Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2022 May-Aug;29(2):93-101.
doi: 10.4103/jfcm.jfcm_48_22. Epub 2022 May 13.

Internet gaming disorder: Its prevalence and associated gaming behavior, anxiety, and depression among high school male students, Dammam, Saudi Arabia

Affiliations

Internet gaming disorder: Its prevalence and associated gaming behavior, anxiety, and depression among high school male students, Dammam, Saudi Arabia

Mohammed A Alhamoud et al. J Family Community Med. 2022 May-Aug.

Abstract

Background: Video games have become popular in the last few decades, resulting in an increase in reported negative consequences. This study aimed to assess the prevalence of internet gaming disorder (IGD), its association with gaming behavior, depression, and anxiety in male high school students.

Materials and methods: This cross-sectional study involved male high school students in Dammam. Schools were selected using stratified random sampling, and data were collected using a self-administered questionnaire. Data analyzed using SPSS v23.0; the initial analysis included descriptive statistics. Continuous and ordinal variables were compared using t-test or Mann-Whitney U test, and ANOVA or Kruskal-Wallis test, as appropriate; Chi-square test was used for categorical variables. Spearman correlation coefficient was calculated to determine the correlation between IGD score and depression and anxiety scores.

Results: A total of 726 high school gamers were involved, 87% of whom were Saudi, with a mean age of 16.92 years and 45% were from public schools. The mean IGD score was 18.12, and the prevalence of IGD was 21.85%. Students who spent ≥4 h/day on weekdays or ≥6 h/day at weekends on videogames and gamers who spent ≥200 Saudi Riyals per month on gaming had significantly higher mean IGD scores (P < 0.001). Gamers who used PC/laptop for gaming had significantly higher IGD scores compared to those who used other devices (P = 0.002). Action, fight, open-world games, and games with violence were associated with significantly higher IGD scores. Among students with IGD, 21.7% had moderately severe/severe depression and 11.4% had severe anxiety.

Conclusion: IGD is a concerning psychiatric disorder in male high school students. It is associated with certain gaming behavior and other mental problems. We recommend future larger-scale research that includes females as well.

Keywords: Addiction; anxiety; depression; internet gaming disorder; online games; videogames.

PubMed Disclaimer

Conflict of interest statement

There are no conflicts of interest.

Figures

Figure 1
Figure 1
Linear trends of depression and anxiety scores among 3 gamer groups
Figure 2
Figure 2
Correlation between IGD score and depression score among high school gamers. Pearson correlation coefficient = 0.473 (P ≤ 0.001). IGD: Internet gaming disorder
Figure 3
Figure 3
Correlation between IGD score and anxiety score among high school gamers. Pearson correlation coefficient = 0.385 (P ≤ 0.001). IGD: Internet gaming disorder

References

    1. Digital in Saudi Arabia: All the Statistics You Need in 2021 – DataReportal – Global Digital Insights. 2022. [[Last acessed on 2022 Mar 27]]. Available from: https://datareportal.com/reports/digital-2021-saudi-arabia .
    1. Rajab AM, Zaghloul MS, Enabi S, Rajab TM, Al-Khani AM, Basalah A, et al. Gaming addiction and perceived stress among Saudi adolescents. Addict Behav Rep. 2020;11:100261. - PMC - PubMed
    1. Taechoyotin P, Tongrod P, Thaweerungruangkul T, Towattananon N, Teekapakvisit P, Aksornpusitpong C, et al. Prevalence and associated factors of internet gaming disorder among secondary school students in rural community, Thailand: A cross-sectional study. BMC Res Notes. 2020;13:11. - PMC - PubMed
    1. Wang HR, Cho H, Kim DJ. Prevalence and correlates of comorbid depression in a nonclinical online sample with DSM-5 internet gaming disorder. J Affect Disord. 2018;226:1–5. - PubMed
    1. Al Salman ZH, Al Debel FA, Al Zakaria FM, Shafey MM, Darwish MA. Anxiety and depression and their relation to the use of electronic devices among secondary school students in Al-Khobar, Saudi Arabia, 2018-2019. J Family Community Med. 2022;27:53–61. - PMC - PubMed