Skip to main content
Top
Published in: Annals of General Psychiatry 1/2006

Open Access 01-12-2006 | Primary research

A cross-sectional analysis of video games and attention deficit hyperactivity disorder symptoms in adolescents

Authors: Philip A Chan, Terry Rabinowitz

Published in: Annals of General Psychiatry | Issue 1/2006

Login to get access

Abstract

Background

Excessive use of the Internet has been associated with attention deficit hyperactivity disorder (ADHD), but the relationship between video games and ADHD symptoms in adolescents is unknown.

Method

A survey of adolescents and parents (n = 72 adolescents, 72 parents) was performed assessing daily time spent on the Internet, television, console video games, and Internet video games, and their association with academic and social functioning. Subjects were high school students in the ninth and tenth grade. Students were administered a modified Young's Internet Addiction Scale (YIAS) and asked questions about exercise, grades, work, and school detentions. Parents were asked to complete the Conners' Parent Rating Scale (CPRS) and answer questions regarding medical/psychiatric conditions in their child.

Results

There was a significant association between time spent playing games for more than one hour a day and YIAS (p < 0.001), overall grade point average (p ≤ 0.019), and the "Inattention" and "ADHD" components of the CPRS (p ≤ 0.001 and p ≤ 0.020, respectively). No significant association was found between body mass index (BMI), exercise, number of detentions, or the "Oppositional" and "Hyperactivity" components of CPRS and video game use.

