Gaming Addiction: Definition, Symptoms, Treatment and Prevention

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If gaming takes over your life, you may have Internet Gaming Disorder.

Video Game Addiction (VGA), also known as gaming disorder or Internet gaming disorder , is a relatively new classification proposed by the World Health Organization (WHO). It is usually defined as a problematic psychological addiction and has been Incorporated into the 11th revision of the International Classification of Diseases (ICD-11).

It refers to a pattern of gaming behavior characterized by impaired control over gaming, prioritizing gaming over other activities, and continuing or escalating gaming regardless of negative consequences.

Excessive gaming can have a negative impact on your life, but understanding the symptoms can help ensure your gaming hobby remains healthy and enjoyable.

definition

Game addiction, also known as Internet Gaming Disorder (IGD), is recognized as a mental disorder in the Diagnostic and Statistical Manual of Mental Disorders (DSM-5-TR) of the American Psychiatric Association. .

IGD, along with other addictive disorders such as caffeine use disorders, is part of the list of conditions recommended for further research.

DSM-5-TR states that IGD must cause severe impairment or distress to the individual in all aspects of the individual's life.

It is worth noting that the IGD focuses specifically on gaming and does not cover general internet use, online gambling or social media and smartphone use.

Symptoms of IGD include addiction to gaming, withdrawal symptoms, tolerance, failed attempts to quit smoking, loss of interest in other activities, and continued gaming despite negative consequences.

To be diagnosed with IGD, a person must exhibit five or more of these symptoms within a year. This can happen when playing the game alone or with other people online.

How is video game addiction diagnosed?

According to the World Health Organization, a diagnosis of gaming addiction requires the following criteria to be met for at least 12 months:

Impaired control over play (e.g. frequency, intensity, duration).
There is an increasing emphasis on gaming over other activities, to the point where gaming takes precedence over other interests and daily activities.
Continuing or escalating play despite negative consequences.

Video game addiction is typically diagnosed based on criteria outlined by mental health organizations such as the World Health Organization (WHO) and the American Psychiatric Association (APA). The diagnostic method is as follows:

1. Diagnostic criteria:
The diagnosis of gaming disorder is based on specific criteria developed by organizations such as the WHO and APA. For example, according to the World Health Organization's International Classification of Diseases (ICD-11), diagnostic criteria include impaired control over gaming, prioritizing gaming over other activities, and continuing or escalating gaming despite negative consequences. The APA's Diagnostic and Statistical Manual of Mental Disorders (DSM-5) contains similar criteria.

2. Clinical evaluation:
A mental health professional, such as a psychologist or psychiatrist, conducts a clinical assessment to assess whether an individual's gaming behavior meets diagnostic criteria for gaming disorder. This assessment typically involves interviews, self-report questionnaires, and observations of individual gaming habits and related behaviors.

3. Comprehensive evaluation:
The assessment process also involves a comprehensive assessment of a variety of factors, including the individual's gaming patterns, the impact of gaming on daily life and functioning, co-occurring mental health conditions, social and environmental factors, and any underlying issues that contribute to gaming behavior.

4. Differential diagnosis:
Mental health professionals will consider other possible explanations for an individual's gaming behavior, such as other mental health disorders (e.g., depression, anxiety), substance abuse disorders, or medical conditions that may mimic the symptoms of gaming disorder. Other potential causes must be ruled out before a diagnosis can be made.

5. Cooperation and negotiation:
In some cases, mental health professionals may work with other health care providers, such as primary care physicians or addiction specialists, to obtain additional information and ensure a comprehensive approach to assessment and treatment.

6. Recording and Diagnosis:
Based on the assessment results and diagnostic criteria, a mental health professional will document a diagnosis of gaming disorder, if necessary. This diagnostic guide develops an appropriate treatment plan based on the individual's needs and circumstances.

7. Treatment and follow-up:
After diagnosis, people with gaming disorder may receive treatment, which may include psychotherapy (such as cognitive behavioral therapy), behavioral interventions, family therapy, support groups, and in some cases medication for the underlying mental health condition. Regular follow-up and monitoring are essential to track progress and adjust treatment plans as needed.

