Evaluation of the diagnostic criteria of Internet gaming disorder in the DSM-5 among young adults in Taiwan

Chih-Hung Ko; Ju-Yu Yen; Sue-Huei Chen; Peng-Wei Wang; Cheng-Sheng Chen; Cheng-Fang Yen

doi:10.1016/j.jpsychires.2014.02.008

Evaluation of the diagnostic criteria of Internet gaming disorder in the DSM-5 among young adults in Taiwan

J Psychiatr Res. 2014 Jun:53:103-10. doi: 10.1016/j.jpsychires.2014.02.008. Epub 2014 Feb 19.

Authors

Chih-Hung Ko¹, Ju-Yu Yen², Sue-Huei Chen³, Peng-Wei Wang⁴, Cheng-Sheng Chen⁵, Cheng-Fang Yen⁶

Affiliations

¹ Department of Psychiatry, Kaohsiung Municipal Hsiao-Kang Hospital, Kaohsiung Medical University, Kaohsiung, Taiwan; Department of Psychiatry, Kaohsiung Medical University Hospital, Kaohsiung Medical University, Kaohsiung, Taiwan; Department of Psychiatry, Faculty of Medicine, Graduate Institute of Medicine, College of Medicine, Kaohsiung Medical University, Kaohsiung, Taiwan.
² Department of Psychiatry, Kaohsiung Medical University Hospital, Kaohsiung Medical University, Kaohsiung, Taiwan; Department of Psychiatry, Faculty of Medicine, Graduate Institute of Medicine, College of Medicine, Kaohsiung Medical University, Kaohsiung, Taiwan; Department of Psychiatry, Kaohsiung Municipal Ta-Tung Hospital, Kaohsiung, Taiwan.
³ Department of Psychology, National Taiwan University, Taipei, Taiwan.
⁴ Department of Psychiatry, Kaohsiung Medical University Hospital, Kaohsiung Medical University, Kaohsiung, Taiwan.
⁵ Department of Psychiatry, Kaohsiung Medical University Hospital, Kaohsiung Medical University, Kaohsiung, Taiwan; Department of Psychiatry, Faculty of Medicine, Graduate Institute of Medicine, College of Medicine, Kaohsiung Medical University, Kaohsiung, Taiwan.
⁶ Department of Psychiatry, Kaohsiung Medical University Hospital, Kaohsiung Medical University, Kaohsiung, Taiwan; Department of Psychiatry, Faculty of Medicine, Graduate Institute of Medicine, College of Medicine, Kaohsiung Medical University, Kaohsiung, Taiwan. Electronic address: chfaye@cc.kmu.edu.tw.

PMID: 24581573
DOI: 10.1016/j.jpsychires.2014.02.008

Abstract

The DSM-5 proposed the diagnostic criteria of Internet gaming disorder (IGD) and suggested that more evidence is necessary before it is included as a standard disorder in the DSM system. The aims of this study were to: 1) evaluate the diagnostic validity of individual criteria of IGD in the DSM-5 and the criteria of craving and irritability; 2) determine the optimal cut-off point for the IGD criteria in the DSM-5. We recruited 75 subjects with IGD, 75 without IGD, and 75 in remission from IGD based on the Diagnostic Criteria of Internet Addiction for College Students (DC-IA-C). All participants underwent a diagnostic interview based on the diagnostic criteria of IGD in the DSM-5 and completed the CIAS and QGU-B. Except for the "deceiving" and "escape" criteria, all criteria of IGD had diagnostic accuracy ranging from 77.3% to 94.7% to differentiate university students with IGD from remitted students. The criterion of craving had diagnostic accuracy of 88% and the criteria of irritability had an accuracy of 68.7%. Fulfilling 5 or more criteria of IGD in the DSM-5 was the best cut-off point to differentiate young adults with IGD from healthy or remitted users.

Keywords: Craving; Criteria; DSM-5; Diagnostic accuracy; Internet gaming disorder.

Publication types

Research Support, Non-U.S. Gov't

MeSH terms

Adult
Behavior, Addictive / diagnosis*
Behavior, Addictive / epidemiology
Behavior, Addictive / psychology*
Case-Control Studies
Diagnostic and Statistical Manual of Mental Disorders*
Female
Humans
Internet*
Male
Psychiatric Status Rating Scales
ROC Curve
Surveys and Questionnaires
Taiwan
Young Adult