25 November 2008). "Technology | Compulsive gamers 'not addicts'". BBC News. Archived from the original on 14 January 2010. Retrieved 9 August 2009.
- Bennett, Nelson. When the game gets serious. Richmond News 8 December 2006. Retrieved 25 June 2007.
- "NHS to launch first internet addiction clinic". The Guardian. 22 June 2018. Archived from the original on 9 October 2018. Retrieved 8 October 2018.
- Campbell D (7 October 2019). "NHS opens clinic to help child addicts of computer games". The Guardian. Archived from the original on 8 October 2019.
- Manchanayake MM, Malsirini TG, Vithanage AM, Jayawardene D (April 2022). "Prevalence and Correlates of Internet Gaming Disorder Among an Advanced Level Student Population from Colombo, Sri Lanka". International Journal of Medical Students. doi:10.5195/ijms.2022.1193. S2CID 248187722.
- Barnett J, Mark Coulson (2010). "Virtually Real: A Psychological Perspective on Massively Multiplayer Online Games". Review of General Psychology. 14 (2): 167–179. doi:10.1037/a0019442. S2CID 144524947.
- Searby, Adam; Maude, Phil (January 2022). "Reviewing the Consequences of Electronic Gaming Machine Misuse in Australian Older Adults: Implications for Addiction Nurses". Journal of Addictions Nursing. 33 (1): 13–19. doi:10.1097/JAN.0000000000000445. ISSN 1548-7148.
- Wood RT (April 2008). "Problems with the Concept of Video Game "Addiction": Some Case Study Examples". International Journal of Mental Health and Addiction. 6 (2): 169–178. doi:10.1007/s11469-007-9118-0. S2CID 3345113.
- Sim T, Gentile DA, Bricolo F, Serpelloni G, Gulamoydeen F (13 January 2012). "A Conceptual Review of Research on the Pathological Use of Computers, Video Games, and the Internet". International Journal of Mental Health and Addiction (Review). 10 (5): 748–769. doi:10.1007/s11469-011-9369-7. hdl:10397/6445. S2CID 6228232.
Although there may be other approaches one could take in defining the morphology of pathological computer, video game, or Internet use, this approach of considering pathological use of computer, video game and Internet as a subtype of impulse control disorder has been most widely endorsed by researchers (e.g., Young 1996, 2004; Chou and Hsiao 2000; Beard and Wolf 2001; Gentile 2009; Johansson and Götestam 2004a; Cao et al. 2007).
- Pluhar E, Kavanaugh JR, Levinson JA, Rich M (2019). "Problematic interactive media use in teens: comorbidities, assessment, and treatment". Psychology Research and Behavior Management. 12: 447–455. doi:10.2147/PRBM.S208968. PMC 6615461. PMID 31308769.
- Hellman M, Schoenmakers TM, Nordstrom BR, van Holst RJ (22 June 2012). "Is there such a thing as online video game addiction? A cross-disciplinary review". Addiction Research & Theory (Review). 21 (2): 102–112. doi:10.3109/16066359.2012.693222. S2CID 145296051.
- Kuss DJ, Griffiths MD (March 2012). "Online gaming addiction in children and adolescents: A review of empirical research". Journal of Behavioral Addictions (Review). 1 (1): 3–22. doi:10.1556/JBA.1.2012.1.1. PMID 26166826.
- Marino C, Spada MM (15 June 2017). "Dysfunctional Cognitions in Online Gaming and Internet Gaming Disorder: a Narrative Review and New Classification". Current Addiction Reports (Narrative review). 4 (3): 308–316. doi:10.1007/s40429-017-0160-0. S2CID 148869277.
- Hagedorn W, Young T (2011). "Identifying and Intervening with Students Exhibiting Signs of Gaming Addiction and other Addictive Behaviors: Implications for Professional School Counselors". Professional School Counseling. 14 (4): 250–260. doi:10.5330/PSC.n.2011-14.250. ISSN 1096-2409.