Conclusion

Adolescents who play more than one hour of console or Internet video games may have more or more intense symptoms of ADHD or inattention than those who do not. Given the possible negative effects these conditions may have on scholastic performance, the added consequences of more time spent on video games may also place these individuals at increased risk for problems in school.
Literature
1.
go back to reference Hancox RJ, Poulton R: Watching television is associated with childhood obesity: but is it clinically important?. Int J Obes (Lond). 2005 Hancox RJ, Poulton R: Watching television is associated with childhood obesity: but is it clinically important?. Int J Obes (Lond). 2005
2.
go back to reference Marshall SJ, Biddle SJ, Gorely T, Cameron N, Murdey I: Relationships between media use, body fatness and physical activity in children and youth: a meta-analysis. Int J Obes Relat Metab Disord. 2004, 28 (10): 1238-1246. 10.1038/sj.ijo.0802706.CrossRefPubMed Marshall SJ, Biddle SJ, Gorely T, Cameron N, Murdey I: Relationships between media use, body fatness and physical activity in children and youth: a meta-analysis. Int J Obes Relat Metab Disord. 2004, 28 (10): 1238-1246. 10.1038/sj.ijo.0802706.CrossRefPubMed
3.
go back to reference Christakis DA, Zimmerman FJ, DiGiuseppe DL, McCarty CA: Early television exposure and subsequent attentional problems in children. Pediatrics. 2004, 113 (4): 708-713. 10.1542/peds.113.4.708.CrossRefPubMed Christakis DA, Zimmerman FJ, DiGiuseppe DL, McCarty CA: Early television exposure and subsequent attentional problems in children. Pediatrics. 2004, 113 (4): 708-713. 10.1542/peds.113.4.708.CrossRefPubMed
4.
go back to reference Browne KD, Hamilton-Giachritsis C: The influence of violent media on children and adolescents:a public-health approach. Lancet. 2005, 365 (9460): 702-710.CrossRefPubMed Browne KD, Hamilton-Giachritsis C: The influence of violent media on children and adolescents:a public-health approach. Lancet. 2005, 365 (9460): 702-710.CrossRefPubMed
5.
go back to reference Eisenmann JC, Bartee RT, Wang MQ: Physical activity, TV viewing, and weight in U.S. youth: 1999 Youth Risk Behavior Survey. Obes Res. 2002, 10 (5): 379-385. 10.1038/oby.2002.52.CrossRefPubMed Eisenmann JC, Bartee RT, Wang MQ: Physical activity, TV viewing, and weight in U.S. youth: 1999 Youth Risk Behavior Survey. Obes Res. 2002, 10 (5): 379-385. 10.1038/oby.2002.52.CrossRefPubMed
6.
go back to reference Pediatrics AAo: American Academy of Pediatrics: Children, adolescents, and television. Pediatrics. 2001, 107 (2): 423-426. 10.1542/peds.107.2.423.CrossRef Pediatrics AAo: American Academy of Pediatrics: Children, adolescents, and television. Pediatrics. 2001, 107 (2): 423-426. 10.1542/peds.107.2.423.CrossRef
7.
go back to reference Shapira NA, Goldsmith TD, Keck PE, Khosla UM, McElroy SL: Psychiatric features of individuals with problematic internet use. J Affect Disord. 2000, 57 (1–3): 267-272. 10.1016/S0165-0327(99)00107-X.CrossRefPubMed Shapira NA, Goldsmith TD, Keck PE, Khosla UM, McElroy SL: Psychiatric features of individuals with problematic internet use. J Affect Disord. 2000, 57 (1–3): 267-272. 10.1016/S0165-0327(99)00107-X.CrossRefPubMed
8.
go back to reference Shapira NA, Lessig MC, Goldsmith TD, Szabo ST, Lazoritz M, Gold MS, Stein DJ: Problematic internet use: proposed classification and diagnostic criteria. Depress Anxiety. 2003, 17 (4): 207-216. 10.1002/da.10094.CrossRefPubMed Shapira NA, Lessig MC, Goldsmith TD, Szabo ST, Lazoritz M, Gold MS, Stein DJ: Problematic internet use: proposed classification and diagnostic criteria. Depress Anxiety. 2003, 17 (4): 207-216. 10.1002/da.10094.CrossRefPubMed
9.
go back to reference Yoo HJ, Cho SC, Ha J, Yune SK, Kim SJ, Hwang J, Chung A, Sung YH, Lyoo IK: Attention deficit hyperactivity symptoms and internet addiction. Psychiatry Clin Neurosci. 2004, 58 (5): 487-494. 10.1111/j.1440-1819.2004.01290.x.CrossRefPubMed Yoo HJ, Cho SC, Ha J, Yune SK, Kim SJ, Hwang J, Chung A, Sung YH, Lyoo IK: Attention deficit hyperactivity symptoms and internet addiction. Psychiatry Clin Neurosci. 2004, 58 (5): 487-494. 10.1111/j.1440-1819.2004.01290.x.CrossRefPubMed
10.
