Preschool Exposure to Online Games and Internet Gaming Disorder in Adolescents: A Cohort Study

Objectives: Although considerable evidence has already been collected on the effects of early initiation of drug/alcohol consumption on addictive behaviors in adolescents, little is known about the impact of early exposure to online games during preschool ages on the risk of internet gaming disorder...

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Autores principales:	Hyunsuk Jeong, Hyeon Woo Yim, Seung-Yup Lee, Hae Kook Lee, Marc N. Potenza, Yunmi Shin
Formato:	article
Lenguaje:	EN
Publicado:	Frontiers Media S.A. 2021
Materias:	preschool online game internet gaming disorder adolescents cohort Pediatrics RJ1-570
Acceso en línea:	https://doaj.org/article/2934927643ef49c8b699bbb63175d27a
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spelling	oai:doaj.org-article:2934927643ef49c8b699bbb63175d27a2021-11-30T13:26:43ZPreschool Exposure to Online Games and Internet Gaming Disorder in Adolescents: A Cohort Study2296-236010.3389/fped.2021.760348https://doaj.org/article/2934927643ef49c8b699bbb63175d27a2021-11-01T00:00:00Zhttps://www.frontiersin.org/articles/10.3389/fped.2021.760348/fullhttps://doaj.org/toc/2296-2360Objectives: Although considerable evidence has already been collected on the effects of early initiation of drug/alcohol consumption on addictive behaviors in adolescents, little is known about the impact of early exposure to online games during preschool ages on the risk of internet gaming disorder (IGD). We evaluated the effects of exposure to online games before entering elementary school on IGD occurrence during the secondary school years using a community-based longitudinal study.Methods: Data from 1,760 adolescents (seventh grade), who were recruited from the iCURE study and followed for 2 years, were analyzed. A high risk of IGD (HRIGD) was assessed by the Internet Game Use Elicited Symptom Screen, a self-reported questionnaire based on the fifth version of DSM-5 IGD criteria. Early exposure to online gaming was defined as when adolescents played online games during their preschool years. A multivariate generalized-estimating-equation model was applied to examine the independent risk factor of the occurrence of HRIGD during the 2-year follow-up period.Results: As compared with the later-exposure group, those with early exposure to online games showed an ~1.7-fold greater incidence of HRIGD over the 2-year follow-ups after adjusting for potential confounders including baseline IGD scores (adjusted relative risk:1.69; 95%confidence interval:1.08–2.66). Pre-specified sensitivity analyses showed that the results were robust.Conclusion: Exposure to online gaming during the preschool years increases the likelihood of occurrence of HRIGD in adolescence. Restricting exposure to online games during the preschool years should be examined as a way to reduce the risk of IGD in adolescents.Clinical Trial Registration:www.clinicaltrials.gov, identifier: NCT02415322.Hyunsuk JeongHyeon Woo YimSeung-Yup LeeHae Kook LeeMarc N. PotenzaMarc N. PotenzaMarc N. PotenzaYunmi ShinFrontiers Media S.A.articlepreschoolonline gameinternet gaming disorderadolescentscohortPediatricsRJ1-570ENFrontiers in Pediatrics, Vol 9 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	preschool online game internet gaming disorder adolescents cohort Pediatrics RJ1-570
spellingShingle	preschool online game internet gaming disorder adolescents cohort Pediatrics RJ1-570 Hyunsuk Jeong Hyeon Woo Yim Seung-Yup Lee Hae Kook Lee Marc N. Potenza Marc N. Potenza Marc N. Potenza Yunmi Shin Preschool Exposure to Online Games and Internet Gaming Disorder in Adolescents: A Cohort Study
description	Objectives: Although considerable evidence has already been collected on the effects of early initiation of drug/alcohol consumption on addictive behaviors in adolescents, little is known about the impact of early exposure to online games during preschool ages on the risk of internet gaming disorder (IGD). We evaluated the effects of exposure to online games before entering elementary school on IGD occurrence during the secondary school years using a community-based longitudinal study.Methods: Data from 1,760 adolescents (seventh grade), who were recruited from the iCURE study and followed for 2 years, were analyzed. A high risk of IGD (HRIGD) was assessed by the Internet Game Use Elicited Symptom Screen, a self-reported questionnaire based on the fifth version of DSM-5 IGD criteria. Early exposure to online gaming was defined as when adolescents played online games during their preschool years. A multivariate generalized-estimating-equation model was applied to examine the independent risk factor of the occurrence of HRIGD during the 2-year follow-up period.Results: As compared with the later-exposure group, those with early exposure to online games showed an ~1.7-fold greater incidence of HRIGD over the 2-year follow-ups after adjusting for potential confounders including baseline IGD scores (adjusted relative risk:1.69; 95%confidence interval:1.08–2.66). Pre-specified sensitivity analyses showed that the results were robust.Conclusion: Exposure to online gaming during the preschool years increases the likelihood of occurrence of HRIGD in adolescence. Restricting exposure to online games during the preschool years should be examined as a way to reduce the risk of IGD in adolescents.Clinical Trial Registration:www.clinicaltrials.gov, identifier: NCT02415322.
format	article
author	Hyunsuk Jeong Hyeon Woo Yim Seung-Yup Lee Hae Kook Lee Marc N. Potenza Marc N. Potenza Marc N. Potenza Yunmi Shin
author_facet	Hyunsuk Jeong Hyeon Woo Yim Seung-Yup Lee Hae Kook Lee Marc N. Potenza Marc N. Potenza Marc N. Potenza Yunmi Shin
author_sort	Hyunsuk Jeong
title	Preschool Exposure to Online Games and Internet Gaming Disorder in Adolescents: A Cohort Study
title_short	Preschool Exposure to Online Games and Internet Gaming Disorder in Adolescents: A Cohort Study
title_full	Preschool Exposure to Online Games and Internet Gaming Disorder in Adolescents: A Cohort Study
title_fullStr	Preschool Exposure to Online Games and Internet Gaming Disorder in Adolescents: A Cohort Study
title_full_unstemmed	Preschool Exposure to Online Games and Internet Gaming Disorder in Adolescents: A Cohort Study
title_sort	preschool exposure to online games and internet gaming disorder in adolescents: a cohort study
publisher	Frontiers Media S.A.
publishDate	2021
url	https://doaj.org/article/2934927643ef49c8b699bbb63175d27a
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_version_	1718406552327553024

Preschool Exposure to Online Games and Internet Gaming Disorder in Adolescents: A Cohort Study

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