- Van Rooij AJ, Schoenmakers TM, Vermulst AA, Van den Eijnden RJ, Van de Mheen D (January 2011). "Online video game addiction: identification of addicted adolescent gamers". Addiction. 106 (1): 205–12. doi:10.1111/j.1360-0443.2010.03104.x. PMID 20840209. S2CID 6143126.
- Kuss DJ, Griffiths MD (2012). "Internet gaming addiction: A systematic review of empirical research" (PDF). International Journal of Mental Health and Addiction. 10 (2): 278–296. doi:10.1007/s11469-011-9318-5. S2CID 26832356.
- Miller P (2013). Principles of Addiction: Comprehensive Addictive Behaviors and Disorders, Volume 1. Academic Press. pp. 819–825. ISBN 9780123983367.
- Wood R (2008). "Problems with the Concept of Video Game "Addiction": Some Case Study Examples". International Journal of Mental Health and Addiction. 6 (2): 169–178. doi:10.1007/s11469-007-9118-0. S2CID 3345113.
- Miller P (2013). Principles of Addiction: Comprehensive Addictive Behaviors and Disorders, Volume 1. Academic Press. pp. 819–825.
- Kaptsis D, King DL, Delfabbro PH, Gradisar M (February 2016). "Withdrawal symptoms in internet gaming disorder: A systematic review". Clinical Psychology Review (Systematic review). 43: 58–66. doi:10.1016/j.cpr.2015.11.006. PMID 26704173.
- Bean AM, Nielsen RK, van Rooij AJ, Ferguson CJ (October 2017). "Video game addiction: The push to pathologize video games". Professional Psychology: Research and Practice. 48 (5): 378–389. doi:10.1037/pro0000150. S2CID 148978635.
- Lopez-Fernandez O, Kuss D, Pontes H, Griffiths M (March 2016). "Video game addiction: Providing evidence for Internet gaming disorder through a systematic review of clinical studies". European Psychiatry (Systematic review). 33: S306. doi:10.1016/j.eurpsy.2016.01.1047. S2CID 148078021.
- King DL, Delfabbro PH (October 2014). "Internet gaming disorder treatment: a review of definitions of diagnosis and treatment outcome". Journal of Clinical Psychology (Systematic review). 70 (10): 942–55. doi:10.1002/jclp.22097. PMID 24752874.
- "Child and Adolescent Psychiatrists React to AMA Recommendation on Video Games". The American Academy of Child and Adolescent Psychiatry (AACAP). 28 June 2007. Archived from the original on 22 December 2008. Retrieved 31 January 2009.
- Byun S, Ruffini C, Mills JE, Douglas AC, Niang M, Stepchenkova S, et al. (April 2009). "Internet addiction: metasynthesis of 1996–2006 quantitative research". Cyberpsychology & Behavior. 12 (2): 203–7. doi:10.1089/cpb.2008.0102. PMID 19072075. S2CID 16743234.
- Ferguson CJ, Colwell J (23 May 2019). "Lack of consensus among scholars on the issue of video game "addiction"" (PDF). Psychology of Popular Media Culture (Scientific consensus survey). 9 (3): 359–366. doi:10.1037/ppm0000243. S2CID 182924152.
- Kelly K, Rheingold H, eds. (1993). "The Dragon Ate My Homework". Wired. Vol. 1, no. 3. Archived from the original on 25 October 2012. Retrieved 12 March 2017.
- "WHO study shows Finnish teenage cartographers as heavy computer users". Helsingin Sanomat. Archived from the original on 18 February 2009. Retrieved 17 July 2007.
- Lea Goldman (5 September 2005). "This Is Your Brain on Clicks". Forbes. Archived from the original on 7 December 2007. Retrieved 17 July 2007.
- Fleming N (3 April 2008). "Video game addiction 'like being on drugs'". The Daily Telegraph. London. Archived from the original on 22 August 2014. Retrieved 9 May 2009.