go back to reference Tejeiro Salguero RA, Moran RM: Measuring problem video game playing in adolescents. Addiction. 2002, 97 (21): 1601-1606. 10.1046/j.1360-0443.2002.00218.x.CrossRefPubMed Tejeiro Salguero RA, Moran RM: Measuring problem video game playing in adolescents. Addiction. 2002, 97 (21): 1601-1606. 10.1046/j.1360-0443.2002.00218.x.CrossRefPubMed
11.
go back to reference Johansson A, Gotestam KG: Problems with computer games without monetary reward: similarity to pathological gambling. Psychol Rep. 2004, 95 (2): 641-650. 10.2466/PR0.95.6.641-650.CrossRefPubMed Johansson A, Gotestam KG: Problems with computer games without monetary reward: similarity to pathological gambling. Psychol Rep. 2004, 95 (2): 641-650. 10.2466/PR0.95.6.641-650.CrossRefPubMed
12.
go back to reference Griffiths MD, Hunt N: Dependence on computer games by adolescents. Psychol Rep. 1998, 82 (2): 475-480. 10.2466/PR0.82.2.475-480.CrossRefPubMed Griffiths MD, Hunt N: Dependence on computer games by adolescents. Psychol Rep. 1998, 82 (2): 475-480. 10.2466/PR0.82.2.475-480.CrossRefPubMed
13.
go back to reference Johansson A, Gotestam KG: Internet addiction: characteristics of a questionnaire and prevalence in Norwegian youth (12–18 years). Scand J Psychol. 2004, 45 (3): 223-229. 10.1111/j.1467-9450.2004.00398.x.CrossRefPubMed Johansson A, Gotestam KG: Internet addiction: characteristics of a questionnaire and prevalence in Norwegian youth (12–18 years). Scand J Psychol. 2004, 45 (3): 223-229. 10.1111/j.1467-9450.2004.00398.x.CrossRefPubMed
14.
go back to reference Gentile DA, Lynch PJ, Linder JR, Walsh DA: The effects of violent video game habits on adolescent hostility, aggressive behaviors, and school performance. J Adolesc. 2004, 27 (1): 5-22. 10.1016/j.adolescence.2003.10.002.CrossRefPubMed Gentile DA, Lynch PJ, Linder JR, Walsh DA: The effects of violent video game habits on adolescent hostility, aggressive behaviors, and school performance. J Adolesc. 2004, 27 (1): 5-22. 10.1016/j.adolescence.2003.10.002.CrossRefPubMed
15.
go back to reference Nippold MA, Duthie JK, Larsen J: Literacy as a leisure activity: free-time preferences of older children and young adolescents. Lang Speech Hear Serv Sch. 2005, 36 (2): 93-102. 10.1044/0161-1461(2005/009).CrossRefPubMed Nippold MA, Duthie JK, Larsen J: Literacy as a leisure activity: free-time preferences of older children and young adolescents. Lang Speech Hear Serv Sch. 2005, 36 (2): 93-102. 10.1044/0161-1461(2005/009).CrossRefPubMed
16.
go back to reference Christakis DA, Ebel BE, Rivara FP, Zimmerman FJ: Television, video, and computer game usage in children under 11 years of age. J Pediatr. 2004, 145 (5): 652-656. 10.1016/j.jpeds.2004.06.078.CrossRefPubMed Christakis DA, Ebel BE, Rivara FP, Zimmerman FJ: Television, video, and computer game usage in children under 11 years of age. J Pediatr. 2004, 145 (5): 652-656. 10.1016/j.jpeds.2004.06.078.CrossRefPubMed
17.
go back to reference Wake M, Hesketh K, Waters E: Television, computer use and body mass index in Australian primary school children. J Paediatr Child Health. 2003, 39 (2): 130-134. 10.1046/j.1440-1754.2003.00104.x.CrossRefPubMed Wake M, Hesketh K, Waters E: Television, computer use and body mass index in Australian primary school children. J Paediatr Child Health. 2003, 39 (2): 130-134. 10.1046/j.1440-1754.2003.00104.x.CrossRefPubMed
18.
go back to reference Vandewater EA, Shim MS, Caplovitz AG: Linking obesity and activity level with children's television and video game use. J Adolesc. 2004, 27 (1): 71-85. 10.1016/j.adolescence.2003.10.003.CrossRefPubMed Vandewater EA, Shim MS, Caplovitz AG: Linking obesity and activity level with children's television and video game use. J Adolesc. 2004, 27 (1): 71-85. 10.1016/j.adolescence.2003.10.003.CrossRefPubMed
19.
go back to reference Stettler N, Signer TM, Suter PM: Electronic games and environmental factors associated with childhood obesity in Switzerland. Obes Res. 2004, 12 (6): 896-903. 10.1038/oby.2004.109.CrossRefPubMed Stettler N, Signer TM, Suter PM: Electronic games and environmental factors associated with childhood obesity in Switzerland. Obes Res. 2004, 12 (6): 896-903. 10.1038/oby.2004.109.CrossRefPubMed
20.
go back to reference Anderson CA: An update on the effects of playing violent video games. J Adolesc. 2004, 27 (1): 113-122. 10.1016/j.adolescence.2003.10.009.CrossRefPubMed Anderson CA: An update on the effects of playing violent video games. J Adolesc. 2004, 27 (1): 113-122. 10.1016/j.adolescence.2003.10.009.CrossRefPubMed
