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Internet gaming disorder associated with insomnia severity, psychoticism and paranoid ideation
Tunisia: Findings from a recent cross-sectional study published in BMC Psychiatry have revealed an association between higher internet gaming disorder (IGD) scores and increasing insomnia severity, psychoticism, and paranoid ideation.
Further, the study stated the association between IGDs and paranoid ideation was fully mediated by insomnia severity, while the association between IGDs and psychoticism was partially mediated by cyberbullying.
"Our findings suggest that insomnia and cyberbullying may be regarded as potential targets for youth mental health promotion, and community-focused prevention and early intervention in psychosis," the researchers wrote.
There has been no clarity so far on the nature of the relationship between internet gaming disorder and psychosis. Some previous studies have shown that a greater time spent playing video games may expose players to both insomnia and a toxic online environment with widespread cyberbullying. In turn, these two possible possible consequences of IGD may be associated with greater psychotic experiences (PE).
Based on the above theoretical framework, Feten Fekih-Romdhane, Faculty of Medicine of Tunis, Tunis El Manar University, Tunis, Tunisia, and colleagues proposed to contribute to the body of knowledge in this area, by testing the possible indirect effects of cyber-victimization, insomnia severity, and cyberbullying in the cross-sectional association between IGD and PE in a sample of Tunisian university students.
In the cross-sectional study conducted over 4 months, the Insomnia Severity Index, the Internet Gaming disorder-20 Test, the Revised Cyber Bullying Inventory-II, and the Brief Symptom Inventory were administered to 851 students (mean age = 21.26 ± 1.68 years, 53.7% females).
The researchers reported the following findings:
· 25% of students were at risk of IGD, and 1.8% had an IGD.
· The results of the mediation analysis showed that insomnia severity fully mediated the association between IGD and paranoid ideation.
· Higher IGD was significantly associated with more insomnia severity, which was, in turn, significantly associated with more paranoid ideation.
· Cyberbullying partly mediated the association between IGD and psychoticism.
· Higher IGD scores were significantly associated with more cyberbullying, which was, in turn, significantly associated with more psychoticism.
· Greater IGD was significantly and directly associated with higher psychoticism.
This study highlighted the mediating role of cyberbullying and insomnia severity in the IGD-psychoticism connections and IGD-paranoid ideation respectively.
The researchers suggest devoting more particular attention to the huge potential for engaging in cyberbullying among online gamers.
"Sleep deprivation should be prevented, assessed and treated in heavy gamers," they concluded.
Reference:
Fekih-Romdhane, F., Lamloum, E., Loch, A.A. et al. The relationship between internet gaming disorder and psychotic experiences: cyberbullying and insomnia severity as mediators. BMC Psychiatry 23, 857 (2023). https://doi.org/10.1186/s12888-023-05363-x
MSc. Biotechnology
Medha Baranwal joined Medical Dialogues as an Editor in 2018 for Speciality Medical Dialogues. She covers several medical specialties including Cardiac Sciences, Dentistry, Diabetes and Endo, Diagnostics, ENT, Gastroenterology, Neurosciences, and Radiology. She has completed her Bachelors in Biomedical Sciences from DU and then pursued Masters in Biotechnology from Amity University. She has a working experience of 5 years in the field of medical research writing, scientific writing, content writing, and content management. She can be contacted at  editorial@medicaldialogues.in. Contact no. 011-43720751
Dr Kamal Kant Kohli-MBBS, DTCD- a chest specialist with more than 30 years of practice and a flair for writing clinical articles, Dr Kamal Kant Kohli joined Medical Dialogues as a Chief Editor of Medical News. Besides writing articles, as an editor, he proofreads and verifies all the medical content published on Medical Dialogues including those coming from journals, studies,medical conferences,guidelines etc. Email: drkohli@medicaldialogues.in. Contact no. 011-43720751