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The Mediating Role of Symptoms of Psychopathology Between Irrational Beliefs and Internet Gaming Addiction

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Abstract

While Internet gaming addiction has recently been proposed as a disorder, it is still discussed whether it is to some extent an effect of other disorders. By integrating the results of the previous studies of Internet gaming addiction and the postulates of REBT theory, we set up two goals. One is to determine whether the symptoms of psychopathology are mediators between irrational and rational beliefs and Internet gaming addiction. Another goal is to compare a large number of symptoms of psychopathology and determine which of these have the greatest effect on the Internet gaming addiction. An online survey was conducted on a sample of online games users, 219 high school and university students of both sexes, aged 23.87 years on average, who filled in the Gaming Addiction Scale, the Symptom Checklist and Serbian version of the General Attitude and Belief Scale. The hypothesis that the symptoms of psychopathology have a mediatory role in a relationship between irrational beliefs and Internet gaming addiction has been confirmed. A more thorough analysis determined that the obsessive–compulsive symptoms are the main mediator. We can conclude that the exploration of this type of symptoms can be helpful in the preparation of prevention and treatment programs of Internet gaming addiction. However, future research with longitudinal design is required to verify the results.

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References

  • Allison, S. E., von Wahlde, L., Shockley, T., & Gabbard, G. O. (2006). The development of the self in the era of the internet and role-playing fantasy games. American Journal of Psychiatry, 163(3), 381–385. doi:10.1176/appi.ajp.163.3.381.

    Article  PubMed  Google Scholar 

  • American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Arlington, VA: American Psychiatric Publishing.

    Google Scholar 

  • Batthyány, D., Müller, K. W., Benker, F., & Wölfling, K. (2009). Computer game playing: Clinical characteristics of dependence and abuse among adolescents. Wiener Klinsche Wochenschrift, 121(15–16), 502–509.

    Article  Google Scholar 

  • Bernard, M. (1998). Validation of the General Attitude and Belief Scale. Journal of Rational-Emotive & Cognitive-Behavior Therapy, 16(3), 183–196.

    Article  Google Scholar 

  • Billieux, J., Chanal, J., Khazaal, Y., Rochat, L., Gay, P., Zullino, D., & Van der Linden, M. (2011). Psychological predictors of problematic involvement in massively multiplayer online roleplaying games: Illustration is a sample of male cybercafé players. Psychopathology, 44(3), 165–171.

    Article  PubMed  Google Scholar 

  • Billieux, J., Deleuzea, J., Griffiths, M. D., & Kuss, D. J. (2014). Internet gaming addiction: The case of massively multiplayer online role-playing games. In N. El-Gabaly, G. Carrà, & M. Galanter (Eds.), The textbook of addiction treatment: International perspectives (pp. 1515–1525). New York: Springer.

    Google Scholar 

  • Billieux, J., Thorens, G., Khazaal, Y., Zullino, D., Sophia Achab, S., & Van der Linden, M. (2015). Problematic involvement in online games: A cluster analytic approach. Computers in Human Behavior, 43, 242–250.

    Article  Google Scholar 

  • Billieux, J., & Van der Linden, M. (2012). Problematic use of the internet and self-regulation: A review of the initial studies. The Open Addiction Journal, 5(S1), 24–29.

    Article  Google Scholar 

  • Billieux, J., Van der Linden, M., Achab, S., Khazaal, Y., Paraskevopoulos, L., Zullino, D., & Thorens, G. (2013). Why do you play World of Warcraft? An in-depth exploration of self-reported motivations to play online and in-game behaviours in the virtual world of Azeroth. Computers in Human Behavior, 29, 103–109.

    Article  Google Scholar 

  • Browne, C. M., Dowd, E. T., & Freeman, A. (2010). Rational and irrational beliefs and psychopathology. In D. David, S. J. Lynn, & A. Ellis (Eds.), Rational and irrational beliefs in human functioning and disturbance (pp. 149–171). New York: Oxford University Press.

    Google Scholar 

  • Caplan, S. E. (2003). Preference for online social interaction: A theory of problematic internet use and psychosocial well-being. Communication Research, 30(6), 625–648.

    Article  Google Scholar 

  • Caplan, S. (2010). Theory and measurement of generalized problematic internet use: A two-step approach. Computers in Human Behavior, 26, 1089–1097.

    Article  Google Scholar 

  • Caplan, S. E., Williams, D., & Yee, N. (2009). Problematic internet use and psychosocial well-being among MMO players. Computers in Human Behavior, 25(6), 1312–1319.