21.
go back to reference Anderson CA, Bushman BJ: Effects of violent video games on aggressive behavior, aggressive cognition, aggressive affect, physiological arousal, and prosocial behavior: a meta-analytic review of the scientific literature. Psychol Sci. 2001, 12 (5): 353-359. 10.1111/1467-9280.00366.CrossRefPubMed Anderson CA, Bushman BJ: Effects of violent video games on aggressive behavior, aggressive cognition, aggressive affect, physiological arousal, and prosocial behavior: a meta-analytic review of the scientific literature. Psychol Sci. 2001, 12 (5): 353-359. 10.1111/1467-9280.00366.CrossRefPubMed
22.
go back to reference Haninger K, Thompson KM: Content and ratings of teen-rated video games. Jama. 2004, 291 (7): 856-865. 10.1001/jama.291.7.856.CrossRefPubMed Haninger K, Thompson KM: Content and ratings of teen-rated video games. Jama. 2004, 291 (7): 856-865. 10.1001/jama.291.7.856.CrossRefPubMed
23.
24.
go back to reference Lee H: A new case of fatal pulmonary thromboembolism associated with prolonged sitting at computer in Korea. Yonsei Med J. 2004, 45 (2): 349-351.CrossRefPubMed Lee H: A new case of fatal pulmonary thromboembolism associated with prolonged sitting at computer in Korea. Yonsei Med J. 2004, 45 (2): 349-351.CrossRefPubMed
25.
go back to reference Kang JW, Kim H, Cho SH, Lee MK, Kim YD, Nan HM, Lee CH: The association of subjective stress, urinary catecholamine concentrations and PC game room use and musculoskeletal disorders of the upper limbs in young male Koreans. J Korean Med Sci. 2003, 18 (3): 419-424.PubMedCentralCrossRefPubMed Kang JW, Kim H, Cho SH, Lee MK, Kim YD, Nan HM, Lee CH: The association of subjective stress, urinary catecholamine concentrations and PC game room use and musculoskeletal disorders of the upper limbs in young male Koreans. J Korean Med Sci. 2003, 18 (3): 419-424.PubMedCentralCrossRefPubMed
26.
go back to reference Kasteleijn-Nolst Trenite DG, da Silva A, Ricci S, Binnie CD, Rubboli G, Tassinari CA, Segers JP: Video-game epilepsy: a European study. Epilepsia. 1999, 40 (Suppl 4): 70-74. 10.1111/j.1528-1157.1999.tb00910.x.CrossRefPubMed Kasteleijn-Nolst Trenite DG, da Silva A, Ricci S, Binnie CD, Rubboli G, Tassinari CA, Segers JP: Video-game epilepsy: a European study. Epilepsia. 1999, 40 (Suppl 4): 70-74. 10.1111/j.1528-1157.1999.tb00910.x.CrossRefPubMed
27.
go back to reference Kasteleijn-Nolst Trenite DG, Martins da Silva A, Ricci S, Rubboli G, Tassinari CA, Lopes J, Bettencourt M, Oosting J, Segers JP: Video games are exciting: a European study of video game-induced seizures and epilepsy. Epileptic Disord. 2002, 4 (2): 121-128.PubMed Kasteleijn-Nolst Trenite DG, Martins da Silva A, Ricci S, Rubboli G, Tassinari CA, Lopes J, Bettencourt M, Oosting J, Segers JP: Video games are exciting: a European study of video game-induced seizures and epilepsy. Epileptic Disord. 2002, 4 (2): 121-128.PubMed
28.
go back to reference Li X, Atkins MS: Early childhood computer experience and cognitive and motor development. Pediatrics. 2004, 113 (6): 1715-1722. 10.1542/peds.113.6.1715.CrossRefPubMed Li X, Atkins MS: Early childhood computer experience and cognitive and motor development. Pediatrics. 2004, 113 (6): 1715-1722. 10.1542/peds.113.6.1715.CrossRefPubMed
29.
go back to reference Enochsson L, Isaksson B, Tour R, Kjellin A, Hedman L, Wredmark T, Tsai-Fellander L: Visuospatial skills and computer game experience influence the performance of virtual endoscopy. J Gastrointest Surg. 2004, 8 (7): 876-882. 10.1016/j.gassur.2004.06.015. discussion 882.PubMed Enochsson L, Isaksson B, Tour R, Kjellin A, Hedman L, Wredmark T, Tsai-Fellander L: Visuospatial skills and computer game experience influence the performance of virtual endoscopy. J Gastrointest Surg. 2004, 8 (7): 876-882. 10.1016/j.gassur.2004.06.015. discussion 882.PubMed
30.
go back to reference Latessa R, Harman JH, Hardee S, Scmidt-Dalton T: Teaching medicine using interactive games: development of the "stumpers" quiz show game. Fam Med. 2004, 36 (9): 616-PubMed Latessa R, Harman JH, Hardee S, Scmidt-Dalton T: Teaching medicine using interactive games: development of the "stumpers" quiz show game. Fam Med. 2004, 36 (9): 616-PubMed
