Evidence map›Paper›PMID 33027059›Full record

ArticleJournal of behavioral addictions2020

Perceived problems with adolescent online gaming: National differences and correlations with substance use.

Julian Strizek, Josefine Atzendorf, Ludwig Kraus, Karin Monshouwer, Alexandra Puhm, Alfred Uhl

Open access · goldAbstract readMulticenter Study
In one paragraph

Article in Journal of behavioral addictions, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
3.6field-weighted citation impact, top 6% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 13 citations in OpenAlex.

  1. Article
  2. Video gaming and cannabis use: A scoping review.Journal of behavioral addictions · 2025
    Article
  3. Article
  4. Article
  5. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 4 institutions in 5 countries.

Julian Strizek1Austrian Public Health Institute, Vienna, Austria.ORCID 0000-0002-1186-9911
Josefine Atzendorf2Munich Center for the Economics of Aging (MEA), Max-Planck-Institute for Social Law and Social Policy, Munich, Germany.
Ludwig Kraus3Institut für Therapieforschung, Munich, Germany.
Karin Monshouwer6Trimbos Institute, Utrecht, The Netherlands.
Alexandra Puhm1Austrian Public Health Institute, Vienna, Austria.
Alfred Uhl1Austrian Public Health Institute, Vienna, Austria.
Eötvös Loránd University · HUMax Planck Institute for Social Law and Social Policy · DESigmund Freud Privatuniversität Wien · ATTrimbos Institute · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundNot much is known about the correlation between gaming problems and substance use across different countries. This paper presents cross-national analyses of different gaming indicators and their relationship to substance use.

methodsBased on data from the 2015 ESPAD study, differences in the relationship between gaming and substance use across 35 countries were analysed using multi-level logistic regression, using substance use as an individual level predictor, economic wealth as a country-level predictor and a combined problem gaming indicator as the outcome.

resultsMulti-level logistic regressions revealed significant correlations between individual substance use and gaming problems, which varied across countries and were moderated by economic wealth. Students who used alcohol, tobacco or cannabis and who lived in high-income countries had a smaller risk of scoring positively on a combined problem gaming indicator than students who used alcohol, tobacco or cannabis and who lived in less prosperous countries. DISCUSSION: Different gaming indicators varied substantially across countries, with self-perceived gaming problems being more common in countries with a low prevalence of gaming. Significant cross-level effects demonstrate the need to take the societal context into account when the relationship between problem gaming and substance use is analysed. Prevention measures need to take the fact into account that patterns of substance use among problem gamers vary across countries.

Indexed as

Diagnostic Self EvaluationSocioeconomic FactorsVideo GamesAdolescentAdolescent BehaviorComorbidityCross-Cultural ComparisonFemaleHumansInternet Addiction DisorderMaleSubstance-Related Disorderscross-level effectESPADonline gamingsubstance use

Identifiers

PMID33027059
PMCPMC8943675
OpenAlexW3092039872

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.