New Pediatrics study identifies the risks, consequences of video game addiction

Key points
- Parents may have good reason to be concerned about how much time their kids have been spending playing their new video games since the holidays.
- The two-year longitudinal study of 3,034 third through eighth grade students in Singapore found approximately nine percent of gamers to be pathological players according to standards similar to those established by the American Psychiatric Association for diagnosing gambling addiction.
- Douglas Gentile, an Iowa State associate professor of psychology, and five researchers from Singapore and Hong Kong collaborated on the study, which will be published in the February 2011 issue of Pediatrics - the journal of the American Academy of Pediatrics.
- The study was jointly funded by Singapore's Ministry of Education and media Development Authority in a grant given to professors from the National Institute of Education.
Parents may have good reason to be concerned about how much time their kids have been spending playing their new video games since the holidays. A new study by an international research team - including an Iowa State University psychologist - found further evidence that video game "addiction" exists globally and that greater amounts of gaming, lower social competence and greater impulsivity were risk factors for becoming pathological gamers.
The two-year longitudinal study of 3,034 third through eighth grade students in Singapore found approximately nine percent of gamers to be pathological players according to standards similar to those established by the American Psychiatric Association for diagnosing gambling addiction. And some serious problems - including depression, anxiety, social phobias and lower school performance - seemed to be outcomes of their pathological play.
Douglas Gentile, an Iowa State associate professor of psychology, and five researchers from Singapore and Hong Kong collaborated on the study, which will be published in the February 2011 issue of Pediatrics - the journal of the American Academy of Pediatrics.
It appears on the journal's website today. The study was jointly funded by Singapore's Ministry of Education and media Development Authority in a grant given to professors from the National Institute of Education.
One in 10 gaming youths addicted
The researchers report that the percentage of pathological youth gamers in Singapore is similar to other recent video game addiction studies in other countries, including the United States (8.5 percent), China (10.3 percent), Australia (8.0 percent), Germany (11.9 percent) and Taiwan (7.5 percent).
"We're starting to see a number of studies from different cultures - in Europe, the U.S. and Asia - and they're all showing that somewhere around 7 to 11 percent of gamers seem to be having real problems to the point that they're considered pathological gamers," said Gentile, who published the first national American study on pathological video game addiction in youths in the May 2009 journal Psychological Science. "And we define that as damage to actual functioning - their school, social, family, occupational, psychological functioning, etc. To be considered pathological, gamers must be damaging multiple areas of their lives."
"This study is important because we didn't know until this research whether some types of children are at greater risk, how long the problem lasts, or whether pathological gaming was a separate problem or simply a symptom of some other problem - such as depression," said Angeline Khoo, associate professor of psychological studies at the National Institute of Education in Singapore and principal investigator of the overall project.
The researchers gathered data from students attending 12 Singapore schools, including five boys' schools. The subjects were surveyed annually on their video game play and behavior between 2007 and 2009. Surveys were conducted in classrooms by teachers who had been trained by the research team. The study had a 99 percent response rate.
Written and revised by
Andrey Nailor, M.D.
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