- "CBC/the fifth estate 'Top Gun'". CBC. 6 March 2009. Retrieved 9 August 2009.
- Kravits D (19 August 2010). "Addicted Gamer Sues Game-Maker". Wired. Hawaii. Archived from the original on 21 March 2014. Retrieved 21 March 2011.
- Kleinman Z (7 January 2013). "Chinese dad hires virtual hitmen". BBC News. Archived from the original on 30 June 2018. Retrieved 21 July 2018.
- Lardieri A (26 December 2017). "Excessive Video Gaming to be Named Mental Disorder by WHO – The World Health Organization will add "gaming disorder" to its International Classification of Diseases in 2018". U.S. News & World Report. Archived from the original on 27 December 2017. Retrieved 26 December 2011.
- "Gaming disorder". World Health Organization. Archived from the original on 6 February 2019. Retrieved 25 June 2018.
- Montag C, Schivinski B, Sariyska R, Kannen C, Demetrovics Z, Pontes HM (October 2019). "Psychopathological Symptoms and Gaming Motives in Disordered Gaming-A Psychometric Comparison between the WHO and APA Diagnostic Frameworks". Journal of Clinical Medicine. 8 (10): 1691. doi:10.3390/jcm8101691. PMC 6832511. PMID 31618950.
- "What is gaming disorder and what does it mean for gamers?". Medical News Today. Archived from the original on 24 April 2019. Retrieved 17 July 2018.
- Taylor H (26 June 2018). "WHO expert defends gaming disorder listing: "This moral panic lives its own life"". GamesIndustry.biz. Archived from the original on 26 June 2018. Retrieved 26 June 2018.
- Raskin JD. "Debate Over Gaming Disorder Is Not All Fun and Games". Psychology Today. Retrieved 21 June 2019.
- van Rooij AJ, Ferguson CJ, Colder Carras M, Kardefelt-Winther D, Shi J, Aarseth E, et al. (March 2018). "A weak scientific basis for gaming disorder: Let us err on the side of caution". Journal of Behavioral Addictions. 7 (1): 1–9. doi:10.1556/2006.7.2018.19. PMC 6035022. PMID 29529886.
- Aarseth E, Bean AM, Boonen H, Colder Carras M, Coulson M, Das D, et al. (September 2017). "Scholars' open debate paper on the World Health Organization ICD-11 Gaming Disorder proposal". Journal of Behavioral Addictions. 6 (3): 267–270. doi:10.1556/2006.5.2016.088. PMC 5700734. PMID 28033714.
- Rumpf HJ, Achab S, Billieux J, Bowden-Jones H, Carragher N, Demetrovics Z, et al. (September 2018). "Including gaming disorder in the ICD-11: The need to do so from a clinical and public health perspective". Journal of Behavioral Addictions. 7 (3): 556–561. doi:10.1556/2006.7.2018.59. PMC 6426367. PMID 30010410.
- Dring C (1 March 2018). "New report questions World Health Organization's proposed 'gaming disorder' classification". GamesIndustry.biz. Archived from the original on 6 March 2018. Retrieved 5 March 2018.
- Kerr C (19 June 2018). "Games industry trade bodies concerned by 'gaming disorder' classification". Gamasutra. Archived from the original on 19 June 2018. Retrieved 19 June 2018.
- "Games industry asks WHO to hold fire on 'gaming disorder'". Reuters. 10 January 2019. Archived from the original on 11 January 2019. Retrieved 11 January 2019.
- "Kids and Video Games: Are You a Concerned Parent?". ABC News. 3 January 2012. Archived from the original on 29 November 2014. Retrieved 29 November 2015.
- "Hansard". Archived from the original on 31 January 2015. Retrieved 20 January 2015.
- "30 Great Gaming World Records". Computer and Video Games. 14 February 2009. Archived from the original on 19 February 2012. Retrieved 26 January 2012.
