ArticleJournal of behavioral addictions2025
Trajectory of internet gaming disorder among Chinese adolescents: Course, predictors, and long-term mental health outcomes.
Article in Journal of behavioral addictions, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.
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13 citing papers in PubMed.
- Associations in Both Directions Between Internet Gaming Disorder and Suicidal Ideation and Attempts Among Chinese Adolescent Gamers: Two-Wave Prospective Cohort Study.Journal of medical Internet research · 2026Article
- Developmental Trajectories of Problematic Gaming among Chinese Migrant Children: Predictors and School Adjustment Outcomes.Journal of youth and adolescence · 2026Article
- A bibliometric analysis of global research trends and emerging hotspots on suicide and depression among children and adolescents.Discover mental health · 2026Review
- Review
- Epidemiology of adolescent gaming disorder: A 6-year population-based longitudinal study (2019-2024).European psychiatry : the journal of the Association of European Psychiatrists · 2026Article
- Disrupted brain functional networks in adolescents and young adults with gaming disorder during social interaction: An fNIRS study.Psychological medicine · 2026Article
- Associations Between Parental Gaming Behaviors and Conversion From Internet Gaming Disorder Noncases to Cases Among Adolescents: Prospective Longitudinal Cohort Study.JMIR serious games · 2026Article
- Co-developmental trajectories of specific problematic usage of the internet: Associations with microsystem predictors and adolescents' mental health outcomes.Journal of behavioral addictions · 2026Article
- Peer bullying victimisation and depressive symptoms as serial mediators between attention-deficit/hyperactivity disorder symptoms and internet gaming disorder among Chinese adolescents: A three-wave longitudinal study.General psychiatry · 2026Article
- Prevalence and factors of behavioral intention of gaming time reduction among high-risk adolescents in China: an application of the Conservation of Resource Theory.BMC psychiatry · 2026Article
- The temporal stability of core symptoms of social media addiction and their comorbidity with anxiety and depression in adolescents: a longitudinal network analysis.Frontiers in psychiatry · 2026Article
- The effect of bullying victimization trajectory on internet gaming disorder and the mediating role of impaired resilience: a three-wave cohort study among Chinese adolescents.BMC psychiatry · 2025Article
- Prevalence, Sex Differences, and Predictors of Internet Gaming Disorder Among Impoverished Rural Adolescents: Cross-Sectional and Prospective Cohort Study.JMIR serious games · 2025Article
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15 authors.
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Abstract
Background and Objectives: Internet gaming disorder (IGD) is a growing public health concern, especially among adolescents. However, most IGD studies are cross-sectional, leaving its developmental course poorly understood. This study examined IGD trajectories, their predictors, and their long-term mental health outcomes among Chinese adolescents. Methods: A cohort of 16,833 adolescent gamers (mean age = 13.40, 46.56% girls) was recruited from 76 middle schools in Zigong City through cluster sampling. Assessments were conducted in November 2020 (T1), November 2021 (T2), and November 2022 (T3). IGD was measured using the Internet Gaming Disorder Scale-Short Form (IGDS9-SF). Demographic, gaming, environmental, and psychological factors (e.g., depression, anxiety, sleep problems, suicidal ideation, conduct problems, hyperactivity, resilience, mental wellbeing, prosocial behavior) were also assessed. Growth mixture modeling (GMM) identified IGD trajectories, and logistic regression evaluated predictors and mental health outcomes at T3. Results: GMM identified four IGD trajectories: High-Risk Decreasing (4.5%), Moderate-Risk Stable (19.5%), Moderate-Risk Increasing (3.0%), and Low-Risk Stable (73.0%). Age, gaming time, anxiety, sleep problems, conduct problems, hyperactivity/inattention, and low prosocial behavior predicted worsening IGD symptoms. At T3, the Moderate-Risk Increasing group had significantly higher risks for adverse mental health outcomes compared to the Low-Risk Stable group, whereas the High-Risk Decreasing group showed no significant or minimal differences in most domains from the Low-Risk Stable group after adjusting for baseline characteristics. Discussion and Conclusions: These findings underscore the heterogeneous nature of IGD development and highlight the need for long-term monitoring and tailored interventions to mitigate adverse mental health outcomes in at-risk adolescents.
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