Low self-control and aggression exert serial mediation between inattention/hyperactivity problems and severity of internet gaming disorder features longitudinally among adolescents

Author:

Jeong Hyunsuk1,Yim Hyeon Woo1ORCID,Lee Seung-Yup2,Lee Hae Kook2,Potenza Marc N.345,Jo Sun-Jin1,Son Hye Jung1,Kim Gyeogmin1

Affiliation:

1. 1Department of Preventive Medicine, College of Medicine, Catholic University of Korea, Seoul, Korea

2. 2Department of Psychiatry, College of Medicine, Catholic University of Korea, Seoul, Korea

3. 3Departments of Psychiatry and Neuroscience and Child Study Center, Yale University, New Haven, CT, USA

4. 4Connecticut Council on Problem Gambling, Wethersfield, CT, USA

5. 5Connecticut Mental Health Center, New Haven, CT, USA

Abstract

AbstractObjectivesWe examined serial mediating roles of low self-control and aggression in explaining relationships between levels of inattention and hyperactivity problems (IHPs) and severity of Internet gaming disorder (IGD) features when exposed to online games among adolescents without Attention deficit hyperactivity disorder (ADHD) stratified by gender using three-wave longitudinal study.MethodThe sample comprised a total of 1,732 family dyads from a study that was conducted among seventh graders without diagnoses of ADHD at baseline. Levels of IHPs were assessed by the parent reported Korean version of the ADHD rating scale at baseline (wave1). Severity of IGD features was assessed by the Internet Game Use-Elicited Symptom Screen (IGUESS) at wave3. Both levels of self-control (wave1) and aggression (wave2) were assessed by self-report. The mediating role of low self-control and aggression in the relationships between level of IHPs and severity of IGD were evaluated using serial mediation analysis separately for each gender.ResultsLevels of IHPs were related directly to severity of IGD features in both genders. The indirect effects via low self-control were also significant in both genders, however, the indirect effects via aggression was significant only in women. The serial mediation effect via low self-control and aggression between levels of IHPs and IGD features was significant in both genders (men, coefficient:0.009, 95%CI 0.005–0.019; women, coefficient:0.010, 95%CI:0.005–0.026).ConclusionWe revealed a possible mechanism underlying a serial mediation chain from low self-control to aggression explaining the effects of IHPs on severity of IGD features. However, this conclusion should be taken with a caution, because the effect sizes were very low.

Funder

National Center for Responsible Gaming, Connecticut Council on Problem Gambling, and Connecticut Department of Mental Health and Addiction Services

Korean Mental Health Technology R&D Project, Ministry of Health and Welfare, Republic of Korea

Publisher

Akademiai Kiado Zrt.

Subject

Psychiatry and Mental health,Clinical Psychology,General Medicine,Medicine (miscellaneous)

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