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      Family factors in adolescent problematic Internet gaming: A systematic review

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          Abstract

          Background and aims

          Familial influences are known to affect the likelihood of an adolescent becoming a problem gamer. This systematic review examined some of the key findings in empirical research on family factors related to adolescent problem gaming.

          Methods

          A total of 14 studies in the past decade were evaluated. Family-related variables included: (a) parent status (e.g., socioeconomic status and mental health), (b) parent–child relationship (e.g., warmth, conflict, and abuse), (c) parental influence on gaming (e.g., supervision of gaming, modeling, and attitudes toward gaming), and (d) family environment (e.g., household composition).

          Results

          The majority of studies have focused on parent–child relationships, reporting that poorer quality relationships are associated with increased severity of problem gaming. The paternal relationship may be protective against problem gaming; therefore, prevention programs should leverage the support of cooperative fathers.

          Discussion

          The intergenerational effects of problem gaming require further attention, in light of adult gamers raising their children in a gaming-centric environment. Research has been limited by a reliance on adolescent self-report to understand family dynamics, without gathering corroborating information from parents and other family members. The very high rates of problem gaming (>10%) reported in general population samples raise concerns about the validity of current screening tools.

          Conclusions

          Interventions for adolescents may be more effective in some cases if they can address familial influences on problem gaming with the active co-participation of parents, rather than enrolling vulnerable adolescents in individual-based training or temporarily isolating adolescents from the family system.

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          Most cited references54

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          Theory and measurement of generalized problematic Internet use: A two-step approach

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            Toward a consensus definition of pathological video-gaming: a systematic review of psychometric assessment tools.

            Pathological video-gaming, or its proposed DSM-V classification of "Internet Use Disorder", is of increasing interest to scholars and practitioners in allied health disciplines. This systematic review was designed to evaluate the standards in pathological video-gaming instrumentation, according to Cicchetti (1994) and Groth-Marnat's (2009) criteria and guidelines for sound psychometric assessment. A total of 63 quantitative studies, including eighteen instruments and representing 58,415 participants, were evaluated. Results indicated that reviewed instrumentation may be broadly characterized as inconsistent. Strengths of available measures include: (i) short length and ease of scoring, (ii) excellent internal consistency and convergent validity, and (iii) potentially adequate data for development of standardized norms for adolescent populations. However, key limitations included: (a) inconsistent coverage of core addiction indicators, (b) varying cut-off scores to indicate clinical status, (c) a lack of a temporal dimension, (d) untested or inconsistent dimensionality, and (e) inadequate data on predictive validity and inter-rater reliability. An emerging consensus suggests that pathological video-gaming is commonly defined by (1) withdrawal, (2) loss of control, and (3) conflict. It is concluded that a unified approach to assessment of pathological video-gaming is needed. A synthesis of extant research efforts by meta-analysis may be difficult in the context of several divergent approaches to assessment. Copyright © 2013 Elsevier Ltd. All rights reserved.
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              Factors associated with Internet addiction among adolescents.

              This research examined factors associated with Internet addiction in adolescence using a population-based cross-sectional survey with self-reported questionnaires. Participants were recruited from high school students, ages 13 to 18 years, registered on the secondary school registry in Guangzhou city using a stratified random sampling technique. Internet addiction was assessed using the Internet Addiction Test (IAT). Information was also collected on demographics, health behaviors, and perception of personal condition. Depression was assessed by the Zung Self-Rating Depression Scale. The majority of respondents were classified as normal users of the Internet (n = 1,392, 89.2%), with 158 (10.2%) moderately and 10 (0.6%) severely addicted to the Internet. Results from the multivariate logistic regression analyses suggested a 50% increased odds for males to be addicted to the Internet (OR = 1.5, 95% CI = 1.1-2.2) when compared to females. Other potential risk factors included drinking behavior (OR = 1.7, 95% CI = 1.1-2.8), family dissatisfaction (OR = 2.4, 95% CI = 1.3-4.3), and experience of recent stressful events (OR = 10.0, 95% CI = 6.5-12.2). Stress-related variables were associated with Internet addiction among adolescents as they are also related to other addictions. Clinicians need to be aware of potential comorbidities of other problems such as stress and family dissatisfaction among adolescent Internet addiction patients.
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                Author and article information

                Journal
                jba
                2006
                Journal of Behavioral Addictions
                J Behav Addict
                Akadémiai Kiadó (Budapest )
                2062-5871
                2063-5303
                28 June 2017
                September 2017
                : 6
                : 3
                : 321-333
                Affiliations
                [ 1 ]School of Psychology, The University of Adelaide , Adelaide, Australia
                Author notes
                [* ]Corresponding author: Daniel L. King; School of Psychology, The University of Adelaide, Level 5, Hughes Building, Adelaide, SA 5005, Australia; Phone: +61 8 8313 3740; Fax: +61 8 8303 3770; E-mail: daniel.king@ 123456adelaide.edu.au
                Article
                10.1556/2006.6.2017.035
                5700711
                28762279
                62935888-17b3-49ed-987c-193b3b764e8f
                © 2017 The Author(s)

                This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium for non-commercial purposes, provided the original author and source are credited.

                History
                : 05 March 2017
                : 09 May 2017
                : 04 June 2017
                Page count
                Figures: 1, Tables: 1, Equations: 0, References: 50, Pages: 13
                Funding
                Funding sources: This work received financial support from a Discovery Early Career Researcher Award (DECRA) DE170101198 funded by the Australian Research Council.
                Categories
                Review Article

                Medicine,Psychology,Social & Behavioral Sciences,Clinical Psychology & Psychiatry
                risk,DSM-5,Internet gaming disorder,addiction,family,adolescence

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