The recognition of gaming disorder in China: a case series of 223 patients

PeerJ

Jing Qi¹  Yi Cai²  Shucai Huang³  Shuhong Lin⁴  Tianli Shao⁴  Hongxian Shen⁴  Zhenjiang Liao⁴  Xinxin Chen⁴  Qiuping Huang⁴ 

[1] Department of Psychiatry, Brain Hospital of Hunan Province, Changsha, Hunan, China;Department of Psychiatry, Comorbid Somatic Diseases, Kangning Hospital of Shenzhen, Shenzhen, Guangdong, China;Department of Psychiatry, the Fourth People’s Hospital of Wuhu, Wuhu, Anhui, China;National Clinical Research Center for Mental Disorders, and Department of Psychiatry, the Second Xiangya Hospital of Central South University, Changsha, Hunan, China;

关键词: Gaming disorder;    Diagnosis;    Recognition;    Patients;   

DOI  :  10.7717/peerj.10827

来源: DOAJ

【 摘 要 】

Background Internet gaming disorder (IGD) was listed in the appendix of the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5) as a condition requiring further study in 2013, and gaming disorder (GD) was considered a mental disorder and listed in the 11th International Classification of Diseases Manual (ICD-11) in 2018. The study aims to obtain preliminary knowledge of the recognition of GD in China. Methods A total of 223 Chinese patients who met both the ICD-11 and DSM-5 criteria for GD participated in the study, and a self-administered questionnaire was used to collect demographic information, gaming use characteristics, and previous diagnoses. Results The average age of patients with GD was 20.5 years, and 71.3% were male. Most patients were diagnosed with emotion-related disorders at their first psychiatric visit: mood disorders (59.2%), bipolar affective disorder (18.4%), depressive episode (12.6%), and anxiety disorder (4.9%). Among the adolescent patients with a first diagnosis of mood disorders, 71.2% and 33.3% were diagnosed with bipolar affective disorder and personality disorders, respectively, at subsequent visits. Overall, after the first visit, the most common diagnosis was bipolar affective disorder (61.0%), followed by personality disorders (34.1%), mood disorders (17.0%), depressive episode (17.0%), and other disorders. Only three patients had Internet overuse. Conclusion The identification rate of GD is extremely low in routine psychiatric clinical practice in China. Most patients with GD were previously misdiagnosed with emotion-related disorders. Psychiatrists should be trained to improve their ability to recognize and manage GD.

【 授权许可】

Unknown