- Haddon L (1988). "Electronic and Computer Games: The History of an Interactive Medium". Screen. 29 (2): 52–73 . doi:10.1093/screen/29.2.52.
In the UK, the Labour MP George Foulkes led a campaign in 1981 to curb the 'menace' of video games, maintaining that they had addictive properties. His 'Control of Space Invaders (and other Electronic Games) Bill' was put to the Commons and only narrowly defeated.
- "China imposes online gaming curbs". BBC. 25 August 2005. Archived from the original on 17 August 2010. Retrieved 14 July 2010.
- Dickie M (23 August 2005). "China moves to zap online game addiction". Financial Times. Archived from the original on 19 September 2007. Retrieved 27 June 2007.
- "Online gaming restrictions eased". 15 January 2006. Archived from the original on 12 May 2014. Retrieved 4 February 2009.
- Faizan S (9 September 2019). "Top 10 Cases of Extreme Game Addiction". Pacific Epoch. Retrieved 27 October 2019.
- Zhou Z (10 April 2007). "Industry Unfazed, Gamers Unconvinced About Fatigue System". Pacific Epoch. Retrieved 27 June 2007.[permanent dead link]
- "China Limits Teenage Internet Gaming". 3-RX Health Encyclopedia. 17 July 2007. Archived from the original on 22 December 2008. Retrieved 2 February 2009.
- "Statement of Commissioner Deborah Taylor Tate at Practicing Law Institute on Telecom Policy and Regulation December 5, 2008" (PDF). 5 December 2008. Archived (PDF) from the original on 17 October 2011. Retrieved 19 December 2008.
You might find it alarming that one of the top reasons for college drop-outs in the U.S. is online gaming addiction...
- "FCC Commish Blames Online Gaming Addiction as a Top Cause for College Dropouts". 11 December 2008. Archived from the original on 6 March 2009. Retrieved 4 February 2009.
- Whitbourne J (March 2002). "The dropout dilemma: One in four college freshmen drop out. What is going on here? What does it take to stay in?". Careers and Colleges. Archived from the original on 6 March 2009. Retrieved 4 February 2009.
- Sostek A (6 September 2008). "No simple explanation for college dropout rate". Pittsburgh Post-Gazette. Archived from the original on 10 February 2009. Retrieved 4 February 2009.
- Ahn JJ (2012). "Broadband policy in South Korea: the effect of government regulation on internet proliferation" (PDF). PTC 12 (Pacific Telecommunications Council) Proceedings: 20–23. Archived from the original (PDF) on 2 December 2016. Retrieved 1 December 2016.
- 김보람 (25 August 2021). "(News Focus) Changed gaming environment pushes S. Korean gov't to terminate 'shutdown law'". Yonhap News Agency. Retrieved 15 July 2022.
- Király O, Griffiths MD, King DL, Lee HK, Lee SY, Bányai F, et al. (September 2018). "Policy responses to problematic video game use: A systematic review of current measures and future possibilities". Journal of Behavioral Addictions (Systematic review). 7 (3): 503–517. doi:10.1556/2006.6.2017.050. PMC 6426392. PMID 28859487.
- Chung T, Sum S, Chan M (September 2018). "Time to call for a global public health approach in prevention of the onset and progression of problematic gaming". Journal of Behavioral Addictions (Scientific comment). 7 (3): 548–552. doi:10.1556/2006.7.2018.86. PMC 6426386. PMID 30238789.
- Van Rooij AJ, Meerkerk G, Schoenmakers TM, Griffiths M, van de Mheen D (26 August 2010). "Video game addiction and social responsibility". Addiction Research & Theory (Editorial). 18 (5): 489–493. doi:10.3109/16066350903168579. S2CID 145226440.
- "Technology | S Korean dies after games session". BBC News. 10 August 2005. Archived from the original on 21 July 2010. Retrieved 9 August 2009.
- "Death by computer games". App1.chinadaily.com.cn. 1 May 2003. Archived from the original on 11 February 2009. Retrieved 9 August 2009.
