ArticleBMC psychiatry2026
Prevalence and factors of behavioral intention of gaming time reduction among high-risk adolescents in China: an application of the Conservation of Resource Theory.
Article in BMC psychiatry, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
backgroundGaming time reduction has been effective in reducing internet gaming disorder (IGD). This study investigated the prevalence of behavioral intention of gaming time reduction (BI-GTR) among middle school students who self-perceived having IGD. Based on the Conservation of Resource (COR) theory, the mediations between personal/interpersonal resource losses due to gaming time reduction and BI-GTR via perceived stress due to gaming time reduction were investigated.
methodsA cross-sectional, anonymous survey was conducted among Chinese adolescent internet gamers with self-perception of IGD in Chengdu, China, from December 2019 to January 2020 (n = 485). Self-perception of IGD was assessed by a screening question “Do you perceive yourself having IGD? (yes/no response options)”, while probable IGD was assessed by the 9-item DSM-5 Checklist.
resultsAmong all participants with self-perception of IGD, the prevalence of BI-GTR was 67.4%; it was significantly lower in the probable IGD group than the non-probable IGD group (56.2% versus 73.4%, OR = 1.63, 95% CI: 1.27, 2.08). Multivariate logistic regression analyses showed that, with the adjustment of background factors, personal resource losses (ORa = 0.93, 95% CI: 0.91, 0.95), interpersonal resource losses (ORa = 0.92, 95% CI: 0.90, 0.95), and perceived stress (ORa = 0.60, 95% CI: 0.49, 0.72) were significantly and negatively associated with BI-GTR. Path analysis, adjusting for background factors as well, revealed that the negative association between personal resource losses and BI-GTR was significantly and partially mediated via perceived stress (β = − 0.07; p = 0.023; mediation effect size = 15.6%); The similar indirect effects of perceived stress between interpersonal resource losses and BI-RGT were, however, statistically non-significant (β = − 0.01; p = 0.874). Multigroup path analysis further showed that the mediation mechanisms were invariant between the probable IGD and non-probable IGD groups.
conclusionsThe novel findings about the prevalence of BI-GTR, its associated factors, and mediations among Chinese adolescents with self-perception of IGD have implications for future research/interventions. It has extended the application of COR theory to studying health-seeking behaviors. Future confirmation and interventional studies are required. CLINICAL TRIAL NUMBER: Not applicable.
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