31.
go back to reference Rosenberg BH, Landsittel D, Averch TD: Can video games be used to predict or improve laparoscopic skills?. J Endourol. 2005, 19 (3): 372-376. 10.1089/end.2005.19.372.CrossRefPubMed Rosenberg BH, Landsittel D, Averch TD: Can video games be used to predict or improve laparoscopic skills?. J Endourol. 2005, 19 (3): 372-376. 10.1089/end.2005.19.372.CrossRefPubMed
32.
go back to reference Birnbaum HG, Kessler RC, Lowe SW, Secnik K, Greenberg PE, Leong SA, Swensen AR: Costs of attention deficit-hyperactivity disorder (ADHD) in the US: excess costs of persons with ADHD and their family members in 2000. Curr Med Res Opin. 2005, 21 (2): 195-206. 10.1185/030079904X20303.CrossRefPubMed Birnbaum HG, Kessler RC, Lowe SW, Secnik K, Greenberg PE, Leong SA, Swensen AR: Costs of attention deficit-hyperactivity disorder (ADHD) in the US: excess costs of persons with ADHD and their family members in 2000. Curr Med Res Opin. 2005, 21 (2): 195-206. 10.1185/030079904X20303.CrossRefPubMed
33.
go back to reference Swensen AR, Birnbaum HG, Secnik K, Marynchenko M, Greenberg P, Claxton A: Attention-deficit/hyperactivity disorder: increased costs for patients and their families. J Am Acad Child Adolesc Psychiatry. 2003, 42 (12): 1415-1423. 10.1097/00004583-200312000-00008.CrossRefPubMed Swensen AR, Birnbaum HG, Secnik K, Marynchenko M, Greenberg P, Claxton A: Attention-deficit/hyperactivity disorder: increased costs for patients and their families. J Am Acad Child Adolesc Psychiatry. 2003, 42 (12): 1415-1423. 10.1097/00004583-200312000-00008.CrossRefPubMed
34.
go back to reference McGough JJ, McCracken JT: Assessment of attention deficit hyperactivity disorder: a review of recent literature. Curr Opin Pediatr. 2000, 12 (4): 319-324. 10.1097/00008480-200008000-00006.CrossRefPubMed McGough JJ, McCracken JT: Assessment of attention deficit hyperactivity disorder: a review of recent literature. Curr Opin Pediatr. 2000, 12 (4): 319-324. 10.1097/00008480-200008000-00006.CrossRefPubMed
35.
go back to reference Conners CK, Sitarenios G, Parker JD, Epstein JN: The revised Conners' Parent Rating Scale (CPRS-R): factor structure, reliability, and criterion validity. J Abnorm Child Psychol. 1998, 26 (4): 257-268. 10.1023/A:1022602400621.CrossRefPubMed Conners CK, Sitarenios G, Parker JD, Epstein JN: The revised Conners' Parent Rating Scale (CPRS-R): factor structure, reliability, and criterion validity. J Abnorm Child Psychol. 1998, 26 (4): 257-268. 10.1023/A:1022602400621.CrossRefPubMed
36.
go back to reference Widyanto L, McMurran M: The psychometric properties of the internet addiction test. Cyberpsychol Behav. 2004, 7 (4): 443-450. 10.1089/cpb.2004.7.443.CrossRefPubMed Widyanto L, McMurran M: The psychometric properties of the internet addiction test. Cyberpsychol Behav. 2004, 7 (4): 443-450. 10.1089/cpb.2004.7.443.CrossRefPubMed
37.
go back to reference Hudziak JJ, Derks EM, Althoff RR, Rettew DC, Boomsma DI: The genetic and environmental contributions to attention deficit hyperactivity disorder as measured by the conners' rating scales – revised. Am J Psychiatry. 2005, 162 (9): 1614-1620. 10.1176/appi.ajp.162.9.1614.CrossRefPubMed Hudziak JJ, Derks EM, Althoff RR, Rettew DC, Boomsma DI: The genetic and environmental contributions to attention deficit hyperactivity disorder as measured by the conners' rating scales – revised. Am J Psychiatry. 2005, 162 (9): 1614-1620. 10.1176/appi.ajp.162.9.1614.CrossRefPubMed
38.
go back to reference Dey AN, Schiller JS, Tai DA: Summary health statistics for U.S. children: National Health Interview Survey, 2002. Vital Health Stat 10. 2004, 1-78. 221 Dey AN, Schiller JS, Tai DA: Summary health statistics for U.S. children: National Health Interview Survey, 2002. Vital Health Stat 10. 2004, 1-78. 221
Metadata
Title
A cross-sectional analysis of video games and attention deficit hyperactivity disorder symptoms in adolescents
Authors
Philip A Chan
Terry Rabinowitz
Publication date
01-12-2006
Publisher
BioMed Central
Published in
Annals of General Psychiatry / Issue 1/2006
Electronic ISSN: 1744-859X
DOI
https://doi.org/10.1186/1744-859X-5-16

Other articles of this Issue 1/2006

Annals of General Psychiatry 1/2006 Go to the issue