- Guttridge, Luke (3 June 2005). "Chinese suicide shows addiction dangers". Play.tm. Archived from the original on 30 April 2009.
- "Chinese 'Warcraft' Game Distributor Sued Over Teen's Suicide". Fox News. Associated Press. 12 May 2006.
- Spencer R (28 February 2007). "Man dies after 7-day computer game session". Daily Telegraph. Archived from the original on 16 February 2015. Retrieved 25 January 2015.(subscription required)
- Staff (17 September 2007). "Man in China dies after three-day Internet session". Reuters. Beijing. Archived from the original on 22 July 2011. Retrieved 25 January 2007.
- "Chinese Man Drops Dead After 3-Day Gaming Binge". Fox News. Associated Press. 18 September 2007. Archived from the original on 19 November 2007. Retrieved 14 July 2010.
- "Korean drops dead after 50-hour gaming marathon". London Times. 10 August 2005. Archived from the original on 5 August 2011.
- "Korea Reacts to Increase in Game Addiction". GameSpot. 12 September 2005. Archived from the original on 20 March 2009.
- "Korean dies after games session". BBC News. 10 August 2005. Archived from the original on 21 July 2010.
- Salmon A (28 May 2009). "Jail for couple whose baby died while they raised online child". Seoul: CNN. Archived from the original on 5 June 2010. Retrieved 9 June 2010.
- Lejaq Y (28 July 2014). "The Story Of A Couple Who Played Video Games While Their Child Died". Kotaku. Archived from the original on 28 October 2015. Retrieved 6 September 2015.
- "Addicted: Suicide Over Everquest?". CBS News. 11 February 2009. Archived from the original on 12 January 2012. Retrieved 4 December 2011.
- "Ohio teenager Daniel Petric killed mother over Halo 3 video game". news.com.au. 13 January 2009. Archived from the original on 9 July 2010. Retrieved 19 January 2009.
- "Lawyers to make closing remarks in Daniel Petric murder trial". 17 December 2008. Archived from the original on 4 February 2009. Retrieved 19 January 2009.
- Sheeran TJ (16 June 2009). "Ohio teen who killed over video game gets 23 years". Associated Press. Archived from the original on 28 September 2011. Retrieved 17 June 2009.
- Domahidi E, Quandt T (2015). ""And all of a sudden my life was gone...": A biographical analysis of highly engaged adult gamers". New Media & Society. 17 (7): 1154–1169. doi:10.1177/1461444814521791. S2CID 13318433.
- Festl R, Scharkow M, Quandt T (March 2013). "Problematic computer game use among adolescents, younger and older adults". Addiction. 108 (3): 592–9. doi:10.1111/add.12016. PMID 23078146.
- Gentile D (May 2009). "Pathological video-game use among youth ages 8 to 18: a national study". Psychological Science. 20 (5): 594–602. doi:10.1111/j.1467-9280.2009.02340.x. PMID 19476590. S2CID 10790763.
- Scharkow M, Festl R, Quandt T (November 2014). "Longitudinal patterns of problematic computer game use among adolescents and adults--a 2-year panel study". Addiction. 109 (11): 1910–7. doi:10.1111/add.12662. PMID 24938480.
- Rense S (18 June 2018). "'Gaming Disorder' Is Officially a Mental Health Disorder, WHO Announces". Esquire.
- Greenfield DN (April 2018). "Treatment Considerations in Internet and Video Game Addiction: A Qualitative Discussion". Child and Adolescent Psychiatric Clinics of North America. 27 (2): 327–344. doi:10.1016/j.chc.2017.11.007. PMID 29502754.
- Pallesen S, Hanss D, Mentzoni RA, Molde H, Morken AM (2014). Omfang av penge- og dataspillproblemer i Norge 2013 [Scope of Problems Related With Gambling and Computer Games in Norway 2013] (PDF) (in Norwegian). University of Bergen. Archived from the original (PDF) on 6 August 2014.