Evidence map›Paper›PMID 42306225›Full record

ArticleFrontiers in psychology2026

Neurodiversity and mental health in esports.

Lucas Van Ruysevelt, Olivier Mairesse, Martijn Van Heel, Michael Geoffrey Trotter, Matthew Watson, Ismael Pedraza-Ramirez, Iván Bonilla, Laura Swettenham, Jolan Kegelaers

Abstract read
In one paragraph

Article in Frontiers in psychology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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

1 citing paper in PubMed.

  1. 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

9 authors.

Lucas Van RuyseveltFaculty of Psychology and Educational Sciences, Vrije Universiteit Brussel, Brussels, Belgium.
Olivier MairesseFaculty of Psychology and Educational Sciences, Vrije Universiteit Brussel, Brussels, Belgium.
Martijn Van HeelFaculty of Psychology and Educational Sciences, Vrije Universiteit Brussel, Brussels, Belgium.
Michael Geoffrey TrotterSchool of Health and Welfare, Hogskolan i Halmstad, Halmstad, Sweden.
Matthew WatsonFaculty of Psychology and Educational Sciences, Vrije Universiteit Brussel, Brussels, Belgium.
Ismael Pedraza-RamirezInstitute of Psychology, Deutsche Sporthochschule Koln, Cologne, Germany.
Iván BonillaDepartment of Basic, Developmental, and Educational Psychology, Universitat Autonoma de Barcelona, Barcelona, Spain.
Laura SwettenhamSport and Exercise Sciences, Liverpool John Moores University, Liverpool, United Kingdom.
Jolan KegelaersFaculty of Psychology and Educational Sciences, Vrije Universiteit Brussel, Brussels, Belgium.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Both neurodiversity and mental health have become increasingly prominent topics in esports. Nevertheless, little is known about the mental health of neurodivergent esports players specifically. Methods: The current study, therefore, examined whether neurotype-related differences in mental health outcomes (well-being, depression, anxiety, and sleep disturbance) differed across self-reported competitive tiers through a secondary analysis of a large-scale, international, cross-sectional survey. Results: A total of 1,075 esports players across competitive tiers and game titles completed the survey, of whom 402 (37.39%) identified as neurodivergent. The analyses showed a main effect of neurotype for well-being and sleep disturbance, a main effect of competitive tier for all mental health outcomes, and an interaction effect for depression and anxiety. Simple comparisons showed that low-tier neurodivergent players exhibited the least favourable mental health profile, reporting lower well-being, higher depressive and anxiety symptoms, and greater sleep disturbance relative to their neurotypical counterparts. In contrast, high-tier neurodivergent players reported comparatively fewer depressive and anxiety symptoms than their high-tier neurotypical counterparts, despite continuing to report lower well-being and greater sleep disturbance. Discussion: Neurodivergence seems to be a salient dimension of esports participation. A substantial proportion of players in the current sample self-identified as neurodivergent, and competitive-tier based analyses indicated that the mental health profile associated with neurodivergence was not uniform across the competitive pathway. Future research should include longitudinal designs to clarify relationships between neurotype, mental health, and progression/drop-out across competitive levels, adopt more fine-grained approaches in describing and identifying neurodivergence, and capture lived experiences of neurodivergent players.

Indexed as

ADHD (attention deficit and hyperactivity disorder)anxietyautism (ASC)depressionneurodivergencesleep disturbancewell-being

Identifiers

PMID42306225
PMCPMC13265385

What OpenQuestion holds

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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.