Game addiction and severity of ADHD symptoms among adolescent ADHD patients

Authors

  • Nuttawut Suksamai Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand
  • Napakkawat Buathong Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand
  • Sasithorn Preechawuttidach Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand

Keywords:

Game addiction, attention-deficit hyper activity disorder, ADHD, adolescent

Abstract

Background: Children and adolescents who use the Internet and play games are at risk for the Internet and game addiction because they are still developing and learning new things. Problematic game players are more likely to have attention-deficit hyper activity disorder (ADHD) compared with the general population. The data about game addiction in Adolescents with ADHD in Thailand are still limited.

Objectives: To examine the prevalence of game addiction and its association with the severity of ADHD symptoms and other factors in adolescent ADHD patients attending the Child and Adolescents Outpatient Psychiatric Clinic, King Chulalongkorn Memorial Hospital.

Methods: This cross-sectional descriptive study collected data from 96 adolescent patients who were treated for ADHD at the Child and Adolescents Outpatient Psychiatric Clinic from January to June 2019 using: 1) demographic data questionnaire; 2) Swanson Nolan and Pelham IV Scale (SNAP-IV) Short Form; 3) Game Addiction Screening Test (GAST) Child and Adolescent Version; and, 4) Children’s Depression Inventory (CDI) Thai version.

Results: Most of subjects were male (83.3%) aged 14.4 gif.latex?\pm 1.7 years. The prevalence of game addiction was 28.1. Game addiction was significantly associated with depression. Personal factors associated with game addiction were playing games on mobile phone or tablet, playing games on computer, favoring first-person shooter (FPS) and multiplayer online battle arena (MOBA) genre of games and the duration of playing games (hours/day). The severity of ADHD symptoms showed no significant association with game addiction.

Conclusion: The prevalence of game addiction in adolescent patients with ADHD was higher than previous studies. Depression and personal factors such as duration of playing games and using mobile phone or tablet for playing were associated with game addiction.

Downloads

Download data is not yet available.

References

Pronnoppadol C, Vasupanrajit A. Internet addiction. In: Sitthirak N, Wannasak K, Wannarit K, Kritttayakami P, Aphanantawet S, Ketman P, editors. Psychiatry Siriraj, DSM-S. Bangkok: Prayoon Sarasan Printing; 2015.p.563

Gentile D. Pathological video-game use among youth ages 8 to 18: a national study. Psychol Sci 2009;20:594-602. https://doi.org/10.1111/j.1467-9280.2009.02340.x

Gentile DA, Choo H, Liau A, Sim T, Li D, Fung D, et al. Pathological video game use among youths: a two-year longitudinal study. Pediatrics 2011;127:e319-29. https://doi.org/10.1542/peds.2010-1353

Dangkrueng S, Ueumol TW, Yodming P, Sirithongthaworn S. Relationships between internet addiction and loneliness, and internet addiction and teenage social skills: A case study of Mathayom Suksa Students in the Northern Region. Int J Child Dev Ment Health 2012;1:26-30.

Petchsuwan D, Hongsanguansri S. Game Playing and Addiction among Child and Adolescent Psychiatric Outpatients at Ramathibodi Hospital. J Psychiatr Assoc Thai 2008;53:257-70.

Batthyany D, Müller KW, Benker F, Woelfling K. Computer game playing: clinical characteristics of dependence and abuse among adolescents. Wien Klin Wochenschr 2009;121:502-9.

https://doi.org/10.1007/s00508-009-1198-3

Lemola S, Brand S, Vogler N, Perkinson-Gloor N, Allemand M, Grob A. Habitual computer game playing at night is related to depressive symptoms. Pers Individ Dif 2011;51:117-22.

https://doi.org/10.1016/j.paid.2011.03.024

Wang BQ, Yao NQ, Zhou X, Liu J, Lv ZT. The association between attention deficit/hyperactivity disorder and internet addiction: a systematic review and meta-analysis. BMC Psychiatry 2017;17:260.

https://doi.org/10.1186/s12888-017-1408-x

Mathews CL, Morrell HER, Molle JE. Video game addiction, ADHD symptomatology, and video game reinforcement. Am J Drug Alcohol Abuse 2019;45:67-76. https://doi.org/10.1080/00952990.2018.1472269

Pronnoppadol C, Hongsanguansri S, Tuntasood B, Kiatrungrit K, Sinrachatanant A, Pavasuthipaisit C. Appendix 2. In: Clinical practice guidelines for treatment of internet and game addiction. Bangkok: Mediazone Printing; 2016. p. 41-3.

Pityaratstian N, Booranasuksakul T, Juengsiragulwit D, Benyakorn S. ADHD Screening Properties of the Thai Version of Swanson, Nolan, and Pelham IV Scale (SNAP-IV) and Strengths and Difficulties Questionnaire (SDQ). J Psychiatr Assoc Thai 2014; 59:97-110.

Department of Mental Health, Ministry of Public Health. Children's Depression Inventory (CDI) Thai version [Internet]. 2016 [cited 2018 Jun 7]. Available from: https://www.dmh.go.th/test/cesd/depress/.

Saengow P. Game addiction of secondary school students in Khon Kaen municipality [Internet]. 2015 [cited 2018 Jun 2]. Available from: https://home.kku.ac.th/sompong/ 2548_cm5/game3abs.pdf.

Kolkijkovin V, Wisitpongaree C, Techakasem P, Pornnoppadol P, Supawattanabodee B. View of computer game addiction: Risk and protective factors in students in Dusit District, Bangkok. Vajira Med J [Internet]. 2015 [cited 2018 Jun 2];59:1-13. Available from: https://he02.tci-thaijo.org/index.php/VMED/ article/view/54140/44961.

Starcevic V, Khazaal Y. Relationships between behavioural addictions and psychiatric disorders: What is known and what is yet to be learned? Front Psychiatry [Internet]. 2017 [cited 2018 Jun 2];8:53. Available from: https://www.frontiersin.org/articles/10.3389/fpsyt.2017.00053/full.

https://doi.org/10.3389/fpsyt.2017.00053

Ko CH, Yen JY, Chen CS, Chen CC, Yen CF. Psychiatric comorbidity of internet addiction in college students: an interview study. CNS spectrums 2008;13:147-53.

https://doi.org/10.1017/S1092852900016308

Review of game addictions situation [Internet]. 2014 [cited 2018 Jun 2]. Available from: http://www1. si.mahidol.ac.th/Healtygamer/sites/default/files/scribd/review_of_game_ addictions_si%20tuation_ 05-2557.pdf.

Landhuis CE, Poulton R, Welch D, Hancox RJ. Does childhood television viewing lead to attention problems in adolescence? Results from a prospective longitudinal study. Pediatrics 2007;120:532-7

https://doi.org/10.1542/peds.2007-0978

Schou Andreassen C, Billieux J, Griffiths MD, Kuss DJ, Demetrovics Z, Mazzoni E, et al. The relationship between addictive use of social media and video games and symptoms of psychiatric disorders: A large-scale cross-sectional study. Psychol Addict Behav 2016;30: 252-62.

https://doi.org/10.1037/adb0000160

Griffiths M. A 'components' model of addiction within a biopsychosocial framework. J Subst Use 2005;10:191-7. https://doi.org/10.1080/14659890500114359

Downloads

Published

2023-07-17

How to Cite

1.
Suksamai N, Buathong N, Preechawuttidach S. Game addiction and severity of ADHD symptoms among adolescent ADHD patients. Chula Med J [Internet]. 2023 Jul. 17 [cited 2024 Dec. 22];66(1). Available from: https://he05.tci-thaijo.org/index.php/CMJ/article/view/57