Structural Equation Modeling (SEM): Gaming Disorder Leading Untreated Attention-Deficit/Hyperactivity Disorder to Disruptive Mood Dysregulation

(1) Background: Internet gaming disorder (IGD) in youths likely leads to disruptive mood dysregulation, especially among those with attention-deficit/hyperactivity disorder (ADHD). Whether IGD mediates the pathways leading ADHD to disruptive emotional dysfunction remains unclear. This study aims to...

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Bibliographic Details
Published in:International journal of environmental research and public health 2022-05, Vol.19 (11), p.6648
Main Authors: Tzang, Ruu-Fen, Chang, Chuan-Hsin, Chang, Yue-Cune
Format: Article
Language:English
Subjects:
Addictions
Adolescent
Adolescents
Attention Deficit Disorder with Hyperactivity - psychology
Attention deficit hyperactivity disorder
Behavior, Addictive
Child
Child & adolescent mental health
Children
Comorbidity
Coronaviruses
COVID-19
Evaluation
Humans
Hyperactivity
Immunoglobulin D
Latent Class Analysis
Mental disorders
Mental health
Modelling
Mood
Multivariate statistical analysis
Pandemics
Structural equation modeling
Teenagers
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Summary:(1) Background: Internet gaming disorder (IGD) in youths likely leads to disruptive mood dysregulation, especially among those with attention-deficit/hyperactivity disorder (ADHD). Whether IGD mediates the pathways leading ADHD to disruptive emotional dysfunction remains unclear. This study aims to elucidate the direct or indirect influence of IGD on ADHD; (2) Method: The Swanson, Nolan, and Pelham Version IV questionnaire was used to evaluate symptoms of ADHD and oppositional defiant disorder, and the Chen gaming disorder scale was used to measure IGD. A psychiatrist diagnosed ADHD, IGD, and disruptive mood dysregulation disorder (DMDD)-like symptoms. Structural equation modeling was applied to evaluate the role of IGD in mediating ADHD progression to disruptive mood dysregulation; (3) Results: Among a total of 102 ADHD youths, 53 (52%) of them with IGD were significantly more likely to have poor interpersonal relationships (p < 0.01) and DMDD-like symptoms (p < 0.01) than ADHD youths without IGD. IGD played a mediating role in increasing the risk of disruptive mood dysregulation in ADHD youths; (4) Conclusions: The findings suggest that IGD mediates ADHD’s progression to disruptive mood dysregulation. Intensive biopsychosocial interventions are warranted for ADHD youths with IGD. More children and adolescents became mood-dysregulated after excessive gaming during the COVID-19 pandemic; this study’s results suggest that child mental health experts develop earlier detection and prevention strategies for children and adolescents hidden behind internet addiction.
ISSN:1660-4601
1661-7827
1660-4601
DOI:10.3390/ijerph19116648