a Department of Psychology , Loma Linda University, Loma Linda, CA, USA.
b Department of Computer Science and Engineering , University of California, Riverside, CA, USA.
Am J Drug Alcohol Abuse. 2019;45(1):67-76. doi: 10.1080/00952990.2018.1472269. Epub 2018 Jun 6.
Up to 23% of people who play video games report symptoms of addiction. Individuals with attention deficit hyperactivity disorder (ADHD) may be at increased risk for video game addiction, especially when playing games with more reinforcing properties.
The current study tested whether level of video game reinforcement (type of game) places individuals with greater ADHD symptom severity at higher risk for developing video game addiction.
Adult video game players (N = 2,801; Mean age = 22.43, SD = 4.70; 93.30% male; 82.80% Caucasian) completed an online survey. Hierarchical multiple linear regression analyses were used to test type of game, ADHD symptom severity, and the interaction between type of game and ADHD symptomatology as predictors of video game addiction severity, after controlling for age, gender, and weekly time spent playing video games.
ADHD symptom severity was positively associated with increased addiction severity (b = .73 and .68, ps < 0.001). Type of game played or preferred the most was not associated with addiction severity, ps > .05. The relationship between ADHD symptom severity and addiction severity did not depend on the type of video game played or preferred most, ps > .05.
Gamers who have greater ADHD symptom severity may be at greater risk for developing symptoms of video game addiction and its negative consequences, regardless of type of video game played or preferred most. Individuals who report ADHD symptomatology and also identify as gamers may benefit from psychoeducation about the potential risk for problematic play.
多达 23%的玩电子游戏的人报告有上瘾症状。患有注意缺陷多动障碍（ADHD）的个体可能有更高的电子游戏成瘾风险，尤其是当他们玩具有更多强化属性的游戏时。
本研究旨在检验电子游戏的强化程度（游戏类型）是否会使 ADHD 症状严重程度较高的个体面临更高的发展成电子游戏成瘾的风险。
成年电子游戏玩家（N=2801；平均年龄 22.43 岁，标准差 4.70；93.30%为男性；82.80%为白种人）完成了一项在线调查。采用分层多元线性回归分析，控制年龄、性别和每周玩电子游戏的时间后，检验游戏类型、ADHD 症状严重程度以及游戏类型与 ADHD 症状之间的交互作用对电子游戏成瘾严重程度的预测作用。
ADHD 症状严重程度与成瘾严重程度呈正相关（b=0.73 和 0.68，p 值均<0.001）。玩或最常玩的游戏类型与成瘾严重程度无关，p 值均>0.05。ADHD 症状严重程度与成瘾严重程度之间的关系不依赖于玩或最常玩的视频游戏类型，p 值均>0.05。
ADHD 症状严重程度较高的玩家可能面临更大的发展为电子游戏成瘾及其负面后果的风险，而与玩或最常玩的视频游戏类型无关。报告 ADHD 症状且同时为游戏玩家的个体可能会受益于关于潜在问题性游戏风险的心理教育。
