Estimated Prevalence of Unreported IGD Cases in Routine Outpatient Children and Adolescent Psychotherapy

Int J Environ Res Public Health. 2021 Jun 24;18(13):6787. doi: 10.3390/ijerph18136787.

Abstract

Internet Gaming Disorder (IGD) has been included in the DSM-5 as a diagnosis for further study, and Gaming Disorder as a new diagnosis in the ICD-11. Nonetheless, little is known about the clinical prevalence of IGD in children and adolescents. Additionally, it is unclear if patients with IGD are already identified in routine psychotherapy, using the ICD-10 diagnosis F 63.8 (recommended classification of IGD in ICD-10). This study investigated N = 358 children and adolescents (self and parental rating) of an outpatient psychotherapy centre in Germany using the Video Game Dependency Scale. According to self-report 4.0% of the 11- to 17-year-old patients met criteria for a tentative IGD diagnosis and 14.0% according to the parental report. Of the 5- to 10-year-old patients, 4.1% were diagnosed with tentative IGD according to parental report. Patients meeting IGD criteria were most frequently diagnosed with hyperkinetic disorders, followed by anxiety disorders, F 63.8, conduct disorders, mood disorders and obsessive-compulsive disorders (descending order) as primary clinical diagnoses. Consequently, this study indicates that a significant amount of the clinical population presents IGD. Meaning, appropriate diagnostics should be included in routine psychological diagnostics in order to avoid "hidden" cases of IGD in the future.

Keywords: F 63.8; Internet Gaming Disorder; adolescents; children; clinical diagnoses; clinical sample; comorbidities; prevalence.

MeSH terms

  • Adolescent
  • Behavior, Addictive*
  • Child
  • Child, Preschool
  • Germany / epidemiology
  • Humans
  • Internet
  • Outpatients
  • Prevalence
  • Psychotherapy
  • Video Games*