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

PeerJ

article

Tianli Shao¹  Xinxin Chen¹  Shucai Huang⁴  Zhenjiang Liao¹  Shuhong Lin¹  Jing Qi⁵  Yi Cai³  Qiuping Huang¹  Hongxian Shen¹ 

[1] National Clinical Research Center for Mental Disorders, and Department of Psychiatry, the Second Xiangya Hospital of Central South University;Institute of Mental Health of Central South University, Chinese National Technology Institute on Mental Disorders, Hunan Key Laboratory of Psychiatry and Mental Health, Hunan Medical Center for Mental Health;Department of Psychiatry, Comorbid Somatic Diseases, Kangning Hospital of Shenzhen;Department of Psychiatry, the Fourth People’s Hospital of Wuhu;Department of Psychiatry, Brain Hospital of Hunan Province

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

DOI  :  10.7717/peerj.10827

学科分类：社会科学、人文和艺术（综合）

来源: Inra

【 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】

CC BY