    Article  Google Scholar 

  • Caserta, D. A., Dowd, T., David, D., & Ellis, A. (2010). Rational and irrational beliefs in primary prevention and mental health. In D. David, S. J. Lynn, & A. Ellis (Eds.), Rational and irrational beliefs in human functioning and disturbance (pp. 173–194). New York: Oxford University Press.

    Google Scholar 

  • Chan, P. A., & Rabinowitz, T. (2006). A cross-sectional analysis of video games and attention deficit hyperactivity disorder symptoms in adolescents. Annals of General Psychiatry, 5(1), 16–26.

    Article  PubMed Central  PubMed  Google Scholar 

  • Charlton, I. P., & Danforth, I. D. W. (2007). Distinguishing addiction and high engagement in the context of online game playing. Computers in Human Behavior, 23(3), 1531–1548.

    Article  Google Scholar 

  • Chiu, S. I., Lee, J. Z., & Huang, D. H. (2004). Video game addiction in children and teenagers in Taiwan. CyberPsychology & Behavior, 7(5), 571–581.

    Article  Google Scholar 

  • Dalbudak, E., Evren, C., Topcu, M., Aldemir, S., Coskun, K. S., Bozkurt, M., et al. (2013). Relationship of internet addiction with impulsivity and severity of psychopathology among Turkish university students. Psychiatry Research, 210(3), 1086–1091.

    Article  PubMed  Google Scholar 

  • David, D., & Cramer, D. (2010). Rational and irrational beliefs in human feelings and psychophysiology. In D. David, S. J. Lynn, & A. Ellis (Eds.), Rational and irrational beliefs in human functioning and disturbance (pp. 99–112). New York: Oxford University Press.

    Google Scholar 

  • Davis, R. A. (2001). A cognitive-behavioral model of pathological internet use. Computers in Human Behavior, 17, 187–195.

    Article  Google Scholar 

  • Davis, C., & Carter, J. C. (2009). Compulsive overeating as an addiction disorder: A review of theory and evidence. Appetite, 53, 1–8.

    Article  PubMed  Google Scholar 

  • Derogatis, L. R. (1992). Symptom Checklist-90-Revised: Administration, scoring and procedures. Manual II. Towson, MD: Clinical Psychometrics Research.

  • DiGiuseppe, R. S., Doyle, K., Dryden, W., & Backx, W. (2014). A practitioner’s guide to rational emotive behavior therapy. Oxford: Oxford University Press.

    Google Scholar 

  • DiGiuseppe, R., Leaf, R., Exner, T., & Robin, M. W. (1988, September). The development of a measure of rational/irrational thinking. Paper presented at the World Congress of Behavior Therapy, Edinburgh, Scotland.

  • Dong, G., Lu, Q., Zhou, H., & Zhao, X. (2011). Precursor or sequela: Pathological disorders in people with internet addiction disorder. PLoS ONE, 6(2), e14703. doi:10.1371/journal.pone.0014703.

    Article  PubMed Central  PubMed  Google Scholar 

  • Dryden, W. (2009). Rational emotive behaviour therapy. Distinctive features. London: Routledge.

    Google Scholar 

  • Ellis, A. (1994). Reason and emotion in psychotherapy: A comprehensive method of treating human disturbance. Revised and updated. New York: Birch Lane Press.

    Google Scholar 

  • Ferguson, C. J., Coulson, M., & Barnett, J. (2011). A meta-analysis of pathological gaming prevalence and comorbidity with mental health, academic and social problems. Journal of Psychiatric Research, 45(12), 1573–1578.

    Article  PubMed  Google Scholar 

  • Fontenelle, L. F., Oostermeijer, S., Harrison, B. J., Pantelis, C., & Yücel, M. (2011). Obsessive-compulsive disorder, impulse control disorders and drug addiction: Common features and potential treatments. Drugs, 71(7), 827–840.

    Article  PubMed  Google Scholar 

  • Frost, R. O., & Steketee, G. (1997). Perfectionism in obsessive-compulsive disorder patients. Behaviour Research and Therapy, 35(4), 2291–2296.

    Article  Google Scholar 

  • Gentile, D. A., Choo, H., Liau, A., Liau, A., Sim, T., Li, D., et al. (2011). Pathological video game use among youths: A two-year longitudinal study. Pediatrics, 127(2), 319–329.

    Article  Google Scholar 

  • Griffiths, M. D., Davies, M. N., & Chappell, D. (2004). Online computer gaming: A comparison of adolescent and adult gamers. Journal of Adolescence, 27(1), 87–96.

