TY - JOUR
T1 - Internet gaming disorder in adolescents with psychiatric disorder
T2 - Two case reports using a developmental framework
AU - Benarous, Xavier
AU - Morales, Pierre
AU - Mayer, Hanna
AU - Iancu, Cosmin
AU - Edel, Yves
AU - Cohen, David
N1 - Funding Information:
This study was supported in part by grants from the National Institutes of Health; National Heart, Lung, and Blood Institute (R01HL62508); and National Institute of Aging (R01AG06945).
Publisher Copyright:
Copyright © 2019 Benarous, Morales, Mayer, Iancu, Edel and Cohen. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
PY - 2019
Y1 - 2019
N2 - Internet gaming disorder (IGD) has been a controversial entity with various opinions about its clinical relevance as an independent mental disorder. This debate has also included discussions about the relationships between problematic gaming, various psychiatric disorders, and personality traits and dimensions. This paper outlines a developmental-theory based model of Internet gaming misuse inspired by the treatment of two adolescent inpatients. The two clinical vignettes illustrate distinct developmental pathways: an “internalized pathway” via the development of social anxiety, emotional and behavioral avoidance; and an “externalized pathway” with a low level of emotional regulation strategies and impulsivity. In both clinical cases, attachment issues played a key role to understand the specific associations of risk and maintaining factors for IGD, and gaming behaviors may be seen as specific forms of maladaptive self-regulatory strategies for these two youths. These clinical observations support the assumption that gaming use problematic in adolescents should be viewed with a developmental approach, including key aspects of emotional development that represent significant targets for therapeutic interventions.
AB - Internet gaming disorder (IGD) has been a controversial entity with various opinions about its clinical relevance as an independent mental disorder. This debate has also included discussions about the relationships between problematic gaming, various psychiatric disorders, and personality traits and dimensions. This paper outlines a developmental-theory based model of Internet gaming misuse inspired by the treatment of two adolescent inpatients. The two clinical vignettes illustrate distinct developmental pathways: an “internalized pathway” via the development of social anxiety, emotional and behavioral avoidance; and an “externalized pathway” with a low level of emotional regulation strategies and impulsivity. In both clinical cases, attachment issues played a key role to understand the specific associations of risk and maintaining factors for IGD, and gaming behaviors may be seen as specific forms of maladaptive self-regulatory strategies for these two youths. These clinical observations support the assumption that gaming use problematic in adolescents should be viewed with a developmental approach, including key aspects of emotional development that represent significant targets for therapeutic interventions.
KW - Adolescents
KW - Behavioral addiction
KW - Emotional dysregulation
KW - Externalizing disorders
KW - Gaming misuse
KW - Insecure attachment
KW - Internalizing disorders
KW - Internet gaming disorder
UR - http://www.scopus.com/inward/record.url?scp=85068221237&partnerID=8YFLogxK
U2 - 10.3389/fpsyt.2019.00336
DO - 10.3389/fpsyt.2019.00336
M3 - Article
AN - SCOPUS:85068221237
SN - 1664-0640
VL - 10
JO - Frontiers in Psychiatry
JF - Frontiers in Psychiatry
IS - MAY
M1 - 336
ER -