Evidence map›Paper›PMID 41860609›Full record

ArticleJournal of behavioral addictions2026

Ecological momentary assessment in internet gaming disorder - Interactions between stress, negative emotions, craving and gaming behavior.

Alina Killer, Johanna Klar, Stefan Lerch, Julian Koenig, Jochen Kindler, Michael Kaess

Abstract read
In one paragraph

Article in Journal of behavioral addictions, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
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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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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.

Alina Killer1University Hospital of Child and Adolescent Psychiatry and Psychotherapy, University of Bern, Bern, Switzerland.ORCID https://orcid.org/0009-0004-5096-8738
Johanna Klar1University Hospital of Child and Adolescent Psychiatry and Psychotherapy, University of Bern, Bern, Switzerland.ORCID https://orcid.org/0000-0003-4315-087X
Stefan Lerch1University Hospital of Child and Adolescent Psychiatry and Psychotherapy, University of Bern, Bern, Switzerland.ORCID https://orcid.org/0000-0002-9578-6864
Julian Koenig2Clinic and Polyclinic for Child and Adolescent Psychiatry, Psychosomatics and Psychotherapy, University Hospital Cologne, Cologne, Germany.ORCID https://orcid.org/0000-0003-1009-9625
Jochen Kindler1University Hospital of Child and Adolescent Psychiatry and Psychotherapy, University of Bern, Bern, Switzerland.ORCID https://orcid.org/0000-0002-9034-2770
Michael Kaess1University Hospital of Child and Adolescent Psychiatry and Psychotherapy, University of Bern, Bern, Switzerland.ORCID https://orcid.org/0000-0003-0031-7764

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background and aims: Gaming may function as maladaptive coping strategy in youth with internet gaming disorder (IGD). Ecological Momentary Assessment (EMA) enables real-time monitoring of emotions and behavior. This study investigates the temporal dynamics of stress, negative emotions, craving and gaming behavior applying EMA to male youth with IGD during periods of varying gaming intensity and compared to healthy controls (HC). Methods: 29 males diagnosed with IGD, aged 15-25 years, and 26 matched HC were included. Participants underwent diagnostic assessment followed by one week of EMA via smartphone. The group with IGD continued EMA for two additional weeks: one week of unrestricted gaming and one week of restricted gaming. Data on gaming time, stress, negative emotions and craving were collected twice-daily on weekdays and up to sixteen times daily on weekends. Results: Participants with IGD exhibited significantly higher levels of depression, anxiety, stress, gaming time and craving compared to HC. While gaming time varied between unrestricted and restricted gaming conditions, craving, stress and negative emotions remained stable. In male youth with IGD, gaming was followed by a short-term reduction of stress and negative emotions. However, increased stress and negative emotions were subsequently followed by decreased gaming time. Discussion and conclusions: This study indicates a complex, bidirectional relationship between gaming, stress and negative emotions. Although gaming provides short-term emotional relief, the association with elevated levels of depression, anxiety and chronic stress highlights its role as maladaptive coping strategy. Conversely, negative emotions and stress do not necessarily seem to increase gaming time.

Indexed as

CravingEcological Momentary AssessmentEmotionsInternet Addiction DisorderStress, PsychologicalVideo GamesAdaptation, PsychologicalAdolescentAdultCoping SkillsHumansMaleYoung Adultcopingecological momentary assessmentEMAinternet gaming disorderstress

Identifiers

PMID41860609
PMCPMC13132349

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LicenceCC BY
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Registered trials

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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.