    Article  PubMed  Google Scholar 

  • Griffiths, M. D., Király, O., Pontes, H. M., & Demetrovics, Z. (2014). An overview of problematic gaming. In V. Starcevic & E. Aboujaoude (Eds.), Mental health in the digital age: Grave dangers, great promise (pp. 78–89). Oxford: Oxford University Press.

    Google Scholar 

  • Grüsser, S. M., Thalemann, R., Albrecht, U., & Thalemann, C. N. (2005). Exzessive Computernutzung im Kindesalter—Ergebnisse einer psychometrischen Erhebung. Wiener Klinische Wochenschrift, 117(5–6), 188–195.

    Article  PubMed  Google Scholar 

  • Grüsser, S. M., Thalemann, R., & Griffiths, M. D. (2007). Excessive computer game playing: Evidence for addiction and aggression? CyberPsychology & Behavior, 10(2), 290–292.

    Article  Google Scholar 

  • Haagsma, M. C., Caplan, S. E., Peters, O., & Pieterse, M. E. (2013). A cognitive-behavioral model of problematic online gaming in adolescents aged 12–22 years. Computers in Human Behavior, 29, 202–209.

    Article  Google Scholar 

  • Han, D. H., Lee, Y. S., Na, C., Ahn, J. Y., Chung, U. S., Daniels, M. A., et al. (2009). The effect of methylphenidate on internet video game play in children with attention-deficit/hyperactivity disorder. Comprehensive Psychiatry, 50(3), 251–256.

    Article  PubMed  Google Scholar 

  • Hussain, Z., & Griffiths, M. D. (2009). Excessive use of massively multi-player online role-playing games: A pilot study. International Journal of Mental Health and Addiction, 7(4), 563–571.

    Article  Google Scholar 

  • Jang, K. S., Hwang, S. Y., & Choi, J. Y. (2008). Internet addiction and psychiatric symptoms among Korean adolescents. Journal of School Health, 78(3), 165–171.

    Article  PubMed  Google Scholar 

  • Kim, S. M., Han, D. H., Lee, Y. S., & Renshaw, P. F. (2012). Combined cognitive behavioral therapy and bupropion for the treatment of problematic on-line game play in adolescents with major depressive disorder. Computers in Human Behavior, 28, 1954–1959.

    Article  Google Scholar 

  • Kim, E. J., Namkoong, K., Ku, T., & Kim, S. J. (2008). The relationship between online game addiction and aggression, self-control and narcissistic personality traits. European Psychiatry, 23(3), 212–218.

    Article  PubMed  Google Scholar 

  • King, D. L., & Delfabbro, P. (2009). Motivational differences in problem video game play. Journal of CyberTherapy & Rehabilitation, 2(2), 139–149.

    Google Scholar 

  • King, D. L., & Delfabbro, P. H. (2014). Internet gaming disorder treatment: A review of definitions of diagnosis and treatment outcome. Journal of Clinical Psychology, 70(10), 942–955.

    Article  PubMed  Google Scholar 

  • King, D. L., Delfabbro, P. H., & Griffiths, M. D. (2010). Cognitive behavioral therapy for problematic video game players: Conceptual considerations and practice issues. Journal of CyberTherapy and Rehabilitation, 3(3), 261–273.

    Google Scholar 

  • Király, O., Griffiths, M. D., Urbán, R., Farkas, J., Kökönyei, G., & Elekes, Z. (2014). Problematic internet use and problematic online gaming are not the same: Findings from a large nationally representative adolescent sample. Cyberpsychology, Behavior, and Social Networking, 17(12), 749–754.

    Article  Google Scholar 

  • Király, O., Urbán, R., Griffiths, M. G., Ágoston, C., Nagygyörgy, K., Kökönyei, G., & Demetrovics, Z. (2015). The mediating effect of gaming motivation between psychiatric symptoms and problematic online gaming: An online survey. Journal of Medical Internet Research, 17(4), e88. doi:10.2196/jmir.3515.

    Article  PubMed Central  PubMed  Google Scholar 

  • Ko, C. H., Yen, J. Y., Chen, C. C., Chen, S. H., & Yen, C. F. (2005). Gender differences and related factors affecting online gaming addiction among Taiwanese adolescents. Journal of Nervous and Mental Disease, 193(4), 273–277.

    Article  PubMed  Google Scholar 

  • Ko, C. H., Yen, J. Y., Yen, C. F., Chen, C. S., & Wang, S. Y. (2008). The association between internet addiction and belief of frustration intolerance: The gender difference. CyberPsychology & Behavior, 11(3), 273–278.

