Chulalongkorn Medical Journal


Background: Children and adolescents who use the Internet and play games are at risk for the Internet and game addiction because they are still developing and learning new things. Problematic game players are more likely to have attention-deficit hyper activity disorder (ADHD) compared with the general population. The data about game addiction in Adolescents with ADHD in Thailand are still limited. Objectives: To examine the prevalence of game addiction and its association with the severity of ADHD symptoms and other factors in adolescent ADHD patients attending the Child and Adolescents Outpatient Psychiatric Clinic, King Chulalongkorn Memorial Hospital. Methods: This cross-sectional descriptive study collected data from 96 adolescent patients who were treated for ADHD at the Child and Adolescents Outpatient Psychiatric Clinic from January to June 2019 using: 1) demographic data questionnaire; 2) Swanson Nolan and Pelham IV Scale (SNAP-IV) Short Form; 3) Game Addiction Screening Test (GAST) Child and Adolescent Version; and, 4) Children’s Depression Inventory (CDI) Thai version. Results: Most of subjects were male (83.3%) aged 14.4  1.7 years. The prevalence of game addiction was 28.1. Game addiction was significantly associated with depression. Personal factors associated with game addiction were playing games on mobile phone or tablet, playing games on computer, favoring first-person shooter (FPS) and multiplayer online battle arena (MOBA) genre of games and the duration of playing games (hours/day). The severity of ADHD symptoms showed no significant association with game addiction. Conclusion: The prevalence of game addiction in adolescent patients with ADHD was higher than previous studies. Depression and personal factors such as duration of playing games and using mobile phone or tablet for playing were associated with game addiction.


Faculty of Medicine, Chulalongkorn University



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