Overall, diagnosing video gaming addiction requires a thorough assessment process by a trained mental health professional, considering a variety of factors to determine whether an individual meets criteria for gaming disorder and requires intervention and support.

Signs and symptoms

People with gaming disorder may exhibit a variety of signs and symptoms, including:

Focus on the game.
Withdrawal symptoms such as sadness, anxiety, or irritability can occur when gaming is canceled or unable to be played.
Tolerant, more games are needed to achieve the desired effect.
Despite trying this, I couldn't reduce or stop the game.
Neglect of personal, social, educational, or professional obligations due to gaming.
Use games to escape or relieve negative emotional states.
Use video games to escape stress from work or school or avoid family conflicts.
Decline in personal hygiene or grooming due to excessive video game play.
Lying to family or others about how much time you spend playing video games.
Despite the negative consequences of the game, I was unable to reduce my gaming time and tried unsuccessfully to quit the game.
Giving up other previously enjoyed activities and/or social relationships due to gaming.
It takes more and more time playing video games to get the same level of enjoyment.
Poor performance at school, work, or family responsibilities due to excessive video game play.

Impact and consequences

Gaming disorder can have serious negative impacts on all aspects of a person's life, including:

Social relationships are impaired, leading to isolation and loneliness.
Academic or career difficulties resulting from neglect of responsibilities.
Physical health problems such as poor sleep hygiene, musculoskeletal problems and eye strain.
Mental health problems such as depression, anxiety and low self-esteem.
Financial issues can arise if a game results in excessive spending on in-game purchases or subscription fees.

How to treat video game addiction?

Treatment for gaming disorder typically involves a combination of psychotherapy, behavioral interventions, and, in some cases, medications that target the underlying mental health condition. Cognitive behavioral therapy (CBT), family therapy, and support groups may help address gaming-related issues and develop healthier coping mechanisms. It is crucial for people with gaming disorder to seek professional help and support from a mental health professional who is experienced in treating addiction and related disorders. Here are some common treatment strategies:

psychotherapy

Psychological treatments, such as cognitive behavioral therapy (CBT), are often used to help individuals understand and change gaming-related thoughts, emotions, and behaviors. Therapists work with clients to identify gaming triggers, develop coping skills, improve problem-solving skills, and address underlying issues that contribute to addiction.

behavioral intervention

Behavioral interventions focus on changing gaming-related behaviors and establishing healthier habits. This may include limiting play time, establishing a structured daily routine, and gradually reducing play activities while increasing participation in other activities such as hobbies, sports, social interactions, academics, or work.

family therapy

Involving family members in the treatment process can be beneficial, especially adolescents and young adults. Family therapy can help improve communication, resolve family dynamics, set play boundaries, and provide support for addicts and their loved ones.

support group

Attending a support group or peer-led program, such as Gamblers Anonymous or an online gaming addiction support community, can provide individuals with a sense of community, understanding, and encouragement from others facing similar challenges. These groups provide opportunities to share experiences, receive advice, and learn from each other's successes and setbacks.

Education and skills development

Education about the risks and consequences of excessive gaming, as well as the development of skills such as time management, stress management, emotion regulation, and interpersonal communication, can help individuals develop healthier behaviors and coping strategies.

medical treatement

In some cases, medications may be prescribed to treat underlying mental health conditions, such as depression, anxiety, or attention-deficit/hyperactivity disorder (ADHD), which may co-occur with gaming addiction. Medications may help relieve symptoms and improve overall functioning, but they are often used as part of a comprehensive treatment plan along with psychotherapy and other interventions.

lifestyle changes

Encouraging individuals to make positive lifestyle changes, such as improving sleep hygiene, adopting a balanced diet, engaging in regular physical activity, and reducing screen time, can contribute to overall health and support recovery from sleep. addiction.

prevention

Developing strategies to prevent relapse and maintain long-term recovery is an important aspect of treatment. This may involve identifying high-risk situations, developing coping skills to deal with cravings and triggers, building a support network, and setting realistic goals for behavior change.