    Article  Google Scholar 

  • Kuss, D. J., & Griffiths, M. D. (2012). Internet gaming addiction: A systematic review of empirical research. International Journal of Mental Health and Addiction, 10(2), 278–296.

    Article  Google Scholar 

  • Kuss, D. J., Louws, J., & Wiers, R. W. (2012). Online gaming addiction? Motives predict addictive play behavior in massively multiplayer online role-playing games. Cyberpsychology, Behavior and Social Networking, 15(9), 480–485.

    Article  PubMed  Google Scholar 

  • Kwon, J. H., Chung, C. S., & Lee, J. (2011). The effects of escape from self and interpersonal relationship on the pathological use of internet games. Community Mental Health Journal, 47(1), 113–121.

    Article  PubMed  Google Scholar 

  • Lemmens, J. S., Valkenburg, P. M., & Peter, J. (2009). Development and validation of a Game Addiction Scale for adolescents. Media Psychology, 12(1), 77–95.

    Article  Google Scholar 

  • Leshner, A. I. (1997). Addiction is a brain disease, and it matters. Science, 278, 45–47.

    Article  PubMed  Google Scholar 

  • Li, H., & Wang, S. (2013). The role of cognitive distortion in online game addiction among Chinese adolescents. Children and Youth Services Review, 35(9), 1468–1475.

    Article  Google Scholar 

  • Liu, C., Liao, M., & Smith, D. C. (2012). An empirical review of internet addiction outcome studies in China. Research on Social Work Practice, 22(3), 282–291.

    Article  Google Scholar 

  • Liu, M., & Peng, W. (2009). Cognitive and psychological predictors of the negative outcomes associated with playing MMOGs (massively multiplayer online games). Computers in Human Behavior, 25, 1306–1311.

    Article  Google Scholar 

  • Macavei, B., & McMahon, J. (2010). The assessment of rational and irrational beliefs. In D. David, S. J. Lynn, & A. Ellis (Eds.), Rational and irrational beliefs: Research, theory, and clinical practice (pp. 115–147). New York, NY: Oxford University Press.

    Google Scholar 

  • Marić, Z. (2002). Kognitivni činioci emocije i emocionalnog poremećaja iz ugla REBT (magistarska teza). Beograd: Odeljenje za psihologiju, Filozofski fakultet. (Cognitive factors of emotion and emotional disorder from the REBT point of view (Master’s thesis. Belgrade: Department of Psychology, Faculty of Philosophy).

  • Marić, Z. (2003). Uloga disfunkcionalnih stavova u depresivnom raspoloženju i provera medijacionog efekta “vrelih” evaluativnih kognicija (The role of dysfunctional attitudes in depressive mood and the mediation effect of “hot” evaluative cognitions). Psihologija, 36(1), 101–115.

    Article  Google Scholar 

  • Mehroof, M., & Griffiths, M. D. (2010). Online gaming addiction: The role of sensation seeking, self-control, neuroticism, aggression, state anxiety, and trait anxiety. CyberPsychology & Behavior, 13(3), 313–316.

    Article  Google Scholar 

  • Montag, C., Bey, K, Sha, P, Li, M., Chen, Y. F., & Liu, W. Y. (2014). Is it meaningful to distinguish between generalized and specific Internet addiction? Evidence from a cross-cultural study from Germany, Sweden, Taiwan and China. Asia-Pacific Psychiatry. doi:10.1111/appy.1212.

  • Obsessive Compulsive Cognitions Working Group. (1997). Cognitive assessment of obsessive-compulsive disorder. Behaviour Research and Therapy, 35(7), 667–681.

    Article  Google Scholar 

  • Peng, W., & Liu, M. (2010). Online gaming dependency: A preliminary study in China. CyberPsychology, Behavior and Social Networking, 13(3), 329–333.

    Article  PubMed  Google Scholar 

  • Perunicic, I., Maric, Z., & Vukosavljevic-Gvozden, T. (2011). Irrational beliefs, personality structure and affective disorders. Prevention: 41st Annual Congress of European Association for Behavioral and Cognitive Therapies (EABCT), Reykjavik. Abstract book: 212.

  • Peters, C. S., & Malesky, L. A. (2008). Problematic usage among highly-engaged players of massively multiplayer online role playing games. CyberPsychology & Behavior, 11(4), 480–483.

