Heterogeneity of gaming disorder: a clinically- based typology for developing personalized interventions

Ko, C.-H., Király, O., Demetrovics, Z., Griffiths, M.D. ORCID: 0000-0001-8880-6524, Kato, T.A., Tateno, M. and Yen, J.-Y., 2023. Heterogeneity of gaming disorder: a clinically- based typology for developing personalized interventions. Journal of Behavioral Addictions, 12 (4), pp. 855-861. ISSN 2062-5871

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Background: The eleventh revision of the International Classification of Diseases (ICD-11) defines the three key diagnostic criteria for gaming disorder (GD). These are loss of control over gaming, gaming as a priority over daily activities, and impaired functioning due to gaming. While this definition has implications for the prevention and treatment of GD, there is significant heterogeneity in the symptoms and etiology of GD among individuals, which results in different treatment needs. Cognitive control, emotional regulation, and reward sensitivity are three critical dimensions in the etiology model for GD. Aspects such as gender, comorbidity, motivation for gaming, stage or severity of GD, and risk factors all contribute to the heterogeneity of etiology among individuals with the disorder.

Method: On the basis of clinical symptoms and comorbidity characteristics among approximately 400 patients with gaming disorder , the present paper proposes a clinical typology of patients with GD based on the authors' clinical experience in treating individuals with GD.

Results: The findings indicated three common types of patients with GD: (i) impulsive male patients with attention deficit hyperactivity disorder (ADHD), (ii) dysphoria patients with dysfunctional coping skills, and (iii) isolated patients with social anxiety. The paper also discusses the presentation and treatment priority for these patients.

Conclusion: Personalized treatments for patients with GD should be developed to fit their individual needs. Future studies should examine the heterogeneity of GD and confirm these types, as well as obtain evidence-based information that can help in the development of personalized treatment. Treatment resources should be developed, and professionals should be trained to provide integrated individualized treatment.

Item Type: Journal article
Publication Title: Journal of Behavioral Addictions
Creators: Ko, C.-H., Király, O., Demetrovics, Z., Griffiths, M.D., Kato, T.A., Tateno, M. and Yen, J.-Y.
Publisher: Akadémiai Kiadó
Date: December 2023
Volume: 12
Number: 4
ISSN: 2062-5871
Rights: This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License (https://creativecommons.org/licenses/by-nc/4.0/), which permits unrestricted use, distribution, and reproduction in any medium for non-commercial purposes, provided the original author and source are credited, a link to the CC License is provided, and changes – if any – are indicated.
Divisions: Schools > School of Social Sciences
Record created by: Jonathan Gallacher
Date Added: 08 Nov 2023 10:46
Last Modified: 08 Jan 2024 13:55
URI: https://irep.ntu.ac.uk/id/eprint/50320

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