    Article  Google Scholar 

  • Porter, G., Starcevic, V., Berle, D., & Fenech, P. (2010). Recognizing problem video game use. Australian and New Zealand Journal of Psychiatry, 44(2), 120–128.

    Article  PubMed  Google Scholar 

  • Preacher, K. J., & Hayes, A. F. (2008). Asymptotic and resampling strategies for assessing and comparing indirect effects in multiple mediator models. Behavior Research Methods, 40(3), 879–891.

    Article  PubMed  Google Scholar 

  • Schmit, S., Chauchard, E., Chabrol, H., & Sejourne, N. (2011). Evaluation of the characteristics of addiction to online video games among adolescents and young adults. Encéphale, 37(3), 217–223.

    Article  PubMed  Google Scholar 

  • Spinella, M. (2005). Compulsive behavior in tobacco users. Addictive Behaviors, 30, 183–186.

    Article  PubMed  Google Scholar 

  • Stetina, B. U., Kothgassner, O. D., Lehenbauer, M., & Kryspin-Exner, U. (2011). Beyond the fascination of online-games: Probing addictive behavior and depression in the world of online-gaming. Computers in Human Behavior, 27(1), 473–479.

    Article  Google Scholar 

  • Subrahmanyam, K., Greenfield, P., Kraut, R., & Gross, E. (2001). The impact of computer use on children’s and adolescents’ development. Applied Developmental Psychology, 22(1), 7–30.

    Article  Google Scholar 

  • Tam, P., & Walter, G. (2013). Problematic internet use in childhood and youth: Evolution of a 21st century affliction. Australasian Psychiatry, 21(6), 533–536.

    Article  PubMed  Google Scholar 

  • Tone, H. J., Zhao, H. R., & Yan, W. S. (2014). The attraction of online games: An important factor for internet addiction. Computers in Human Behavior, 30, 321–327.

    Article  Google Scholar 

  • Vukosavljević-Gvozden, T., Opačić, G., & Marić, Z. (2010). Iracionalna uverenja i antisocijalno ponašanje adolescenata (Irrational evaluations and antisocial behavior of adolescents). Zbornik Instituta za pedagoška istraživanja, 2, 263–276.

    Article  Google Scholar 

  • Wei, H. T., Chen, M. H., Huang, P. C., & Bai, J. M. (2012). The association between online gaming, social phobia, and depression: An internet survey. BMC Psychiatry, 12, 92. doi:10.1186/1471-244X-12-92.

    Article  PubMed Central  PubMed  Google Scholar 

  • Yang, C. K. (2001). Sociopsychiatric characteristics of adolescents who use computers to excess. Acta Psychiatrica Scandinavica, 104(3), 217–222.

    Article  PubMed  Google Scholar 

  • Yang, C. K., Choe, B. M., Baity, M., Lee, J. H., & Cho, J. S. (2005). SCL-90-R and 16PF profiles of senior high school students with excessive internet use. Canadian Journal of Psychiatry, 50(7), 407–414.

    Google Scholar 

  • Yee, N. (2006). Motivations for play in online games. Cyberpsychology & Behavior, 9(6), 772–775.

    Article  Google Scholar 

  • Young, K. S. (2007). Cognitive behavior therapy with internet addicts: Treatment outcomes and implications. CyberPsychology & Behavior, 10(5), 671–679.

    Article  Google Scholar 

  • Young, K. S. (2009). Understanding online gaming addiction and treatment issues for adolescents. The American Journal of Family Therapy, 37(5), 355–372.

    Article  Google Scholar 

  • Young, K. S. (2011). CBT-IA: The first treatment model for internet addiction. Journal of Cognitive Psychotherapy, 25(4), 304–312.

    Article  Google Scholar 

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Acknowledgments

The study was partly supported by Project No. 179018: “Identification, measurement and development of cognitive and emotional competences important for a society oriented to European integrations,” funded by the Ministry of Education and Science of the Republic of Serbia.

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  1. Department of Psychology, Faculty of Philosophy, University of Belgrade, Belgrade, Serbia

    Tatjana Vukosavljevic-Gvozden, Severina Filipovic & Goran Opacic

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  1. Tatjana Vukosavljevic-Gvozden
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Correspondence to Tatjana Vukosavljevic-Gvozden.

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Vukosavljevic-Gvozden, T., Filipovic, S. & Opacic, G. The Mediating Role of Symptoms of Psychopathology Between Irrational Beliefs and Internet Gaming Addiction. J Rat-Emo Cognitive-Behav Ther 33, 387–405 (2015). https://doi.org/10.1007/s10942-015-0218-7

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